1 Introduction
Drug and gene delivery is a progressed area in the contemporary medical landscape,
eliciting heightened clinical relevance and bringing new hopes for the treatment of
intractable diseases. As therapeutic approaches evolve toward precision medicine,
there is an imperative need for integrated delivery systems to allow for controlled
drug administration and precise delivery (Guo and Szoka, 2003). However, drug and
gene delivery still face a plethora of challenges, which range from inadequate bioavailability
and targeting accuracy to the rapid degradation of therapeutic agents and potential
side effects. More importantly, they also need to overcome physiological barriers
such as the blood-brain barrier, combat multi-drug resistance in cancer cells, and
secure stable, efficient delivery mechanisms. Traditional methods encounter their
own set of limitations, particularly cellular toxicity, which can undermine therapeutic
efficacy and compromise patient safety. Given these challenges, the fields of nanotechnology
and bioengineering are being explored to develop refined, adaptable, and efficacious
platforms for delivering drugs and genes to achieve precision medicine and personalized
therapy (Pardridge, 2002; Sideratou et al., 2006; Lee and Park, 2018).
The most recent advancements in nanotechnology and bioengineering endeavor to surmount
prevailing limitations, such as the key challenges of systemic toxicity and physiological
barriers, by providing capabilities for precision targeting, regulated drug release,
and the realization of synergistic drug co-loading. These enhancements are pivotal
for improving biocompatibility and optimizing cellular uptake, thus addressing the
multifaceted challenges in medical interventions (Figure 1).
FIGURE 1
Schematic illustration of the nanotechnology and bioengineering platforms for drug
and gene delivery.
2 Nanotechnology for drug and gene delivery
2.1 Nanoparticle based drug delivery
Nanoparticles are ultrafine particles with dimensions measured in nanometers. They
exhibit unique physical and chemical properties that differ from those of bulk materials
due to their size. These characteristics make nanoparticles been wildly used in various
fields, especially in drug delivery, where they can enhance drug absorption, prolong
drug action, and guide drugs to specific tissues or cells (Cabral et al., 2011). In
the nanotechnology-based platforms for drug and gene delivery, nanoparticles are vital
for co-delivery. They’re designed to simultaneously deliver multiple therapies, targeting
varied disease facets for enhanced treatment. Several studies indicate the promise
of using nanoparticles for co-delivery and complex treatments. For instance, layer-by-layer
nanoparticles were utilized to co-deliver 5-Fluorouracil with gene regulators, demonstrating
enhanced drug stability and reduced tumor growth, and offering an effective path for
improved colorectal cancer treatment efficacy (Shahidi et al.). Another notable research
by Li et al. introduced MitoQ@PssL NPs, a nanoparticle system designed specifically
for treating periodontitis. The system encapsulates mitoquinone (MitoQ) known for
enhancing autophagy. When deployed in the ROS-rich environment characteristic of periodontitis,
the ROS-cleavable polymer PssL disintegrates, leading to the release of MitoQ. This
system offers targeted release, potentially lowering toxicity and improving current
treatments especially for periodontitis and other similar diseases (Li et al.).
Furthermore, Yang et al. presented a nano-vaccine that could precisely target and
enhance the delivery to lymphoid organs, showing significant antitumor effects and
reduced immunotoxic side effects (Yang et al.). Besides the application in nano-vaccine,
Hoffmann et al. addressed the “PEG-dilemma” in nucleic acid delivery with folic-acid
functionalized cationic lipoplexes, demonstrating enhanced efficiency in delivering
therapeutic nucleic acids for treating cancers (Hoffmann et al.). Additional studies
revealed the anti-photoaging efficacy of C-phycocyanin (C-PC) from Spirulina on UVB-irradiated
skin, using advanced nano-dispersion for transdermal delivery in vivo tests. Results
showed reduced aging signs with better collagen structure, and balanced oxidative
stress, suggesting potential natural anti-aging treatments (Zhou et al.). Concurrently,
research from Liang et al. underscores nanotechnology’s impactful role in tendon repair.
Given tendons’ limited natural healing, leading to scarring and reduced function,
the study highlights the role of nanotechnology and nanoparticles for targeted drug
and gene delivery (Liang et al.). These findings improve cancer therapeutic efficacy
and illustrate the transformative potential of nanoparticles in enabling multi-faceted
treatment strategies.
2.2 Metal-Organic Frameworks (MOFs) in drug and gene delivery
While nanoparticles have shown significant promise as a platform of drug and gene
delivery, another material known as Metal-Organic Frameworks (MOFs) has emerged with
potential applications that are also remarkable. With the wide range of bioactive
molecules, MOFs offer controlled drug release, making them ideal for targeted therapeutic
applications. Moreover, because of the high porosity, MOFs have a larger loading capacity,
ensuring enhanced payload stability. Due to their customizable nature, MOFs offer
targeted drug delivery and improve biocompatibility, reduce potential side effects
(Lazaro and Forgan, 2019; Lawson et al., 2021). One study illustrated the potential
of ZIF-8 loaded with Rutin (ZIF-8@Rutin) as a multifunctional therapy for chronic
wounds infected by drug-resistant bacteria. The nanocomposite created demonstrated
effective bacterial killing capabilities and promoted wound healing while maintaining
acceptable cytocompatibility (Xia et al.). Another study presented Lar@Fe-MOF as a
carrier for the anticancer agent, larotrectinib, showing substantial drug loading
and slow-release properties, demonstrating MOFs’ suitability as carrier materials
in cancer therapy (Gan et al., 2023). Both studies underscore MOFs’ potential to overcome
challenges like low bioavailability and cytotoxicity and bring them possibility for
wild use in medical treatments.
2.3 Nanofiber-based drug delivery
Beyond the significant advancements brought by nanoparticles in drug and gene delivery,
nanofiber-based drug delivery systems are carving out their own niche in the realm
of pharmaceuticals. A study has explored the potential of transforming liquid licorice
into fast-dissolving nanofiber formats using electrospinning to address pharmaceutical
challenges. This innovative nanofiber delivery system not only solves the longstanding
Research Topic related to solubility and targeted delivery but also enhances palatability
through the incorporation of sucralose (Liu et al.).
3 Bioengineering platforms for drug and gene delivery
Exploration in the realm of bioengineering technologies has brought forth revolutionary
platforms essential for the optimization of drug and gene delivery. These technologies
tap into the potential of biological systems and materials, thereby offering benefits
like superior biocompatibility and sophisticated command over therapeutic delivery
systems.
For example, small extracellular vesicles (sEVs) present a promising platform for
drug loading, especially for hydrophilic drugs. Man et al. presented an “Esterase-responsive
Active Loading” (EAL) method to enhance drug loading in sEVs. While sEVs show potential
for drug delivery due to low immunogenicity, their loading efficiency has been a concern.
The EAL method uses ferulic acid ester derivatives and enzyme-responsive mechanisms
for better loading than passive methods. The research also highlights large-scale
sEV production and confirms the low toxicity of EAL-sEVs. This study suggests a practical
solution for efficient therapeutic delivery (Man et al.).
Building upon the foundation of bioengineering technologies, the synergy between bioengineering
and nanotechnology is used wildly in the field of drug and gene delivery. Magnetoliposomes
(MLPs) proposed by Cifuentes et al. is a new drug delivery system for Parkinson’s
Disease (PD) treatment, merging bioengineering and nanotechnology. The system uses
magnetite nanoparticles bioengineered with translocating protein (OmpA) within soy
lecithin liposomes. This boosts drug bioavailability, like Levodopa, essential for
PD. The study shows how bioengineering improves biocompatibility and nanotechnology
refines nanoparticle design. Molecular simulations confirm OmpA’s role and tests validate
MLPs’ improved biocompatibility, offering advancements in PD treatments. (Cifuentes
et al.). Collectively, by harnessing biological systems and materials, these bioengineered
platforms promise improved biocompatibility and finer control over therapeutic mechanisms,
paving the way for advanced medical treatments.
4 Conclusion
In the burgeoning fields of nanotechnology and bioengineering, transformative advancements
are shaping the future of drug and gene delivery systems. As these technologies continue
to evolve, they promise to bring about more targeted and efficient therapeutic solutions
for a range of medical conditions. However, despite substantial progress, several
significant challenges persist, including the full development of scalability and
reproducibility of these innovations for clinical implementations. There are also
concerns about potential toxicity, immunogenicity, and long-term effects of using
nanomaterials within biological systems, which will require further exploration (Patra
et al., 2018).
But still, the advances in nanotechnology and bioengineering offer promising pathways
to overcoming the long-standing barriers in drug and gene delivery. While challenges
remain, the integration of these multidisciplinary methodologies reveals myriad opportunities
to formulate more efficacious, safer, and individualized therapies, heralding a paradigm
shift in the realm of precision medicine.