Shandilya Ruchita, Pathak Neelam, Lohiya Nirmal Kumar, Sharma Radhey Shyam, Mishra Pradyumna Kumar
Department of Molecular Biology, ICMR-National Institute for Research in Environmental Health, Bhopal, India.
School of Life Sciences, University of Rajasthan, Jaipur, India.
Clin Exp Reprod Med. 2020 Dec;47(4):245-262. doi: 10.5653/cerm.2020.03650. Epub 2020 Nov 16.
In recent years, nanotechnology has revolutionized global healthcare and has been predicted to exert a remarkable effect on clinical medicine. In this context, the clinical use of nanomaterials for cancer diagnosis, fertility preservation, and the management of infertility and other pathologies linked to pubertal development, menopause, sexually transmitted infections, and HIV (human immunodeficiency virus) has substantial promise to fill the existing lacunae in reproductive healthcare. Of late, a number of clinical trials involving the use of nanoparticles for the early detection of reproductive tract infections and cancers, targeted drug delivery, and cellular therapeutics have been conducted. However, most of these trials of nanoengineering are still at a nascent stage, and better synergy between pharmaceutics, chemistry, and cutting-edge molecular sciences is needed for effective translation of these interventions from bench to bedside. To bridge the gap between translational outcome and product development, strategic partnerships with the insight and ability to anticipate challenges, as well as an in-depth understanding of the molecular pathways involved, are highly essential. Such amalgamations would overcome the regulatory gauntlet and technical hurdles, thereby facilitating the effective clinical translation of these nano-based tools and technologies. The present review comprehensively focuses on emerging applications of nanotechnology, which holds enormous promise for improved therapeutics and early diagnosis of various human reproductive tract diseases and conditions.
近年来,纳米技术给全球医疗保健带来了变革,并预计将对临床医学产生显著影响。在此背景下,纳米材料在癌症诊断、生育力保存以及与青春期发育、更年期、性传播感染和艾滋病毒(人类免疫缺陷病毒)相关的不孕症及其他病症管理方面的临床应用,对于填补生殖保健领域现有的空白具有重大前景。最近,已经开展了一些涉及使用纳米颗粒进行生殖道感染和癌症早期检测、靶向给药以及细胞治疗的临床试验。然而,这些纳米工程试验大多仍处于初期阶段,为了将这些干预措施从实验室有效转化到临床应用,制药学、化学和前沿分子科学之间需要更好的协同作用。为了弥合转化成果与产品开发之间的差距,建立具有预见挑战的洞察力和能力以及对所涉及分子途径有深入理解的战略伙伴关系至关重要。这种融合将克服监管障碍和技术难题,从而促进这些基于纳米的工具和技术的有效临床转化。本综述全面聚焦于纳米技术的新兴应用,其在改善各种人类生殖道疾病和病症的治疗及早期诊断方面具有巨大潜力。