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Innovation through Tradition: The Current Challenges in Cancer Treatment

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: closed (31 December 2021) | Viewed by 34321

Special Issue Editors


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Guest Editor
Department of Precision Medicine, School of Medicine, University of Campania “L. Vanvitelli”, 80138 Naples, Italy
Interests: cell signaling and signal transduction; cell cycle and growth; cancer therapy; naturally occurring molecules
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Precision Medicine, School of Medicine, University of Campania “L. Vanvitelli”, 80138 Naples, Italy
Interests: molecular mechanisms in cancer systems; target therapy; anticancer compounds; cell death and autophagy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Neoplastic diseases currently represent the second leading cause of death worldwide. Despite the huge effort to improve both progression-free and overall survival, this tendency is expected to worsen significantly, rendering cancer a major future economic and health concern.

Assuming malignancy eradication as “a utopian dream”, our intent remains to make cancer a chronic condition, which could be achieved more easily by presenting new therapeutic approaches.

In view of the abovementioned goal, this Special Issue was conceived to provide more options in cancer treatment and expectation. Specifically, we aim to gather the latest research papers and up-to-date review articles focusing on unique tumour-related structural weaknesses, including genetic, metabolic and pharmacological vulnerabilities.

Innovative technological and methodological strategies certainly constitute our topic of interest, but we are also interested in canonical approaches whose results can be easily translated into clinical applications, and thus have a direct impact on the course and outcome of the illness. Identifying new formulations of existing antineoplastic compounds capable of increasing effectiveness and reducing toxicity, as well as recognizing new therapeutic partners, natural or synthetic molecules useful for improving performances, represent some “traditional” aspects that we intend to embrace.

Preclinical (in-vitro, in-vivo and ex-vivo) and clinical studies, together with multiomic and genome-wide analyses, are kindly invited to contribute to this Special Issue. 

Prof. Silvio Naviglio
Dr. Luigi Sapio
Guest Editors

Manuscript Submission Information

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Keywords

  • cancer biology
  • tumour-related vulnerabilities
  • novel therapeutic approaches
  • preclinical and clinical studies
  • omics analysis
  • cytotoxicity

Published Papers (8 papers)

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Editorial

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3 pages, 175 KiB  
Editorial
Innovation through Tradition: The Current Challenges in Cancer Treatment
by Luigi Sapio and Silvio Naviglio
Int. J. Mol. Sci. 2022, 23(10), 5296; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms23105296 - 10 May 2022
Cited by 4 | Viewed by 1357
Abstract
Despite the huge efforts in identifying novel risk factors, earlier diagnostic markers and alternative therapeutic approaches, malignant disorders continue to pose the second leading cause of death worldwide [...] Full article

Research

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15 pages, 3735 KiB  
Article
Identification of Spiro-Fused Pyrrolo[3,4-a]pyrrolizines and Tryptanthrines as Potential Antitumor Agents: Synthesis and In Vitro Evaluation
by Diana K. Latypova, Stanislav V. Shmakov, Sofya A. Pechkovskaya, Alexander S. Filatov, Alexander V. Stepakov, Nickolay A. Knyazev and Vitali M. Boitsov
Int. J. Mol. Sci. 2021, 22(21), 11997; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms222111997 - 05 Nov 2021
Cited by 8 | Viewed by 1681
Abstract
A series of heterocyclic compounds containing a spiro-fused pyrrolo[3,4-a]pyrrolizine and tryptanthrin framework have been synthesized and studied as potential antitumor agents. Cytotoxicity of products was screened against human erythroleukemia (K562) and human cervical carcinoma (HeLa) cell lines. Among the screened compounds. [...] Read more.
A series of heterocyclic compounds containing a spiro-fused pyrrolo[3,4-a]pyrrolizine and tryptanthrin framework have been synthesized and studied as potential antitumor agents. Cytotoxicity of products was screened against human erythroleukemia (K562) and human cervical carcinoma (HeLa) cell lines. Among the screened compounds. 4a, 4b and 5a were active against human erythroleukemia (K562) cell line, while 4a and 5a were active against cervical carcinoma (HeLa) cell line. In agreement with the DNA cytometry studies, the tested compounds have achieved significant cell-cycle perturbation with higher accumulation of cells in G2/M phase and induced apoptosis. Using confocal microscopy, we found that with 4a and 5a treatment of HeLa cells, actin filaments disappeared, and granular actin was distributed diffusely in the cytoplasm in 76–91% of cells. We discovered that HeLa cells after treatment with compounds 4a and 5a significantly reduced the number of cells with filopodium-like membrane protrusions (from 63 % in control cells to 29% after treatment) and a decrease in cell motility. Full article
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16 pages, 2747 KiB  
Article
Chlorogenic Acid Enhances Doxorubicin-Mediated Cytotoxic Effect in Osteosarcoma Cells
by Alessia Salzillo, Angela Ragone, Annamaria Spina, Silvio Naviglio and Luigi Sapio
Int. J. Mol. Sci. 2021, 22(16), 8586; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22168586 - 10 Aug 2021
Cited by 18 | Viewed by 1957
Abstract
Despite the recurring outbreak of resistance mechanisms and adverse reactions, doxorubicin (Doxo) still remains the standard-of-care for several cancers, including osteosarcoma (OS). As an appealing source of phytochemical compounds, naturally occurring molecules have extensively been reported to overcome Doxo limitations in preclinical models. [...] Read more.
Despite the recurring outbreak of resistance mechanisms and adverse reactions, doxorubicin (Doxo) still remains the standard-of-care for several cancers, including osteosarcoma (OS). As an appealing source of phytochemical compounds, naturally occurring molecules have extensively been reported to overcome Doxo limitations in preclinical models. Unlike other dietary polyphenols, only few studies recognize chlorogenic acid (CGA) as a potential partner in combination therapy, while, conversely, its anticancer evidence is steadily growing, ultimately in OS. On this basis, herein we examine the cooperating effects between CGA and Doxo in U2OS and MG-63 human OS cells. With respect to Doxo alone, the concomitant administration of CGA further decreased cell viability and growth, promoting cell death potentially via apoptosis induction. Furthermore, a longer-lasting reduction in clonogenic potential deeply supported the CGA ability to improve Doxo efficacy in those cells. Remarkably, CGA treatment ameliorated Doxo-induced cytotoxicity in H9c2 rat cardiomyocyte cells instead. Although inactivation of p44/42 MAPK was detected in response to CGA plus Doxo, PD98059-mediated p44/42 MAPK impairment enhanced the combination outcome in OS cells. These findings firstly propose CGA as a promising chemosensitizer and cardioprotective agent in OS therapy, suggesting the p44/42 MAPK pathway as relevantly involved in CGA-mediated Doxo susceptibility. Full article
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17 pages, 19890 KiB  
Article
Metabolic Fingerprinting of Murine L929 Fibroblasts as a Cell-Based Tumour Suppressor Model System for Methionine Restriction
by Werner Schmitz, Corinna Koderer, Mohamed El-Mesery, Sebastian Gubik, Rene Sampers, Anton Straub, Alexander Christian Kübler and Axel Seher
Int. J. Mol. Sci. 2021, 22(6), 3039; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22063039 - 16 Mar 2021
Cited by 2 | Viewed by 2341
Abstract
Since Otto Warburg reported in 1924 that cancer cells address their increased energy requirement through a massive intake of glucose, the cellular energy level has offered a therapeutic anticancer strategy. Methionine restriction (MetR) is one of the most effective approaches for inducing low-energy [...] Read more.
Since Otto Warburg reported in 1924 that cancer cells address their increased energy requirement through a massive intake of glucose, the cellular energy level has offered a therapeutic anticancer strategy. Methionine restriction (MetR) is one of the most effective approaches for inducing low-energy metabolism (LEM) due to the central position in metabolism of this amino acid. However, no simple in vitro system for the rapid analysis of MetR is currently available, and this study establishes the murine cell line L929 as such a model system. L929 cells react rapidly and efficiently to MetR, and the analysis of more than 150 different metabolites belonging to different classes (amino acids, urea and tricarboxylic acid cycle (TCA) cycles, carbohydrates, etc.) by liquid chromatography/mass spectrometry (LC/MS) defines a metabolic fingerprint and enables the identification of specific metabolites representing normal or MetR conditions. The system facilitates the rapid and efficient testing of potential cancer therapeutic metabolic targets. To date, MS studies of MetR have been performed using organisms and yeast, and the current LC/MS analysis of the intra- and extracellular metabolites in the murine cell line L929 over a period of 5 days thus provides new insights into the effects of MetR at the cellular metabolic level. Full article
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Review

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25 pages, 3979 KiB  
Review
The Influence of Cell Cycle Regulation on Chemotherapy
by Ying Sun, Yang Liu, Xiaoli Ma and Hao Hu
Int. J. Mol. Sci. 2021, 22(13), 6923; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22136923 - 28 Jun 2021
Cited by 104 | Viewed by 8425
Abstract
Cell cycle regulation is orchestrated by a complex network of interactions between proteins, enzymes, cytokines, and cell cycle signaling pathways, and is vital for cell proliferation, growth, and repair. The occurrence, development, and metastasis of tumors are closely related to the cell cycle. [...] Read more.
Cell cycle regulation is orchestrated by a complex network of interactions between proteins, enzymes, cytokines, and cell cycle signaling pathways, and is vital for cell proliferation, growth, and repair. The occurrence, development, and metastasis of tumors are closely related to the cell cycle. Cell cycle regulation can be synergistic with chemotherapy in two aspects: inhibition or promotion. The sensitivity of tumor cells to chemotherapeutic drugs can be improved with the cooperation of cell cycle regulation strategies. This review presented the mechanism of the commonly used chemotherapeutic drugs and the effect of the cell cycle on tumorigenesis and development, and the interaction between chemotherapy and cell cycle regulation in cancer treatment was briefly introduced. The current collaborative strategies of chemotherapy and cell cycle regulation are discussed in detail. Finally, we outline the challenges and perspectives about the improvement of combination strategies for cancer therapy. Full article
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22 pages, 1887 KiB  
Review
Tumor-Associated Macrophages as Multifaceted Regulators of Breast Tumor Growth
by Maliha Tabassum Munir, Matthew K. Kay, Min H. Kang, Md Mizanur Rahman, Ahmed Al-Harrasi, Mahua Choudhury, Naima Moustaid-Moussa, Fazle Hussain and Shaikh Mizanoor Rahman
Int. J. Mol. Sci. 2021, 22(12), 6526; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22126526 - 18 Jun 2021
Cited by 64 | Viewed by 10302
Abstract
Breast cancer is the most commonly occurring cancer in women of Western countries and is the leading cause of cancer-related mortality. The breast tumor microenvironment contains immune cells, fibroblasts, adipocytes, mesenchymal stem cells, and extracellular matrix. Among these cells, macrophages or tumor-associated macrophages [...] Read more.
Breast cancer is the most commonly occurring cancer in women of Western countries and is the leading cause of cancer-related mortality. The breast tumor microenvironment contains immune cells, fibroblasts, adipocytes, mesenchymal stem cells, and extracellular matrix. Among these cells, macrophages or tumor-associated macrophages (TAMs) are the major components of the breast cancer microenvironment. TAMs facilitate metastasis of the breast tumor and are responsible for poor clinical outcomes. High TAM density was also found liable for the poor prognosis of breast cancer. These observations make altering TAM function a potential therapeutic target to treat breast cancer. The present review summarizes the origin of TAMs, mechanisms of macrophage recruitment and polarization in the tumor, and the contributions of TAMs in tumor progression. We have also discussed our current knowledge about TAM-targeted therapies and the roles of miRNAs and exosomes in re-educating TAM function. Full article
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20 pages, 8135 KiB  
Review
Application of Nano-Drug Delivery System Based on Cascade Technology in Cancer Treatment
by Ying Sun, Xiaoli Ma and Hao Hu
Int. J. Mol. Sci. 2021, 22(11), 5698; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22115698 - 27 May 2021
Cited by 27 | Viewed by 4982
Abstract
In the current cancer treatment, various combination therapies have been widely used, such as photodynamic therapy (PDT) combined with chemokinetic therapy (CDT). However, due to the complexity of the tumor microenvironment (TME) and the limitations of treatment, the efficacy of current treatment options [...] Read more.
In the current cancer treatment, various combination therapies have been widely used, such as photodynamic therapy (PDT) combined with chemokinetic therapy (CDT). However, due to the complexity of the tumor microenvironment (TME) and the limitations of treatment, the efficacy of current treatment options for some cancers is unsatisfactory. Nowadays, cascade technology has been used in cancer treatment and achieved good therapeutic effect. Cascade technology based on nanotechnology can trigger cascade reactions under specific tumor conditions to achieve precise positioning and controlled release, or amplify the efficacy of each drug to improve anticancer efficacy and reduce side effects. Compared with the traditional treatment, the application of cascade technology has achieved the controllability, specificity, and effectiveness of cancer treatment. This paper reviews the application of cascade technology in drug delivery, targeting, and release via nano-drug delivery systems in recent years, and introduces their application in reactive oxygen species (ROS)-induced cancer treatment. Finally, we briefly describe the current challenges and prospects of cascade technology in cancer treatment in the future. Full article
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17 pages, 1461 KiB  
Review
Natural Compounds as Therapeutic Agents: The Case of Human Topoisomerase IB
by Alessio Ottaviani, Federico Iacovelli, Paola Fiorani and Alessandro Desideri
Int. J. Mol. Sci. 2021, 22(8), 4138; https://0-doi-org.brum.beds.ac.uk/10.3390/ijms22084138 - 16 Apr 2021
Cited by 14 | Viewed by 2372
Abstract
Natural products are widely used as source for drugs development. An interesting example is represented by natural drugs developed against human topoisomerase IB, a ubiquitous enzyme involved in many cellular processes where several topological problems occur due the formation of supercoiled DNA. Human [...] Read more.
Natural products are widely used as source for drugs development. An interesting example is represented by natural drugs developed against human topoisomerase IB, a ubiquitous enzyme involved in many cellular processes where several topological problems occur due the formation of supercoiled DNA. Human topoisomerase IB, involved in the solution of such problems relaxing the DNA cleaving and religating a single DNA strand, represents an important target in anticancer therapy. Several natural compounds inhibiting or poisoning this enzyme are under investigation as possible new drugs. This review summarizes the natural products that target human topoisomerase IB that may be used as the lead compounds to develop new anticancer drugs. Moreover, the natural compounds and their derivatives that are in clinical trial are also commented on. Full article
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