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      Engineered liver-derived decellularized extracellular matrix-based three-dimensional tumor constructs for enhanced drug screening efficiency

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          Abstract

          The decellularized extracellular matrix (dECM) has emerged as an effective medium for replicating the in vivo-like conditions of the tumor microenvironment (TME), thus enhancing the screening accuracy of chemotherapeutic agents. However, recent dECM-based tumor models have exhibited challenges such as uncontrollable morphology and diminished cell viability, hindering the precise evaluation of chemotherapeutic efficacy. Herein, we utilized a tailor-made microfluidic approach to encapsulate dECM from porcine liver in highly poly(lactic- co-glycolic acid) (PLGA) porous microspheres (dECM-PLGA PMs) to engineer a three-dimensional (3D) tumor model. These dECM-PLGA PMs-based microtumors exhibited significant promotion of hepatoma carcinoma cells (HepG2) proliferation compared to PLGA PMs alone, since the infusion of extracellular matrix (ECM) microfibers and biomolecular constituents within the PMs. Proteomic analysis of the dECM further revealed the potential effects of these bioactive fragments embedded in the PMs. Notably, dECM-PLGA PMs-based microtissues effectively replicated the drug resistance traits of tumors, showing pronounced disparities in half-maximal inhibitory concentration (IC 50) values, which could correspond with certain aspects of the TME. Collectively, these dECM-PLGA PMs substantially surmounted the prevalent challenges of unregulated microstructure and suboptimal cell viability in conventional 3D tumor models. They also offer a sustainable and scalable platform for drug testing, holding promise for future pharmaceutical evaluations.

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          Influence of tumour micro-environment heterogeneity on therapeutic response.

          Tumour formation involves the co-evolution of neoplastic cells together with extracellular matrix, tumour vasculature and immune cells. Successful outgrowth of tumours and eventual metastasis is not determined solely by genetic alterations in tumour cells, but also by the fitness advantage such mutations confer in a given environment. As fitness is context dependent, evaluating tumours as complete organs, and not simply as masses of transformed epithelial cells, becomes paramount. The dynamic tumour topography varies drastically even throughout the same lesion. Heterologous cell types within tumours can actively influence therapeutic response and shape resistance.
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            Anthracyclines: molecular advances and pharmacologic developments in antitumor activity and cardiotoxicity.

            The clinical use of anthracyclines like doxorubicin and daunorubicin can be viewed as a sort of double-edged sword. On the one hand, anthracyclines play an undisputed key role in the treatment of many neoplastic diseases; on the other hand, chronic administration of anthracyclines induces cardiomyopathy and congestive heart failure usually refractory to common medications. Second-generation analogs like epirubicin or idarubicin exhibit improvements in their therapeutic index, but the risk of inducing cardiomyopathy is not abated. It is because of their janus behavior (activity in tumors vis-à-vis toxicity in cardiomyocytes) that anthracyclines continue to attract the interest of preclinical and clinical investigations despite their longer-than-40-year record of longevity. Here we review recent progresses that may serve as a framework for reappraising the activity and toxicity of anthracyclines on basic and clinical pharmacology grounds. We review 1) new aspects of anthracycline-induced DNA damage in cancer cells; 2) the role of iron and free radicals as causative factors of apoptosis or other forms of cardiac damage; 3) molecular mechanisms of cardiotoxic synergism between anthracyclines and other anticancer agents; 4) the pharmacologic rationale and clinical recommendations for using cardioprotectants while not interfering with tumor response; 5) the development of tumor-targeted anthracycline formulations; and 6) the designing of third-generation analogs and their assessment in preclinical or clinical settings. An overview of these issues confirms that anthracyclines remain "evergreen" drugs with broad clinical indications but have still an improvable therapeutic index.
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              Targeting multidrug resistance in cancer.

              Effective treatment of metastatic cancers usually requires the use of toxic chemotherapy. In most cases, multiple drugs are used, as resistance to single agents occurs almost universally. For this reason, elucidation of mechanisms that confer simultaneous resistance to different drugs with different targets and chemical structures - multidrug resistance - has been a major goal of cancer biologists during the past 35 years. Here, we review the most common of these mechanisms, one that relies on drug efflux from cancer cells mediated by ATP-binding cassette (ABC) transporters. We describe various approaches to combating multidrug-resistant cancer, including the development of drugs that engage, evade or exploit efflux by ABC transporters.
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                Author and article information

                Contributors
                Journal
                Regen Biomater
                Regen Biomater
                rb
                Regenerative Biomaterials
                Oxford University Press
                2056-3418
                2056-3426
                2024
                06 September 2024
                06 September 2024
                : 11
                : rbae113
                Affiliations
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomedical Engineering, University of Toronto , Toronto, Ontario M5S 3G9, Canada
                Toronto General Research Institute , Toronto, Ontario M5G 2C4, Canada
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Institute of Biomaterials and Tissue Engineering, Huaqiao University , Xiamen 361021, PR China
                Fujian Provincial Key Laboratory of Biochemical Technology, Huaqiao University , Xiamen 361021, PR China
                Author notes
                Correspondence address. Tel: +86 592 616 2326, E-mail: azchen@ 123456hqu.edu.cn (A.C.); wangying277@ 123456outlook.com (Y.W.)
                Author information
                https://orcid.org/0000-0001-6749-3848
                https://orcid.org/0000-0003-4081-9179
                https://orcid.org/0000-0002-5840-3406
                Article
                rbae113
                10.1093/rb/rbae113
                11441757
                39350956
                0076a000-d550-4cc5-afd7-76307afd39ba
                © The Author(s) 2024. Published by Oxford University Press.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 4 June 2024
                : 14 August 2024
                : 1 September 2024
                : 30 September 2024
                Page count
                Pages: 14
                Funding
                Funded by: National Natural Science Foundation of China, DOI 10.13039/501100001809;
                Award ID: 32271410
                Award ID: 32201110
                Award ID: 32071323
                Categories
                Research Article
                AcademicSubjects/MED00010
                AcademicSubjects/SCI01410

                three-dimensional tumor model,decellularized extracellular matrix,microfluidics,cancer,preclinical drug screening

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