ABSTRACT
@#Starvation therapy is an emerging oncological treatment that targets the abnormally elevated nutrient uptake and metabolic pathways to inhibit and kill tumors. In addition to glucose, the targets of starvation therapy also include other nutrients in tumor cells.However, concerns like ineffective targeting and drug tolerance probably have an impact on their clinical translation.Nanomaterial-assisted starvation treatment has been developing quickly in recent years to address these concerns.In this review, several exemplary nanomedicines for starvation therapy and combined starvation therapy with other therapies were offered.They target nutrients other than glucose metabolism, including lactic acid, amino acids, and lipids, using nanomaterials to improve the efficacy of starvation therapy.This review provides reference for further development of nanomedicines with starvation treatment effect.
ABSTRACT
Glucose oxidase is a kind of endogenous oxidoreductase which exi sts wi del y i n organi sm. I n recent years, due to i ts i nherent biocompatibility, low toxicity and unique catalytic effect on betaD-glucose, glucose oxidase has attracted more and more attention in the field of biomedicine. Glucose oxidase can effectively catalyze the oxidation of glucose into gluconic acid and hydrogen peroxide. Researchers have developed various anticancer therapies based on gl ucose oxi dase usi ng t hi s cat al yt i c propert y: (1) gl ucose consumption provides alternative treatment strategies for cancer starvation; (2) oxygen consumption increases tumor hypoxia, which can be used for tumor hypoxia activation therapy; (3) the production of gluconic acid increases the acidity of tumor microenvironment, which can trigger the release of pH-responsive drugs; (4) the production of hydrogen peroxide increases the oxidative stress level of tumors. Hydrogen peroxide can be converted into toxic hydroxyl radicals by being exposed to light (such as near-infrared light) or fenton reaction, thus killing cancer cells. In addition, glucose oxidase can also be used in combination with other biological enzymes, hypoxia-activated prodrugs, photosensitizers or fenton reagents to produce the multi-mode synergistic anticancer therapies with starvation therapy as the main part, cooperating with hypoxia-activated therapy, oxidation therapy, photodynamic therapy and light therapy, etc. In this review, the glucose oxidase-mediated tumor monotherapy is firstly introduced, and the multi-mode synergistic anti-cancer therapy mediated by glucose oxidase as well as its specific anti-tumor mechanism are systematically elaborated.