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Tumor Discovery                                         Targeted drug delivery systems for the treatment of tumors






































            Figure 4. Polymeric nanocarriers involved in tumor management.

            nanoparticles, solid lipid nanoparticles, dendrimers, and   In contrast, smaller particles (below the pore diameter of
            inorganic nanoparticles, have been reported for their   tumor cells) can easily penetrate tumor cells and exhibit
            effectiveness in the treatment of various types of tumors .   passive targeting but are swiftly pushed back into the
                                                        [39]
            Their unique size, shape, and surface architecture allow   circulatory  system  due  to  the  high  interstitial  pressure
            for active targeting (binding to specific cell receptors),   within tumor cells . Therefore, optimizing particle size
                                                                              [42]
            passive targeting (enhanced EPR and dysfunctional lymph   can enhance intratumor distribution, cell penetration,
            vessels), and cell-mediated targeting (stimulated cytokines   retention, and, consequently, the effectiveness of
            and chemokines). The size of nanoparticles significantly   antitumor treatment. Yu  et al. have demonstrated an
            influences various factors, including circulation time,   intelligent, size-tunable approach for proficient antitumor
            biodistribution, accumulation, penetration, and cellular   action . The size-tunable approach overcomes the
                                                                    [43]
            uptake within tumor cells or tissues. Circulation time   limitations associated with nanoparticles, as their sizes
            and particle size serve as pivotal determinants of the drug   can be adjusted (shrunk or enlarged) in response to
            delivery system’s efficacy. Notably, particle size greatly   physiological stimuli. This adjustment significantly
            affects clearance through the mononuclear phagocytic   improves the retention and penetration of the tuned
            system (MPS), with smaller nanodimensional particles   particles within tumor cells. Both internal (pH, enzyme,
            undergoing reduced uptake by this system. In addition,   and redox reactions) and external stimuli (temperature
            nanoparticle size plays a critical role in biodistribution,   and light) modulate the morphology (shape and size) of
            renal filtration, and vascular infusion within the liver.   nanoparticles through the processes such as protonation,
            The literature describes that nanoparticles below 50  nm   π-π stacking, and hydrogen bonding. As a result, sized-
            can easily penetrate endothelial cells and infiltrate liver   tuned  particle  drug  delivery  systems  are  utilized  for
            cells, while smaller particle sizes (approximately 5 nm) are   efficient therapy, diagnostics, and bioimaging of cancers.
            excreted through renal filtration. The variable pore size   Figure  4 illustrates smart polymeric nanocarriers that
            (ranging from 200 nm to 1.2 μm) is influenced by leaky   exhibit a controlled release of actives within tumor cells,
            vasculature and the rapid growth of tumor cells .  thereby boosting drug efficiency by modifying the tumor
                                                  [40]
                                                                              [44]
              However, larger particles are inefficient at entering   microenvironment . Table 2 compiles certain polymeric
            tumor cells; they are retained in the surrounding of   nanoparticles and their applications for the management
            tumor cells but struggle to penetrate dense tumor cells .   of various tumor cells.
                                                        [41]

            Volume 2 Issue 3 (2023)                         7                          https://doi.org/10.36922/td.1356
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