Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors

DNA topoisomerases are important enzymes that stabilize DNA supercoiling and resolve entanglements. There are two main types of topoisomerases in all cells: type I, which causes single-stranded DNA breaks, and type II, which cuts double-stranded DNA. Topoisomerase activity is particularly increased...

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Main Authors: Jung Yoon Jang, Donghwan Kim, Nam Deuk Kim
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/9/8457
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author Jung Yoon Jang
Donghwan Kim
Nam Deuk Kim
author_facet Jung Yoon Jang
Donghwan Kim
Nam Deuk Kim
author_sort Jung Yoon Jang
collection DOAJ
description DNA topoisomerases are important enzymes that stabilize DNA supercoiling and resolve entanglements. There are two main types of topoisomerases in all cells: type I, which causes single-stranded DNA breaks, and type II, which cuts double-stranded DNA. Topoisomerase activity is particularly increased in rapidly dividing cells, such as cancer cells. Topoisomerase inhibitors have been an effective chemotherapeutic option for the treatment of several cancers. In addition, combination cancer therapy with topoisomerase inhibitors may increase therapeutic efficacy and decrease resistance or side effects. Topoisomerase inhibitors are currently being used worldwide, including in the United States, and clinical trials on the combination of topoisomerase inhibitors with other drugs are currently underway. The primary objective of this review was to comprehensively analyze the current clinical landscape concerning the combined application of irinotecan, an extensively investigated type I topoisomerase inhibitor for colorectal cancer, and doxorubicin, an extensively researched type II topoisomerase inhibitor for breast cancer, while presenting a novel approach for cancer therapy.
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spelling doaj.art-b72de2800610484e973874a2363c985f2023-11-17T23:09:59ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-05-01249845710.3390/ijms24098457Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase InhibitorsJung Yoon Jang0Donghwan Kim1Nam Deuk Kim2Department of Pharmacy, College of Pharmacy, Research Institute for Drug Development, Pusan National University, Busan 46241, Republic of KoreaFunctional Food Materials Research Group, Korea Food Research Institute, Wanju-gun 55365, Republic of KoreaDepartment of Pharmacy, College of Pharmacy, Research Institute for Drug Development, Pusan National University, Busan 46241, Republic of KoreaDNA topoisomerases are important enzymes that stabilize DNA supercoiling and resolve entanglements. There are two main types of topoisomerases in all cells: type I, which causes single-stranded DNA breaks, and type II, which cuts double-stranded DNA. Topoisomerase activity is particularly increased in rapidly dividing cells, such as cancer cells. Topoisomerase inhibitors have been an effective chemotherapeutic option for the treatment of several cancers. In addition, combination cancer therapy with topoisomerase inhibitors may increase therapeutic efficacy and decrease resistance or side effects. Topoisomerase inhibitors are currently being used worldwide, including in the United States, and clinical trials on the combination of topoisomerase inhibitors with other drugs are currently underway. The primary objective of this review was to comprehensively analyze the current clinical landscape concerning the combined application of irinotecan, an extensively investigated type I topoisomerase inhibitor for colorectal cancer, and doxorubicin, an extensively researched type II topoisomerase inhibitor for breast cancer, while presenting a novel approach for cancer therapy.https://www.mdpi.com/1422-0067/24/9/8457topoisomerasesirinotecandoxorubicinclinical trialcombination chemotherapy regimens
spellingShingle Jung Yoon Jang
Donghwan Kim
Nam Deuk Kim
Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors
International Journal of Molecular Sciences
topoisomerases
irinotecan
doxorubicin
clinical trial
combination chemotherapy regimens
title Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors
title_full Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors
title_fullStr Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors
title_full_unstemmed Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors
title_short Recent Developments in Combination Chemotherapy for Colorectal and Breast Cancers with Topoisomerase Inhibitors
title_sort recent developments in combination chemotherapy for colorectal and breast cancers with topoisomerase inhibitors
topic topoisomerases
irinotecan
doxorubicin
clinical trial
combination chemotherapy regimens
url https://www.mdpi.com/1422-0067/24/9/8457
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AT donghwankim recentdevelopmentsincombinationchemotherapyforcolorectalandbreastcancerswithtopoisomeraseinhibitors
AT namdeukkim recentdevelopmentsincombinationchemotherapyforcolorectalandbreastcancerswithtopoisomeraseinhibitors