Carbohydrate polymer-driven nanoparticle synthesis and functionalization in the brain tumor therapy: A review

The brain tumors have been characterized with aggressive and heterogeneous nature. The treatment of brain tumors has been challenging due to their sensitive location and also, presence of blood-brain barrier (BBB) that reduces the entrance of bioactive compounds to the brain tissue. Therefore, the new treatment strategies should be focused on improving the efficacy of conventional therapeutics, crossing over biological barriers and introducing new kinds of methods for brain tumor elimination. In the recent years, the application of carbohydrate polymers in the treatment of human cancers has been increased as they possess biocompatibility, biodegradability and selective targeting of tumor cells. Moreover, carbohydrate polymer-based nanoparticles demonstrate desirable drug loading and encapsulation, making them suitable for the delivery of bioactive compounds. Accordingly, the carbohydrate polymers and their nanoparticles have been developed to improve the drug and gene delivery to brain tumors. Moreover, these nanoparticles can increase sensitivity of chemotherapy and immunotherapy. In addition to providing combination therapy, the carbohydrate polymer-based nanoparticles can elevate the phototherapy-mediated tumor ablation. These nanocarriers have demonstrated desirable particle size, zeta potential and encapsulation efficiency that are beneficial for brain tumor therapy. Moreover, these nanoparticles have high biocompatibility that can be subsequently utilized in clinical studies.

Dual-peptide-functionalized albumin-based nanoparticles with ph-dependent self-assembly behavior for drug delivery

Drug delivery has become an important strategy for improving the chemotherapy efficiency. Here we developed a multifunctionalized nanosized albumin-based drug-delivery system with tumor-targeting, cell-penetrating, and endolysosomal pH-responsive properties. cRGD-BSA/KALA/DOX nanoparticles were fabricated by self-assembly through electrostatic interaction between cell-penetrating peptide KALA and cRGD-BSA, with cRGD as a tumor-targeting ligand. Under endosomal/lysosomal acidic conditions, the changes in the electric charges of cRGD-BSA and KALA led to the disassembly of the nanoparticles to accelerate intracellular drug release. cRGD-BSA/KALA/DOX nanoparticles showed an enhanced inhibitory effect in the growth of αvβ3-integrin-overexpressed tumor cells, indicating promising application in cancer treatments.

A near-infrared multifunctional fluorescent probe with an inherent tumor-targeting property for bioimaging

A mitochondria-targeting probe, by conjugating a quaternary ammonium cation with glucosamine modified pH-activated cyanine, was designed and synthesized. This probe has excellent selectivity and sensitivity toward pH, stability, cellular membrane permeability and low cytotoxicity. Owing to the acidic feature of tumors and the more negative mitochondrial membrane potential of tumor cells than that of normal cells, this probe can selectively accumulate in tumor cells and light up its fluorescence. It has been successfully applied for in vivo tumor imaging with a high signal-to-noise ratio. Moreover, this multifunctional switchable sensor was also employed for the fluorescent imaging of the fluctuation of intracellular pH in HeLa cells.

Multi-parametric imaging of the invasiveness-permissive acidic microenvironment in human glioma xenografts

Non-invasive multi-parametric imaging demonstrated the positive correlation between the invasiveness and extracellular acidity in glioma xenografts.

Nanoprobes visualizing gliomas by crossing the blood brain tumor barrier

The difficulty in delineating the glioma margins in brain is a major obstacle for its completed resection, which leads to the disproportionately high recurrence and mortality. Besides the fast exertion rate, inadequate sensitivity and non-targeting specificity, the main reason leading to failure of small molecular probes to define gliomas is their incapability to efficiently cross the blood brain tumor barrier (BBTB). Nanoprobes (NPs) show promise to precisely delineate the geographically irregular tumor margins due to their tunable size/circulation lifetime that maximize their passive intratumoral accumulation and their convenience for surface modification that increases the BBTB transcytosis efficacy, imaging sensitivity and receptor targeting specificity. In this work, the characteristics of the BBTB are addressed from biological and physiological perspectives, strategies are presented to deliver NPs across the BBTB, recent developments of NPs are reviewed for glioma visualization and finally the difficulty and promise for clinical translation of NPs are described. Overall, NPs hold great potential for glioma imaging and treatment by pre-surgically delineating tumor margins and intra-operatively guiding tumor excision.

Rhodamine based pH-sensitive “intelligent” polymers as lysosome targeting probes and their imaging applications in vivo

Two rhodamine-based polymers were prepared via free radical polymerization and could serve as lysosome targeting probes with good pH sensitivity. Fluorescence imaging of nude mice displayed a chance for visualization of cancerous tissue in vivo by sensing its acidic microenvironments.

pH-responsive near-infrared nanoprobe imaging metastases by sensing acidic microenvironment

A pH responsive near-infrared fluorescence nanoprobe was developed and visualized pulmonary metastases in a mouse model with a volume as small as 0.5 mm³ by sensing the acidic tumor microenvironment.

Exploiting the tumor microenvironment for theranostic imaging

The integration of chemistry and molecular biology with imaging is providing some of the most exciting opportunities in the treatment of cancer. The field of theranostic imaging, where diagnosis is combined with therapy, is particularly suitable for a disease as complex as cancer, especially now that genomic and proteomic profiling can provide an extensive 'fingerprint' of each tumor. Using this information, theranostic agents can be shaped for personalized treatment to target specific compartments, such as the tumor microenvironment (TME), whilst minimizing damage to normal tissue. These theranostic agents can also be used to target multiple pathways or networks by incorporating multiple small interfering RNAs (siRNAs) within a single agent. A decade ago genetic alterations were the primary focus in cancer research. Now it is apparent that the tumor physiological microenvironment, interactions between cancer cells and stromal cells, such as endothelial cells, fibroblasts and macrophages, the extracellular matrix (ECM), and a host of secreted factors and cytokines, influence progression to metastatic disease, aggressiveness and the response of the disease to treatment. In this review, we outline some of the characteristics of the TME, describe the theranostic agents currently available to target the TME and discuss the unique opportunities the TME provides for the design of novel theranostic agents for cancer therapy.