Multitasking
Multitasking
Review
Solid Lipid Nanoparticles: Multitasking Nano-Carriers for
Cancer Treatment
Júlia German-Cortés 1,† , Mireia Vilar-Hernández 1,† , Diana Rafael 1,2,3, * , Ibane Abasolo 1,2,3,4, *
and Fernanda Andrade 1,2,5, *
1 Drug Delivery & Targeting Group, Vall d’Hebron Institut de Recerca, Universitat Autònoma de
Barcelona (UAB), 08035 Barcelona, Spain
2 Networking Research Centre for Bioengineering, Biomaterials, and Nanomedicine (CIBER-BBN),
Instituto de Salud Carlos III, 28029 Madrid, Spain
3 Functional Validation & Preclinical Research (FVPR), U20 ICTS Nanbiosis, Vall d’Hebron Institut de
Recerca (VHIR), Universitat Autònoma de Barcelona (UAB), 08035 Barcelona, Spain
4 Servei de Bioquímica, Hospital Universitari Vall d’Hebron, 08035 Barcelona, Spain
5 Departament de Farmàcia i Tecnologia Farmacèutica i Fisicoquímica, Facultat de Farmàcia i Ciències de
l’Alimentació, Universitat de Barcelona (UB), 08028 Barcelona, Spain
* Correspondence: diana.fernandes_de_so@[Link] (D.R.); [Link]@[Link] (I.A.);
[Link]@[Link] (F.A.)
† These authors contribute equally to this work.
Abstract: Despite all the advances seen in recent years, the severe adverse effects and low specificity
of conventional chemotherapy are still challenging problems regarding cancer treatment. Nanotech-
nology has helped to address these questions, making important contributions in the oncological
field. The use of nanoparticles has allowed the improvement of the therapeutic index of several
conventional drugs and facilitates the tumoral accumulation and intracellular delivery of complex
biomolecules, such as genetic material. Among the wide range of nanotechnology-based drug de-
livery systems (nanoDDS), solid lipid nanoparticles (SLNs) have emerged as promising systems for
delivering different types of cargo. Their solid lipid core, at room and body temperature, provides
SLNs with higher stability than other formulations. Moreover, SLNs offer other important features,
namely the possibility to perform active targeting, sustained and controlled release, and multifunc-
Citation: German-Cortés, J.;
tional therapy. Furthermore, with the possibility to use biocompatible and physiologic materials
Vilar-Hernández, M.; Rafael, D.;
Abasolo, I.; Andrade, F. Solid Lipid
and easy scale-up and low-cost production methods, SLNs meet the principal requirements of an
Nanoparticles: Multitasking ideal nanoDDS. The present work aims to summarize the main aspects related to SLNs, including
Nano-Carriers for Cancer Treatment. composition, production methods, and administration routes, as well as to show the most recent
Pharmaceutics 2023, 15, 831. studies about the use of SLNs for cancer treatment.
[Link]
pharmaceutics15030831 Keywords: solid lipid nanoparticles; nanomedicine; cancer therapy; cancer diagnostics; drug delivery;
targeted therapy
Academic Editor: Shigeru Kawakami
safe and efficient delivery of genetic material and other biomolecules that could not reach
the cells on their own [1].
A wide range of nanoDDS types have been reported in the last decades with countless
different compositions and preparation methods. Among them, solid lipid nanoparti-
cles (SLNs), constituted by a solid lipidic core at body temperature, called the attention
of multiple research groups due to their high versatility regarding different cargos and
administration routes, high stability in physiological conditions, low cost of materials,
and easy production [2]. SLNs were first developed in the early 1990s as an alternative
colloidal delivery system to overcome the limitations of the most common formulations at
the time: emulsions, liposomes, and polymeric nanoparticles [3]. The traditional colloidal
carriers deal with problems such as poor stability, polymer toxicity and degradation, high
cost, and difficulties in scaling-up the production [4]. The solid lipid core of SLNs was
a great improvement in the nanoDDS stability issues. Moreover, the possibility of using
physiologically biocompatible products in SLN composition and their scalable production
methods are highly important parameters in the development of a new nanoDDS.
2. SLN Properties
SLNs comprise a lipid core and are solid at room and body temperatures, surrounded
by a surfactant or emulsifier, stabilizing the core by lowering the interfacial tension with
the aqueous media [5]. Sometimes co-surfactants are also included in the formulation to
further reduce the interfacial tension and increase the stability. The main components of SLNs
used as lipids, surfactants, and co-surfactants and some examples and commercial names are
described in Table 1 [4–6]. When SLNs are applied to gene therapy, cationic lipids are used,
including, among others, n-[1-(2,3-dioleoyloxy)propyl]-n,n,n-trimethylammonium chloride
(DOTAP), cetrimide (CTAB), cetylpyridinium chloride (CPC), or benzalkonium chloride [7].
Lipids
Tripalmitin (Dynasan® 116), tristearin (Dynasan® 118), tricaprylate, trimyristin
Triglycerides
(Dynasan® 114), triolein, trilaurin
Glyceril stearate (Precirol® ATO 5), glyceryl palmitostearate, glyceryl
Glycerides dibehenate (Compritol® 888 ATO), behenoyl polyoxyl-8 glycerides
(Compritol® HD5 ATO)
Fatty acids Steric acid, palmitic acid, behenic acid, lauric acid, linoleic acid, oleic acid,
Waxes Cetyl palmitate, carnauba wax, beeswax, shellac wax, otoba wax, propolis wax
Cholesterol, cocoa butter, hard fat (Gelucire® 43/01, Suppocire® bases,
Witepsol® bases), mixture of triceteareth-4 phosphate and ethylene glycol
Others palmitostearate and diethylene glycol palmitostearate (Sedefos® 75), mixture
of lauroyl polyoxyl-32 glycerides and PEG 6000 (Gelucire® 59/14), mono and
diglycerides and polyoxyl stearate (Gelot® 64)
Surfactants and Co-surfactants
Phospholipids Soy lecithin, egg lectin, phosphatidylcholine
Polysorbates Tween® and Span® derivatives
Poloxamines, poloxamers, tyloxapol, polyvinyl alcohol (PVA), vitamin E-TPGS,
Polymers polyoxyethylene-20-cetyl ether, polyoxyethylene glyceryl monostearate,
diethylene glycol monoethyl ether, propylene glycol, sodium lauryl sulfate
Taurocholic acid sodium salt, taurodeoxycholic acid sodium salt, sodium
Others dodecyl sulfate, cholesteryl oleate, ethanol, butyric acid, polyglyceryl-6
distearate
The components of the formulation must be chosen based on the desired applica-
tion (Figure 1). For example, only excipients approved for parenteral administration
023, 15, x FOR PEER REVIEW 3 of 29
Figure 1. SchematicFigure
representation ofrepresentation
1. Schematic SLNs development
of SLNsand final applications.
development Created inCreated
and final applications. BioRen-
in BioRender.
[Link], accessed on 24 February 2023.
com, accessed on 24 February 2023.
Coating
The size of the SLNs can materials,
be adapted viscosity enhancers,
accordingly to theantioxidants,
formulationabsorption-enhancing
components and agents,
production method, preservatives,
varying from adhesives,
50–1000 and other
nm. excipientsthe
In addition, canloading
also be added to the
capacity final formulation
of hydro-
based on the drugs and the desired application [7].
phobic and hydrophilic drugs and their release profile depends on SLNs composition and
The size of the SLNs can be adapted accordingly to the formulation components
manufacturing [4,8]. The different techniques that can be applied for SLNs characteriza-
and production method, varying from 50–1000 nm. In addition, the loading capacity of
tion were previously reviewed elsewhere [7].
hydrophobic and hydrophilic drugs and their release profile depends on SLNs compo-
SLNs’ surfaces can
sition andbe manufacturing
functionalized[4,8].
withThepolyethylene glycol (PEG)
different techniques coating
that can to in- for SLNs
be applied
crease the efficiency of drug and
characterization gene
were deliveryreviewed
previously to target cells and
elsewhere [7].tissues, improve the
systemic circulation time, and decrease immunogenicity. The PEG
SLNs’ surfaces can be functionalized with polyethylene coating glycol
shields(PEG)
the sur-
coating to in-
face from aggregation, opsonization,
crease the efficiency ofand
drug phagocytosis, prolonging
and gene delivery to targetsystemic
cells andcirculation
tissues, improve the
time [9]. Moreover,systemic circulation effect
the therapeutic time, and decrease immunogenicity.
is potentially more efficient when The PEG coating
the SLNs se-shields the
lectively deliver the drug to its specific site of action with active targeting. For this, thecirculation
surface from aggregation, opsonization, and phagocytosis, prolonging systemic
time [9]. Moreover, the therapeutic effect is potentially more efficient when the SLNs selec-
SLN surface is functionalized with ligands (targeting moieties) that can selectively recog-
tively deliver the drug to its specific site of action with active targeting. For this, the SLN
nize overexpressed receptors on the surface of cancer cells and, ultimately, be translocated
surface is functionalized with ligands (targeting moieties) that can selectively recognize
inside the cells. Consequently, the selective
overexpressed receptors on thedelivery ofcancer
surface of the pharmacologically
cells and, ultimately,active com-
be translocated inside
pounds to the tumor can reduce the toxicity and harmful side effects on other healthy
the cells. Consequently, the selective delivery of the pharmacologically active compounds cells
[2]. This is being explored
to the tumoras can
a multifunctional/multitasking
reduce the toxicity and harmfulplatform
side effectsforonefficient drugcells
other healthy or [2]. This
gene delivery and as a diagnostic tool.
SLNs present some advantages, such as the capacity to load both hydrophobic and
hydrophilic drugs, biocompatibility, low susceptibility to erosion, and slow water absorp-
tion. Also, the main advantages of SLNs over liposomes rely on the higher stability and
loading capacity of hydrophobic drugs [7,10]. Importantly, some of the manufacturing
Pharmaceutics 2023, 15, 831 4 of 28
3.3. Microemulsion
This technique is based on the dilution of microemulsions. Microemulsions are ther-
modynamically stable, optically isotropic, and transparent. Firstly, the hydrophobic drug is
dissolved in the warm lipid (55–85 ◦ C) with the surfactant. At the same time, the water
containing the co-surfactant is heated at the same temperature and dispersed into the lipid
mixture. Then, the warm microemulsion is dispersed into cold water (2–3 ◦ C) at a ratio
varying from 1:25–1:50, under mechanical stirring. The SLNs dispersion is often purified
by tangential ultrafiltration to remove the remaining surfactant and co-surfactant [6].
Pharmaceutics 2023, 15, 831 6 of 28
3.10. Coacervation
The coacervation method is also known as fatty acid coacervation due to the use of fatty
acid alkaline salts. Firstly, a solution with a polymeric stabilizer is prepared. Then, the fatty
acid sodium salt is dispersed homogenously and heated under stirring above its Kraft point.
Pharmaceutics 2023, 15, 831 7 of 28
The drug is then dissolved in an organic solvent added to the solution and stirred until a
unique phase, and a clear solution is obtained. Finally, an acidic solution is added drop by
drop to form a suspension with a pH of around 4. The suspension is then cooled down in a
water bath under stirring at a low temperature (15 ◦ C), and the SLNs are formed [27].
membrane, and high vascularization with limited hepatic first-pass metabolism. In this
type of administration, the formulation should be nebulized through an inhaler device.
For that, all of the formulation’s physicochemical features should be controlled to obtain
nebulized particles with the perfect size [12,36,37].
There are several studies where SLNs are administered through the pulmonary route
for the treatment of diverse pulmonary pathologies, namely tuberculosis [38,39], asthma,
chronic obstructive pulmonary disease (COPD) [40], and lung cancer [41–43]. Furthermore,
there are SLN treatments administered through the pulmonary route for systemic diseases
such as diabetes [44] and hypertension [45].
Figure 2. (A) Enhanced permeability and retention effect (EPR effect). Passive targeting is explained
Figure 2. (A) Enhanced permeability and retention effect (EPR effect). Passive targeting is explained
by the ability of small SLNs to pass through the gaps in the leaky tumor vasculature. (B) Passive
by the
and ability
active of small SLNs
internalization of to pass by
SLNs through the gaps
endocytosis. in the
The leaky
active tumor vasculature.
internalization implies (B)
SLNsPassive and
active internalization of SLNs by endocytosis. The active internalization implies SLNs
functionalized with an antigen and receptor-mediated internalization of the nanoparticle. Createdfunctionalized
in [Link],
with an antigen andaccessed on 24 Februaryinternalization
receptor-mediated 2023. of the nanoparticle. Created in [Link],
accessed on 24 February 2023.
Regarding SLN formulations under clinical evaluation, when searching for lipid
nanoparticles, despite the difficulties in identifying the type of formulation used, some
lipidic nanoparticles, including SLNs, appear as enrolled in clinical trials for the treatment
of different diseases. The majority are intended for topical [59,60] and oral [61] administra-
tion; however, to our knowledge, no clinical trials are ongoing to study the use of SLNs for
cancer therapy. Despite the absence of an actual clinical evaluation, based on the number of
works published and formulations under development for cancer treatment, it is expected
Pharmaceutics 2023, 15, 831 10 of 28
the translation of some of them from the bench to clinical trials in the near future. In fact,
boosted by the success of COVID-19 vaccines, the interest in lipidic nanoparticles exponen-
tially increased, and the pharmaceutical economic studies from Fortune Business Insights
predict an increase in the global market share of lipidic nanoparticles, including SLNs [62].
As referred to, SLN development began in the 1990s, with the first formulations
reaching the market in the cosmetic field. With the increasing interest in this type of system,
many patents related to the composition and techniques used have been presented. An
example is an SLN formulation to improve sorafenib bioavailability [63]. Also, another
patent relates to silymarin-loaded SLNs targeting tumor cells through folic acid surface
modification [64]. The authors claimed an active lung tumor targeting effect, with improved
bioavailability and reduced toxic effects. Oral delivery of docetaxel by means of SLNs was
also claimed in a patent for the improvement of solubility, and sustained release effect of
the drug [65]. An extended list of patents is reviewed elsewhere [66].
Table 3. Examples of SLNs formulation for cancer treatment in different stages of development.
Table 3. Cont.
7. Targeted SLNs
One of the challenges of cancer therapy is the management of adverse side effects
caused by conventional chemotherapy that affect not only the cancer cells but also the
healthy cells. In order to solve this problem, different approaches to specifically target
tumor cells have been strongly explored in recent years. NanoDDS are one of the adopted
strategies since their surface can be functionalized with several targeting moieties to
increase the uptake of the delivery system by the target cells. In the case of SLNs, different
molecules have been used to introduce active targeting moieties, and a summary of the
most recent and relevant works is shown in Table 4.
It is widely known that some cancer cells overexpress certain receptors in compar-
ison to healthy cells; thus, by targeting these receptors, it is expected to obtain a higher
uptake by cancerous cells, as demonstrated by E. Souto et al. [96] and S. Shi et al. [97].
E. Souto et al. [96] developed a Compritol® -based SLN with active targeting against HER2
receptor by conjugating the compact antibody CAB51. The SLNs showed higher cellular
uptake in BT-474 (HER2 positive cells) cells than in MCF-7 (HER2 negative cells), proving
the active targeting of the HER2 receptor. S. Shi et al. [97] proposed dual-targeting by
functionalizing the SLN’s surface with hyaluronic acid and tetraiodothyoacetic acid as lig-
ands of CD44 and αvβ3 receptors, respectively. Functionalized SLNs had a higher cellular
uptake in cells expressing those receptors and increased the therapeutic effect of docetaxel
in vivo. Another example is the SLNs conjugated with the antibody against the receptor for
advanced glycation end products (RAGE) developed by V. T. Siddhartha et al. [98]. These
SLNs loaded with di-allyl-disulfide were taken up more efficiently and induced higher
cytotoxicity than the unconjugated SLNs in triple-negative breast cancer cells. The higher
cytotoxicity was due to a combined effect of intracellular accumulation of di-allyl-disulfide
and the promotion of pro-apoptotic proteins by the inhibition of the RAGE receptor.
Targeting the folate receptor is also a widely used approach for increasing the tumoral accu-
mulation/internalization of SLNs, as demonstrated by R. Rosière et al. [99], J.S. Baek et al. [100],
and K. Rajpoot et al. [101], among others. In the case of R. Rosière et al. [100], they developed
an SLN coated with a folate-grafted copolymer of PEG and chitosan for lung tumors. They
observed that this nanoformulation loaded with PTX had a higher penetrating capacity
into lung tumors when administrated by inhalation rather than the conventional treatment.
Due to folate functionalization, the SLN does not have to rely on tumor vascularization to
reach the tumor site. K. Rajpoot et al. [101] encapsulated oxaliplatin into SLNs conjugated
with folic acid for colorectal cancer treatment and observed that the SLNs functionalized
Pharmaceutics 2023, 15, 831 14 of 28
had a higher cytotoxicity effect in the HT29 cell line compared to the unfunctionalized
SLNs. They believed this higher cytotoxicity was due to the higher cellular uptake of the
nanoformulation mediated by the folate receptor. SLNs are also useful for transporting
plant essential oils (fatty nature) due to their ability to encapsulate hydrophobic com-
pounds. Based on this, S.F. Tabatabaeain et al. [102] successfully loaded Satureja khuzistanica
essential oil into SLNs modified using a chitosan coating attached to folic acid to improve
drug accumulation into breast cancer cells (MCF-7 cells). J.S. Baek et al. [100] developed
SLNs coated with folic acid and conjugated to stearic acid for the treatment of MDR breast
cancer. These SLNs loaded with curcumin and PTX showed a higher cellular internalization
and synergic cytotoxicity partially due to the capacity of curcumin to inhibit P-gp, thus
increasing the PTX intracellular accumulation.
The use of sugars has also been widely studied for targeting cancer cells due to their
higher energetic metabolism. For that, N. Soni et al. [103] and N.K. Garg et al. [104]
functionalized their SLN’s surface with mannose and fucose. N. Soni et al. [103] loaded
gemcitabine in a stearyl amide-based SLNs for lung cancer. Adding mannose to the SLN’s
surface increased the cellular uptake through the mannose receptors overexpressed in
the macrophages. Also, in biodistribution studies, the SLNs functionalized showed more
accumulation in the lungs than the basal SLNs. N. K. Garg et al. [104] used fucose-coated
SLNs loaded with methotrexate for breast cancer treatment, achieving approximately 70%
of tumor reduction.
Several treatments and targeting actives can be combined in the same SLNs.
M.Y. Shen et al. [105] developed SLNs loaded with Dox and SPIONs with a double coating
of folic acid and dextran for colon cancer treatment. The folic acid increased the cellular
uptake through the folate receptors, and the dextran increased the tissue-specificity of SLNs
since the enzyme capable of degrading dextran is only present in the colon. Besides, the
coating also allowed the oral administration of SLNs by protecting them from degradation
at harsh gastric conditions. This nanoformulation showed promising results in vitro and
in vivo, not only by the high tumor cytotoxicity but by the lack of side effects. This is an ex-
ample of a multifunctional nanoparticle that is expected to be the future of nanomedicine by
combining different components and functions in the same vehicle for improved biological
behavior and clinical outcome.
Another widely used approach to improve cancer treatment is the functionalization of
nanoDDS with cell-penetrating peptides (CPP), as reported by B. Liu et al. [106]. They have
modified the SLNs surface with a trans-activating transcriptional activator (TAT) peptide
and studied how the functionalization can increase the accumulation of SLNs loaded with
PTX and α-tocopherol succinate-cisplatin prodrug. They report a higher accumulation of
the SLNs in the tumorous cells, increasing the drugs’ therapeutic index. They discuss that
this higher accumulation is due to the presence of TAT. However, since the function of CPP
is to translocate through the plasmatic membrane, not only to the tumor cells but also the
healthy cells, the use of CPP should not be considered active targeting, contrary to what
has been described in some literature. The use of CPP as moieties for nanoDDS surface
functionalization relies on the improvement of cellular uptake and consequent improve-
ment of drug effectiveness without tumor specificity. Even without this cell-specificity,
the use of CPP is of major interest in brain tumors that require crossing the BBB. The use
of SLNs modified with moieties that increase the permeability of drugs through the BBB
has been proposed by Y.C. Kuo et al. [107,108] and A. Kadari et al. [109], among others.
Y.C. Kuo et al. [107,108] developed different Compritol® -based SLNs formulations for the
encapsulation of etoposide as a chemotherapeutic drug. One of the formulations was com-
posed of a double surface conjugation with an 83–14 monoclonal antibody (83–14 MAb) and
the anti-epithelial growth factor receptor (AEGFR) [107]. The double targeting facilitated
the BBB crossing due to the recognition of the α-subunit insulin receptor by the 83–14 MAb,
and the active targeting of cancerous cells was achieved by the AEGFR. Another formula-
tion developed by the same authors included an anti-melanotransferrin antibody attached
to the surface of SLNs to increase the BBB crossing [108]. Both studies were tested in an
Pharmaceutics 2023, 15, 831 15 of 28
in vitro model of BBB and glioblastoma and successfully decreased the glioblastoma cells
proliferation without causing cytotoxicity to the BBB. A. Kadari et al. [109] have developed
an SLN loaded with docetaxel with an angiopep-2 linked to its surface. Angiopep-2 is a
specific ligand for lipoprotein receptor-related protein 1 (LRP1), a receptor overexpressed
in the BBB and the glioma cells. The in vivo results demonstrated a higher accumulation of
the SLNs in the brain and an increase in the survival rate of the animals compared with the
current treatment, thus arising as a promising alternative for the treatment of glioblastoma.
Table 4. Summary of targeted SLNs for different cancer types in different stages of development.
N.A.—not applicable.
Table 4. Cont.
fully loaded the shNUPR1 in a Precirol® -based SNL and delivery it to the cells. Moreover,
SLNs/shNUPR1 downregulated the NUPR1 gene, which is known to cause chemoresis-
tance and cancer proliferation in hepatocellular carcinoma. Several works describe the use
of SLNs to downregulate the expression of signal transducer and activator of transcription
3 (STAT 3). M. Kotmakçi et al. [134] used shRNA against STAT3 to reduce STAT3 levels
and re-sensitize resistant lung cancer cells (CR-Calu1) to cisplatin. Zhang et al. used decoy
oligodeoxynucleotides (ODN) to target STAT-3. The results were promising, showing
an inhibition of tumor growth activating the apoptotic cascade, regulating autophagy,
and reversing the epithelial-mesenchymal transition program with no obvious toxicity
on nude mice [135].
In many studies, gene therapy is combined with chemotherapeutic drugs within the same
nanoparticle to potentiate their synergy, as reported by G. Büyükköroglu [136], Y.H. Yu et al. [137]
and T. Li et al. [138], among many others. In the case of G. Büyükköroglu [136], they loaded
SLNs with Bcl-2 siRNA and PTX for the treatment of cervical cancer. Their results show
higher cytotoxicity with the combination of siRNA and PTX than with individual treat-
ments. Also, they propose a local administration by encapsulating the SLNs in a PEG
suppository to reduce the systemic exposure of the pharmacologic compounds and thus
reduce their side effects [139]. Y.H. Yu et al. [137] developed cationic SLNs for breast cancer
treatment loaded with PTX and MCL1-siRNA that successfully reduced tumor growth
in vivo. T. Li et al. [138] studied the synergetic anticancer activity of sorafenib and all-trans
retinoic acid (ATRA) combined with miRNA-542-3p loaded in SLNs. Again, the SLNs
showed a much higher cell growth inhibition than individual treatments, such as free drugs
or in SLNs. Moreover, in vivo, it also showed promising results by an increased reduction
of tumor growth and increased blood circulation time compared to the free drugs. They
believe this high antitumor efficacy is due to the combined therapeutic effects of drugs with
the microRNA.
Targeted SLNs have also been developed for gene delivery. D.M. Yu 2016 et al. [140]
loaded SLNs with PTX and pDNA and attached hyaluronic acid (HA) with a pH-sensitive
linker to promote release at low pH. This nanoformulation not only efficiently released
the chemotherapeutic drug and the pDNA in breast cancer cells but also increased the
accumulation and preferential release of the compounds in the tumor tissue by actively
targeting HA to CD44 receptors.
Finally, different nanoDDS can be successfully combined for improved therapy, as
demonstrated by V. Juang et al. [141]. They developed an SLN and a liposome loaded with
miRNA200 and irinotecan for colon cancer treatment. Both nanoformulations had their
surface modified with three different peptides (including one cell-penetrating peptide, one
peptide targeting tumor neovasculature undergoing angiogenesis, and one mitochondria-
targeting peptide) that increased the cellular uptake and provided an active target to
tumoral cells. Moreover, this nanoformulation was coated with a pH-sensitive PEG-lipid
that enhanced the release of the miRNA in tumor sites due to the acidic environment.
The combination therapies of different delivery systems promoted the synergetic activity
between irinotecan and miR-200 since miR-200 increased the cancer cell sensitivity to
irinotecan. The in vivo studies showed a highly effective inhibition of tumor growth caused
by suppressing several proteins such as Rac-1, KRAS, and β-catenin, among others, being a
promising study for further development.
Pharmaceutics 2023, 15, 831 18 of 28
Table 5. SLNs with different genetic material for different cancer types in different stages of develop-
ment. N.A.—not applicable.
9. Other Applications
9.1. Immunotherapy
The idea of using a patient’s immune system to fight cancer lead to the concept of
cancer immunotherapy. In the last years, this approach increased exponentially, becoming
an important and promising alternative at the clinical level.
Cancer cells have the capacity to make themselves invisible to the immune system
by selecting for certain genetic changes, by having proteins on their surface that turn off
immune cells (e.g., PD-L1), or by inducing changes in the surrounding stroma. Different
approaches have been proposed in this scenario to activate the immune response. This
includes monoclonal antibodies, immune checkpoint inhibitors, adaptive T-cell transfer,
and cancer vaccination [146]. Specifically, here are limited studies in the literature related
to cancer immunotherapy with SLNs.
G. Erel-Akbaba et al. [145] developed an iRGD (CCRGDKGPDC)-conjugated SLN
to deliver siRNA against both epidermal growth factor receptor (EGFR) and PD-L1 for
glioblastoma treatment. Moreover, 5 Gy radiation pre-treatment led to enhanced trans-
Pharmaceutics 2023, 15, 831 19 of 28
Figure 4. Cont.
Pharmaceutics 2023, 15, 831 20 of 28
Figure 4. RadiationFigure
primes glioblastoma
4. Radiation for SLNs for
primes glioblastoma targeted delivery.
SLNs targeted (a)(a)
delivery. Mice
Micebearing GL261-Fluc
bearing GL261-Fluc
tumors were irradiated
tumors (or not
were as control)
irradiated (or notand, threeand,
as control) days later,
three daysreceived retro-orbital
later, received administration
retro-orbital administration
of f(SLNs)-iRGD:Cy5.5 or PBS control. Twenty-four hours
of f(SLNs)-iRGD:Cy5.5 or PBS control. Twenty-four hours post-injection, tumor volume post-injection, tumor volume was first eval-first
was
uated by Fluc imaging (left), and brains were removed and imaged ex vivo for Cy5.5 (middle). The
evaluated by Fluc imaging (left), and brains were removed and imaged ex vivo for Cy5.5 (middle).
mean fluorescence intensity was calculated and normalized to tumor volume (right; n = 3, * p < 0.05).
The mean fluorescence intensity
(b–f) Mice bearing was calculated
GL261-Fluc and irradiated
tumors were normalized (or nottoas tumor
a control)volume (right; ninjected
and retro-orbitally = 3, * p <
0.05). (b–f) Mice bearing GL261-Fluc
with either tumors were
f(SLNs)-iRGD:siCTRL, irradiated (or not as
f(SLNs)-iRGD:siEGFR/PDL1, or a control) and retro-orbitally
f(SLNs)-scriRGD:siEGFR/PDL1
injected with eitheraccording to f(SLNs)-iRGD:siCTRL,
the scheme in (b). Tumor growthf(SLNs)-iRGD:siEGFR/PDL1,
was monitored weekly by Fluc imaging, or f(SLNs)-
and survival
was recorded. Images from a representative mouse from each
scriRGD:siEGFR/PDL1 according to the scheme in (b). Tumor growth was monitored weekly by group are shown over time (c). Quan-
tification ofwas
Fluc imaging, and survival tumor-associated
recorded. ImagesFluc radiance
from intensity with data presented
a representative mouse from±each
as mean SD; * pgroup
< 0.05 are
control vs. f(SLNs)-iRGD:siRNA and control vs. IR + f(SLNs)-scriRGD:siRNA; ** p < 0.01 control
shown over time (c). Quantification of tumor-associated Fluc radiance intensity with data presented
vs. IR + f(SLNs)-iRGD:siRNA by ANOVA (d). Kaplan–Meier survival curves are shown (n = 5–12);
as mean ± SD; *** pp <<0.01 0.05 control
control vs. f(SLNs)-iRGD:siRNA
vs. f(SLNs)-iRGD:siRNA; ** p < 0.01 controland vs. control vs. IR + f(SLNs)-
IR + f(SLNs)-scriRGD:siRNA;
scriRGD:siRNA; *****p p<<0.010.001 control
control [Link].
IR +IR + f(SLNs)-iRGD:siRNA
f(SLNs)-iRGD:siRNA; ** p < 0.01 IRby+ ANOVA (d). Kaplan–Meier
f(SLNs)-scriRGD:siRNA vs. IR
+ f(SLNs)-iRGD:siRNA; by Mantel–Cox (log-rank) test (e). H&E staining and immunohistological
analysis using anti-PD-L1 and anti-CD8 antibodies on brain sections of a representative mouse from
each group (DAPI, blue; PD-L1, green; and CD8, red) (f). Reprinted with permission of American
Chemical Society from [145].
9.2. Imaging
The advances in imaging techniques acquired major importance in the cancer field
since they allow the achievement of an accurate early diagnosis and monitoring of the
patient during and after the treatment. This can substantially impact the treatment efficacy
and patient survival [147]. There are multiple techniques for imaging, and some of them
need contrast agents for better differentiation between the tissues. The contrast agents
are administered intravenously, being one of their major issues the lack of specificity
to the site of interest. J. Sun et al. [55] have developed SLNs loaded with gadolinium
diethylenetriaminepentaacetic acid (Gd-DTPA), a widely used contrast agent in magnetic
resonance imaging (MRI), for colon cancer imaging. Due to the encapsulation of the Gd-
DTPA, they have been able to increase its cellular uptake and the tumor’s resolution and
differentiation, and limits. Also, an in vivo biodistribution of SLNs-Gd-DTPA showed a
high accumulation in the tumor site.
9.3. Theragnostic
Theragnostic consists of the combination of treatment and diagnosis in the same
system. Cancer treatment is a promising new strategy that will contribute not only to
early tumor diagnosis but also allow constant monitoring of the treatment’s effective-
Pharmaceutics 2023, 15, 831 21 of 28
ness [148,149]. J. Kulbacka et al. [150] and Y. Kuang et al. [151] developed SLNs for cancer
theragnostics. J. Kulbacka et al. [150] developed cetyl palmitate-based SLNs loaded with
cyanine IR-780 and flavonoid derivates for colon cancer. The flavonoid was used as the
drug in this nanoformulation and the cyanine IR-780 as a diagnostic agent and a photo-
sensitizer. The encapsulation of cyanine IR-780 decreased its cytotoxicity and increased its
efficacy. Y. Kuang et al. [151] also loaded IR-780 in SLNs for phototherapy and imaging.
This nanoformulation enabled the specific treatment due to the guided imaging that allows
light activation in the area of interest. Finally, K.H. Bae et al. [152] developed SLNs loaded
with quantum dots PTX and siRNA-bcl2 for the synergistic treatment and in situ lung
cancer imaging, paving the way for SLNss to be used as multifunctional and optically
traceable nanocarriers for anticancer theragnostics.
10. Conclusions
SLNs have been reported to be effective multitasking nanoDDS for cancer treatment
since they are demonstrated to be a promising approach to increasing the therapeutic index
of the delivered cargo. Currently, multiple SLNs-based formulations are proposed for
different cancer treatments with various loading cargos, such as chemotherapeutic drugs
and genetic material. Also, modifying the SLNs surface enables effective active targeting
against the cells/tissues of interest, increasing the specificity of the treatment and reducing
the secondary adverse effects.
Apart from the treatment applications, SLNs also demonstrated great potential as diag-
nostic tools, openings the possibility of creating multifunctional nanoDDS for theragnostics.
One of the biggest advantages of using SLNs is the possibility of using biocompatible,
non-immunogenic, low-cost materials and production methods easily scalable for industrial
scale. On the other hand, some limitations related to SLNs, mainly cargo and stability issues,
should be overcome. In this sense is expected that the research in the field of SLNs-based
nanosystems will keep evolving and that, in the future, more formulations will reach the
clinical phases.
Author Contributions: Conceptualization, D.R. and F.A.; writing—original draft preparation, J.G.-C.,
M.V.-H., D.R. and F.A.; writing—review and editing, D.R., F.A. and I.A.; funding acquisition, I.A. All
authors have read and agreed to the published version of the manuscript.
Funding: The present work as supported by the SGR grant from the Catalan Government (2021
SGR 01173), the Spanish Ministry of Science and Innovation (MICINN, RTC2019-006809-1), and
the Networking Research Centre on Bioengineering, Biomaterials, and Nanomedicine (CIBER-BBN)
which is financed by the Instituto de Salud Carlos III (ISCIII) with assistance from the European
Regional Development Fund (ERDF, “A way to make Europe”/“Investing in your future”). FA was
supported by an investigator grant from Asociación Española Contra el Cáncer (AECC), Spain.
Institutional Review Board Statement: Not applicable.
Informed Consent Statement: Not applicable.
Data Availability Statement: Not applicable.
Conflicts of Interest: The authors declare no conflict of interest.
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SLNs enhance drug delivery efficiency in cancer treatments by providing controlled and sustained drug release, improving drug solubility, and increasing drug bioavailability in the targeted tissue, such as tumors. For instance, pH-sensitive SLNs allow drug release preferentially in tumor acidic environments, enhancing the therapeutic index by increasing drug availability specifically within the tumor . Furthermore, SLNs can be functionalized with ligands like folic acid or sugars to target cancer cells more effectively, leading to higher cellular uptake and drug accumulation . Additionally, the encapsulation of both chemotherapeutic drugs and genetic materials such as siRNA in SLNs enhances synergetic cytotoxic effects compared to individual treatments .
Combining chemotherapeutic drugs and natural substances in SLNs can improve treatment outcomes by leveraging the complementary mechanisms of action and reducing the required dose of chemotherapeutic agents, which minimizes adverse effects. Natural compounds like curcumin can enhance the therapeutic index through synergistic effects when combined with conventional drugs, such as enhancing cellular uptake or inhibiting drug resistance proteins like P-gp . For instance, curcumin-loaded SLNs alongside bleomycin, Dox, and vinblastine showed an additive inhibitory effect on tumor growth . This approach not only enhances efficacy but also potentially reduces toxicity due to lower effective doses of traditional chemotherapy drugs.
SLNs offer several advantages over traditional drug delivery methods in chemotherapy, including improved solubility and bioavailability of hydrophobic drugs, protection of drugs from degradation, and the potential for controlled and targeted drug release. They can be engineered to respond to specific stimuli, such as pH and temperature variations in tumor environments, allowing for more precise drug release profiles . Additionally, SLNs can be functionalized with targeting moieties like folic acid to increase selective drug accumulation in cancer cells, enhancing therapeutic efficacy while minimizing systemic side effects .
Genetic materials in SLNs serve as critical agents in cancer therapy by modulating gene expression and silencing genes associated with tumor growth or chemoresistance. For instance, SLNs loaded with siRNA or pDNA can effectively downregulate specific oncogenes or enhance the expression of tumor suppressor genes, thereby contributing to reduced tumor proliferation and improved sensitivity to chemotherapeutic agents . Examples include SLNs co-delivering PTX and Bcl-2 siRNA to increase cytotoxicity in cervical cancer, or HA-modified SLNs carrying PTX and pDNA for targeted release and accumulation in CD44 receptor-positive tissues .
The use of sugars like mannose and fucose in SLNs enhances cancer targeting by exploiting the overexpression of specific sugar receptors on cancer cells. Mannose-functionalized SLNs increase cellular uptake through mannose receptors on macrophages, leading to greater accumulation in cancer tissues such as lung cancer, enhancing the efficacy of drugs like gemcitabine . Similarly, fucose-coated SLNs target fucose-binding lectins on cancer cells, resulting in efficient delivery of drugs like methotrexate to breast cancer cells and significant tumor reduction . This receptor-mediated endocytosis increases the specificity and effectiveness of cancer treatment by targeting metabolic pathways unique to tumor cells.
Stimuli-responsive lipids in SLNs contribute to cancer treatment by enabling controlled drug release in response to specific environmental triggers, such as temperature and pH. For example, a pH-sensitive SLN can release drugs preferentially in the acidic environment of tumors, as seen with a Dox-loaded SLN that achieves burst and sustained release phases in such environments . Similarly, thermosensitive SLNs release higher doses of anticancer drugs like 5-fluoracil at elevated temperatures found in tumors, thereby enhancing drug efficacy and therapeutic index by increasing its availability specifically at the tumor site .
Combining different nano-DDS systems, such as SLNs and liposomes, can offer synergistic therapeutic benefits by leveraging the unique properties each system provides. SLNs provide controlled drug release and stability, while liposomes offer flexibility in encapsulating both hydrophobic and hydrophilic drugs. This combination can result in enhanced cellular uptake and more precise targeted delivery, as seen in formulations for colon cancer where combined SLNs and liposomes achieved significant tumor growth inhibition through targeted delivery of irinotecan and miRNA200 . Such systems can also be engineered to respond to environmental triggers for controlled release, optimizing therapy and minimizing side effects across a broader range of therapeutic agents .
Cell-penetrating peptides (CPP) enhance the targeting capabilities of SLNs by increasing the cellular uptake of the encapsulated drugs through membrane translocation rather than tumor-specific targeting. This results in a higher accumulation of SLNs in tumorous cells, potentially improving the therapeutic index of the drugs carried . However, CPPs facilitate uptake into both tumor and healthy cells, which blurs the specificity aspect of 'active' targeting. Therefore, while CPPs improve cellular internalization, their role in targeting is more generalized and does not specifically discriminate between cancerous and normal cells, necessitating cautious use to avoid potential side effects .
The surface modification of SLNs with folic acid plays a crucial role in enhancing drug delivery to cancer cells by increasing the cellular uptake through folate receptors, which are overexpressed in many cancer cells. This targeted approach allows for a higher accumulation of the SLNs in cancer cells, thereby improving the therapeutic efficacy and reducing the side effects associated with systemic drug distribution . For example, SLNs coated with folic acid and loaded with curcumin and PTX have shown higher cellular internalization and synergistic cytotoxicity in MDR breast cancer cells .
Upscaling the production of SLNs presents challenges such as maintaining the physicochemical properties and stability of the nanoparticles, ensuring batch-to-batch consistency, and optimizing the scalability of production techniques while keeping costs viable . Techniques must accommodate the introduction of stimuli-responsive features like pH or temperature sensitivity without compromising the quality of the final product . Additionally, regulatory compliance and quality control during scale-up processes are critical to ensure that the therapeutic efficacy and safety of SLNs are upheld as the production moves from laboratory to industrial scale .