Tripathi Devika, Pandey Prashant, Sharma Sakshi, Rai Awani K, Prabhu B H Manjunatha
PSIT-Pranveer Singh Institute of Technology (Pharmacy), Kanpur Uttar Pradesh, 208002, India.
Department of Pharmaceutical Sciences, Babasaheb Bhimrao Ambedkar University, Lucknow, Uttar Pradesh 226025, India.
Bioimpacts. 2024 Nov 2;15:30573. doi: 10.34172/bi.30573. eCollection 2025.
By integrating the cutting-edge principles of nanotechnology with medical science, nanomedicine offers unprecedented opportunities to develop advanced drug delivery systems that surpass the limitations of conventional therapies. These nanoscale systems are designed to enhance treatments' efficacy, specificity, and safety by optimizing pharmacokinetics and biodistribution, ensuring that therapeutic agents reach their intended targets with minimal side effects. The article provides an in-depth analysis of nanomaterials' pivotal role in overcoming challenges related to drug delivery, including the ability to bypass biological barriers, improve bioavailability, and achieve controlled release of drugs. Despite these promising advancements, the transition of nanomedicine from research to clinical practice faces significant hurdles. The review highlights key obstacles such as patient heterogeneity, physiological variability, and the complex ADME (Absorption, Distribution, Metabolism, Excretion) profiles of nanocarriers, which complicate treatment predictability and effectiveness. Moreover, the article addresses the issues of limited tissue penetration, variable patient responses, and the need for standardized protocols in nanomaterial characterization, all of which hinder the widespread clinical adoption of nanomedicine. Nevertheless, the potential of nanomedicine in revolutionizing personalized cancer therapy remains immense. The article advocates for increased translational research and international collaboration to overcome these challenges, paving the way for fully realizing nanomedicine's capabilities in precision oncology and beyond.
通过将纳米技术的前沿原理与医学相结合,纳米医学为开发先进的药物递送系统提供了前所未有的机会,这些系统超越了传统疗法的局限性。这些纳米级系统旨在通过优化药代动力学和生物分布来提高治疗的有效性、特异性和安全性,确保治疗药物以最小的副作用到达预期靶点。本文深入分析了纳米材料在克服与药物递送相关挑战方面的关键作用,包括绕过生物屏障、提高生物利用度以及实现药物控释的能力。尽管取得了这些有前景的进展,但纳米医学从研究向临床实践的转变仍面临重大障碍。该综述强调了关键障碍,如患者异质性、生理变异性以及纳米载体复杂的ADME(吸收、分布、代谢、排泄)特性,这些使治疗的可预测性和有效性变得复杂。此外,本文还讨论了组织穿透有限、患者反应多变以及纳米材料表征中标准化方案的必要性等问题,所有这些都阻碍了纳米医学在临床上的广泛应用。然而,纳米医学在彻底改变个性化癌症治疗方面的潜力仍然巨大。本文主张加强转化研究和国际合作以克服这些挑战,为充分实现纳米医学在精准肿瘤学及其他领域的能力铺平道路。