Recent Developments in Tyrosine Kinase Inhibitor-based Nanotherapeutics for EGFR-resistant Non-small Cell Lung Cancer
Eknath Kole1, Krishna Jadhav2, Raghuraj Singh2
1Department of Pharmaceutical Technology, University Institute of Chemical Technology, KBC North Maharashtra University, Jalgaon M.S., 425001, India.
Abstract:
The advent of drug resistance in response to epidermal growth factor receptor (EGFR)- tyrosine kinase inhibitor (TKI) targeted therapy represents a serious challenge in the management of non-small cell lung cancer (NSCLC). These acquired resistance mutations, attributed to several advanced EGFR mutations and, necessitated the development of new-generation TKIs. Nanomedicine approaches provide a plausible way to address these problems by providing targeted delivery and sustained release, which have demonstrated success in preclinical trials. This review article provides a summary of nano-formulations designed for EGFR-TKI-resistant NSCLC, highlighting their efficacy in both in vitro and in vivo models. These findings reveal insights into the design of nanoparticles and multifunctional nanosystems, offering a potential avenue for efficacious treatment of EGFR-TKIresistant NSCLC.
Insights
Drug resistance to EGFR-TKI therapy is a major hurdle in non-small cell lung cancer (NSCLC). Nanomedicine offers targeted delivery and sustained release, showing promise for overcoming this resistance in preclinical models.
Area of Science:
- Oncology
- Nanomedicine
- Pharmacology
Background:
- Acquired resistance to epidermal growth factor receptor (EGFR)-tyrosine kinase inhibitor (TKI) therapy poses a significant challenge in treating non-small cell lung cancer (NSCLC).
- The emergence of advanced EGFR mutations drives this resistance, necessitating the development of novel therapeutic strategies.
- Current treatment limitations underscore the need for innovative approaches to overcome drug resistance in NSCLC.
Purpose of the Study:
- To review and summarize nano-formulations developed to combat EGFR-TKI resistance in NSCLC.
- To highlight the efficacy of these nanomedicine approaches in preclinical settings.
- To provide insights into the design principles of nanoparticles for treating resistant NSCLC.
Main Methods:
- Literature review of preclinical studies on nanomedicine for EGFR-TKI-resistant NSCLC.
- Analysis of studies reporting *in vitro* and *in vivo* efficacy of nano-formulations.
- Synthesis of findings related to nanoparticle design and nanosystem development.
Main Results:
- Nanomedicine approaches demonstrate potential for targeted delivery and sustained release of therapeutic agents in EGFR-TKI-resistant NSCLC models.
- Preclinical studies show promising efficacy of various nano-formulations in both *in vitro* and *in vivo* settings.
- Insights into the design of effective nanoparticles and multifunctional nanosystems for overcoming drug resistance were identified.
Conclusions:
- Nanomedicine presents a viable strategy to address EGFR-TKI resistance in NSCLC.
- Nano-formulations offer a promising therapeutic avenue for patients with resistant NSCLC.
- Further development of nanomedicine holds potential for improved treatment outcomes in EGFR-TKI-resistant NSCLC.
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