Development and Testing of Components for Combined Cancer Treatment in Strongly Localized Therapy: Georgian Experience

Article Preview

Abstract:

Cancer and cardiovascular diseases are the leading causes of global morbidity and mortality, being in 2023 responsible for about 24 and 35% of deaths, respectively. In addition, they reveal a bidirectional association and demonstrate a significant super-additive impact on each other. Combination therapy of cancer effectively targets and affects pathways that play important roles in causing and sustaining malignant cell induction and progression. Alkali metal solutions are among the intensively studied anticancer agents, whereas cesium chloride is a popular alternative highly consumed anticancer BAD. The results reported clearly show that rubidium chloride solution reveals the highest biological efficacy and selectivity to cancer cells among the four types of tested samples, which is rather difficult to interpret in the frame of the cancer high-pH therapy concept. This is why the next stage of the research should be focused on the measuring the alkalinity and cesium content in the intracellular area of the exposed cells.

You might also be interested in these eBooks

Info:

Periodical:

Pages:

123-132

Citation:

Online since:

November 2025

Export:

Price:

Permissions CCC:

Permissions PLS:

Сopyright:

© 2025 Trans Tech Publications Ltd. All Rights Reserved

Share:

Citation:

* - Corresponding Author

[1] B.S. Chhikara, K. Parang, Global cancer statistics 2022: The trends projection analysis, Chem. Biol. Lett. 10 (1) (2023) 1-16.

Google Scholar

[2] R. Siegel, K. Miller, N. Sandeep, A. Jemal, Cancer statistics, 2022, CA Cancer J. Clin. 73 (1) (2023) 1-112.

Google Scholar

[3] J. Christodouleas, R. Forrest, C. Ainsley, Z. Tochner, S. Hahn, E. Glatstein, Short-term and long-term health risks of nuclear-power-plant accidents, New England J. Med. 364 (2011) 2334-2341.

DOI: 10.1056/nejmra1103676

Google Scholar

[4] K. Kotenko, S. Shinkarev, I. Abramov, E. Granovskaia, V. Iatsenko, I. Gavrilin, I. Margulis, O. Garetskaia, T. Imanaka, M. Khoshi, Comparative analysis of the radionuclide composition in fallout after the Chernobyl and the Fukushima accidents, Med. Tr. Prom. Ekol. 10 (2012) 1-5.

Google Scholar

[5] Plans for New Reactors Worldwide: https://world-nuclear.org/information-library/current-and-future-generation/plans-for-new-reactors-worldwide.aspx/

Google Scholar

[6] Particle Therapy Co-Operative Group: https://ptcog.site/index.php/patient-statistics-2

Google Scholar

[7] E. Freireich, R. Taylor, J. Hananian, O. Selawry, J. Holland, B. Hoogstraten, I.Wolman, E. Abir, A. Sawitsky, S. Lee, The effectiveness of combinations of antileukemic agents in inducing and maintaining remission in children with acute leukemia, Blood 26 (1965) 642-656.

DOI: 10.1182/blood.v26.5.642.642

Google Scholar

[8] Y. Yagawa, K. Tanigawa, Y. Kobayashi, M. Yamamoto, Cancer immunity and therapy using hyperthermia with immunotherapy, radiotherapy, chemotherapy, and surgery, J. Cancer Metastasis Treat. 3 (2) (2017) 218-230.

DOI: 10.20517/2394-4722.2017.35

Google Scholar

[9] N. Mitagvaria, A. Chirakadze, M. Devdariani, T. Davlianidze, T. Rtveladze, Whole body hyperthermia induced phenomenon of hormesis (Experimental study), Bull. Georgian Natl. Acad. Sci. 14 (4) (2020) 67-74.

Google Scholar

[10] A. Chirakadze, G. Chubinidze, M. Bose, L. Hatui, N. Dvali, N. Khuskivadze, S. Bhattacharyya, R. Pradhan, M. Devdariani, L. Gumberidze, L. Davlianidze, N. Kostiuchik, Selective toxicity testing of gemcitabine, DMSO, rubidium and cesium salts and saline solution compositions in A549 and NHDF cell lines, Bull. Georgian Natl. Acad. Sci. 17 (3) (2023) 115-121.

Google Scholar

[11] D. Hanahan, G. Bergers, E. Bergsland, Less is more, regularly: Metronomic dosing of cytotoxic drugs can target tumor angiogenesis in mice, J. Clin. Invest. 105 (2000) 1045-1047.

DOI: 10.1172/jci9872

Google Scholar

[12] M. Gottesman, T. Fojo, S. Bates, Multidrug resistance in cancer: Role of ATP-dependent transporters, Nat. Rev. Cancer 2 (2002) 48-58.

DOI: 10.1038/nrc706

Google Scholar

[13] A. Khdair, D. Chen, Y. Patil, L. Ma, Q. Dou, M. Shekhar, J. Panyam, Nanoparticle-mediated combination chemotherapy and photodynamic therapy overcomes tumor drug resistance, J. Control Release 141 (2010) 137-144.

DOI: 10.1016/j.jconrel.2009.09.004

Google Scholar

[14] A. Girigoswami, K. Girigoswami, Potential applications of nanoparticles in improving the outcome of lung cancer treatment, Genes 14 (2023) 1370-1377.

DOI: 10.3390/genes14071370

Google Scholar

[15] K. McNamara, S.A.M. Tofail, Nanoparticles in biomedical applications, Adv. Phys. X 2 (1) (2016) 54-88.

Google Scholar

[16] V. Yagublu, A. Karimova, J. Hajibabazadeh, Ch. Reissfelder, M. Muradov, S. Bellucci, A. Allahverdiyev, Overview of physicochemical properties of nanoparticles as drug carriers for targeted cancer therapy, J. Funct. Biomater. 13 (2022) 196 (1-11).

DOI: 10.3390/jfb13040196

Google Scholar

[17] Sh. Makatsaria, L. Chkhartishvili, N. Barbakadze, O. Tsagareishvili, Sh. Kekutia, J. Markhulia, V. Mikelashvili, M. Mirzayev, I. Jinikashvili, Sh. Oboladze, R. Chedia, Magnetite-doped nanopowder boron nitride for 10B delivery agent in BNCT, Solid State Sci. 154 (2024) 107614 (1-14).

DOI: 10.1016/j.solidstatesciences.2024.107614

Google Scholar

[18] M. Blagosklonny, Overcoming limitations of natural anticancer drugs by combining with artificial agents, Trends Pharmacol. Sci. 26 (2005) 77-81.

DOI: 10.1016/j.tips.2004.12.002

Google Scholar

[19] F. Khorshid, G. Raouf, S. El-Hamidy, G. Al-Amri, H. Alotaibi, T. Kumosani, PMF, cesium and rubidium nanoparticles induce apoptosis in A549 cells, J. Life Sci. 8 (2011) 534-542.

Google Scholar

[20] N. Mitagvaria, A. Chirakadze, G. Chubinidze, N. Dvali, T. Chichua, N. Khuskivadze, M. Devdariani, L. Gumberidze, N. Kostiuchik, Development, and acute toxicity testing of anticancer drugs based on alkali metal solutions for treatment of non-small cell lung cancer, Bull. Georgian Natl. Acad. Sci. 17 (2) (2023) 142-147.

Google Scholar

[21] A. Chirakadze, D. Jishiashvili, Z. Buachidze, K. Gorgadze, Z. Shiolashvili, A. Jishiashvili, N. Mitagvaria, I. Lazrishvili, New Approaches to development of new nanomaterials for magnetic hyperthermia of cancer cells and perspectives of combined treatment of cancer in Georgia, J. Low Dimen. Syst. 2 (1) (2018) 8-22.

DOI: 10.3934/matersci.2016.2.470

Google Scholar

[22] A. Chirakadze, D. Jishiashvili, N. Mitagvaria, I. Lazrishvili, Z. Shiolashvili, A. Jishiadhvili, N. Makhatadze, Z. Buachidze, N. Khuskivadze, Studies of the comparatively low-temperature synthesis and preliminary toxic characteristics of silver doped lanthanum manganite nanoparticles using conventional and microwave heating, In: Proc. Conf. "Modern Trends in Physics", Baku State Univ., Baku, 2019, 47-51.

Google Scholar

[23] A. Chirakadze, N. Mitagvaria, D. Jishiashvili, M. Devdariani, G. Petriashvili, L. Davlianidze, N. Dvali, K. Chubinidze, A. Jishiashvili, Z. Buachidze, I. Khomeriki, Development and testing of nanoparticles for treatment of cancer cells by Curie temperature controlled magnetic hyperthermia, Bull. Georgian Natl. Acad. Sci. 15 (1) (2021) 91-99.

Google Scholar

[24] A. Chirakadze, N. Mitagvaria, D. Jishiashvili, G. Petriashvili, N. Dvali, Z. Shiolashvili, K. Chubinidze, N. Makhatadze, A. Jishiashvili, Z. Buachidze, I. Khomeriki, Microwave synthesis, characterization, and testing of acute toxicity of boron nitride nanoparticles by monitoring of behavioral and physiological parameters, Bull. Georgian Natl. Acad. Sci. 15 (2) (2021) 121-126.

DOI: 10.1109/smicnd.2009.5336589

Google Scholar

[25] Zh. Ouyang, Q. Huang, B. Liu, H. Wu, T. Liu, Y. Liu, Rubidium chloride targets Jnk/p.38-mediated NF-κB activation to attenuate osteoclastogenesis and facilitate osteoblastogenesis, Front. Pharmacol. 10 (2019) 584 (1-12).

DOI: 10.3389/fphar.2019.00584

Google Scholar

[26] J.D. Oldan, A.D. Femi–Abodunde, M.A. Muhleman, A.H. Khandani, Rubidium uptake in chest tumors on PET/CT, World J. Nucl. Med. 21 (2022) 18-27.

DOI: 10.1055/s-0042-1744195

Google Scholar

[27] J. Daimari, S.Basumatary, A.K. Deka, Bimetallic nanoparticles from coinage metals (Cu, Ag, Au) and its biomedical applications: A Review, Nano-Str. Nano-Obj. 39 (1) (2024) 101247(1-5).

DOI: 10.1016/j.nanoso.2024.101247

Google Scholar

[28] M. Karbasi, M. Varzandeh, M. Karbasi, A.I. Mobarakeh, M. Falahati, M.R. Hamblin, Photodynamic therapy based on metal-organic framework in cancer treatment: A comprehensive review of integration strategies for synergistic combination therapies, Nano-Str. Nano-Obj., 40 (4) (2024) 101315 (1-10).

DOI: 10.1016/j.nanoso.2024.101315

Google Scholar