监管视角下的纳米医学和基因疫苗创新:安全性评估、挑战与监管观点。
Regulatory insights into nanomedicine and gene vaccine innovation: Safety assessment, challenges, and regulatory perspectives.
机构信息
Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal.
Laboratory of Pharmaceutical Technology, Department of Drug Sciences, Faculty of Pharmacy, University of Porto, 4050-313 Porto, Portugal; Facultad de Ciencias de la Salud, Universidad Francisco de Vitoria (UFV), Ctra. Pozuelo-Majadahonda Km 1,800, 28223, Pozuelo de Alarcón, Madrid, Spain.
出版信息
Acta Biomater. 2024 May;180:1-17. doi: 10.1016/j.actbio.2024.04.010. Epub 2024 Apr 10.
This analysis explores the principal regulatory concerns linked to nanomedicines and gene vaccines, including the complexities involved and the perspectives on how to navigate them. In the realm of nanomedicines, ensuring the safety of nanomaterials is paramount due to their unique characteristics and potential interactions with biological systems. Regulatory bodies are actively formulating guidelines and standards to assess the safety and risks associated with nanomedicine products, emphasizing the need for standardized characterization techniques to accurately gauge their safety and effectiveness. Regarding gene vaccines, regulatory frameworks must be tailored to address the distinct challenges posed by genetic interventions, necessitating special considerations in safety and efficacy evaluations, particularly concerning vector design, target specificity, and long-term patient monitoring. Ethical concerns such as patient autonomy, informed consent, and privacy also demand careful attention, alongside the intricate matter of intellectual property rights, which must be balanced against the imperative of ensuring widespread access to these life-saving treatments. Collaborative efforts among regulatory bodies, researchers, patent offices, and the private sector are essential to tackle these challenges effectively, with international cooperation being especially crucial given the global scope of nanomedicine and genetic vaccine development. Striking the right balance between safeguarding intellectual properties and promoting public health is vital for fostering innovation and ensuring equitable access to these ground-breaking technologies, underscoring the significance of addressing these regulatory hurdles to fully harness the potential benefits of nanomedicine and gene vaccines for enhancing healthcare outcomes on a global scale. STATEMENT OF SIGNIFICANCE: Several biomaterials are being proposed for the development of nanovaccines, from polymeric micelles, PLGA-/PEI-/PLL-nanoparticles, solid lipid nananoparticles, cationic lipoplexes, liposomes, hybrid materials, dendrimers, carbon nanotubes, hydrogels, to quantum dots. Lipid nanoparticles (LNPs) have gained tremendous attention since the US Food and Drug Administration (FDA) approval of Pfizer and Moderna's COVID-19 vaccines, raising public awareness to the regulatory challenges associated with nanomedicines and genetic vaccines. This review provides insights into the current perspectives and potential strategies for addressing these issues, including clinical trials. By navigating these regulatory landscapes effectively, we can unlock the full potential of nanomedicine and genetic vaccines using a range of promising biomaterials towards improving healthcare outcomes worldwide.
本分析探讨了与纳米医学和基因疫苗相关的主要监管问题,包括所涉及的复杂性以及如何应对这些问题的观点。在纳米医学领域,由于纳米材料具有独特的特性和与生物系统相互作用的潜在可能性,确保其安全性至关重要。监管机构正在积极制定指南和标准,以评估纳米医学产品的安全性和风险,强调需要标准化的特征描述技术来准确评估其安全性和有效性。关于基因疫苗,监管框架必须针对遗传干预带来的独特挑战进行调整,这需要在安全性和疗效评估方面进行特殊考虑,特别是在载体设计、靶向特异性和长期患者监测方面。患者自主权、知情同意和隐私等伦理问题也需要引起关注,同时还需要考虑到知识产权这一复杂问题,必须在确保广泛获得这些救生治疗的必要性与保护知识产权之间取得平衡。监管机构、研究人员、专利局和私营部门之间的合作对于有效应对这些挑战至关重要,特别是考虑到纳米医学和基因疫苗开发的全球性,国际合作尤为重要。在保护知识产权和促进公共卫生之间取得适当平衡对于促进创新和确保公平获得这些突破性技术至关重要,这突显了应对这些监管障碍的重要性,以便充分利用纳米医学和基因疫苗的潜力,提高全球医疗保健效果。
意义声明
有几种生物材料被提议用于开发纳米疫苗,包括聚合物胶束、PLGA/PEI/PLL-纳米粒子、固体脂质纳米粒子、阳离子脂质体、脂质体、混合材料、树枝状大分子、碳纳米管、水凝胶和量子点。自美国食品和药物管理局 (FDA) 批准辉瑞和 Moderna 的 COVID-19 疫苗以来,脂质纳米颗粒 (LNP) 引起了极大的关注,这提高了公众对与纳米医学和基因疫苗相关的监管挑战的认识。本综述提供了对当前观点和潜在策略的见解,包括临床试验。通过有效地应对这些监管挑战,我们可以利用一系列有前途的生物材料,充分发挥纳米医学和基因疫苗的潜力,从而改善全球医疗保健效果。