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Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
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Why develop photoactivated chemotherapy?

Sylvestre Bonnet1

  • 1Leiden Institute of Chemistry, Einsteinweg 55, 2333CC Leiden, The Netherlands. bonnet@chem.leidenuniv.nl.

Dalton Transactions (Cambridge, England : 2003)
|July 7, 2018
PubMed
Summary

Photoactivated chemotherapy (PACT) offers a promising approach for developing new bioactive compounds. This review advocates shifting from a compound-focused to a disease-focused strategy for greater clinical impact.

Area of Science:

  • Inorganic chemistry
  • Photochemistry
  • Oncology

Background:

  • Photoactivated chemotherapy (PACT) utilizes light-cleavable protecting groups to shield bioactive compounds until light activation.
  • PACT presents significant opportunities for novel inorganic compound development in medicine.
  • The clinical translation of PACT is hindered by a focus on chemical novelty over therapeutic needs.

Purpose of the Study:

  • To advocate for a paradigm shift in PACT research from a compound-based to a disease-based approach.
  • To discuss the advantages and disadvantages of PACT compared to other phototherapies.
  • To propose a roadmap for advancing PACT towards clinical applications.

Main Methods:

  • Literature review and critical analysis of the current PACT landscape.

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  • Comparative assessment of PACT with existing phototherapeutic modalities.
  • Strategic planning for future PACT development.
  • Main Results:

    • The PACT field has matured, enabling a transition to addressing specific clinical challenges.
    • A disease-based approach prioritizes therapeutic needs, guiding the design of PACT compounds.
    • PACT offers distinct advantages and disadvantages relative to other phototherapies.

    Conclusions:

    • A shift towards a disease-based approach is crucial for realizing the full clinical potential of PACT.
    • Future research should focus on developing PACT compounds tailored to specific diseases and patient needs.
    • Strategic roadmapping is essential for overcoming barriers to PACT clinical implementation.