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An overview of microtubule targeting agents for cancer therapy
Bensu Karahalil1, Sevgi Yardım-Akaydin2, Sultan Nacak Baytas3
1Department of Toxicology, Faculty of Pharmacy, Gazi University, Ankara, Turkey.
Abstract:
The entire world is looking for effective cancer therapies whose benefits would outweigh their toxicity. One way to reduce resistance to chemotherapy and its adverse effects is the so called targeted therapy, which targets specific molecules ("molecular targets") that play a critical role in cancer growth, progression, and metastasis. One such specific target are microtubules. In this review we address the current knowledge about microtubule-targeting agents or drugs (MTAs/MTDs) used in cancer therapy from their synthesis to toxicities. Synthetic and natural MTAs exhibit antitumor activity, and preclinical and clinical studies have shown that their anticancer effectiveness is higher than that of traditional drug therapies. Furthermore, MTAs involve a lower risk of adverse effects such as neurotoxicity and haemotoxicity. Several new generation MTAs are currently being evaluated for clinical use. This review brings updated information on the benefits of MTAs, therapeutic approaches, advantages, and challenges in their research.
Insights
Targeted cancer therapies, like microtubule-targeting agents (MTAs), offer greater effectiveness and fewer side effects than traditional chemotherapy. Research is ongoing for new-generation MTAs to improve cancer treatment outcomes.
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- Chemotherapy resistance and toxicity necessitate novel cancer treatment strategies.
- Targeted therapies offer a promising alternative by focusing on specific molecular targets crucial for cancer progression.
- Microtubules are a key target for novel anticancer drug development.
Purpose of the Study:
- To review current knowledge on microtubule-targeting agents (MTAs) in cancer therapy.
- To discuss the synthesis, mechanisms, and toxicities of MTAs.
- To highlight the benefits, therapeutic approaches, and challenges associated with MTAs.
Main Methods:
- Comprehensive literature review of preclinical and clinical studies on MTAs.
- Analysis of data on synthetic and natural MTAs' efficacy and safety profiles.
- Evaluation of emerging next-generation MTAs.
Main Results:
- MTAs demonstrate superior antitumor activity compared to traditional chemotherapies.
- MTAs exhibit a reduced risk of adverse effects, including neurotoxicity and hematotoxicity.
- Several novel MTAs are under clinical evaluation, showing potential for improved cancer treatment.
Conclusions:
- MTAs represent a significant advancement in targeted cancer therapy.
- Further research into MTAs promises enhanced therapeutic benefits with lower toxicity.
- Ongoing development of new-generation MTAs holds potential for overcoming current treatment limitations.
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