2021
DOI: 10.1021/acs.bioconjchem.1c00422
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The Role of Ultrasound in Modulating Interstitial Fluid Pressure in Solid Tumors for Improved Drug Delivery

Abstract: The unique microenvironment of solid tumors, including desmoplasia within the extracellular matrix, enhanced vascular permeability, and poor lymphatic drainage, leads to an elevated interstitial fluid pressure which is a major barrier to drug delivery. Reducing tumor interstitial fluid pressure is one proposed method of increasing drug delivery to the tumor. The goal of this topical review is to describe recent work using focused ultrasound with or without microbubbles to modulate tumor interstitial fluid pres… Show more

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Cited by 17 publications
(5 citation statements)
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“…This force has been shown to improve nanoparticle penetration through the tumor interstitium, especially when focused ultrasound is used (Afadzi et al, 2021; Baghirov et al, 2018; George et al, 2019; Mo et al, 2012). Other ultrasound methodologies (e.g., mechanical and thermal effects from focused ultrasound) have also been used to modulate tumor IFP to improve drug delivery (Keller & Averkiou, 2022). Thus, if the patient is not projected to have effective nanoparticle penetration into the tumor interstitium, tumor‐modulating strategies can be employed.…”
Section: Future Predictions With Ultrasound: a Robust Strategy For Tu...mentioning
confidence: 99%
“…This force has been shown to improve nanoparticle penetration through the tumor interstitium, especially when focused ultrasound is used (Afadzi et al, 2021; Baghirov et al, 2018; George et al, 2019; Mo et al, 2012). Other ultrasound methodologies (e.g., mechanical and thermal effects from focused ultrasound) have also been used to modulate tumor IFP to improve drug delivery (Keller & Averkiou, 2022). Thus, if the patient is not projected to have effective nanoparticle penetration into the tumor interstitium, tumor‐modulating strategies can be employed.…”
Section: Future Predictions With Ultrasound: a Robust Strategy For Tu...mentioning
confidence: 99%
“…To reduce TIFP in solid tumors, various strategies are being developed including: normalization of the integrity of tumor vessels using antibodies against VEGF in combination with cytotoxic therapy [22,77]. However, strategies aimed at reducing TIFP in tumors, require more detailed studies to improve their effectiveness [78][79][80][81][82]. Our attention was drawn to a method of delivering drugs to head tumors using the Ommaya reservoir [83].…”
Section: High Tumor Interstitial Fluid Pressure (Tifp)mentioning
confidence: 99%
“…[63][64][65][66] Compared with other stimulation conditions, ultrasonic triggering is noninvasive, safe, controllable, and economical, and thus deserves attention under novel triggering conditions. Currently, ultrasoundresponsive hydrogels, combining the characteristics of hydrogels and ultrasound, have made many outstanding achievements in biomedical applications, such as drug delivery, [67][68][69][70][71] biomedical imaging 64,72,73 and smart materials, [74][75][76][77] and shown increasingly powerful functions in biomedical applications.…”
Section: Introductionmentioning
confidence: 99%