RT Journal Article T1 Cancer chemotherapy resistance: Mechanisms and recent breakthrough in targeted drug delivery A1 Davodabadi, Fatemeh A1 Sajjadi, Seyedeh Fatemeh A1 Sarhadi, Mohammad A1 Mirghasemi, Shaghayegh A1 Hezaveh, Mahdieh Nadali A1 Khosravi, Samin A1 Andani, Mahdieh Kamali A1 Cordani, Marco A1 Basiri, Mohsen A1 Ghavami, Saeid AB Conventional chemotherapy, one of the most widely used cancer treatment methods, has serious side effects, and usually results in cancer treatment failure. Drug resistance is one of the primary reasons for this failure. The most significant drawbacks of systemic chemotherapy are rapid clearance from the circulation, the drug's low concentration in the tumor site, and considerable adverse effects outside the tumor. Several ways have been developed to boost neoplasm treatment efficacy and overcome medication resistance. In recent years, targeted drug delivery has become an essential therapeutic application. As more mechanisms of tumor treatment resistance are discovered, nanoparticles (NPs) are designed to target these pathways. Therefore, understanding the limitations and challenges of this technology is critical for nanocarrier evaluation. Nano-drugs have been increasingly employed in medicine, incorporating therapeutic applications for more precise and effective tumor diagnosis, therapy, and targeting. Many benefits of NP-based drug delivery systems in cancer treatment have been proven, including good pharmacokinetics, tumor cell-specific targeting, decreased side effects, and lessened drug resistance. As more mechanisms of tumor treatment resistance are discovered, NPs are designed to target these pathways. At the moment, this innovative technology has the potential to bring fresh insights into cancer therapy. Therefore, understanding the limitations and challenges of this technology is critical for nanocarrier evaluation. PB Elsevier SN 0014-2999 YR 2023 FD 2023-08-24 LK https://hdl.handle.net/20.500.14352/87990 UL https://hdl.handle.net/20.500.14352/87990 LA eng NO Ministerio de Ciencia e Innovación (MICIN) NO Agencia Estatal de Investigación NO Unión Europea NO Universidad Complutense de Madrid DS Docta Complutense RD 8 abr 2025