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.

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.

Related Concept Videos

Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.0K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.8K
Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
4.4K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
7.9K
Drugs that Stabilize Microtubules01:15

Drugs that Stabilize Microtubules

Microtubules are dynamic structures that undergo cycles of catastrophe and rescue. The microtubules play a central role in cell division by forming the spindle apparatus for segregating the chromosomes. This makes them ideal targets for regulating dividing cells in tumors and malignant cancer cells. Microtubule stabilizing drugs help stabilize the microtubule formation and promote its polymerization. Paclitaxel was the first microtubule stabilizing agent used as anticancer drug in chemotherapy...
2.1K