Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies

Primary liver cancer, or hepatocellular carcinoma (HCC), is a major worldwide cause of death from carcinoma. Most patients are not candidates for surgery and medical therapies, including new immunotherapies, have not shown major improvements since the modest benefit seen with the introduction of sor...

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Main Authors: Danielle L. Stolley, Anna Colleen Crouch, Aliçan Özkan, Erin H. Seeley, Elizabeth M. Whitley, Marissa Nichole Rylander, Erik N. K. Cressman
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/12/12/1243
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author Danielle L. Stolley
Anna Colleen Crouch
Aliçan Özkan
Erin H. Seeley
Elizabeth M. Whitley
Marissa Nichole Rylander
Erik N. K. Cressman
author_facet Danielle L. Stolley
Anna Colleen Crouch
Aliçan Özkan
Erin H. Seeley
Elizabeth M. Whitley
Marissa Nichole Rylander
Erik N. K. Cressman
author_sort Danielle L. Stolley
collection DOAJ
description Primary liver cancer, or hepatocellular carcinoma (HCC), is a major worldwide cause of death from carcinoma. Most patients are not candidates for surgery and medical therapies, including new immunotherapies, have not shown major improvements since the modest benefit seen with the introduction of sorafenib over a decade ago. Locoregional therapies for intermediate stage disease are not curative but provide some benefit. However, upon close scrutiny, there is still residual disease in most cases. We review the current status for treatment of intermediate stage disease, summarize the literature on correlative histopathology, and discuss emerging methods at micro-, nano-, and pico-scales to improve therapy. These include transarterial hyperthermia methods and thermoembolization, along with microfluidics model systems and new applications of mass spectrometry imaging for label-free analysis of pharmacokinetics and pharmacodynamics.
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spelling doaj.art-d85903b7de9242089cb0851d0369548f2023-11-21T01:45:45ZengMDPI AGPharmaceutics1999-49232020-12-011212124310.3390/pharmaceutics12121243Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller TherapiesDanielle L. Stolley0Anna Colleen Crouch1Aliçan Özkan2Erin H. Seeley3Elizabeth M. Whitley4Marissa Nichole Rylander5Erik N. K. Cressman6Department of Biomedical Engineering, The University of Texas, Austin, TX 78712, USAInterventional Radiology, M.D. Anderson Cancer Center, Houston, TX 77030, USAWyss Institute for Biologically Inspired Engineering at Harvard University, Boston, MA 02115, USADepartment of Chemistry, University of Texas at Austin, Austin, TX 78712, USAInterventional Radiology, M.D. Anderson Cancer Center, Houston, TX 77030, USADepartment of Biomedical Engineering, The University of Texas, Austin, TX 78712, USAInterventional Radiology, M.D. Anderson Cancer Center, Houston, TX 77030, USAPrimary liver cancer, or hepatocellular carcinoma (HCC), is a major worldwide cause of death from carcinoma. Most patients are not candidates for surgery and medical therapies, including new immunotherapies, have not shown major improvements since the modest benefit seen with the introduction of sorafenib over a decade ago. Locoregional therapies for intermediate stage disease are not curative but provide some benefit. However, upon close scrutiny, there is still residual disease in most cases. We review the current status for treatment of intermediate stage disease, summarize the literature on correlative histopathology, and discuss emerging methods at micro-, nano-, and pico-scales to improve therapy. These include transarterial hyperthermia methods and thermoembolization, along with microfluidics model systems and new applications of mass spectrometry imaging for label-free analysis of pharmacokinetics and pharmacodynamics.https://www.mdpi.com/1999-4923/12/12/1243hepatocellular carcinomacirrhosishyperthermiaablationtransarterial chemoembolizationmicrofluidics
spellingShingle Danielle L. Stolley
Anna Colleen Crouch
Aliçan Özkan
Erin H. Seeley
Elizabeth M. Whitley
Marissa Nichole Rylander
Erik N. K. Cressman
Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies
Pharmaceutics
hepatocellular carcinoma
cirrhosis
hyperthermia
ablation
transarterial chemoembolization
microfluidics
title Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies
title_full Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies
title_fullStr Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies
title_full_unstemmed Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies
title_short Combining Chemistry and Engineering for Hepatocellular Carcinoma: Nano-Scale and Smaller Therapies
title_sort combining chemistry and engineering for hepatocellular carcinoma nano scale and smaller therapies
topic hepatocellular carcinoma
cirrhosis
hyperthermia
ablation
transarterial chemoembolization
microfluidics
url https://www.mdpi.com/1999-4923/12/12/1243
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