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纳米技术——应对非小细胞肺癌耐药挑战的有力工具。

Nanotechnology - a robust tool for fighting the challenges of drug resistance in non-small cell lung cancer.

作者信息

Gorachinov Filip, Mraiche Fatima, Moustafa Diala Alhaj, Hishari Ola, Ismail Yomna, Joseph Jensa, Crcarevska Maja Simonoska, Dodov Marija Glavas, Geskovski Nikola, Goracinova Katerina

机构信息

Institute of Pharmaceutical Technology, Faculty of Pharmacy, University of Ss. Cyril and Methodius in Skopje, 1000 Skopje, North Macedonia.

College of Pharmacy, QU Health, Qatar University, PO Box 2713, Doha, Qatar.

出版信息

Beilstein J Nanotechnol. 2023 Feb 22;14:240-261. doi: 10.3762/bjnano.14.23. eCollection 2023.


DOI:10.3762/bjnano.14.23
PMID:36865093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9972888/
Abstract

Genomic and proteomic mutation analysis is the standard of care for selecting candidates for therapies with tyrosine kinase inhibitors against the human epidermal growth factor receptor (EGFR TKI therapies) and further monitoring cancer treatment efficacy and cancer development. Acquired resistance due to various genetic aberrations is an unavoidable problem during EGFR TKI therapy, leading to the rapid exhaustion of standard molecularly targeted therapeutic options against mutant variants. Attacking multiple molecular targets within one or several signaling pathways by co-delivery of multiple agents is a viable strategy for overcoming and preventing resistance to EGFR TKIs. However, because of the difference in pharmacokinetics among agents, combined therapies may not effectively reach their targets. The obstacles regarding the simultaneous co-delivery of therapeutic agents at the site of action can be overcome using nanomedicine as a platform and nanotools as delivery agents. Precision oncology research to identify targetable biomarkers and optimize tumor homing agents, hand in hand with designing multifunctional and multistage nanocarriers that respond to the inherent heterogeneity of the tumors, may resolve the challenges of inadequate tumor localization, improve intracellular internalization, and bring advantages over conventional nanocarriers.

摘要

基因组和蛋白质组突变分析是选择使用针对人表皮生长因子受体的酪氨酸激酶抑制剂进行治疗的候选者(即表皮生长因子受体酪氨酸激酶抑制剂疗法)以及进一步监测癌症治疗效果和癌症发展的标准治疗方法。在表皮生长因子受体酪氨酸激酶抑制剂治疗期间,由于各种基因畸变导致的获得性耐药是一个不可避免的问题,这使得针对突变变体的标准分子靶向治疗选择迅速枯竭。通过共同递送多种药物来攻击一个或多个信号通路中的多个分子靶点是克服和预防对表皮生长因子受体酪氨酸激酶抑制剂耐药的可行策略。然而,由于药物之间药代动力学的差异,联合疗法可能无法有效地到达其靶点。利用纳米医学作为平台,纳米工具作为递送剂,可以克服在作用部位同时共同递送治疗药物的障碍。精准肿瘤学研究旨在识别可靶向的生物标志物并优化肿瘤归巢剂,同时设计对肿瘤固有的异质性有反应的多功能和多阶段纳米载体,这可能解决肿瘤定位不足的挑战,改善细胞内摄取,并比传统纳米载体具有优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/77fae6627202/Beilstein_J_Nanotechnol-14-240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/d11989f6208d/Beilstein_J_Nanotechnol-14-240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/7199f882c351/Beilstein_J_Nanotechnol-14-240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/77fae6627202/Beilstein_J_Nanotechnol-14-240-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/d11989f6208d/Beilstein_J_Nanotechnol-14-240-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/7199f882c351/Beilstein_J_Nanotechnol-14-240-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23f9/9972888/77fae6627202/Beilstein_J_Nanotechnol-14-240-g004.jpg

相似文献

[1]
Nanotechnology - a robust tool for fighting the challenges of drug resistance in non-small cell lung cancer.

Beilstein J Nanotechnol. 2023-2-22

[2]
Chloroquine in combination with aptamer-modified nanocomplexes for tumor vessel normalization and efficient erlotinib/Survivin shRNA co-delivery to overcome drug resistance in EGFR-mutated non-small cell lung cancer.

Acta Biomater. 2018-6-28

[3]
Nanomodified strategies to overcome EGFR-tyrosine kinase inhibitors resistance in non-small cell lung cancer.

J Control Release. 2020-8-10

[4]
Reduced PHLPP Expression Leads to EGFR-TKI Resistance in Lung Cancer by Activating PI3K-AKT and MAPK-ERK Dual Signaling.

Front Oncol. 2021-6-8

[5]
Addressing epidermal growth factor receptor tyrosine kinase inhibitor resistance in non-small cell lung cancer.

Expert Rev Respir Med. 2016

[6]
MET Gene Amplification and MET Receptor Activation Are Not Sufficient to Predict Efficacy of Combined MET and EGFR Inhibitors in EGFR TKI-Resistant NSCLC Cells.

PLoS One. 2015-11-18

[7]
Treatment strategies and outcomes for patients with EGFR-mutant non-small cell lung cancer resistant to EGFR tyrosine kinase inhibitors: Focus on novel therapies.

Lung Cancer. 2022-8

[8]
Mutations in the MET tyrosine kinase domain and resistance to tyrosine kinase inhibitors in non-small-cell lung cancer.

Respir Res. 2023-1-25

[9]
Current mechanism of acquired resistance to epidermal growth factor receptor-tyrosine kinase inhibitors and updated therapy strategies in human nonsmall cell lung cancer.

J Cancer Res Ther. 2016-12

[10]
Next-generation sequencing reveals novel resistance mechanisms and molecular heterogeneity in EGFR-mutant non-small cell lung cancer with acquired resistance to EGFR-TKIs.

Lung Cancer. 2017-9-12

引用本文的文献

[1]
Therapeutic advances of targeting receptor tyrosine kinases in cancer.

Signal Transduct Target Ther. 2024-8-14

[2]
Recent Developments in Tyrosine Kinase Inhibitor-based Nanotherapeutics for EGFR-resistant Non-small Cell Lung Cancer.

Curr Drug Deliv. 2025

[3]
Targeted EGFR Nanotherapy in Non-Small Cell Lung Cancer.

J Funct Biomater. 2023-9-9

本文引用的文献

[1]
The current state of the art and future trends in RAS-targeted cancer therapies.

Nat Rev Clin Oncol. 2022-10

[2]
Functional ligands for improving anticancer drug therapy: current status and applications to drug delivery systems.

Drug Deliv. 2022-12

[3]
delivery of plasmid DNA by lipid nanoparticles: the influence of ionizable cationic lipids on organ-selective gene expression.

Biomater Sci. 2022-5-31

[4]
Cetuximab Combined With Sonodynamic Therapy Achieves Dual-Modal Image Monitoring for the Treatment of EGFR-Sensitive Non-Small-Cell Lung Cancer.

Front Oncol. 2022-2-14

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A multifunctional nanotheranostic agent potentiates erlotinib to EGFR wild-type non-small cell lung cancer.

Bioact Mater. 2021-11-4

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Lung-selective mRNA delivery of synthetic lipid nanoparticles for the treatment of pulmonary lymphangioleiomyomatosis.

Proc Natl Acad Sci U S A. 2022-2-22

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Biomater Res. 2022-1-31

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Targeting -Mutant NSCLC - The Light Is On.

N Engl J Med. 2022-1-20

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HER2 Amplification in Advanced NSCLC Patients After Progression on EGFR-TKI and Clinical Response to EGFR-TKI Plus Pyrotinib Combination Therapy.

Onco Targets Ther. 2021-11-18

[10]
Diverse alterations associated with resistance to KRAS(G12C) inhibition.

Nature. 2021-11

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