Complementary and Alternative Medicine (CAM) and Nanomedicine: Advances in Cancer and Cardiovascular Diseases

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Nanomedicine and Nanotechnology".

Deadline for manuscript submissions: closed (20 November 2021) | Viewed by 15055

Special Issue Editors


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Guest Editor
Istituto Nazionale Tumori, IRCCS, Fondazione G. Pascale, Division of Cardiology, Napoli, Italy
Interests: cardio-oncology; inflammation; chemoresistance; radioresistance; nanotechnology; endocrine disruptor
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Guest Editor
Istituto Italiano di Tecnologie, (IIT) of Naples, Napoli, Italy
Interests: nanotechnology; nanomedicine; drug delivery systems

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Guest Editor
Department of Cardiology, Mario Negri Institute –IRCCS- Milano, Milan, Italy
Interests: cardiology; cardiotoxicity; cardioprotection

Special Issue Information

Dear Colleagues,

Natural bioactives and nutraceuticals are currently being studied and used in preclinical and clinical practice as complementary and alternative medicines (CAM) for many chronic pathologies, such as osteoarthritis, cancer, cardiovascular diseases, metabolic diseases, chronic intestinal inflammations, and others. Natural products have a significant potential in medicine because of their ability to act on multiple cellular targets. Several studies demonstrated the synergy between nutraceuticals and conventional drugs, through improving the cellular and tissue microenvironment and making it more responsive to drugs (antitumor drugs, cardioprotectors, radiotherapy, immunotherapy, and others). However, natural molecules have poor oral bioavailability and low cellular intake ability, therefore, formulations suitable for improving these characteristics are extremely necessary. Drug delivery systems and the use of nanotechnologies are excellent candidates for optimizing the anti-inflammatory, chemopreventive, antioxidant, and cardioprotective efficacy of natural bioactives.

This Special Issue attempts to highlight current research activities in the areas of drug delivery systems aimed at improving bioavailability and the uptake of nutraceuticals; formulations able to provide passive and active targeting in oncology, cardioncology, chronic inflammatory diseases, etc.; cellular studies aimed at verifying different outcomes between unformulated/formulated natural products; preclinical studies describing the oral bioavailability of drug delivery systems; and association strategies for nutraceuticals (formulated in nanomedicines), conventional drugs or peptides, vaccines, and siRNA.

Dr. Vincenzo Quagliariello
Dr. Raffaele Vecchione
Prof. Dr. Roberto Latini
Guest Editors

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Keywords

  • complementary and alternative medicine
  • nanomedicine
  • nanotechnology
  • cardioncology
  • cardiology
  • cancer
  • drug delivery
  • nutraceuticals
  • anticancer
  • inflammation

Published Papers (4 papers)

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Research

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13 pages, 2496 KiB  
Article
Cell Membrane-Coated Oil in Water Nano-Emulsions as Biomimetic Nanocarriers for Lipophilic Compounds Conveyance
by Martina Profeta, Concetta Di Natale, Elena Lagreca, Valentina Mollo, Paolo Antonio Netti and Raffaele Vecchione
Pharmaceutics 2021, 13(7), 1069; https://0-doi-org.brum.beds.ac.uk/10.3390/pharmaceutics13071069 - 12 Jul 2021
Cited by 8 | Viewed by 2798
Abstract
Recently, we developed ultra-stable oil in water nano-emulsions (O/W NEs), able to carry both internal and external cargos (Somes), such as lipophilic compounds and hydrophilic coatings, respectively, that we call here NEsoSomes. O/W NEs are an excellent bioengineering tool for drug and molecules [...] Read more.
Recently, we developed ultra-stable oil in water nano-emulsions (O/W NEs), able to carry both internal and external cargos (Somes), such as lipophilic compounds and hydrophilic coatings, respectively, that we call here NEsoSomes. O/W NEs are an excellent bioengineering tool for drug and molecules delivery, due to their ability to dissolve a large number of hydrophobic compounds and protect them from hydrolysis and degradation under biological conditions. At present, no report is available on the combination of cell membrane coatings with such nanocarriers, probably due to their typical instability feature. Since then, we have reported, for the first time, a new cell membrane (CM)-coated nanomaterial composed of membranes extracted from glioblastoma cancer cells (U87-MG) deposited on NEsoSomes, through a liquid–liquid interface method, to produce highly controllable membrane caked nano-capsules, namely CM-NEsoSomes. CM-NEsoSomes were physically characterized by dynamic light scattering (DLS) over time and their correct morphology was analyzed by confocal and transmission electron microscopy (TEM) microscopy. Moreover, CM-NEsoSomes biocompatibility was tested on the healthy model cell line, performing cell cytotoxicity and uptake assay, showing nanocarriers uptake by cells with no induced cytotoxicity. Full article
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21 pages, 5207 KiB  
Article
Optimized Icariin Cubosomes Exhibit Augmented Cytotoxicity against SKOV-3 Ovarian Cancer Cells
by Usama A. Fahmy, Omar Fahmy and Nabil A. Alhakamy
Pharmaceutics 2021, 13(1), 20; https://0-doi-org.brum.beds.ac.uk/10.3390/pharmaceutics13010020 - 24 Dec 2020
Cited by 14 | Viewed by 2303
Abstract
Clinical application of icariin (ICA) is limited, despite its activity against cancer growth, because of the low solubility of ICA in an aqueous environment. Therefore, the present study attempted to develop and optimize ICA-loaded cubosome delivery and to explore its efficacy and possible [...] Read more.
Clinical application of icariin (ICA) is limited, despite its activity against cancer growth, because of the low solubility of ICA in an aqueous environment. Therefore, the present study attempted to develop and optimize ICA-loaded cubosome delivery and to explore its efficacy and possible mechanism of action against ovarian cancer. The optimization of the cubosome formulation was performed using the Box‒Behnken statistical design; during the characterization, the particle sizes were in the range of 73 to 183 nm and the entrapment efficiency was 78.3% to 97.3%. Optimized ICA-loaded cubosomes (ICA-Cubs) exhibited enhanced cytotoxicity and apoptotic potential, compared with ICA-raw, against ovarian cancer cell lines (SKOV-3 and Caov 3). The optimized ICA-Cubs showed a relatively non-cytotoxic effect on normal EA.hy926 endothelial cells. Further analysis of cell cycle arrest suggested a potential role in the pre-G1 and G2/M phases for ICA-Cubs in comparison with ICA-raw. ICA-Cubs increased the generation of reactive oxygen species (ROS) and the overexpression of p53 and caspase-3 in the SKOV-3 cell line. In conclusion, the cubosomal delivery of ICA might provide a prospective approach towards the superior control of ovarian cancer cell growth. Its improved efficacy compared with that of the free drug might be due to the improved solubility and cellular permeability of ICA. Full article
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Review

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39 pages, 861 KiB  
Review
Phenolic Compounds Impact on Rheumatoid Arthritis, Inflammatory Bowel Disease and Microbiota Modulation
by Rosa Direito, João Rocha, Bruno Sepodes and Maria Eduardo-Figueira
Pharmaceutics 2021, 13(2), 145; https://0-doi-org.brum.beds.ac.uk/10.3390/pharmaceutics13020145 - 22 Jan 2021
Cited by 31 | Viewed by 4421
Abstract
Non-communicable chronic diseases (NCDs) are nowadays the principal cause of death, especially in most industrialized nations. These illnesses have increased exponentially with the consumption of diets very high in fat and sugar, not to mention stress and physical inactivity among other factors. The [...] Read more.
Non-communicable chronic diseases (NCDs) are nowadays the principal cause of death, especially in most industrialized nations. These illnesses have increased exponentially with the consumption of diets very high in fat and sugar, not to mention stress and physical inactivity among other factors. The potential impact of suboptimal diets on NCDs’ morbidity and mortality rates brings to the forefront the necessity for a new way of improving dietary habits. The literature provides extensive scientific work that presents evidence that phenolic compounds from diets have antioxidant, anti-inflammatory and antiproliferative activities that impact human health. Gut microbiota modulation by some phenolic compounds leads to favorable changes in abundance, diversity, and in the immune system. However, polyphenol’s limited bioavailability needs to be overcome, highlighting their application in new delivery systems and providing their health benefits in well-established ways such as health maintenance, treatment or adjuvant to conventional pharmacological treatments. In this context, novel dietary approaches, including new food supplements, have emerged to prevent diseases and preserve health. Full article
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19 pages, 1349 KiB  
Review
Molecular Mechanisms of Melatonin-Mediated Cell Protection and Signaling in Health and Disease
by Dalia M. Kopustinskiene and Jurga Bernatoniene
Pharmaceutics 2021, 13(2), 129; https://0-doi-org.brum.beds.ac.uk/10.3390/pharmaceutics13020129 - 20 Jan 2021
Cited by 41 | Viewed by 4760
Abstract
Melatonin, an endogenously synthesized indolamine, is a powerful antioxidant exerting beneficial action in many pathological conditions. Melatonin protects from oxidative stress in ischemic/reperfusion injury, neurodegenerative diseases, and aging, decreases inflammation, modulates the immune system, inhibits proliferation, counteracts the Warburg effect, and promotes apoptosis [...] Read more.
Melatonin, an endogenously synthesized indolamine, is a powerful antioxidant exerting beneficial action in many pathological conditions. Melatonin protects from oxidative stress in ischemic/reperfusion injury, neurodegenerative diseases, and aging, decreases inflammation, modulates the immune system, inhibits proliferation, counteracts the Warburg effect, and promotes apoptosis in various cancer models. Melatonin stimulates antioxidant enzymes in the cells, protects mitochondrial membrane phospholipids, especially cardiolipin, from oxidation thus preserving integrity of the membranes, affects mitochondrial membrane potential, stimulates activity of respiratory chain enzymes, and decreases the opening of mitochondrial permeability transition pore and cytochrome c release. This review will focus on the molecular mechanisms of melatonin effects in the cells during normal and pathological conditions and possible melatonin clinical applications. Full article
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