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Published on: September 30, 2021
Effective cancer therapy based on selective drug delivery into cells across their membrane using receptor-mediated
1Tashima Laboratories of Arts and Sciences, 1239-5 Toriyama-cho, Kohoku-ku, Yokohama, Kanagawa 222-0035, Japan.
Abstract:
Cancer is one of the major causes of death globally. The current treatment options are insufficient, leading to unmet medical needs in cancer treatment. Off-target side effects, multidrug resistance, selective distribution to cancerous tissues, and cell membrane permeation of anti-cancer agents are critical problems to overcome. There is a method to solve these problems by using receptor-mediated endocytosis (RME). It is well known that proteins such as integrin, HER2, EGFR, or other cancer biomarkers are specifically overexpressed on the surface of target cancer cells. By taking advantage of such specific receptors, payloads can be transported into cells through endocytosis using a conjugate composed of the corresponding ligands connected to the payloads by an appropriate linker. After RME, the payloads released by endosomal escape into the cytoplasm can exhibit the cytotoxic activity against cancer cells. Cell-penetrating peptides (CPPs), tumor-homing peptides (THPs), and monoclonal antibodies (mAbs) are utilized as ligands in this system. Antibody drug conjugates (ADCs) based on RME have already been used to cure cancer. In addition to the canonical conjugate method, nanocarriers for spontaneous accumulation in cancer tissue due to enhanced permeability and retention (EPR) effect are extensively used. In this review, I introduce the possibilities and advantages of drug design and development based on RME for the treatment of cancer.
Insights
Receptor-mediated endocytosis (RME) offers a targeted approach to cancer treatment by delivering drugs specifically to cancer cells. This method overcomes limitations of current therapies, improving drug efficacy and reducing side effects.
Area of Science:
- Oncology
- Biotechnology
- Drug Delivery
Background:
- Cancer remains a leading global cause of death with significant unmet treatment needs.
- Current anti-cancer therapies face challenges including off-target effects, drug resistance, and poor tissue distribution.
- Receptor-mediated endocytosis (RME) presents a promising strategy to address these limitations.
Purpose of the Study:
- To review the potential and benefits of drug design and development utilizing RME for cancer therapy.
- To highlight how RME facilitates targeted drug delivery into cancer cells.
Main Methods:
- Utilizing specific cancer biomarkers (e.g., integrin, HER2, EGFR) overexpressed on cancer cells as targets.
- Employing ligands like cell-penetrating peptides (CPPs), tumor-homing peptides (THPs), and monoclonal antibodies (mAbs) to bind these receptors.
- Developing conjugates of ligands and drug payloads for RME, or using nanocarriers exploiting the enhanced permeability and retention (EPR) effect.
Main Results:
- RME enables targeted intracellular delivery of anti-cancer payloads via specific receptor binding.
- Ligand-payload conjugates and nanocarriers facilitate drug transport and subsequent release within cancer cells.
- Antibody drug conjugates (ADCs) leveraging RME are already established cancer treatments.
Conclusions:
- RME provides a powerful platform for developing advanced cancer therapeutics with improved targeting and efficacy.
- This approach holds significant promise for overcoming critical challenges in current cancer treatment strategies.
- Further drug design and development based on RME can lead to more effective cancer therapies.
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