Polymeric micelles represent drug delivery nanosystems that possess a core–shell structure and are created when amphiphilic block copolymers (ABCs) self-assemble in an aqueous solution ^[4]. Polymeric micelles also refer to systems where the lipophilic portion of the amphiphilic polymer is directed to the center of the micelles and the hydrophilic portion is directed outward. The hydrophilic component of the amphiphilic polymer is directed toward the core in reverse micelles, while the lipophilic component is directed outwards ^[4]. In the case of reverse micelles, the lipophilic portion of the amphiphilic polymer is directed outward and the hydrophilic portion is directed toward the center. Solubilizers are added to the surfactant micelle to create mixed micelles. The lipid bilayer breaks when surfactants are added, resulting in the creation of mixed micelles that contain both surfactants and polar lipids ^[4].

The hydrophobic component of block copolymers is meant to expel the medicine from the polymeric micelles and solubilize poorly soluble pharmaceuticals in the core. Furthermore, hydrophobic interactions between the drug and the hydrophobic unit of copolymers are widely acknowledged as a key element in both, slowing the drug’s rate of release into the external solution and solubilizing it in the micelles ^[4].

According to numerous research on the hydrophilic shells’ functions, the systemic circulation time, biodistribution, and stability of the micelles in vivo, are all directly correlated with the physicochemical characteristics of hydrophilic polymers, such as surface density and molecular weight. There are multiple options for the formation of polymeric micelles, depending on the characteristics of the polymer and solution. As a result, diverse polymeric micelles can be produced via di-block, tri-block, and multi-block copolymers, graft polymers, stimuli-sensitive polymers, etc. ^[5]. Furthermore, the kind that is generated can be considerably influenced by the solvent, pH, polymer concentration and ratios, co-solvent, etc. Block copolymers can be categorized into one of three groups based on the intermolecular forces that regulate the segregation of micelles in an aqueous environment. They are micelles produced by metal complexations, amphiphilic micelles (hydrophobic interactions), and polyion complex micelles (electrostatic interactions) ^[5][6]. Polymeric micelles are primarily divided into two categories based on the manner of drug encapsulation: either chemical covalent binding of pharmaceuticals or the physical encapsulation method. Multiple medications can be trapped inside the micellar structure to increase the therapeutic efficacy of the nanosystems. Drug loading may be assisted by micelle polymer chemical conjugation or physical trapping. Chemically conjugated medications are typically released by surface erosive processes or the total breakdown of the micelles, whereas drugs loaded using a physical entrapment approach are typically released by simple diffusion ^[6]. The position of the drug molecules within the polymeric micelles is based on both the properties of the drug and the length of the polymer chain in the amphiphiles. Pharmaceuticals of intermediate polarity are enclosed between the core and shell as well as nonpolar medications on the core and polar drugs on the shell ^[7][8]. Therefore, the drug solubility, stability, and pharmacokinetic profile as well as stabilizing compounds that are degradable are improving. Drugs’ interactions with polymers might result from electrostatic interactions or from covalent bonding. This leads to various drug loading or encapsulation capacities in the micelles ^[7][8]. The hydrophobic component of block copolymers is intended to liberate the medicine from the micelles and dissolve poorly soluble pharmaceuticals in the core. Additionally, it is well-acknowledged that the hydrophobic interactions pharmaceuticals—hydrophobic units in copolymers have a significant role in both slowing the pace at which medications are released into external solutions and causing the drugs to become soluble in the polymeric micelles ^[9]. Amphiphilic invertible polymers (AIPs) represent a family of polymers that produce/self-assemble micellar systems considering the polymer structure and concentration. The ability of AIP macromolecules to undergo reversed conformational changes in response to shifting solvent polarity distinguishes them from other types of molecules. The invertibility of novel polymers is encouraging for applications requiring controlled self-assembly in polar and non-polar fluids, in particular, medication delivery ^[10]. AIPs are composed of macromolecules that are alternatively distributed in a macromolecular backbone from a precisely controlled number of hydrophilic and hydrophobic short fragments with a well-defined length. Compared to the structure of block copolymers, the incompatibility of these small macromolecular fragments causes microphase separation at smaller length scales. The latter, in turn, allows for more control during micellar formation ^[11]. The hydrophilic–lipophilic balance (HLB), which significantly impacts the surface activity and capacity for self-assembly in polar and non-polar solvents, distinguishes the amphiphilic invertible polymers from one another. The AIP micellar assemblies bind lipophilic and hydrophilic guest molecules in water and toluene, respectively, acting as a host for ordinarily insoluble compounds in polar (including aqueous) and non-polar solutions ^[11].

2.2. Critical Micelle Concentration

Generally made from ABCs at or above their critical micelle concentration (CMC), polymeric micelles are a class of colloidal dispersions. CMC primarily depicts the equilibrium between the hydrophobic and hydrophilic segments and defines the micelles’ thermodynamic stability. The CMC is influenced by the hydrophobic group properties, the hydrophilic component’s molecular weight, and the hydrophilic component’s distribution within the amphiphilic polymer ^[12]. The copolymers can self-assemble into the spherical core–shell shape polymeric micelles because these hydrophobic and hydrophilic segments locally phase separate in aqueous solution ^[7]. The micelles that are generated are thermodynamically stable as long as the concentration of amphiphilic polymers in the solution is higher than the CMC ^[7]. Micelles break down at a rate that is largely determined by the amphiphile structure and the interactions between the chains upon dilution to a concentration below the CMC ^[7]. Micellar structures’ low CMC (0.1–1 µM) is what gives them their clinical advantages ^[13]. To lower the system’s free energy, the hydrophobic copolymer blocks self-associate within the micelle center, away from the aqueous surroundings, during micellization. However, the hydrophobic blocks form a shell by being positioned between the core and the surrounding environment (or corona) ^[14]. These hydrophilic copolymers include poly(oxazolines), poly(ethylene glycol) (PEG), chitosan, hyaluronic acid (HA), and dextran ^[2][7]. The following hydrophobic copolymers are utilized in micellar systems: poly(caprolactone) (PCL), poly(lactide) (PLA), polyesters, lipids, and poly(lactide-co-glycolide) (PLGA) ^[2]. The characteristics of the hydrophilic and hydrophobic segments dictate which polymer should be used. The hydrophobic core should have a high loading capacity and be very compatible with the medicine that is included. Additionally, the CMC and, consequently, the stability of the micelle are determined by the kind and molecular weight of the hydrophobic block ^[12]. Lower CMC is caused by the core-forming polymer’s higher molecular weight and hydrophobicity. On the other hand, the hydrophilic corona needs to shield the micelle sterically and be biocompatible and biodegradable ^[13][14]. As it is water soluble, biocompatible, uncharged, and offers steric protection, polyethylene glycol (PEG) is a widely used polymer for the hydrophilic corona for these objectives. Additional choices are poly (N-isopropyl acrylamide, or pNIPAM), and poly (N-vinyl pyrrolidone) (PVP). Hydrophobic polyesters are the most often used materials for hydrophobic cores, however other materials, such as polyethers and polypeptides, are also employed. Examples of regularly used polymers are poly (propylene oxide) (PPO), poly (d,l-lactic acid) (PDLLA), poly (l-aspartate), and poloxamers ^{[2][7][13][14]}.

2.3. Preparation Methods

Both chemical and physical routes can be used to create micelles. For the chemical approaches, a reversible chemical link hydrophobic functional ingredient—the amphiphilic polymer is created and the hydrophobic ingredient is then enclosed in the micelle’s core. For physically obtaining route, an amphiphilic polymer self-assembles into a core–shell structure micelle, in a solution, encasing a hydrophobic functional component in the core through hydrophobic interactions and/or hydrogen bonding. The benefits of the physical approaches are their simplicity and applicability to hydrophobic components. The self-assembly of amphiphilic polymers in aqueous solution is the most facile technique for creating polymer micelles. For polymers with good water solubility, the direct dissolution approach is the most appropriate. The polymer self-assembles into micelles with the help of gentle and continuous stirring in water when the polymer concentration is higher than the CMC ^[15]. Although the direct dissolution approach is an easy way to make micelles, poorly soluble compounds find it challenging to construct a stable micellar structure.

2.3.2. Solvent Evaporation/Film Hydration

When the copolymers are soluble in a volatile and water-miscible organic solvent, thin-film hydration/solvent evaporation techniques are used. In terms of the timing of polymeric micelles production and solvent evaporation, thin-film hydration and evaporation slightly differ from one other. The thin-film hydration process involves dissolving copolymers in an organic solvent, evaporating the solvent to create a thin polymer film, adding a water phase to hydrate the film, and stirring to produce the micelle. Additionally, the solvent evaporation approach implies the dissolution of the copolymer in an organic solvent, adding water to the mixture to create the micelle, and then evaporating the solvent ^[16].

2.3.3. Oil in Water Emulsion

This method represents a practical technique for creating micelles when the drug and copolymers are soluble in water-immiscible organic solvents (e.g., chloroform, dichloromethane, ethyl acetate, and methylene chloride). In the first step, hydrophobic functional components and the polymer are dissolved in organic solvents that are not water soluble; this represents the oil phase ^[17]. Then, to create an oil-in-water emulsion, they are gradually added to the aqueous solution while being vigorously stirred, homogenized, or both. The polymer rearranges to form a micelle structure, with the internal phase being an organic part and the external phase being a continuous aqueous phase. After that, the evaporation of the emulsion’s organic phase creates a micellar solution.

2.3.4. Dialysis

One of the most popular ways to incorporate biologically active chemicals is via dialysis. The dialysis process is typically used to create micelles for functional compounds and/or polymers that are poorly water soluble. In general, the polymer and the material to be incorporated are moved from a solvent that is selective for the polymer’s hydrophilic chains to a solvent that is considered for the material to be embedded, such as deionized water ^[18]. The hydrophobic functional component is transported to the micelle core as the hydrophobic chains of the polymer gradually coalesce under the influence of a selected solvent, in order to form the micelle core. After extending the dialysis period for a few days, the organic solvent is totally eliminated. Organic solvents such as ethanol, acetone, dimethyl sulfoxide, and tetrahydrofuran are frequently employed. The osmosis effect of the dialysis membrane, which is much stronger than the driving force of micelle creation in the direct dissolution process, is used in the dialysis method to prepare micelles via solvent exchange. Micelle size increases as a result of the incorporation of additional polymer molecular chains into micelles.

2.3.5. Other Preparation Methods

Ultrasonic treatment is another technique for obtaining micelles. The encapsulation of poorly hydrophilic polymers and hydrophobic components is generally not accomplished with ultrasound alone, and the ultrasound-assisted approach is typically utilized for polymers with strong water solubility.

2.3.6. Functionalization Methods

Proteins, peptides, nucleic acids, and phospholipids can all be chemically attached to or physically contained in the micelles to produce bio-functional polymeric micellar systems. Generally speaking, biomolecules can either be integrated into the hydrophobic section (core) of the micelles or conjugated to their hydrophilic part (shell or corona), depending on their nature. The circulating time can be increased by isolating and re-dissolving micelles, resulting in stable NPs. The basic cross-linking strategy is the most susceptible. This can be accomplished by adding a polymerizable group to the block copolymer’s hydrophobic moiety or by introducing a polymerizable monomer to the micelle core that is then polymerized using a specific initiator ^[19][20][21]. The micelle core’s reduced free volume can occasionally have a negative impact on the capacity for drug loading. Similarly, the shell of micelles can be cross-linked and the core of the cross-linked shell micelle can disintegrate, producing nanocontainers. Additionally, the micelles hydrophilic tail’s terminal end can be functionalized, offering the micelles a higher chance to function as nanocarriers. Cross-linked micelles maintain their structure even at concentrations below their CMC, which results in the formation of a polymeric amphiphile. The core cross-linking frequently improves micelle stability. The overall physicochemical and biological characteristics of the micelles are altered when the shell is functionalized by biomolecules, which results in the creation of novel nanocarriers for targeted drug delivery applications ^[19][20][21]. Functionalizing the chain ends of the soluble shells is another technique to change the micelle’s morphology or properties. The covalent connection between a chain end and a potential ligand is a part of chemical functionalization. The extremely specific ligand receptor binding aids in directing the release of the solubilized medicines to the desired area. For better solubilization and release, the inclusion of various chemicals and salts that can fine-tune micellization and micelle properties can be used. Furthermore, a core–shell aggregate made of a stimuli-responsive block copolymer can be employed to load drugs. Under the impact of outside stimuli such as pH, temperature, and magnetic response, the medication may be released ^[6].

2.4. Polymeric Micelle Types

Depending on their amphiphilic nature and the solvent parameters, such as type of solvent, polymer concentration, ionic strength, pH, etc., many types of polymeric micelles exist. The construction of an amphiphilic block copolymer with the desired properties is the first stage in the creation of polymeric micelles. Other differences in the hydrophilic and hydrophobic segment lengths may cause or even prevent the formation of aggregates with distinct morphologies ^[6].  Tetrablock and pentablock copolymer manufacturing has been reported, and starblock copolymers are also being researched ^[22][23][24].  The micelles can also be classified by taking into consideration their morphology (disk-like, toroidal, and bicontinuous) and shapes (e.g., star-shaped, worm-like, flower-shaped) ^[25][26]. Additionally, polymeric micelles can be categorized as “smart” due to their reaction to their surroundings; they are pH- ^[27], temperature- ^[28], or light-responsive ^[29]. These types of micelles will be further discussed in the next sections.

2.4.1. Conventional Polymeric Micelles

Taking into account the intermolecular forces that separate the core segments from the aqueous environment, there are three basic types of polymeric micelles: those produced by hydrophobic interactions, those produced by electrostatic interactions, and those produced by noncovalent interactions ^[30].

Polymeric Micelles Generated by Hydrophobic Contact

Hydrophobic interactions, which take place between the core and the shell structure in the aqueous medium, are the building blocks of polymeric micelles generated by hydrophobic contact ^[31]. Using techniques such as reversible addition-fragmentation chain transfer (RAFT) polymerization, the polymer hydrophobic lengths can be advantageously modified ^[32].

Polymeric Micelles Generated by Electrostatic Interactions

Electrostatic interactions between two oppositely charged moieties, such as polyelectrolytes, are the basis for the construction of polymeric micelles produced through polyionic interaction; they are also known as polyion complex micelles. In the presence of oppositely charged polymers, the corona of the micelles can be penetrated, resulting in the formation of the polyion complex micelles. The electrostatic and van der Waals forces that are present in polyion complex micelles can be changed in order to regulate the structure and size of the material ^[33]. The straightforward synthesis process, facile self-assembly in aqueous medium, structural stability, high drug loading capacity, and sustained blood circulation are just a few of the special characteristics of polyion complex micelles ^[34]. Poly(ethylene oxide)-b-poly(methacrylic acid) (PEO-b-PMA) ^[35] and PEG-chitosan ^[36] are two of the most popular amphiphilic block copolymers for creating polyion complex micelles.

Polymeric Micelles Generated by Noncovalent Interaction

Specific intermolecular interactions, such as hydrogen bonding, allow the core and shell of these polymeric micelles to be joined non-covalently at the ends of their homopolymer chains. These micelles are also known as “block-copolymer-free” because the preparation methods do not make use of block copolymers. Graft copolymers, homopolymers, and oligomers are the polymers that are employed to make these kinds of polymeric micelles. The most utilized amphiphilic polymers are PEG ^[37] and poly(4-vinylpyridine) ^[38].

2.4.2. Functionalized Polymeric Micelles

Despite having many advantages, the sole polymeric micelles have certain drawbacks, chief among which is their inability to perform targeting at specific locations. Therefore, functionalized polymeric micelles have been created to address this issue and, in recent years, they have gained considerable attention for their ability to deliver medications to ill regions ^[39].

Cell-Penetrating Polymeric Micelles

The target of several medications, including DNA, siRNA, polypeptides, and oligonucleotides, is found inside the cells. Thus, a carrier needs high cellular transmembrane transportation. A potential method for achieving this goal is to functionalize a polymeric micelle surface with a cell-penetrating substance, such as a peptide. The way in which micelles penetrate different types of membranes and cells can be found in a recent review by Cai et al. ^[40]. Drug delivery with this type of micelle has included parenteral, nasal, and oral routes ^[41].

Targeting Polymeric Micelles

Polymeric micelles are successful nanocarriers for the administration of drugs because of their wide range of nanosizes and narrow size distribution, which reduces the danger of blood vessel occlusion and delays rapid drug removal ^[42]. They are able to deliver a variety of medications, including proteins, peptides, chemotherapy agents, antidiabetic agents, antituberculosis agents, siRNAs, and plasmid DNAs (pDNAs), among others, at their target areas. The polymeric micelles can be altered by conjugating them with different ligands, such as antibody fragments, glycoproteins, transferrin and folate, in order to target the site precisely, without harming other healthy cells ^[43][44][45].

Active Targeting Polymeric Micelles

A drug-carrying carrier system is delivered to a specific region through surface modification as opposed to spontaneous reticuloendothelial system (RES) absorption ^[46]. Techniques for surface modification include applying a bioadhesive, non-ionic surfactant, monoclonal antibodies that target a particular cell or tissue, or albumin protein ^[47]. On several levels, active targeting can be adjusted in the following manner: 1. First order targeting (organ compartmentalization): only the capillary bed of a chosen target site, organ, or tissue receives drug carrier system distribution. 2. Second order targeting (cellular targeting): the precise administration of medicine to a particular cell type, such as cancer cells (without affecting the normal cells). 3. Drug distribution to the intracellular organelles of the target cells is known as third order targeting (intercellular organelles targeting) ^[48]. Active targeting can be accomplished in two ways: (i) by taking advantage of the disease’s biology; or (ii) by using outside stimuli or triggers. Designing actively targeted micelles has the goal of altering the ligand to boost their selectivity for tumor cells, increase intracellular delivery and accumulation, and lessen adverse effects and related toxicities ^[49]. Active targeting makes use of receptor-mediated endocytosis, in which the micelle-attached ligands interrelate with particular receptors (that are either overexpressed or exclusively expressed) present in the diseased tissue’s cell membrane, causing endocytosis and internalization. In the case of normal tissues, these receptors are either not expressed or their expression is very low ^[49]. The carrier can also be modulated such that it reacts to the pathological triggers particular to the condition. Typically, ligands are conjugated to the outer ends of the hydrophilic segment to modify polymeric micelles for active targeting ^[49]. Targeting ligands used to create polymeric micellar systems are typically categorized as (a) small molecular weight molecules (e.g., folic acid ^[50], sialic acid ^[51], biotin ^[52]); (b) antibodies and their fragments ^[53]; (c) peptides and proteins such as trans-activator of transcription (TAT) peptide ^[54] and arginine–glycine–aspartic acid (RGD) peptide ^[55]; and (d) aptamers ^[56]. Due to their high binding affinity and specificity for tumor cells, antibodies and peptides are proven to be superior ligands. However, antibodies are not broadly used because they are expensive and their production is highly complex, whereas peptides are thought to be less costly than antibodies. Aptamers have gained popularity as a targeting ligand in recent years due to their high stability, minimal immunogenicity, and ease of manufacture; nonetheless, their application is constrained due to nuclease degradation ^[57]. For improved therapeutic effectiveness, the modification by specific ligands makes the micellar systems valuable for reaching desired targets such as cancers. As an example, one method to target the glucose transporter 1 (GLUT1), which is overexpressed on vascular endothelial cells in most cancers, is to modify cisplatin-loaded polymeric micelles with glucose. The transcytosis of PMs crossing the blood-tumor barrier might be greatly facilitated by conjugating 25% of glucose to the PEG chains ^[58]. In comparison to the free medication and non-targeted micelles, the micelles modified with 25% glucose boosted tumor exposure in OSC-19 and U87MG xenografts by 2 and 10 times, respectively ^[58]. Arginine–glycine–aspartic–phenylalanine acid (RGDF) peptide modification significantly increased tumor cellular uptake efficiency via RGDF-mediated endocytosis in addition to reducing mononuclear phagocyte systems clearance and raising plasma AUC, and 6 wt.%-RGDF polymeric micelles significantly inhibited tumor growth in mice with the H22 tumor by 96% ^[59].

Passive Targeting Polymeric Micelles

Passive targeting is primarily accomplished by the increased permeability and retention effect (EPR), hypervascularization, and inadequate lymphatic drainage ^[3] that are brought on by the overexpression of vascular endothelial growth factor receptors ^[60]. Normal blood arteries have pores < 6 nm in size; however, malignant blood vessels have pores that are ~100–600 nm in size, which makes it easier for micelles with a particle size of ~10–30 nm to accumulate inside diseased cells. Further research revealed that larger particles that are ingested are easily absorbed by the RES; as a result, the particle size of the polymeric micelle must be <150 nm in order to effectively accumulate within cancer cells via the EPR effect and avoid RES detection. The polymeric micelle’s inclusion of amphiphilic block copolymers also creates a neutral environment that hinders RES’s ability to recognize it easily, enhancing passive targeting ^[61].

2.4.3. Mucoadhesive and Mucus-Penetrating Polymeric Micelles

Mucus represents a complex viscoelastic fluid made up of glycoproteins, proteins, and polysaccharides, and is frequently found in the gastrointestinal tract, genitalia, lungs, and eyes ^[62]. According to the polymer properties, mucus-acting polymeric micelles are defined as having mechanical or physical interactions between the polymer chains and the mucus layers that cause the micelles to either become trapped in these layers (mucoadhesive) or penetrate the underlying tissues (mucus-penetrating). The most popular methods for creating these muco-acting polymers are functionalized polymers with muco-acting moieties and employing polysaccharides as a template for polymers ^[62].

2.4.4. Stimuli-Responsive Polymeric Micelles

Due to their capacity to regulate drug release at specific sites while minimizing drug exposure in off-target sites, stimuli-responsive polymeric micelles have drawn a lot of attention ^[63]. The stimuli-responsive polymeric micelles can be positively and predictably managed by using external and/or internal stimulation or even pathological alterations in the target tissues as triggers. Enzyme-, thermo-, pH-, redox-, light-, and multi-responsive polymeric micelles are the six subgroups that commonly make up stimuli-responsive PMs. We will present tThe above-mentioned subclasses will be presented in the following section, in relation to their use in drug delivery applications.

2.5. Biological Barriers and Polymeric Micelles for Efficient Anticancer Therapeutic Drug Delivery

The effectiveness of cancer nanomedicine is generally assessed by the number of medicines that can reach the tumor site. The efficacy of nanotherapeutics in disorders ranging from cancer to inflammation is constrained by obstacles to drug delivery. Shear pressure, protein adsorption, and rapid clearance are a few of the physiological and biological obstacles that need to be overcome by micellar systems for efficient biodistribution and drug administration ^[64]. These obstacles are frequently altered by disease conditions, making it harder to remove them using a tried and true method ^[65][66]. Such alterations of the biological barriers are challenging to discover and thoroughly characterize since they occur at the systemic, microenvironmental, and cellular levels, and vary from patient to patient. The biodistribution and clearance governed by interdependent systems are one of the most difficult systemic hurdles facing the successful delivery of micellar systems. Structure and chemical mechanisms that guard against exposure to hazardous chemicals prevent the delivery of foreign compounds to the body. Due to first pass pulmonary absorption in the case of lung malignancies, inhalation or intravenous treatment are preferred with particles larger than 100 nm ^[67]. Moreover, the circulatory system provides both size restriction and ongoing immunological monitoring, depending on anatomical location, of the basal and endothelial membranes. Identifying the biological barriers at organ and cellular levels that patients confront as well as on a case-by-case basis enables the development of the best polymeric micellar platforms. Site-specific drug delivery will remain an elusive target until nanocarrier design has addressed the majority of the biological barriers met upon administration. Although nanomedicine and nanodelivery systems are emerging fields, overcoming these barriers and incorporating unique design elements will lead to the development of a new generation of nanotherapeutics, marking a change in basic assumptions about polymeric micellar-based drug delivery.

2.5.1. Systemic Barriers

The selective localization of nanostructures can be influenced by the endothelium and basal membranes’ varying pore sizes, which are dependent on the anatomical location. For instance, the blood arteries within the bone cavity have significant gaps between endothelial cells and a discontinuous basal membrane, both of which encourage the deposition of nanoparticles. However, unlike the adrenals, the lungs and endocrine glands have a continuous basal membrane with somewhat fenestrated endothelial cells, which leads to a smaller concentration of particles of a similar size. The localization of nanostructures based on size is determined by the cumulative impact of endothelial pore size ^[68]. The specific characteristics of the tumor vasculature have an impact on the distribution and delivery of micelles. Angiogenesis, a dynamic process that aids the tumor development, increases the availability of oxygen and other nutrients, enabling cell proliferation and tumor growth. This process requires the release of signaling molecules, which include proteins such as vascular endothelial growth factor (VEGF-A) ^[69]. Over-secretion of VEGF promotes rapid angiogenesis, because of its unregulated speed in the growth of leaky vasculature with higher permeability ^[70]. The enhanced permeability and retention (EPR) effect, which is caused by the “leaky” vasculature, allows for nanostructures accumulation in the tumor ^[71]. Nanostructures delivery to tumors is nevertheless minimal despite this unusual pattern of distribution, demonstrating that the EPR effect is insufficient to ensure micelles accumulation and activity on their own ^[71]. The idea that the design can enable endothelial transcytosis, offering a different channel to the tumor, is one unique strategy to circumvent the dependence of delivery on EPR ^[72]. Research on the sizes of nanostructures ^[72] and surface alterations with ligands for vascular and/or tumor-expressing receptors has shown encouraging results in terms of enhanced internalization and transcytosis ^[73]. The body’s clearance processes pose a further obstacle to the micelle’s delivery and retention. Rapid clearance lessens the nanostructures buildup and activity at the target site, even though clearance is a crucial component of delivery for clinical usage ^[74]. The main organs for micelles elimination are the liver, spleen, and kidney ^[40]. Modulating size and surface features can prevent quick clearance by these organs and lengthen the circulation half-life inside the body, as will be covered in the following section. To extend the circulation period, some polymers are coated with polyethylene glycol (PEG), a technique that has proven highly effective ^[40].

2.5.2. Organ-Level Barriers

There are other hurdles based on the tumor niche in addition to the mononuclear phagocytic system (MPS), which makes up a significant portion of the RES and hinders the spread of micellar systems. The distribution and uptake of micellar systems face numerous problems due to organ-specific architecture and resultant vascular permeability, even though PEGylation has been proven to prolong the circulation time and allow escape from being cleared by the MPS and RES ^[40]. The blood–brain barrier (BBB), which tightly controls how much of the brain is exposed to the systemic environment, serves as one example. The steady rate of bad outcomes in brain cancer patients demonstrates the difficulty of removing this barrier. The brain side of the BBB is lined by brain capillary endothelial cells (BCECs), which are highly polarized and have functionally separate luminal and abluminal membrane compartments ^[75]. These cells differ from endothelial cells present in peripheral tissues, which are responsible for the majority of the BBB’s selective capabilities. Tight junctions (TJs) at the lateral, luminal membrane connect BCECs instead of extensive fenestrations, which offer a high-resistance barrier to the passage of tiny hydrophilic molecules and ions ^[76]. The most prevalent primary brain tumors (intra-axial) in adults with significant heterogeneity are gliomas ^[77]. They primarily have neuroepithelial origins and have various mutational profiles in different patients ^[77]. According to the type of glial cells implicated in the tumor, these are made up of astrocytomas, oligodendrogliomas, and ependymomas and share characteristics with the glial cells of the brain ^[77]. Glioblastoma stem cells, which are extremely invasive, aggressive, and therapy-resistant, make up the glioma cells. They are thus distinguished by an invasive phenotype with strong migratory potential ^[78]. As a result, it is claimed that encapsulating various treatments into polymeric micelles will increase drug transport across the BBB. For example, Meng et al. obtained a 0.9-folds higher drug penetration across BBB by functionalized micelles than non-functionalized ones ^[79]. In another study, a functionalized polymeric micellar system co-loaded with Anti-BCL-2 siRNA and temozolomide reduced the tumor volume in rats and the expression level of BCL-2 in glioma cells in comparison to functionalized micelles containing individual therapy ^[80]. By integrating disulfide links (reduction-responsive) into the polyurethane backbone coupled with pH-sensitivity (PMeOx), Zhang et al. created polyoxazoline-polyurethane (PMeOxPU(SS)-PMeOx) based polymeric micelles for the effective administration of doxorubicin to glioma cells. The in vitro investigation found that dual responsive functionalized polymeric micelles released drugs 1.2 times more readily at pH 5.0 than they did at pH 7.4 buffer in the presence of the redox reagent dithiothreitol. Due to the fact that C6-glioma cells were not found to be toxic to the generated dual-responsive blank polymeric micelles, they are an appropriate nanocarrier for in vivo drug administration ^[37].

2.5.3. Cellular-Level Barriers

Moving the micellar systems into the tumor cells once they have arrived at the target organ, is quite difficult. The micelles are cell internalized by means of phagocytosis, macropinocytosis, receptor-, caveolin-, clathrin-, or endocytosis-mediated endocytosis, as well as transcytosis. The majority of tumor cells use either clathrin- or caveolin-mediated cellular endocytosis as their primary endocytosis mechanism. Other cell types have different operational endocytosis processes, and changes in the extracellular environment have an impact on these routes ^[81]. Since most nanostructures tend to cluster or agglomerate in biological fluids, resulting in changes in size, it is crucial to understand how the targeted cell interacts with its environment while developing nanostructures ^[81]. Molecules ≤ 60 nm can undergo caveolin-mediated endocytosis, which uses lipid rafts to form specialized vesicles following entrapment ^[82]. Nanorods-shaped micellar nanostructures are more likely to undergo this type of endocytosis than nanospheres, which are often taken up by clathrin ^[83]. Clathrin-mediated endocytosis relies on receptor-mediated, hydrophobic or electrostatic contacts between nanostructures and the cell membrane in regions of clathrin expression ^[82][84]. It is the most frequent method for nanostructures uptake in non-specialized mammalian cells. The endocytic pathways’ activation is regulated by the nanostructure’s characteristics such as rigidity and size. Although there are some variations in the results, thicker ones are typically more readily ingested, and both experimental and theoretical assessments suggest that the endocytosis of rigid particles takes less energy ^[81][85]. Furthermore, too-small (≤30 nm) nanostructures might not be able to drive membrane wrapping sufficiently to initiate endocytic processes ^[70]. When particles with a diameter of <50 nm are utilized, excellent cellular absorption and intracellular delivery are reported in numerous studies ^[70][86]. There are only a few clear trends regarding the ideal shape and size of nanostructures for the subsequent delivery phase of cell uptake ^[70][87]. Nonetheless, certain models and studies suggest that spherical-shaped nanostructures have enhanced uptake over rod-shaped ones in non-phagocytic cells ^[70][87], but other studies prove otherwise ^[88]. As a result, a variety of parameters, such as the properties of the cell membrane and those of the micellar systems, which also have an impact on the subsequent endocytic process, dictate the method employed for micelles absorption.