Nanomedicine to overcome cancer multidrug resistance

Xi Yang, Cheng Yi, Na Luo

  • 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.

Current Drug Metabolism
|September 27, 2014
PubMed

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.

Related Concept Videos

Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
2.6K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

1.1K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.0K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.4K
Cancer02:18

Cancer

Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
51.3K