4.4 Review

Barriers to Drug Delivery in Interventional Oncology

Journal

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
Volume 24, Issue 8, Pages 1201-1207

Publisher

ELSEVIER SCIENCE INC
DOI: 10.1016/j.jvir.2013.03.034

Keywords

-

Funding

  1. Defense for Research and Engineering under Air Force Contract [FA8721-05-C-0002]

Ask authors/readers for more resources

Although much attention has been paid to mechanisms of anticancer drug resistance that focus. on intracellular processes that,. protect tumor cells, it has recently become increasingly evident that the unique features of the tumor microenvironment profoundly impact the efficacy of cancer therapies. The properties of this extracellular milieu, including increased interstitial pressure, decreased pH, hypoxia, and abnormal vascularity, result in limited drug efficacy; this finding is true not only for systemic chemotherapy but also for catheter-based therapies, including chemoembolization and radioembolization. The present review summarizes the bathers to drug delivery imposed by the tumor microenvironment and provides methods' to overcome these hurdles.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.4
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Chemistry, Multidisciplinary

Nanocomposite Hydrogel with Tantalum Microparticles for Rapid Endovascular Hemostasis

Hassan Albadawi, Izzet Altun, Jingjie Hu, Zefu Zhang, Anshuman Panda, Han-Jun Kim, Ali Khademhosseini, Rahmi Oklu

Summary: The bioengineered tantalum-loaded nanocomposite hydrogel for gel embolic material (Ta-GEM) can achieve instant hemostasis through clinical catheters, with high visibility and retrievability, unaffected by patient's coagulation state. In animal experiments, it demonstrates safe and durable characteristics, with potential to replace traditional coil embolization.

ADVANCED SCIENCE (2021)

Article Medicine, General & Internal

Treatment of Hepatic Artery Stenosis in Liver Transplant Patients Using Drug-Eluting versus Bare-Metal Stents

Sailendra Naidu, Sadeer Alzubaidi, Grace Knuttinen, Indravadan Patel, Andrew Fleck, John Sweeney, Bashar Aqel, Brandon Larsen, Matthew Buras, Michael Golafshar, Rahmi Oklu

Summary: The study examined the use of stents for hepatic artery stenosis after liver transplant, with drug-eluting stents showing improved patency rates compared to bare-metal stents, especially in arteries with diameters less than 4.5mm.

JOURNAL OF CLINICAL MEDICINE (2021)

Article Chemistry, Multidisciplinary

Silk Embolic Material for Catheter-Directed Endovascular Drug Delivery

Jingjie Hu, Hassan Albadawi, Zefu Zhang, Marcela A. Salomao, Seyda Gunduz, Suliman Rehman, Luciana D'Amone, Joseph L. Mayer, Fiorenzo Omenetto, Rahmi Oklu

Summary: A novel silk-based embolic material (SEM) has been developed and optimized for embolization and therapeutic drug delivery. In vitro studies show sustained release of drugs from SEM over 28 days, while in vivo experiments demonstrate successful embolization and drug delivery in porcine arteries. SEM has the potential to be a next-generation embolic agent for treating vascular diseases, including tumors.

ADVANCED MATERIALS (2022)

Article Chemistry, Multidisciplinary

Treatment of Ruptured and Nonruptured Aneurysms Using a Semisolid Iodinated Embolic Agent

Zefu Zhang, Hassan Albadawi, Richard J. Fowl, Izzet Altun, Marcela A. Salomao, Jama Jahanyar, Brian W. Chong, Joseph L. Mayer, Rahmi Oklu

Summary: Saccular aneurysms are outpouchings from artery walls and have limitations with current treatment options. A nanoclay-based hydrogel, called STH, is developed and shows promising results in preclinical studies, effectively treating saccular aneurysms and potentially changing medical practice.

ADVANCED MATERIALS (2022)

Article Urology & Nephrology

Polycythemia secondary to renal cysts

John Fasolino, Rahmi Oklu, Jeanne Palmer, Musab S. Hommos

JOURNAL OF NEPHROLOGY (2022)

Letter Radiology, Nuclear Medicine & Medical Imaging

Selective Intra-Arterial Lutetium-177-Labeled Prostate-Specific Membrane Antigen Therapy for Castration-Resistant Prostate Cancer: Initial Results

Haluk B. Sayman, Fatih Gulsen, Sait Sager, Elife Akgun, Nami Yeyin, Seckin Bilgic, Kubra N. Toplutas, Feifei An, Fatih Beytur, Rahmi Oklu, Omer Aras

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY (2022)

Review Medicine, General & Internal

Percutaneous Image-Guided Ablation of Lung Tumors

Sadeer J. Alzubaidi, Harris Liou, Gia Saini, Nicole Segaran, J. Scott Kriegshauser, Sailendra G. Naidu, Indravadan J. Patel, Rahmi Oklu

Summary: Percutaneous image-guided lung ablation, including cryoablation, is considered a promising treatment option for lung tumors, with recent encouraging results in protocol optimization for cryoablation.

JOURNAL OF CLINICAL MEDICINE (2021)

Review Medicine, General & Internal

Prostate Artery Embolization-Review of Indications, Patient Selection, Techniques and Results

Sailendra G. Naidu, Harish Narayanan, Gia Saini, Nicole Segaran, Sadeer J. Alzubaidi, Indravadan J. Patel, Rahmi Oklu

Summary: PAE is a novel treatment option for LUTS due to BPH, offering clinical efficacy comparable to TURP but with fewer complications and side effects, without the need for general anesthesia or hospitalization.

JOURNAL OF CLINICAL MEDICINE (2021)

Review Medicine, General & Internal

Applications of 3D Bioprinting in Tissue Engineering and Regenerative Medicine

Gia Saini, Nicole Segaran, Joseph L. Mayer, Aman Saini, Hassan Albadawi, Rahmi Oklu

Summary: Regenerative medicine focuses on restoring and regenerating damaged tissue, with tissue engineering as an application seeking to create functional tissue components and organs using 3D printing technologies. The use of 3D bioprinting has advanced tissue engineering by creating specialized tissue models, which could improve upon conventional methods.

JOURNAL OF CLINICAL MEDICINE (2021)

Review Radiology, Nuclear Medicine & Medical Imaging

Venous Anatomy and Collateral Pathways of the Pelvis: An Angiographic Review

Kenneth S. Zurcher, Sasha O. Staack, E. Brooke Spencer, Addison Liska, Sadeer J. Alzubaidi, Indravadan J. Patel, Sailendra G. Naidu, Rahmi Oklu, Ryanne A. Dymek, Martha-Gracia Knuttinen

Summary: The pelvic venous system is complex and has various collateral pathways. Knowledge of these pathways is important for diagnosis and treatment of related diseases in the field of medical imaging and surgery.

RADIOGRAPHICS (2022)

Review Radiology, Nuclear Medicine & Medical Imaging

Transsplenic Portal System Catheterization: Review of Current Indications and Techniques

Kenneth S. Zurcher, Mathew Smith, Sailendra G. Naidu, Gia Saini, Indravadan J. Patel, M. Grace Knuttinen, J. Scott Kriegshauser, Rahmi Oklu, Sadeer J. Alzubaidi

Summary: Transsplenic access (TSA) is an effective and safe method for accessing the portal system in patients with contraindications to traditional approaches. It has a high technical success rate and low rate of procedural complications.

RADIOGRAPHICS (2022)

Editorial Material Chemistry, Multidisciplinary

Noble Nanomedicine: Celebrating Groundbreaking mRNA Vaccine Innovations

Warren C. W. Chan, Natalie Artzi, Chunying Chen, Xiaodong Chen, Dean Ho, Tony Hu, Kazunori Kataoka, Luis M. Liz-Marzan, Rahmi Oklu, Wolfgang J. Parak

ACS NANO (2023)

Article Chemistry, Multidisciplinary

Treatment of Ruptured Wide-Necked Aneurysms using a Microcatheter Injectable Biomaterial

Zefu Zhang, Hassan Albadawi, Richard J. Fowl, Joseph L. Mayer, Brian W. Chong, Rahmi Oklu

Summary: It is shown that instant hemostasis can be achieved by filling the aneurysm sac with a novel biomaterial, rescuing catastrophic bleeding in large-animal models. The optimized gel embolic agent with catheter-injectable and X-ray visible versions outperforms the control groups. The combinatorial approach using gel embolic agent and flow diverter stent may change medical practice and save lives.

ADVANCED MATERIALS (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

Percutaneous Transesophageal Gastrostomy: Procedural Technique and Outcomes

Lisa Rotellini-Coltvet, Alex Wallace, Gia Saini, Sailendra Naidu, Jefferey Scott Kriegshauser, Indravadan Patel, Grace Knuttinen, Sadeer Alzubaidi, Rahmi Oklu

Summary: The study aimed to demonstrate the safety and effectiveness of percutaneous transesophageal gastrostomy (PTEG) as a palliative option for patients with malignant bowel obstructions (MBOs). The study also provided a comprehensive review of PTEG indications, placement technique, and short- and long-term outcomes. The results showed that PTEG is an effective and safe option for improving clinical symptoms and enhancing the quality of life in patients with MBOs.

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY (2023)

Review Automation & Control Systems

Robotic Devices for Minimally Invasive Endovascular Interventions: A New Dawn for Interventional Radiology

Seyda Gunduz, Hassan Albadawi, Rahmi Oklu

Summary: Minimally invasive endovascular interventions are crucial in treating vascular diseases, but facing challenges when adopting an all-endovascular approach. Next-generation smart soft-body robots have the potential to replace existing clinical devices and set the future standards for minimally invasive endovascular therapies.

ADVANCED INTELLIGENT SYSTEMS (2021)

No Data Available