Particles and Prejudice: Nanomedicine Approaches to Reducing Health Disparities in Endometrial Cancer

Author:

Rowlands Claire E.1,Folberg Abigail M.2,Beickman Zachary K.3,Devor Eric J.4,Leslie Kimberly K.5,Givens Brittany E.1ORCID

Affiliation:

1. Department of Chemical and Materials Engineering University of Kentucky 512 Administration Drive Lexington KY 40506 USA

2. Department of Psychology University of Nebraska at Omaha 6100 W. Dodge Road, ASH 347E Omaha NE 68182 USA

3. Department of Chemical Engineering Purdue University 480 Stadium Mall Drive West Lafayette IN 47907 USA

4. Department of Obstetrics and Gynecology University of Iowa 200 Hawkins Drive Iowa City IA 52242 USA

5. Division of Molecular Medicine Department of Internal Medicine Department of Obstetrics and Gynecology The University of New Mexico Comprehensive Cancer Center | The University of New Mexico Health Sciences Center 1021 Medical Arts Ave NE Albuquerque NM 87131 USA

Abstract

AbstractEndometrial cancer is the most common gynecological malignancy worldwide and unfortunately has a much higher mortality rate in Black women compared with White women. Many potential factors contribute to these mortality rates, including the underlying effects of systemic and interpersonal racism. Furthermore, other trends in medicine have potential links to these rates including participation in clinical trials, hormone therapy, and pre‐existing health conditions. Addressing the high incidence and disparate mortality rates in endometrial cancer requires novel methods, such as nanoparticle‐based therapeutics. These therapeutics have been growing in increasing prevalence in pre‐clinical development and have far‐reaching implications in cancer therapy. The rigor of pre‐clinical studies is enhanced by the likeness of the model to the human body. In systems for 3D cell culture, for example, the extracellular matrix mimics the tumor more closely. The increasing emphasis on precision medicine can be applied to cancer using nanoparticle‐based methods and applied to pre‐clinical models by using patient‐derived model data. This review highlights the intersections of nanomedicine, precision medicine, and racial disparities within endometrial cancer and provides insights into reducing health disparities using recent scientific advances on the nanoscale.

Funder

National Institutes of Health

National Center for Advancing Translational Sciences

U.S. Department of Defense

Publisher

Wiley

Subject

Biomaterials,Biotechnology,General Materials Science,General Chemistry

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