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Breaking the niche: multidimensional nanotherapeutics for tumor microenvironment modulation
K Laxmi Swetha1, Kavya Sree Maravajjala1, Shyh-Dar Li2
1Department of Pharmacy, Birla Institute of Technology & Science, Vidya Vihar, Pilani, Rajasthan, 333031, India.
Abstract:
Most of the current antitumor therapeutics were developed targeting the cancer cells only. Unfortunately, in the majority of tumors, this single-dimensional therapy is found to be ineffective. Advanced research has shown that cancer is a multicellular disorder. The tumor microenvironment (TME), which is made by a complex network of the bulk tumor cells and other supporting cells, plays a crucial role in tumor progression. Understanding the importance of the TME in tumor growth, different treatment modalities have been developed targeting these supporting cells. Recent clinical results suggest that simultaneously targeting multiple components of the tumor ecosystem with drug combinations can be highly effective. This type of "multidimensional" therapy has a high potential for cancer treatment. However, tumor-specific delivery of such multi-drug combinations remains a challenge. Nanomedicine could be utilized for the tumor-targeted delivery of such multidimensional therapeutics. In this review, we first give a brief overview of the major components of TME. We then highlight the latest developments in nanoparticle-based combination therapies, where one drug targets cancer cells and other drug targets tumor-supporting components in the TME for a synergistic effect. We include the latest preclinical and clinical studies and discuss innovative nanoparticle-mediated targeting strategies.
Insights
Targeting cancer cells and the tumor microenvironment (TME) simultaneously with combination therapies shows promise. Nanomedicine offers a solution for delivering these multidimensional treatments effectively to tumors.
Area of Science:
- Oncology
- Nanomedicine
- Biotechnology
Background:
- Traditional antitumor therapeutics focus solely on cancer cells, often proving ineffective due to cancer's complex multicellular nature.
- The tumor microenvironment (TME), comprising tumor cells and supporting cells, significantly influences tumor progression.
- Emerging research highlights the TME's critical role, leading to therapies targeting its supporting components.
Purpose of the Study:
- To review the components of the tumor microenvironment (TME).
- To highlight advancements in nanoparticle-based combination therapies.
- To discuss innovative nanoparticle-mediated targeting strategies for synergistic antitumor effects.
Main Methods:
- Overview of major tumor microenvironment (TME) components.
- Review of recent preclinical and clinical studies on nanoparticle-based combination therapies.
- Discussion of nanoparticle-mediated targeting strategies.
Main Results:
- Simultaneously targeting cancer cells and TME components with drug combinations demonstrates high efficacy.
- Nanomedicine facilitates tumor-specific delivery of multidimensional therapeutics.
- Combination therapies utilizing nanoparticles show synergistic effects by targeting both cancer cells and TME.
Conclusions:
- Multidimensional therapy, combining drugs targeting cancer cells and the TME, holds significant potential for cancer treatment.
- Nanoparticle-based drug delivery systems are crucial for overcoming the challenge of tumor-specific delivery in combination therapies.
- Innovative nanomedicine strategies are advancing the efficacy of combination cancer treatments.
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