Related Experiment Video
Updated: May 18, 2026

Polymalic Acid-based Nano Biopolymers for Targeting of Multiple Tumor Markers: An Opportunity for Personalized Medicine?
Published on: June 13, 2014
Biological rationale for the design of polymeric anti-cancer nanomedicines
1Department of Pharmaceutics and Pharmaceutical Chemistry, University of Utah, Salt Lake City, UT 84112, USA.
Abstract:
Understanding the biological features of cancer is the basis for designing efficient anti-cancer nanomedicines. On one hand, important therapeutic targets for anti-cancer nanomedicines need to be identified based on cancer biology, to address the unmet medical needs. On the other hand, the unique pathophysiological properties of cancer affect the delivery and interactions of anti-cancer nanomedicines with their therapeutic targets. This review discusses several critical cancer biological properties that challenge the currently available anti-cancer treatments, including cancer heterogeneity and cancer stem cells, the complexcity of tumor microenvironment, and the inevitable cancer metastases. In addition, the biological bases of the enhanced permeability and retention (EPR) effect and tumor-specific active targeting, as well as the physiological barriers for passive and active targeting of anti-cancer nanomedicines are covered in this review. Correspondingly, possible nanomedicine strategies to target cancer heterogeneity, cancer stem cells and metastases, to overcome the challenges related to tumor passive targeting and tumor penetration, and to improve the interactions of therapeutic payloads with the therapeutic targets are discussed. The focus is mainly on the designs of polymeric anti-cancer nanomedicines.
Insights
This review explores how cancer biology, including heterogeneity and metastasis, impacts nanomedicine delivery. It discusses strategies for polymeric nanomedicines to overcome these challenges for better cancer treatment.
Area of Science:
- Oncology
- Nanomedicine
- Biotechnology
Background:
- Cancer biology presents unique challenges for nanomedicine efficacy.
- Key factors include tumor heterogeneity, cancer stem cells, tumor microenvironment complexity, and metastasis.
- Understanding these biological features is crucial for developing effective anti-cancer nanomedicines.
Purpose of the Study:
- To review critical cancer biological properties that challenge current nanomedicine treatments.
- To discuss the biological basis of targeting strategies like the enhanced permeability and retention (EPR) effect and active targeting.
- To explore nanomedicine strategies for overcoming delivery barriers and improving therapeutic payload interactions.
Main Methods:
- Literature review focusing on cancer biology and nanomedicine design.
- Analysis of challenges posed by tumor heterogeneity, cancer stem cells, tumor microenvironment, and metastasis.
- Discussion of passive (EPR effect) and active targeting strategies and their physiological barriers.
Main Results:
- Cancer's complex biology significantly impacts nanomedicine delivery and efficacy.
- The enhanced permeability and retention (EPR) effect and active targeting have specific biological underpinnings.
- Physiological barriers impede both passive and active nanomedicine targeting.
Conclusions:
- Designing effective anti-cancer nanomedicines requires a deep understanding of cancer biology.
- Strategies targeting cancer heterogeneity, stem cells, and metastasis are essential.
- Overcoming delivery barriers and enhancing payload interaction are key for polymeric nanomedicine development.
Related Concept Videos
Site-Targeted Drug Delivery Systems: Polymeric Carriers
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Modified-Release Drug Delivery Systems: Site-Targeted
Combination Therapies and Personalized Medicine
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...

