2020
DOI: 10.2217/fon-2019-0458
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Molecular avenues in targeted doxorubicin cancer therapy

Abstract: 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 … Show more

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Cited by 39 publications
(22 citation statements)
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“…Nevertheless, DOX could negatively affect non-cancer cells; therefore, its clinical practice is limited. In the context of its mechanical action, DOX has more capabilities to target cancer cell growth and inhibit free radical production and DNA intercalation, as shown in in-vitro and in-vivo systems [ 3 , 4 ]. It can induce toxicities, as shown by redox signaling on mitochondria and drastic generation of superoxide radicals and ROS, causing oxidative stress [ 5 , 6 ].…”
Section: Introductionmentioning
confidence: 99%
“…Nevertheless, DOX could negatively affect non-cancer cells; therefore, its clinical practice is limited. In the context of its mechanical action, DOX has more capabilities to target cancer cell growth and inhibit free radical production and DNA intercalation, as shown in in-vitro and in-vivo systems [ 3 , 4 ]. It can induce toxicities, as shown by redox signaling on mitochondria and drastic generation of superoxide radicals and ROS, causing oxidative stress [ 5 , 6 ].…”
Section: Introductionmentioning
confidence: 99%
“…Doxorubicyn (DOX) is an anthracycline antibiotic, widely used in therapy of the number of different cancers. The main characteristics of it as a therapeutic agent is its genotoxisity, caused by intercalation between complementary bases in double-stranded DNA helix and induction of oxidative stress via ROS formation [43]. It is known that oxidative stress induces epigenetic changes, including aberrant hypermethylation of tumor suppressor genes' (TSGs') promoters [44].…”
Section: Discussionmentioning
confidence: 99%
“…The treatment with doxorubicin causes many side effects, including cardiotoxicity[ 186 ], infertility[ 187 ], genotoxicity[ 188 ], amenorrhea[ 189 ], thrombophlebitis[ 190 ] and lung embolism[ 191 ]. Regarding cardiotoxicity, the additional challenge is that it can occur 10 years after chemotherapy treatment, appearing as a progressive congestive cardiac failure secondary to a non-ischemic dilated cardiomyopathy, and is irreversible and usually fatal[ 192 , 193 ].…”
Section: Chemotherapeutic Drugs Interacting With Machrsmentioning
confidence: 99%