2020
DOI: 10.1002/med.21759
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Targeted nanomedicines for the treatment of bone disease and regeneration

Abstract: Targeted delivery by either passive or active targeting of therapeutics to the bone is an attractive treatment for various bone related diseases such as osteoporosis, osteosarcoma, multiple myeloma, and metastatic bone tumors. Engineering novel drug delivery carriers can increase therapeutic efficacy and minimize the risk of side effects. Developmnet of nanocarrier delivery systems is an interesting field of ongoing studies with opportunities to provide more effective therapies. In addition, preclinical nanome… Show more

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Cited by 22 publications
(12 citation statements)
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References 247 publications
(323 reference statements)
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“…[195,196] Although no visceral toxicity or other problems have been identified for any of the nanoplatforms mentioned above, there is still a possibility of transient hepatic and renal accumulation or unexpected off-target effects from these drug-loaded nanoplatforms. [197] In addition, the evaluation system and methods of nanomaterials' toxicity are primarily based on lower-mammalian animal models, such as rats, mice, and rabbits, which are largely unsuitable for modeling the actual behavior and toxicity of nanomaterials in humans. In this way, the accuracy of predicted therapeutic effects and strategies in clinical experiments remains questionable due to differences in pathological construction and microenvironment between humans and these animals.…”
Section: Challenges Of Stimuli-responsive Drug Delivery Nanoplatforms...mentioning
confidence: 99%
“…[195,196] Although no visceral toxicity or other problems have been identified for any of the nanoplatforms mentioned above, there is still a possibility of transient hepatic and renal accumulation or unexpected off-target effects from these drug-loaded nanoplatforms. [197] In addition, the evaluation system and methods of nanomaterials' toxicity are primarily based on lower-mammalian animal models, such as rats, mice, and rabbits, which are largely unsuitable for modeling the actual behavior and toxicity of nanomaterials in humans. In this way, the accuracy of predicted therapeutic effects and strategies in clinical experiments remains questionable due to differences in pathological construction and microenvironment between humans and these animals.…”
Section: Challenges Of Stimuli-responsive Drug Delivery Nanoplatforms...mentioning
confidence: 99%
“…Efforts have also been made to develop strategies of enhancing nanoparticles accumulation in the bone marrow. Bisphosphonates (like alendronate) conjugated to different types of nanoparticles can increase their targeting affinity to hydroxyapatite, major mineral component of the bone [ 30 ]. Synthetic substances, like the anionic amphiphilic; l -glutamic acid N -(3-carboxy-1-oxopropyl)-1,5-dihexadecyl ester, can increase the accumulation of liposomes in the bone marrow and inhibit hepatic uptake concomitantly [ 31 ].…”
Section: The Interaction Between Nps and The Immune Systemmentioning
confidence: 99%
“…Thirdly, controlled and targeted delivery is unachievable, which significantly hinders the function of GFs [ 38 ]. Therefore, using carriers to protect and achieve the controlled delivery of GFs is necessary [ 39 ]. As mentioned above, nanomaterials are popular carriers of GFs because of their unique nanoscale properties.…”
Section: Introductionmentioning
confidence: 99%