Dong Xinyue, Chu Dafeng, Wang Zhenjia
Department of Pharmaceutical Sciences, College of Pharmacy, Washington State University, Spokane, Washington, USA 99202.
Theranostics. 2017 Jan 25;7(3):751-763. doi: 10.7150/thno.18069. eCollection 2017.
Nanotechnology has become a powerful tool to potentially translate nanomedicine from bench to bedside. Nanotherapeutics are nanoparticles (NPs) loaded with drugs and possess the property of tissue targeting after surfaces of NPs are bio-functionalized. Designing smaller size of nanotherapeutics is presumed to increase tumor targeting based on the EPR (enhanced permeability and retention) effect. Since the immune systems possess a defence mechanism to fight diseases, there is an emerging concept that NPs selectively target immune cells to mediate the active delivery of drugs into sites of disease. In this review, we will focus on a key question of how nanotherapeutics specifically target immune cells and hijack them as a delivery vehicle to transport nanotherapeutics into disease tissues, thus possibly improving current therapies in inflammation, immune disorders and cancers. We will also discuss the challenges and opportunities for this new strategy of leukocyte-mediated delivery of nanotherapeutics.
纳米技术已成为一种强大的工具,有望将纳米医学从实验室转化到临床应用。纳米疗法是负载药物的纳米颗粒(NPs),在其表面进行生物功能化后具有组织靶向性。基于EPR(增强的通透性和滞留)效应,设计更小尺寸的纳米疗法被认为可以增强肿瘤靶向性。由于免疫系统具有抵御疾病的防御机制,因此出现了一个新的概念,即纳米颗粒可以选择性地靶向免疫细胞,介导药物向疾病部位的主动递送。在这篇综述中,我们将聚焦于一个关键问题:纳米疗法如何特异性地靶向免疫细胞,并利用它们作为递送载体将纳米疗法转运到疾病组织中,从而可能改善目前针对炎症、免疫紊乱和癌症的治疗方法。我们还将讨论这种白细胞介导的纳米疗法递送新策略所面临的挑战和机遇。