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Tumor Discovery                                         Targeted drug delivery systems for the treatment of tumors



              The exploration of paramagnetic iron oxide and   past two decades, these fluorescent particles have found
            mesoporous silica nanoparticles loaded with doxorubicin   applications in diagnosis and drug delivery at tumor-
            and conjugated with human serum albumin has resulted   targeted sites [169] . For instance, Nifontova et al. investigated
            in a specific focus on targeting and retention. The   the cytotoxicity of quantum dots-loaded microcapsules
            developed system exhibits biocompatibility and sustained   that were functionalized with trastuzumab, a monoclonal
            release characteristics, especially in the hypoxic and   antibody [170] .  This  system  specifically  targeted  the
            acidic microenvironment of glioma tumor cells [147] .   overexpressed  HER2  in  breast  cancer,  demonstrating
            These nanocarriers have been investigated as versatile   sensitive and promising antibody-mediated tumor
            tools for encapsulating drugs, genes, and contrast agents,   targeting with quantum dots. AbdElhamid et al. formulated
            facilitating not only therapeutic actions but also serving   highly fluorescent theranostic nanocapsules based on
            as multifunctional probes for imaging tumor cells [148] . For   mercaptopropionic  acid-coated  cadmium  telluride
            instance, Tang et al. designed a magnetic targeting strategy   quantum dots, incorporating dual drugs — honokiol and
            that utilizes an antitumor nanoplatform that efficiently   celecoxib [171] .  These  nanocapsules  were  further  modified
            synergizes transfection action with magnetic guidance.   with anionic chondroitin sulfate (for CD44 targeting) and
            Similarly, Reczyńska  et al. modified superparamagnetic   cationic lactoferrin (low-density lipoprotein targeting).
            iron oxide nanoparticles (SPIONs) with a combination   These multifunctional theranostics exhibited efficient
            of  non-porous  and  mesoporous   silica  coating  internalization and were easily traceable due to their
            (@SiO2 mSiO2)  and  non-porous  silica  coating  ( SiO2),   fluorescence behavior. Furthermore, they demonstrated
                                                    @
                  @
            significantly altering the surface properties and sustaining   enhanced  cytotoxicity  and  improved  antitumor  efficacy
            iron  release [149] .  These  modified  systems  displayed   against breast cancer cells.
            cytocompatibility and exhibited antiproliferative effects   Gold nanoparticles have been intensively engineered
            against lung cancer cells (A549  cells). Another widely   as nanocarriers for managing tumor-associated issues
            employed nanocarrier, mesoporous silica, has attracted   due to their biocompatibility, colloidal stability, size
            attention due to its theranostic application, attributed   tunability,  feasible  surface  modification,  and  enhanced
            to  its  high  pore  volume,  specific  surface  area,  and  well-  tissue permeability. These nanocarriers find applications
            structured surface properties.                     in bioimaging and photoacoustic imaging, due to their
              Iron oxide nanoparticles and SPIONs have been    high electron density, enhanced optical scattering
            explored for a myriad of biomedical applications,   performance, and non-bleaching fluorescence in
                                                                                 [172]
            including the biosensing of tumor-influenced regions.   tumor cell imaging  . Albertini  et al. developed
                                                               peptide
                                                                                                acid)-decorated
                                                                        (arginine-glycine-aspartic
            These nanoparticles efficiently reduced tissue T2 relaxation   gold nanoparticles for the treatment and diagnosis of
            time, promoting better internalization through the   tumors [173] . They reported approximately a 4-fold increase
            endocytosis pathway [150] . They are versatile carriers capable   in accumulation following subcutaneous administration
            of loading a range of candidates, such as nucleic acids,   and a 1.5-fold increase through the intracranial route in
            antineoplastic agents, and chemical inhibitors. SPIONs   mice tumors.
            that  are conjugated with  transferrin, aptamers, peptides,
            antibodies,  or  hyaluronic  acid  serve  as  efficient  tumor-  5. Conclusion
            targeted drug delivery systems. They are easily recognized
            by overexpressed receptors and feature bioimaging   This review summarizes a wide range of nanotechnology-
            capabilities while minimizing off-target effects [151] .   based targeted drug delivery strategies that are commonly
            Moreover, these nanoparticles hold the potential to reverse   employed in tumor management. These drug delivery
            multidrug resistance effects in chemotherapy and are ideal   approaches exhibit cell specificity and selectivity
            candidates for diagnostic purposes to monitor therapeutic   while minimizing systemic toxicity. Advancements in
                                                               nanotechnology have enabled the precise recognition of
            performances.
                                                               tumor sites, offering hope for successful drug delivery
              Semiconductor quantum dots represent a novel     to tumor sites. Various versatile nanocarriers, including
            class of fluorescent molecular imaging agents known for   polymeric nanoparticles, lipid-based carriers, vesicular
            their  exclusive  photophysical  properties,  including  dual   systems, and inorganic nanocarriers, have undergone
            imaging capabilities, enhanced signal brightness, size-  extensive investigation for tumor management. These
            dependent light emission, and the ability to excite various   systems not only facilitate precise target site identification but
            fluorescent colors simultaneously. Moreover, these agents   also demonstrate a high capacity for tissue internalization.
            can effectively bind metal ions to their surfaces due to their   Targeting tumor sites through the application of magnetic
            high  sensitivity and  selectivity  for metal ions.  Over  the   fields and ultrasound radiation represents an emerging


            Volume 2 Issue 3 (2023)                         21                         https://doi.org/10.36922/td.1356
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