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Biomarker-driven and AI-assisted nanomedicine for breast cancer: advancing precision drug delivery from bench to bedside

delete2026-06-05
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PRE
AI
J
Jaleh Barar
R
Rais Ansari
Y
Yadollah Omidi *
DOI:10.1080/17425247.2026.2680061delete
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Abstract

Abstract

En 中文
Breast cancer remains the most prevalent malignancy among women worldwide, with its pronounced molecular heterogeneity demanding therapeutic strategies that transcend conventional systemic chemotherapy toward tumor-selective, molecularly precise interventions. The convergence of biomarker science, engineered nanomedicine, and artificial intelligence (AI) offers a transformative framework for realizing this goal. This review examines how molecular biomarkers (e.g. mucin glycoproteins, human epidermal growth factor receptor 2 (HER2), circulating tumor cells, and circulating tumor DNA) serve dual roles as diagnostic identifiers and active targeting ligands directing engineered nanocarriers. We critically evaluate biomarker-guided nanoplatforms (liposomal, polymeric, metallic, and protein-based architectures), stimuli-responsive drug release strategies, and AI-driven microfluidic manufacturing for scalable, good manufacturing practice-compliant nanoparticle production. Literature was retrieved from PubMed/MEDLINE, Scopus, and Web of Science (2000–2026), supplemented by ClinicalTrials.gov data. Near-term clinical impact is most realistically achieved through AI-assisted biomarker interpretation and multi-analyte liquid biopsy integration rather than novel nanoformulations, whose translational attrition remains high. Bridging the bench-to-bedside gap requires prospective biomarker-stratified clinical trials, co-developed companion diagnostics, and federated AI architectures as advances that will progressively replace static histological subtype classification with a continuously updated, molecularly individualized treatment paradigm for breast cancer.
Keywords:
Artificial intelligence
biomarkers
breast cancer
drug delivery
nanomedicine
precision medicine
targeted therapy
theranostics

Journal

Expert Opinion on Drug Delivery cover
Expert Opinion on Drug Delivery
IF:
5.4
Papers:
2.3K
Citations:
1.0W

Organization

N
nova southeastern university
Scholars:
575
Papers: 327
Citations: 0
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