Nanoparticle-Mediated Targeted Drug Delivery to Remodel Tumor Microenvironment for Cancer Therapy

Int J Nanomedicine. 2021 Aug 25:16:5811-5829. doi: 10.2147/IJN.S321416. eCollection 2021.

Abstract

Advanced research has revealed the crucial role of tumor microenvironment (TME) in tumorigenesis. TME consists of a complicated network with a variety of cell types including endothelial cells, pericytes, immune cells, cancer-associated fibroblasts (CAFs), cancer stem cells (CSCs) as well as the extracellular matrix (ECM). The TME-constituting cells interact with the cancerous cells through plenty of signaling mechanisms and pathways in a dynamical way, participating in tumor initiation, progression, metastasis, and response to therapies. Hence, TME is becoming an attractive therapeutic target in cancer treatment, exhibiting potential research interest and clinical benefits. Presently, the novel nanotechnology applied in TME regulation has made huge progress. The nanoparticles (NPs) can be designed as demand to precisely target TME components and to inhibit tumor progression through TME modulation. Moreover, nanotechnology-mediated drug delivery possesses many advantages including prolonged circulation time, enhanced bioavailability and decreased toxicity over traditional therapeutic modality. In this review, update information on TME remodeling through NPs-based targeted drug delivery strategies for anticancer therapy is summarized.

Keywords: cancer treatment; nanotherapeutics; regulation strategy; targeted delivery; tumor microenvironment.

Publication types

  • Review

MeSH terms

  • Drug Delivery Systems
  • Endothelial Cells
  • Humans
  • Nanoparticles*
  • Neoplasms* / drug therapy
  • Pharmaceutical Preparations*
  • Tumor Microenvironment

Substances

  • Pharmaceutical Preparations

Grants and funding

This work was funded by the National Nature Science Foundation of China (Nos. 31872756 and 32071387), National Major Scientific and Technological Special Project for “Significant New Drugs Development” (No. 2016ZX09101031), Six Talent Peaks Project in Jiangsu Province (JY-079) and “Double First-Class” Construction Technology Innovation Team Project of China Pharmaceutical University (Nos. CPU2018GY23 and CPU2018GY26).