Peroxisomes are indispensably involved as a central player in the metabolism of reactive oxygen species, bile acids, ether phospholipids, very-long-chain, and branched-chain fatty acids. The three subtypes of PPARs are PPAR-alpha, PPAR-delta, and PPAR-gamma which have been found to be instrumental in the control of cancer metabolism cascades. Any disproportionate expression of PPAR can lead to the progression of cell growth and survival in diverse types of cancers. It can be exploited both as an agonist or antagonist for utilization as a potential therapeutic alternative for the treatment of cancer. Therefore, the multifunctional PPAR modulators have substantial promise in various types of cancer therapies. Many recent studies led to the observations that a variety of phytochemicals, including phenolics, have been implicated in anticancer effects. Plant phenolics seem to have both palliative and treatment opportunities in combating cancer which requires deep insight into the proposed mechanisms. Henceforth, this chapter highlights the role of peroxisomal subtypes as an activator or suppressor followed by its modulation through bioactive obtained from a variety of crude drugs. A discussion on various challenges restricting proper utilization has also been incorporated.
Part of the book: The Metabolic Role of Peroxisome in Health and Disease
Diseases related to the brain are causing a huge problem worldwide. Different drug formulations are available for the management of brain-related disorders, but due to less drug availability for the brain and non-specificity, it becomes difficult to completely cure life-threatening brain disorders. The blood-brain barrier (BBB) restricts the entry of drug molecules/drug-loaded carriers because of the presence of various efflux transporters and drug inactivating enzymes. Researchers have identified an intranasal route for direct delivery to the brain, bypassing BBB. Nanotechnology-enabled lipid-based drug carrier systems have shown potential for the management of brain diseases through nose-to-brain delivery. Liposomes are the most extensively investigated carrier systems because of biocompatibility, controlled release characteristics, easy surface modification, and biodegradability. This chapter highlights the important aspects of nose-to-brain delivery and strategies for enhancing the availability of drugs through liposomes in the management of different brain-related diseases.
Part of the book: Liposomes
Aspirin, or Acetylsalicylic acid (ASA), is renowned for its pain-relieving and anti-inflammatory properties. Recent insights have illuminated its mechanisms and potential applications. Notably, low-dose aspirin reduces heart attack and stroke risks, particularly in high-risk individuals, yet optimal dosing remains under investigation. Another area explores aspirin’s potential in cancer prevention, especially for colon and gastrointestinal cancers, along with emerging roles against conditions like Alzheimer’s, diabetes, and pre-eclampsia. Aspirin’s benefits extend to kidney disease and COVID-19 research due to its anti-inflammatory actions. Stem cell effects are diverse; while enhancing hematopoietic stem cells aids bone marrow transplants, it may inhibit embryonic stem cells in specific contexts. However, challenges encompass resistance, allergies, gastrointestinal effects, and pediatric Reye’s syndrome. Pharmacogenetic studies illuminate how genetic variations impact aspirin metabolism, with enzymes like CYP2C9 and CYP2C19 affecting clearance rates, and markers such as P2RY12 and COX-1 influencing antiplatelet responses. Customized aspirin therapy, guided by genetic profiles, optimizes benefits and minimizes risks. This research underpins personalized medicine, empowering clinicians to enhance treatment precision, efficacy, and safety. As aspirin’s complex advantages and challenges continue to unfold, refined therapeutic strategies will emerge.
Part of the book: Pharmacogenomics and Pharmacogenetics in Drug Therapy