Emerging nanotechnology based combination therapies of taxanes for multiple drug-resistant cancers

Pharm Dev Technol. 2022 Jan;27(1):95-107. doi: 10.1080/10837450.2021.2009861. Epub 2021 Dec 5.

Abstract

'One drug- one target' to 'multiple drug- multiple targets' paradigm shifted to produce combination therapies, have found great outcomes to overcome multiple drug resistance (MDR). MDR is a significant barrier to the delivery of taxane-based anticancer medicines such as docetaxel, paclitaxel, and cabazitaxel. Due to MDR induced by drug efflux transporters, clinical application of these medications is impeded. To date, nanoformulations such as liposomes, micelles, polymeric nanoparticles, and gold nanoparticles have been investigated to deliver taxanes alone and in combination to reverse drug resistance. Despite the fact that various groups have already looked into taxane nano formulations in the literature, there isn't much in the way of polypharmacology and advanced nanoformulations with a focus on MDR. In this overview, we briefly covered the insights regarding MDR, difficulties related to current pharmaceutical products of taxanes, combination therapies of taxanes to combat MDR, all of which can be used to delve into cancer treatment.

Keywords: Combination therapy; multiple drug resistance; nano delivery; taxanes.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents* / pharmacology
  • Drug Resistance, Neoplasm
  • Gold
  • Metal Nanoparticles*
  • Micelles
  • Nanotechnology
  • Neoplasms* / drug therapy
  • Paclitaxel / pharmacology
  • Paclitaxel / therapeutic use
  • Taxoids / pharmacology
  • Taxoids / therapeutic use

Substances

  • Antineoplastic Agents
  • Micelles
  • Taxoids
  • Gold
  • Paclitaxel