1. Rising horizon in circumventing multidrug resistance in chemotherapy with nanotechnology
- Author
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Prashant Kesharwani, Nagasekhara Molugulu, Mallikarjuna Rao Pichika, Hira Choudhury, Gan Wei Jia, Eric Koh Sze Yang, Subrat Kumar Bhattamishra, Tan Hui Yin, S.Q. Lawrence Tan, Shadab, Taasjir Kaur, Manisha Pandey, Bapi Gorain, How Weijie, and Chin Guan Keat
- Subjects
Drug ,Materials science ,media_common.quotation_subject ,medicine.medical_treatment ,Antineoplastic Agents ,Bioengineering ,Nanotechnology ,02 engineering and technology ,010402 general chemistry ,01 natural sciences ,Biomaterials ,medicine ,Humans ,media_common ,Tumor microenvironment ,Chemotherapy ,Cancer ,021001 nanoscience & nanotechnology ,medicine.disease ,Drug Resistance, Multiple ,0104 chemical sciences ,Multiple drug resistance ,Targeted drug delivery ,Drug Resistance, Neoplasm ,Mechanics of Materials ,Cancer cell ,Nanocarriers ,0210 nano-technology ,Hydrophobic and Hydrophilic Interactions - Abstract
Multidrug resistance (MDR) is one of the key barriers in chemotherapy, leading to the generation of insensitive cancer cells towards administered therapy. Genetic and epigenetic alterations of the cells are the consequences of MDR, resulted in drug resistivity, which reflects in impaired delivery of cytotoxic agents to the cancer site. Nanotechnology-based nanocarriers have shown immense shreds of evidence in overcoming these problems, where these promising tools handle desired dosage load of hydrophobic chemotherapeutics to facilitate designing of safe, controlled and effective delivery to specifically at tumor microenvironment. Therefore, encapsulating drugs within the nano-architecture have shown to enhance solubility, bioavailability, drug targeting, where co-administered P-gp inhibitors have additionally combat against developed MDR. Moreover, recent advancement in the stimuli-sensitive delivery of nanocarriers facilitates a tumor-targeted release of the chemotherapeutics to reduce the associated toxicities of chemotherapeutic agents in normal cells. The present article is focused on MDR development strategies in the cancer cell and different nanocarrier-based approaches in circumventing this hurdle to establish an effective therapy against deadliest cancer disease.
- Published
- 2019
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