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Nanomedicine to overcome cancer multidrug resistance
1Department of Medical Oncology, State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, West China Medical School, Sichuan University, Chengdu 610041, China. chygong14@163.com.
Abstract:
Cancer is still considered to be one of the most severe diseases so far. Multidrug resistance (MDR) is a major obstacle against curative cancer chemotherapy. The over-expression of drug efflux pumps in cellular membrane plays a critical role in preventing cancer cells from conventional chemotherapy. Nanotechnology is emerging as a class of therapeutics for MDR. This review mainly focuses on some pivotal strategies to combat MDR, including the enhanced permeability and retention (EPR) effect, stealth nanoparticles to prolong circulation time, endosomal escape, active drug delivery, stimuli sensitive drug release, and targeted co-delivery of different compounds. While convinced challenges need combatting, large numbers of preclinical studies strongly suggest that nanomedicine formations have potential application for improving the treatment of MDR.
Insights
Nanotechnology offers promising strategies to overcome multidrug resistance (MDR) in cancer chemotherapy. Nanomedicine formulations show potential for improving treatment outcomes in patients with drug-resistant cancers.
Area of Science:
- Oncology
- Nanomedicine
- Pharmacology
Background:
- Cancer remains a significant global health challenge.
- Multidrug resistance (MDR) severely limits the efficacy of conventional chemotherapy.
- Overexpression of drug efflux pumps contributes to MDR by reducing intracellular drug accumulation.
Purpose of the Study:
- To review pivotal nanotechnology-based strategies for combating cancer multidrug resistance (MDR).
- To highlight the potential of nanomedicine in overcoming chemotherapy resistance.
Main Methods:
- Review of preclinical studies on nanomedicine strategies against MDR.
- Focus on enhanced permeability and retention (EPR) effect, stealth nanoparticles, endosomal escape, active drug delivery, stimuli-sensitive release, and targeted co-delivery.
Main Results:
- Nanotechnology-based approaches demonstrate significant potential in overcoming MDR.
- Strategies like EPR effect, prolonged circulation, and targeted delivery enhance therapeutic efficacy.
Conclusions:
- Nanomedicine offers a promising avenue for improving the treatment of multidrug-resistant cancers.
- Despite challenges, preclinical data strongly support the clinical application of nanomedicine for MDR cancer therapy.
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