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An in vivo Assay to Test Blood Vessel Permeability
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Targeting endothelial permeability in the EPR effect.

Behnaz Lahooti1, Racheal G Akwii1, Fatema Tuz Zahra1

  • 1Department of Pharmaceutical Sciences, School of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, TX 79106, USA.

Journal of Controlled Release : Official Journal of the Controlled Release Society
|July 30, 2023
PubMed
Summary

The enhanced permeability and retention (EPR) effect, driven by tumor blood vessels and microenvironment, aids nanomedicine delivery. Understanding endothelial regulation of vascular permeability is key for clinical translation of anti-cancer therapies.

Keywords:
Drug deliveryEPR effectNanoparticlesPermeabilityTumor

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Area of Science:

  • Oncology
  • Nanomedicine
  • Vascular Biology

Background:

  • The enhanced permeability and retention (EPR) effect is crucial for delivering anti-cancer nanomedicine, particularly in preclinical models.
  • Increased vascular permeability in tumor vessels is a key characteristic driving the EPR effect.
  • Endothelial regulation of vascular permeability is central to understanding and exploiting the EPR effect.

Purpose of the Study:

  • To review the endothelial regulation of vascular permeability in the context of nanomedicine delivery.
  • To discuss challenges and opportunities for targeting vascular permeability in clinical translation.
  • To summarize mechanisms, mediators, and nanoparticle design for improved therapeutic outcomes.

Main Methods:

  • Review of current literature on endothelial permeability, tumor microenvironment, and nanomedicine delivery.
  • Analysis of signaling pathways and structural components regulating vascular permeability.
  • Critical evaluation of targeted approaches, immune cell interactions, and nanoparticle design.

Main Results:

  • Endothelial cells and their signaling pathways significantly influence vascular permeability.
  • Tumor-infiltrating immune cells and their interactions with tumor vessels impact nanomedicine delivery.
  • Current targeted approaches face challenges in clinical translation, necessitating improved nanoparticle design.

Conclusions:

  • Targeting endothelial regulation of vascular permeability holds promise for enhancing nanomedicine delivery.
  • Overcoming challenges requires a comprehensive understanding of the tumor microenvironment and immune interactions.
  • Optimized nanoparticle design is essential for successful clinical translation of EPR-based therapies.