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Published on: April 11, 2016
Critical clinical gaps in cancer precision nanomedicine development
Wendy Wei Gan1, Lai Wah Chan1, Wenji Li2
1Department of Pharmacy, Faculty of Science, National University of Singapore, 18 Science Drive 4, 117543, Republic of Singapore.
Abstract:
Active targeting strategy is adopted in nanomedicine for cancer treatment. Personalizing the nanomedicine in accordance with patients' omics, under the precision medicine platform, is met with challenges in targeting ligand and matrix material selection at nanoformulation stage. The past 5-year literatures show that the nanoparticulate targeting ligand and matrix material are not selected based upon the cancer omics profiles of patients. The expression of cancer cellular target receptors and metabolizing enzymes is primarily influenced by age, gender, race/ethnic group and geographical origin of patients. The personalized perspective of a nanomedicine cannot be realised with premature digestion of matrix and targeting ligand by specific metabolizing enzymes that are overexpressed by the patients, and unmatched targeting ligand to the majority of cell surface receptors overexpressed in cancer. Omics analysis of individual metabolizing enzyme and cancer cell surface receptor expressed in cancer facilitates targeting ligand and matrix material selection in nanomedicine development.
Insights
Personalized nanomedicine for cancer requires matching targeting ligands and matrix materials to patient-specific cancer omics profiles. This ensures effective drug delivery by avoiding premature digestion and receptor mismatches.
Area of Science:
- Nanomedicine
- Cancer Research
- Precision Medicine
Background:
- Active targeting strategies are crucial in nanomedicine for cancer treatment.
- Personalizing nanomedicine based on patient omics data faces challenges in selecting appropriate targeting ligands and matrix materials.
- Current literature indicates a gap in selecting nanoparticulate components based on individual cancer omics profiles.
Purpose of the Study:
- To address the challenges in selecting targeting ligands and matrix materials for personalized nanomedicine.
- To highlight the influence of patient demographics (age, gender, ethnicity, geography) on cancer-related molecular targets.
- To emphasize the need for omics analysis in nanomedicine development for effective cancer treatment.
Main Methods:
- Review of nanomedicine literature from the past five years focusing on material selection.
- Analysis of factors influencing the expression of cancer cellular target receptors and metabolizing enzymes.
- Correlation of patient omics data with nanomedicine component selection.
Main Results:
- Nanoparticulate targeting ligand and matrix material selection is not currently based on patient-specific cancer omics profiles.
- Patient-specific metabolizing enzymes can prematurely degrade nanomedicine components, and targeting ligands may not match overexpressed cancer cell receptors.
- Individual omics analysis of metabolizing enzymes and cell surface receptors is essential.
Conclusions:
- Personalized nanomedicine development requires integrating patient omics data for informed selection of targeting ligands and matrix materials.
- Addressing patient-specific factors like enzyme expression and receptor profiles is critical for successful nanomedicine efficacy.
- Omics-driven selection facilitates the realization of personalized nanomedicine strategies in cancer therapy.
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