Department of Pharmaceutical Sciences, University of Perugia, Perugia, Italy.
Curr Med Chem. 2019;26(12):2147-2165. doi: 10.2174/0929867325666180723121804.
In recent years inorganic materials are largely present in products intended for health care. Literature gives many examples of inorganic materials used in many healthcare products, mainly in pharmaceutical field. Silver, zinc oxide, titanium oxide, iron oxide, gold, mesoporous silica, hydrotalcite-like compound and nanoclays are the most common inorganic materials used in nanosized form for different applications in the health field. Generally, these materials are employed to realize formulations for systemic use, often with the aim to perform a specific targeting to the pathological site. The nanometric dimensions are often preferred to obtain the cellular internalization when the target is localized in the intracellular space. Some materials are frequently used in topical formulations as rheological agents, adsorbents, mattifying agents, physical sunscreen (e.g. zinc oxide, titanium dioxide), and others. Recent studies highlighted that the use of nanosized inorganic materials can represent a risk for health. The very small dimension (nanometric) until a few years ago represented a fundamental requirement; however, it is currently held responsible for the inorganic material toxicity. This aspect is very important to be considered as actually numerous inorganic materials can be found in many products available in the market, often dedicated to infants and children. These materials are used without taking into account their dimensional properties with increased risk for the user/patient. This review deals with a deep analysis of current researches documenting the toxicity of nanometric inorganic materials especially those largely used in products available in the market.
近年来,无机材料在许多医疗保健产品中大量存在。文献中列举了许多将无机材料用于许多医疗保健产品的例子,主要是在制药领域。银、氧化锌、氧化钛、氧化铁、金、介孔硅、水滑石类似物和纳米粘土是最常见的以纳米形式用于不同医疗领域应用的无机材料。这些材料通常用于实现全身使用的制剂,通常旨在针对病理部位进行特定的靶向。纳米尺寸通常更有利于获得细胞内化,当目标定位于细胞内空间时。一些材料经常在局部制剂中用作流变学剂、吸附剂、哑光剂、物理防晒霜(例如氧化锌、二氧化钛)等。最近的研究强调,纳米尺寸无机材料的使用可能对健康构成风险。直到几年前,非常小的尺寸(纳米级)是一个基本要求;然而,目前它被认为是无机材料毒性的原因。这一方面非常重要,因为实际上许多无机材料可以在市场上许多产品中找到,这些产品通常是针对婴儿和儿童的。这些材料在使用时没有考虑到它们的尺寸特性,使用者/患者的风险增加。本综述深入分析了当前研究,记录了纳米无机材料的毒性,特别是那些在市场上广泛使用的产品中的毒性。