Nanocarriers for Combination Therapy in Pancreatic Ductal Adenocarcinoma: A Comprehensive Review
Iris Pontón1, David Sánchez-García1
1Grup d'Enginyeria de Materials (GEMAT), Institut Químic de Sarrià (IQS), Universitat Ramon Llull (URL), Via Augusta 390, 08017 Barcelona, Spain.
Abstract:
Pancreatic ductal adenocarcinoma (PDAC) remains one of the deadliest cancers worldwide, characterized by late diagnosis, aggressive progression, and poor response to conventional monotherapies. Combination therapies have emerged as a promising approach to overcome multidrug resistance (MDR), enhance efficacy, and target the complex tumor microenvironment (TME). Nanoparticle-based drug delivery systems (DDSs) have gained significant attention for their ability to co-deliver multiple agents with controlled release profiles. This review comprehensively examines nanoparticle-based platforms developed for PDAC combination therapies, focusing on small-molecule drugs. The systems discussed are drawn from studies published between 2005 and 2025.
Insights
Nanoparticle drug delivery systems offer a promising strategy for pancreatic cancer combination therapies. These systems can co-deliver multiple drugs to effectively target the tumor microenvironment and overcome drug resistance.
Area of Science:
- Oncology
- Nanomedicine
- Drug Delivery Systems
Background:
- Pancreatic ductal adenocarcinoma (PDAC) is a highly lethal cancer with poor therapeutic outcomes.
- Conventional monotherapies are often ineffective due to multidrug resistance (MDR) and a complex tumor microenvironment (TME).
- Combination therapies are crucial for improving treatment efficacy in PDAC.
Purpose of the Study:
- To review nanoparticle-based drug delivery systems (DDSs) for PDAC combination therapy.
- To focus on systems co-delivering small-molecule drugs.
- To analyze advancements in nanoparticle DDSs for PDAC from 2005-2025.
Main Methods:
- Comprehensive literature review of studies on nanoparticle-based DDSs for PDAC.
- Analysis of systems designed for combination therapy using small-molecule drugs.
- Examination of controlled release mechanisms and TME targeting strategies.
Main Results:
- Nanoparticle DDSs enable co-delivery of multiple agents for synergistic effects in PDAC.
- These systems demonstrate potential in overcoming MDR and enhancing anti-tumor efficacy.
- Various nanoparticle platforms show promise for targeted delivery and controlled release within the TME.
Conclusions:
- Nanoparticle-based combination therapies represent a significant advancement in PDAC treatment.
- DDSs offer a versatile platform for optimizing drug delivery and overcoming therapeutic challenges.
- Further research into nanoparticle DDSs is warranted to translate these findings into clinical applications.
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