Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy

Hypoxia is an important characteristic of most solid malignancies, and is closely related to tumor prognosis and therapeutic resistance. Hypoxia is one of the most important factors associated with resistance to conventional radiotherapy and chemotherapy. Therapies targeting tumor hypoxia have attra...

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Main Authors: Yue Li, Long Zhao, Xiao-Feng Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2021.700407/full
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author Yue Li
Yue Li
Yue Li
Long Zhao
Long Zhao
Xiao-Feng Li
Xiao-Feng Li
author_facet Yue Li
Yue Li
Yue Li
Long Zhao
Long Zhao
Xiao-Feng Li
Xiao-Feng Li
author_sort Yue Li
collection DOAJ
description Hypoxia is an important characteristic of most solid malignancies, and is closely related to tumor prognosis and therapeutic resistance. Hypoxia is one of the most important factors associated with resistance to conventional radiotherapy and chemotherapy. Therapies targeting tumor hypoxia have attracted considerable attention. Hypoxia-activated prodrugs (HAPs) are bioreductive drugs that are selectively activated under hypoxic conditions and that can accurately target the hypoxic regions of solid tumors. Both single-agent and combined use with other drugs have shown promising antitumor effects. In this review, we discuss the mechanism of action and the current preclinical and clinical progress of several of the most widely used HAPs, summarize their existing problems and shortcomings, and discuss future research prospects.
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spelling doaj.art-1b7853fad6d64ad484fc31a37d9046ed2022-12-21T23:30:45ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-07-011110.3389/fonc.2021.700407700407Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer TherapyYue Li0Yue Li1Yue Li2Long Zhao3Long Zhao4Xiao-Feng Li5Xiao-Feng Li6Department of Nuclear Medicine, The Second Clinical Medical College, Jinan University (Shenzhen People’s Hospital), Shenzhen, ChinaThe First Affiliated Hospital, Jinan University, Guangzhou, ChinaDepartment of Nuclear Medicine, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaDepartment of Nuclear Medicine, The Second Clinical Medical College, Jinan University (Shenzhen People’s Hospital), Shenzhen, ChinaDepartment of Nuclear Medicine, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaDepartment of Nuclear Medicine, The Second Clinical Medical College, Jinan University (Shenzhen People’s Hospital), Shenzhen, ChinaDepartment of Nuclear Medicine, The First Affiliated Hospital of Southern University of Science and Technology, Shenzhen, ChinaHypoxia is an important characteristic of most solid malignancies, and is closely related to tumor prognosis and therapeutic resistance. Hypoxia is one of the most important factors associated with resistance to conventional radiotherapy and chemotherapy. Therapies targeting tumor hypoxia have attracted considerable attention. Hypoxia-activated prodrugs (HAPs) are bioreductive drugs that are selectively activated under hypoxic conditions and that can accurately target the hypoxic regions of solid tumors. Both single-agent and combined use with other drugs have shown promising antitumor effects. In this review, we discuss the mechanism of action and the current preclinical and clinical progress of several of the most widely used HAPs, summarize their existing problems and shortcomings, and discuss future research prospects.https://www.frontiersin.org/articles/10.3389/fonc.2021.700407/fullhypoxiahypoxia-activated prodrugstirapazamineAQ4NPR-104EO9
spellingShingle Yue Li
Yue Li
Yue Li
Long Zhao
Long Zhao
Xiao-Feng Li
Xiao-Feng Li
Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy
Frontiers in Oncology
hypoxia
hypoxia-activated prodrugs
tirapazamine
AQ4N
PR-104
EO9
title Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy
title_full Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy
title_fullStr Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy
title_full_unstemmed Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy
title_short Targeting Hypoxia: Hypoxia-Activated Prodrugs in Cancer Therapy
title_sort targeting hypoxia hypoxia activated prodrugs in cancer therapy
topic hypoxia
hypoxia-activated prodrugs
tirapazamine
AQ4N
PR-104
EO9
url https://www.frontiersin.org/articles/10.3389/fonc.2021.700407/full
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