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Innovative Medicines & Omics                                              Biocompatibility of nanomaterials



            at the molecular level, enabling enhanced biological   compatibility with osteoblasts. Their use as bioinspired,
            integration. Key features—such as a high surface-area-  osteoinductive matrices has been validated through
            to-volume ratio, modifiable surface chemistry, and   recent studies examining their structural properties and
            responsiveness to external stimuli—confer functional   biological responses in vivo and in vitro. 7
            advantages not typically observed in conventional    Tissue engineering represents another critical domain
            materials. These advantages have been demonstrated in   in which nanomaterials play a transformative role. By
            recent comprehensive analyses focusing on their synthesis,   mimicking the extracellular matrix, nanomaterial-based
            customizability, and wide-ranging biomedical applications   scaffolds support cellular activities necessary for tissue
            of nanomaterials. 2
                                                               regeneration. Their high surface area and controllable
              The multifunctional nature of nanomaterials enables   porosity facilitate cell adhesion and enable the localized
            their incorporation into a wide array of biomedical   delivery  of bioactive  agents.  Investigations  into  carbon-
            platforms, including injectable drug carriers and surface-  based  and  cellulose-derived  nanomaterials  have
            modified implants. Their amenability to large-scale   demonstrated their capacity to support tissue integration,
            production further enhances their translational potential   promote vascularization, and guide targeted regeneration. 8
            for routine clinical use, although considerations remain
            regarding their toxicological profiles and biocompatibility.   Across these applications, nanomaterials are not only
            Prior studies have examined the safety, bioaccumulation,   enhancing current medical practices but also enabling
            and immune responses of nanomaterials, highlighting both   previously unachievable technological advances. Despite
            opportunities and challenges in their clinical deployment. 3  these promising developments, the clinical use of
                                                               nanomaterials hinges on their ability to safely interact
              These advantages make nanomaterials particularly   with biological environments. Their high reactivity, while
            attractive for addressing real-world medical demands.   beneficial for functionality, introduces risks of cytotoxicity,
            In  cancer therapy, for  example,  liposomal formulations   inflammation, or immune system activation. As such,
            such as Doxil  have revolutionized chemotherapy by   biocompatibility has emerged as a core requirement for
                        ®
            delivering doxorubicin directly to tumor sites, reducing   their medical use. Defined as a material’s ability to perform
            systemic toxicity and improving therapeutic efficacy.   its intended role without provoking adverse biological
            This milestone—recognized as the first Food and    responses, biocompatibility ensures that nanomaterials are
            Drug Administration (FDA)-approved nanodrug—       both effective and safe for clinical use. 1,2
            demonstrates how rational nanodesign can overcome
            long-standing limitations in pharmacokinetics and    The next section delves into examining the criteria
            safety, as detailed in case studies tracing the translation of   for assessing biocompatibility, the mechanisms by which
            nanoparticle-based formulations from bench to bedside. 4  nanomaterials interact with biological systems, and  the
                                                               strategies employed to mitigate risks. As the foundation of
              In  diagnostic  imaging, ferumoxytol,  an  iron  oxide   successful medical applications, biocompatibility serves as
            nanoparticle, has been successfully used off-label as a   the critical bridge linking nanomaterial innovation to real-
            magnetic resonance imaging contrast agent in various   world patient outcomes.
            clinical settings, enhancing vascular imaging in patients
            unsuitable for conventional gadolinium-based agents.   2. The critical significance of
            This clinical adaptation highlights the flexibility of   biocompatibility in nanomedicine
            nanomaterials  in  addressing  diagnostic  limitations  and
            expanding  imaging  capabilities  in  vulnerable  patient   2.1. The role of biocompatibility in clinical success
            populations. 5                                     Biocompatibility is a key factor in determining whether a
              In orthopedic and dental applications, nanostructured   nanomaterial can be successfully translated into clinical
            coatings and scaffolds—such as those made from calcium   applications. For  any medical material,  especially one
            phosphate (CaP) or calcium oxide (CaO)—promote     designed to work at the molecular or cellular level, it
            bone regeneration and tissue integration due to their   must be able to interact with tissues and fluids in the
            osteoconductive nature. These materials, with their   body without causing harm. If a nanomaterial triggers
            nanoscale topographies and bioactive interfaces, offer   toxicity, inflammation, or an unwanted immune reaction,
            significant  improvements  in  implant  performance  and   it can compromise the therapy entirely. As highlighted
            bone-anchoring efficiency.  More specifically, nano-  in foundational research on the biomedical potential
                                  6
            hydroxyapatite scaffolds have shown great promise in   of nanomaterials, ensuring compatibility with the
            clinical and pre-clinical bone regeneration efforts, offering   physiological environment is not just important—it is
            high surface reactivity, biomineral mimicry, and superior   essential. 9


            Volume 2 Issue 3 (2025)                         45                          doi: 10.36922/IMO025210024
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