Gu Qiancheng, Xue Huaqian, Liu Zhiyun, Rao Jiameng, Zeng Lingyao, Zhang Chen, Lei Lanjie, Shi Liyun
Key Laboratory of Artificial Organs and Computational Medicine in Zhejiang Province, Institute of Translational Medicine, Zhejiang Shuren University, Hangzhou, 310015, China.
Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Adv Sci (Weinh). 2025 Sep;12(34):e05413. doi: 10.1002/advs.202505413. Epub 2025 Jul 25.
Lung disease remains a persistent global health challenge. Advances in medical research have led to innovative strategies to combat these conditions, with biomaterials emerging as a promising platform for targeted drug delivery. Various biomaterials-including nanoparticles such as liposomes, polymers, hybrid systems, dendritic polymers, gold nanoparticles, mesoporous silica, calcium carbonate, and exosomes-exhibit excellent biocompatibility. These materials protect therapeutic agents from nuclease degradation, stabilize drug carriers, and enhance cellular uptake via mechanisms such as endocytosis. Chemical modifications further improve biomaterials by facilitating endosomal escape and conjugation with targeting ligands, thereby enabling precise delivery to specific cells or tissues. As a therapeutic modality, mRNA offers high biosafety, notable controllability, efficient translation, and immunomodulatory properties. This review evaluates the impact of lung structure on drug absorption, examines delivery mechanisms associated with various biomaterial types, and presents application examples. It also summarizes recent research developments, discusses clinical limitations, and explores future research directions for biomaterials in lung disease therapy. Additionally, it highlights the role of biomaterials in stabilizing and protecting mRNA, providing insights into the advancement of mRNA-based therapeutics. This review aims to establish a robust theoretical foundation and offer practical guidance for biomaterial-based mRNA therapies in treating lung diseases.
肺部疾病仍然是一项持续存在的全球健康挑战。医学研究的进展催生了对抗这些疾病的创新策略,生物材料成为了一种有前景的靶向给药平台。各种生物材料,包括脂质体等纳米颗粒、聚合物、混合系统、树枝状聚合物、金纳米颗粒、介孔二氧化硅、碳酸钙和外泌体,都表现出优异的生物相容性。这些材料可保护治疗剂免受核酸酶降解,稳定药物载体,并通过内吞作用等机制增强细胞摄取。化学修饰通过促进内体逃逸以及与靶向配体结合进一步改善生物材料,从而实现向特定细胞或组织的精准递送。作为一种治疗方式,信使核糖核酸(mRNA)具有高生物安全性、显著的可控性、高效的翻译能力和免疫调节特性。本综述评估了肺部结构对药物吸收的影响,研究了与各种生物材料类型相关的递送机制,并列举了应用实例。它还总结了近期的研究进展,讨论了临床局限性,并探索了生物材料在肺部疾病治疗中的未来研究方向。此外,它突出了生物材料在稳定和保护mRNA方面的作用,为基于mRNA的治疗方法的进展提供了见解。本综述旨在为基于生物材料的mRNA疗法治疗肺部疾病建立坚实的理论基础并提供实践指导。