Fu Yige, Saraswat Aishwarya L, Monpara Jasmin, Patel Ketan
College of Pharmacy and Health Sciences, St. John's University, Queens, NY 11439, USA; Genentech, Inc, South San Francisco, CA, USA.
College of Pharmacy and Health Sciences, St. John's University, Queens, NY 11439, USA.
Drug Discov Today. 2022 Apr;27(4):1132-1141. doi: 10.1016/j.drudis.2021.11.015. Epub 2021 Nov 22.
Owing to the indispensable role of nanotechnology in cancer therapy, it is imperative to comprehend every aspect limiting its therapeutic potential. Several preclinical reports have demonstrated the enhanced permeability and retention (EPR)-mediated preferential tumor uptake of nanoparticles. However, the therapeutic outcome of nanotherapeutics is severely compromised by heterogeneous drug distribution and insufficient penetration of nanomedicine in a solid tumor owing to the dense tumor extracellular matrix (ECM). Herein, we elaborate on various preclinically investigated tumor stromal disrupting strategies, which we call 'cannons', to compromise the impenetrable 'fortress-like' solid tumor microenvironment. We have described and summarized major approaches to enhance the penetration of a 'nano-arsenal' in solid tumors. ECM remodeling strategies could be very beneficial in enhancing the therapeutic efficacy of monoclonal antibodies and translational nanomedicine.
由于纳米技术在癌症治疗中发挥着不可或缺的作用,因此必须全面了解限制其治疗潜力的各个方面。多项临床前报告已证明纳米颗粒具有增强的通透性和滞留性(EPR)介导的肿瘤优先摄取。然而,由于致密的肿瘤细胞外基质(ECM),纳米疗法的治疗效果因药物分布不均和纳米药物在实体瘤中的渗透不足而受到严重影响。在此,我们详细阐述了各种临床前研究的肿瘤基质破坏策略,我们称之为“加农炮”,以破坏坚不可摧的“堡垒样”实体瘤微环境。我们已经描述并总结了增强“纳米武器库”在实体瘤中渗透的主要方法。ECM重塑策略在提高单克隆抗体和转化纳米医学的治疗效果方面可能非常有益。