Abstract

The overall survival rate for patients with lung cancer is still low and many affected patients are not eligible for the first-line treatments (surgery, chemotherapy, and radiation) for non-small cell lung cancer (NSCLC) due to severe side effects. Paclitaxel (PTX) and cisplatin (CDDP) are two of the most commonly utilized drugs in the treatment of NSCLC. These drugs will be encapsulated in tumor-penetrating polymeric nanoparticles (NP) for application in the treatment of lung cancer. Due to the limitations in the NP system itself where particles are often unable to penetrate into the tumor parenchyma to deliver its dose of drug, little has been seen in terms of an increase in clinical outcome for cancer patients treated with nanoparticles although the significant effort that has gone into the study of chemotherapeutic-loaded nanoparticles. Therefore, there is an imperative need for the development of system capable of tumor penetration. Our aim is to develop and optimize peptide-conjugated polymer nanoparticles which can deliver tandem anticancer agents capable of enhancing the targeting and treatment of NSCLC. Acetalated dextran (Ac-Dex) will be used to encapsulate both PTX and CDDP in NPs which in turn will be conjugated with the tumor-penetrating peptide iRGD. This multifunctional particle will not only release PTX and CDDP in tandem, but will be capable of tumor penetration through a mechanism imparted by the peptide. The parameters of the emulsion-based NP system (size, shape, drug loading, peptide-conjugation, cytotoxicity, penetration into NSCLC tumor spheroids, etc.) have been optimized to ensure effective targeting and delivery.

Highlights

  • 1.1 Background and Treatment of Lung Cancer The optimization and improvement of cancer therapeutics is currently an important objective of pharmaceutical research since there are still many problems faced in the treatment of many types of cancer including lung, glioblastoma, and pancreatic cancers, which have extremely poor treatment success rates (Sneed 1998)

  • The in vitro and in vivo efficacy of these peptide-conjugated drugs were evaluated in H1299 (NSCLC) cells and xenografts in athymic nude mice and the results showed that the conjugated peptide enhanced both the in vitro and in vivo efficacies significantly

  • Because of the significant differences in the rates of hydrolysis between the acyclic and cyclic acetals present on Acetalated Dextran (Ac-Dex), it is important to know the cyclic acetal coverage (CAC) of Ac-Dex to ensure that the degradation will be appropriate for the given application

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Summary

Introduction

1.1 Background and Treatment of Lung Cancer The optimization and improvement of cancer therapeutics is currently an important objective of pharmaceutical research since there are still many problems faced in the treatment of many types of cancer including lung, glioblastoma, and pancreatic cancers, which have extremely poor treatment success rates (Sneed 1998). There are two major types of lung cancer: small cell lung cancer (SCLC), which is called oat cell cancer because the cells resemble oat grains, and non-small cell lung cancer (NSCLC). The aggressiveness of this disease and treatment options depend on the type and stage of cancer diagnosed. Since many types of lung cancer grow quickly and spread rapidly, and because the lungs are vital organs, early detection and prompt treatment (usually involving an initial surgery to remove the tumor) is critical to ensure increased patient survivability

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