Review Article

Exploration of Site-Specific Drug Targeting—A Review on EPR-, Stimuli-, Chemical-, and Receptor-Based Approaches as Potential Drug Targeting Methods in Cancer Treatment

Table 3

Example of some recent progression in receptor-mediated drug targeting along with types of cancer treated.

Type of approachType of cancer cellDrug + LigandFeatureRef

Transferrin receptorA2780 ovarian carcinoma cellsDOX + R8 and transferrinFlow cytometry exposed a 2-fold increase in intracellular DOX delivery in an ovarian xenograft model[200]
Glioma cancer lines (LN229 and U87)Pc 4 + transferrin peptideCellular uptake was higher than nontargeted conjugate. Transferrin-directed gold nanoparticles were promisingly efficient for delivery of Pc4 that is used in noninvasive imaging of brain tumor[201]
OVCAR-3, MDA-MB231, and MDA-MB231 (R) cell linesDox + transferrinBoth in vitro cell lines had shrunk cellular migration and reformed the cell cycle, while the tumor-bearing mice showed amplified delivery of doxorubicin precisely to the tumor microenvironment[202]
Lewis lung carcinoma (LLC) cellsDihydroartemisinin (DHA) + transferrin (TF)Extensive cytotoxicity as well as a decline in tumor development in tumor-bearing mice compared to nonligand targeted delivery[203]
Lung cancer cells (A549)Cisplatin + cytochrome cConfocal microscopy showed retention of cytochrome c via overexpressed transferrin. In vitro study indicated cell death through the triggering of the caspase-3 enzyme. This neo conjugate did not harm healthy lung cells, which sustained an IC50 value of 50 μM observed in cisplatin + cytochrome c conjugate[204]

CDD4 receptorHead and neck cancers, breast cancers, and liver cancersPaclitaxel + hyaluronic acidEnhanced cellular retention in breast cancer in comparison with macromolecule and liver cell high tumor growth reduction compared with nanoparticle[205]

Folate receptorKB cellsDox + folic acidElevated cargo accumulation[206]
Ovarian cancerDox + folateCell line analysis exhibited 10.33-fold decreased IC50 in A2780 and in OVCAR3 cell 3.93 times lower than untargeted nanoparticles[207]
Hela cellsDox + folateHigher cellular uptake[208]

EGFR receptorSK-OV-3 tumor xenograftssiRNA and doxorubicin + EGFR antibody conjugated immunonanoparticlesEnhanced siRNA released to EGFR expressing cell after significant cell binding[209]

Interleukin-6 receptorHuman glioma U87 cellspDNA + I6P7 peptideDemonstrated unique gene expression in glioma cells U-87 of humans with deeper penetration. IV administration resulted in enhanced survival time in mice with orthotopic glioma U-87[210]

Integrins avβ3 and β5 receptorGlioblastoma multiforme (GBM)Cilengitide + poloxamer 188-attached heparin copolymerTerminal deoxynucleotidyl transferase biotin-dUTP Nick end labelling assay of tumor samples and Western blot and electron microscopy showed prominent apoptosis[95]

Human epidermal growth factor receptor 2 (HER2)HER2 positive and multidrug-resistant breast cancer cell line (BT474/MDR)Bevacizumab and doxorubicin + antibodyElevated concentration of doxorubicin to the nucleus as well as steady reduction in tumor size throughout 60 days[211]

TNF receptorHCT 116, DOX resistant MCF-7, and CAPAN-1Dox + TNF-relatedapoptosis-inducing ligand (Apo2L/TRAIL)Inhibition of proliferation of multiple tumor cells through cytotoxicity and apoptosis[212]

Lectin(DOX, chloroquine phosphate, lamivudine, triphosphate, and efavirenz) + sugar moietiesExhibited promising outcomes in targeted drug delivery[213215]