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Site-directed delivery of nitric oxide to cancers
Kavita Sharma1, Harinath Chakrapani1
1Indian Institute of Science Education and Research Pune, Dr. Homi Bhabha Road, Pune, 411 008 Maharashtra, India.
Abstract:
Nitric oxide (NO) is a reactive gaseous free radical which mediates numerous biological processes. At elevated levels, NO is found to be toxic to cancers and hence, a number of strategies for site-directed delivery of NO to cancers are in development during the past two decades. More recently, the focus of research has been to, in conjunction with other cancer drugs deliver NO to cancers for its secondary effects including inhibition of cellular drug efflux pumps. Among the various approaches toward site-selective delivery of exogenous NO sources, enzyme activated nitric oxide donors belonging to the diazeniumdiolate category afford unique advantages including exquisite control of rates of NO generation and selectivity of NO production. For this prodrug approach, enzymes including esterase, glutathione/glutathione S-transferase, DT-diaphorase, and nitroreductase are utilized. Here, we review the design and development of various approaches to enzymatic site-directed delivery of NO to cancers and their potential.
Insights
Nitric oxide (NO) shows promise in cancer treatment. Enzyme-activated NO donors offer a targeted approach for cancer therapy, potentially enhancing drug efficacy by inhibiting drug efflux pumps.
Area of Science:
- Biomedical Engineering
- Cancer Therapeutics
- Drug Delivery Systems
Background:
- Nitric oxide (NO) is a crucial biological mediator with demonstrated toxicity to cancer cells.
- Developing strategies for site-directed delivery of NO to tumors is a key area of cancer research.
- NO's role in inhibiting cellular drug efflux pumps offers potential for combination cancer therapy.
Purpose of the Study:
- To review the design and development of enzymatic approaches for site-directed nitric oxide delivery to cancers.
- To explore the potential of enzyme-activated NO donors in cancer treatment.
- To highlight the advantages of diazeniumdiolate-based NO donors for controlled NO generation and selectivity.
Main Methods:
- Review of literature on enzymatic activation of nitric oxide donors.
- Focus on diazeniumdiolate prodrugs activated by enzymes like esterase, glutathione S-transferase, DT-diaphorase, and nitroreductase.
- Analysis of strategies for site-selective delivery of exogenous NO sources.
Main Results:
- Enzyme-activated nitric oxide donors provide precise control over NO release rates and selectivity.
- These prodrugs can be designed for targeted activation within tumor environments.
- The secondary effects of NO, such as inhibiting drug efflux pumps, can enhance the efficacy of co-administered chemotherapeutics.
Conclusions:
- Enzymatic site-directed delivery of nitric oxide represents a promising strategy for cancer therapy.
- Diazeniumdiolate donors activated by specific enzymes offer advantages for targeted NO release.
- This approach holds potential for improving cancer treatment outcomes, particularly in combination therapies.
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