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Journal of the National Cancer Institute Advance Access originally published online on June 27, 2007
JNCI Journal of the National Cancer Institute 2007 99(13):983-985; doi:10.1093/jnci/djm042
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Published by Oxford University Press 2007.

EDITORIALS

Toward a Systems Engineering Approach to Cancer Drug Delivery

Matthew R. Dreher, Ashutosh Chilkoti

Affiliations of authors: Diagnostic Radiology Department, Clinical Center, National Institutes of Health, Bethesda, MD (MRD); Department of Biomedical Engineering, Duke University, Durham, NC (AC)

Correspondence to: Ashutosh Chilkoti, PhD, Department of Biomedical Engineering, Duke University, Durham, NC 27708 (e-mail: chilkoti@duke.edu).

The first 150 words of the full text of this article appear below.

As illustrated by Tang et al. (1) in this issue of the Journal, the treatment of solid tumors may be improved by controlling the pharmacologic properties of anticancer therapeutics. In 1906, Paul Ehrlich established the concept of drug delivery (2) by proposing a carrier that would "bring therapeutically active groups to the organ in question." The objective of drug delivery in the treatment of solid tumors is to increase the concentration of a therapeutic agent in the tumor while limiting systemic exposure (3–5). Increasing the concentration of drugs in the tumor relative to normal tissues results in improved tumor control and reduced toxic side effects. Numerous drug delivery technologies have been developed to accomplish this objective, including liposomes (6), micelles (7), antibody-directed enzyme–prodrug therapy (8), photodynamic therapy (9), affinity targeting (10), and . . . [Full Text of this Article]


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