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      Dual-modified liposome codelivery of doxorubicin and vincristine improve targeting and therapeutic efficacy of glioma

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          Abstract

          Therapeutic outcome for the treatment of glioma was often limited due to drug resistance and low permeability of drug across the multiple physiological barriers, including the blood-brain barrier (BBB), and the blood-tumor barrier (BTB). In order to overcome these hurdles, we designed T7 and DA7R dual peptides-modified liposomes (abbreviated as T7/ DA7R-LS) to efficiently co-delivery doxorubicin (DOX) and vincristine (VCR) to glioma in this study. T7 is a seven-peptide ligand of transferrin receptors (TfR) capable of circumventing the BBB and then targeting glioma. DA7R is a d-peptide ligand of vascular endothelial growth factor receptor 2 (VEGFR 2) overexpressed on angiogenesis, presenting excellent glioma-homing property. By combining the dual-targeting delivery effect, the dual-modified liposomes displayed higher glioma localization than that of single ligand-modified liposomes or free drug. After loading with DOX and VCR, T7/ DA7R-LS showed the most favorable antiglioma effect in vivo. In conclusion, this dual-targeting, co-delivery strategy provides a potential method for improving brain drug delivery and antiglioma treatment efficacy.

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          Most cited references36

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          CBTRUS statistical report: primary brain and central nervous system tumors diagnosed in the United States in 2005-2009.

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            To exploit the tumor microenvironment: Since the EPR effect fails in the clinic, what is the future of nanomedicine?

            F Danhier (2016)
            Tumor targeting by nanomedicine-based therapeutics has emerged as a promising approach to overcome the lack of specificity of conventional chemotherapeutic agents and to provide clinicians the ability to overcome shortcomings of current cancer treatment. The major underlying mechanism of the design of nanomedicines was the Enhanced Permeability and Retention (EPR) effect, considered as the "royal gate" in the drug delivery field. However, after the publication of thousands of research papers, the verdict has been handed down: the EPR effect works in rodents but not in humans! Thus the basic rationale of the design and development of nanomedicines in cancer therapy is failing making it necessary to stop claiming efficacy gains via the EPR effect, while tumor targeting cannot be proved in the clinic. It is probably time to dethrone the EPR effect and to ask the question: what is the future of nanomedicines without the EPR effect? The aim of this review is to provide a general overview on (i) the current state of the EPR effect, (ii) the future of nanomedicine and (iii) the strategies of modulation of the tumor microenvironment to improve the delivery of nanomedicine.
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              Vascular endothelial growth factor as an anti-angiogenic target for cancer therapy.

              New blood vessel formation (angiogenesis) is fundamental to tumor growth, invasion, and metastatic dissemination. The vascular endothelial growth factor (VEGF) signaling pathway plays pivotal roles in regulating tumor angiogenesis. VEGF as a therapeutic target has been validated in various types of human cancers. Different agents including antibodies, aptamers, peptides, and small molecules have been extensively investigated to block VEGF and its pro-angiogenic functions. Some of these agents have been approved by FDA and some are currently in clinical trials. Combination therapies are also being pursued for better tumor control. By providing comprehensive real-time information, molecular imaging of VEGF pathway may accelerate the drug development process. Moreover, the imaging will be of great help for patient stratification and therapeutic effect monitoring, which will promote effective personalized molecular cancer therapy. This review summarizes the current status of tumor therapeutic agents targeting to VEGF and the applications of VEGF related molecular imaging.
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                Author and article information

                Journal
                Drug Deliv
                Drug Deliv
                Drug Delivery
                Taylor & Francis
                1071-7544
                1521-0464
                7 July 2017
                2017
                : 24
                : 1
                : 1045-1055
                Affiliations
                [a ]State key Laboratory of Toxicology and Medical Countermeasure, Department of Pharmaceutics, Beijing Institute of Pharmacology and Toxicology , Beijing, PR China;
                [b ]Hubei University of Science and Technology , Xianning, PR China;
                [c ]Jiamusi University , Jiamusi, PR China;
                [d ]Outpatient Department of Beijing Space City, Aerospace Systems Divison, PLA Strategic Support Force , Beijing, PR China;
                [e ]Department of Pharmacy, Wuhan General Hospital of the Chinese People’s Liberation Army , Wuhan, PR China;
                [f ]School of Pharmacy, Qiqihar Medical University , Qiqihar, PR China
                Author notes
                [*]

                These authors contributed equally to this work.

                Supplemental data for this article can be accessed here .

                CONTACT Yang Yang jiamusi101@ 123456126.com ; Zhiping Li zhipingli@ 123456126.com State key Laboratory of Toxicology and Medical Countermeasure, Department of Pharmaceutics, Beijing Institute of Pharmacology and Toxicology , Beijing100850, PR China;
                Xiangyang Xie xxy5727035@ 123456163.com Department of Pharmacy, Wuhan General Hospital of the Chinese People’s Liberation Army , Wuhan430070, PR China
                Article
                1344334
                10.1080/10717544.2017.1344334
                8240983
                28687044
                94e77c30-ec61-41ad-ab75-9189216d2e71
                © 2017 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 5, Pages: 11, Words: 7064
                Categories
                Research Article
                Research Article

                Pharmacology & Pharmaceutical medicine
                t7 peptide,da7r peptide,brain targeted drug delivery,glioma,doxorubicin,vincristine

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