Xu Zichen, Xie Yongyi, Chen Wenjie, Deng Wei
School of Biomedical Engineering University of Technology Sydney Ultimo NSW Australia.
Guangdong Province & NMPA & State Key Laboratory School of Pharmaceutical Sciences Department of Emergency The Second Affiliated Hospital Guangzhou Medical University Guangzhou China.
MedComm (2020). 2025 Aug 21;6(9):e70337. doi: 10.1002/mco2.70337. eCollection 2025 Sep.
Nanomaterials have become promising platforms in the field of drug and gene delivery, offering unique advantages over traditional therapeutic approaches. Their tunable physicochemical properties enable improved pharmacokinetics and therapeutic performance. A wide range of nanocarriers, including lipid-based, polymer-based, and hybrid systems, have been rapidly developed and are attracting increasing attention in both preclinical and clinical research. However, despite promising preclinical outcomes, these systems still encounter critical challenges in achieving precise delivery to specific tissues, cells, and intracellular compartments. This review provides a comprehensive assessment of recent advances in the design and application of nanocarriers for targeted delivery, with emphasis on strategies designed for nuclear targeting. In the context of nuclear targeting, it explores passive approaches involving modulation of particle size, morphology, and surface charge, alongside active targeting strategies incorporating nuclear localization signals and other ligands. In addition to highlighting progress, the review examines the limitations associated with delivery efficiency, off-target effects, and barriers to clinical translation. By addressing both advances and ongoing challenges, this review provides valuable insights into the design and engineering of targeted nanocarriers. These developments are crucial for unlocking the full potential of precision nanomedicine.
纳米材料已成为药物和基因递送领域颇具前景的平台,相较于传统治疗方法具有独特优势。其可调节的物理化学性质能够改善药代动力学和治疗性能。包括脂质基、聚合物基和混合体系在内的多种纳米载体已得到快速发展,并在临床前和临床研究中受到越来越多的关注。然而,尽管临床前结果令人鼓舞,但这些系统在实现向特定组织、细胞和细胞内区室的精准递送方面仍面临严峻挑战。本综述全面评估了纳米载体靶向递送设计与应用的最新进展,重点关注针对核靶向设计的策略。在核靶向背景下,探讨了涉及调节粒径、形态和表面电荷的被动方法,以及结合核定位信号和其他配体的主动靶向策略。除了突出进展外,本综述还审视了与递送效率、脱靶效应及临床转化障碍相关的局限性。通过阐述进展和持续存在的挑战,本综述为靶向纳米载体的设计与工程提供了有价值的见解。这些进展对于释放精准纳米医学的全部潜力至关重要。