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Surface-enhanced Resonance Raman Scattering Nanoprobe Ratiometry for Detecting Microscopic Ovarian Cancer via Folate Receptor Targeting
Published on: March 25, 2019
Emerging targeted drug delivery strategies toward ovarian cancer
Zhe Wang1, Fenghua Meng1, Zhiyuan Zhong1
1Biomedical Polymers Laboratory, College of Chemistry, Chemical Engineering and Materials Science, and State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou 215123, PR China.
Abstract:
Ovarian cancer is a high-mortality malignancy in women. The contemporary clinical chemotherapy with classic cytotoxic drugs, targeted molecular inhibitors would mostly fail when ovarian cancer cells become drug-resistant or metastasize through the body or when patients bare no more toleration because of strong adverse effects. The past decade has spotted varying targeted delivery systems including antibody-drug conjugates (ADCs), peptide/folate/aptamer-drug conjugates, polymer-drug conjugates, ligand-functionalized nanomedicines, and dual-targeted nanomedicines that upgrade ovarian cancer chemo- and molecular therapy effectively in preclinical/clinical settings via endowing therapeutic agents selectivity and bypassing drug resistance as well as lessening systemic toxicity. The targeted delivery approaches further provide means to potentiate emergent treatment modalities such as molecular therapy, gene therapy, protein therapy, photodynamic therapy, dual-targeting therapy and combination therapy for ovarian cancer. This review highlights up-to-date development of targeted drug delivery strategies toward advanced, metastatic, relapsed, and drug resistant ovarian cancers.
Insights
Targeted drug delivery systems offer new hope for ovarian cancer patients, overcoming drug resistance and reducing side effects. These advanced methods improve chemotherapy and molecular therapies for advanced and metastatic ovarian cancers.
Area of Science:
- Oncology
- Nanotechnology
- Pharmacology
Background:
- Ovarian cancer presents a high mortality rate, with conventional chemotherapy often failing due to drug resistance, metastasis, or severe adverse effects.
- Existing treatments struggle with efficacy in advanced, metastatic, or drug-resistant ovarian cancer cases.
Purpose of the Study:
- To review recent advancements in targeted drug delivery strategies for ovarian cancer.
- To highlight approaches that enhance chemotherapy and molecular therapy efficacy.
- To focus on overcoming challenges in advanced, metastatic, relapsed, and drug-resistant ovarian cancers.
Main Methods:
- Review of targeted delivery systems including antibody-drug conjugates (ADCs), polymer-drug conjugates, and nanomedicines.
- Analysis of strategies enhancing therapeutic agent selectivity and reducing systemic toxicity.
- Exploration of how targeted delivery potentiates novel therapies like gene and photodynamic therapy.
Main Results:
- Targeted delivery systems demonstrate effectiveness in preclinical and clinical settings for ovarian cancer.
- These systems improve selectivity, bypass drug resistance mechanisms, and minimize systemic toxicity.
- Various targeted approaches, including nanomedicines and conjugates, are advancing ovarian cancer treatment.
Conclusions:
- Targeted drug delivery is crucial for improving outcomes in challenging ovarian cancer cases.
- These strategies offer a promising path for treating advanced, metastatic, and drug-resistant ovarian cancers.
- Further development of targeted delivery systems is essential for next-generation ovarian cancer therapies.
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