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Published on: June 23, 2020
Targeting nonapoptotic pathways with functionalized nanoparticles for cancer therapy: current and future perspectives
Monika Yadav1, Karishma Niveria1, Tapas Sen2
1Nanobiotech Lab, Kirori Mal College, University of Delhi, Delhi, 110007, India.
Abstract:
Apoptotic death evasion is a hallmark of cancer progression. In this context, past decades have witnessed cytotoxic agents targeting apoptosis. However, owing to cellular defects in the apoptotic machinery, tumors develop resistance to apoptosis-based cancer therapies. Hence, targeting nonapoptotic cell-death pathways displays enhanced therapeutic success in apoptosis-defective tumor cells. Exploitation of multifunctional properties of engineered nanoparticles may allow cancer therapeutics to target yet unexplored pathways such as ferroptosis, autophagy and necroptosis. Necroptosis presents a programmed necrotic death initiated by same apoptotic death signals that are caspase independent, whereas autophagy is self-degradative causing vacuolation, and ferroptosis is an iron-dependent form driven by lipid peroxidation. Targeting these tightly regulated nonapoptotic pathways may emerge as a new direction in cancer drug development, diagnostics and novel cancer nanotherapeutics. This review highlights the current challenges along with the advancement in this field of research and finally summarizes the future perspective in terms of their clinical merits.
Insights
Cancer cells evade apoptosis, leading to therapy resistance. Targeting alternative cell death pathways like ferroptosis, autophagy, and necroptosis with nanotherapeutics offers new cancer treatment strategies.
Area of Science:
- Oncology
- Nanotechnology
- Cell Biology
Background:
- Cancer cells often evade programmed cell death (apoptosis), a key mechanism targeted by conventional therapies.
- Tumor resistance to apoptosis-based treatments necessitates exploring alternative cell death pathways for effective cancer therapy.
- Engineered nanoparticles offer potential for targeting novel cell death mechanisms in cancer treatment.
Purpose of the Study:
- To review the potential of targeting nonapoptotic cell death pathways in cancer therapy.
- To explore the role of ferroptosis, autophagy, and necroptosis in overcoming apoptosis resistance.
- To highlight the application of nanotherapeutics in exploiting these alternative pathways.
Main Methods:
- Review of current research on nonapoptotic cell death pathways (ferroptosis, autophagy, necroptosis).
- Analysis of nanoparticle applications in targeting these pathways.
- Discussion of challenges and advancements in the field.
Main Results:
- Nonapoptotic pathways like ferroptosis, autophagy, and necroptosis are viable targets in apoptosis-defective tumors.
- Engineered nanoparticles show promise for delivering therapeutics to these alternative death pathways.
- Targeting these pathways presents a novel direction for cancer drug development and nanotherapeutics.
Conclusions:
- Targeting nonapoptotic cell death pathways is a promising strategy to overcome cancer therapy resistance.
- Nanotherapeutics can be exploited to selectively target ferroptosis, autophagy, and necroptosis.
- Further research into clinical merits of these approaches is warranted for future cancer treatment.
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