University Hospital Basel, Switzerland.
Nanomedicine. 2013 Aug;9(6):742-57. doi: 10.1016/j.nano.2013.01.012. Epub 2013 Feb 19.
Nanomedical approaches are a major transforming factor in medical diagnosis and therapies. Based on important earlier work in the field of liposomal drug delivery and metallic nanomaterials, the last decade has brought a broad array of new and improved intelligent nanoscale platforms which are not only suited to deliver drugs and imaging agents but also to carry advanced functionality including internal and external stimuli-responsiveness in a highly targeted fashion to a diseased area. This review focuses on required properties and differences of basic delivery platforms in regard to deliver smart functionality, on building blocks suited to enhance tissue-, cell- and receptor-specific targeting and on nano-bio interaction. Further it discusses advantages and disadvantages of those platforms for future clinical application with regard to the subject of complement activation and hypersensitivity reactions in particular against polyethylene glycol (PEG) and possible functionalization with nanosize switches.
This review focuses on the properties of platforms designed to deliver smart functionality, using appropriate building blocks to enhance tissue-, cell-, and receptor-specific targeting. The authors also discuss potential complications such as complement activation and hypersensitivity reactions, and possible functionalization with nanosize switches.
纳米医学方法是医学诊断和治疗的主要变革因素。基于脂质体药物传递和金属纳米材料领域的重要早期工作,过去十年带来了广泛的新型和改进的智能纳米级平台,这些平台不仅适合输送药物和成像剂,还能够携带先进的功能,包括以高度靶向的方式对病变部位进行内外刺激响应。这篇综述重点介绍了基本输送平台在输送智能功能方面所需的特性和差异,讨论了适合增强组织、细胞和受体特异性靶向的构建模块,以及纳米生物相互作用。此外,还讨论了这些平台在未来临床应用方面的优缺点,特别是针对补体激活和超敏反应,特别是针对聚乙二醇(PEG)的反应,以及可能的纳米尺寸开关功能化。
这篇综述重点介绍了设计用于输送智能功能的平台的特性,使用适当的构建模块来增强组织、细胞和受体特异性靶向。作者还讨论了潜在的并发症,如补体激活和超敏反应,以及可能的纳米尺寸开关功能化。