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Magnetic-, Acoustic-, and Optical-Triple-Responsive Microbubbles for Magnetic Hyperthermia and Pothotothermal Combination Cancer Therapy
Published on: May 22, 2020
[Nanoparticles for cancer therapy]
Matthias Löhr1, Wouter van der Wijngaart2, Björn Fagerberg3
1Karolinska Institutet - CLINTEC K53 Stockholm, Sweden Karolinska Institutet - CLINTEC K53 Stockholm, Sweden.
Abstract:
Nanoparticles for cancer therapy Nanoparticles carry a big promise in oncology, for diagnosis/imaging, therapy, or both (theragnostics). As common in medical history, there is a huge gap between the exciting experimental possibilities and data and clinical studies making use of it. Of the cell-containing nanoparticles, only one formulation using gene-directed enzyme prodrug therapy (GDEPT) with CYP2B1 and ifosfamide was used in early clinical studies. Of the cell-free nanoparticles, some drug-releasing (doxorubicin) ones are in clinical use for trans-arterial chemo-embolization (TACE) in liver tumors and metastasis. Using liposomes, both paclitaxel and irinotecan have been used in pancreatic cancer as the model indication. Nanoparticle-albumin-bound paclitaxel (NAB-paclitaxel) has also been developed and is now registered as a drug for first-line therapy of pancreatic cancer, as is the liposomal irinotecan. The novel nanoparticle formulations carry a big promise for even better performance, both in diagnosis and therapy; however, few of these has entered the clinic as of today.
Insights
Nanoparticles show promise for cancer diagnosis and therapy, but clinical application lags behind experimental success. Few novel nanoparticle formulations have reached clinical use despite their potential.
Area of Science:
- Oncology
- Nanomedicine
- Drug Delivery
Background:
- Nanoparticles offer significant potential in oncology for diagnosis, therapy, and theragnostics.
- A notable gap exists between experimental nanoparticle research and clinical applications in cancer treatment.
- Current clinical use of nanoparticles is limited, with some drug-releasing formulations approved for specific cancer types.
Purpose of the Study:
- To review the current status and clinical translation of nanoparticles in cancer therapy.
- To highlight the challenges and successes in developing nanoparticles for oncological applications.
- To discuss the future prospects of advanced nanoparticle formulations in cancer care.
Main Methods:
- Review of existing clinical studies and approved nanoparticle-based cancer therapies.
- Analysis of nanoparticle formulations, including liposomes and albumin-bound nanoparticles.
- Examination of specific applications such as gene-directed enzyme prodrug therapy (GDEPT) and trans-arterial chemo-embolization (TACE).
Main Results:
- Limited clinical translation of cell-containing nanoparticles, with one notable exception using gene-directed enzyme prodrug therapy (GDEPT).
- Several cell-free, drug-releasing nanoparticles are in clinical use, particularly for liver tumors (e.g., doxorubicin for TACE).
- Liposomal formulations of paclitaxel and irinotecan have been utilized in pancreatic cancer, with nanoparticle-albumin-bound paclitaxel (NAB-paclitaxel) approved for first-line pancreatic cancer therapy.
Conclusions:
- Nanoparticle-albumin-bound paclitaxel and liposomal irinotecan represent significant clinical advancements for pancreatic cancer.
- Despite promising experimental data, the clinical adoption of novel nanoparticle formulations for cancer therapy remains slow.
- Further research and clinical trials are essential to realize the full potential of advanced nanoparticles in oncology.
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