Delivering living medicines with biomaterials

IF 86.2 1区 材料科学 Q1 MATERIALS SCIENCE, MULTIDISCIPLINARY Nature Reviews Materials Pub Date : 2025-01-27 DOI:10.1038/s41578-024-00766-y
Tetsuhiro Harimoto, Wei-Hung Jung, David J. Mooney
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Abstract

The engineering of therapeutic living cells through genetic programming is poised to transform medicine. Diverse living medicines, including mammalian cells, fungi, bacteria and viruses, are under development. However, for these medicines to progress in the clinic, new strategies are needed to successfully deliver them into the body. Unlike conventional small-molecule and protein-based biologics, living medicines present distinct challenges for delivery, including the need to maintain viability, control replication, manage metabolism and mitigate immunogenicity. This Review focuses on delivery strategies for living medicines, identifying key challenges and efforts to overcome them. We survey clinically adopted biomaterial strategies for delivering conventional drugs and explore how these approaches can be tailored for living medicines. Finally, we discuss remaining challenges and future directions towards next-generation living medicine delivery. As the field of engineered therapeutic living cells advances, new strategies to deliver them into the body are needed. This Review identifies current challenges in living medicine delivery and discusses how biomaterial strategies could be leveraged to overcome these clinical barriers.

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用生物材料提供活体药物
通过基因编程的治疗性活细胞工程有望改变医学。包括哺乳动物细胞、真菌、细菌和病毒在内的多种活药正在开发中。然而,为了使这些药物在临床上取得进展,需要新的策略来成功地将它们输送到体内。与传统的小分子和基于蛋白质的生物制剂不同,活体药物在递送方面面临着独特的挑战,包括需要保持活力、控制复制、管理代谢和减轻免疫原性。本综述侧重于活体药物的递送战略,确定主要挑战和克服这些挑战的努力。我们调查了临床采用的生物材料策略来递送常规药物,并探讨了如何为活体药物量身定制这些方法。最后,我们讨论了下一代活体药物递送的挑战和未来方向。
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来源期刊
Nature Reviews Materials
Nature Reviews Materials Materials Science-Biomaterials
CiteScore
119.40
自引率
0.40%
发文量
107
期刊介绍: Nature Reviews Materials is an online-only journal that is published weekly. It covers a wide range of scientific disciplines within materials science. The journal includes Reviews, Perspectives, and Comments. Nature Reviews Materials focuses on various aspects of materials science, including the making, measuring, modelling, and manufacturing of materials. It examines the entire process of materials science, from laboratory discovery to the development of functional devices.
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