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Author Spotlight: Tracing the Ferroptotic Signatures and Cell Death Dynamics in Medulloblastoma for Advanced Therapeutics
Published on: March 15, 2024
Nanomedicine targeting ferroptosis to overcome anticancer therapeutic resistance
Jing Cai1,2, Xiaoding Xu1,2, Phei Er Saw3,4
1Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Guangdong-Hong Kong Joint Laboratory for RNA Medicine, Medical Research Center, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, 510120, China.
Abstract:
A potential reason for the failure of tumor therapies is treatment resistance. Resistance to chemotherapy, radiotherapy, and immunotherapy continues to be a major obstacle in clinic, resulting in tumor recurrence and metastasis. The major mechanisms of therapy resistance are inhibitions of cell deaths, like apoptosis and necrosis, through drug inactivation and excretion, repair of DNA damage, tumor heterogeneity, or changes in tumor microenvironment, etc. Recent studies have shown that ferroptosis play a major role in therapies resistance by inducing phospholipid peroxidation and iron-dependent cell death. Some ferroptosis inducers in combination with clinical treatment techniques have been used to enhance the effect in tumor therapy. Notably, versatile ferroptosis nanoinducers exhibit an extensive range of functions in reversing therapy resistance, including directly triggering ferroptosis and feedback regulation. Herein, we provide a detailed description of the design, mechanism, and therapeutic application of ferroptosis-mediated synergistic tumor therapeutics. We also discuss the prospect and challenge of nanomedicine in tumor therapy resistance by regulating ferroptosis and combination therapy.
Insights
Tumor treatment resistance is a major obstacle, but ferroptosis (iron-dependent cell death) offers new therapeutic strategies. Ferroptosis nanoinducers show promise in overcoming resistance and enhancing tumor therapy effectiveness.
Area of Science:
- Oncology
- Nanomedicine
- Biochemistry
Background:
- Treatment resistance is a significant challenge in chemotherapy, radiotherapy, and immunotherapy, leading to tumor recurrence and metastasis.
- Mechanisms of resistance include inhibited cell death, drug resistance, DNA repair, and altered tumor microenvironments.
- Ferroptosis, a form of regulated cell death dependent on iron and lipid peroxidation, has emerged as a key factor in therapy resistance.
Purpose of the Study:
- To detail the design, mechanism, and therapeutic applications of ferroptosis-mediated synergistic tumor therapeutics.
- To explore the role of ferroptosis in overcoming treatment resistance.
- To discuss the potential of nanomedicine in conjunction with ferroptosis regulation for combination cancer therapy.
Main Methods:
- Review of recent studies on ferroptosis inducers and their role in therapy resistance.
- Analysis of ferroptosis nanoinducers' mechanisms, including direct ferroptosis induction and feedback regulation.
- Discussion of synergistic therapeutic strategies combining ferroptosis with clinical treatments.
Main Results:
- Ferroptosis plays a critical role in tumor therapy resistance.
- Ferroptosis inducers, particularly nanoinducers, can reverse resistance by triggering cell death and feedback regulation.
- Combination therapies utilizing ferroptosis inducers show enhanced anti-tumor effects.
Conclusions:
- Ferroptosis-mediated synergistic therapeutics offer a promising approach to combat tumor treatment resistance.
- Nanomedicine strategies targeting ferroptosis hold significant potential for improving cancer treatment outcomes.
- Further research into ferroptosis regulation and combination therapies is crucial for clinical translation.
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