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Smart Cells Against Cancer: Advances in Cell-Based Drug Delivery and Diagnostics
Lisa Gherardini1, Giovanni Inzalaco2, Sara Gargiulo1
1Istituto di Fisiologia Clinica (IFC), Consiglio Nazionale delle Ricerche (CNR), 53100 Siena, Italy.
Abstract:
Cell-based drug delivery has emerged as a powerful strategy to improve therapeutic targeting while reducing systemic toxicity. This approach is particularly valuable for anticancer agents, which are often limited by severe side effects arising from off-target activity and non-specific distribution. By using cells as carriers, drugs can evade immune clearance, achieve prolonged circulation, and improve pharmacokinetic profiles, ultimately enhancing therapeutic efficacy. This review surveys the current landscape of cell-mediated drug delivery in oncology, emphasizing both fundamental principles and practical applications. We discuss the design and preparation of cellular carriers, examine the unique characteristics of commonly used cell types, and highlight recent technological innovations that are expanding their theranostic potential, focusing on strategies for delivery to challenging anatomical sites, with a dedicated focus on the brain. By consolidating recent advances and insights, this review aims to provide a comprehensive perspective on the promise and future directions of cell-based drug delivery for cancer therapy.
Insights
Cell-based drug delivery uses cells to transport anticancer agents, improving cancer treatment efficacy and reducing side effects. This approach enhances drug targeting and circulation, particularly for brain tumors.
Area of Science:
- Biomedical Engineering
- Oncology
- Drug Delivery Systems
Background:
- Cell-based drug delivery offers improved therapeutic targeting and reduced systemic toxicity for anticancer agents.
- Conventional chemotherapy faces limitations due to off-target activity and non-specific distribution, leading to severe side effects.
- Cellular carriers can evade immune clearance, prolong circulation, and enhance pharmacokinetic profiles for better therapeutic outcomes.
Purpose of the Study:
- To review the current state of cell-mediated drug delivery in oncology.
- To emphasize fundamental principles and practical applications of this therapeutic strategy.
- To highlight innovations for theranostic potential, especially for challenging sites like the brain.
Main Methods:
- Surveying the literature on cell-mediated drug delivery in cancer therapy.
- Discussing the design and preparation of cellular carriers.
- Examining characteristics of commonly used cell types and recent technological advancements.
Main Results:
- Cellular carriers offer enhanced drug delivery, improved pharmacokinetics, and reduced toxicity in preclinical and clinical settings.
- Specific cell types demonstrate unique advantages for drug delivery, including homing capabilities.
- Technological innovations are expanding the potential of cell-based systems for targeted cancer treatment.
Conclusions:
- Cell-based drug delivery represents a promising frontier in oncology, offering enhanced efficacy and safety.
- Further research into cellular carrier design and optimization is crucial for clinical translation.
- This strategy holds significant potential for treating challenging cancers, including those affecting the central nervous system.
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