Complement activation cascade triggered by PEG–PL engineered nanomedicines and carbon nanotubes: The challenges ahead

Since their introduction, poly(ethylene glycol)–phospholipid (PEG–PL) conjugates have found many applications in design and engineering of nanosized delivery systems for controlled delivery of pharmaceuticals especially to non-macrophage targets. However, there are reports of idiosyncratic reactions...

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Veröffentlicht in:Journal of controlled release 2010-09, Vol.146 (2), p.175-181
Hauptverfasser: Moghimi, S.M., Andersen, A.J., Hashemi, S.H., Lettiero, B., Ahmadvand, D., Hunter, A.C., Andresen, T.L., Hamad, I., Szebeni, J.
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container_end_page 181
container_issue 2
container_start_page 175
container_title Journal of controlled release
container_volume 146
creator Moghimi, S.M.
Andersen, A.J.
Hashemi, S.H.
Lettiero, B.
Ahmadvand, D.
Hunter, A.C.
Andresen, T.L.
Hamad, I.
Szebeni, J.
description Since their introduction, poly(ethylene glycol)–phospholipid (PEG–PL) conjugates have found many applications in design and engineering of nanosized delivery systems for controlled delivery of pharmaceuticals especially to non-macrophage targets. However, there are reports of idiosyncratic reactions to certain PEG–PL engineered nanomedicines in both experimental animals and man. These reactions are classified as pseudoallergy and may be associated with cardiopulmonary disturbance and other related symptoms of anaphylaxis. Recent studies suggest that complement activation may be a contributing, but not a rate limiting factor, in eliciting hypersensitivity reactions to such nanomedicines in sensitive individuals. This is rather surprising since PEGylated structures are generally assumed to suppress protein adsorption and blood opsonization events including complement. Here, we examine the molecular basis of complement activation by PEG–PL engineered nanomedicines and carbon nanotubes and discuss the challenges ahead. This article examines the molecular basis of complement activation by PEG–lipid engineered nanomedicines and other entities (e.g., PEGylated carbon nanotubes), highlighting the role of PEG-PL interfaces in modulating the activity of complement system, and discuss the challenges ahead. [Display omitted]
doi_str_mv 10.1016/j.jconrel.2010.04.003
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This article examines the molecular basis of complement activation by PEG–lipid engineered nanomedicines and other entities (e.g., PEGylated carbon nanotubes), highlighting the role of PEG-PL interfaces in modulating the activity of complement system, and discuss the challenges ahead. 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subjects Anaphylaxis - chemically induced
Animals
Antibiotics, Antineoplastic - adverse effects
Antibiotics, Antineoplastic - immunology
Biological and medical sciences
Carbon nanotube
Complement Activation
Doxorubicin - adverse effects
Doxorubicin - immunology
General pharmacology
Humans
Liposome
Medical sciences
Micelle
Nanostructures - administration & dosage
Nanostructures - adverse effects
Nanotubes, Carbon - adverse effects
Pharmaceutical technology. Pharmaceutical industry
Pharmacology. Drug treatments
Phospholipids - adverse effects
Phospholipids - metabolism
Poly(ethylene glycol)
Polyethylene Glycols - adverse effects
Polyethylene Glycols - metabolism
Pseudoallergy
Serum - drug effects
Serum - immunology
Swine
title Complement activation cascade triggered by PEG–PL engineered nanomedicines and carbon nanotubes: The challenges ahead
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