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Nanoparticles targeting mechanisms in cancer therapy: current limitations and emerging solutions
Kyrillus S Shohdy1, Ahmad Samir Alfaar
1Faculty of Medicine, Cairo University, Cairo University Hospitals, AlSaray Street, Al-Maniel, 11451, Cairo, Egypt.
Abstract:
It has been more than one century since Paul Ehrlich spoke about the idea of targeting specific molecules in the cell when he coined the 'Magic Bullet' principle. In most occasions, we seek new pharmacodynamic models for therapy, but nanoparticles provide a chance to modify the already existing pharmacokinetics of drugs to meet needed pharmacodynamic models. In the scope of 'nanoscale', every entity has different characters, and no general rules control pharmacokinetics of nanoparticulate drugs as new physical and physicochemical properties are added to equations. However, such remarkable drug models are still quite far from achieving their potential in clinical application. Among the major obstacles is that most available results in nanoparticles targeting rely upon in vitro and animal models that do not match the tumor environment characteristics in humans. This Review discusses the concept of targeting tumor cells with nanoparticles, the limitations that lead to its incomplete application in clinical practice along with some of the promising solutions to such limitations.
Insights
Nanoparticles offer novel drug delivery by altering pharmacokinetics, but clinical success is hindered. Overcoming limitations in human tumor models is key to realizing their therapeutic potential.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Pharmacology
Background:
- The 'Magic Bullet' concept by Paul Ehrlich proposed targeted molecular therapy over a century ago.
- Nanoparticles present an opportunity to modify drug pharmacokinetics for improved pharmacodynamics.
- Unique physicochemical properties of nanoparticles at the nanoscale necessitate new pharmacokinetic models.
Purpose of the Study:
- To discuss the concept of targeting tumor cells using nanoparticles.
- To identify limitations hindering the clinical application of nanoparticle-based drug delivery.
- To explore promising solutions to overcome these limitations.
Main Methods:
- Review of existing literature on nanoparticle targeting in cancer therapy.
- Analysis of in vitro and animal models for nanoparticle efficacy.
- Discussion of challenges in translating preclinical findings to human clinical settings.
Main Results:
- Nanoparticles can alter drug pharmacokinetics, potentially improving therapeutic outcomes.
- Current nanoparticle targeting strategies often fail to accurately mimic the human tumor microenvironment.
- Significant discrepancies exist between preclinical results and clinical efficacy.
Conclusions:
- Nanoparticle-based drug targeting holds great promise but faces significant hurdles for clinical translation.
- Developing models that accurately reflect the human tumor microenvironment is crucial for advancing nanoparticle therapy.
- Further research is needed to bridge the gap between experimental findings and successful clinical applications.
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