Nanoformulations for combination or cascade anticancer therapy
Open accessAbstract
Nanoparticle drug formulations have been extensively investigated, developed, and in some cases, approved by the Food and Drug Administration (FDA). Synergistic combinations of drugs having distinct tumor-inhibiting mechanisms and non-overlapping toxicity can circumvent the issue of treatment resistance and may be essential for effective anti-cancer therapy. At the same time, co-delivery of a combined regimen by a single nanocarrier presents a challenge due to differences in solubility, molecular weight, functional groups and encapsulation conditions between the two drugs. This review discusses cellular and microenvironment mechanisms behind treatment resistance and nanotechnology-based solutions for effective anti-cancer therapy. Co-loading or cascade delivery of multiple drugs using of polymeric nanoparticles, polymer-drug conjugates and lipid nanoparticles will be discussed along with lipid-coated drug nanoparticles developed by our lab and perspectives on combination therapy.
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Combination therapy has been largely exploited for treatment of various cancers based on related pathways of oncogenesis or using agents that affect the tumor microenvironment.
“Combination therapy has been largely exploited for the treatment of various types of cancer based on related pathways of oncogenesis or utilizing a combination of agents which affect the tumor microenvironment [257, 258].”
From Polymeric micelles for the delivery of poorly soluble drugs: From nanoformulation to clinical approval. (2020) · cites this paper as [257]
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- Authors
- Miao, L., Guo, S., Lin, C. M., Liu, Q., & Huang, L.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Huang, Leaf
- Venue
- Advanced Drug Delivery Reviews
- Publisher
- Elsevier BV
- Published
- 2017-06
- Volume
- 115
- Pages
- 3-22
- ISSN
- 0169-409X (ISSN-L)
- PMC
- PMC5591780
- OpenAlex
- W2624864065
- Cited by
- 178
- References
- 233
- Citations by year
- 2026: 7 · 2025: 13 · 2024: 12 · 2023: 18 · 2022: 11 · 2021: 28 · 2020: 32 · 2019: 32 · 2018: 17 · 2017: 7 · 2013: 1
- FWCI
- 1.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Advanced Drug Delivery Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (CA151652, CA151455, CA149363)
- Topics
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advanced Drug Delivery Systems
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- combination cancer therapy, drug co-loading, treatment resistance, polymeric nanoparticles, polymer-drug conjugates, lipid nanoparticles, lipid-coated nanoparticles, synergistic drug combination, tumor microenvironment
- MeSH terms
- Animals, Delayed-Action Preparations, Drug Carriers, Drug Combinations, Drug Compounding, Humans, Lipids, Neoplasms, Polymers, Nanoparticles
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