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Tumor Discovery                                         Targeted drug delivery systems for the treatment of tumors



            immunoassay and fluorescence microscopy, revealed   regimens . Polymers utilized include polyethylene
                                                                      [36]
            the selective accumulation of cetuximab microspheres at   glycols, polysaccharides, and polyvinyl alcohol, which not
            the targeted tumor site. Conjugated europium antibody   only enhance solubility but also extend the circulation
            microspheres  have  the  potential  for  efficient  tumor  site   half-life of the active drug and bypass the opsonization
            imaging and accumulation within the tumor in vivo.  process. Improved stability, prolonged retention time,
              Another micronized delivery system, microemulsions   and reduced clearance of polymeric nanoparticles offer
            (0.1 μm), serves as adaptable carriers that exhibit enhanced   notable applications in oncology. These cargos are actively
                                                                                                           [37]
            bioavailability of poorly soluble actives, improved   taken up by the cell-mediated active transport system .
                                                               Moreover, these systems are protected from the unfavorable
            absorption, and high permeation due to their small size
            distribution and low surface tension . Table 1 compiles   environment of the gastrointestinal tract and bypass first-
                                         [26]
            a few microscale tumor-targeted delivery approaches and   pass metabolism, resulting in increased bioavailability and
            their applications. These systems are thermodynamically   reduced metabolic clearance. Furthermore, the polymeric
                                                               integrity enables a high payload and controlled release
            stable and can effectively deliver both hydrophobic and                    [38]
            hydrophilic actives across the skin .              of the actives at the target site . Polymeric nanocarriers
                                       [27]
                                                               entail the use of polymeric nanoparticles, polymeric
            4.2. Nanoscale tumor-targeted drug delivery        micelles, dendrimers, and polyplexes for specific drug
            systems                                            delivery at the tumor target site, as illustrated in Figure 4,
                                                               and they are further elaborated as follows:
            4.2.1. Polymeric nanocarriers
            Polymeric nanocarriers are considered a promising   (a) Polymeric nanoparticles
            approach for drug delivery to alleviate various disorders,   Nanodimensional  particles  serve  as  excellent  carriers
            including tumors. Their remarkable pharmacokinetic   for  site-specific drug  release and effective antitumor
            properties, namely, solubility, stability, significant   management by virtue of their biocompatibility and
            distribution, and accumulation at tumor cells, have   prolonged circulation efficiency. Numerous nanocarriers
            garnered attention for developing new chemotherapy   (below 1000  nm), including liposomes, polymeric

            Table 1. Microscale tumor-targeted delivery systems and their applications

            Therapeutic agent and   Targeted site  Research Objective        Application            References
            formulation
            Yttrium-90 microspheres  Liver     Development of microspheres to provide   Local radiotherapy for liver   [28]
                                               prolonged patient survival through precisely   tumors
                                               nourishing vasculature related to hepatic
                                               tumors
            MDHJ (Methyl dihydrojasmonate)  Breast  Phytochemical MDHJ microemulsion has   Targeting solid tumor   [29]
            containing microemulsion           the capability to reduce tumor volume and   (transdermally)
                                               necrotic effects in MCF-7 cell lines
            Magnetic iron oxide bovine serum  Skin  Prolonged delivery of sulforaphane through   Promising drug carrier for   [30]
            albumin microspheres               iron oxide magnetic microspheres  anticancer drug
            Mitoxantrone (MXN)-albumin   Breast  Preparation of MXN microspheres to reduced  Localized breast cancer   [31]
            microspheres                       toxicity and improved moderate survival in   chemotherapy
                                               murine mammary adenocarcinoma
            5-fluorouracil microspheres  Brain  Formulation of biodegradable microspheres   Prolonged local delivery of   [32]
                                               for sustain release of 5-fluorouracil and   5-fluorouracil in malignant
                                               impressive management of neoplastic cells   brain tumor
                                               present in brain tissues
            CA125-poly(lactic-co-glycolic   Ovary  Preparation of antigen CA125-loaded PLGA   Immunotherapy of ovarian   [33]
            acid) (PLGA) microspheres          microspheres for induction of T lymphocytes cancer
            Pancreatin microspheres   Pancreas  Development of enteric-coated pancreatin   Unresectable pancreatic cancer  [34]
                                               microspheres for the direct release in the
                                               pancreatic duct
            Paclitaxel microspheres  Urinary bladder Development of bioadhesive paclitaxel   Intracavitary treatment for   [35]
                                               microspheres for the controlled release at the  superficial carcinoma of the
                                               urothelium                    urinary bladder


            Volume 2 Issue 3 (2023)                         6                          https://doi.org/10.36922/td.1356
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