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Tumor Discovery                                         Targeted drug delivery systems for the treatment of tumors



            therapy. Surface modification or functionalization is   The issue of drug resistance during chemotherapy
            recommended to combat drug resistance in chemotherapy.  has been addressed by Mussi  et al., who developed a
              Thus, augmented drug performance becomes apparent   lipoidal carrier coloaded with docosahexaenoic acid and
            at the delivery site. These novel systems are composed of   doxorubicin to enhance the antitumor efficacy [109] . The
            both solid and liquid lipids, offering increased capacity   cellular uptake efficiency was evaluated in MCF-7  cells
            for hydrophobic antineoplastic drug candidates. Their   and MCF-7ADR cells, and the study was conducted
                                                               using a monolayer model. Higher drug encapsulation
            unordered surface lends itself to straightforward
            functionalization  or  modification  with  various  and entrapment resulted in improved cellular uptake
            functional moieties (stealthy polymers and ligands) to   in  MCF-7/ADR cells,  signifying  the  circumvention of
            enhance  transfection  efficiency  at  the  tumor  site.  The   P-glycoprotein (P-gp) efflux. Wang et al. designed NLCs
            nanodimensional particles can readily transform into   for the codelivery of doxorubicin and sorafenib (NLC/
                                                                                                  [110]
            aqueous solutions, resulting in improved pharmaceutical   D-S) to effectively manage esophagus cancer  . Sorafenib,
            and pharmacokinetic properties, including enhanced   a multi-kinase inhibitor, plays a crucial role in regulating
            solubility, absorption, and bioavailability [105] .  the tumor microenvironment, while doxorubicin is a
                                                               potent inducer of immunogenic cell death. The highly
              Varshosaz et al. have developed a lipid-based spherical   stable and biocompatible NLC/D-S system exhibited an
            nanosystem (20–100  nm) containing efavirenz. This   enhanced transfection and retention effect when evaluated
            system shows great promise for oral administration due   against drug-resistant esophageal cancer cells. Therefore,
            to its high solubility, entrapment efficiency, and improved   combined therapy using NLC/D-S holds promise as an
            bioavailability [106] .  Ex  vivo investigations conducted on   effective anticancer remedy, thanks to the significant roles
            rat intestines revealed enhanced gut permeation of the   of its component.  Table 7  compiles several examples of
            developed efavirenz NLCs when compared to the efavirenz   NLCs and their significant importance in the mitigation of
            suspension. This suggests that oral administration of   various types of tumors.
            efavirenz through NLCs could be a viable strategy.
                                                               (c) Nanoemulsion
              NLCs have garnered significant attention in the
            pharmaceutical and cosmeceutical sectors due to their   A nanoemulsion represents a heterogeneous colloidal
            ease of preparation, biocompatibility, high transfection   dispersion system, consisting of nanoscaled droplets in
            efficiency, scalability, and the potential for site-specific   a stable phase. These systems possess a notable capacity
            drug delivery through various administration routes [103] .   for encapsulating poorly soluble drug candidates due to
            Multidrug resistance is a prominent issue with antitumor   their hydrophobic core. In the context of chemotherapy,
            drugs (paclitaxel and doxorubicin), and NLCs offer a   researchers have extensively explored ligand-functionalized
            promising avenue for mitigation. In the formulation of   nanoemulsions designed to target specific components
            NLCs, monostearin and oleic acid were utilized as the   of  tumor  cells,  facilitating  efficient  internalization
            solid and liquid  lipid  matrix, respectively, employing   within these cells and, consequently, curbing further
            the solvent diffusion method. Furthermore, drug-   tumor proliferation [117] . For instance, folate-  and
            loaded NLCs were functionalized with a folate conjugate   gadolinium-functionalized nanoemulsions of docetaxel
            containing stearic acid to enhance sensitivity at the target   were formulated using a high-shear micro-fluidization
            site. Cytotoxicity and the impact on multidrug resistance   technique, showcasing impressive efficacy in testing on a
            were assessed for the modified NLCs in human breast   human ovarian cancer cell line (SKOV3/SKOV3TR). The
            cancer (MCF-7) and ovarian cancer (SKOV3) cell lines.   folate-targeted nanoemulsions (<150 nm) not only served
            Both NLCs, respectively, loaded with paclitaxel and   as a theranostic system, efficiently delivering docetaxel
            doxorubicin, exhibited superior cytotoxicity against the   through folate receptor-mediated endocytosis, but also
            selected cancerous cell lines, with a remarkable reversal   outperformed the  clinically  approved Magnevist® (an
            activity of the loaded drugs [107] . Wang et al. also explored   MRI contrast agent) in diagnosing the affected tumor site.
            NLCs by coadministering paclitaxel and doxorubicin to   Moreover, this system  demonstrated  thermodynamical
            achieve a synergistic effect and site-specific delivery for   stability and prolonged residence time within tumor cells
                                                                                              [118]
            tumors without influencing normal cells [108] . They utilized   while sparing surrounded healthy cells  .
            the melt emulsification technique for NLC formulation.   Zheng  et al. developed Vitamin E-decorated
            In vitro cytotoxicity studies targeting non-small cell lung   paclitaxel nanoemulsions for the treatment of human
            carcinoma (NSCLC) and in vivo experiments using a mice   ovarian cancers [119] . The nanoemulsion system exhibited
            model (NCL-H460 cells) both exhibited enhanced tumor-  a  significantly  higher  level  of antiproliferation  action
            targeting efficiency.                              compared to free drug administration of paclitaxel when


            Volume 2 Issue 3 (2023)                         14                         https://doi.org/10.36922/td.1356
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