Mahaling Binapani, Baruah Namrata, Dinabandhu Aumreetam
Schepens Eye Research Institute, Harvard Medical School, Boston, MA 02114, USA.
Emory National Primate Research Center, Emory University, Atlanta, GA 30329, USA.
J Clin Med. 2024 Dec 16;13(24):7651. doi: 10.3390/jcm13247651.
Ocular diseases such as cataract, refractive error, age-related macular degeneration, glaucoma, and diabetic retinopathy significantly impact vision and quality of life worldwide. Despite advances in conventional treatments, challenges like limited bioavailability, poor patient compliance, and invasive administration methods hinder their effectiveness. Nanomedicine offers a promising solution by enhancing drug delivery to targeted ocular tissues, enabling sustained release, and improving therapeutic outcomes. This review explores the journey of nanomedicine from bench to bedside, focusing on key nanotechnology platforms, preclinical models, and case studies of successful clinical translation. It addresses critical challenges, including pharmacokinetics, regulatory hurdles, and manufacturing scalability, which must be overcome for successful market entry. Additionally, this review highlights safety considerations, current marketed and FDA-approved nanomedicine products, and emerging trends such as gene therapy and personalized approaches. By providing a comprehensive overview of the current landscape and future directions, this article aims to guide researchers, clinicians, and industry stakeholders in advancing the clinical application of nanomedicine in ophthalmology.
白内障、屈光不正、年龄相关性黄斑变性、青光眼和糖尿病性视网膜病变等眼部疾病在全球范围内对视力和生活质量产生了重大影响。尽管传统治疗方法取得了进展,但生物利用度有限、患者依从性差以及侵入性给药方式等挑战阻碍了其疗效。纳米医学通过增强药物向眼部靶向组织的递送、实现持续释放以及改善治疗效果,提供了一个有前景的解决方案。本综述探讨了纳米医学从实验室到临床应用的历程,重点关注关键的纳米技术平台、临床前模型以及成功临床转化的案例研究。它阐述了成功进入市场必须克服的关键挑战,包括药代动力学、监管障碍和生产可扩展性。此外,本综述强调了安全考量、当前已上市和美国食品药品监督管理局(FDA)批准的纳米医学产品,以及基因治疗和个性化方法等新兴趋势。通过全面概述当前形势和未来方向,本文旨在指导研究人员、临床医生和行业利益相关者推动纳米医学在眼科临床应用方面的进展。