Recent progress in nanomedicine for enhanced cancer chemotherapy

Theranostics. 2021 Apr 19;11(13):6370-6392. doi: 10.7150/thno.57828. eCollection 2021.

Abstract

As one of the most important cancer treatment strategies, conventional chemotherapy has substantial side effects and leads easily to cancer treatment failure. Therefore, exploring and developing more efficient methods to enhance cancer chemotherapy is an urgently important problem that must be solved. With the development of nanotechnology, nanomedicine has showed a good application prospect in improving cancer chemotherapy. In this review, we aim to present a discussion on the significant research progress in nanomedicine for enhanced cancer chemotherapy. First, increased enrichment of drugs in tumor tissues relying on different targeting ligands and promoting tissue penetration are summarized. Second, specific subcellular organelle-targeted chemotherapy is discussed. Next, different combinational strategies to reverse multidrug resistance (MDR) and improve the effective intracellular concentration of therapeutics are discussed. Furthermore, the advantages of combination therapy for cancer treatment are emphasized. Finally, we discuss the major problems facing therapeutic nanomedicine for cancer chemotherapy, and propose possible future directions in this field.

Keywords: cancer therapy; chemotherapy; combination therapy; nanocarriers; nanomedicine.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Angiogenesis Inhibitors / administration & dosage
  • Angiogenesis Inhibitors / therapeutic use
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / pharmacokinetics
  • Antineoplastic Agents / therapeutic use*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Clinical Trials as Topic
  • Combined Modality Therapy
  • Drug Carriers
  • Drug Delivery Systems
  • Drug Resistance, Multiple
  • Drug Resistance, Neoplasm
  • Extracellular Matrix / drug effects
  • Gases / therapeutic use
  • Genetic Therapy
  • Humans
  • Immunotherapy
  • Molecular Targeted Therapy
  • Nanomedicine / methods
  • Nanomedicine / trends*
  • Nanoparticles / administration & dosage
  • Neoplasms / drug therapy*
  • Neoplasms / radiotherapy
  • Neoplasms / therapy
  • Organelles / drug effects
  • Particle Size
  • Photochemotherapy
  • Photothermal Therapy
  • Static Electricity
  • Tissue Distribution

Substances

  • Angiogenesis Inhibitors
  • Antineoplastic Agents
  • Drug Carriers
  • Gases