PMID- 38202616 OWN - NLM STAT- MEDLINE DCOM- 20240112 LR - 20240112 IS - 1420-3049 (Electronic) IS - 1420-3049 (Linking) VI - 29 IP - 1 DP - 2023 Dec 20 TI - Optimized DOX Drug Deliveries via Chitosan-Mediated Nanoparticles and Stimuli Responses in Cancer Chemotherapy: A Review. LID - 10.3390/molecules29010031 [doi] LID - 31 AB - Chitosan nanoparticles (NPs) serve as useful multidrug delivery carriers in cancer chemotherapy. Chitosan has considerable potential in drug delivery systems (DDSs) for targeting tumor cells. Doxorubicin (DOX) has limited application due to its resistance and lack of specificity. Chitosan NPs have been used for DOX delivery because of their biocompatibility, biodegradability, drug encapsulation efficiency, and target specificity. In this review, various types of chitosan derivatives are discussed in DDSs to enhance the effectiveness of cancer treatments. Modified chitosan-DOX NP drug deliveries with other compounds also increase the penetration and efficiency of DOX against tumor cells. We also highlight the endogenous stimuli (pH, redox, enzyme) and exogenous stimuli (light, magnetic, ultrasound), and their positive effect on DOX drug delivery via chitosan NPs. Our study sheds light on the importance of chitosan NPs for DOX drug delivery in cancer treatment and may inspire the development of more effective approaches for cancer chemotherapy. FAU - Imran, HafizMuhammad AU - Imran H AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. FAU - Tang, Yixin AU - Tang Y AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. FAU - Wang, Siyuan AU - Wang S AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. FAU - Yan, Xiuzhang AU - Yan X AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. FAU - Liu, Chang AU - Liu C AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. FAU - Guo, Lei AU - Guo L AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. FAU - Wang, Erlei AU - Wang E AD - College of Food Science and Engineering, Jilin University, Changchun 130062, China. FAU - Xu, Caina AU - Xu C AD - Department of Biochemistry, College of Basic Medical Sciences, Jilin University, Changchun 130021, China. LA - eng GR - 52073278/National Natural Science Foundation of China/ GR - 2022JBGS10/"Medical Science + X" Cross-innovation Team of the Norman Bethune Health Science of Jilin University/ GR - 20230101045JC/Jilin Province Science and Technology Development Program/ GR - JJKH20231205KJ/Education Department of Jilin Province/ GR - 2021JC036/Health Commission of Jilin Province/ GR - 2022-JCXK-09/Fundamental Research Funds for the Central Universities/ PT - Journal Article PT - Review DEP - 20231220 PL - Switzerland TA - Molecules JT - Molecules (Basel, Switzerland) JID - 100964009 RN - 9012-76-4 (Chitosan) RN - 80168379AG (Doxorubicin) SB - IM MH - Humans MH - *Chitosan MH - Drug Delivery Systems MH - Doxorubicin/pharmacology/therapeutic use MH - *Nanoparticles MH - *Neoplasms/drug therapy PMC - PMC10780101 OTO - NOTNLM OT - chemotherapy OT - chitosan NPs OT - drug delivery OT - drug resistance OT - stimuli-sensitive COIS- The authors declare no conflict of interest. EDAT- 2024/01/11 07:42 MHDA- 2024/01/12 06:43 PMCR- 2023/12/20 CRDT- 2024/01/11 01:12 PHST- 2023/10/15 00:00 [received] PHST- 2023/12/15 00:00 [revised] PHST- 2023/12/16 00:00 [accepted] PHST- 2024/01/12 06:43 [medline] PHST- 2024/01/11 07:42 [pubmed] PHST- 2024/01/11 01:12 [entrez] PHST- 2023/12/20 00:00 [pmc-release] AID - molecules29010031 [pii] AID - molecules-29-00031 [pii] AID - 10.3390/molecules29010031 [doi] PST - epublish SO - Molecules. 2023 Dec 20;29(1):31. doi: 10.3390/molecules29010031.