Tumor vascular permeability, accumulation, and penetration of macromolecular drug carriers

Matthew R Dreher1, Wenge Liu, Charles R Michelich

  • 1Department of Biomedical Engineering, Duke University, Durham, NC, USA.

Abstract

Insights

Molecular weight significantly impacts dextran drug carrier delivery to solid tumors. Optimal accumulation occurred with 40-70 kDa dextrans, though they concentrated near tumor vasculature.

Area of Science:

  • Biomedical Engineering
  • Drug Delivery Systems
  • Tumor Microenvironment Research

Background:

  • Solid tumor drug delivery faces challenges.
  • Macromolecular carriers offer targeted delivery with reduced toxicity.
  • Investigating dextran molecular weight's role in tumor accumulation.

Purpose of the Study:

  • To determine how dextran molecular weight influences its accumulation in solid tumors.
  • To evaluate the impact of molecular weight on vascular permeability and tissue penetration.

Main Methods:

  • Utilized dextrans ranging from 3.3 kDa to 2 MDa.
  • Employed intravital microscopy and window chambers for real-time measurements.
  • Analyzed vascular permeability, tumor accumulation, and 3D penetration.

Main Results:

  • Higher molecular weight dextrans showed significantly reduced vascular permeability.
  • Tumor accumulation peaked for 40-70 kDa dextrans.
  • Smaller dextrans (3.3-10 kDa) penetrated deeper, while larger ones (40-70 kDa) accumulated most but remained near vessels.

Conclusions:

  • Dextran molecular weight critically affects tumor vascular permeability and accumulation.
  • 40-70 kDa dextrans demonstrated highest tumor accumulation but limited deep penetration.
  • Drug carrier design must balance accumulation and penetration for effective solid tumor therapy.

Related Concept Videos

Physiological Barriers01:25

Physiological Barriers

Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
Bioavailability Enhancement: Drug Permeability Enhancement01:27

Bioavailability Enhancement: Drug Permeability Enhancement

After oral administration, poor permeability often limits the rate at which drugs are absorbed through the intestinal epithelium. Enhancing drug permeability is crucial for effective therapy, and several strategies have been developed to overcome this challenge.One effective strategy involves the use of lipid-based formulations. These formulations enhance dissolution and solubility, targeting physiological mechanisms to increase drug absorption. This includes stimulating bile salt secretion,...
Mechanisms of Drug Absorption: Paracellular, Transcellular, and Vesicular Transport01:23

Mechanisms of Drug Absorption: Paracellular, Transcellular, and Vesicular Transport

Drugs need to permeate cell membranes to reach their target sites after administration. Orally administered drugs must transcend intestinal epithelial membrane barriers to infiltrate the systemic circulation. Drugs with a molecular weight of less than 500 Daltons diffuse through gaps between neighboring cells, called paracellular pathways.
However, most drugs use the transcellular route, traversing directly through the cell membranes via two mechanisms: passive and active transport. Passive...
Site-Targeted Drug Delivery Systems: Polymeric Carriers01:24

Site-Targeted Drug Delivery Systems: Polymeric Carriers

Polymeric carriers enhance targeted drug delivery by increasing efficacy while minimizing off-target effects. These carriers comprise a biodegradable polymeric backbone integrated with functional elements that enable targeting, improve physicochemical properties, and regulate drug release.Targeting MechanismsThe targeting ability of polymeric carriers is mediated by a homing device, which is a molecular recognition component designed to selectively bind to specific tissues or cells. Monoclonal...
Cellular Membranes and Drug Transport01:24

Cellular Membranes and Drug Transport

Drugs must traverse multiple biological barriers, such as multi-layered skin, single-layered intestinal epithelium, and the plasma membrane, to reach their target sites within the body. The plasma membrane, a highly structured composite of phospholipids, carbohydrates, and proteins, is the cell's protective boundary, facilitating selective substance exchange.
Phospholipids arrange themselves into a bilayer, with hydrophilic heads oriented outward and hydrophobic tails facing inward.
Factors Affecting Drug Distribution: Tissue Permeability01:30

Factors Affecting Drug Distribution: Tissue Permeability

The drug distribution process within the human body is a complex interplay of various physicochemical properties inherent to the drugs. These properties, including molecular size, ionization degree, partition coefficient, and stereochemical nature, significantly impact how drugs permeate biological membranes to reach their target tissues.
Small molecules with a molecular weight below 500 to 600 Daltons can easily pass through the capillary membrane, gaining access to different tissues. Larger...