The enhanced permeability and retention (EPR) effect allows for the accumulation of drug carriers in the interstitial fluid of the diseased tissue. The drug entrapped or conjugated to the carriers can be retained in the tumor tissue for a longer time, whereas free drug with low-molecular weight easily diffuse back out.
Active targeting can be achieved via specific recognition processes, including ligand-receptor and antibody-antigen recognition by the surface modification with various ligands, such as folate, mannose, and galactose.