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Innovative Medicines & Omics                                              Biocompatibility of nanomaterials



            charge, energy band gaps, and hydration tendencies, they   assess light-activated nano-upconversion systems, thereby
            predicted biological outcomes with high reliability, thereby   demonstrating a comprehensive route from material
            streamlining the screening process. Although these   design to functional testing. This integration of disciplines
            models are powerful, they rely heavily on the quality and   improves both predictive accuracy and translational
            diversity of the datasets used for training. Inconsistencies   potential. As noted by Seoane-Viaño et al.,  the successful
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            in data reporting and the lack of standardized descriptors   implementation of 3D-printed nanomedicines hinges not
            can limit their predictive accuracy. As such, computational   only on their design but also on thorough biocompatibility
            results are best viewed as complementary to experimental   assessment and regulatory alignment.
            methods, with ongoing improvements necessary to achieve
            broader regulatory acceptance. 24,25               4. Scientific challenges in biocompatibility

            3.4. Regulatory standards                          The  integration  of  nanomaterials  into  biomedical
                                                               applications continues to drive innovation in diagnostics,
            The regulatory landscape for nanomaterials is shaped by the   therapeutics,  and  tissue  engineering.  However,  their
            guidelines issued by leading authorities, including the FDA,   clinical translation remains impeded by unresolved
            EMA, the International Organization for Standardization   challenges surrounding biocompatibility. These include
            (ISO), and the Organization for Economic Co-operation   immunological risks, long-term safety concerns, and
            and Development (OECD). These bodies define the    regulatory uncertainties. This section examines key
            protocols and criteria that nanomaterials must meet   scientific  barriers  related  to  nanotoxicology,  immune
            before clinical application, with emphasis placed on safety,   response, material degradation, and global safety standards.
            stability, pharmacokinetics, and immune compatibility. 26
              One of the earliest success stories is the approval of   4.1. Toxicity and immune response
            Doxil®, a liposomal formulation of doxorubicin, which   A central challenge in nanomedicine is the potential
            underwent comprehensive biocompatibility testing for   toxicity and immunogenicity of nanomaterials. Their
            sterility,  blood  compatibility,  and  immune  responses.    high surface area and physicochemical reactivity can
                                                          4
            However, as nanomedicine continues to evolve rapidly,   lead  to unintended biological  interactions. For  instance,
            current regulatory frameworks often struggle to keep   nanoparticles may  induce  oxidative  stress,  disrupt cell
            pace. The lack of standardized global guidelines poses   membranes, or trigger inflammatory cytokine release.
                                                                                                             3
            challenges for developers seeking international approval   Surface charge and hydrophobicity strongly influence
            and commercialization.                             these outcomes. For example, positively charged particles
              In response, regulatory bodies are moving toward   often facilitate enhanced cellular uptake but are also linked
            greater harmonization, promoting validated  in vitro   to increased membrane disruption and inflammation. 3
            and computational models as part of a robust evaluation   Furthermore, the adsorption of proteins onto the
            pipeline. This push not only ensures safety but also   nanoparticle surface—the “protein  corona” effect—
            facilitates the adoption of innovative technologies. 27  alters their biological identity and can lead to immune
            3.5. Comparative metrics and evaluation criteria   misrecognition. This dynamic interaction may affect
                                                               circulation time, biodistribution, and therapeutic efficacy.
            Given the diverse methodologies employed in        Importantly, even formulations previously considered
            biocompatibility  assessment,  the establishment of   inert may provoke immune responses when administered
            standardized metrics is essential to ensure reproducibility   in vivo, emphasizing the need for rigorous pre-clinical
            and facilitate cross-study comparisons. Common     immunotoxicity testing. 3
            evaluation parameters include cytotoxicity thresholds,
            quantification of pro-inflammatory cytokines such as   4.2. Long-term stability and degradation
            interleukin (IL)-6 and tumor necrosis factor-alpha (TNF-  The long-term fate of nanomaterials in the body is a
            α), cellular uptake rates, tissue biodistribution profiles, and   growing  concern,  especially when  they exhibit poor
            histopathological scoring.                         biodegradability.  Inorganic  nanoparticles,  such  as  those

              Efforts to integrate these variables into unified   used for imaging and targeted drug delivery, may lack
            frameworks have led to the development of integrated   efficient metabolic or excretory pathways. This can result
            testing strategies, which synthesize data from in vitro, in vivo,   in their accumulation in organs involved in clearance,
            and in silico methods into a single evaluative framework.   such as the liver, spleen, and kidneys, potentially causing
                                                                                     4,5
            One example is the work by Schloemer et al.,  who used   chronic toxicity over time.  For example, gold and iron
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            quantum-level modeling alongside biological tests to   oxide nanoparticles exceeding 50  nm often localize in
            Volume 2 Issue 3 (2025)                         48                          doi: 10.36922/IMO025210024
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