摘要
癌症是一种多基因改变的进化性疾病,由于染色体不稳定性和/或非整倍体而累积,并且它有时也获得了耐药表型。全基因组测序和突变分析有助于了解人们对疾病易感性及其治疗无反应性的差异。因此,分子靶向治疗成立。其中,合成致死性的概念备受瞩目,因为它是一种实用的方法,旨在利用癌细胞特异性突变特异性杀死癌细胞而不影响正常细胞,从而提高抗癌药治疗指数。因此,这种方法有助于发现用于精密医学发展的新型治疗分子。纳米技术有助于将这些分子以有效浓度输送到靶位点,从而减少药物,剂量和剂量频率药物的脱靶效应。研究人员试图通过将其纳入纳米颗粒来实现针对靶向癌细胞杀伤的合成致死性合作伙伴的siRNA,并通过预防肿瘤进展显示了其功效。本综述总结了合成致死性和合成致死基因相互作用的简要介绍,重点介绍了其应用纳米技术开发个性化医疗的治疗性抗癌潜力。
关键词: 合成致死性,精确纳米药物,靶向药物递送,耐药表型,纳米技术,功效。
Current Cancer Drug Targets
Title:Synthetic Lethality: From Research to Precision Cancer Nanomedicine
Volume: 18 Issue: 4
关键词: 合成致死性,精确纳米药物,靶向药物递送,耐药表型,纳米技术,功效。
摘要: Cancer is an evolutionary disease with multiple genetic alterations, accumulated due to chromosomal instability and/or aneuploidy and it sometimes acquires drug-resistant phenotype also. Whole genome sequencing and mutational analysis helped in understanding the differences among persons for predisposition of a disease and its treatment non-responsiveness. Thus, molecular targeted therapies came into existence. Among them, the concept of synthetic lethality have enthralled great attention as it is a pragmatic approach towards exploiting cancer cell specific mutations to specifically kill cancer cells without affecting normal cells and thus enhancing anti-cancer drug therapeutic index. Thus, this approach helped in discovering new therapeutic molecules for development of precision medicine. Nanotechnology helped in delivering these molecules to the target site in an effective concentration thus reducing off target effects of drugs, dose and dosage frequency drugs. Researchers have tried to deliver siRNA targeting synthetic lethal partner for target cancer cell killing by incorporating it in nanoparticles and it has shown efficacy by preventing tumor progression. This review summarizes the brief introduction of synthetic lethality, and synthetic lethal gene interactions, with a major focus on its therapeutic anticancer potential with the application of nanotechnology for development of personalized medicine.
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Synthetic Lethality: From Research to Precision Cancer Nanomedicine, Current Cancer Drug Targets 2018; 18 (4) . https://dx.doi.org/10.2174/1568009617666170630141931
DOI https://dx.doi.org/10.2174/1568009617666170630141931 |
Print ISSN 1568-0096 |
Publisher Name Bentham Science Publisher |
Online ISSN 1873-5576 |
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