Advanced strategies for nucleic acids and small-molecular drugs in combined anticancer therapy
Chong Qiu1, Yanyan Wu2, Qiaoli Shi1
1Artemisinin Research Center, and Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China.
Abstract:
Cancer has been considered as complex malignant consequence of genetic mutations that control the cellular proliferation, differentiation and homeostasis, thus making tumor treatment extremely challenging. To date, a variety of cargo molecules, including nucleic acids drugs (pDNA, miRNA and siRNA), therapeutic drugs (doxorubicin, paclitaxel, daunomycin and gefitinib) and imaging agents (radioisotopes, fluorescence dyes, and MRI contrast agents) have been regarded as the potential medicines in clinical application. However, non-single therapeutic drug could induce the satisfied clinical results because of tumor heterogeneity and multiple drug resistance and the nanotechnology-based combined therapy is becoming an advanced important mode for enhanced anticancer effects. The review gathers the current advanced development to co-deliver small-molecular drugs and nucleic acids for the anticancer therapy with nanomedicine-based combination. Furthermore, the superiority is definitely presented and the barriers are detail discussed to surmount the clinical challenges. In final, future perspectives in rational direction for combined tumor therapy of drugs and nucleic acids are exhibited.
Insights
Nanomedicine enables combined anticancer therapy by co-delivering small-molecule drugs and nucleic acid drugs. This approach enhances treatment efficacy against tumor heterogeneity and drug resistance, offering a promising strategy for cancer treatment.
Area of Science:
- Oncology and Nanotechnology
- Molecular Biology and Pharmacology
Background:
- Cancer arises from genetic mutations affecting cell control, posing treatment challenges.
- Current therapies struggle with tumor heterogeneity and drug resistance.
- Nanotechnology-based combined therapy offers enhanced anticancer effects.
Purpose of the Study:
- To review advancements in co-delivering small-molecule drugs and nucleic acids using nanomedicine for cancer therapy.
- To highlight the advantages and discuss challenges of nanomedicine-based combination therapy.
Main Methods:
- Literature review of current nanomedicine strategies for combined drug and nucleic acid delivery.
- Analysis of therapeutic cargo molecules including nucleic acids (pDNA, miRNA, siRNA) and drugs (doxorubicin, paclitaxel, etc.).
Main Results:
- Nanomedicine facilitates the co-delivery of diverse therapeutic agents.
- Combined therapy demonstrates superior efficacy compared to single-agent treatments.
- Identified key barriers and strategies for overcoming clinical challenges in nanomedicine-based cancer treatment.
Conclusions:
- Nanomedicine-based co-delivery of drugs and nucleic acids is a powerful strategy for overcoming cancer treatment limitations.
- Further research is needed to address clinical barriers and optimize future combination therapies.
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