Molecular avenues in targeted doxorubicin cancer therapy.
Sayantani RoychoudhuryAjay KumarDevyani BhatkarNilesh Kumar SharmaPublished in: Future oncology (London, England) (2020)
In recent, intra- and inter-tumor heterogeneity is seen as one of key factors behind success and failure of chemotherapy. Incessant use of doxorubicin (DOX) drug is associated with numerous post-treatment debacles including cardiomyopathy, health disorders, reversal of tumor and formation of secondary tumors. The module of cancer treatment has undergone evolutionary changes by achieving crucial understanding on molecular, genetic, epigenetic and environmental adaptations by cancer cells. Therefore, there is a paradigm shift in cancer therapeutic by employing amalgam of peptide mimetic, small RNA mimetic, DNA repair protein inhibitors, signaling inhibitors and epigenetic modulators to achieve targeted and personalized DOX therapy. This review summarizes on recent therapeutic avenues that can potentiate DOX effects by removing discernible pitfalls among cancer patients.
Keyphrases
- cancer therapy
- dna repair
- drug delivery
- dna methylation
- dna damage
- genome wide
- gene expression
- healthcare
- public health
- mental health
- heart failure
- dna damage response
- small molecule
- emergency department
- single molecule
- single cell
- squamous cell
- high intensity
- locally advanced
- atrial fibrillation
- radiation therapy
- bone marrow
- copy number
- oxidative stress
- replacement therapy
- cell therapy
- nucleic acid
- amino acid
- lymph node metastasis
- health promotion