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Published on: September 27, 2024
Delivering nanomedicine to solid tumors
Rakesh K Jain1, Triantafyllos Stylianopoulos
1Edwin L. Steele Laboratory, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Boston, MA 02114, USA. jain@steele.mgh.harvard.edu
Abstract:
Recent advances in nanotechnology have offered new hope for cancer detection, prevention, and treatment. While the enhanced permeability and retention effect has served as a key rationale for using nanoparticles to treat solid tumors, it does not enable uniform delivery of these particles to all regions of tumors in sufficient quantities. This heterogeneous distribution of therapeutics is a result of physiological barriers presented by the abnormal tumor vasculature and interstitial matrix. These barriers are likely to be responsible for the modest survival benefit offered by many FDA-approved nanotherapeutics and must be overcome for the promise of nanomedicine in patients to be realized. Here, we review these barriers to the delivery of cancer therapeutics and summarize strategies that have been developed to overcome these barriers. Finally, we discuss design considerations for optimizing the delivery of nanoparticles to tumors.
Insights
Nanoparticles show promise for cancer treatment, but tumor barriers hinder uniform delivery. Overcoming these physiological barriers is crucial for effective nanomedicine in patients.
Area of Science:
- Oncology
- Nanotechnology
- Biomedical Engineering
Background:
- Nanotechnology offers potential for cancer detection, prevention, and treatment.
- The enhanced permeability and retention (EPR) effect is a key rationale for nanoparticle use in solid tumors.
- However, uniform nanoparticle delivery to all tumor regions remains a significant challenge.
Purpose of the Study:
- To review the physiological barriers limiting nanoparticle delivery to solid tumors.
- To summarize strategies developed to overcome these delivery barriers.
- To discuss design considerations for optimizing nanoparticle delivery to tumors.
Main Methods:
- Literature review of nanotechnology in cancer therapy.
- Analysis of physiological barriers in tumor microenvironments.
- Summary of current strategies to enhance nanoparticle delivery.
Main Results:
- Tumor vasculature and interstitial matrix present significant physiological barriers.
- Heterogeneous distribution of therapeutics results from these barriers.
- These barriers contribute to the modest survival benefit of current nanotherapeutics.
Conclusions:
- Overcoming physiological barriers is essential for realizing the full potential of nanomedicine.
- Strategic design of nanoparticles is critical for effective tumor targeting.
- Future nanomedicine development must address delivery challenges for improved patient outcomes.
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