A2 Refereed review article in a scientific journal

Recent Advances and Impact of Chemotherapeutic and Antiangiogenic Nanoformulations for Combination Cancer Therapy




AuthorsAmit Kumar Rajora, Divyashree Ravishankar, Hongbo Zhang, Jessica M. Rosenholm

PublisherMDPI

Publication year2020

JournalPharmaceutics

Journal name in sourcePHARMACEUTICS

Journal acronymPHARMACEUTICS

Article number592

Volume12

Issue6

Number of pages26

eISSN1999-4923

DOIhttps://doi.org/10.3390/pharmaceutics12060592

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/49097167


Abstract
Traditional chemotherapy, along with antiangiogenesis drugs (combination cancer therapy), has shown reduced tumor recurrence and improved antitumor effects, as tumor growth and metastasis are often dependent on tumor vascularization. However, the effect of combination chemotherapy, including synergism and additive and even antagonism effects, depends on drug combinations in an optimized ratio. Hence, nanoformulations are ideal, demonstrating a great potential for the combination therapy of chemo-antiangiogenesis for cancer. The rationale for designing various nanocarriers for combination therapy is derived from organic (polymer, lipid), inorganic, or hybrid materials. In particular, hybrid nanocarriers that consist of more than one material construct provide flexibility for different modes of entrapment within the same carrier-e.g., physical adsorption, encapsulation, and chemical conjugation strategies. These multifunctional nanocarriers can thus be used to co-deliver chemo- and antiangiogenesis drugs with tunable drug release at target sites. Hence, this review attempts to survey the most recent advances in nanoformulations and their impact on cancer treatment in a combined regimen-i.e., conventional cytotoxic and antiangiogenesis agents. The mechanisms and site-specific co-delivery strategies are also discussed herein, along with future prospects.

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