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纳米医药的脑安全问题:建立专门监管框架的必要性。

Brain safety concerns of nanomedicines: The need for a specific regulatory framework.

机构信息

EA 4446 Bioactive Molecules and Medicinal Chemistry, SFR Santé Lyon-Est CNRS UMS3453 - INSERM US7, Université Claude Bernard Lyon 1, Univ Lyon, Lyon 69373, France.

EA 4446 Bioactive Molecules and Medicinal Chemistry, SFR Santé Lyon-Est CNRS UMS3453 - INSERM US7, Université Claude Bernard Lyon 1, Univ Lyon, Lyon 69373, France; Small Molecules for Biological Targets Team, Centre de Recherche en Cancérologie de Lyon, Centre Léon Bérard, CNRS 5286, INSERM 1052, Université Claude Bernard Lyon 1, Univ Lyon, Lyon 69373, France.

出版信息

Drug Discov Today. 2021 Nov;26(11):2502-2507. doi: 10.1016/j.drudis.2021.06.011. Epub 2021 Jul 3.

Abstract

There is growing interest in using nanomaterials as carriers for the delivery of drugs in diseases such as cancers and central nervous system (CNS) disorders. Although several nanomaterial-based products have been approved, the regulatory framework for their use in humans remains limited. Nanomedicines (NMs) are usually not designed to cross the blood-brain barrier (BBB). Given the lack of a comprehensive set of standardized methods to assess their in vivo fate, there is an urgent need to characterize NM biodistribution as well as the toxicity that could result from their interaction with the CNS. Here, we discuss the risks of potential unwanted BBB crossing and brain toxicity of nanocarriers (NCs), along with the safety assessment and current regulatory challenges related to NMs.

摘要

人们越来越感兴趣地将纳米材料用作载体,以在癌症和中枢神经系统 (CNS) 疾病等疾病中递送药物。尽管已经批准了几种基于纳米材料的产品,但它们在人类中的使用的监管框架仍然有限。纳米药物(NMs)通常不设计用于穿透血脑屏障(BBB)。鉴于缺乏全面的标准化方法来评估其体内命运,因此迫切需要对 NM 的生物分布以及与 CNS 相互作用可能导致的毒性进行表征。在这里,我们讨论了纳米载体(NCs)潜在的不受欢迎的 BBB 穿透和脑毒性的风险,以及与 NMs 相关的安全性评估和当前监管挑战。

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