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Nanotechnology-Assisted CAR-T-Cell Therapy for Tumor Treatment. 用于肿瘤治疗的纳米技术辅助 CAR-T 细胞疗法。
Pub Date : 2024-09-01 DOI: 10.1002/wnan.2005
Yixin Wang, Allie Barrett, Quanyin Hu

The adoptive transfer of T cells redirected by chimeric antigen receptors (CARs) has made a dramatic breakthrough in defeating hematological malignancies. However, in solid tumor treatment, CAR-T-cell therapy has attained limited therapeutic benefits due to insufficient infiltration and expansion, rapidly diminishing function following adoptive transfer, and severe life-threatening toxicities. To address these challenges, advancements in nanotechnology have utilized innovative approaches to devise stronger CAR-T cells with reduced toxicity and enhanced anti-tumor activity. Equipping CAR-T cells with multifunctional nanoparticles can abrogate immunosuppressive signaling in the tumor area, augment the functions of CAR-T cells, and mitigate their toxicity against normal tissues. Additionally, nanoparticle-mediated CAR-T-cell programming has the potential to optimize manufacturing and lower the cost for the broader implementation of CAR-T-cell therapy. In this review, we introduce the obstacles to be surmounted in CAR-T-cell therapy, highlight the nanotechnology-based strategies that aim to enrich the therapeutic applications of CAR-T-cell therapy, and envision the prospect of nanoparticle-assisted CAR-T-cell therapy.

由嵌合抗原受体(CAR)重定向的 T 细胞的采纳性转移在战胜血液恶性肿瘤方面取得了巨大突破。然而,在实体瘤治疗中,CAR-T 细胞疗法由于浸润和扩增不足、采用性转移后功能迅速减弱以及严重的危及生命的毒性,治疗效果有限。为了应对这些挑战,纳米技术的进步利用创新方法设计出了毒性更低、抗肿瘤活性更强的 CAR-T 细胞。为 CAR-T 细胞配备多功能纳米颗粒,可以消除肿瘤区域的免疫抑制信号,增强 CAR-T 细胞的功能,减轻其对正常组织的毒性。此外,纳米颗粒介导的 CAR-T 细胞编程有可能优化制造过程并降低成本,从而更广泛地实施 CAR-T 细胞疗法。在这篇综述中,我们介绍了CAR-T细胞疗法需要克服的障碍,强调了旨在丰富CAR-T细胞疗法应用的基于纳米技术的策略,并展望了纳米粒子辅助CAR-T细胞疗法的前景。
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引用次数: 0
Strategies for Organ-Targeted mRNA Delivery by Lipid Nanoparticles. 利用脂质纳米颗粒进行器官靶向 mRNA 运送的策略。
Pub Date : 2024-09-01 DOI: 10.1002/wnan.2004
Hangping Liao, Jing Liao, Ling Zeng, Xinxiu Cao, Hui Fan, Jinjin Chen

Messenger RNA (mRNA) technology has rapidly evolved, significantly impacting various therapeutic applications, including vaccines, protein replacement, and gene editing. Lipid nanoparticles (LNPs) have emerged as a pivotal nonviral vector for mRNA delivery, crucial for organ-targeted therapies. Despite their success, most LNP formulations predominantly target the liver, limiting their use in nonliver diseases. This review explores strategies to achieve organ-specific mRNA delivery using LNPs, including the discovery of new lipid structures, modification of targeting ligands, incorporation of additional components, and optimization of LNP formulations. These advancements aim to enhance the precision and efficacy of mRNA therapeutics across a broader range of diseases.

信使核糖核酸(mRNA)技术发展迅速,对疫苗、蛋白质替代和基因编辑等各种治疗应用产生了重大影响。脂质纳米颗粒(LNPs)已成为传递 mRNA 的重要非病毒载体,对器官靶向疗法至关重要。尽管取得了成功,但大多数 LNP 制剂主要以肝脏为靶点,限制了其在非肝脏疾病中的应用。本综述探讨了利用 LNPs 实现器官特异性 mRNA 递送的策略,包括发现新的脂质结构、修饰靶向配体、加入其他成分以及优化 LNP 制剂。这些进展旨在提高 mRNA 疗法在更广泛疾病中的精确性和疗效。
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引用次数: 0
An overview of lipid constituents in lipid nanoparticle mRNA delivery systems. 脂质纳米粒子 mRNA 运送系统中的脂质成分概述。
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1978
Shiqi Wu, Lixin Lin, Lu Shi, Shuai Liu

mRNA therapeutics have shown great potential for a broad spectrum of disease treatment. However, the challenges of mRNA's inherent instability and difficulty in cellular entry have hindered its progress in the biomedical field. To address the cellular barriers and deliver mRNA to cells of interest, various delivery systems are designed. Among these, lipid nanoparticles (LNPs) stand out as the most extensively used mRNA delivery systems, particularly following the clinical approvals of corona virus disease 2019 (COVID-19) mRNA vaccines. LNPs are comprised of ionizable cationic lipids, phospholipids, cholesterol, and polyethylene glycol derived lipids (PEG-lipids). In this review, we primarily summarize the recent advancements of the LNP mRNA delivery technology, focusing on the structures of four lipid constituents and their biomedical applications. We delve into structure-activity relationships of the lipids, while also exploring the future prospects and challenges in developing more efficacious mRNA delivery systems. This article is categorized under: Therapeutic Approaches and Drug Discovery > Emerging Technologies Biology-Inspired Nanomaterials > Lipid-Based Structures Nanotechnology Approaches to Biology > Nanoscale Systems in Biology.

mRNA 疗法在治疗各种疾病方面显示出巨大的潜力。然而,mRNA 固有的不稳定性和难以进入细胞的难题阻碍了它在生物医学领域的发展。为了解决细胞障碍并将 mRNA 运送到感兴趣的细胞,人们设计了各种运送系统。其中,脂质纳米颗粒(LNPs)是应用最广泛的 mRNA 递送系统,尤其是在 2019 年电晕病毒病(COVID-19)mRNA 疫苗获得临床批准之后。LNPs 由可电离阳离子脂质、磷脂、胆固醇和聚乙二醇衍生脂质(PEG-脂质)组成。在这篇综述中,我们主要总结了 LNP mRNA 输送技术的最新进展,重点介绍了四种脂质成分的结构及其生物医学应用。我们深入探讨了脂质的结构-活性关系,同时还探讨了开发更高效 mRNA 递送系统的未来前景和挑战。本文归类于治疗方法与药物发现 > 新兴技术 生物学启发的纳米材料 > 脂基结构 生物纳米技术 > 生物学中的纳米尺度系统。
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引用次数: 0
Nanozymes for biomedical applications: Multi-metallic systems may improve activity but at the cost of higher toxicity? 用于生物医学的纳米酶:多金属系统可提高活性,但代价是毒性更高?
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1981
Thuong Phan-Xuan, Ben Breitung, Lea Ann Dailey

Nanozymes are nanomaterials with intrinsic enzyme-like activity with selected advantages over native enzymes such as simple synthesis, controllable activity, high stability, and low cost. These materials have been explored as surrogates to natural enzymes in biosensing, therapeutics, environmental protection, and many other fields. Among different nanozymes classes, metal- and metal oxide-based nanozymes are the most widely studied. In recent years, bi- and tri-metallic nanomaterials have emerged often showing improved nanozyme activity, some of which even possess multifunctional enzyme-like activity. Taking this concept even further, high-entropy nanomaterials, that is, complex multicomponent alloys and ceramics like oxides, may potentially enhance activity even further. However, the addition of various elements to increase catalytic activity may come at the cost of increased toxicity. Since many nanozyme compositions are currently being explored for in vivo biomedical applications, such as cancer therapeutics, toxicity considerations in relation to nanozyme application in biomedicine are of vital importance for translation. This article is categorized under: Therapeutic Approaches and Drug Discovery > Emerging Technologies Toxicology and Regulatory Issues in Nanomedicine > Toxicology of Nanomaterials Diagnostic Tools > Diagnostic Nanodevices.

纳米酶是一种具有类似酶的内在活性的纳米材料,与本地酶相比具有合成简单、活性可控、稳定性高和成本低等优点。在生物传感、治疗、环境保护和许多其他领域,这些材料已被探索用作天然酶的替代物。在各类纳米酶中,金属和金属氧化物基纳米酶的研究最为广泛。近年来,出现的双金属和三金属纳米材料往往显示出更高的纳米酶活性,其中一些甚至具有类似酶的多功能活性。从这一概念出发,高熵纳米材料,即复杂的多组分合金和陶瓷(如氧化物),有可能进一步提高活性。然而,添加各种元素以提高催化活性可能会以增加毒性为代价。由于目前正在探索将许多纳米酶组合物用于体内生物医学应用,如癌症治疗,因此纳米酶在生物医学应用中的毒性考虑对于转化至关重要。本文归类于治疗方法和药物发现 > 新兴技术 纳米医学中的毒理学和监管问题 > 纳米材料毒理学 诊断工具 > 纳米诊断设备。
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引用次数: 0
Bioinspired and bioderived nanomedicine for inflammatory bowel disease. 治疗炎症性肠病的生物启发和生物纳米药物。
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1986
Rafaela Gazzi, Rita Gelli, Simone Aleandri, Marianna Carone, Paola Luciani

Due to its chronic nature and complex pathophysiology, inflammatory bowel disease (IBD) poses significant challenges for treatment. The long-term therapies for patients, often diagnosed between the ages of 20 and 40, call for innovative strategies to target inflammation, minimize systemic drug exposure, and improve patients' therapeutic outcomes. Among the plethora of strategies currently pursued, bioinspired and bioderived nano-based formulations have garnered interest for their safety and versatility in the management of IBD. Bioinspired nanomedicine can host and deliver not only small drug molecules but also biotherapeutics, be made gastroresistant and mucoadhesive or mucopenetrating and, for these reasons, are largely investigated for oral administration, while surprisingly less for rectal delivery, recommended first-line treatment approach for several IBD patients. The use of bioderived nanocarriers, mostly extracellular vesicles (EVs), endowed with unique homing abilities, is still in its infancy with respect to the arsenal of nanomedicine under investigation for IBD treatment. An emerging source of EVs suited for oral administration is ingesta, that is, plants or milk, thanks to their remarkable ability to resist the harsh environment of the upper gastrointestinal tract. Inspired by the unparalleled properties of natural biomaterials, sophisticated avenues for enhancing therapeutic efficacy and advancing precision medicine approaches in IBD care are taking shape, although bottlenecks arising either from the complexity of the nanomedicine designed or from the lack of a clear regulatory pathway still hinder a smooth and efficient translation to the clinics. This article is categorized under: Nanotechnology Approaches to Biology > Nanoscale Systems in Biology.

炎症性肠病(IBD)是一种慢性疾病,病理生理学复杂,给治疗带来了巨大挑战。患者通常在 20 岁至 40 岁之间被确诊,他们需要长期治疗,这就要求采用创新策略来针对炎症,最大限度地减少全身药物暴露,并改善患者的治疗效果。在目前所采用的大量策略中,生物启发和生物衍生纳米制剂因其在治疗 IBD 方面的安全性和多功能性而备受关注。生物启发纳米药物不仅能承载和递送小分子药物,还能承载和递送生物治疗药物,具有胃耐受性和粘附性或粘液渗透性,由于这些原因,口服给药方面的研究较多,而直肠给药方面的研究较少,而直肠给药是一些 IBD 患者推荐的一线治疗方法。生物纳米载体主要是细胞外囊泡 (EV),具有独特的归巢能力,在用于 IBD 治疗的纳米药物研究中仍处于起步阶段。适合口服的新出现的EVs来源是摄入物,即植物或牛奶,这要归功于它们抵御上消化道恶劣环境的卓越能力。在天然生物材料无与伦比的特性的启发下,提高治疗效果和推进 IBD 治疗中的精准医疗方法的复杂途径正在形成,尽管由于纳米药物设计的复杂性或缺乏明确的监管途径而产生的瓶颈仍阻碍着其顺利、高效地应用于临床。本文归类于生物纳米技术 > 生物学中的纳米级系统。
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引用次数: 0
Polymer-drug and polymer-protein conjugated nanocarriers: Design, drug delivery, imaging, therapy, and clinical applications. 聚合物-药物和聚合物-蛋白质共轭纳米载体:设计、给药、成像、治疗和临床应用。
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1988
Haochen Guo, Peng Mi

Polymer-drug conjugates and polymer-protein conjugates have been pivotal in the realm of drug delivery systems for over half a century. These polymeric drugs are characterized by the conjugation of therapeutic molecules or functional moieties to polymers, enabling a range of benefits including extended circulation times, targeted delivery, controlled release, and decreased immunogenicity. This review delves into recent advancements and challenges in the clinical translations and preclinical studies of polymer-drug conjugates and polymer-protein conjugates. The design principles and functionalization strategies crucial for the development of these polymeric drugs were explored followed by the review of structural properties and characteristics of various polymer carriers. This review also identifies significant obstacles in the clinical translation of polymer-drug conjugates and provides insights into the directions for their future development. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease.

半个多世纪以来,聚合物-药物共轭物和聚合物-蛋白质共轭物在给药系统领域一直举足轻重。这些聚合物药物的特点是将治疗分子或功能分子与聚合物共轭,从而带来一系列好处,包括延长循环时间、靶向给药、控释和降低免疫原性。本综述深入探讨了聚合物-药物共轭物和聚合物-蛋白质共轭物在临床转化和临床前研究方面的最新进展和挑战。本综述探讨了对开发这些聚合物药物至关重要的设计原则和功能化策略,随后评述了各种聚合物载体的结构特性和特点。这篇综述还指出了聚合物-药物共轭物临床转化的重大障碍,并对其未来的发展方向提出了见解。本文归类于治疗方法与药物发现 > 用于肿瘤疾病的纳米药物。
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引用次数: 0
Chemoradiotherapy and nanomedicine: Drug mechanisms and delivery systems. 化放疗和纳米医学:药物机制和输送系统。
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1984
Matthew Molinaro, David Skrodzki, Dipanjan Pan

Radiotherapy is an invaluable tool in the treatment of cancer. However, when used as a monotherapy, it fails to provide curative outcomes. Chemotherapy drugs are often included to boost the effects of radiation. Key classes of radiosensitizing drugs include platinum compounds, anthracyclines, antimetabolites, taxanes, topoisomerase inhibitors, alkylating agents, and DNA damage repair inhibitors. Chemoradiotherapy suffers from not only systemic toxicities from chemotherapy drugs but also synergistic radiation toxicity as well. It is critical to deliver radiosensitizing molecules to tumor cells while avoiding adjacent healthy tissues. Currently, nanomedicine provides an avenue for tumor specific delivery of radiosensitizers. Nanoscale delivery vehicles can be synthesized from lipids, polymers, or inorganic materials. Additionally, nanomedicine encompasses stimuli responsive particles including prodrug formulation for tumor specific activation. Clinically, nanomedicine and radiotherapy are intertwined with approved formulation including DOXIL and Abraxane. Though many challenges remain, the ongoing progress evidences a promising future for both nanomedicine and chemoradiotherapy. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease Therapeutic Approaches and Drug Discovery > Nanomedicine for Cardiovascular Disease Therapeutic Approaches and Drug Discovery > Emerging Technologies.

放疗是治疗癌症的重要手段。然而,当作为单一疗法使用时,它无法提供治疗效果。化疗药物通常用于增强放疗效果。主要的放射增敏药物包括铂化合物、蒽环类、抗代谢物、紫杉类、拓扑异构酶抑制剂、烷化剂和 DNA 损伤修复抑制剂。化放疗不仅存在化疗药物的全身毒性,还存在协同放射毒性。向肿瘤细胞输送放射增敏分子,同时避免邻近的健康组织,这一点至关重要。目前,纳米医学为肿瘤特异性递送放射增敏剂提供了一条途径。纳米级递送载体可由脂质、聚合物或无机材料合成。此外,纳米医学还包括刺激反应颗粒,包括用于特异性激活肿瘤的原药配方。在临床上,纳米医学与放射治疗相互结合,已获批准的制剂包括 DOXIL 和 Abraxane。尽管仍存在许多挑战,但不断取得的进展证明纳米医学和化学放疗的未来大有可为。本文归类于治疗方法与新药开发 > 用于肿瘤疾病的纳米医学 治疗方法与新药开发 > 用于心血管疾病的纳米医学 治疗方法与新药开发 > 新兴技术。
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引用次数: 0
Shifting paradigm in electrochemical biosensing matrices comprising metal organic frameworks and their composites in disease diagnosis. 由金属有机框架及其复合材料组成的电化学生物传感基质在疾病诊断中的范式转变。
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1980
Shubhangi, Divya, Sanjay K Rai, Pranjal Chandra

Metal Organic Frameworks (MOFs) are an evolving category of crystalline microporous materials that have grabbed the research interest for quite some time due to their admirable physio-chemical properties and easy fabrication methods. Their enormous surface area can be a working ground for innumerable molecular adhesions and site for potential sensor matrices. They have been explored in the last decade for incorporation in electrochemical sensor matrices as diagnostic solutions for a plethora of diseases. This review emphasizes on some of the recent advancements in the area of MOF-based electrochemical biosensors with focus on various important diseases and their significance in upgrading the sensor performance. It summarizes MOF-based biosensors for monitoring biomarkers relevant to diabetes, viral and bacterial sepsis infections, neurological disorders, cardiovascular diseases, and cancer in a wide range of real matrices. The discussion has been supplemented with extensive tables elaborating recent trends in the field of MOF-composite probe fabrication strategies with their respective sensing parameters. The article sums up the future scope of these materials in the field of biosensors and enlightens the reader with recent trends for future research scope. This article is categorized under: Diagnostic Tools > Biosensing Diagnostic Tools > Diagnostic Nanodevices.

金属有机框架(MOFs)是一类不断发展的结晶微孔材料,由于其令人赞叹的物理化学特性和简便的制造方法,在相当长的一段时间内引起了人们的研究兴趣。它们巨大的表面积可以成为无数分子粘附的工作场地和潜在传感器基质的场所。在过去的十年中,人们一直在探索将它们纳入电化学传感器基质,作为诊断大量疾病的解决方案。本综述重点介绍基于 MOF 的电化学生物传感器领域的一些最新进展,重点关注各种重要疾病及其对提升传感器性能的意义。报告总结了基于 MOF 的生物传感器在各种实际基质中监测糖尿病、病毒和细菌败血症感染、神经系统疾病、心血管疾病和癌症等相关生物标记物的情况。讨论还辅以大量表格,详细阐述了 MOF 复合探针制造策略领域的最新趋势及其各自的传感参数。文章总结了这些材料在生物传感器领域的未来应用范围,并向读者介绍了未来研究范围的最新趋势。本文归类于诊断工具 > 生物传感诊断工具 > 纳米诊断器件。
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引用次数: 0
Challenges of enzyme therapy: Why two players are better than one. 酶疗法的挑战:为什么两个人比一个人好?
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1979
Sabrina Cuoghi, Riccardo Caraffi, Alessandro Anderlini, Cecilia Baraldi, Elena Enzo, Maria Angela Vandelli, Giovanni Tosi, Barbara Ruozi, Jason Thomas Duskey, Ilaria Ottonelli

Enzyme-based therapy has garnered significant attention for its current applications in various diseases. Despite the notable advantages associated with the use of enzymes as therapeutic agents, that could have high selectivity, affinity, and specificity for the target, their application faces challenges linked to physico-chemical and pharmacological properties. These limitations can be addressed through the encapsulation of enzymes in nanoplatforms as a comprehensive solution to mitigate their degradation, loss of activity, off-target accumulation, and immunogenicity, thus enhancing bioavailability, therapeutic efficacy, and circulation time, thereby reducing the number of administrations, and ameliorating patient compliance. The exploration of novel nanomedicine-based enzyme therapeutics for the treatment of challenging diseases stands as a paramount goal in the contemporary scientific landscape, but even then it is often not enough. Combining an enzyme with another therapeutic (e.g., a small molecule, another enzyme or protein, a monoclonal antibody, or a nucleic acid) within a single nanocarrier provides innovative multidrug-integrated therapy and ensures that both the actives arrive at the target site and exert their therapeutic effect, leading to synergistic action and superior therapeutic efficacy. Moreover, this strategic approach could be extended to gene therapy, a field that nowadays has gained increasing attention, as enzymes acting at genomic level and nucleic acids may be combined for synergistic therapy. This multicomponent therapeutic approach opens opportunities for promising future developments. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Neurological Disease Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease Therapeutic Approaches and Drug Discovery > Emerging Technologies.

目前,酶疗法在各种疾病中的应用已引起人们的极大关注。尽管使用酶作为治疗剂具有显著的优势,对目标具有高选择性、亲和性和特异性,但其应用面临着与物理化学和药理学特性相关的挑战。这些限制可以通过将酶封装在纳米平台中来解决,这是一种综合解决方案,可减轻酶的降解、活性丧失、脱靶积累和免疫原性,从而提高生物利用度、疗效和循环时间,从而减少给药次数,改善患者的依从性。探索基于纳米药物的新型酶疗法以治疗具有挑战性的疾病是当代科学界的首要目标,但即便如此,这往往还不够。将一种酶与另一种疗法(如小分子、另一种酶或蛋白质、单克隆抗体或核酸)结合到单一纳米载体中,可提供创新的多药整合疗法,并确保两种活性物质都能到达靶点发挥治疗效果,从而产生协同作用和卓越的疗效。此外,这种战略方法还可以扩展到基因治疗领域,因为基因组水平的酶和核酸可以结合起来进行协同治疗,而基因治疗如今已越来越受到关注。这种多组分治疗方法为未来充满希望的发展提供了机会。本文归类于治疗方法与新药研发 > 纳米医学治疗神经系统疾病 治疗方法与新药研发 > 纳米医学治疗肿瘤疾病 治疗方法与新药研发 > 新兴技术。
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引用次数: 0
Manipulation of protein corona for nanomedicines. 为纳米药物操纵蛋白质电晕。
Pub Date : 2024-07-01 DOI: 10.1002/wnan.1982
Tao Li, Yupeng Wang, Dongfang Zhou

Nanomedicines have significantly advanced the development of diagnostic and therapeutic strategies for various diseases, while they still encounter numerous challenges. Upon entry into the human body, nanomedicines interact with biomolecules to form a layer of proteins, which is defined as the protein corona that influences the biological properties of nanomedicines. Traditional approaches have primarily focused on designing stealthy nanomedicines to evade biomolecule adsorption; however, due to the intricacies of the biological environment within body, this method cannot completely prevent biomolecule adsorption. As research on the protein corona progresses, manipulating the protein corona to modulate the in vivo behaviors of nanomedicines has become a research focus. In this review, modern strategies focused on influencing the biological efficacy of nanomedicines in vivo by manipulating protein corona, along with their wide-ranging applications across diverse diseases are critically summarized, highlighted and discussed. Finally, future directions for this important yet challenging research area are also briefly discussed. This article is categorized under: Nanotechnology Approaches to Biology > Nanoscale Systems in Biology Therapeutic Approaches and Drug Discovery > Emerging Technologies Biology-Inspired Nanomaterials > Protein and Virus-Based Structures.

纳米药物极大地推动了各种疾病诊断和治疗策略的发展,但同时也面临着诸多挑战。纳米药物进入人体后,会与生物大分子相互作用,形成一层蛋白质,这层蛋白质被定义为影响纳米药物生物特性的蛋白质电晕。传统方法主要侧重于设计隐形纳米药物,以避免生物大分子吸附;然而,由于体内生物环境错综复杂,这种方法无法完全避免生物大分子吸附。随着蛋白质电晕研究的深入,操纵蛋白质电晕以调节纳米药物的体内行为已成为研究重点。在这篇综述中,我们对通过操纵蛋白质电晕来影响纳米药物在体内的生物学功效的现代策略及其在各种疾病中的广泛应用进行了批判性总结、强调和讨论。最后,还简要讨论了这一重要而又充满挑战的研究领域的未来发展方向。本文归类于生物纳米技术 > 生物学中的纳米尺度系统 治疗方法和药物发现 > 新兴技术 生物启发纳米材料 > 蛋白质和病毒结构。
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引用次数: 0
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