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Engineering Nanomedicines to Overcome Multidrug Resistance in Cancer Therapy
Giovanni L Beretta, Francesca Cavalieri1
1Dipartimento di Scienze e Tecnologie Chimiche Università di Roma Tor Vergata, Via della ricerca scientifica 1 00173, Roma, Italy. francesca.cavalieri@uniroma2.it.
Abstract:
Drug resistance to conventional antitumor drugs represents one of the major causes of treatment failure in patients affected by tumors. Two main types of drug resistance to anticancer drugs are found in tumors, namely intrinsic resistance, in which tumor cells are inherently resistant to chemotherapy, and acquired resistance, which results from previous drug exposure. Tumor cells resistant to a chemotherapeutic agent become cross-resistant to both similar and structurally unrelated classes of antitumor drugs, a biological mechanism known as multi drug resistance (MDR). Among the strategies considered to overcome MDR, nanovector-mediated drug administration represents an innovative and promising alternative. In this review, we report a number of nanovectors including polymer-drug conjugates, polymeric micelles, nanotubes, LbL nanocapsules, and silica and gold nanoparticles. These systems are designed for the efficient delivery of anthracyclines, vinca alkaloids, taxanes, and others drugs. The development of these nanovectos to specifically overcome MDR and their mechanisms of action are covered and discussed. Finally, we discuss challenges and opportunities for further development of nanodevices-based chemotherapies to circumvent MDR through the design of nanovectors for the delivery of multiple cargoes.
Insights
Nanotechnology offers a promising solution to combat multi drug resistance (MDR) in cancer chemotherapy. Nanovectors deliver anticancer drugs, overcoming resistance and improving treatment outcomes for patients.
Area of Science:
- Oncology
- Nanomedicine
- Drug Delivery
Background:
- Drug resistance, both intrinsic and acquired, is a primary reason for chemotherapy failure in cancer patients.
- Multi drug resistance (MDR) involves tumor cells becoming cross-resistant to various anticancer drugs.
- Nanovector-mediated drug delivery presents an innovative strategy to overcome MDR.
Purpose of the Study:
- To review nanovectors designed for efficient drug delivery in overcoming multi drug resistance (MDR).
- To discuss the mechanisms of action for nanovector-based strategies against MDR.
- To explore future opportunities in nanodevices for MDR circumvention.
Main Methods:
- Review of nanovectors including polymer-drug conjugates, polymeric micelles, nanotubes, LbL nanocapsules, and silica and gold nanoparticles.
- Analysis of nanovector systems designed for delivering anthracyclines, vinca alkaloids, and taxanes.
- Discussion of nanovector development for specific MDR targeting and multi-cargo delivery.
Main Results:
- Various nanovectors show potential for delivering anticancer drugs and overcoming MDR.
- Nanovector design and mechanisms of action are crucial for effective MDR circumvention.
- Nanoparticle-based systems offer targeted delivery and enhanced therapeutic efficacy.
Conclusions:
- Nanovector-mediated drug delivery is a promising approach to overcome multi drug resistance (MDR) in cancer.
- Further development of nanodevices is essential for advancing nanochemotherapy against MDR.
- Designing nanovectors for multi-cargo delivery holds significant potential for future cancer treatments.
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