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Table 10 Methods for evaluating nanocarrier efficacy

From: Progressing nanotechnology to improve targeted cancer treatment: overcoming hurdles in its clinical implementation

Evaluation Method

Efficacy Metric

Sensitivity

Specificity

Reproducibility

Clinical Relevance

Description

Novelty

Advantages

Disadvantages

References

Tumor growth inhibition assay

Tumor volume reduction

High

High

High

High

Measures the effect of the nanocarrier on tumor growth in vivo

Measures the reduction in tumor size over time, which is a direct indicator of treatment efficacy

Allows for testing of drug efficacy in vivo; can be used to evaluate drug combination therapies

Expensive; may require a large number of animals; can be time-consuming

[45]

Cellular uptake assay

Intracellular drug concentration

High

High

Moderate

Moderate

Measures the amount of nanocarrier taken up by cancer cells in vitro

Quantifies the amount of drug delivered to cancer cells; can determine if the nanocarrier is internalized and if drug release occurs

Can be performed quickly and easily; cost-effective

Does not provide information on drug efficacy in vivo; may not reflect tumor heterogeneity

[245]

In vitro drug release assay

Drug release kinetics

High

High

High

Moderate

Measures the rate of drug release from the nanocarrier in vitro

Quantifies the amount of drug released over time; can determine if the release rate is sustained and controlled

Provides a rapid and reliable assessment of nanocarrier drug release kinetics

Does not reflect the complexity of in vivo drug release; may not reflect the effect of the tumor microenvironment on drug release

[246]

Pharmacokinetic analysis

Drug concentration in blood/tissues

High

High

High

High

Measures the distribution, metabolism, and excretion of the nanocarrier in vivo

Quantifies the amount of drug delivered to the tumor and other organs; can determine the clearance pathway and half-life

Provides valuable information on nanocarrier pharmacokinetics and biodistribution

Expensive; may require large sample sizes; may not reflect tumor heterogeneity

[115]

Imaging-based analysis

Tumor contrast enhancement

Moderate

High

High

Moderate

Measures the accumulation of the nanocarrier in the tumor using imaging modalities such as MRI or PET

Quantifies the amount of nanocarrier delivered to the tumor; can determine if the nanocarrier targets the tumor specifically

Provides real-time visualization of the nanocarrier accumulation in the tumor

Requires specialized equipment and expertise; may not reflect the effect of the tumor microenvironment on nanocarrier accumulation

[45]

Flow cytometry

Percentage of cells with drug uptake

Moderate

High

High

Low

Measures the amount of nanocarrier taken up by cells in vitro

Allows for high-throughput screening of large numbers of cells; can quantify the proportion of cells that take up the drug

Rapid and quantitative; can distinguish between live and dead cells

May not reflect the in vivo behavior of the nanocarrier; may require specialized equipment and expertise

[115]

Histological analysis

Tumor cell apoptosis and necrosis

High

High

High

High

Measures the effect of the nanocarrier on tumor cell death and destruction in vivo

Quantifies the amount of tumor cell apoptosis and necrosis; can determine if the nanocarrier induces tumor cell death

Provides information on the histological effects of the nanocarrier on the tumor

Requires invasive tissue sampling; may not reflect the in vivo behavior of the nanocarrier; may require specialized expertise

[45]

Proteomic analysis

Expression of tumor-associated proteins

High

High

High

High

Measures the effect of the nanocarrier on tumor-associated protein expression in vivo

Quantifies changes in protein expression in response to nanocarrier treatment; can determine if the nanocarrier affects specific signaling pathways

Provides information on the mechanism of action of the nanocarrier

Requires specialized expertise and equipment; may not reflect the in vivo behavior of the nanocarrier; may be time-consuming

[233]

Magnetic resonance spectroscopy

Metabolic changes in tumor cells

High

High

High

High

Measures changes in tumor metabolism in response to nanocarrier treatment in vivo

Quantifies changes in metabolite levels in response to nanocarrier treatment; can determine if the nanocarrier affects specific metabolic pathways

Provides information on the metabolic effects of the nanocarrier on the tumor

Requires specialized equipment and expertise; may not reflect the in vivo behavior of the nanocarrier

[247]

Transcriptomic analysis

Gene expression changes in tumor cells

High

High

High

High

Measures changes in gene expression in response to nanocarrier treatment in vivo

Quantifies changes in gene expression in response to nanocarrier treatment; can determine if the nanocarrier affects specific signaling pathways

Provides information on the molecular effects of the nanocarrier on the tumor

Requires specialized expertise and equipment; may not reflect the in vivo behavior of the nanocarrier

[233]

Drug resistance assays

IC50 value or other resistance metrics

Moderate

Moderate

High

Moderate

Measures the sensitivity of cancer cells to nanocarrier-delivered drugs

Quantifies the extent of resistance or sensitivity to the nanocarrier-delivered drug

Useful for identifying the most appropriate nanocarrier-drug combination for specific cancer types

Requires careful optimization and validation; may not reflect the in vivo behavior of the nanocarrier

[115]

3D tumor models

Tumor size or volume, viability, and drug distribution

High

High

Moderate

High

Measures the effect of the nanocarrier on tumor growth and viability in a 3D culture system

Mimics the complexity of the in vivo tumor microenvironment; can quantify the drug distribution within the tumor model

Provides a more physiologically relevant system for evaluating nanocarrier efficacy

Can be expensive and time-consuming; may require specialized equipment and expertise

[115]

Serum cytokine analysis

Changes in cytokine levels

High

High

High

Moderate

Measures the effect of the nanocarrier on the immune response in vivo

Quantifies changes in cytokine levels in response to nanocarrier treatment; can determine if the nanocarrier modulates the immune response

Provides information on the immune modulatory effects of the nanocarrier

Requires specialized expertise and equipment; may not reflect the in vivo behavior of the nanocarrier

[163]

Microfluidic platforms

Drug delivery and efficacy in a microfluidic device

High

High

High

Low

Measures the effect of the nanocarrier on cancer cells and drug delivery in a microfluidic device

Mimics the behavior of the nanocarrier in the human body; can quantify the drug distribution within the microfluidic device

Provides a more accurate and controlled system for evaluating nanocarrier efficacy

Requires specialized equipment and expertise; may not reflect the in vivo behavior of the nanocarrier

[248, 249]

Optical imaging

Imaging of tumor size and distribution in vivo

High

High

High

High

Measures the effect of the nanocarrier on tumor size and distribution in vivo

Can quantify the tumor size and distribution in real-time; can be used for non-invasive imaging

Provides a non-invasive and rapid system for evaluating nanocarrier efficacy

Limited by the depth of light penetration into tissues; may not reflect the effect of the tumor microenvironment on nanocarrier distribution

[125]

Scanning electron microscopy

Imaging of nanocarrier-cell interaction

High

High

High

Low

Measures the physical interaction between nanocarriers and cancer cells in vitro

Provides a detailed view of the nanocarrier-cell interaction; can determine the cellular uptake mechanism of the nanocarrier

Provides a direct and visual representation of the nanocarrier-cell interaction

Requires specialized equipment and expertise; may not reflect the in vivo behavior of the nanocarrier

[115]

Surface plasmon resonance

Real-time analysis of molecular interactions

High

High

High

Moderate

Measures the interaction between nanocarrier and cancer cell molecules in vitro

Can provide real-time analysis of the molecular interactions between the nanocarrier and cancer cells

Provides a highly sensitive and specific method for detecting molecular interactions

May not reflect the in vivo behavior of the nanocarrier; requires specialized equipment and expertise

[250]

Bioluminescent imaging

Imaging of tumor size and distribution in vivo

High

High

High

High

Measures the effect of the nanocarrier on tumor size and distribution in vivo

Provides non-invasive imaging of the tumor size and distribution in real-time

Provides a non-invasive and rapid system for evaluating nanocarrier efficacy

Limited by the depth of light penetration into tissues; may not reflect the effect of the tumor microenvironment on nanocarrier distribution

[250]

Microscale thermophoresis

Analysis of nanocarrier-protein interaction

High

High

High

Moderate

Measures the interaction between nanocarrier and cancer cell proteins in vitro

Provides a highly sensitive method for detecting the binding affinity between the nanocarrier and proteins

Requires only small amounts of sample; allows for the analysis of protein interactions in a high-throughput manner

May not reflect the in vivo behavior of the nanocarrier; requires specialized equipment and expertise

[248, 249]

Electrochemiluminescence

Detection of nanocarrier-delivered drug in plasma or tissue samples

High

High

High

High

Measures the drug concentration in plasma or tissue samples

Provides highly sensitive and specific detection of the nanocarrier-delivered drug

Requires only small amounts of sample; provides rapid results

May require specialized equipment and expertise; may not reflect the in vivo behavior of the nanocarrier

[107]