Nanomedicine therapeutic approaches to overcome cancer drug resistance
Open accessAbstract
Nanomedicine is an emerging form of therapy that focuses on alternative drug delivery and improvement of the treatment efficacy while reducing detrimental side effects to normal tissues. Cancer drug resistance is a complicated process that involves multiple mechanisms. Here we discuss the major forms of drug resistance and the new possibilities that nanomedicines offer to overcome these treatment obstacles. Novel nanomedicines that have a high ability for flexible, fast drug design and production based on tumor genetic profiles can be created making drug selection for personal patient treatment much more intensive and effective. This review aims to demonstrate the advantage of the young medical science field, nanomedicine, for overcoming cancer drug resistance. With the advanced design and alternative mechanisms of drug delivery known for different nanodrugs including liposomes, polymer conjugates, micelles, dendrimers, carbon-based, and metallic nanoparticles, overcoming various forms of multi-drug resistance looks promising and opens new horizons for cancer treatment.
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Primary rationale of using a suitable drug delivery system is its ability to ensure higher and longer duration of drug bioavailability and thereby enhanced therapeutic efficacy.
“The primary rationale of using a suitable drug delivery system is its ability to ensure a higher and longer duration of drug bioavailability and thereby enhanced therapeutic efficacy.14,15”
From Targeted therapy in chronic diseases using nanomaterial-based drug delivery vehicles (2019) · cites this paper as [15]
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Co-Delivery of siRNA and An Anticancer Drug for Treatment of Multidrug-Resistant Cancer
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“Further, liposomal anti-MRP-1 and anti-Bcl2 siRNA in combination with Doxorubicin were used to suppress pump and non-pump mediated cellular resistance and to cause death in MDR lung cancer cells [116].”
MethodTumor acidity, ion trapping and chemotherapeutics
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BackgroundNanomedicinal Strategies to Treat Multidrug-Resistant Tumors: Current Progress
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Backgroundv Integrins in Angiogenesis and CancerPreprint
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“a binding motif for integrins, such as αvβ3, which is specifically expressed on tumor endothelia [104], and those that have a form of aminopeptidase N (CD13) that binds peptides with the NGR motif.”
BackgroundTargeting carbon nanotubes against cancer
Fabbro, C., Ali‐Boucetta, H., Ros, T. D., Kostarelos, K., Bianco, A., & Prato, M. (2012) · Chemical Communications · doi:10.1039/c2cc17995d · Cited by 281 · cited 1× · see citing works
“Current approaches to nanotubes include the incorporation of drugs such as Doxorubicin and Paclitaxel, nucleic acids including antisense oligonucleotides and short interfering RNAs (siRNAs), [12] and the use of nanotubes as contrast agents for imaging.”
Highly penetrative, drug-loaded nanocarriers improve treatment of glioblastoma
Zhou, J., Patel, T., Sirianni, R. W., Strohbehn, G. W., Zheng, M., Duong, N. T., Schafbauer, T., Huttner, A. J., Huang, Y. H., Carson, R. E., et al. (2013) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1304504110 · Cited by 272 · see citing works
Use of rituximab, the new FDA-approved antibody
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“1 Antibodies and their fragments specifically target cancer cells—A number of mAbs have been approved for the treatment of various cancers including rituximab (Rituxan) for non-Hodgkin's lymphoma [95], the anti-HER2 trastuzumab (Herceptin) [96], the anti-VEGF bevacizumab (Avastin) to inhibit angiogenesis [97], and the…”
BackgroundIncreased penetration of paclitaxel into the brain by inhibition of P-Glycoprotein.
Kemper, E. M., van Zandbergen, A. E., Cleypool, C. G. J., Mos, H. A., Boogerd, W. J., Beijnen, J. H., & van Tellingen, O. (2003) · PubMed · Cited by 243 · see citing works
Recent Trends in Multifunctional Liposomal Nanocarriers for Enhanced Tumor Targeting
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“The delivery of these liposomes to cancer cells often relies on passive targeting and is based on the enhanced permeability and retention (EPR) effect, for which a leaky tumor vasculature is necessary [1].”
BackgroundMethodBurke, A. R., Singh, R. N., Carroll, D., Wood, J. C. S., D’Agostino, R. B., Ajayan, P. M., Torti, F. M., & Torti, S. V. (2012) · Biomaterials · doi:10.1016/j.biomaterials.2011.12.052 · Cited by 227 · cited 4× · see citing works
“diacrylate-β-tetraethylenepentamine]-polycaprolactone copolymer [131] for the inhibition of efflux-dependent mechanisms or carbon nanotubes for membrane permeabilization and sensitization to photo thermal therapy [132].”
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CD133-targeted paclitaxel delivery inhibits local tumor recurrence in a mouse model of breast cancer
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“Active cargo, such as siRNA, and antibodies specifically inhibit synthesis or function of proteins, which are key players in resistance mechanisms [134,135,137].”
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“Tang QL, Zhao ZQ, Li JC, Liang Y, Yin JQ, Zou CY, Xie XB, Zeng YX, Shen JN, Kang T, Wang J. Salinomycin inhibits osteosarcoma by targeting its tumor stem cells.”
BackgroundInfluentialOvercoming drug efflux-based multidrug resistance in cancer with nanotechnology
Xue, X., & Liang, X. (2012) · 癌症:英文版 · doi:10.5732/cjc.011.10326 · Cited by 189 · cited 3× · see citing works
“Thirteen of the 48 known ABC transporters contribute to MDR [16].”
BackgroundTumor acidity, ion trapping and chemotherapeutics
Raghunand, N., Mahoney, B. P., & Gillies, R. J. (2003) · Biochemical Pharmacology · doi:10.1016/s0006-2952(03)00468-4 · Cited by 182 · cited 1× · see citing works
“Thus, weakly basic drugs, such as Doxorubicin, are protonated and have reduced cellular uptake [65].”
BackgroundChemical vectors for gene delivery: uptake and intracellular trafficking
Pichon, C., Billiet, L., & Midoux, P. (2010) · Current Opinion in Biotechnology · doi:10.1016/j.copbio.2010.07.003 · Cited by 182 · cited 1× · see citing works
“However, once inside the cell, these nanoparticles may either fuse with lysosomes or be recycled back to the cell surface, making endosome escape a key limitation [107].”
BackgroundNanodelivery Strategies in Cancer Chemotherapy: Biological Rationale and Pharmaceutical Perspectives
Mattheolabakis, G., Rigas, B., & Constantinides, P. P. (2012) · Nanomedicine · doi:10.2217/nnm.12.128 · Cited by 177 · cited 5× · see citing works
“Further, covalent attachment of hydrophobic drugs such as Doxorubicin and Paclitaxel is frequently employed [6,7,10].”
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Wu, J. H., Lu, Y., Lee, A., Pan, X., Yang, X., Zhao, X. B., & Lee, R. J. (2007) · PubMed · Cited by 172 · see citing works
Aptamer-Functionalized Nanoparticles for Medical Applications: Challenges and Opportunities
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“Currently, all nanoparticles using aptamers as target agents are still in the preclinical phase [103].”
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“Rapid endosomal escape was confirmed using confocal laser scanning microscopy, and ~80% VEGF mRNA knockdown in pancreatic cancer cells was achieved [108].”
Ding, H., Inoue, S., Ljubimov, A. V., Patil, R., Portilla‐Arias, J., Hu, J., Konda, B. M., Wawrowsky, K., Fujita, M., Karabalin, N., et al. (2010) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.1003919107 · Cited by 167 · cited 2× · see citing works
“5 (the range of acidification in late endosomes and lysosomes), activity was upregulated and membrane disruption allowed for endosomal escape of the nanoconjugate [76].”
BackgroundSelf-citationTriazine dendrimers as drug delivery systems: From synthesis to therapy
Lim, J., & Simanek, E. E. (2012) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2012.03.008 · Cited by 164 · cited 1× · see citing works
“Further, covalent attachment of hydrophobic drugs such as Doxorubicin and Paclitaxel is frequently employed [6,7,10].”
BackgroundHazlehurst, L., & Dalton, W. S. (2001) · Cancer and Metastasis Reviews · doi:10.1023/a:1013156407224 · Cited by 162 · cited 1× · see citing works
“The adhesion leads to a G1 arrest associated with increased p27kip1 expression and inhibition of cyclin A and E kinase activity; disruption of this interaction returns the tumor cells to a drug-sensitive state [62].”
BackgroundSalinomycin inhibits osteosarcoma by targeting its tumor stem cells
Tang, Q.-L., Zhao, Z.-Q., Li, J.-C., et al. (2011) · Cancer Letters · doi:10.1016/j.canlet.2011.07.016 · Cited by 159 · cited 1× · see citing works
“A study of osteosarcoma cell lines showed that an anti-cancer drug Salinomycin could suppress tumor cells in vitro and in vivo by targeting CSC, potentially through the Wnt/β-catenin signaling pathway [119].”
BackgroundIn-vivo efficacy of novel paclitaxel nanoparticles in paclitaxel-resistant human colorectal tumors
Koziara, J. M., Whisman, T. R., Tseng, M. T., & Mumper, R. J. (2006) · Journal of Controlled Release · doi:10.1016/j.jconrel.2006.03.001 · Cited by 155 · cited 9× · see citing works
“Other proteins including multidrug resistance proteins (MRPs/ABCC) and breast cancer resistance protein (BCRP/ABCG2) are also upregulated in cancer cells and effectively remove cytotoxic agents including Doxorubicin [20-23] and Paclitaxel [24-27] greatly decreasing their concentration within tumor cells, as shown in F…”
BackgroundInfluentialPegylated Liposomal Doxorubicin: Optimizing the Dosing Schedule in Ovarian Cancer
Rose, P. G. (2005) · The Oncologist · doi:10.1634/theoncologist.10-3-205 · Cited by 155 · cited 1× · see citing works
“The first PEGylated nanoparticle approved in the United States and Europe is liposomal Doxorubicin (Doxil®/Caelyx® [PLD]) for the treatment of Kaposi's sarcoma [85], recurrent ovarian cancer [86] and multiple myeloma [87], with additional clinical trials ongoing for metastatic breast [88], and hormone refractory prost…”
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“The conjugation of PEG to liposomes [1,90], polymer-based nanoparticles and micelles [7,91], dendrimers [92], gold nanoparticles [11,13], and superparamagnetic iron oxide [93] is now a common practice to improve circulation time and avoid clearance.”
BackgroundUse of liposomal anthracyclines in Kaposi’s sarcoma
Krown, S. E., Northfelt, D., Osoba, D., & Stewart, J. S. W. (2004) · Seminars in Oncology · doi:10.1053/j.seminoncol.2004.08.003 · Cited by 150 · cited 1× · see citing works
“The first PEGylated nanoparticle approved in the United States and Europe is liposomal Doxorubicin (Doxil®/Caelyx® [PLD]) for the treatment of Kaposi's sarcoma [85], recurrent ovarian cancer [86] and multiple myeloma [87], with additional clinical trials ongoing for metastatic breast [88], and hormone refractory prost…”
Backgroundvan Asperen, J., van Tellingen, O., Tijssen, F., Schinkel, A. H., & Beijnen, J. H. (1998) · British Journal of Cancer · doi:10.1038/sj.bjc.6690019 · Cited by 147 · cited 16× · see citing works
“The micelle core then disintegrates in the early endosomal pH of the cells to release Doxorubicin.”
BackgroundInfluentialInjectable nanomaterials for drug delivery: Carriers, targeting moieties, and therapeutics
Webster, D. M., Sundaram, P., & Byrne, M. E. (2013) · European Journal of Pharmaceutics and Biopharmaceutics · doi:10.1016/j.ejpb.2012.12.009 · Cited by 145 · cited 3× · see citing works
“Multiple clinical trials are ongoing using amphiphilic diblock copolymer forming micelles to deliver Paclitaxel to treat breast, non-small cell lung cancer, and advanced pancreatic cancer [11].”
BackgroundChang, P., Peng, S., Lee, C., Lu, C., Tsai, S.-C., Shieh, T., Wu, T.-S., Tu, M., Chen, M. Y., & Yang, J. (2013) · International Journal of Oncology · doi:10.3892/ijo.2013.2050 · Cited by 137 · cited 3× · see citing works
“diacrylate-β-tetraethylenepentamine]-polycaprolactone copolymer [131] for the inhibition of efflux-dependent mechanisms or carbon nanotubes for membrane permeabilization and sensitization to photo thermal therapy [132].”
BackgroundTargeting the lymphatics using dendritic polymers (dendrimers)
Kaminskas, L. M., & Porter, C. J. H. (2011) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2011.05.016 · Cited by 131 · cited 1× · see citing works
“The conjugation of PEG to liposomes [1,90], polymer-based nanoparticles and micelles [7,91], dendrimers [92], gold nanoparticles [11,13], and superparamagnetic iron oxide [93] is now a common practice to improve circulation time and avoid clearance.”
BackgroundZhang, P., Hu, L., Yin, Q., Feng, L., & Li, Y. (2012) · Molecular Pharmaceutics · doi:10.1021/mp200600t · Cited by 129 · cited 1× · see citing works
“These therapeutic antibodies, as well as targeting antibodies such as 2C5 [2] and anti-transferrin receptor mAbs [99-101], can be conjugated to various nanoparticles to improve efficacy and increase binding affinity to the cancer cells.”
BackgroundMilane, L. S., Ganesh, S., Shah, S., Duan, Z., & Amiji, M. M. (2011) · Journal of Controlled Release · doi:10.1016/j.jconrel.2011.03.032 · Cited by 128 · cited 1× · see citing works
“These hypoxic cells often revert to aerobic metabolism for the production of ATP (the Warburg effect) [73,74] to maintain enough energy to continue to thrive.”
BackgroundKinetics of P-Glycoprotein-Mediated Efflux of Paclitaxel
Jang, S. H., Wientjes, M. G., & Au, J. L. ‐. (2001) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(24)29498-2 · Cited by 125 · cited 9× · see citing works
“Other proteins including multidrug resistance proteins (MRPs/ABCC) and breast cancer resistance protein (BCRP/ABCG2) are also upregulated in cancer cells and effectively remove cytotoxic agents including Doxorubicin [20-23] and Paclitaxel [24-27] greatly decreasing their concentration within tumor cells, as shown in F…”
BackgroundInfluentialDavies, C. D. L., Berk, D. A., Pluen, A., & Jain, R. K. (2002) · British Journal of Cancer · doi:10.1038/sj.bjc.6600270 · Cited by 121 · cited 1× · see citing works
“Drug distribution is also affected by the composition and organization of the extracellular matrix [67].”
BackgroundPrecise Quantification of Nanoparticle Internalization
Gottstein, C., Wu, G., Wong, B. J., et al. (2013) · ACS Nano · doi:10.1021/nn400243d · Cited by 120 · cited 1× · see citing works
“used a mathematical model combined with high throughput flow cytometry and quantitative confocal microscopy to confirm a general trend of reduced internalization by RES cells [84].”
MethodAntitumor Effect of Paclitaxel-Loaded PEGylated Immunoliposomes Against Human Breast Cancer Cells
Yang, T., Choi, M.-K., Fu-de, C., et al. (2007) · Pharmaceutical Research · doi:10.1007/s11095-007-9425-y · Cited by 119 · cited 1× · see citing works
“A number of liposomes with the addition of targeting ligands, such as the mAb 2C5 with Doxorubicin (Doxil®) [2] and an anti-HER2 mAb with Paclitaxel [3], are in the preclinical phase, whereas others are already undergoing clinical trials.”
BackgroundXiao, R., Wang, R., Zeng, Z., et al. (2012) · International Journal of Nanomedicine · doi:10.2147/ijn.s34489 · Cited by 112 · cited 1× · see citing works
“The conjugation of PEG to liposomes [1,90], polymer-based nanoparticles and micelles [7,91], dendrimers [92], gold nanoparticles [11,13], and superparamagnetic iron oxide [93] is now a common practice to improve circulation time and avoid clearance.”
BackgroundInhibition of P-Glycoprotein-Mediated Paclitaxel Resistance by Reversibly Linked Quinine Homodimers
Pires, M. M., Emmert, D., Hrycyna, C. A., et al. (2008) · Molecular Pharmacology · doi:10.1124/mol.108.050492 · Cited by 111 · cited 9× · see citing works
“Other proteins including multidrug resistance proteins (MRPs/ABCC) and breast cancer resistance protein (BCRP/ABCG2) are also upregulated in cancer cells and effectively remove cytotoxic agents including Doxorubicin [20-23] and Paclitaxel [24-27] greatly decreasing their concentration within tumor cells, as shown in F…”
BackgroundInfluentialTherapeutic Significance of Elevated Tissue Transglutaminase Expression in Pancreatic Cancer
Verma, A. K., Guha, S., Diagaradjane, P., Kunnumakkara, A. B., Sanguino, A. M., Lopez‐Berestein, G., Sood, A. K., Aggarwal, B. B., Krishnan, S., Gelovani, J. G., et al. (2008) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-07-4529 · Cited by 101 · cited 1× · see citing works
“The knockdown of other CSC related pathways including tissue transglutaminase (TG2) by gene silencing using liposomal anti-TG2 siRNA combined with gemcitabine to treat Panc-28 pancreatic cancer cells was efficacious in reducing tumor growth and preventing metastasis [120].”
BackgroundTemozolomide Delivery to Tumor Cells by a Multifunctional Nano Vehicle Based on Poly(β-L-malic acid)
Patil, R., Portilla‐Arias, J., Ding, H., et al. (2010) · Pharmaceutical Research · doi:10.1007/s11095-010-0091-0 · Cited by 89 · cited 1× · see citing works
“The greater drug accumulation was due to the avoidance of the drug efflux pump mechanism via receptor-mediated endocytosis [111].”
BackgroundSelf-citationZhao, S., Tan, S., Guo, Y., Huang, J., Chu, M., Liu, H., & Zhang, Z. (2013) · Biomacromolecules · doi:10.1021/bm4005113 · Cited by 85 · see citing works
Patil, R., Portilla‐Arias, J., Ding, H., Konda, B. M., Rekechenetskiy, A., Inoue, S., Black, K. L., Holler, E., & Ljubimova, J. Y. (2012) · International Journal of Molecular Sciences · doi:10.3390/ijms130911681 · Cited by 83 · cited 1× · see citing works
“Another version of PMLA containing PEG, with Doxorubicin conjugated via pH-sensitive hydrazone linkage, was able to effectively inhibit growth of U251 more than Doxorubicin alone due to the modified drug uptake mechanism that evaded drug efflux pumps [112].”
BackgroundSelf-citationQian, L., Zheng, J., Wang, K., et al. (2013) · Biomaterials · doi:10.1016/j.biomaterials.2013.07.097 · Cited by 83 · see citing works
Resistance to EGF-R (erbB-1) and VEGF-R modulating agents
Dempke, W. C. M., & Heinemann, V. (2009) · European Journal of Cancer · doi:10.1016/j.ejca.2008.11.038 · Cited by 80 · cited 1× · see citing works
“An initial response to anti-VEGF therapy often results in a hypoxia-triggered upregulation of non-VEGF angiogenic factors, such as those in the fibroblast growth factor (FGF) family, and a recurrence of angiogenesis [50].”
BackgroundHumblet, Y. (2004) · Expert Opinion on Pharmacotherapy · doi:10.1517/14656566.5.7.1621 · Cited by 75 · cited 1× · see citing works
“1 Antibodies and their fragments specifically target cancer cells—A number of mAbs have been approved for the treatment of various cancers including rituximab (Rituxan) for non-Hodgkin's lymphoma [95], the anti-HER2 trastuzumab (Herceptin) [96], the anti-VEGF bevacizumab (Avastin) to inhibit angiogenesis [97], and the…”
BackgroundDreaden, E. C., Gryder, B. E., Austin, L. A., Defo, B. A. T., Hayden, S. C., Pi, M., Quarles, L. D., Oyelere, A. K., & El‐Sayed, M. A. (2012) · Bioconjugate Chemistry · doi:10.1021/bc300158k · Cited by 74 · cited 3× · see citing works
“Drug efflux systems [129–131,133–136], resistance due to presence of CSC [132,137–139], DNA damage/repair [136,140–142], apoptosis signaling pathways [139,141,143], resistance against radiation therapy [136,139,141,142], and resistance against thermal treatment [142] are being studied in vitro and in vivo as targets f…”
BackgroundExpression of Multidrug Resistance-associated Protein (MRP) in Human Gliomas
Mohri, M., Nitta, H., & Yamashita, J. (2000) · Journal of Neuro-Oncology · doi:10.1023/a:1026528926482 · Cited by 73 · cited 4× · see citing works
“In vivo model Gold nanoparticles Multiple α-Bic- and β-Bic antiandrogens Multivalent binding to androgen receptor and to Gprotein coupled receptor (GPRC6A); The antiandrogens inhibit binding of androgen [143,146] Human breast MDA-MB-231 and MDA-MB-468 cell lines, and brain cancer cell lines U87MG and T98G In vitro mod…”
InfluentialYu, H., Xu, Z., Chen, X., Xu, L., Yin, Q., Zhang, Z., & Li, Y. (2013) · Macromolecular Bioscience · doi:10.1002/mabi.201300282 · Cited by 70 · cited 4× · see citing works
“Drug efflux systems [129–131,133–136], resistance due to presence of CSC [132,137–139], DNA damage/repair [136,140–142], apoptosis signaling pathways [139,141,143], resistance against radiation therapy [136,139,141,142], and resistance against thermal treatment [142] are being studied in vitro and in vivo as targets f…”
BackgroundInfluentialPerlstein, B., Finniss, S., Miller, C. G., et al. (2012) · Neuro-Oncology · doi:10.1093/neuonc/nos248 · Cited by 69 · cited 4× · see citing works
“oxide nanoparticle [139]”
BackgroundInfluentialSonneveld, P., Hájek, R., Nagler, A., et al. (2008) · Cancer · doi:10.1002/cncr.23326 · Cited by 69 · see citing works
Cancer stem cell theory: therapeutic implications for nanomedicine
Huang, J., Wang, X., Wu, et al. (2013) · International Journal of Nanomedicine · doi:10.2147/ijn.s38641 · Cited by 65 · cited 1× · see citing works
“CSC resistance is achieved through increased Wnt/β-catenin and Notch signaling, high levels of ATP cassette reporters, altered DNA repair mechanisms, and slow proliferation rate [118].”
BackgroundSoluble polymer conjugates for drug delivery
Minko, T. (2005) · Drug Discovery Today Technologies · doi:10.1016/j.ddtec.2005.05.005 · Cited by 60 · cited 1× · see citing works
“For water-soluble polymers, drugs can be covalently bound to increase circulation time and limit toxicity to normal tissues [6-9].”
BackgroundStrategies to Overcome or Circumvent P-Glycoprotein Mediated Multidrug Resistance
Li, X., Yuan, H., Wu, J., Li, J., Qu, X., Xu, W., & Tang, W. (2008) · Current Medicinal Chemistry · doi:10.2174/092986708783503258 · Cited by 57 · cited 1× · see citing works
“Numerous modifications of these inhibitors have appeared as promising candidates, but clinical trials continue to fail [113].”
BackgroundPrakash, J., de Jong, E., Post, E., Gouw, A. S. H., Beljaars, L., & Poelstra, K. (2010) · Journal of Controlled Release · doi:10.1016/j.jconrel.2010.03.018 · Cited by 55 · see citing works
Bajelan, E., Haeri, A., Vali, A. M., et al. (2012) · Journal of Pharmacy & Pharmaceutical Sciences · doi:10.18433/j3sc7j · Cited by 54 · cited 1× · see citing works
“Finally, stealth liposomes containing PSC 833 (Valspodar, a cyclosporin A analogue that is more effective) and Doxorubicin were able to reverse MDR in the Doxorubicin-resistant human breast cancer cell line T47D/TAMR-6 [117].”
BackgroundVijayakumar, M. R., Muthu, M. S., & Singh, S. K. (2013) · Expert Opinion on Drug Delivery · doi:10.1517/17425247.2013.758632 · Cited by 54 · cited 1× · see citing works
“The conjugation of PEG to liposomes [1,90], polymer-based nanoparticles and micelles [7,91], dendrimers [92], gold nanoparticles [11,13], and superparamagnetic iron oxide [93] is now a common practice to improve circulation time and avoid clearance.”
BackgroundGregorc, V., Citterio, G., Vitali, G., et al. (2009) · European Journal of Cancer · doi:10.1016/j.ejca.2009.10.005 · Cited by 54 · cited 1× · see citing works
“Delivery of TNFα using both RGD and NGR peptides has shown to decrease the effective dose by up to 1,000-fold [105] and an NGR-hTNF peptide is currently in phase III clinical trials [106].”
MethodYang, C., Xiong, F., Wang, J., et al. (2013) · Nanomedicine · doi:10.2217/nnm.12.216 · Cited by 54 · cited 2× · see citing works
“Drug efflux systems [129–131,133–136], resistance due to presence of CSC [132,137–139], DNA damage/repair [136,140–142], apoptosis signaling pathways [139,141,143], resistance against radiation therapy [136,139,141,142], and resistance against thermal treatment [142] are being studied in vitro and in vivo as targets f…”
BackgroundLjubimova, J. Y., Portilla‐Arias, J., Patil, R., et al. (2013) · Journal of drug targeting · doi:10.3109/1061186x.2013.837470 · Cited by 53 · cited 1× · see citing works
“Antisense oligonucleotides attached to polymalic acid biopolymer that block wild-type EGFR and mutated EGFRvIII receptor synthesis have been successfully used to treat triple negative breast cancer [60] employing a strategy based on acquired mutations by the MDA-MB-468 breast cancer cell line.”
MethodSelf-citationKong, F., Wang, Zhou, Ge, G., & Liu (2012) · International Journal of Nanomedicine · doi:10.2147/ijn.s31915 · Cited by 49 · cited 1× · see citing works
“These therapeutic antibodies, as well as targeting antibodies such as 2C5 [2] and anti-transferrin receptor mAbs [99-101], can be conjugated to various nanoparticles to improve efficacy and increase binding affinity to the cancer cells.”
BackgroundKhairuddin, N., Gantier, M. P., Blake, S. J., Wu, S. Y., Behlke, M. A., Williams, B. R. G., & McMillan, N. A. J. (2011) · Immunology and Cell Biology · doi:10.1038/icb.2011.19 · Cited by 48 · see citing works
Rouf, M. A., Vural, İ., Renoir, J. M., et al. (2009) · Journal of Liposome Research · doi:10.3109/08982100902963043 · Cited by 48 · cited 1× · see citing works
“Despite the fact that the EPR-based targeting is only passive and may be unpredictable, nanodrugs consistently have a better accumulation within a tumor than free drugs including Paclitaxel [80], rapamycin [81], thiostrepton [8], Doxorubicin [82], and Salinomycin [83], among countless others.”
BackgroundDing, H., Helguera, G. F., Rodríguez, J. A., Markman, J. L., Lurı́a-Pérez, R., Gangalum, P. R., Portilla‐Arias, J., Inoue, S., Daniels‐Wells, T. R., Black, K. L., et al. (2013) · Journal of Controlled Release · doi:10.1016/j.jconrel.2013.06.001 · Cited by 47 · see citing works
Self-citationIn vitro and in vivo study of a nanoliposomal cisplatin as a radiosensitizer
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BackgroundInfluentialGrand Challenges in Modulating The Immune Response with RNAi Nanomedicines
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“These therapeutic antibodies, as well as targeting antibodies such as 2C5 [2] and anti-transferrin receptor mAbs [99-101], can be conjugated to various nanoparticles to improve efficacy and increase binding affinity to the cancer cells.”
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“Antibodies and their fragments specifically target cancer cells A number of mAbs have been approved for the treatment of various cancers including rituximab (Rituxan) for non-Hodgkin's lymphoma [95], the anti-HER2 trastuzumab (Herceptin) [96], the anti-VEGF bevacizumab (Avastin) to inhibit angiogenesis [97], and the a…”
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Development of exosome-encapsulated paclitaxel to overcome MDR in cancer cells
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“Furthermore, cells who acquire resistance to chemotherapeutic agents usually become resistant also to drugs belonging to different chemical classes or to drugs acting with a different mechanism of action, globally worsening the MDR phenomena [28].”
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“Combination therapy, such as the combination of chemotherapy and PDT, can promote synergism between different treatment modalities, overcome drug resistance through distinct mechanisms of actions, and enhance the anticancer efficacy.(56,57) To further enhance the potency of the NCP platform, we incorporated the effici…”
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“Various strategies have been attempted to overcome drug resistance, such as the use of nanoparticles, liposomes and micellar drug delivery vehicles, with some reported successes [11].”
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Synergistic nanomedicine by combined gene and photothermal therapy
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Shanmuganathan, R., Edison, T. N. J. I., LewisOscar, F., Kumar, P., Shanmugam, S., & Pugazhendhi, A. (2019) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2019.02.060 · Cited by 248 · see citing works
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Advances of medical nanorobots for future cancer treatments
Kong, X., Gao, P., Wang, J., Fang, Y., & Hwang, K. C. (2023) · Journal of Hematology & Oncology · doi:10.1186/s13045-023-01463-z · Cited by 253 · see citing works
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“Generally, cancer drug resistance is divided in three major types on the base of different aspects [8]: i) kinetic, involving tumors possessing slow growth rate.”
BackgroundStimuli-Responsive Nanomedicines for Overcoming Cancer Multidrug Resistance
Zhou, L., Wang, H., & Li, Y. (2018) · Theranostics · doi:10.7150/thno.22679 · Cited by 232 · see citing works
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BackgroundMulticellular Tumor Spheroids (MCTS) as a 3D In Vitro Evaluation Tool of Nanoparticles
Lu, H., & Stenzel, M. H. (2018) · Small · doi:10.1002/smll.201702858 · Cited by 229 · see citing works
Application of polydopamine in tumor targeted drug delivery system and its drug release behavior
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Near-infrared-light responsive nanoscale drug delivery systems for cancer treatment
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Deep Insight of Design, Mechanism, and Cancer Theranostic Strategy of Nanozymes
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Nanotechnology and nanocarrier-based approaches on treatment of degenerative diseases
Chowdhury, A., Kunjiappan, S., Theivendren, P., Somasundaram, B., & Bhattacharjee, C. (2017) · International nano letters. · doi:10.1007/s40089-017-0208-0 · Cited by 183 · see citing works
“It can be utilize as a potential vehicle to deliver micromolecules such as proteins, DNA, or RNA [80].”
BackgroundInfluentialMetastatic disease in head & neck oncology
Pisani, P., Airoldi, M., Allais, A., Valletti, P. A., Battista, M., Benazzo, M., Briatore, R., Cacciola, S., Cocuzza, S. G., Colombo, A., et al. (2020) · Acta Otorhinolaryngologica Italica · doi:10.14639/0392-100x-suppl.1-40-2020 · Cited by 180 · see citing works
Design of liposomal formulations for cell targeting
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Nanotheranostics: Emerging Strategies for Early Diagnosis and Therapy of Brain Cancer
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“The National Institute of Health (NIH) in the USA described nanomedicine as utilization of nanotechnology in the diagnosis, therapy with simultaneous monitoring on biological systems [26].”
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Redox-Responsive Drug Delivery Systems: A Chemical Perspective
Abed, H., Abuwatfa, W. H., & Husseini, G. A. (2022) · Nanomaterials · doi:10.3390/nano12183183 · Cited by 168 · see citing works
“Although widely used, conventional methods like chemotherapy are limited due to their toxic side effects, low specificity, and resistance to the treatment, whether inherently present or developed later after successful initial treatments [3].”
BackgroundOne‐Pot Synthesis of DOX@Covalent Organic Framework with Enhanced Chemotherapeutic Efficacy
Liu, S., Hu, C., Liu, Y., et al. (2019) · Chemistry - A European Journal · doi:10.1002/chem.201806242 · Cited by 155 · see citing works
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Near-infrared photoresponsive drug delivery nanosystems for cancer photo-chemotherapy
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Hypoxia in solid tumors: a key promoter of cancer stem cell (CSC) resistance
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Combination antitumor therapy with targeted dual-nanomedicines
Dai, W., Wang, X., Song, G., Liu, T., He, B., Zhang, H., Wang, X., & Zhang, Q. (2017) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2017.03.001 · Cited by 139 · see citing works
“It is worth noting that nanoconjugates or other nanomedicines, especially ligand modified nanomedicines, might evade the capture of MDR transporter [152].”
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Challenges and strategies in drug delivery systems for treatment of pulmonary infections
Ho, D., Nichols, B. L. B., Edgar, K. J., Murgia, X., Loretz, B., & Lehr, C. (2019) · European Journal of Pharmaceutics and Biopharmaceutics · doi:10.1016/j.ejpb.2019.09.002 · Cited by 138 · see citing works
The past, present, and future of breast cancer models for nanomedicine development
Boix-Montesinos, P., Soriano‐Teruel, P. M., Armiñán, A., Orzáez, M., & Vicent, M. J. (2021) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2021.03.018 · Cited by 137 · see citing works
Nanomedicine-mediated cancer stem cell therapy
Shen, S., Xia, J., & Wang, J. (2015) · Biomaterials · doi:10.1016/j.biomaterials.2015.09.037 · Cited by 132 · see citing works
“Increasing evidence indicates that properly designed nanomedicines provide promise for overcoming MDR predominantly mediated by ATP-driven pumps, which is a key trait and intractable obstacle of CSCs [120].”
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Nanocarriers in advanced drug targeting: setting novel paradigm in cancer therapeutics
Akhter, M., Rizwanullah, M., Ahmad, J., Ahsan, M., Mujtaba, M. A., & Amin, S. (2018) · Artificial Cells Nanomedicine and Biotechnology · doi:10.1080/21691401.2017.1366333 · Cited by 114 · see citing works
“Novel nanomedicines offers compromising drug design and fabricating formulations in fast track based on cancer homo or heterogenic profile and make treatment mode quite effective and rationale [9].”
BackgroundPoly(ethylene glycol) alternatives in biomedical applications
Yao, X., Qi, C., Sun, C., Huo, F., & Jiang, X. (2022) · Nano Today · doi:10.1016/j.nantod.2022.101738 · Cited by 129 · see citing works
Tumor therapy: targeted drug delivery systems
Dai, L., Liu, J., Luo, Z. Y., Li, M., & Cai, K. (2016) · Journal of Materials Chemistry B · doi:10.1039/c6tb01743f · Cited by 128 · see citing works
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Anti-cancer Drug Delivery Using Metal Organic Frameworks (MOFs)
Ibrahim, M., Sabouni, R., & Husseini, G. A. (2016) · Current Medicinal Chemistry · doi:10.2174/0929867323666160926151216 · Cited by 126 · see citing works
“Over the past two decades and after understanding the nature and the interaction between anti-cancer drugs and the tumors, nanotechnology applications (including the development of nanocarriers) have been extensively researched to increase the specificity of anti-neoplastic agents towards cancerous tissues [13, 23-26].”
BackgroundNanoparticle drug delivery systems for synergistic delivery of tumor therapy
Chen, D., Liu, X., Lu, X., & Tian, J. (2023) · Frontiers in Pharmacology · doi:10.3389/fphar.2023.1111991 · Cited by 132 · see citing works
“These biological properties give nanoparticles several advantages, such as tumor-targeted delivery, decreased systemic side effects, prolonged plasma circulation, etc (Markman et al., 2013; Wei et al., 2021).”
BackgroundMedicinal chemistry of acridine and its analogues
Prasher, P., & Sharma, M. (2018) · MedChemComm · doi:10.1039/c8md00384j · Cited by 125 · see citing works
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Background
- Authors
- Markman, J. L., Rekechenetskiy, A., Holler, E., & Ljubimova, J. Y.
- Affiliations
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Ljubimova, Julia Y.
- Venue
- Advanced Drug Delivery Reviews
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 65
- Issue
- 13-14
- Pages
- 1866-1879
- ISSN
- 0169-409X (ISSN-L)
- PMC
- PMC5812459
- OpenAlex
- W2086374939
- Semantic Scholar
- 45ee9c859bb1f5d84491499a8da3d69d2e4c8976
- Cited by
- 733
- References
- 156
- Citations by year
- 2026: 23 · 2025: 44 · 2024: 56 · 2023: 50 · 2022: 66 · 2021: 63 · 2020: 68 · 2019: 73 · 2018: 66 · 2017: 67 · 2016: 75 · 2015: 59 · 2014: 22
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Advanced Drug Delivery Reviews (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (R01CA188743, R01CA123495, R01CA136841, U01CA151815)
- Topics
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- nanomedicine, chemoresistance, drug delivery, multidrug resistance, liposomes, polymer conjugates, micelles, dendrimers, carbon nanoparticles, metal nanoparticles, precision oncology, tumor genomic profiling
- MeSH terms
- Animals, Antineoplastic Agents, Clinical Trials as Topic, Drug Carriers, Humans, Neoplasms, Neoplastic Stem Cells, Drug Design, Drug Resistance, Multiple, Drug Resistance, Neoplasm, Cell Line, Tumor, Nanomedicine, Nanoparticles, Tumor Microenvironment
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