2018
DOI: 10.1002/wnan.1519
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Strategies to improve tumor penetration of nanomedicines through nanoparticle design

Abstract: Nanoparticles (NPs) have emerged as an effective means to deliver therapeutic drugs for cancer treatment, as they can preferentially accumulate at tumor site through the enhanced permeability and retention effect. Various forms of NPs including liposomes, polymeric micelles, and inorganic particles have been used for therapeutic applications. However, the therapeutic benefits of nanomedicines are suboptimal. Although many possible reasons may account for the compromised therapeutic efficacy, the inefficient tu… Show more

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Cited by 194 publications
(153 citation statements)
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“…In addition, an exhaustive understanding of the factors that guide the tissue penetration is extremely urgent. Size, shape, and surface chemistry have been identified as the major characteristics responsible for NCs diffusion inside the tumor mass [44,45]. Beside some universally accepted correlation, such as the inverse proportion between NC size and penetration ability, there are still controversial opinions about the impact of surface charge [46,47].…”
Section: Tumor-specific Accumulationmentioning
confidence: 99%
“…In addition, an exhaustive understanding of the factors that guide the tissue penetration is extremely urgent. Size, shape, and surface chemistry have been identified as the major characteristics responsible for NCs diffusion inside the tumor mass [44,45]. Beside some universally accepted correlation, such as the inverse proportion between NC size and penetration ability, there are still controversial opinions about the impact of surface charge [46,47].…”
Section: Tumor-specific Accumulationmentioning
confidence: 99%
“…This increases the outward interstitial flow and thereby limits convective transport into the tumour region [9]. Nanoparticle transport to the centre of the tumour is thus impeded and nanoparticles hardly reach the tumour core or any regions located further away from functioning vasculature as shown in Fig 6B. As summed up by Zhang et al [63], the elevated IF pressure is one of the main factors that hinders effective tumour penetration of nanoparticles. Goel et al [64] state that vascular normalisation reduces tumour hypoxia as well as the IF pressure.…”
Section: Discussionmentioning
confidence: 91%
“…Furthermore this effective formulation will likely enhance drug delivery to tumor sites, and overcome current issues in delivering HDACi to solid tumors, whilst also reducing side effects associated with systemic delivery of the free drug. The enhanced permeability and retention effect (EPR) would enable these nanoparticles to escape via neo-vascularization at tumor sites, and subsequently their physico-chemical characteristics would allow better penetration into solid tumors [63][64][65][66]. Such parameters are likely to be speci c to different cancer types, even when just considering Pluronic, where differences in e cacy can be observed [67,68].…”
Section: Discussionmentioning
confidence: 99%