Recent Advances in Tumor Targeting via EPR Effect for Cancer Treatment
Md Abdus Subhan1, Satya Siva Kishan Yalamarty2, Nina Filipczak2
1Department of Chemistry, Shah Jalal University of Science and Technology, Sylhet 3114, Bangladesh.
Abstract:
Cancer causes the second-highest rate of death world-wide. A major shortcoming inherent in most of anticancer drugs is their lack of tumor selectivity. Nanodrugs for cancer therapy administered intravenously escape renal clearance, are unable to penetrate through tight endothelial junctions of normal blood vessels and remain at a high level in plasma. Over time, the concentration of nanodrugs builds up in tumors due to the EPR effect, reaching several times higher than that of plasma due to the lack of lymphatic drainage. This review will address in detail the progress and prospects of tumor-targeting via EPR effect for cancer therapy.
Insights
This review explores tumor-targeting strategies for cancer therapy using the enhanced permeability and retention (EPR) effect. Nanodrugs accumulate in tumors, offering a promising approach to improve cancer treatment selectivity and efficacy.
Area of Science:
- Oncology
- Nanotechnology
- Pharmacology
Background:
- Cancer is a leading cause of global mortality.
- Conventional anticancer drugs often lack tumor selectivity, leading to systemic toxicity.
- Nanodrugs offer potential advantages in cancer therapy due to their unique pharmacokinetic properties.
Purpose of the Study:
- To review the progress and prospects of tumor-targeting strategies in cancer therapy.
- To detail the application of the enhanced permeability and retention (EPR) effect for nanodrug delivery.
- To discuss the benefits of nanodrugs in overcoming limitations of traditional anticancer agents.
Main Methods:
- Review of existing literature on nanodrugs and the EPR effect in cancer therapy.
- Analysis of nanodrug behavior after intravenous administration, including renal clearance and plasma levels.
- Examination of tumor accumulation mechanisms, particularly the EPR effect and lymphatic drainage.
Main Results:
- Nanodrugs administered intravenously exhibit prolonged circulation and reduced renal clearance.
- The EPR effect facilitates significant nanodrug accumulation within tumors.
- Tumor lymphatic drainage is limited, contributing to sustained high concentrations of nanodrugs in the tumor microenvironment.
Conclusions:
- The EPR effect is a key mechanism for passive tumor targeting with nanodrugs.
- Nanodrugs demonstrate potential for enhanced tumor selectivity and therapeutic efficacy.
- Further research into EPR-mediated nanodrug delivery holds promise for advancing cancer therapy.
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