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Pancreatic Cancer: Nucleic Acid Drug Discovery and Targeted Therapy
Hong Dai1,2, Razack Abdullah1,3, Xiaoqiu Wu1,2
1Law Sau Fai Institute for Advancing Translational Medicine in Bone and Joint Diseases, School of Chinese Medicine, Hong Kong Baptist University, Kowloon, Hong Kong SAR, China.
Abstract:
Pancreatic cancer (PC) is one of the most lethal cancers with an almost 10% 5-year survival rate. Because PC is implicated in high heterogeneity, desmoplastic tumor-microenvironment, and inefficient drug-penetration, the chemotherapeutic strategy currently recommended for the treatment of PC has limited clinical benefit. Nucleic acid-based targeting therapies have become strong competitors in the realm of drug discovery and targeted therapy. A vast evidence has demonstrated that antibody-based or alternatively aptamer-based strategy largely contributed to the elevated drug accumulation in tumors with reduced systematic cytotoxicity. This review describes the advanced progress of antisense oligonucleotides (ASOs), small interfering RNAs (siRNAs), microRNAs (miRNAs), messenger RNA (mRNAs), and aptamer-drug conjugates (ApDCs) in the treatment of PC, revealing the bright application and development direction in PC therapy.
Insights
New nucleic acid therapies show promise for pancreatic cancer (PC) treatment. These advanced strategies, including antisense oligonucleotides and aptamer-drug conjugates, aim to improve drug delivery and reduce side effects for better outcomes in PC therapy.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Pancreatic cancer (PC) has a low 5-year survival rate due to its heterogeneity, dense tumor microenvironment, and poor drug penetration.
- Current chemotherapies offer limited clinical benefit for PC treatment.
Purpose of the Study:
- To review the progress of nucleic acid-based therapies for pancreatic cancer.
- To highlight the potential of antisense oligonucleotides (ASOs), small interfering RNAs (siRNAs), microRNAs (miRNAs), messenger RNAs (mRNAs), and aptamer-drug conjugates (ApDCs) in PC treatment.
Main Methods:
- Review of advanced progress in nucleic acid-based targeting therapies.
- Analysis of antibody-based and aptamer-based strategies for drug accumulation in tumors.
- Examination of specific nucleic acid modalities: ASOs, siRNAs, miRNAs, mRNAs, and ApDCs.
Main Results:
- Nucleic acid-based therapies demonstrate potential for enhanced drug accumulation in tumors.
- These strategies aim to reduce systemic cytotoxicity compared to traditional chemotherapy.
- Antibody and aptamer-based approaches are key in improving targeted drug delivery.
Conclusions:
- Nucleic acid-based therapies, including ASOs, siRNAs, miRNAs, mRNAs, and ApDCs, represent a promising direction for pancreatic cancer treatment.
- These targeted approaches offer potential for improved efficacy and reduced side effects.
- Further development in this area could significantly advance PC therapeutic strategies.
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