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Adv Ther (Weinh). 2020 Jan;3(1). doi: 10.1002/adtp.201900083. Epub 2019 Sep 30.

Nanomedicine-Enabled Modulation of Tumor Hypoxic Microenvironment for Enhanced Cancer Therapy.

Advanced therapeutics

Jinping Wang, Beilu Zhang, Jingyu Sun, Yuhao Wang, Hongjun Wang

Affiliations

  1. Department of Biomedical Engineering, Stevens Institute of Technology, Hoboken, NJ 07030, USA.
  2. Department of Chemistry and Chemical Biology, Stevens Institute of Technology, Hoboken, NJ 07030, USA.
  3. Department of Biomedical Engineering, Stevens Institute of Technology, Hoboken, NJ 07030, USA; Department of Chemistry and Chemical Biology, Stevens Institute of Technology, Hoboken, NJ 07030, USA.

PMID: 34277929 PMCID: PMC8281934 DOI: 10.1002/adtp.201900083

Abstract

Hypoxia is a common condition of solid tumors that is mainly caused by enhanced tumor proliferative activity and dysfunctional vasculature. In the treatment of hypoxic human solid tumors, many conventional therapeutic approaches (e.g., oxygen-dependent photodynamic therapy, anticancer drug-based chemotherapy or X-ray induced radiotherapy) become considerably less effective or ineffective. In recent years, various strategies have been explored to deliver or generate oxygen inside solid tumors to overcome tumorous hypoxia and show promising evidence to improve the antitumor efficiency. In this review, the extrinsic regulation of tumor hypoxia via nanomaterial delivery is discussed followed by a summary of the mechanisms through which the modulated tumor hypoxic microenvironment improves therapeutic efficacy. The review concludes with future perspectives, to specifically address the translation of nanomaterial-based therapeutic strategies for clinical applications.

Keywords: chemotherapy; nanomedicine; photodynamic therapy; radiotherapy; tumor hypoxic microenvironment

Conflict of interest statement

Conflict of Interest The authors declare no conflict of interest.

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