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Innovative Medicines & Omics                                              Biocompatibility of nanomaterials



              Unfortunately, there have been many cases where   concerns are particularly critical for nanomaterials due
            promising nanomaterials performed well in the laboratory   to their unique and complex properties. Environmental
            but failed  in vivo. These failures often stem from poor   studies on nanoparticle degradation have underscored the
            biocompatibility. For example, nanoparticles not designed   importance of understanding material fate as a determinant
            to avoid immune surveillance may be rapidly cleared from   of long-term safety. 14
            circulation, or, more concerningly, provoke dangerous   To meet these expectations, developers must prioritize
            responses. Studies on targeted delivery have shown the   the selection of biocompatible materials and implement
            importance of anticipating such reactions during the   surface modifications to improve safety. Organic
            design  phase,  underscoring  that  the  clinical  success  of   nanomaterials, such as liposomes or biodegradable
            nanomaterials hinges on proactive biocompatibility   polymers, are favored in regulatory assessments due to their
            assessment and modulation. 10
                                                               inherent capacity to break down into harmless byproducts.
            2.2. Comparison with conventional biomaterials     On the other hand, inorganic materials such as iron oxide
                                                               or gold may offer advantages in imaging or durability,
            Nanomaterials exhibit fundamentally different biological   but usually require surface coatings to reduce toxicity
            interactions compared to traditional biomaterials. While   and prevent accumulation in tissues. These strategies
            bulk materials such as metals and polymers are typically   are supported by recent studies showing the feasibility
            inert and used for their mechanical strength, nanomaterials   of safely using inorganic nanoparticles in biomedical
            are reactive, customizable, and operate at a scale that   applications through engineered surface modifications.
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            enables intimate interaction with biological structures.   Additional research has further pointed out the need to
            These features allow for exciting possibilities in medicine—  manage potential immune effects from inorganic particles,
            such as targeted drug delivery or real-time monitoring—  highlighting the value of immunomodulatory surface
            but they also introduce significant challenges. Studies   design. 16
            on nanoparticle surface engineering have shown that
            poorly designed nanomaterials can adsorb proteins non-  2.4. Foundation for engineering nanomedicines
            specifically, trigger immune responses, or cause cellular
            damage. 11                                         Biocompatibility must be integrated into nanomaterial
                                                               design from the outset—it is not a parameter that can
              Unlike conventional implants, which typically remain   be retroactively optimized. Every physicochemical
            inert and static within the body, nanomaterials are often   characteristic of the nanomaterial, including size, shape,
            intended to move, respond dynamically, or break down   surface charge, texture, and chemical composition, plays
            after fulfilling their function. Their tiny size allows   a pivotal role in determining biological interactions.
            them to enter cells more easily, but it also  increases   One widely used method to enhance biocompatibility is
            their accumulation in tissues. For instance, particles   PEGylation, whereby polyethylene glycol (PEG) chains are
            smaller than 100 nanometers are great for intracellular   grafted onto nanoparticle surfaces. This modification helps
            delivery; however, if they are not biodegradable, they may   the material stay in the bloodstream longer and reduces
            accumulate and cause harm over time—a concern raised   detection by the immune system. PEGylation, along with
            in earlier work on nanoparticle design.  Particle shape also   hydrophilic surface coatings, has proven highly effective
                                          12
            significantly influences biological interactions. Spherical   in improving compatibility, as noted in several design-
            nanoparticles tend to be taken up more readily, while rod-  focused studies. 10,11
            shaped particles exhibit distinct uptake pathways and may
            interact with immune cells differently, potentially altering   Surface charge also plays a delicate role. Positively
            their safety profile. 13                           charged particles are more likely to enter cells, thanks to
                                                               their attraction to the negatively charged cell membranes.
            2.3. Regulatory emphasis on biocompatibility       However, this benefit comes with a downside—a higher
            Health regulatory agencies around the world—including   propensity for cytotoxicity and pro-inflammatory
            the U.S. FDA and the European Medicines Agency     responses. On the other hand, neutral or slightly negative
            (EMA)—place a strong emphasis on biocompatibility in   particles  are  usually  better  tolerated,  though  they  might
            the evaluation of nanomedicine products. Developers are   not be taken up as efficiently. Striking the right balance is
            expected not  only to prove that  a treatment works but   critical, as highlighted in immunological studies focused
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                                                               on nanomaterial-host interactions.
            also to provide detailed evidence about how the material
            behaves in the body. Key questions include whether the   Another aspect that influences biocompatibility
            material exhibits toxicity, elicits immune responses, or   is surface energy. When a nanoparticle enters the
            how it is metabolized and cleared from the body. These   bloodstream, it quickly gets coated with proteins, forming


            Volume 2 Issue 3 (2025)                         46                          doi: 10.36922/IMO025210024
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