Review
Triggering Mechanisms of Thermosensitive Nanoparticles Under Hyperthermia Condition

https://doi.org/10.1002/jps.24536Get rights and content

Abstract

Nanoparticle-based hyperthermia is an effective therapeutic approach that allows time- and site-specific treatment with minimized off-site effects. The recent advances in materials science have led to design a diversity of thermosensitive nanostructures that exhibit different mechanisms of thermal response to the external stimuli. This article aims to provide an extensive review of the various triggering mechanisms in the nanostructures used as adjuvants to hyperthermia modalities. Understanding the differences between various mechanisms of thermal response in these nanostructures could help researchers in the selection of appropriate materials for each experimental and clinical condition as well as to address the current shortcomings of these mechanisms with improved material design.

Section snippets

INTRODUCTION

Nanoparticle-based drug delivery is an innovative method that has been employed to achieve reduced systemic toxicity, improved drug retention in circulation, and increased intratumoral drug accumulation via the enhanced permeability and retention effect.1 However, the structure heterogeneity of tumor vasculature inflicts an irregular drug extravasation within the infected region.2., 3. Moreover, because of the complexity of interstitial tumor matrix as well as the limited interstitial fluid

COIL–GLOBULE PHASE TRANSITION

Coil–globule phase transition of the thermosensitive polymers has recently found increasing interest for effective release of therapeutics under hyperthermia condition. The unique characteristic of thermosensitive polymers is their discontinuous water-solubility change at a specific temperature referred to as the critical solution temperature (CST). In the concentration–temperature phase diagrams, CST is a temperature where both coil-shaped soluble polymer chains and insoluble polymer globules

MEMBRANE DISRUPTION

Drug release by dissociation of the nanocarriers at hyperthermia temperature range is a triggering mechanism that is mostly observed in thermosensitive liposomes (TSLs). Liposomes are spherical vesicles consisted of aqueous interior cores surrounded by lipid bilayer shells (Fig. 3a) that form by self-assembly of amphiphilic lipids in aqueous solutions.57

The enhanced delivery of anticancer drugs into tumor tissue using TSLs and hyperthermia was firstly reported in 1978.58 Afterwards, various

MICELLIZATION

Aqueous solutions of some amphiphilic polymers exhibit thermal-triggered micellization by hydrophobic effect at temperatures and concentrations higher than their critical micellar temperature (CMT) and critical micellar concentration (CMC), respectively. In general, the hydrogels composed of polymer chains without covalent cross-links may exhibit micellization behavior rather than coil–globule transition. Moreover, the content of hydrophilic moieties may favor the micellization behavior. For

SUPERPARAMAGNETIC BEHAVIOR

Magnetic hyperthermia is a treatment modality that employs external AMF with appropriate frequency and strength to heat a magnetic nanofluid dispersed within the target tissue. The produced thermal energy is further transferred to the surrounding region, whereby maintaining the temperature within the therapeutic threshold (40°C–42°C) for above 30 min could induce apoptosis and effectively killing of the tumor.138., 139. This technique shows the potential to overcome the limitations of other

PHOTO ABSORBANCE

Photothermal cancer therapy is an innovative modality in which the incident light beam is absorbed by chromophoric molecules within the tumor and converted to thermal energy.151., 152. This technique often employs the light beams with wavelengths in the near-infrared (NIR) window (650–900 nm) where the maximum tissue penetration is gained because of a moderate tissue transparency at this wavelength range.153 Scattering is the dominant light–tissue interaction in the NIR window that result in a

DISCUSSION AND CONCLUSION

The present work aimed to review the triggering mechanisms of thermosensitive nanoparticles that have been specifically used as adjuvants in hyperthermia and thermal therapy treatments. In addition to general properties such as biocompatibility, biodegradability, facile production, reproducibility, and mechanical stability in physiological environment, the substantial influential features in clinical success of these actuation mechanisms are zero-order function in physiological temperature, as

AKNOWLEDGMENTS

This research was supported by the High Impact Research, Ministry of Higher Education (MOHE) Malaysia (grant no. UM.C/HIR/MOHE/DENT/14).

The authors do not report any conflict of interests.

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