Recent Advancement in Drug Targeting Therapies in the Treatment of Pancreatic Cancer

被引:0
作者
Harwansh, Ranjit K. [1 ]
Abd Hamid, Junainah [2 ]
Wal, Pranay [3 ]
Deshmukh, Rohitas [1 ]
Patra, Pratap Kumar [4 ]
Gasmi, Amin [5 ,6 ]
机构
[1] GLA Univ, Inst Pharmaceut Res, Dept Pharm, Mathura 281406, India
[2] Management & Sci Univ, Dept Pharm, Shah Alam, Selangor, Malaysia
[3] Pranveer Singh Inst Technol Pharm, Dept Pharm, NH-19 Bhauti Rd, Kanpur 209305, India
[4] Centurion Univ Technol & Management, Sch Pharm & Life Sci, Bhubaneswar 752050, India
[5] Soc Francophone Nutritherapie & Nutrigenet Appl, Dept Pharm, Villeurbanne, France
[6] Int Inst Nutr & Micronutr Sci, St Etienne, France
关键词
Pancreas; cancer; PDAC; fluorouracil; targeted therapy; KRAS pathway; GEMCITABINE PLUS PLACEBO; PHASE-III TRIAL; POSITIVE SOLID TUMORS; MODIFIED T-CELLS; DOUBLE-BLIND; RESECTABLE ADENOCARCINOMA; PREOPERATIVE GEMCITABINE; SILICA NANOPARTICLES; MONOCLONAL-ANTIBODY; PEPTIDE VACCINATION;
D O I
10.2174/0113816128334659241223113743
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Objective of the Study This review aims to critically analyze the scope for targeting drugs towards the treatment of improving outcomes in PDAC, focusing on DNA repair inhibitors, antiangiogenic therapy, inhibitors of the KRAS pathway, anti-stromal, and nanoparticle-based therapy.Materials and Methods A critical review of preclinical and clinical studies was conducted to summarize the therapeutic interventions that target specific mutations in PDAC, components of the tumor microenvironment, and drug delivery systems, especially nanotechnology, to enhance targeting and efficacy.Results Inhibitors and nanotechnology-based targeted therapies have reported promise in preclinical models: drug delivery is enhanced with the loss of PDAC resistance mechanisms. Formulations and combinations targeting KRAS as well as other pathways point toward improved drug delivery over 'orthodox' treatment approaches.Conclusion This review concludes that although improvement in therapies for PDAC has incrementally been proven in recent literature, however, more research is expected to enhance these approaches so that they can be applied appropriately at the clinical stage. In future studies, it is expected to optimize treatment combinations, address mechanisms of resistance, and improve the delivery of drugs.
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页码:2504 / 2524
页数:21
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