Gorachinov Filip, Mraiche Fatima, Moustafa Diala Alhaj, Hishari Ola, Ismail Yomna, Joseph Jensa, Crcarevska Maja Simonoska, Dodov Marija Glavas, Geskovski Nikola, Goracinova Katerina
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.
Beilstein J Nanotechnol. 2023 Feb 22;14:240-261. doi: 10.3762/bjnano.14.23. eCollection 2023.
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.
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。
Beilstein J Nanotechnol. 2023-2-22
J Control Release. 2020-8-10
Signal Transduct Target Ther. 2024-8-14
J Funct Biomater. 2023-9-9
Nat Rev Clin Oncol. 2022-10
Proc Natl Acad Sci U S A. 2022-2-22
N Engl J Med. 2022-1-20