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Nucleic acid-based drugs for patients with solid tumours.
Sebastian G Huayamares1,2, David Loughrey1,2, Hyejin Kim1,2
1Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Novel nucleic acid therapies, including gene therapies and mRNA nanoparticles, show promise for treating advanced solid tumors. These treatments offer new hope for patients with refractory cancers, alone or with standard care.
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Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Advanced-stage solid tumors often resist conventional multimodality treatments (surgery, chemotherapy, radiotherapy, targeted therapy, immunotherapy).
- Nucleic acid-based drugs are emerging as potent therapeutic options for refractory tumors.
Purpose of the Study:
- To review the development and clinical activity of viral and non-viral nucleic acid-based treatments for solid tumors.
- To discuss mechanisms of action, tolerability, efficacy, and the impact of the tumor microenvironment on drug delivery.
- To highlight future trends, clinical trial outcomes, and manufacturing considerations for next-generation nucleic acid agents.
Main Methods:
- Review of existing literature on viral vectors (gene therapies) and non-viral nucleic acid therapies (mRNA, other nucleotides).
- Analysis of clinical activity, mechanisms of action, tolerability, and efficacy data from solid tumor patients.
- Examination of the tumor microenvironment's influence on systemic and local drug delivery.
Main Results:
- Viral and non-viral nucleic acid therapies demonstrate potential in treating advanced solid tumors, including refractory cases.
- Approved gene therapies and emerging nanoparticle-based treatments are expanding therapeutic options.
- Tumor microenvironment significantly affects drug delivery and therapeutic outcomes.
Conclusions:
- Nucleic acid-based drugs represent a significant advancement in oncology, offering new avenues for patients with limited treatment options.
- Ongoing research and development are crucial for optimizing delivery, efficacy, and manufacturing of these novel therapies.
- Future nucleic acid agents are expected to further improve outcomes for solid tumor patients.