Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer

Treatment of ovarian cancer is challenging due to late stage diagnosis, acquired drug resistance mechanisms, and systemic toxicity of chemotherapeutic agents. Combination chemotherapy has the potential to enhance treatment efficacy by activation of multiple downstream pathways to overcome drug resis...

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Main Authors: Shani L. Levit, Christina Tang
Format: Article
Language:English
Published: MDPI AG 2021-04-01
Series:Nanomaterials
Subjects:
Online Access:https://www.mdpi.com/2079-4991/11/4/1048
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author Shani L. Levit
Christina Tang
author_facet Shani L. Levit
Christina Tang
author_sort Shani L. Levit
collection DOAJ
description Treatment of ovarian cancer is challenging due to late stage diagnosis, acquired drug resistance mechanisms, and systemic toxicity of chemotherapeutic agents. Combination chemotherapy has the potential to enhance treatment efficacy by activation of multiple downstream pathways to overcome drug resistance and reducing required dosages. Sequence of delivery and the dosing schedule can further enhance treatment efficacy. Formulation of drug combinations into nanoparticles can further enhance treatment efficacy. Due to their versatility, polymer-based nanoparticles are an especially promising tool for clinical translation of combination therapies with tunable dosing schedules. We review polymer nanoparticle (e.g., micelles, dendrimers, and lipid nanoparticles) carriers of drug combinations formulated to treat ovarian cancer. In particular, the focus on this review is combinations of platinum and taxane agents (commonly used first line treatments for ovarian cancer) combined with other small molecule therapeutic agents. In vitro and in vivo drug potency are discussed with a focus on quantifiable synergistic effects. The effect of drug sequence and dosing schedule is examined. Computational approaches as a tool to predict synergistic drug combinations and dosing schedules as a tool for future nanoparticle design are also briefly discussed.
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spelling doaj.art-1d5d78b74e67404f8251f9360911c4912023-11-21T16:16:55ZengMDPI AGNanomaterials2079-49912021-04-01114104810.3390/nano11041048Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian CancerShani L. Levit0Christina Tang1Chemical and Life Science Engineering Department, Virginia Commonwealth University, Richmond, VA 23284, USAChemical and Life Science Engineering Department, Virginia Commonwealth University, Richmond, VA 23284, USATreatment of ovarian cancer is challenging due to late stage diagnosis, acquired drug resistance mechanisms, and systemic toxicity of chemotherapeutic agents. Combination chemotherapy has the potential to enhance treatment efficacy by activation of multiple downstream pathways to overcome drug resistance and reducing required dosages. Sequence of delivery and the dosing schedule can further enhance treatment efficacy. Formulation of drug combinations into nanoparticles can further enhance treatment efficacy. Due to their versatility, polymer-based nanoparticles are an especially promising tool for clinical translation of combination therapies with tunable dosing schedules. We review polymer nanoparticle (e.g., micelles, dendrimers, and lipid nanoparticles) carriers of drug combinations formulated to treat ovarian cancer. In particular, the focus on this review is combinations of platinum and taxane agents (commonly used first line treatments for ovarian cancer) combined with other small molecule therapeutic agents. In vitro and in vivo drug potency are discussed with a focus on quantifiable synergistic effects. The effect of drug sequence and dosing schedule is examined. Computational approaches as a tool to predict synergistic drug combinations and dosing schedules as a tool for future nanoparticle design are also briefly discussed.https://www.mdpi.com/2079-4991/11/4/1048polymerdrug deliverycancercombination chemotherapynanocarriertherapeutic efficacy
spellingShingle Shani L. Levit
Christina Tang
Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer
Nanomaterials
polymer
drug delivery
cancer
combination chemotherapy
nanocarrier
therapeutic efficacy
title Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer
title_full Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer
title_fullStr Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer
title_full_unstemmed Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer
title_short Polymeric Nanoparticle Delivery of Combination Therapy with Synergistic Effects in Ovarian Cancer
title_sort polymeric nanoparticle delivery of combination therapy with synergistic effects in ovarian cancer
topic polymer
drug delivery
cancer
combination chemotherapy
nanocarrier
therapeutic efficacy
url https://www.mdpi.com/2079-4991/11/4/1048
work_keys_str_mv AT shanillevit polymericnanoparticledeliveryofcombinationtherapywithsynergisticeffectsinovariancancer
AT christinatang polymericnanoparticledeliveryofcombinationtherapywithsynergisticeffectsinovariancancer