Anthracycline Nano-Delivery Systems to Overcome Multiple Drug Resistance: A Comprehensive Review
1Center for Nanotechnology in Drug Delivery, Division of Molecular Pharmaceutics, UNC Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Abstract:
Anthracyclines (doxorubicin, daunorubicin, and idarubicin) are very effective chemotherapeutic drugs to treat many cancers; however, the development of multiple drug resistance (MDR) is one of the major limitations for their clinical applications. Nano-delivery systems have emerged as the novel cancer therapeutics to overcome MDR. Up until now, many anthracycline nano-delivery systems have been developed and reported to effectively circumvent MDR both in-vitro and in-vivo, and some of these systems have even advanced to clinical trials, such as the HPMA-doxorubicin (HPMA-DOX) conjugate. Doxil, a DOX PEGylated liposome formulation, was developed and approved by FDA in 1995. Unfortunately, this formulation does not address the MDR problem. In this comprehensive review, more than ten types of developed anthracycline nano-delivery systems to overcome MDR and their proposed mechanisms are covered and discussed, including liposomes; polymeric micelles, conjugate and nanoparticles; peptide/protein conjugates; solid-lipid, magnetic, gold, silica, and cyclodextrin nanoparticles; and carbon nanotubes.
Insights
Anthracycline chemotherapy faces limitations due to multidrug resistance (MDR). Novel nano-delivery systems show promise in overcoming MDR, with various types advancing in research and clinical trials.
Area of Science:
- Oncology
- Nanotechnology
- Pharmacology
Background:
- Anthracyclines are effective chemotherapy drugs but their use is limited by multidrug resistance (MDR).
- MDR significantly hinders the clinical application of anthracyclines in cancer treatment.
- Nano-delivery systems offer a promising strategy to overcome MDR in cancer therapy.
Purpose of the Study:
- To review and discuss various anthracycline nano-delivery systems developed to overcome MDR.
- To explore the proposed mechanisms by which these nano-delivery systems circumvent MDR.
- To provide a comprehensive overview of advancements in anthracycline nanotechnology for cancer treatment.
Main Methods:
- Comprehensive literature review of anthracycline nano-delivery systems.
- Analysis of diverse nano-delivery platforms including liposomes, micelles, nanoparticles, and conjugates.
- Discussion of proposed mechanisms of action for overcoming MDR.
Main Results:
- Over ten types of anthracycline nano-delivery systems have been developed to combat MDR.
- These systems include liposomes, polymeric micelles, conjugates, various nanoparticles (solid-lipid, magnetic, gold, silica, cyclodextrin), and carbon nanotubes.
- Many systems demonstrate efficacy in overcoming MDR both in vitro and in vivo, with some progressing to clinical trials.
Conclusions:
- Nano-delivery systems represent a significant advancement in overcoming anthracycline resistance in cancer.
- Diverse nanotechnology platforms offer potential solutions to enhance chemotherapy efficacy.
- Continued research and development of these systems are crucial for improving cancer treatment outcomes.
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