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Transformative Impact of Nanocarrier‐Mediated Drug Delivery: Overcoming Biological Barriers and Expanding Therapeutic Horizons
Abstract
Advancing therapeutic progress is centered on developing drug delivery systems (DDS) that control therapeutic molecule release, ensuring precise targeting and optimal concentrations. Targeted DDS enhances treatment efficacy and minimizes off‐target effects, but struggles with drug degradation. Over the last three decades, nanopharmaceuticals have evolved from laboratory concepts into clinical products, highlighting the profound impact of nanotechnology in medicine. Despite advancements, the effective delivery of therapeutics remains challenging because of biological barriers. Nanocarriers offer a solution with a small size, high surface‐to‐volume ratios, and customizable properties. These systems address physiological and biological challenges, such as shear stress, protein adsorption, and quick clearance. They allow targeted delivery to specific tissues, improve treatment outcomes, and reduce adverse effects. Nanocarriers exhibit controlled release, decreased degradation, and enhanced efficacy. Their size facilitates cell membrane penetration and intracellular delivery. Surface modifications increase affinity for specific cell types, allowing precise treatment delivery. This study also elucidates the potential integration of artificial intelligence with nanoscience to innovate future nanocarrier systems.
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![Figure 2 The diagram illustrates the structure of LPNPs, highlighting the interaction between lipids and polymers. A) The structure of a liposome features an aqueous core surrounded by a bilayer membrane. This membrane consists of hydrophobic tails forming the interior of the bilayer, while hydrated hydrophilic heads stabilize the outer and inner surfaces. Polymersomes, which are synthetic counterparts to liposomes, are composed of amphiphilic block copolymer membranes. Although both carriers share many similar properties, polymersomes offer greater versatility and improved stability. Adapted with permission.[ 238 ] Copyright 2014, Elsevier. B)(a) The illustration shows LPNPs created through interactions with (b–d) different polymers, where the lipids (depicted in yellow) are enveloped by a “belt” of polymer (depicted in green). Different polymers can be used to create this polymer–lipid combination, with each polymer influencing the NP's properties, such as its stability, drug release profile, and interaction with biological systems. Hydrophilic groups are highlighted in blue, and hydrophobic groups are highlighted in red. [ 239 ] C) (a) Conformational adaptation at the polymer/lipid domain boundary in hybrid vesicles is expected when domain formation occurs, allowing the components to adjust and integrate within distinct regions. (b) In contrast, the absence of conformational adaptation between the polymer and lipid boundaries results in a homogeneous mixture, where the components are evenly distributed without distinct domain separation.[ 88 ] D) Hybrid lipid/polymer vesicle systems, which incorporate the lipid 1,2‐dioleoyl‐sn‐glycero‐3‐phosphocholine (DOPC) and amphiphilic triblock copolymers composed of poly(ethylene glycol)–poly(dimethylsiloxane)–poly(ethylene glycol) (PEG–PDMS–PEG), are studied to understand how hydrophilic blocks impact vesicle morphology. The hydrophilic mass fraction of the amphiphilic polymer plays a significant role in influencing the membrane thickness, size polydispersity, and lamellarity of these polymer/lipid hybrid vesicles. Changes in the hydrophilic mass fraction can lead to variations in how the vesicles form, including their structural uniformity and stability, making this a crucial factor in the design and application of such hybrid systems. Adapted with permission.[ 92 ] Copyright 2022, ACS. E) The schematic view of a hybrid polymer/lipid membrane with lateral phase separation typically shows a membrane where distinct regions or “domains” of polymers and lipids coexist within the same membrane. Adapted with permission.[ 93 ] Copyright 2022, Elsevier.](/paper-figures/49781506f51e42beac67b7512b042b5b/transformative-impact-of-nanocarriermediated-drug-delivery-overcoming-biological-figure-2.jpg)


![Figure 5 BBB regulation and targeted drug delivery across the barrier. A) Schematic representation of the BBB structure, showing brain capillary endothelial cells in association with astrocytes and pericytes.[ 110 ] B) Diagram illustrating various mechanisms for crossing the BBB, such as passive diffusion, carrier‐mediated transport, receptor‐mediated transcytosis, and AMT.[ 108 ] C) Influence of material properties on the adsorption, distribution, and clearance of DDSs following systemic administration, highlighting factors such as particle size, surface charge, and hydrophobicity.[ 240 ] D) The various biomolecules and their conjugation to the vesicle as BBB‐targeted carriers, including antibodies, peptides, and small molecules The various biomolecules and their conjugation to the vesicle as BBB‐targeted carriers, including antibodies, peptides, and small molecules. Adapted with permission.[ 241 ] Copyright 2022, Elsevier. E) Schematic depiction of the primary pharmacokinetic principles for transporter‐mediated drug delivery to the brain, including drug, prodrug, or nanocarrier transport across the BBB and brain parenchymal cellular barrier.[ 242 ] F) Illustration of receptor‐mediated drug delivery utilizing ligand‐conjugated NPs targeted to the brain, showing the interaction between the ligand and specific receptors on the BBB.[ 108 ] Figures are reproduced with permission.](/paper-figures/8db62f03b9ee4faea79610cb248a2837/transformative-impact-of-nanocarriermediated-drug-delivery-overcoming-biological-figure-5.jpg)
![Figure 6 Vascular normalization mechanisms, associated signaling pathways, and the role of drug‐loaded NPs. A) Vascular normalization can be achieved through various strategies, including targeting VEGF signaling, Ang–Tie signaling, phospholipase C (PLC), phosphoinositide 3‐kinase (PI3K), angiopoietin 2 (Ang2), and epidermal growth factor receptor (EGFR) pathways in endothelial cells, as well as disrupting oncogenic signaling in cancer cells. Immune checkpoint blockade also induces vascular normalization by activating CD8+ or CD4+ T cells and promoting eosinophil accumulation. Key abbreviations: AAT (antiangiogenic therapy), IFP (interstitial fluid pressure), CAF (cancer‐associated fibroblast), ECM, VEGF (VEGFR (VEGF receptor).[ 174 ] B) (a) Drug‐loaded NPs can suppress hypoxic tumor growth by targeting and reprogramming abnormal tumor vasculature. They also can convert M2 macrophages into M1 phenotypes, which reactivates the immune response, further inhibiting tumor growth. Additionally, these NPs can activate mature DCs, leading to the activation of B cells via T cells, and the production of antibodies that target and eliminate tumor cells. By stimulating these pathways, NPs can counteract the inhibitory effects of myeloid‐derived suppressor cells on mature DCs and the suppressive effects of regulatory T cells (Tregs) on interferon‐gamma (INF‐γ), ultimately resulting in tumor cell death. (b) TAMs can inhibit tumor vasculature through M1 macrophages and interleukin‐12 (IL‐12). However, hypoxic conditions can induce the conversion of TAM1 into TAM2, which promotes tumor vasculature through interleukin‐10 (IL‐10). Drug‐loaded NPs can prevent this TAM1 to TAM2 conversion, thereby reducing tumor growth. Additionally, siRNA‐loaded NPs can specifically suppress TAM2 activity.[ 243 ] Figures are Reproduced with permission.](/paper-figures/8181652de2cd400cbd0dc6b496de94f3/transformative-impact-of-nanocarriermediated-drug-delivery-overcoming-biological-figure-6.jpg)

![Figure 8 Nanocarriers for targeted DDS to the TME. A) Nano‐DDSs can selectively target TME of melanoma through modifications such as protein/peptide conjugation, antibody‐based targeting, carbohydrate surface decorating, or polymer coating. These carriers can then release their payloads into the TME, exerting antitumor effects. Adapted with permission. [ 244 ] Copyright 2021, Elsevier. B) Nano carrier‐based smart DDS overcomes the barriers in TME and releases drugs in cancer cells. Solid tumors induce high expression of ECM molecules (collagens, proteoglycans, hyaluronic acid, and laminins), which become complex and disordered, altering the characteristics of the TME. The ECM acts as a physical barrier, reducing the delivery of therapeutics, nutrients, and immune cells to solid tumors, leading to poorer prognosis. Created with BioRender.com.[ 245 , 246 ] C) The figure illustrates the biological barriers within the TME that affect nanodrug delivery, along with strategies for TME remodeling to enhance tumor penetration. (a) Techniques such as vasculature normalization, permeabilization, disruption, and blocking tumor‐associated platelets are employed to overcome barriers to transvascular transport. (b) Strategies for disrupting the ECM or inhibiting its synthesis are also depicted. Additionally, the regulation of (c) CAFs and (d) TAMs through depletion, reeducation, or utilization is shown to facilitate deeper infiltration of nanodrugs within the tumor stroma. Adapted with permission.[ 177 ] Copyright 2017, Elsevier. Distribution of chitosan NPs (CNPs) in mice bearing transplanted tumors. Time‐dependent, noninvasive in vivo near‐infrared fluorescence (NIRF) imaging was performed on tumor‐bearing mice following the injection of NIRF dye‐labeled CNPs (200 μg μL−1 head). The distribution of CNPs across these various tumor models reflects the diverse characteristics of the TMEs associated with clinical tumors.[ 247 ] Figures are Reproduced with permission.](/paper-figures/2e710b5923ee4a3da4a390a3ea5b5fac/transformative-impact-of-nanocarriermediated-drug-delivery-overcoming-biological-figure-8.jpg)
![Figure 9 Role of AI in biomedical research. This figure highlights the pivotal role of AI in driving biomedical research and revolutionizing healthcare. AI significantly advances biomedical research by unlocking new insights, accelerating discovery processes, and facilitating personalized healthcare approaches. Key applications include AI‐based disease diagnostics and prediction: A) Developing a smartphone‐based computing program for diagnosing middle ear disease and providing medical suggestions. Adapted with permission.[ 248 ] Copyright 2022, Elsevier. B) AI in echocardiography.[ 249 ] C) AI‐assisted genetic analysis for mutation and target identification, particularly in functional genomics AI‐assisted genetic analysis for mutation and target identification, particularly in functional genomics.[ 250 ] D) AI models for variant detection and prioritization of disease‐causing variants in different genomic regions.[ 251 ] E) AI‐assisted biomedical imaging and processing, enhancing tasks such as preprocessing, image analysis, and interpretation, integrated with ML.[ 252 ] F) AI‐based data interception and model prediction.[ 253 ] G) AI‐assisted targeted drug delivery, Created with BioRender.com.[ 231 ] H) AI‐based early heath prediction.[ 254 ] I) AI‐assisted diagnostics, including AI‐based cough diagnosis systems that encompass every stage with data exchange capabilities for researchers and medical doctors.[ 255 ] J) AI‐assisted therapeutics in precision medicine, particularly in evaluating cancer treatments.[ 256 ] Figures are reproduced with permission. Created with BioRender.com.](/paper-figures/88556c0e9ecd4e1bbc9182e1a16271cc/transformative-impact-of-nanocarriermediated-drug-delivery-overcoming-biological-figure-9.jpg)

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“Ligand-functionalized platforms add active binding, trans-barrier transport, and facilitated uptake to improve selectivity and distribution [79] (Fig. 5).”
From Overcoming tumor microenvironment barriers: transformable and bioinspired nanomedicine strategies for deep tumor penetration (2026) · cites this paper as [79]
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- Kim, M., Shin, M., Zhao, Y., Ghosh, M., & Son, Y.
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