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Targeted delivery of active substances is a pharmacological strategy designed to increase the concentration of a therapeutic agent in a specific body region, tissue, or cell type while minimizing its presence in non-target areas [1]. This concept does not represent a discrete biological target like a receptor or enzyme; rather, it is a technological framework encompassing various delivery platforms such as antibody-drug conjugates (ADCs), nanoparticles, and liposomes [2][3]. The goal is to enhance the therapeutic index of drugs by improving efficacy and reducing systemic side effects, which is particularly critical for highly potent or toxic agents [4]. Many targeted systems utilize ligands that recognize specific biomarkers on the surface of diseased cells or exploit unique environmental conditions, such as the acidic pH of a tumor or the presence of specific enzymes, to trigger drug release [5]. In modern medicine, this approach is a cornerstone of oncology, allowing for the precise delivery of cytotoxic payloads to malignant cells while sparing healthy tissue [6].
Improving the therapeutic index by using carriers (e.g., antibodies, nanoparticles, liposomes) or chemical modifications to localize drug concentration at specific physiological sites, thereby enhancing efficacy and reducing systemic toxicity [1][2].
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