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Current Trends in ATRA Delivery for Cancer Therapy
Maria Valeria Giuli1, Patrizia Nadia Hanieh2, Eugenia Giuliani1
1Department of Molecular Medicine, Sapienza University of Rome, 00185 Rome, Italy.
Abstract:
All-Trans Retinoic Acid (ATRA) is the most active metabolite of vitamin A. It is critically involved in the regulation of multiple processes, such as cell differentiation and apoptosis, by activating specific genomic pathways or by influencing key signaling proteins. Furthermore, mounting evidence highlights the anti-tumor activity of this compound. Notably, oral administration of ATRA is the first choice treatment in Acute Promyelocytic Leukemia (APL) in adults and NeuroBlastoma (NB) in children. Regrettably, the promising results obtained for these diseases have not been translated yet into the clinics for solid tumors. This is mainly due to ATRA-resistance developed by cancer cells and to ineffective delivery and targeting. This up-to-date review deals with recent studies on different ATRA-loaded Drug Delivery Systems (DDSs) development and application on several tumor models. Moreover, patents, pre-clinical, and clinical studies are also reviewed. To sum up, the main aim of this in-depth review is to provide a detailed overview of the several attempts which have been made in the recent years to ameliorate ATRA delivery and targeting in cancer.
Insights
All-Trans Retinoic Acid (ATRA) shows anti-tumor potential, but resistance and poor delivery limit its use in solid tumors. This review explores novel drug delivery systems to enhance ATRA
Area of Science:
- Oncology
- Pharmacology
- Biochemistry
Background:
- All-Trans Retinoic Acid (ATRA), a vitamin A metabolite, regulates cell differentiation and apoptosis.
- ATRA exhibits anti-tumor activity, notably in Acute Promyelocytic Leukemia (APL) and Neuroblastoma (NB).
- Clinical translation of ATRA for solid tumors is hindered by drug resistance and ineffective delivery.
Purpose of the Study:
- To review recent advancements in ATRA-loaded Drug Delivery Systems (DDSs).
- To analyze the efficacy of these DDSs in various tumor models.
- To provide an overview of patents, preclinical, and clinical studies on ATRA delivery for cancer treatment.
Main Methods:
- Comprehensive literature review of studies on ATRA-loaded DDSs.
- Analysis of research focusing on overcoming ATRA resistance and improving targeting.
- Inclusion of patent landscape, preclinical data, and clinical trial information.
Main Results:
- Development of diverse DDSs aims to enhance ATRA's therapeutic index.
- Promising results observed in preclinical tumor models utilizing novel ATRA delivery strategies.
- Ongoing research and clinical investigations explore the potential of these DDSs.
Conclusions:
- Novel DDSs offer a promising strategy to overcome ATRA resistance in solid tumors.
- Improved delivery and targeting of ATRA are crucial for its broader clinical application in oncology.
- Further research and clinical validation are essential to translate these findings into effective cancer therapies.
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