Recent Advances in Nanostrategies Capable of Overcoming Biological Barriers for Tumor Management

被引:160
作者
Huo, Da [1 ]
Jiang, Xiqun [2 ]
Hu, Yong [1 ]
机构
[1] Nanjing Univ, Coll Engn & Appl Sci, Nanjing 210093, Jiangsu, Peoples R China
[2] Nanjing Univ, Coll Chem & Chem Engn, Dept Polymer Sci & Engn, Nanjing 210093, Jiangsu, Peoples R China
基金
中国国家自然科学基金;
关键词
deep penetration; drug delivery; nanomedicine; on-demand release; tumor microenvironment; UP-CONVERSION NANOPARTICLES; INTERSTITIAL FLUID PRESSURE; HYPOXIA-ACTIVATED PRODRUGS; PHOTODYNAMIC THERAPY; DRUG-DELIVERY; IN-VIVO; CANCER-THERAPY; INTRATUMORAL PENETRATION; MULTIDRUG-RESISTANCE; EXTRACELLULAR-MATRIX;
D O I
10.1002/adma.201904337
中图分类号
O6 [化学];
学科分类号
0703 ;
摘要
Engineered nanomaterials have been extensively employed as therapeutics for tumor management. Meanwhile, the complex tumor niche along with multiple barriers at the cellular level collectively hinders the action of nanomedicines. Here, the advanced strategies that hold promise for overcoming the numerous biological barriers facing nanomedicines are summarized. Starting from tumor entry, methods that promote tissue penetration of nanomedicine and address the hypoxia issue are also highlighted. Then, emphasis is given to the significance of overcoming both physical barriers, such as membrane-associated efflux pumps, and biological features, such as resistance to apoptosis. The pros and cons for an individual approach are presented. In addition, the associated technical problems are discussed, along with the importance of balancing the therapeutic merits and the additional cost of sophisticated nanomedicine designs.
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页数:28
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