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Table 4 Current challenges in nanoparticle-mediated drug delivery for cancer treatment

From: Developments in nanotechnology approaches for the treatment of solid tumors

Category

Challenge

Description

Design and Development

Nanoparticle Stability [241, 242]

Ensuring stability of nanoparticles during storage and administration is crucial as instability can cause aggregation or premature drug release

Drug Loading Efficiency [243, 244]

Achieving a high drug loading capacity while maintaining the structural integrity of the nanoparticles presents a significant challenge

Scalability and Reproducibility [245, 246]

It is challenging to manufacture nanoparticles on a large scale with consistent quality and performance

Targeting Specificity [247, 248]

Developing nanoparticles that can precisely target cancer cells without affecting healthy cells remains a significant challenge

Controlled Release [249, 250]

Achieving controlled and sustained drug release at the target site is crucial yet challenging

Biological Interactions

Immune System Evasion [251, 252]

Nanoparticles need to avoid detection and clearance by the immune system in order to effectively reach the tumor

Biodistribution and Accumulation [253]

Ensuring that nanoparticles accumulate in the tumor, rather than in non-target tissues, is a major challenge

Biocompatibility and Toxicity [254]

Nanoparticles must be biocompatible and non-toxic to prevent adverse reactions in the body

Heterogeneous Tumor Microenvironment [255, 256]

The variability in tumor microenvironments can impact the penetration and efficacy of nanoparticle-based treatments

Regulatory Issues

Standardization and Characterization [257]

It is important to develop standardized methods for characterizing nanoparticles to obtain regulatory approval, but this process can be quite complex

Safety and Efficacy Testing [184, 258, 259]

To ensure greater clinical reproducibility, preclinical safety and tolerability studies must follow a more extended and rigorous evaluation timeline, which negatively impact on costs

Regulatory Pathways [260, 261]

Understanding and navigating the regulatory pathways for the approval of nanoparticle-based therapies can be a complex and uncertain process

Clinical Translation

Translation from Preclinical to Clinical [184]

Human metabolism is more complex than that of animal models, involving the reticuloendothelial, immune, and lymphatic systems as additional clearance pathways beyond the renal and hepatic routes

Patient Variability [262]

Variations in genetics, disease state, and treatment response can impact nanoparticle-based therapy efficacy

Cost and Accessibility [263]

High development and production costs can restrict patient access to nanoparticle-based therapies

Integration with Existing Therapies [264, 265]

Combining nanoparticle-based therapies with existing cancer treatments requires careful consideration to avoid interactions and optimize therapeutic outcomes