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Published on: May 14, 2016
Multifarious targets beyond microtubules-role of eribulin in cancer therapy
Priya Seshadri1, Barnali Deb1,2, Prashant Kumar1,2,3
1Institute of Bioinformatics, International Technology Park, 560066 Bengaluru, Karnataka, India.
Abstract:
Eribulin, a synthetic marine based drug has received extensive attention recently due to its promising anticancer activities against a wide variety of cancer types as evidenced by preclinical and clinical data. Eribulin is predominantly shown to exhibit microtubule inhibitory activity, however recent reports indicate that it acts via multiple molecular mechanisms targeting both the cancer cells as well as the tumor microenvironment. In this review, a comprehensive account on various modes of action of eribulin on cancer cells is presented along with important clinical aspects in the management of cancer through a comprehensive literature review. We have also highlighted approaches including combination therapy to improve the efficacy of eribulin in cancer treatment. Currently, eribulin is used to treat heavily pretreated patients with metastatic breast cancer, for which it gained FDA approval a decade ago and more recently, it has been approved for treating anthracycline-pretreated patients with metastatic liposarcoma. Novel therapeutic strategies should aim at resolving the toxicity and resistance conferred due to eribulin treatment so that it could be integrated in the clinics as a first-line treatment approach.
Insights
Eribulin, a marine-derived anticancer drug, shows broad efficacy by targeting cancer cells and their microenvironment through multiple mechanisms. Future strategies aim to overcome resistance and toxicity for broader clinical use.
Area of Science:
- Pharmacology
- Oncology
- Marine Biotechnology
Background:
- Eribulin, a synthetic marine-derived drug, exhibits significant anticancer potential.
- Its primary mechanism involves microtubule inhibition, but multiple molecular actions are reported.
- Eribulin targets both cancer cells and the tumor microenvironment.
Purpose of the Study:
- To review the diverse mechanisms of action of eribulin against cancer cells.
- To present clinical aspects of eribulin in cancer management.
- To explore strategies for enhancing eribulin efficacy, including combination therapy.
Main Methods:
- Comprehensive literature review of preclinical and clinical data.
- Analysis of eribulin's molecular targets and pathways.
- Evaluation of current clinical applications and future therapeutic strategies.
Main Results:
- Eribulin demonstrates anticancer activity through various molecular mechanisms.
- Current applications include metastatic breast cancer and liposarcoma treatment.
- Combination therapies and strategies to mitigate toxicity and resistance are under investigation.
Conclusions:
- Eribulin is a valuable anticancer agent with diverse mechanisms of action.
- Addressing toxicity and resistance is crucial for its wider clinical adoption.
- Further research may position eribulin as a first-line cancer treatment.
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