PMID- 20838415 OWN - NLM STAT- MEDLINE DCOM- 20110602 LR - 20220408 IS - 1759-4782 (Electronic) IS - 1759-4774 (Print) IS - 1759-4774 (Linking) VI - 7 IP - 11 DP - 2010 Nov TI - Delivering nanomedicine to solid tumors. PG - 653-64 LID - 10.1038/nrclinonc.2010.139 [doi] AB - Recent advances in nanotechnology have offered new hope for cancer detection, prevention, and treatment. While the enhanced permeability and retention effect has served as a key rationale for using nanoparticles to treat solid tumors, it does not enable uniform delivery of these particles to all regions of tumors in sufficient quantities. This heterogeneous distribution of therapeutics is a result of physiological barriers presented by the abnormal tumor vasculature and interstitial matrix. These barriers are likely to be responsible for the modest survival benefit offered by many FDA-approved nanotherapeutics and must be overcome for the promise of nanomedicine in patients to be realized. Here, we review these barriers to the delivery of cancer therapeutics and summarize strategies that have been developed to overcome these barriers. Finally, we discuss design considerations for optimizing the delivery of nanoparticles to tumors. FAU - Jain, Rakesh K AU - Jain RK AD - Edwin L. Steele Laboratory, Department of Radiation Oncology, Massachusetts General Hospital and Harvard Medical School, 100 Blossom Street, Boston, MA 02114, USA. jain@steele.mgh.harvard.edu FAU - Stylianopoulos, Triantafyllos AU - Stylianopoulos T LA - eng GR - T32 CA073479/CA/NCI NIH HHS/United States GR - R01 CA126642/CA/NCI NIH HHS/United States GR - R01 CA085140/CA/NCI NIH HHS/United States GR - R01-CA115767/CA/NCI NIH HHS/United States GR - P01-CA80124/CA/NCI NIH HHS/United States GR - R01-CA85140/CA/NCI NIH HHS/United States GR - R01 CA115767/CA/NCI NIH HHS/United States GR - P01 CA080124/CA/NCI NIH HHS/United States GR - R01-CA126642/CA/NCI NIH HHS/United States GR - R24 CA085140/CA/NCI NIH HHS/United States GR - T32-CA73479/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20100914 PL - England TA - Nat Rev Clin Oncol JT - Nature reviews. Clinical oncology JID - 101500077 RN - 0 (Ligands) SB - IM MH - Biological Transport MH - Drug Delivery Systems MH - Humans MH - Ligands MH - Lymphatic System MH - Nanoparticles/*therapeutic use MH - Neoplasms/blood supply/*drug therapy/pathology PMC - PMC3065247 MID - NIHMS268150 EDAT- 2010/09/15 06:00 MHDA- 2011/06/03 06:00 PMCR- 2011/11/01 CRDT- 2010/09/15 06:00 PHST- 2010/09/15 06:00 [entrez] PHST- 2010/09/15 06:00 [pubmed] PHST- 2011/06/03 06:00 [medline] PHST- 2011/11/01 00:00 [pmc-release] AID - nrclinonc.2010.139 [pii] AID - 10.1038/nrclinonc.2010.139 [doi] PST - ppublish SO - Nat Rev Clin Oncol. 2010 Nov;7(11):653-64. doi: 10.1038/nrclinonc.2010.139. Epub 2010 Sep 14.