Nanoparticle – Based Drug Delivery for Stomach Cancer  
Supriya Kumari., Ritik Nishad., Ritikesh., Mohd. Moinuddin., Deepak Verma  
Department of Biotechnology, Kanpur Institute of Technology, Kanpur, 208001, India  
*Corresponding Author  
Received: 04 December 2025; Accepted: 10 December 2025; Published: 19 December 2025  
ABSTRACT  
Stomach cancer, or gastric cancer, continues to be a major global health challenge, largely because it is often  
detected late and responds poorly to standard treatments. Traditional therapies like chemotherapy and  
radiotherapy frequently struggle with issues such as high toxicity, low drug solubility, and the development of  
multidrug resistance. In recent years, nanoparticle-based drug delivery systems have emerged as a promising  
way to overcome these barriers. By designing nanoparticles that can carry drugs directly to the tumour,  
researchers are able to achieve better targeting, controlled drug release, and enhanced drug accumulation at the  
cancer site through the enhanced permeability and retention (EPR) effect. When nanoparticles are further  
modified with specific ligands, they can actively recognize tumour markers, improving, treatment precision  
while reducing harm to healthy tissues. Innovations in polymeric nanoparticles, liposomes, dendrimers, metallic  
nanoparticles, and nano-micelles have significantly improved drug stability, bioavailability, and overall patient  
comfort. As this review highlights, the integration of nanotechnology into gastric cancer therapy represents an  
exciting step toward personalized medicine and may open the door to more effective clinical treatments in the  
future.  
Keywords: Stomach cancer, gastric cancer, nanoparticle-based drug delivery, targeted therapy, Nano medicine,  
controlled release, EPR effect, chemotherapy  
INTRODUCTION  
Gastric cancer (GC), commonly known as stomach cancer, remains a serious global health issue and continues  
to rank among the leading causes of cancer-related deaths. Despite improvements in diagnostic tools and  
treatment options, the outlook for many patients is still poor. This is largely because the disease is often detected  
at an advanced stage, shows significant tumour heterogeneity, and frequently develops multidrug resistance  
(MDR) to standard chemotherapy drugs (Zou et al., 2025). Conventional treatments-including surgery,  
chemotherapy, and radiotherapy-are further limited by non-specific drug distribution, high systemic toxicity, and  
low overall therapeutic efficiency. Nanotechnology has therefore emerged as a promising way to overcome these  
challenges. Nanoparticle-based drug delivery systems (Nano-DDS) offer unique advantages such as improved  
drug solubility, longer circulation time in the bloodstream, and targeted accumulation at the tumour site through  
the enhanced permeability and retention (EPR) effect. When nanoparticles are functionalized with specific  
ligands or antibodies, they can actively recognize tumour-associated markers, achieving more precise targeting.  
These systems can also be engineered to provide controlled or stimuli-responsive drug release, which helps  
maximize treatment effectiveness while reducing harmful side effects. Awide range of nanoparticles—including  
liposomes, polymeric nanoparticles, metallic nanoparticles, dendrimers, and biomimetic carriers—are currently  
being explored for their potential in GC therapy. Recent research not only shows improvements in conventional  
chemotherapy but also demonstrates possibilities for combining nanoparticle systems with gene therapy,  
immunotherapy, and imaging-guided treatments. While the transition to clinical use remains challenging, these  
advancements indicate that Nano-DDS could significantly transform personalized treatment for gastric cancer  
in the future.  
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Classes Of Nanoparticles in Stomach Cancer Therapy  
Nanoparticle-based drug delivery systems include a wide variety of materials, each offering unique structural  
and functional benefits for treating gastric cancer. These carriers help improve the solubility and stability of  
therapeutic agents, enhance targeted delivery, minimize systemic toxicity, and allow for controlled or sustained  
drug release. The major classes of nanoparticles studied for GC treatment include the following:  
Lipid-Based Nanoparticles  
This group includes liposomes, Solid Lipid Nanoparticles (SLNs), and Nanostructured Lipid Carriers (NLCs).  
Lipid-based nanoparticles are highly versatile and biocompatible, making them suitable for delivering both  
water-soluble and poorly soluble drugs. Liposomes, for example, have been used to deliver chemotherapeutic  
agents such as doxorubicin and paclitaxel, increasing drug accumulation in tumour tissues through both passive  
and active targeting approaches (Zou et al., 2025).  
Polymeric Nanoparticles  
Made from natural or synthetic polymers such as PLGA, chitosan, and PEG, polymeric nanoparticles provide  
controlled and sustained drug release. Their surfaces can be easily modified with targeting molecules—like folic  
acid or antibodies—to direct the nanoparticles specifically to gastric cancer cells. Chitosan-based nanoparticles,  
for instance, have been investigated for co-delivering 5-fluorouracil and siRNA, helping to overcome multidrug  
resistance (Liu et al., 2023).  
Metallic and Inorganic Nanoparticles  
Metal-based nanoparticles, including gold, silver, selenium, and iron oxide, have gained attention due to their  
unique physical and optical properties. They can be used not only for therapy but also for diagnosis, making  
them powerful theranostic tools. Selenium nanoparticles have shown promising anticancer effects by inducing  
apoptosis in gastric cancer cells through the PI3K/Akt/mTOR pathway (Liu et al., 2023). Gold nanoparticles,  
meanwhile, are being studied as radiosensitizers and targeted drug carriers.  
Dendrimers  
Dendrimers are highly branched, tree-like molecules with numerous surface sites for attaching drugs, imaging  
agents, or targeting ligands. Their precise structure allows efficient drug loading and controlled release. In gastric  
cancer models, dendrimers have been shown to improve the solubility and bioavailability of drugs that typically  
dissolve poorly (Zhang et al., 2022).  
Protein and Peptide-Based Nanoparticles:  
Nanoparticles made from natural proteins—such as albumin—are particularly attractive because they are  
biocompatible and can naturally target tumors. Albumin-bound paclitaxel formulations, for example, take  
advantage of albumin receptors on cancer cells to improve drug uptake. Additionally, peptide-modified  
nanoparticles are being explored to enhance penetration into dense gastric tumour tissues.  
Biomimetic and Cell-Derived Nanoparticles  
Biomimetic systems such as exosomes and cell membrane-coated nanoparticles have become an emerging area  
of interest. These carriers can evade immune detection and imitate natural biological processes. Tumour cell  
membrane-coated nanoparticles, in particular, show promise for gastric cancer therapy by improving tumour-  
specific targeting while reducing immune clearance (Zou et al., 2025).  
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Stages Of Stomach Cancer  
Figure 1. The stages of stomach cancer, from the earliest stage to the most advanced. It explains how deeply the  
tumor grows into the layers of the stomach and nearby areas.( Umme Hani ,et al 2022)  
Stage 0 (Carcinoma in situ): The tumour is only on the surface of the inner lining of the stomach (mucosa). It  
has not invaded deeper layers. Not any lymph nodes involved in it. It is highly curable stage for the stomach  
cancer  
Stage 1: Early stage Cancer  
Stage 1A cancer spread to mucosa to submucosa Lining but then no lymph nodes involved to it.  
Stage 1B- Tumour spread slightly deeper into submucosa or muscular layer. It spread to 1-2 nearly lymph nodes.  
Stage 2: The tumour reaches the muscular wall of the stomach (muscularis ). At this stage, it may also spread to  
1-6 nearby lymph nodes.  
Stage 3: The tumour grows further and penetrates the tissue under the stomach’s outer covering (subserosa), it  
spread to more than 7 lymph nodes , or includes the all nearby organ like liver , spleen, pancreas.  
But till this stage Cancer can cure with different therapy, treatment or combination therapy.  
Intensive Treatment chemotherapy , surgery, combination therapy ( surgery- chemo – radiation )  
Stage 4: The cancer becomes advanced it spread the all distant organs , not it have no chance to cure it is the last  
stage where death happened.  
Mechanisms Of Stomach Cancer Treatment Using Nanoparticles  
Nanoparticle-based drug delivery systems (Nano-DDS) enhance the therapeutic efficacy of anticancer agents by  
altering their pharmacokinetics, biodistribution, and cellular interactions. In Gastric Cancer (GC), nanoparticles  
improve drug targeting, overcome resistance, and enable multimodal therapy.  
Enhanced Permeability and Retention (EPR) Effect – Passive Targeting:  
It is a biological effect that allow nanoparticles and macromocular drugs to accumulate more in tumour tissue  
than normal tissue. Cancer grows very fast and require new blood vessels , they formed abnormal , leaky vessel  
have a large gaps between endothelial cells. Allow nanoparticles ( usually 10-200 nm) to easily pass through  
into the tumour cells . Retention Nanoparticles stay longer in the tumour .  
Importance Reduce systemic toxicity (less damage to healthy tissue). Improve the effectiveness of  
chemotherapy and gene therapy .  
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Active Targeting via Surface Functionalization:  
It attached to the specific ligand that binds selectively to receptors present on the target cells . Nanoparticles  
attached to the ligand, ligand recognise the binding site to the specific receptor on the target cells. Nanoparticles  
accumulate at the target cells (stomach cells). Drug enter to the cells released inside the High therapeutic effects.(  
Lu,X., et al 2020)  
Receptor which frequently used in it EGFR receptor –  
Epidermal growth factor receptor found on the surface of skin Cells, gastrointestinal Cells.  
It is cell surface receptors that control the growth, division, repair to the tissue.  
Working mechanism –  
Ligand bind with epidermal growth factor receptor (EGFR). EGFR dimerizes (2 receptor come together for  
binding). Tyrosine kinase domain become active for controlling the cancer cells.  
HER2  
-
Human Epidermal growth factor receptor 2, It is a Receptor tyrosine kinase. It does not have no known natural  
ligand. It is always in a ready to activate confirmation, making it very powerful in signaling. Over expression of  
HER2 (15-20%) causes aggressive tumour growth.  
Ph- Responsive Drugs Delivery:  
pH-responsive drug delivery systems are engineered to release their therapeutic drug, when they encounter a  
specific pH environment. Because many pathological sites (tumours, inflamed tissue, endosomes/lysosomes)  
and particular body compartments (stomach, tumour extracellular space, end lysosomal vesicles) have pH values  
different from normal blood (≈7.4), pH-sensitive carriers enable site-selective release, improving efficacy and  
reducing systemic toxicity. pH-responsive nanoparticles are designed using smart materials—such as pH-  
sensitive polymers, acid-cleavable linkers, or proton-reactive groups—that stay stable in the body’s normal  
physiological pH but change their structure in acidic environments. While circulating in the bloodstream, these  
nanoparticles remain intact, preventing any early or unwanted drug release. However, once they reach the acidic  
surroundings of a tumour, the polymer chains become protonated or the acidsensitive bonds (such as hydrazone,  
Schiff-base, acetal, or cis-aconitic linkages) begin to break. This triggers the nanoparticle to swell, degrade, or  
fall apart, leading to a rapid and targeted release of the anticancer drug directly at the tumour site. After entering  
cancer cells through endocytosis, the even lower pH inside endosomes accelerates drug release further. This  
multi-stage, pHtriggered process helps concentrate the drug within the tumour, enhances treatment effectiveness,  
and minimizes damage to healthy tissues.. (Parodi, et al 2021)  
Combination Therapy and Theragnostics  
Nanoparticles also offer the advantage of delivering more than one type of therapy at the same time—for  
example, combining chemotherapy with gene therapy, or pairing a drug with a photothermal agent to strengthen  
the overall treatment effect. Certain metallic nanoparticles, such as gold and iron oxide, can act as imaging  
contrast agents as well, making it possible to diagnose and treat the tumour simultaneously, a concept known as  
theranostics. For instance, gold nanoparticles have been used as radiosensitizers in gastric cancer models,  
improving the impact of radiotherapy while also enabling clearer tumour imaging. (Varzandeh M, sabouri et al.  
2021)  
Global Data of Different Cases of Stomach Cancer:  
The number of new stomach cancer cases has increased over the past 30 year – from about 980,899 cases in  
1990 to 1.23 millions cases in 2021. Total number of cases grown up, the rate of stomach cancer per 100,000  
people decreased from 24.76 in 1990 to 14.33 in 2021. ( Zhou, et al 2025)  
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Table 1 Regional distribution of newly diagnosed stomach cancer cases: (Inoue, M. 2024)  
S. No.  
1.  
Region  
Number Cases Of  
520,975  
Total Percentage  
53.8%  
11.3%  
Eastern Asia  
2.  
South central Asia  
Eastern Europe  
South America  
South-eastern Asia  
Southern Europe  
Northern America  
109,794  
3.  
66,400  
6.9%  
4.  
55,313  
5.7%  
5.  
6.  
38,700(approx.)  
31,000(approx.)  
30,000(approx.)  
4.0%  
3.2%  
7.  
3.1%  
According to the global cancer data from 2022, stomach cancer in India had about 64,611 new cases in 2022,  
placed India among the top three countries by total stomach cancer cases- Number of cases in male(approx.) ~  
43,060, Number of cases in female (approx.) ~ 21,551.  
There are different state where stomach cancer has higher rate of cases-  
Table 2. Stomach cancer cases in India:( shanker N, et al 2021)  
State  
Observation  
Sources  
Aizawl  
Mizoram  
district,  
Highest recorded gastric cancer incidence in men age Risk linked to the regional diet  
adjusted rate 269.4 per 1000,000 and lifestyle.  
Papumpare  
district, Incidence in women age adjusted rate 27.1 per 100,000 Based on regional cancer  
Arunachal Pradesh  
for stomach cancer  
registry  
Manipur  
Gastric cancer is among the common cancer, it is the Hospital based cancer registry  
2nd most common among males 6.1%, female 2% 2012  
Meghalaya  
Highest  
overall  
cancer  
rates,  
stomach  
cancer North-eastern  
lifestyle  
but  
contributes significantly  
consistent trends  
Challenges  
Nanoparticle-based drug delivery systems (Nano-DDS) hold great potential for improving stomach cancer  
therapy, several major challenges still limit their widespread clinical adoption. One of the key concerns is toxicity  
and biocompatibility. Some metallic or inorganic nanoparticles can accumulate in healthy organs, and their long-  
term clearance from the body remains uncertain. They may also trigger immune responses or display  
unpredictable biodistribution, leading to unwanted side effects. Another critical issue involves biological and  
physiological delivery barriers. The gastric environment is highly acidic and rich in digestive enzymes, (parodi,  
A. et al. 2021), while the thick mucosal layer can degrade or alter nanoparticles, particularly when they are  
administered orally. Moreover, the tumour microenvironment itself is complex and heterogeneous - variations  
in blood vessel density, interstitial pressure, and tissue architecture can limit deep nanoparticle penetration and  
reduce treatment uniformity. Maintaining nanoparticle stability and achieving controlled drug release present  
additional difficulties. Problems such as premature drug leakage, nanoparticle aggregation in the bloodstream,  
opsonization, and rapid clearance by the mononuclear phagocyte system can significantly decrease therapeutic  
efficacy. On an industrial level, largescale manufacturing and regulatory challenges also persist. Achieving  
precise control over nanoparticle size, surface chemistry, and drug-loading capacity is essential for  
reproducibility and safety, but these requirements make mass production complex and costly. Ensuring high  
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targeting specificity remains another obstacle. Selecting ligands that bind selectively to gastric tumour markers  
while avoiding healthy tissues is crucial, yet balancing ligand density without provoking immune detection or  
altering pharmacokinetics is difficult. Furthermore, issues such as MultiDrug Resistance (MDR) and tumour  
heterogeneity continue to hinder progress. Gastric tumours can develop multiple resistance mechanisms, and  
genetic variations among patients make it challenging to design a universal Nano-DDS. These challenges  
highlight the need for continued research, optimization, and clinical validation before nanoparticle-based  
systems can become fully established in gastric cancer therapy.  
Future Aspects  
Nanoparticle-based drug delivery systems hold great promise for transforming stomach cancer treatment. Future  
research is expected to focus on developing smarter and more precise nanoparticles that can target tumour cells  
with greater accuracy. Scientists are exploring multifunctional nanoparticles capable of detecting, treating, and  
monitoring tumours simultaneously, which could significantly enhance early diagnosis and enable more  
personalized therapy. Another exciting direction involves stimuli-responsive systems that release their drug  
cargo only under specific tumour conditions - such as low pH, high enzyme activity, or unique redox  
environments. These “smart” systems could minimize side effects and improve treatment outcomes. Moreover,  
integrating nanotechnology with immunotherapy and gene therapy may open new possibilities for patients who  
do not respond well to traditional treatments, offering a more comprehensive and adaptive therapeutic strategy.  
CONCLUSION  
Nanoparticle-based drug delivery represents a powerful and innovative approach to overcoming many of the  
limitations associated with conventional stomach cancer therapies. By improving drug targeting, enhancing  
cellular uptake, and reducing systemic toxicity, Nano-DDS have the potential to make treatments more effective  
and less harmful. While challenges such as patient variability, long-term safety, and high production costs still  
remain, ongoing progress in nanotechnology and biomedical engineering offers strong hope for the future. With  
continued research and clinical validation, nanoparticle-based therapies may soon become a standard and more  
effective option for managing gastric cancer.  
ACKNOWLEDGEMENT  
We would like to special gratitude to the mangement of kanpur institute of technology and the department of  
Biotechnology and the faculty members for their constant guidance, encouragement and valuable insights  
throughout the preparation of this review paper. I’m truly grateful towards everyone those who help me in this  
paper.  
REFERENCES  
1. Zou J., Chen S., Liu W., Wang Y., Zheng D., Sun W., Xu S., Wei W., Wang S. (2025). Nano formulation-  
based drug delivery systems for the treatment of gastric cancer: recent developments and future  
2. Nanotechnology-based strategies for gastric cancer imaging and treatment. (2021). RSC Advances.  
3. DOI: 10.1039/d5pm00179j Received 7th July 2025, Accepted 12th October 2025 DOI:  
10.1039/d5pm00179j Rsc.li/RSCPharma  
4. Zhang Y., et al. (2022). Applications of nanomaterials for gastrointestinal tumors: A review. Frontiers in  
Medical  
Technology,  
4,  
997123.  
5. Liu H., et al. (2023). Metal nanoparticles as a potential technique for the diagnosis and treatment of  
gastrointestinal  
cancer:  
a
comprehensive  
review.  
Cancer  
Cell  
International,  
23,  
3115.  
6. .Zou J., Chen S., Liu W., Wang Y., Zheng D., Sun W., Xu S., Wei W., Wang S. (2025). Nanoformulation-  
based drug delivery systems for the treatment of gastric cancer: recent developments and future  
Page 936  
7. Zhang Y., et al. (2022). Applications of nanomaterials for gastrointestinal tumours: A review. Frontiers  
in  
Medical  
Technology,  
4,  
997123.  
8. Liu H., et al. (2023). Metal nanoparticles as a potential technique for the diagnosis and treatment of  
gastrointestinal  
cancer:  
a
comprehensive  
review.  
Cancer  
Cell  
International,  
23,  
3115.  
9. Nanotechnology-based strategies for gastric cancer imaging and treatment. (2021). RSC Advances.  
10. Chen, L., Zhang, X., & Wu, Y. (2024). Mesoporous silica nanoparticles in colorectal cancer therapy:  
Dual-  
and  
multi-stimuli  
responsive  
strategies.  
arXiv  
preprint  
arXiv:2409.18809.  
11. Gupta, R., Sharma, V., & Singh, A. (2025). Magnetic nanoparticles and drug delivery systems for anti-  
cancer applications: A review. Nanomaterials, 15(4), 285. https://www.mdpi.com/2079-4991/15/4/285  
12. Patra, J. K., Das, G., & Shin, H. S. (2023). Nanoparticle-based materials in anticancer drug delivery:  
Progress  
13. Rahman, M., Ali, H., & Khan, S. (2023). Chitosan-based nanoparticles for drug delivery: Recent  
advances and cancer applications. Frontiers in Nanotechnology, 5, 11408389.  
14. Wang, J., Li, Q., & Zhou, H. (2024). Programmable lipid nanoparticles: Exploring the four-domain model  
for targeted drug delivery. arXiv preprint arXiv:2408.05695.  
15. Almeida, F., Costa, M., & Ribeiro, C. (2024). Smart drug-delivery systems for cancer Nano therapy:  
Protein coronas and immune evasion strategies. arXiv preprint arXiv:2401.11192.  
16. Wang, J., Li, Q., & Zhou, H. (2024). Programmable lipid nanoparticles: Exploring the four-domain model  
for targeted drug delivery. arXiv preprint arXiv:2408.05695.  
and  
challenges.  
Journal  
of  
Controlled  
Release,  
356,  
20–35.  
17. Maeda H. (2021). EPR effect in cancer therapy. J Control Release.( epr)  
18. Zou J., Chen S., Liu W., Wang Y., Zheng D., Sun W., Xu S., Wei W., Wang S. (2025). Nanoformulation-  
based drug delivery systems for the treatment of gastric cancer: recent developments and future  
prospects. Nanoscale Horizons.  
19. Liu H., et al. (2023). Metal nanoparticles as a potential technique for the diagnosis and treatment of  
gastrointestinal cancer: a comprehensive review. Cancer Cell International, 23, 3115.  
20. Zhang Y., et al. (2022). Applications of nanomaterials for gastrointestinal tumours: A review. Frontiers  
in Medical Technology, 4, 997123.  
21. Nanotechnology-based strategies for gastric cancer imaging and treatment. (2021). RSC Advances.  
22. Correa P., Piazuelo M.B. (2012). The gastric precancerous cascade. J Dig Dis, 13(1), 2–9.  
23. Parodi, A., Buzaeva, P., Nigovora, D. et al. Nanomedicine for increasing the oral bioavailability of cancer  
treatments. J Nanobiotechnol 19, 354 (2021). https://doi.org/10.1186/s12951-021-01100-2  
24. Varzandeh M, Sabouri L, Mansouri V, Gharibshahian M, Beheshtizadeh N, Hamblin MR, Rezaei N.  
Application of nano-radiosensitizers in combination cancer therapy. Bioeng Transl Med. 2023 Feb  
10;8(3): e10498. Doi: 10.1002/btm2.10498. PMID: 37206240; PMCID: PMC10189501  
25. Inoue, M. (2024). Epidemiology of gastric cancer—Changing trends and global disparities. Cancers,  
26. Shanker N, Mathur P, Das P, Sathishkumar K, Martina Shalini AJ, Chaturvedi M. Cancer scenario in  
North-East India & need for an appropriate research agenda. Indian J Med Res. 2021 Jul;154(1):27-35.  
Doi: 10.4103/ijmr. IJMR 34720. PMID: 34782528; PMCID: PMC8715693.  
28. Parodi, A., Buzaeva, P., Nigovora, D. et al. Nanomedicine for increasing the oral bioavailability of cancer  
treatments.  
29. J Nanobiotechnol 19, 354 (2021). https://doi.org/10.1186/s12951-021-01100-2  
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