Macromolecular
drug candidates and nanoparticles are typically
tested in 2D cancer cell culture models, which are often directly
followed by in vivo animal studies. The majority
of these drug candidates, however, fail in vivo.
In contrast to classical small-molecule drugs, multiple barriers exist for these larger molecules that two-dimensional approaches do not recapitulate. In order to provide better mechanistic insights
into the parameters controlling success and failure and due to changing
ethical perspectives on animal studies, there is a growing need for in vitro models with higher physiological relevance. This
need is reflected by an increased interest in 3D tumor models, which
during the past decade have evolved from relatively simple tumor cell
aggregates to more complex models that incorporate additional tumor
characteristics as well as patient-derived material. This review will
address tissue culture models that implement critical features of
the physiological tumor context such as 3D structure, extracellular
matrix, interstitial flow, vascular extravasation, and the use of
patient material. We will focus on specific examples, relating to
peptide-and protein-conjugated drugs and other nanoparticles, and
discuss the added value and limitations of the respective approaches.