2. ▸Introduction
▸Difference between normal cell and
cancer cell
▸Stages of tumour development
▸Tumour targeting
▸Approaches for tumour targeting
▸References
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Contents
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3. Introduction
A tumour, also known as a neoplasm, is an
abnormal mass of tissue that may be solid
or fluid-filled.
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Fig. Magnified view of Cancer cell
4. • In general, tumours are divided into three groups:
1. Benign: These are not cancerous and cannot spread. A
benign tumour will remain in its current form. They do
not generally return after being removed.
2. Premalignant: A premalignant tumour is not yet
cancerous but appears to be developing the properties
of cancer.
3. Malignant: Malignant tumours are cancerous. They can
grow, spread, and get worse.
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6. Difference Between Normal Cell
And Cancer Cell
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NORMAL CELL TUMOUR CELL
Cell repair & cell
death
Repair& apoptosis(cell
death process)
No repair &apoptosis
Metastasize No Yes
Rate of growth Controlled Uncontrolled
Functioning Functional Non functional
Angiogenesis Only when required for
repair
Always
Mortality Mortal Immortal
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10. Modified with targeting moieties, such as
antibodies, antibody fragments, specific
molecules, small peptides etc., the carriers
(nanoparticles) can target specific receptors
and antigens expressed only on the tumour cell
surface or the tumour microenvironment,
reducing side effects on normal cells.
TUMOUR
TARGETING
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Targeted
therapy
Targeted Drug
Delivery
Tumour
targeting
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11. Targeted therapy
It is a type of medication that
blocks the growth of cancer
cells by interfering with
specific targets which are
needed for carcinogenesis
and tumor growth
Targeted Drug Delivery
Refers to predominant drug
accumulation within a target
zone that is independent of
the method and route of
drug administration
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Targeted therapy
Targeted Drug Delivery
13. 13
PASSIVE
TARGETING
• Passive targeting is based on drug accumulation in the
areas around the tumours with leaky vasculature;
commonly referred to as the enhanced permeation
and retention (EPR) effect
• Passive targeting exploits the anatomical differences
between normal and tumour tissue to deliver the
drugs.
• Passive targeting involves transport of nanocarriers
through leaky tumour capillary fenestrations into the
tumour interstitium and cells by convection or passive
diffusion & selective accumulation of nanocarriers and
drug then occur by the EPR effect
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14. ▸ The enhanced permeability and retention (EPR)
effect is a unique phenomenon of solid tumors
based on their anatomical and
pathophysiological differences from normal
tissues.
▸ Macromolecular drugs could accumulate and
retain in solid tumor tissues selectively but they
will not distribute much in normal tissue.
▸ EPR based chemotherapy is thus becoming an
important strategy to improve the delivery of
therapeutic agents to tumors for anticancer drug
development.
Enhanced
Permeability
& Retention
Effect
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16. Examples :
Approved
Drugs
Carrier Drug Name Indication
Nanoparticles
• Doxorubi
cin
• paclitaxel
• Transdru
g
• Nanoxel
• Hepato-
Carcinom
a
• Breast
cancer
Liposomes
• Doxorubi
cin
• Vincristin
e
• Myocet
• Marqibo
• Breast
cancer
• Leukemia
Polymeric
micelles
• Paclitaxel
• Genexol-
PM
• Breast,
lung,
pancreati
c cancer
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17. ACTIVE TARGETING
▸Active targeting is used to describe specific interactions
between drug/drug carrier and the target cells, usually
through specific ligand– receptor interactions.
▸Active targeting means a specific ligand–receptor type
interaction for intracellular localization which occurs only after
blood circulation and extravasation.
▸Active drug targeting is generally implemented to improve
target cell recognition and target cell uptake, and not to
improve overall tumor accumulation.
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19. ▸ Ligand mediated targeting is the major approach
that involves ligands developed against cell
receptors or antigenic determinants expressed
on tumor cells or vasculature.
▸ Examples
▸ Folate
▸ Transferrin
▸ Lectins
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21. TRIGGERED
DRUG
DELIVERY
▸ The tumor microenvironment differs from that
normal cells microenvironment.
▸ Advantage of the difference in pH, temperature
and presence of enzymes is used to release the
drug in the tumor microenvironment.
▸ pH sensitive drug release
▸ Enzyme activated conjugates
▸ Proteases
▸ External stimuli triggered (Magnetic field)
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23. RECENT
UPDATES
▸ Polymeric Nano micelles sustained delivery of
anti-cancer drugs(paclitaxel, doxorubicine and
camphothecine using methyl dioxanone as co-
polymer)
▸ Recent advance in drug development: G-
Quadruplex as new drug target
▸ Chemo-photo thermal therapy of doxorubicine
encapsulated in PEGylated graphene oxide
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24. References
▸Targeted & controlled drug delivery Novel
Carrier Systems by S P Vyas and R K Khar;
512- 557
▸Targeted drug delivery to tumours: Myths,
reality and possibility
https://www.ncbi.nlm.nih.gov/pmc/article
s/PMC3272876/
▸Design of nanoparticle based carriers for
targeted drug delivery
https://www.ncbi.nlm.nih.gov/pmc/article
s/PMC4936496/
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