4.7 Review

Targeted Osmotic Lysis: A Novel Approach to Targeted Cancer Therapies

Journal

BIOMEDICINES
Volume 10, Issue 4, Pages -

Publisher

MDPI
DOI: 10.3390/biomedicines10040838

Keywords

cancer; targeted therapies; targeted osmotic lysis; pulsed electric fields; advanced stage carcinoma; sodium channels; sodium pumps; Na+; K+-ATPase

Funding

  1. Department of Pharmacology
  2. Department of Neurology
  3. Oleander Medical Technologies, LLC
  4. Joe W. and Dorothy Dorsett Brown Foundation

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Conventional cancer treatment often leads to resistance and severe adverse effects. However, targeted therapies have emerged as a more effective and selective approach for treating cancer by delivering lethal treatment to specific cancer cells while limiting adverse effects.
The conventional treatment of cancer has been based on the delivery of non-selective toxins and/or ionizing energy that affect both the cancer and normal tissues in the hope of destroying the offending disease before killing the patient. Unfortunately, resistance often develops to these treatments and patients experience severe, dose-limiting adverse effects that reduce treatment efficacy and compromise quality of life. Recent advances in our knowledge of the biology of tumor cells and their microenvironment, the recognition of surface proteins that are unique to specific cancers and essential to cell growth and survival and signaling pathways associate with invasion and metastasis have led to the development of targeted therapies that are able to identify specific cellular markers and more selectively deliver lethal treatment to the invading cancer thus improving efficacy and limiting adverse effects. In the context of targeted approaches to cancer therapy, we present targeted osmotic lysis as a novel and fundamentally different approach for treating advanced-stage carcinoma that exploits the conserved relationship between voltage-gated sodium channels and Na+, K+-ATPase and has the potential to increase survival without compromising quality of life in a broad spectrum of highly malignant forms of cancer.

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