Vincristine in Cancer Therapy: Mechanisms, Efficacy, and Future Perspectives.

IF 3.5 4区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
Nitika Garg, Joviana Farhat, Sanchit Dhankhar, Samrat Chauhan, Rajni Bala, Reecha Madaan, Himanshu Sharma, Monika Saini, Thakur Gurjeet Singh, Afaf Ahmed Aldahish, Zainab Almarhoon, Basem Al-Omari, Javad Sharifi-Rad
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Abstract

Cancer remains one of the predominant causes of mortality globally, accounting for over 10 million deaths each year. Despite advancements in medical treatments, the challenge of resistance and treatment failure persists, necessitating innovative approaches. Traditional cancer treatments include surgery, chemotherapy, radiation therapy, and pharmaceutical therapy. In recent years, significant attention has been directed towards plant-derived compounds as potential chemotherapeutic agents and preventive measures against cancer. Vincristine, a distinguished alkaloid derived from plant secondary metabolites, has shown considerable efficacy in cancer treatment. As a member of the antimitotic class of compounds, vincristine disrupts the cell cycle by causing aberrations in microtubule function, thereby inhibiting cell division and proliferation. This mechanism of action positions vincristine as a potent agent against various malignancies. Its role in combination therapy is crucial, as it is often administered in low doses alongside other chemotherapeutic agents to enhance its efficacy and reduce the risk of resistance. In the realm of medicinal chemistry, understanding vincristine's molecular mechanism is paramount. Detailed investigations into its interaction with cellular components can provide insights into its antineoplastic properties. This review aimed to elucidate vincristine's mechanism of action and structure-activity relationship, and summarize current in vitro and in vivo studies evaluating its efficacy. Moreover, it discusses innovative strategies, including nanotechnology-based delivery systems, designed to optimize vincristine formulations. These advanced delivery systems aim to improve bioavailability, target specificity, and minimize systemic toxicity. This comprehensive analysis underscores the critical role of vincristine in contemporary cancer treatment and highlights future directions for research and development in this field.

癌症治疗中的长春新碱:长春新碱在癌症治疗中的作用:机制、疗效和未来展望。
癌症仍然是全球最主要的死亡原因之一,每年造成 1,000 多万人死亡。尽管医疗手段不断进步,但抗药性和治疗失败的挑战依然存在,因此有必要采取创新方法。传统的癌症治疗方法包括手术、化疗、放疗和药物治疗。近年来,植物提取的化合物作为潜在的化疗药物和癌症预防措施备受关注。长春新碱是从植物次生代谢产物中提取的一种独特生物碱,在癌症治疗中已显示出相当大的疗效。作为抗有丝分裂类化合物的一员,长春新碱通过导致微管功能畸变来破坏细胞周期,从而抑制细胞分裂和增殖。这种作用机制使长春新碱成为一种有效的抗各种恶性肿瘤药物。长春新碱在联合疗法中的作用至关重要,因为它通常与其他化疗药物一起小剂量使用,以提高疗效并降低耐药性风险。在药物化学领域,了解长春新碱的分子机制至关重要。通过详细研究长春新碱与细胞成分的相互作用,可以深入了解其抗肿瘤特性。本综述旨在阐明长春新碱的作用机制和结构-活性关系,并总结目前评估其疗效的体外和体内研究。此外,报告还讨论了旨在优化长春新碱制剂的创新策略,包括基于纳米技术的给药系统。这些先进的给药系统旨在提高生物利用度和靶向特异性,并将全身毒性降至最低。这一全面的分析强调了长春新碱在当代癌症治疗中的关键作用,并突出了该领域未来的研发方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Current medicinal chemistry
Current medicinal chemistry 医学-生化与分子生物学
CiteScore
8.60
自引率
2.40%
发文量
468
审稿时长
3 months
期刊介绍: Aims & Scope Current Medicinal Chemistry covers all the latest and outstanding developments in medicinal chemistry and rational drug design. Each issue contains a series of timely in-depth reviews and guest edited thematic issues written by leaders in the field covering a range of the current topics in medicinal chemistry. The journal also publishes reviews on recent patents. Current Medicinal Chemistry is an essential journal for every medicinal chemist who wishes to be kept informed and up-to-date with the latest and most important developments.
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