Department of Biomedical Engineering, University of Delaware, Newark, DE 19716, USA.
J Mater Chem B. 2020 Aug 21;8(31):6548-6561. doi: 10.1039/d0tb00612b. Epub 2020 May 26.
Pregnancy complications are commonplace and the challenges of treatment during pregnancy with few options available pose a risk to the health of both the mother and baby. Patients suffering from conditions such as preeclampsia, placenta accreta, and intrauterine growth restriction have few treatment options apart from emergency caesarean section. Fortunately, researchers are beginning to develop nanomedicine-based therapies that could be utilized to treat conditions affecting the mother, placenta, or fetus to improve the prognosis for mothers and their unborn children. This review summarizes the field's current understanding of nanoparticle biodistribution and therapeutic effect following systemic or vaginal administration and overviews the design parameters researchers should consider when developing nanomedicines for maternal/fetal health. It also describes safety considerations for nanomedicines to limit undesirable maternal or fetal side effects and discusses future work that should be performed to advance nanomedicine for maternal/fetal health. With additional development and implementation, the application of nanomedicine to treat pregnancy complications may mitigate the need for emergency caesarean sections and allow pregnancies to extend to term.
妊娠并发症很常见,而在妊娠期间可供选择的治疗方法有限,这对母婴健康都构成了风险。患有子痫前期、胎盘植入和宫内生长受限等疾病的患者,除了紧急剖宫产外,几乎没有其他治疗选择。幸运的是,研究人员开始开发基于纳米医学的疗法,这些疗法可用于治疗影响母亲、胎盘或胎儿的疾病,以改善母亲及其未出生婴儿的预后。这篇综述总结了目前对系统或阴道给药后纳米颗粒的生物分布和治疗效果的理解,并概述了研究人员在为母婴健康开发纳米药物时应考虑的设计参数。它还描述了纳米药物的安全性考虑因素,以限制不良的母体或胎儿副作用,并讨论了应进行的未来工作,以推进纳米医学在母婴健康方面的应用。随着进一步的开发和实施,纳米医学在治疗妊娠并发症方面的应用可能会减少对紧急剖宫产的需求,并允许妊娠延长至足月。