EPR: Evidence and fallacy

JW Nichols, YH Bae - Journal of Controlled Release, 2014 - Elsevier
The enhanced permeability and retention (EPR) of nanoparticles in tumors has long stood
as one of the fundamental principles of cancer drug delivery, holding the promise of safe …

Strategies to improve the EPR effect: A mechanistic perspective and clinical translation

M Ikeda-Imafuku, LLW Wang, D Rodrigues… - Journal of Controlled …, 2022 - Elsevier
Many efforts have been made to achieve targeted delivery of anticancer drugs to enhance
their efficacy and to reduce their adverse effects. These efforts include the development of …

[HTML][HTML] Improving conventional enhanced permeability and retention (EPR) effects; what is the appropriate target?

H Kobayashi, R Watanabe, PL Choyke - Theranostics, 2014 - ncbi.nlm.nih.gov
Nano-sized therapeutic agents have several advantages over low molecular weight agents
such as a larger loading capacity, the ability to protect the payload until delivery, more …

Tumor delivery of macromolecular drugs based on the EPR effect

V Torchilin - Advanced drug delivery reviews, 2011 - Elsevier
Enhanced permeability and retention (EPR) effect is the physiology-based principal
mechanism of tumor accumulation of large molecules and small particles. This specific issue …

The tumor EPR effect for cancer drug delivery: Current status, limitations, and alternatives

R Sun, J Xiang, Q Zhou, Y Piao, J Tang, S Shao… - Advanced Drug Delivery …, 2022 - Elsevier
Over the past three decades, the enhanced permeability and retention (EPR) effect has
been considered the basis of tumor-targeted drug delivery. Various cancer nanomedicines …

Toward a full understanding of the EPR effect in primary and metastatic tumors as well as issues related to its heterogeneity

H Maeda - Advanced drug delivery reviews, 2015 - Elsevier
The enhanced permeability and retention (EPR) effect of solid tumors as seen with
nanomedicines and macromolecular drugs is well known. However, many researchers …

Challenges and key considerations of the enhanced permeability and retention effect for nanomedicine drug delivery in oncology

U Prabhakar, H Maeda, RK Jain, EM Sevick-Muraca… - 2013 - AACR
Enhanced permeability of the tumor vasculature allows macromolecules to enter the tumor
interstitial space, whereas the suppressed lymphatic filtration allows them to stay there. This …

Improving drug delivery to solid tumors: priming the tumor microenvironment

IA Khawar, JH Kim, HJ Kuh - Journal of Controlled Release, 2015 - Elsevier
Malignant transformation and growth of the tumor mass tend to induce changes in the
surrounding microenvironment. Abnormality of the tumor microenvironment provides a …

Development of next-generation macromolecular drugs based on the EPR effect: challenges and pitfalls

H Nakamura, F Jun, H Maeda - Expert opinion on drug delivery, 2015 - Taylor & Francis
Introduction: A major problem with conventional antitumor therapeutics is nonselective
delivery of cytotoxic drugs to normal vital organs and tissues but little delivery to tumor …

Exploiting the dynamics of the EPR effect and strategies to improve the therapeutic effects of nanomedicines by using EPR effect enhancers

J Fang, W Islam, H Maeda - Advanced drug delivery reviews, 2020 - Elsevier
The enhanced permeability and retention (EPR) effect is a unique phenomenon of solid
tumors that is related to their particular anatomical and pathophysiological characteristics …