Page 14 - TD-2-3
P. 14

Tumor Discovery                                         Targeted drug delivery systems for the treatment of tumors




            Table 2. Polymers employed in the development of tumor-targeted drug delivery systems
            Polymers             Approaches                 Research highlights                     References
            Polyethylene glycol (PEG)-  CD133 aptamer-decorated   The nanocarrier AP-SAL-NP exhibited comparative   [45]
            functionalized poly(lactic-  salinomycin nanoparticles   specific and selective cytotoxicity for CD133(+)
            co-glycolic) acid    (AP-SAL-NP)                 osteosarcoma cancer stem cells than bare SAL-NP.
            Hyaluronic acid,     Hyaluronan-paclitaxel bioconjugate   After intraperitoneal administration, the developed   [46]
            nonsulfated          (ONCOFID-P) for ovarian cancer  polymeric conjugate ONCOFID-P interacted with
            glycosaminoglycan                                CD44 via an active transport mechanism and exhibited
                                                             a higher therapeutic concentration at target sites, that is,
                                                             human ovarian cancer, when compared to paclitaxel.
            Polyethylene glycol  Utilizing gelatinase nanoparticles for   The developed miR-200c/DOC nanoparticles   [47]
                                 the delivery of miR200c-docetaxel   significantly suppressed the growth of the tumor.
                                 in augmented elimination of cancer   Furthermore, these polymeric nanocarriers demonstrate
                                 stem cells                  a promising approach for nucleic acid delivery in the
                                                             management of tumor disorders.
            Biodegradable polylactic   Docetaxel-loaded polylactic acid   Developed nano-cargos were effective against lung   [48]
            acid                 nanoparticles for anti-metastatic   cancer stem-like cells (CSLCs) and proved an effective
                                 remedy                      strategy for lung cancer metastatic treatment.
            Chitosan             Cisplatin-encapsulated chitosan (CS)   PEG-epidermal growth factor peptide-grafted cisplatin-  [49]
                                 nanoparticles for improved cellular   encapsulated CS nanoparticles were effective against
                                 cytotoxicity in tumor cells  lung cancer cells.


            (b) Polymeric micelles                             tumor-targeted drug delivery . Among various stimuli,
                                                                                       [52]
            Polymeric micelles are  colloidal particulate systems  with   pH-triggered systems are particularly significant due to
            particle size approximately 5–100  nm. FDA-approved   their direct influence on the extracellular and intracellular
            Genexol-PM (an advanced form of paclitaxel) has found   microenvironment of solid tumors. Various mechanisms,
            application in the management of breast cancer. These systems   including protonation, the breakdown of chemical
                                                               bonds, and charge reversal, facilitate cellular uptake
            have the potential to incorporate ligands (such as antibodies)
            and form chelate complexes for site-specific drug delivery .   and drug delivery from polymeric micelles. Optimized
                                                        [50]
            Polymeric micelles have demonstrated their competence   stimuli-responsive polymeric micelle assemblies can
            in  delivering hydrophobic drugs effectively,  thanks  to   undergo alterations or rearrange their chemical structure
            their exclusive self-assembled morphology that enhances   into unimers when exposed to different stimuli. These
                                                               polymeric  micelles  effectively  recognize  the  abnormal
            solubility and bioavailability. Amphiphilic di- and tri-block
            copolymers can self-assemble to create spherical micelles with   microenvironment of tumor cells (weak acidity, hypoxic
                                                               conditions, abnormal temperatures, elevation of metabolites,
            a hydrophobic core (for the encapsulation of bioactive agent)   and overexpression of receptors), enabling active targeting.
            and a hydrophilic shell (for the provision of stealth properties
            to  the  system).  This  exclusive  morphology  of  polymeric   Table 3 compiles various polymeric micelles that have been
                                                               investigated for their antitumor efficacy. On cellular uptake,
            micelles extends circulation time and reduces the likelihood   these  nanocarriers  enhance  therapeutic  efficacy,  imaging
            of clearance by the reticuloendothelial system. These particles   sensitivity, and the delivery of antineoplastic agents under
            ensure enhanced permeability across tumor cells and higher   various extracellular and intracellular stimuli, including
            drug accumulation. These systems are more efficacious and   reductive or  oxidative microenvironments, anomalous
            possess superior stability at lower concentrations compared to   bioactive substances, and the presence of enzymes such as
            micelles derived from surfactants. Recent clinical studies have   beta-glucuronidase and matrix metalloproteinase .
                                                                                                      [53]
            suggested the potential applications of polymeric micelles in
            oncotherapy. In addition, the block polymers in polymeric   (c) Dendrimers
            micelles are stimuli-sensitive, responding to factors such as   Nanosized  globular  dendrimers consist of  three  distinct
            pH, ultrasound, light, heat, and more, enabling controlled   sites: A  central core, a branched mantle, and a corona
            delivery of bioactive agents on activation, whether by active   adorned  with peripheral  functional groups.  The unique
            or passive means .                                 architecture and characteristic features of dendrimers
                         [51]
              Kanamala  et  al. discussed the chemical design and   enable high payload capacity and site-specific drug
            vital applications of pH-sensitive polymeric micelles for   delivery.


            Volume 2 Issue 3 (2023)                         8                          https://doi.org/10.36922/td.1356
   9   10   11   12   13   14   15   16   17   18   19