4.7 Review

Multiple strategies with the synergistic approach for addressing colorectal cancer

期刊

BIOMEDICINE & PHARMACOTHERAPY
卷 140, 期 -, 页码 -

出版社

ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER
DOI: 10.1016/j.biopha.2021.111704

关键词

Multidrug resistance; Colorectal cancer; Curcumin; Metastasis; 5-Fluorouracil

资金

  1. Deanship of Scientific Research at Princess Nourah bint Abdulrahman 659 University, through the Fast-track Research Funding Program

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The review focuses on using multiple strategies with 5-Fluorouracil, curcumin, and lipid nanoparticles for the treatment of colorectal cancer and targeting multidrug resistance and angiogenesis. The study also suggests enhancing the activity of 5-Fluorouracil with the help of curcumin to alter resistance in colorectal cancer cells.
Cancer treatment is improving widely over time, but finding a proper defender to beat them seems like a distant dream. The quest for identification and discovery of drugs with an effective action is still a vital work. The role of a membrane protein called P-glycoprotein, which functions as garbage chute that efflux the waste, xenobiotics, and toxins out of the cancer cells acts as a major reason behind the therapeutic failure of most chemotherapeutic drugs. In this review, we mainly focused on a multiple strategies by employing 5-Fluorouracil, curcumin, and lipids in Nano formulation for the possible treatment of colorectal cancer and its metastasis. Eventually, multidrug resistance and angiogenesis can be altered and it would be helpful in colorectal cancer targeting.We have depicted the possible way for the depletion of colorectal cancer cells without disturbing the normal cells. The concept of focusing on multiple pathways for marking the colorectal cancer cells could help in activating one among the pathways if the other one fails. The activity of the 5-Fluorouracil can be enhanced with the help of curcumin which acts as a chemosensitizer, chemotherapeutic agent, and even for altering the resistance. As we eat to survive, so do the cancer cells. The cancer cells utilize the energy source to stay alive and survive. Fatty acids can be used as the energy source and this concept can be employed for targeting the colorectal cancer cells and also for altering the resistant part.

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