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Current Advances of Nanomedicines Delivering Arsenic Trioxide for Enhanced Tumor Therapy
Mengzhen Yu1, Yanwen Zhang1, Meirong Fang1
1Xiangya School of Pharmaceutical Sciences, Central South University, Changsha 410013, China.
Abstract:
Arsenic trioxide (ATO) is one of the first-line chemotherapeutic drugs for acute promyelocytic leukemia. Its anti-cancer activities against various human neoplastic diseases have been extensively studied. However, the clinical use of ATO for solid tumors is limited, and these limitations are because of severe systemic toxicity, low bioavailability, and quick renal elimination before it reaches the target site. Although without much success, several efforts have been made to boost ATO bioavailability toward solid tumors without raising its dose. It has been found that nanomedicines have various advantages for drug delivery, including increased bioavailability, effectiveness, dose-response, targeting capabilities, and safety as compared to traditional drugs. Therefore, nanotechnology to deliver ATO to solid tumors is the main topic of this review, which outlines the previous and present medical applications of ATO. We also summarised ATO anti-cancer mechanisms, limitations, and outcomes of combinatorial treatment with chemo agents. As a result, we strongly recommend conducting pre-clinical and clinical studies of ATO, especially nano-system-based ones that might lead to a novel combination therapy for cancer treatment with high efficacy, bioavailability, and low toxicity for cancer patients.
Insights
Arsenic trioxide (ATO) shows promise for solid tumors via nanotechnology. Nanomedicine enhances ATO delivery, improving efficacy and reducing toxicity for better cancer treatment outcomes.
Area of Science:
- Oncology
- Nanomedicine
- Pharmacology
Background:
- Arsenic trioxide (ATO) is a first-line treatment for acute promyelocytic leukemia.
- ATO exhibits anti-cancer properties against various neoplastic diseases.
- Clinical application of ATO for solid tumors is restricted due to systemic toxicity, low bioavailability, and rapid elimination.
Purpose of the Study:
- To review the medical applications, anti-cancer mechanisms, and limitations of ATO.
- To explore the potential of nanotechnology in delivering ATO to solid tumors.
- To summarize outcomes of ATO in combination therapy and recommend future research.
Main Methods:
- Review of existing literature on ATO's medical applications and anti-cancer mechanisms.
- Analysis of studies investigating nanomedicine approaches for ATO delivery.
- Summary of combinatorial treatments involving ATO and chemotherapy agents.
Main Results:
- Nanomedicines offer advantages like increased bioavailability, effectiveness, and targeted delivery for drugs.
- Nanotechnology-based delivery systems can potentially overcome ATO's limitations for solid tumors.
- Combinatorial treatments with ATO show varied outcomes, highlighting the need for optimized delivery.
Conclusions:
- Nanotechnology holds significant potential for improving ATO's efficacy and safety in treating solid tumors.
- Further pre-clinical and clinical studies of nano-system-based ATO are strongly recommended.
- Nano-system-based ATO could lead to novel, highly effective, and less toxic cancer combination therapies.
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