tumor therapy

肿瘤治疗
  • 文章类型: Journal Article
    由于对肿瘤细胞外基质(ECM)内的基质金属蛋白酶(MMPs)的广泛研究,基质金属蛋白酶2(MMP-2)响应性纳米药物载体作为抗肿瘤药物递送系统已经引起了广泛关注。这些纳米药物载体在血流中表现出稳定的循环,并通过各种机制在肿瘤中特异性地积累。到达肿瘤组织后,它们的结构在ECM内响应MMP-2而降解,导致药物释放。这种受控的药物释放显着增加了肿瘤内的药物浓度,从而增强其抗肿瘤功效,同时最大限度地减少对正常器官的副作用。这篇综述概述了MMP-2的特性,酶敏感材料,以及它们作为抗肿瘤药物的MMP-2响应性纳米药物递送系统的研究进展,以及考虑他们未来的研究前景。总之,MMP-2敏感的药物递送载体在各种纳米药物递送系统中有着广泛的应用,有望成为未来纳米药物递送系统临床开发和应用的主要手段之一。
    Matrix metalloproteinase-2 (MMP-2)-responsive nanodrug vehicles have garnered significant attention as antitumor drug delivery systems due to the extensive research on matrix metalloproteinases (MMPs) within the tumor extracellular matrix (ECM). These nanodrug vehicles exhibit stable circulation in the bloodstream and accumulate specifically in tumors through various mechanisms. Upon reaching tumor tissues, their structures are degraded in response to MMP-2 within the ECM, resulting in drug release. This controlled drug release significantly increases drug concentration within tumors, thereby enhancing its antitumor efficacy while minimizing side effects on normal organs. This review provides an overview of MMP-2 characteristics, enzyme-sensitive materials, and current research progress regarding their application as MMP-2-responsive nanodrug delivery system for anti-tumor drugs, as well as considering their future research prospects. In conclusion, MMP-2-sensitive drug delivery carriers have a broad application in all kinds of nanodrug delivery systems and are expected to become one of the main means for the clinical development and application of nanodrug delivery systems in the future.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    褪黑素是松果体分泌的神经内分泌激素。褪黑激素的分泌遵循由视交叉上核控制的昼夜节律,它的分泌与自然界明暗时期的变化同步,夜间分泌水平最高。褪黑激素是协调外部光刺激和身体细胞反应的关键激素。它传输有关环境光周期的信息,包括昼夜节律和季节性节律,身体的相关组织和器官,which,随着其分泌水平的变化,确保其受监管的功能活动适应外部环境的变化。褪黑激素主要通过与特定的膜结合受体的相互作用,称为MT1和MT2。褪黑激素还通过非受体介导的机制充当自由基的清除剂。超过一半的痛风褪黑素与脊椎动物的繁殖有关,特别是在季节性繁殖的背景下。尽管现代人几乎没有繁殖季节性,褪黑素与人类生殖的关系继续受到广泛关注。褪黑素在改善线粒体功能方面发挥重要作用,减少自由基的伤害,诱导卵母细胞成熟,提高受精率,促进胚胎发育,这改善了体外受精和胚胎移植的结果。本文回顾了我们对褪黑激素在生殖中的生理作用及其在生殖医学中的潜在临床应用的不断发展的理解所取得的进展。
    Melatonin is a neuroendocrine hormone secreted by the pineal gland. The secretion of melatonin follows a circadian rhythm controlled by the suprachiasmatic nucleus, and its secretion is synchronized with the changes in light and dark periods in nature, with the highest secretion level at night. Melatonin is a critical hormone that coordinates external light stimulation and cellular responses of the body. It transmits information about the environmental light cycle, including the circadian and seasonal rhythms, to the relevant tissues and organs in the body, which, along with changes in its secretion level, ensures that its regulated functional activities are adapted in response to changes in the outside environment. Melatonin takes beneficial actions mainly through the interaction with specific membrane-bound receptors, termed MT1 and MT2. Melatonin also acts as a scavenger of free radicals via non-receptor-mediated mechanism. For more than half of acentury melatonin has been associated with vertebrate reproduction, especially in the context of seasonal breeding. Though modern humans show little remaining reproductive seasonality, the relationships between melatonin and human reproduction continue to attract extensive attention. Melatonin plays important roles in improving mitochondrial function, reducing the damage of free radicals, inducing oocyte maturation, increasing fertilization rate and promoting embryonic development, which improves the outcomes of in vitro fertilization and embryo transfer. The present article reviews the progress that has been made in our evolving understanding of the physiological role of melatonin in reproduction and its potential clinical applications in reproductive medicine.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Systematic Review
    UNASSIGNED:为了对现有的疗效荟萃分析进行系统评价,新型Polo样激酶-1(Plk1)抑制剂在各种肿瘤治疗中的安全性和药代动力学,并评估纳入荟萃分析的方法学质量和证据强度。
    未经批准:Medline,PubMed,Embase,等。于2022年6月30日进行了搜索和更新。纳入22项符合条件的临床试验,共涉及1256名患者进行分析。随机对照试验(RCT)比较了疗效或安全性,或两种Plk1抑制剂与安慰剂(活性或惰性)的参与者。要包括在内,研究必须是RCT,准RCT,和非随机比较研究。
    UNASSIGNED:两项试验的荟萃分析报告了总体人群的无进展生存期(PFS)(效应大小(ES),1.01;95%置信区间(CI),0.73-1.30,I2=0.0%,P<0.001)和总体人群的总生存期(OS)(ES,0.91;95%CIs,0.31-1.50,I2=77.6%,P=0.003)。18个不良事件(AEs)反映Plk1抑制剂组发生AEs的可能性比对照组高1.28倍(比值比(ORs),1.28;95%CIs,1.02-1.61)。荟萃分析结果显示,神经系统中AEs的发生率最高(ES,0.202;95%CIs,0.161-0.244),其次是血液系统(ES,0.190;95%CI,0.178-0.201)和消化系统(ES,0.181;95%CIs,0.150-0.213)。Rigosertib(01910年。Na)与消化系统不良事件(ES,0.103;95%CIs,0.059-0.147),但BI2536和Volasertib(BI6727)增加了血液系统不良事件的风险(ES,0.399;95%CI,0.294-0.504)。5项符合条件的研究报告了低剂量(100mg)队列和高剂量(200mg)队列的药代动力学参数,总血浆清除率没有统计学差异,稳态时的终末半衰期和表观分布量。
    UNASSIGNED:Plk1抑制剂在改善OS方面效果更好,耐受性良好,有效和安全地降低疾病的严重程度,同时提高生活质量,特别是在非特异性肿瘤患者中,呼吸系统肿瘤,肌肉骨骼系统肿瘤,和泌尿系统肿瘤.然而,他们无法延长PFS。从纵向整体水平分析,与身体中的其他系统相比,Plk1抑制剂应尽可能避免用于治疗与血液循环系统有关的肿瘤,消化系统和神经系统,这归因于Plk1抑制剂的干预与这些系统中AE的风险增加相关。应仔细考虑免疫治疗引起的毒性。相反,三种不同类型的Plk1抑制剂的水平比较表明Rigosertib(ON01910。Na)可能相对适合治疗与消化系统相关的肿瘤,而Volasertib(BI6727)可能更不适合治疗与血液循环系统相关的肿瘤。此外,在Plk1抑制剂的剂量选择中,100毫克的低剂量应该是优选的,同时,它还可以确保药代动力学功效与200mg的高剂量难以区分。
    UNASSIGNED:https://www。crd.约克。AC.英国/普华永道/,标识符CRD42022343507。
    UNASSIGNED: To provide a systematic review of existing meta-analysis on the efficacy, safety and pharmacokinetics of the novel Polo-like kinase-1 (Plk1) inhibitors in various tumor treatments, and assess the methodological quality and the strength of evidence of the included meta-analysis.
    UNASSIGNED: The Medline, PubMed, Embase, etc. were searched and updated on 30 June 2022. 22 eligible clinical trials involving a total of 1256 patients were included for analyses. Randomised controlled trials (RCTs) compared the efficacy or safety, or both of any Plk1 inhibitors with placebo (active or inert) in participants. To be included, studies had to be RCTs, quasi-RCTs, and nonrandomized comparative studies.
    UNASSIGNED: A meta-analysis of two trials reported progression-free survival (PFS) of the overall population (effect size (ES), 1.01; 95% confidence intervals (CIs), 0.73-1.30, I2 =0.0%, P<0.001) and overall survival (OS) of the overall population (ES, 0.91; 95% CIs, 0.31-1.50, I2 =77.6%, P=0.003). 18 adverse events (AEs) reflected that the possibility of occurrence of AEs in the Plk1 inhibitors group was 1.28 times higher than in the control group (odds ratios (ORs), 1.28; 95% CIs,1.02-1.61). The results of meta-analysis showed that the incidence of AEs in the nervous system was the highest (ES, 0.202; 95% CIs, 0.161-0.244), followed by blood system (ES, 0.190; 95% CIs, 0.178-0.201) and digestive system (ES, 0.181; 95% CIs, 0.150-0.213). Rigosertib (ON 01910.Na) was associated with a decreased risk of AEs in digestive system (ES, 0.103; 95% CIs, 0.059-0.147), but BI 2536 and Volasertib (BI 6727) increased risk of AEs in blood system (ES, 0.399; 95% CIs, 0.294-0.504). Five eligible studies reported the pharmacokinetic parameters of the low dosage (100 mg) cohort and the high dosage (200 mg) cohort, and there was no statistical difference in the total plasma clearance, terminal half-life and apparent volume of distribution at steady state.
    UNASSIGNED: Plk1 inhibitors work better in improving OS and they are well tolerated, effective and safe in reducing the severity of illness while improving the quality of life, especially in patients with non-specific tumors, respiratory system tumors, musculoskeletal system tumors, and urinary system tumors. However, they fail to prolong the PFS. From the vertical whole level analysis, compared to other systems in the body, Plk1 inhibitors should be avoided as far as possible for the treatment of tumors related to the blood circulatory system, digestive system and nervous system, which were attributed to the intervention of Plk1 inhibitors associated with an increased risk of AEs in these systems. The toxicity caused by immunotherapy should be carefully considered. Conversely, a horizontal comparison of three different types of Plk1 inhibitors suggested that Rigosertib (ON 01910.Na) might be relatively suitable for the treatment of tumors associated with the digestive system, while Volasertib (BI 6727) might be even less suitable for the treatment of tumors associated with the blood circulation system. Additionally, in the dose selection of Plk1 inhibitors, the low dose of 100 mg should be preferred, and meanwhile, it can also ensure the pharmacokinetic efficacy that is indistinguishable from the high dose of 200 mg.
    UNASSIGNED: https://www.crd.york.ac.uk/prospero/, identifier CRD42022343507.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Review
    抗肿瘤治疗正在发展,包括细菌介导的癌症治疗,这同时是一种古老而前沿的方法。鼠伤寒沙门氏菌是一种广泛研究的细菌物种,可定植在肿瘤组织中,显示溶瘤和免疫系统调节特性。它可以用作基因和药物的递送载体,支持缺乏肿瘤靶向能力的常规治疗。本文总结了S抗癌机制的最新证据。typhimurium单独和与其他抗癌治疗组合,这表明它可能是一种合适的疾病管理方法。

    Antitumour treatments are evolving, including bacteria-mediated cancer therapy which is concurrently an ancient and cutting-edge approach. Salmonella typhimurium is a widely studied bacterial species that colonizes tumor tissues, showing oncolytic and immune system-regulating properties. It can be used as a delivery vector for genes and drugs, supporting conventional treatments that lack tumor-targeting abilities. This article summarizes recent evidence on the anticancer mechanisms of S. typhimurium alone and in combination with other anticancer treatments, suggesting that it may be a suitable approach to disease management.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Review
    碳酸酐酶IX(CAIX)是一种跨膜蛋白,其在缺氧肿瘤细胞的表面上特异性地过表达。具有调节肿瘤细胞内外酸度的功能,CAIX与肿瘤增殖密切相关,侵袭和转移。因此,CAIX是肿瘤成像和治疗的有希望的靶标。在这里,我们总结了基于CAIX的肿瘤成像的最新进展,治疗和治疗,并对CAIX作为抗肿瘤靶点的应用前景进行了展望。
    Carbonic anhydrase IX (CAIX) is a transmembrane protein that is specifically overexpressed on the surface of hypoxic tumor cells. With the function of regulating the acidity of tumor cells both inside and outside, CAIX is closely related to tumor proliferation, invasion and metastasis. Therefore, CAIX is a promising target for tumor imaging and therapy. Herein, we summarized recent advances in CAIX-based tumor imaging, therapy and theranostics, and prospected future applications of using CAIX as an anti-tumor target.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    UNASSIGNED:癌症是一种重要的疾病,可以发生在身体的任何地方。它是由传播到其他身体部位的不受控制的细胞生长引起的。这项研究广泛调查了跨膜受体组织因子(TF),这是凝血级联的关键动机,在癌症相关的凝血中起着至关重要的作用。TF被认为在各种肿瘤中异常表达,并且似乎促进肿瘤血管生成和转移。因此,进行这项研究是为了解释TF表达的病理学特征,并讨论针对TF的未来癌症治疗。
    UNASSIGNED:我们广泛回顾了发表在PubMed上的关于TF的文献,并讨论了TF对肿瘤进展的影响和TF靶向治疗。
    UNASSIGNED:本综述旨在揭示TF如何促进肿瘤进展和癌症相关血栓形成,并总结基于TF的靶向治疗。讨论了TF在癌症相关血栓形成和肿瘤进展中的多种功能和机制。
    UNASSIGNED:当前文献已证实,TF参与肿瘤的高凝状态,并通过凝血依赖性或非凝血依赖性途径促进恶性肿瘤。TF依赖性信号传导也涉及不同的癌症进展。因此,TF靶向治疗剂可具有用于治疗肿瘤的广泛临床适用性。
    UNASSIGNED: Cancer is an important disease and can occur anywhere in the body. It is caused by uncontrolled cell growth that spreads to other body parts. This study extensively investigated the transmembrane receptor tissue factor (TF), which is the key motivator of the clotting cascade and plays an essential role in cancer-associated coagulation. TF is considered to be aberrantly expressed in various tumors and appears to promote tumor angiogenesis and metastasis. Therefore, this study was performed to explain the pathological characteristics of TF expression and to discuss future cancer therapies that target TF.
    UNASSIGNED: We extensively reviewed the literature on TF published in PubMed, and discussed the effect of TF on tumor progression and TF-targeted therapeutics.
    UNASSIGNED: This review aimed to uncover how TFs contribute to tumor progression and cancer-associated thrombosis and summarize TF-based targeted therapy. Multiple functions and mechanisms of the TF in cancer-associated thrombosis and tumor progression were discussed.
    UNASSIGNED: The current literature has confirmed that the TF is involved in the hypercoagulable state of tumors and promotes malignant tumors through coagulation-dependent or non-coagulation-dependent pathways. TF-dependent signaling is also involved in divergent cancer progression. Thus, TF-targeted therapeutics could have broad clinical applicability for the treatment of tumors.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    血小板衍生生长因子(PDGF)和PDGF受体(PDGFR)在多种肿瘤中表达。PDGF/PDGFR信号通路的激活与癌症增殖有关,转移,入侵,和血管生成通过调节多个下游途径,包括磷脂酰肌醇3激酶/蛋白激酶B途径和丝裂原活化蛋白激酶/细胞外信号调节激酶途径。因此,靶向PDGF/PDGFR信号通路已被证明是癌症治疗的有效策略,因此,在过去的几十年里,这一领域取得了一些重大进展。本文将重点介绍PDGF亚型及其与相关PDGFRs的结合。PDGF/PDGFR信号和调节,特别是目前为癌症治疗开发的策略和抑制剂,以及相关的临床益处和副作用。
    Platelet-derived growth factors (PDGFs) and PDGF receptors (PDGFRs) are expressed in a variety of tumors. Activation of the PDGF/PDGFR signaling pathway is associated with cancer proliferation, metastasis, invasion, and angiogenesis through modulating multiple downstream pathways, including phosphatidylinositol 3 kinase/protein kinase B pathway and mitogen-activated protein kinase/extracellular signal-regulated kinase pathway. Therefore, targeting PDGF/PDGFR signaling pathway has been demonstrated to be an effective strategy for cancer therapy, and accordingly, some great progress has been made in this field in the past few decades. This review will focus on the PDGF isoforms and their binding with the related PDGFRs, the PDGF/PDGFR signaling and regulation, and especially present strategies and inhibitors developed for cancer therapy, and the related clinical benefits and side effects.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    In recent years, with the development of nanomaterials, the research of drug delivery systems has become a new field of cancer therapy. Compared with conventional antitumor drugs, drug delivery systems such as drug nanoparticles (NPs) are expected to have more advantages in antineoplastic effects, including easy preparation, high efficiency, low toxicity, especially active tumor-targeting ability. Drug delivery systems are usually composed of delivery carriers, antitumor drugs, and even target molecules. At present, there are few comprehensive reports on a summary of drug delivery systems applied for tumor therapy. This review introduces the preparation, characteristics, and applications of several common delivery carriers and expounds the antitumor mechanism of different antitumor drugs in delivery carriers in detail which provides a more theoretical basis for clinical application of personalized cancer nanomedicine in the future.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    代谢异常是癌症的标志之一。癌细胞中的代谢模式经过良好的重新编程,为其持续生长提供了基础和能量。在肿瘤代谢重编程过程中,活性氧(ROS)产生和抗氧化系统被激活。高水平的ROS导致氧化损伤甚至细胞死亡,而低水平的ROS充当第二信使来调节许多信号通路。最近,随着氧化应激的重新审视,已经发现ROS可以直接介导蛋白质的氧化还原修饰,导致蛋白质构象和功能改变。然而,只有很小一部分的代谢酶,包括甘油醛-3-磷酸脱氢酶(GAPDH)和PKM2等。,据报道经历氧化还原修饰。其他代谢酶是否受氧化还原修饰调节并因此表现出关键功能仍在很大程度上未知。此外,代谢酶的氧化还原修饰的特定时空靶向,以及克服现有的氧化还原和代谢适应,是需要解决的关键点。这里,我们将回顾报道的代谢酶的氧化还原修饰模式,涉及的调控机制及其在肿瘤发生和肿瘤进展中的作用。此外,我们将讨论针对肿瘤治疗的代谢酶的氧化还原修饰的未来治疗策略。
    Metabolic aberrance is one of the hallmarks of cancer. The metabolic patterns in cancer cells are well reprogrammed to provide building blocks and energy for their sustained growth. During tumor metabolic reprogramming, reactive oxygen species (ROS) are generated and the antioxidant systems are activated. High levels of ROS lead to oxidative damage and even cell death, whereas ROS at low levels act as second messenger to regulate many signaling pathways. Recently, with the revisiting of oxidative stress, it has been found that ROS can directly mediate the redox modifications of proteins, resulting in protein conformational and functional alterations. However, only a very small portion of metabolic enzymes, including glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and PKM2, etc., has been reported to undergo redox modifications. Whether other metabolic enzymes are regulated by redox modifications and thus exhibit critical functions remain largely unknown. Moreover, the specific spatio-temporal targeting of redox modifications of metabolic enzymes, as well as overcoming the existed redox and metabolic adaptation, are key points to be solved. Here, we will review the reported redox modification patterns of metabolic enzymes, the involved regulatory mechanisms and their roles in tumorigenesis and tumor progress. In addition, we will discuss the future therapeutic strategies targeting redox modifications of metabolic enzymes for tumor treatment.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    BACKGROUND: Currently, the most important challenge in the development of therapeutics and actives is their poor aqueous solubility and bioavailability.
    OBJECTIVE: The low aqueous solubility, poor pharmacokinetic properties, and bioavailability associated with novel actives manifest in numerous challenges in the formulation of conventional dosage forms like tablets, capsules, suspensions, emulsions, etc. Nanosponges are a novel class of drug delivery system capable of encapsulating or entrapping both lipophilic and hydrophilic drugs. Target-specific drug delivery and controlled drug release are the advantages offered by nanosponges which make them a promising anti-tumor drug delivery system.
    METHODS: Nanosponges are colloidal structures comprising solid nanoparticles with cavities and meshlike structures for encapsulation of wide varieties of substances like antineoplastic agents, proteins and peptides, volatile oils, genetic material, etc. The methods of preparation of β-cyclodextrin-based nanosponges include solvent evaporation method, emulsion solvent evaporation method, ultrasound-assisted synthesis, hyper cross-linked cyclodextrin and interfacial phenomenon method. A large variety of nanosponges- based formulations are available in the market and some formulations of prostavastin, brexin, glymesason, mena-gargle, etc. are under clinical trials.
    RESULTS: Nanosponges possess potential applications in target site-specific drug delivery to liver, spleen, and lungs. Due to the surface functionalization, nanosponges show broad applications in water purification, protein delivery, chemical sensors, detection of explosives, agriculture, etc. In the near future, nanosponges-based products will capture a huge market for commercialization due to their improved properties and advantages.
    CONCLUSIONS: This review provides an account of the patents related to nanosponges (2006-2018) and covers the broad applications of β-cyclodextrin-based nanosponges, their roles in vaccine delivery, cancer therapy, fire engineering, water purification, etc.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号