2023
DOI: 10.1002/advs.202301777
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Interplay between Liposomes and IgM: Principles, Challenges, and Opportunities

Abstract: Liposomes have received tremendous attention as a class of versatile pharmaceutical vehicles of great potential over the past several decades. However, the application of liposomes encounters major challenges due to the knowledge gaps in their in vivo delivery process. Immunoglobulin M (IgM) displays both pervasiveness and complexity in regulating the biological functions as well as eliciting adverse effects of liposomes. Understanding, mitigating, and exploiting the duality of IgM are prerequisites for achiev… Show more

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Cited by 7 publications
(1 citation statement)
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References 130 publications
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“…IgM is frequently observed in the coronas of liposomes, including the plasma samples obtained from patients treated with DOXIL [ 25 ]. IgM adsorption is an issue for PEGylated drugs (including DOXIL), because anti-PEG antibodies—the prevalence of which rose from 0.2% in 1984 to 97.5% in 2019 in treatment-naïve individuals [ 51 ]—cause rapid elimination of the drug from bloodstream, as well as may result in adverse effects associated with complement activation [ 17 , 18 ].…”
Section: Resultsmentioning
confidence: 99%
“…IgM is frequently observed in the coronas of liposomes, including the plasma samples obtained from patients treated with DOXIL [ 25 ]. IgM adsorption is an issue for PEGylated drugs (including DOXIL), because anti-PEG antibodies—the prevalence of which rose from 0.2% in 1984 to 97.5% in 2019 in treatment-naïve individuals [ 51 ]—cause rapid elimination of the drug from bloodstream, as well as may result in adverse effects associated with complement activation [ 17 , 18 ].…”
Section: Resultsmentioning
confidence: 99%