PMID- 33501883 OWN - NLM STAT- MEDLINE DCOM- 20210906 LR - 20240403 IS - 1521-0464 (Electronic) IS - 1071-7544 (Print) IS - 1071-7544 (Linking) VI - 28 IP - 1 DP - 2021 Dec TI - Stimuli-responsive drug delivery systems for head and neck cancer therapy. PG - 272-284 LID - 10.1080/10717544.2021.1876182 [doi] AB - Head and neck cancer (HNC) is among the most common malignancy that has a profound impact on human health and life quality. The treatment for HNC, especially for the advanced cancer is stage-dependent and in need of combined therapies. Various forms of adjuvant treatments such as chemotherapy, phototherapy, hyperthermia, gene therapy have been included in the HNC therapy. However, there are still restrictions with traditional administration such as limited in situ therapeutic effect, systemic toxicity, drug resistance, etc. In recent years, stimuli-responsive drug delivery systems (DDSs) have attracted the great attention in HNC therapy. These intelligent DDSs could respond to unique tumor microenvironment, external triggers or dual/multi stimulus with more specific drug delivery and release, leading to enhanced treatment efficiency and less reduced side effects. In this article, recent studies on stimuli-responsive DDSs for HNC therapy were summarized, which could respond to endogenous and exogenous triggers including pH, matrix metalloproteinases (MMPs), reactive oxygen species (ROS), redox condition, light, magnetic field and multi stimuli. Their therapeutic remarks, current limits and future prospect for these intelligent DDSs were discussed. Furthermore, multifunctional stimuli-responsive DDSs have also been reviewed. With the modification of drug carriers or co-loading with therapeutic agents. Those intelligent DDSs showed more biofunctions such as combined therapeutic effects or integration of diagnosis and treatment for HNC. It is believed that stimuli-responsive drug delivery systems showed great potential for future clinic translation and application for the treatment of HNC. FAU - Liang, Jingou AU - Liang J AD - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China. AD - Department of Pediatric Dentistry, West China School of Stomatology, Sichuan University, Chengdu, China. FAU - Yang, Bina AU - Yang B AD - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China. AD - Department of Cariology and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, China. FAU - Zhou, Xuedong AU - Zhou X AD - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China. AD - Department of Cariology and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, China. FAU - Han, Qi AU - Han Q AD - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China. FAU - Zou, Jing AU - Zou J AD - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China. AD - Department of Pediatric Dentistry, West China School of Stomatology, Sichuan University, Chengdu, China. FAU - Cheng, Lei AU - Cheng L AD - State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China. AD - Department of Cariology and Endodontics, West China School of Stomatology, Sichuan University, Chengdu, China. LA - eng PT - Journal Article PT - Review PL - England TA - Drug Deliv JT - Drug delivery JID - 9417471 RN - 0 (Antineoplastic Agents) RN - 0 (Biocompatible Materials) RN - 0 (Drug Carriers) RN - 0 (Reactive Oxygen Species) RN - 0 (Smart Materials) RN - 0 (Stimuli Responsive Polymers) RN - EC 3.4.24.- (Matrix Metalloproteinases) SB - IM MH - Antineoplastic Agents/*administration & dosage MH - Biocompatible Materials MH - Drug Carriers MH - *Drug Delivery Systems MH - Head and Neck Neoplasms/*drug therapy MH - Humans MH - Hydrogen-Ion Concentration MH - Light MH - Magnetic Fields MH - Matrix Metalloproteinases/metabolism MH - Oxidation-Reduction MH - Reactive Oxygen Species/metabolism MH - Smart Materials MH - Squamous Cell Carcinoma of Head and Neck/*drug therapy MH - *Stimuli Responsive Polymers MH - Tumor Microenvironment PMC - PMC7850355 OTO - NOTNLM OT - Stimuli-responsive drug delivery systems OT - anticancer therapy OT - head and neck cancer OT - intelligent biomaterials OT - tumor microenvironment COIS- No potential conflict of interest was reported by the author(s). EDAT- 2021/01/28 06:00 MHDA- 2021/09/07 06:00 PMCR- 2021/01/27 CRDT- 2021/01/27 08:37 PHST- 2021/01/27 08:37 [entrez] PHST- 2021/01/28 06:00 [pubmed] PHST- 2021/09/07 06:00 [medline] PHST- 2021/01/27 00:00 [pmc-release] AID - 1876182 [pii] AID - 10.1080/10717544.2021.1876182 [doi] PST - ppublish SO - Drug Deliv. 2021 Dec;28(1):272-284. doi: 10.1080/10717544.2021.1876182.