Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview

Irinotecan has been used in the treatment of various malignancies for many years. Still, the knowledge regarding this drug is expanding. The pharmacogenetics of the drug is the crucial component of response to irinotecan. Furthermore, new formulations of the drug are introduced in order to better de...

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Main Authors: Mateusz Kciuk, Beata Marciniak, Renata Kontek
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/21/14/4919
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author Mateusz Kciuk
Beata Marciniak
Renata Kontek
author_facet Mateusz Kciuk
Beata Marciniak
Renata Kontek
author_sort Mateusz Kciuk
collection DOAJ
description Irinotecan has been used in the treatment of various malignancies for many years. Still, the knowledge regarding this drug is expanding. The pharmacogenetics of the drug is the crucial component of response to irinotecan. Furthermore, new formulations of the drug are introduced in order to better deliver the drug and avoid potentially life-threatening side effects. Here, we give a comprehensive overview on irinotecan’s molecular mode of action, metabolism, pharmacogenetics, and toxicity. Moreover, this article features clinically used combinations of the drug with other anticancer agents and introduces novel formulations of drugs (e.g., liposomal formulations, dendrimers, and nanoparticles). It also outlines crucial mechanisms of tumor cells’ resistance to the active metabolite, ethyl-10-hydroxy-camptothecin (SN-38). We are sure that the article will constitute an important source of information for both new researchers in the field of irinotecan chemotherapy and professionals or clinicians who are interested in the topic.
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spelling doaj.art-6eeac18bc0594b28a49af68d775cdc452023-11-20T06:34:05ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672020-07-012114491910.3390/ijms21144919Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive OverviewMateusz Kciuk0Beata Marciniak1Renata Kontek2Doctoral School of Exact and Natural Sciences, University of Lodz, 90-237 Lodz, PolandDepartment of Molecular Biotechnology and Genetics, Faculty of Biology and Environmental Protection, University of Lodz, 90-237 Lodz, PolandDepartment of Molecular Biotechnology and Genetics, Faculty of Biology and Environmental Protection, University of Lodz, 90-237 Lodz, PolandIrinotecan has been used in the treatment of various malignancies for many years. Still, the knowledge regarding this drug is expanding. The pharmacogenetics of the drug is the crucial component of response to irinotecan. Furthermore, new formulations of the drug are introduced in order to better deliver the drug and avoid potentially life-threatening side effects. Here, we give a comprehensive overview on irinotecan’s molecular mode of action, metabolism, pharmacogenetics, and toxicity. Moreover, this article features clinically used combinations of the drug with other anticancer agents and introduces novel formulations of drugs (e.g., liposomal formulations, dendrimers, and nanoparticles). It also outlines crucial mechanisms of tumor cells’ resistance to the active metabolite, ethyl-10-hydroxy-camptothecin (SN-38). We are sure that the article will constitute an important source of information for both new researchers in the field of irinotecan chemotherapy and professionals or clinicians who are interested in the topic.https://www.mdpi.com/1422-0067/21/14/4919irinotecanSN-38topoisomerasesdrug combinationsnew formulationsdrug resistance
spellingShingle Mateusz Kciuk
Beata Marciniak
Renata Kontek
Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview
International Journal of Molecular Sciences
irinotecan
SN-38
topoisomerases
drug combinations
new formulations
drug resistance
title Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview
title_full Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview
title_fullStr Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview
title_full_unstemmed Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview
title_short Irinotecan—Still an Important Player in Cancer Chemotherapy: A Comprehensive Overview
title_sort irinotecan still an important player in cancer chemotherapy a comprehensive overview
topic irinotecan
SN-38
topoisomerases
drug combinations
new formulations
drug resistance
url https://www.mdpi.com/1422-0067/21/14/4919
work_keys_str_mv AT mateuszkciuk irinotecanstillanimportantplayerincancerchemotherapyacomprehensiveoverview
AT beatamarciniak irinotecanstillanimportantplayerincancerchemotherapyacomprehensiveoverview
AT renatakontek irinotecanstillanimportantplayerincancerchemotherapyacomprehensiveoverview