Exosome-Mediated Strategies for Melanoma Eradication: A Comprehensive Review.

IF 2.9 4区 医学 Q3 CHEMISTRY, MEDICINAL
Lalit Kumar, Ritesh Rana, Isha Singh, Sumit Kumar, Vikas Aggarwal, Komal Komal, Vuluchala Jyothiraditya
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Abstract

Introduction: Exosomes, which are vesicles that are naturally derived and contain a biomolecular payload, are promising vehicles for melanoma therapy because of their biocompatibility, targeting capabilities, and stability. This review emphasizes their capacity to circumvent the constraints of conventional treatments.

Methods: We carried out a comprehensive search of PubMed, ScienceDirect, and Google Scholar for peer-reviewed articles published between 2015 and 2024 utilizing terms such as "exosomes," "melanoma," and "chemotherapy." Studies on exosome characterization or non-melanoma malignancies were excluded from the inclusion criteria, which centered on exosome-based therapeutics.

Results: Drugs delivered via exosomes, such as small interfering RNA (siRNA) and chemotherapeutics, demonstrated enhanced tumor accumulation, achieving 2.5 times greater bioavailability and resulting in a tumor reduction of 60 to 90% when compared to their free counterparts. Surface modifications, such as cRGD peptides, have been shown to enhance targeting capabilities, whereas exosome-mediated photodynamic therapy has been effective in augmenting reactive oxygen species generation and promoting apoptosis.

Discussion: Exosomes tackle significant challenges such as drug resistance and systemic toxicity; however, they encounter obstacles related to scalability and immunogenicity. Their dual function in tumor advancement and treatment highlights the necessity for standardized protocols.

Conclusion: Exosome-based therapies signify a groundbreaking advancement in the treatment of melanoma. Future endeavors should refine engineering methodologies, enhance production capabilities, and substantiate effectiveness through rigorous clinical trials.

外泌体介导的黑色素瘤根除策略:全面回顾。
外泌体是一种天然衍生的囊泡,含有生物分子有效载荷,由于其生物相容性、靶向能力和稳定性,是黑色素瘤治疗的有希望的载体。这篇综述强调了它们规避常规治疗限制的能力。方法:我们对PubMed、ScienceDirect和谷歌Scholar进行了全面的搜索,检索2015年至2024年间发表的同行评审文章,使用“外泌体”、“黑色素瘤”和“化疗”等术语。外泌体表征或非黑色素瘤恶性肿瘤的研究被排除在纳入标准之外,纳入标准主要集中在基于外泌体的治疗方法上。结果:通过外泌体递送的药物,如小干扰RNA (siRNA)和化疗药物,显示出增强的肿瘤积累,实现2.5倍的生物利用度,导致肿瘤减少60%至90%。表面修饰,如cRGD肽,已被证明可以增强靶向能力,而外泌体介导的光动力疗法在增加活性氧的产生和促进细胞凋亡方面是有效的。讨论:外泌体解决重大挑战,如耐药和全身毒性;然而,它们遇到了与可扩展性和免疫原性相关的障碍。它们在肿瘤进展和治疗中的双重功能突出了标准化方案的必要性。结论:基于外泌体的疗法标志着黑色素瘤治疗的突破性进展。未来的努力应完善工程方法,提高生产能力,并通过严格的临床试验来证实有效性。
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
CiteScore
6.40
自引率
2.90%
发文量
186
审稿时长
3-8 weeks
期刊介绍: Current Topics in Medicinal Chemistry is a forum for the review of areas of keen and topical interest to medicinal chemists and others in the allied disciplines. Each issue is solely devoted to a specific topic, containing six to nine reviews, which provide the reader a comprehensive survey of that area. A Guest Editor who is an expert in the topic under review, will assemble each issue. The scope of Current Topics in Medicinal Chemistry will cover all areas of medicinal chemistry, including current developments in rational drug design, synthetic chemistry, bioorganic chemistry, high-throughput screening, combinatorial chemistry, compound diversity measurements, drug absorption, drug distribution, metabolism, new and emerging drug targets, natural products, pharmacogenomics, and structure-activity relationships. Medicinal chemistry is a rapidly maturing discipline. The study of how structure and function are related is absolutely essential to understanding the molecular basis of life. Current Topics in Medicinal Chemistry aims to contribute to the growth of scientific knowledge and insight, and facilitate the discovery and development of new therapeutic agents to treat debilitating human disorders. The journal is essential for every medicinal chemist who wishes to be kept informed and up-to-date with the latest and most important advances.
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