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Advances in Radiotherapy &

                                                                             Nuclear Medicine



                                        REVIEW ARTICLE
                                        Applications of radionuclide-carrying liposomes

                                        for diagnosis and treatment of cancer



                                                                     3
                                                   1,2
                                                                                          2
                                        Rashmi Basu , Joyce G. Schwartz , and William T. Phillips *
                                        1 Keystone School, San Antonio, Texas, United States of America
                                        2 Department of Radiology, Long School of Medicine, University of Texas Health-San Antonio, San
                                        Antonio, Texas, United States of America
                                        3 Department of Pathology, Methodist Hospital, San Antonio, Texas, United States of America



                                        Abstract

                                        Using nanocapsules to deliver diagnostic and therapeutic agents to targeted
                                        biological sites enhances the safety and effectiveness of healthcare by decreasing
                                        toxicity and increasing the accumulation of medicinal agents at targeted sites.
                                        Liposomes, nanocapsules made of naturally occurring lipids, boast many advantages
                                        for the delivery of therapeutic agents. This article reviews both the advantages and
                                        challenges associated with liposomal drug delivery for the treatment of cancerous
                                        tumors  and  infectious  diseases.  These  minute  spherical  sacs  of  phospholipid
                                        molecules are flexible carriers that can be modified in various ways to optimize
                                        their use. Examples of this include alteration of the size of liposomes to selectively
                                        accumulate in tumor microenvironments and “PEGylation” of their surface to reduce
                                        uptake of liposomes by the mononuclear phagocytic system (MPS). While one of the
                                        main challenges of liposomal drug delivery is the heightened uptake of liposomes by
            *Corresponding author:      the MPS, this unique property can be used to target diseased areas with a significant
            William T. Phillips         MPS presence. Furthermore, the liposomal structure can be manipulated to allow
            (phillips@uthscsa.edu)
                                        for the triggered release  of internal contents with  externally controlled  factors.
            Citation: Basu R, Schwartz JG,   Liposomes carrying therapeutic radionuclides can be injected directly into solid
            Phillips WT. Applications of
            radionuclide-carrying liposomes   tumors and dispersed throughout the tumor by convection-enhanced delivery. The
            for diagnosis and treatment of   flexibility and pliability of liposomes allow them to move through tight spaces within
            cancer. Adv Radiother Nucl Med.   a tumor with much greater dispersion and penetration when compared to more rigid
            2024;2(4):4373.
            doi: 10.36922/arnm.4373     nanoparticles. Due to the benefits of radionuclide-carrying liposomes in disease
                                        diagnosis and delivery of chemotherapeutic agents, their utilization is expected to
            Received: July 30, 2024     be expanded.
            Accepted: September 12, 2024
            Published Online: October 14, 2024  Keywords: Chelator; Drug delivery; Liposome; Macrophage; Mononuclear phagocyte
            Copyright: © 2024 Author(s).   system; Radionuclide
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,   1. Introduction
            provided the original work is
            properly cited.             Drug delivery is commonly used to increase the bioavailability of drugs, reduce contact
            Publisher’s Note: AccScience   between toxic drugs and healthy tissue, control the release of encapsulated contents,
            Publishing remains neutral with   and possibly lessen the frequency of doses of treatment needed by patients. The concept
            regard to jurisdictional claims in
            published maps and institutional   of drug delivery can range from oral ingestion of encapsulated pill to intravenous
            affiliations                administration of nanocapsules. The applications of drug delivery are extensive, ranging


            Volume 2 Issue 4 (2024)                         1                              doi: 10.36922/arnm.4373
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