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      Drug Design, Development and Therapy (submit here)

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      Ruthenium Complexes as Anticancer Agents: A Brief History and Perspectives

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          Abstract

          Platinum (Pt)-based anticancer drugs such as cisplatin have been used to treat various cancers. However, they have some limitations including poor selectivity and toxicity towards normal cells and increasing chemoresistance. Therefore, there is a need for novel metallo-anticancers, which has not been met for decades. Since the initial introduction of ruthenium (Ru) polypyridyl complex, a number of attempts at structural evolution have been conducted to improve efficacy. Among them, half-sandwich Ru-arene complexes have been the most prominent as an anticancer platform. Such complexes have clearly shown superior anticancer profiles such as increased selectivity toward cancer cells and ameliorating toxicity against normal cells compared to existing Pt-based anticancers. Currently, several Ru complexes are under human clinical trials. For improvement in selectivity and toxicity associated with chemotherapy, Ru complexes as photodynamic therapy (PDT), and photoactivated chemotherapy (PACT), which can selectively activate prodrug moieties in a specific region, have also been investigated. With all these studies on these interesting entities, new metallo-anticancer drugs to at least partially replace existing Pt-based anticancers are anticipated. This review covers a brief description of Ru-based anticancer complexes and perspectives.

          Most cited references150

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          Photodynamic therapy for cancer.

          The therapeutic properties of light have been known for thousands of years, but it was only in the last century that photodynamic therapy (PDT) was developed. At present, PDT is being tested in the clinic for use in oncology--to treat cancers of the head and neck, brain, lung, pancreas, intraperitoneal cavity, breast, prostate and skin. How does PDT work, and how can it be used to treat cancer and other diseases?
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            Drug resistance and the solid tumor microenvironment.

            Resistance of human tumors to anticancer drugs is most often ascribed to gene mutations, gene amplification, or epigenetic changes that influence the uptake, metabolism, or export of drugs from single cells. Another important yet little-appreciated cause of anticancer drug resistance is the limited ability of drugs to penetrate tumor tissue and to reach all of the tumor cells in a potentially lethal concentration. To reach all viable cells in the tumor, anticancer drugs must be delivered efficiently through the tumor vasculature, cross the vessel wall, and traverse the tumor tissue. In addition, heterogeneity within the tumor microenvironment leads to marked gradients in the rate of cell proliferation and to regions of hypoxia and acidity, all of which can influence the sensitivity of the tumor cells to drug treatment. In this review, we describe how the tumor microenvironment may be involved in the resistance of solid tumors to chemotherapy and discuss potential strategies to improve the effectiveness of drug treatment by modifying factors relating to the tumor microenvironment.
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              Ruthenium(II)-catalyzed C-H bond activation and functionalization.

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                Author and article information

                Journal
                Drug Des Devel Ther
                Drug Des Devel Ther
                dddt
                dddt
                Drug Design, Development and Therapy
                Dove
                1177-8881
                03 December 2020
                2020
                : 14
                : 5375-5392
                Affiliations
                [1 ]Department of Pharmacy and Institute of Pharmaceutical Science and Technology, Hanyang University , Ansan, Gyeonggi-do 15588, Republic of Korea
                Author notes
                Correspondence: Tae-Gyu Nam Department of Pharmacy and Institute of Pharmaceutical Science and Technology, Hanyang University, ERICA Campus , Ansan, Gyeonggi-do15588, Republic of KoreaTel +82 31 400 5807Fax +82 31 400 5958 Email tnam@hanyang.ac.kr
                [*]

                These authors contributed equally to this work

                Author information
                http://orcid.org/0000-0002-6988-1059
                http://orcid.org/0000-0002-5292-9335
                Article
                275007
                10.2147/DDDT.S275007
                7721113
                33299303
                d964bc56-2889-4c56-ad04-388e55e63d1c
                © 2020 Lee et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 03 August 2020
                : 03 November 2020
                Page count
                Figures: 10, Tables: 3, References: 150, Pages: 18
                Categories
                Review

                Pharmacology & Pharmaceutical medicine
                metallo-anticancer,ruthenium,photodynamic therapy,photoactivated chemotherapy

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