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Development of Intratumoral Drug Delivery Based Strategies for Antitumor Therapy
Zhimei Jiang1,2,3, Yuzhi Fu1,2,3, Hongxin Shen1,2,3
1Department of Pharmacy, West China Second University Hospital of Sichuan University, Chengdu, People's Republic of China.
Abstract:
Research for tumor treatment with significant therapy effects and minimal side-effects has been widely carried over the past few decades. Different drug forms have received a lot of attention. However, systemic biodistribution induces efficacy and safety issues. Intratumoral delivery of agents might overcome these problems because of its abundant tumor accumulation and retention, thereby reducing side effects. Delivering hydrogels, nanoparticles, microneedles, and microspheres drug carriers directly to tumors can realize not only targeted tumor therapy but also low side-effects. Furthermore, intratumoral administration has been integrated with treatment strategies such as chemotherapy, enhancing radiotherapy, immunotherapy, phototherapy, magnetic fluid hyperthermia, and multimodal therapy. Some of these strategies are ongoing clinical trials or applied clinically. However, many barriers hinder it from being an ideal and widely used option, such as decreased drug penetration impeded by collagen fibers of a tumor, drug squeezed out by high density and high pressure, mature intratumoral injection technique. In this review, we systematically discuss intratumoral delivery of different drug carriers and current development of intratumoral therapy strategies.
Insights
Intratumoral drug delivery offers targeted tumor treatment with fewer side effects. This review explores various drug carriers and therapeutic strategies, highlighting challenges and future directions for effective cancer therapy.
Area of Science:
- Oncology
- Biomedical Engineering
- Drug Delivery Systems
Background:
- Systemic drug administration for tumor treatment faces challenges with efficacy and safety due to biodistribution.
- Intratumoral delivery aims to enhance drug accumulation within tumors, potentially reducing systemic side effects.
- Various drug carriers like hydrogels, nanoparticles, and microneedles are being investigated for direct tumor injection.
Purpose of the Study:
- To systematically review different drug carriers used for intratumoral delivery.
- To discuss current advancements in intratumoral therapy strategies integrated with various treatment modalities.
- To identify barriers hindering the widespread clinical application of intratumoral drug delivery.
Main Methods:
- Literature review of research on intratumoral drug delivery systems.
- Analysis of integrated therapeutic strategies including chemotherapy, radiotherapy, immunotherapy, and phototherapy.
- Discussion of challenges such as drug penetration, expulsion, and injection techniques.
Main Results:
- Intratumoral delivery using diverse carriers can achieve targeted tumor therapy and minimize side effects.
- Integration with chemotherapy, radiotherapy, immunotherapy, and phototherapy shows promising clinical potential.
- Significant barriers remain, including poor drug penetration, expulsion from the tumor site, and immature injection techniques.
Conclusions:
- Intratumoral delivery presents a promising approach for cancer treatment, offering localized efficacy and reduced systemic toxicity.
- Overcoming barriers related to drug penetration, retention, and delivery techniques is crucial for clinical translation.
- Further research and development are needed to optimize intratumoral strategies for broader application in cancer therapy.
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