Engineered nanomedicines for tumor vasculature blockade therapy

Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2021 May;13(3):e1691. doi: 10.1002/wnan.1691. Epub 2021 Jan 21.

Abstract

Tumor vasculature blockade therapy (TVBT), including angiogenesis inhibition, vascular disruption, and vascular infarction, provides a promising treatment modality for solid tumors. However, low selectivity, drug resistance, and possible severe side effects have limited the clinical transformation of TVBT. Engineered nanoparticles offer potential solutions, including prolonged circulation time, targeted transportation, and controlled release of TVBT agents. Moreover, engineered nanomedicines provide a promising combination platform of TVBT with chemotherapy, radiotherapy, photodynamic therapy, photothermal therapy, ultrasound therapy, and gene therapy. In this article, we offer a comprehensive summary of the current progress of engineered nanomedicines for TVBT and also discuss current deficiencies and future directions for TVBT development. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease Therapeutic Approaches and Drug Discovery > Emerging Technologies.

Keywords: angiogenesis inhibition; nanomedicines; tumor vasculature blockade therapy; vascular disruption; vascular infarction.

Publication types

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

MeSH terms

  • Drug Delivery Systems
  • Humans
  • Microvessels / drug effects
  • Nanomedicine*
  • Neoplasms* / blood supply
  • Neoplasms* / drug therapy
  • Neovascularization, Pathologic / drug therapy*