Swedish Medical Nanoscience Center, Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden.
J Control Release. 2012 Jul 20;161(2):403-8. doi: 10.1016/j.jconrel.2012.01.027. Epub 2012 Jan 25.
Nanotechnologies offer exciting opportunities for targeted drug delivery which is anticipated to increase the efficacy of the drug and reduce potential side-effects, through the reduction of the dose of the drug in bystander tissues and an increase of the drug at the desired target site. Nevertheless, understanding whether the nano-scale carriers themselves may exert adverse effects is of great importance. The small size may enable nanoparticles to negotiate various biological barriers in the body which could, in turn, give rise to unexpected toxicities. On the other hand, the potential of nanoparticles to cross barriers can also be exploited for drug delivery. Determining the fate of nanoparticles following their therapeutic or diagnostic application is critical: are nanoparticles excreted, or biodegraded, or do they accumulate, potentially leading to harmful long-term effects? The bio-corona of proteins or lipids on the surface of nanoparticles is a key parameter for the understanding of biological interactions of nanoparticles. In the present review, we discuss some of the major challenges related to safety of nanomedicines.
纳米技术为靶向药物输送提供了令人兴奋的机会,预计通过减少旁观者组织中药物的剂量和增加期望的靶部位的药物,可以提高药物的疗效并减少潜在的副作用。然而,了解纳米级载体本身是否可能产生不良影响非常重要。较小的尺寸可能使纳米颗粒能够穿过体内的各种生物屏障,这反过来又可能导致意想不到的毒性。另一方面,纳米颗粒穿过屏障的潜力也可以用于药物输送。确定纳米颗粒在治疗或诊断应用后的命运至关重要:纳米颗粒是被排出体外、生物降解,还是积累,从而可能导致有害的长期影响?纳米颗粒表面上的蛋白质或脂质的生物冠是理解纳米颗粒生物相互作用的关键参数。在本综述中,我们讨论了与纳米药物安全性相关的一些主要挑战。