Bone scaffolds-based localized drugs delivery for osteosarcoma: current status and future perspective

Drug Deliv. 2024 Dec;31(1):2391001. doi: 10.1080/10717544.2024.2391001. Epub 2024 Sep 6.

Abstract

A common malignant bone neoplasm in teenagers is Osteosarcoma. Chemotherapy, surgical therapy, and radiation therapy together comprise the usual clinical course of treatment for Osteosarcoma. While Osteosarcoma and other bone tumors are typically treated surgically, however, surgical resection frequently fails to completely eradicate tumors, and in turn becomes the primary reason for postoperative recurrence and metastasis, ultimately leading to a high rate of mortality. Patients still require radiation and/or chemotherapy after surgery to stop the spread of the tumor and its metastases, and both treatments have an adverse influence on the body's organ systems. In the postoperative management of osteosarcoma, bone scaffolds can load cargos (growth factors or drugs) and function as drug delivery systems (DDSs). This review describes the different kinds of bone scaffolds that are currently available and highlights key studies that use scaffolds as DDSs for the treatment of osteosarcomas. The discussion also includes difficulties and perspectives regarding the use of scaffold-based DDSs. The study may serve as a source for outlining efficient and secure postoperative osteosarcoma treatment plans.

Keywords: Osteosarcoma; drug delivery systems; localized bone scaffolds; natural polymers; synthetic polymers.

Publication types

  • Review

MeSH terms

  • Animals
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / pharmacology
  • Bone Neoplasms* / drug therapy
  • Bone and Bones / drug effects
  • Drug Delivery Systems* / methods
  • Humans
  • Osteosarcoma* / drug therapy
  • Tissue Scaffolds*

Substances

  • Antineoplastic Agents

Grants and funding

This work was supported by Public Technology Applied Research Projects of Zhejiang Province (LGF22H060023 to WQL), Medical and Health Research Project of Zhejiang Province (2022KY433 to WQL, 2021KY1164 to LFF), Traditional Chinese Medicine Science and Technology Projects of Zhejiang Province (2022ZB382 to WQL, 2022ZB381 to JYZ, 2023ZL765 to WYM), Research Fund Projects of The Affiliated Hospital of Zhejiang Chinese Medicine University (2021FSYYZY45 to WQL).