# Triggered Drug Release From Liposomes: Exploiting the Outer and Inner Tumor Environment

**Authors:** Marina Santiago Franco, Eliza Rocha Gomes, Marjorie Coimbra Roque, Mônica Cristina Oliveira

PMC · DOI: 10.3389/fonc.2021.623760 · Frontiers in Oncology · 2021-03-16

## TL;DR

This review discusses how liposomes can be triggered to release anticancer drugs specifically at the tumor site by exploiting the unique environment of tumors.

## Contribution

The paper reviews novel strategies for triggering drug release from liposomes by utilizing the outer and inner tumor environment.

## Key findings

- Liposomes can passively accumulate in tumors due to leaky vasculature and poor lymphatic drainage.
- Strategies like PEGlation and ligand attachment improve liposome efficacy and targeting.
- Triggered drug release at the tumor site is a major focus for improving cancer treatment.

## Abstract

Since more than 40 years liposomes have being extensively studied for their potential as carriers of anticancer drugs. The basic principle behind their use for cancer treatment consists on the idea that they can take advantage of the leaky vasculature and poor lymphatic drainage present at the tumor tissue, passively accumulating in this region. Aiming to further improve their efficacy, different strategies have been employed such as PEGlation, which enables longer circulation times, or the attachment of ligands to liposomal surface for active targeting of cancer cells. A great challenge for drug delivery to cancer treatment now, is the possibility to trigger release from nanosystems at the tumor site, providing efficacious levels of drug in the tumor. Different strategies have been proposed to exploit the outer and inner tumor environment for triggering drug release from liposomes and are the focus of this review.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Genes:** ERBB2 (erb-b2 receptor tyrosine kinase 2) [NCBI Gene 2064] {aka CD340, HER-2, HER-2/neu, HER2, MLN 19, MLN-19}, Foxn1 (forkhead box N1) [NCBI Gene 15218] {aka D11Bhm185e, Fkh19, HFH-11, Hfh11, Whn, nu}, Cd44 (CD44 antigen) [NCBI Gene 12505] {aka HERMES, Ly-24, Pgp-1}, S100A1 (S100 calcium binding protein A1) [NCBI Gene 6271] {aka S100, S100-alpha, S100A}, MMP2 (matrix metallopeptidase 2) [NCBI Gene 4313] {aka CLG4, CLG4A, MMP-2, MMP-II, MONA, TBE-1}, MMP9 (matrix metallopeptidase 9) [NCBI Gene 4318] {aka CLG4B, GELB, MANDP2, MMP-9}, ELN (elastin) [NCBI Gene 2006] {aka ADCL1, SVAS, WBS, WS}, TMEM79 (transmembrane protein 79) [NCBI Gene 84283] {aka MATT}, PSMA7 (proteasome 20S subunit alpha 7) [NCBI Gene 5688] {aka C6, HEL-S-276, HSPC, RC6-1, XAPC7}, MUC2 (mucin 2, oligomeric mucus/gel-forming) [NCBI Gene 4583] {aka MLP, MUC-2, SMUC}, GSR (glutathione-disulfide reductase) [NCBI Gene 2936] {aka CNSHA10, GR, GSRD, HEL-75, HEL-S-122m}, MDH2 (malate dehydrogenase 2) [NCBI Gene 4191] {aka DEE51, EIEE51, M-MDH, MDH, MGC:3559, MOR1}, Mmp9 (matrix metallopeptidase 9) [NCBI Gene 81687], Tat (tyrosine aminotransferase) [NCBI Gene 234724], PLA2G1B (phospholipase A2 group IB) [NCBI Gene 5319] {aka PLA2, PLA2A, PPLA2}, MIR155 (microRNA 155) [NCBI Gene 406947] {aka MIRN155, miRNA155, mir-155}, FN1 (fibronectin 1) [NCBI Gene 2335] {aka CIG, ED-B, FINC, FN, FNZ, GFND}, Plk1 (polo-like kinase 1) [NCBI Gene 25515] {aka Plk}
- **Diseases:** hyperthermia (MESH:D005334), colon rectal cancer (MESH:D015179), glial tumor (MESH:D005910), lung (MESH:D008171), brain cancers (MESH:D001932), glioblastoma (MESH:D005909), cardiotoxicity (MESH:D066126), Hypoxia (MESH:D000860), mammary adenocarcinoma (MESH:D000230), pancreatic adenocarcinoma (MESH:D010190), murine lymphocytic leukemia (MESH:D007945), osteosarcoma (MESH:D012516), cancer (MESH:D009369), skin burns (MESH:D002056), pancreatic (MESH:D010195), TSL (MESH:C566575), breast (MESH:D061325), liver tumors (MESH:D008113), prostate (MESH:D011472), hypoxic (MESH:D002534), HCC (MESH:D006528), Cytotoxicity (MESH:D064420), breast cancer (MESH:D001943), squamous cell (FaDu) carcinoma (MESH:D002294)
- **Chemicals:** PS (MESH:D010758), Lipid (MESH:D008055), Methotrexate (MESH:D008727), phosphate (MESH:D010710), silver (MESH:D012834), DSPG (MESH:C084352), 5-carboxy fluorescein (MESH:C045132), DAU (MESH:D003630), cobalt (MESH:D003035), lipopeptide (MESH:D055666), DOTAP (MESH:C070046), graphene (MESH:D006108), oligopeptide (MESH:D009842), hyaluronic acid (MESH:D006820), thiol (MESH:D013438), GEM (MESH:D000093542), CQ (MESH:D002738), coumarin-6 (MESH:C517282), octadecylamine (MESH:C009317), carbon nanotubes (MESH:D037742), oligoarginine (MESH:C015462), 5-ALA (MESH:C000614854), histidine (MESH:D006639), HEPES (MESH:D006531), lysine (MESH:D008239), DSPC (MESH:C010942), PE (MESH:C483858), ROS (MESH:D017382), N- hydroxysuccinimide (MESH:C001426), folate (MESH:D005492), methoxy-poly(ethyleneglycol)-b-poly(N-2-hydroxypropyl methacrylamide-co-histidine)-cholesterol (MESH:C000593609), HA (MESH:C012346), TPZ (MESH:D000077704), oxides (MESH:D010087), biotin (MESH:D001710), mPEG2000-DSPE (MESH:C099730), ferrites (MESH:C001215), TiO2 (MESH:C009495), DPPC (MESH:D015060), HF (MESH:D006195), CMD (MESH:C014392), amine (MESH:D000588), GSH (MESH:D005978), Brij78 (MESH:C043444), dextran (MESH:D003911), magnetite (MESH:D052203), CHEMS (MESH:C013440), TPP (MESH:C016136), Nile red (MESH:C044808), ADP (MESH:D000244), MTT (MESH:C070243), amino acids (MESH:D000596), azobenzene (MESH:C009850), CHOL (MESH:D002784), MHA (MESH:C069357), agarose (MESH:D012685), 7,12-dimethylbenz[a]anthracene (MESH:D015127), singlet oxygen (MESH:D026082), curcumin (MESH:D003474), Ce6 (MESH:C062985)
- **Species:** Canis lupus familiaris (dog, subspecies) [taxon 9615], Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606], Rattus norvegicus (brown rat, species) [taxon 10116]
- **Cell lines:** SKOV-3 — Homo sapiens (Human), Ovarian serous cystadenocarcinoma, Cancer cell line (CVCL_0532), HCT116 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_0291), B16F1 — Mus musculus (Mouse), Mouse melanoma, Cancer cell line (CVCL_0158), Balb/c — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_0184), MG63 — Homo sapiens (Human), Osteosarcoma, Cancer cell line (CVCL_0426), 4T1 breast tumor — Homo sapiens (Human), Breast carcinoma, Cancer cell line (CVCL_5G43), KB — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0372), C6 — Rattus norvegicus (Rat), Rat malignant glioma, Cancer cell line (CVCL_0194), PANC-1 — Homo sapiens (Human), Pancreatic ductal adenocarcinoma, Cancer cell line (CVCL_0480), Hela — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_0030), L1210JF — Terapon jarbua (Jarbua terapon), Spontaneously immortalized cell line (CVCL_R878), EMT6/P — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_4173), PC-3 — Homo sapiens (Human), Human papillomavirus-related endocervical adenocarcinoma, Cancer cell line (CVCL_B1NB), Balb/ — Mus musculus (Mouse), Spontaneously immortalized cell line (CVCL_0637), 4T1 — Mus musculus (Mouse), Malignant neoplasms of the mouse mammary gland, Cancer cell line (CVCL_0125), MIAPaCa-2 — Homo sapiens (Human), Pancreatic undifferentiated carcinoma, Cancer cell line (CVCL_0428), MCF-7 — Homo sapiens (Human), Invasive breast carcinoma of no special type, Cancer cell line (CVCL_0031), Balb/C — Mus musculus (Mouse), Mouse thymic lymphoma, Cancer cell line (CVCL_C5SS), /2 — Homo sapiens (Human), Colon carcinoma, Cancer cell line (CVCL_A628), U87 — Homo sapiens (Human), Glioblastoma, Cancer cell line (CVCL_0022)

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC8008067/full.md

## References

140 references — full list in the complete paper: https://tomesphere.com/paper/PMC8008067/full.md

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Source: https://tomesphere.com/paper/PMC8008067