Towards feedback-controlled nanomedicines for smart, adaptive delivery

Exp Biol Med (Maywood). 2019 Mar;244(4):283-293. doi: 10.1177/1535370218800456. Epub 2018 Sep 11.

Abstract

The timing and rate of release of pharmaceuticals from advanced drug delivery systems is an important property that has received considerable attention in the scientific literature. Broadly, these mostly fall into two classes: controlled release with a prolonged release rate or triggered release where the drug is rapidly released in response to an environmental stimulus. This review aims to highlight the potential for developing adaptive release systems that more subtlety modulate the drug release profile through continuous communication with its environment facilitated through feedback control. By reviewing the key elements of this approach in one place (fundamental principles of nanomedicine, enzymatic nanoreactors for medical therapies and feedback-controlled chemical systems) and providing additional motivating case studies in the context of chronobiology, we hope to inspire innovative development of novel "chrononanomedicines."

Keywords: Drug delivery; bottom-up synthetic biology; chronobiology; controlled release; nanoreactors; pharmacokinetics.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Artificial Cells / cytology
  • Biocatalysis
  • Chronotherapy
  • Drug Delivery Systems*
  • Feedback*
  • Nanomedicine*