Description

Book Synopsis


Table of Contents

Preface xiii

List of Contributors xv

List of Abbreviations xix

Part I Nanomedicine: Nanotoxicological Insights 1

1 Nanomedicines: Applications and Toxicological Concerns 3
Mrunali Patel, Rashmin Patel, and Mahendra Rai

1.1 Introduction 3

1.2 Nanomedicine’s Revolution 9

1.3 Potential Applications of Nanomedicine 10

1.3.1 Diagnosis 10

1.3.2 Drug Delivery 12

1.3.3 Tissue Engineering and Regenerative Medicine 17

1.4 Clinical Translation of Nanomedicine 18

1.5 Nanotoxicological Challenges 19

1.6 Safety Issues and Regulations 22

1.7 Conclusion and Future Perspectives 23

References 24

2 Microbial Biopolymers and Their Derivatives as Nanotechnological Tools for Medicine:
Applications, Advantages, Toxicity, and Safety
29
Paulo Ricardo Franco Marcelino, Fernanda Gonçalves, Nayelen Sayuri Aizawa, Henrique Paiva
Pereira, Talita Martins Lacerda, and Silvio Silvério da Silva

2.1 Introduction 29

2.2 Natural Polymers: Conceptualization, Classifications, and Physicochemical Characteristics 30

2.3 Applications of Biopolymers in Nanoparticles, Nanofibers, and Drug Delivery Systems of Therapeutic Importance 35

2.4 Safety of Microbial Biopolymers Used in Nanoscale-Systems for Therapeutic Applications 38

2.5 Conclusions 40

References 41

Part II Nanoparticles: Toxicity and Safety 47

3 Selenium Nanoparticles: Toxicity and Safety 49
Irina A. Shurygina, Irina S. Trukhan, Nataliya N. Dremina, and Michael G. Shurygin

3.1 Introduction 49

3.2 Selenium Forms 50

3.3 Toxicity of Selenium Nanoparticles 52

3.4 Toxicity Mechanisms 56

3.5 Conclusion 60

References 60

4 Impact of Nanoparticles on Protozoa 67
Daniela Plachá and Josef Jampílek

4.1 Introduction 67

4.1.1 Antiprotozoal Drugs 72

4.2 Nanosystems 74

4.2.1 Preparation and Synthesis of Nanoparticles and Systems 75

4.3 Nanosystems with Effect on Human Parasitic Protozoa 77

4.3.1 Malaria 77

4.3.2 Trypanosomiases 79

4.3.3 Leishmaniasis 81

4.3.4 Toxoplasmosis 87

4.3.5 Cryptosporidium 89

4.3.6 Acanthamoeba 90

4.4 Nanosystems with Effect on Veterinary Parasitic Protozoa 91

4.5 Nanomaterial Toxicity on Beneficial Protozoa 93

4.6 Conclusion 96

Acknowledgment 97

References 97

5 Toxicity of Metallic Nanoparticles: A Pressing Issue 109
Tejal Mehta, Dhaivat Parikh, Kartik Hariharan, Namdev Dhas, and Viral Patel

5.1 Introduction 109

5.2 Toxicity of Metal Nanoparticles and Influence of Physicochemical Properties 110

5.2.1 Toxicity of Copper and Copper Oxide Nanoparticles 110

5.2.2 Toxicity of Gold Nanoparticles 112

5.2.2.1 Physicochemical Factors Influencing AuNPs’ Toxicity 112

5.2.3 Toxicity of Silver Nanoparticles 115

5.2.4 Toxicity of Zinc Oxide Nanoparticles 117

5.2.5 Toxicity of Iron Oxide Nanoparticles 118

5.2.6 Physicochemical Properties Affecting Toxicity 119

5.3 Accumulation and Toxicity of Metal-Based Nanoparticles in Various Organs 119

5.4 Conclusion and Future Perspectives 128

Acknowledgment 128

References 128

6 Toxicity, Safety, and Biodistribution of Multifunctional Mesoporous Silica
Nanoparticles
137
Mansi Athalye, Rashmin Patel, and Mrunali Patel

6.1 Introduction 137

6.2 Bioapplicability of Mesoporous Silica Nanoparticles 138

6.3 Biodistribution, Toxicity, and Safety of MSN 139

6.3.1 Factors Affecting Biodistribution of Mesoporous Silica Nanoparticles 140

6.3.1.1 Particle Size 140

6.3.1.2 Particle Shape 142

6.3.1.3 Functionalization 142

6.3.1.4 Dose 144

6.3.1.5 Route of Administration 145

6.4 Safety Evaluation of Mesoporous Silica Nanoparticles 145

6.4.1 Cytotoxicity 146

6.4.2 Tissue Compatibility 147

6.4.3 Genotoxicity 147

6.4.4 Immunotoxicity 148

6.4.5 Autophagy 148

6.4.6 Endothelial Dysfunction and Toxic Effects on Blood Cells 149

6.4.7 Blood Compatibility 149

6.4.8 Neurotoxicity 149

6.5 Conclusion and Future Directions 149

References 153

7 Safety and Toxicity Issues of Polymeric Nanoparticles: A Serious Concern 156
Priya Patel, Naimish Vyas, and Mihir Raval

7.1 Introduction 156

7.2 Application of Nanomaterials 157

7.3 Classification of Nanoparticles (NPs) 157

7.3.1 Polymeric Nanoparticles 158

7.3.1.1 Advantages of Polymeric Nanoparticles 159

7.3.1.2 Polymers Used in the Preparation of Polymeric Nanoparticles 159

7.3.1.3 Methods of Preparation of Polymeric Nanoparticles 160

7.3.1.4 Polymeric Nanoparticles in Drug Delivery 162

7.4 Nanotoxicology 163

7.4.1 Toxicity of Nanoparticles 163

7.4.2 Tissue Toxicity of Nanomedicine 164

7.4.3 Mechanisms of Nanoparticle Toxicity 164

7.4.4 Toxicity of Polymeric Nanoparticles 164

7.4.5 Nanoformulations Showing Toxicity 165

7.5 Safety Assessment of Nanomedicines by Methodological Considerations 167

7.5.1 Nanoparticles Safety Study 168

7.5.2 Methodological Considerations for Safety Assessment of Nanomedicines 169

7.6 Conclusion and Future Perspectives 170

References 170

8 Green Synthesis of Copper and Copper-Based Nanoparticles for Their Use in Medicine: Toxicity and Safety 174
Sadhucharan Mallick and Piyali Sabui

8.1 Introduction 174

8.2 Green Synthesis Methods of Copper and Copper-Based Nanoparticles 176

8.2.1 Fungi-Assisted Synthesis of Nanoparticles 176

8.2.2 Actinomycetes-Assisted Synthesis of Nanoparticles 176

8.2.3 Bacteria-Assisted Synthesis of Nanoparticles 177

8.2.4 Algae-Assisted Synthesis of Nanoparticles 177

8.2.5 Phytochemical-Assisted Synthesis of Nanoparticles 177

8.2.6 Biomolecule and Biopolymer-Mediated Synthesis of Nanoparticles 178

8.3 Purification of Copper and Copper-Based Nanoparticles 179

8.4 Characterization of Green Synthesized Copper and Copper-Based Nanoparticles 179

8.5 Copper and Copper-Based Nanoparticles as Nanomedicines 179

8.5.1 Application as Antibacterial Agents 179

8.5.2 Application as Antifungal Agents 182

8.5.3 Application as Antiviral Agents 182

8.5.4 Application as a Targeted Drug Delivery System 182

8.5.5 Application as Anticancer Agents 183

8.5.6 Applications in Molecular Imaging 184

8.6 Copper and Copper-Based Nanoparticles and Their Toxicity 184

8.6.1 Nanotoxicology 184

8.6.2 Different Types of Toxicity 185

8.6.3 Toxicity Effect of Copper and Copper-Based Nanoparticles 185

8.7 Safety Implications of Copper and Copper-Based Nanoparticles 186

8.8 Future Perspectives 187

8.9 Conclusion 188

References 189

Part III Nanotoxicology and Drug Delivery 195

9 Gene Delivery Using Nanocarriers: Toxicity and Safety Aspects 197
Imran Vhora and Nirav Khatri

9.1 Introduction 197

9.2 Nanocarrier Types 198

9.2.1 Lipid-Based Nanocarriers 198

9.2.2 Polymeric Nanocarriers 200

9.3 Target Diseases and Routes of Administration 200

9.4 Learnings from Clinical Trials 214

9.4.1 Toxicity with Systemic Delivery – Intravenous Administration 215

9.4.2 Toxicity with Local Delivery 215

9.4.2.1 Pulmonary Delivery 216

9.4.2.2 Intratumoral and Other Local Delivery in Cancer 216

9.4.2.3 Subcutaneous, Intradermal, and Intramuscular Delivery 216

9.5 Mechanisms of Toxicity of Gene Delivery Nanocarriers 217

9.5.1 Cellular Damage and Inflammatory Mediators 217

9.5.2 ROS Induction 219

9.5.2.1 Off-target Effects of the Genetic Cargo 219

9.6 Overcoming Toxicity Issues with Nanocarrier-Mediated Gene Therapy 220

9.6.1 Modification of Genetic Cargoes 220

9.6.2 Modification of Nanocarrier System 220

9.6.2.1 Optimizing Excipient Chemistry – Lipid and Polymer Chemistry 220

9.6.2.2 Modification of Nanocarrier Morphology 222

9.6.3 Preclinical Testing for Expected Toxicities 223

9.7 Future Perspectives and Conclusion 225

References 226

10 Toxicity and Safety Evaluation of Lipid-Based Nanoparticles for Brain Delivery 233
Mitali Patel and Priyanshi Patel

10.1 Introduction 233

10.2 Barriers Across Brain Delivery 234

10.2.1 The Blood–Brain Barrier (BBB) 234

10.2.2 The Blood Cerebrospinal Fluid (BCSF) Barrier 234

10.3 Role of Lipid Nanoparticles in Brain Delivery 235

10.3.1 Liposomes 236

10.3.2 Solid Lipid Nanoparticles (SLNs) 236

10.3.3 Nanostructured Lipid Carriers (NLCs) 237

10.3.4 Lipid–Drug Conjugates (LDCs) 237

10.3.5 Lipid Polymer Hybrid Nanoparticles (LPHNPs) 238

10.4 Transport Mechanisms Involved for Brain Delivery 238

10.4.1 Paracellular Transport 238

10.4.2 Transcellular Transport 238

10.4.3 Carrier-mediated Transport 238

10.4.4 Receptor-mediated Endocytosis 238

10.4.5 Adsorptive-mediated Endocytosis 239

10.5 Toxicity of Lipid Nanoparticles 239

10.6 Safety of Lipid Nanoparticles 240

10.7 Conclusion and Future Perspectives 242

References 242

11 Risk Assessment of Injectable Nanoparticles Used as Nanomedicine 248
Marco Vinícius Chaud, Fernando Batain, Eliana Barbosa Souto, Patrícia Severino, Aleksandra
Zielińska, and Thais Francine Ribeiro Alves

11.1 Introduction 248

11.2 Nanomaterials, Nanoparticles, and Nanoformulation 249

11.3 Injectable Nanoparticles Toxicity 251

11.4 Safety of Nanoparticles in Acute and Chronic Studies 253

11.5 Future Perspectives and Conclusion 254

References 255

12 Dermatological Delivery of Nanodrugs: Applications, Toxicity, and Safety 259
Saurabh Shivalkar, Arushi Verma, Vishal Singh, and Amaresh Kumar Sahoo

12.1 Introduction 259

12.2 An Overview of Dermatology and Nanodrugs 260

12.3 Nanomaterials for Dermatologically Active Nanodrugs 262

12.4 Nanoformulations for Topical and Transdermal Delivery 265

12.5 Applications of Dermatological Nanodrugs and Its Delivery Mechanisms 268

12.5.1 Prevention 268

12.5.1.1 Antisepsis 268

12.5.1.2 Cosmetics and Photoprotection 269

12.5.2 Diagnosis 269

12.5.3 Therapeutic Applications 270

12.5.3.1 Phototherapy 270

12.5.3.2 Sebaceous Gland Disorders 270

12.5.3.3 Treatment of Inflammatory Skin Diseases 270

12.5.3.4 Other Therapeutic Applications 270

12.6 Toxicity Evaluation of Dermatologically Active Nanodrugs 271

12.6.1 Nanodrugs and Toxicity Due to Penetration 271

12.6.2 Genotoxicity 273

12.7 Safety Considerations 273

12.8 Limitations and Risk 274

12.9 Conclusion 274

References 275

13 Nanonutraceuticals: Considerations for Toxicity and Safety Assessment 281
Shah Esha Bhavin and Anuradha Ketan Gajjar

13.1 Introduction 281

13.2 Novel Carrier-Based Drug Delivery Systems 282

13.2.1 Lipidic Nanosystems 283

13.2.1.1 Non-Vesicular Systems 283

13.2.1.2 Vesicular Systems 283

13.2.2 Polymeric Nanosystems 283

13.2.3 Lipid Polymer Nanosystems 285

13.3 Safety and Toxicity Assessment of Nanoparticles 285

13.4 Approaches for Biodegradable Nanoparticles 289

13.5 Modified Nanocarriers (Nanosponges) 291

13.5.1 Cyclodextrin-Based Nanosponges 291

13.6 Conclusion and Future Perspectives 293

References 293

14 Current Challenges and Future Needs for Nanotoxicity and Nanosafety Assessment 299
Ravish J. Patel, Amit Alexander, Anu Puri, and Bappaditya Chatterjee

14.1 Introduction 299

14.2 Nanomaterials: Risk Assessment 302

14.3 The Hurdles in Toxicity Evaluation of Nanomaterials 304

14.3.1 Physicochemical Properties of Nanomaterials’ Characterization 304

14.3.1.1 Size of Nanomaterials 304

14.3.1.2 Composition Effects 304

14.3.1.3 Surface-Related Effects 304 Agglomeration 305

14.3.1.5 Solubility 305

14.3.1.6 Surface Charge and Dispersity 305

14.3.1.7 Dose Metric 305

14.3.2 In vitro, In vivo, and In silico Approaches for the Assessment of Toxicity for the Nanomaterials 305

14.4 Nanosafety Assessment Tools 307

14.5 Conclusion and Perspectives 308

References 310

Part IV Nanotechnology, Ethics, and Regulatory Framework 315

15 Safety Regulations for the Use of Nanotechnological Products for Biomedical Applications: A Systematic Literature Review 317
Raquel Von Hohendorff, Wilson Engelmann, and Daniele Weber S. Leal

15.1 Introduction 317

15.2 The State-of-the-art of Biomedical Applications of Nano-Products 318

15.3 The Scientific Perspective on Nano-products for Biomedical Applications, Risks, and Regulations 322

15.4 Using RRI as a Methodological Pathway Toward Communication Between the Science System and the Law System 324

15.5 Final Considerations and New Propositions 340

Notes 341

References 342

16 Nanoethics and Nanotechnology 349
Iti Chauhan, Madhu Verma, and Mohd Yasir

16.1 Introduction 349

16.1.1 Types of Nanotechnology 349

16.1.2 Applications of Nanotechnology 349

16.2 Nanoethics 351

16.2.1 Regulatory Agencies 354

16.2.1.1 Nanotechnology and State Regulation (India) 355

16.2.2 Distributive Justice 356

16.2.2.1 Bridging the Gap 357

16.2.3 Nanoweapons 358

16.2.4 Ethics in Nanomedicine 358

16.2.4.1 Ethics in Research and Development 359

16.2.4.2 Health and Safety Issues 360

16.2.4.3 Toxicity Associated with Nanoparticulate System 361

16.2.5 Privacy and Confidentiality 361

16.2.6 Human Enhancement 362

16.2.7 Nanopollution 363

16.2.7.1 Health Issues 363

16.2.7.2 Measuring Nanomaterials’ Concentration in the Environment 364

16.2.7.3 Environmental Issues 365

16.2.7.4 Social Issues 365

16.2.7.5 Speculative Issue 366

16.2.8 Educational Issues 367

16.2.9 Biological Issues 367

16.3 Conclusion 368

References 368

17 Current Regulatory Framework in Nanotechnology and Medicine 373
Nitin Dubey and Nidhi Dubey

17.1 Introduction 373

17.1.1 Classification of Nanomaterials 374

17.1.2 Nanoparticles 374

17.2 Quality Attributes and Regulatory Concerns of Nanomaterials 375

17.2.1 Physicochemical Characterization 375

17.2.2 Nonclinical Studies for Nanomaterials 376

17.2.3 Clinical Studies for Nanomaterials 377

17.2.4 Identification of Hazardous Material 377

17.2.5 Exposure Risk to Humans and Environment During Nanomaterial Manufacturing, Storage, or Disposal 378

17.3 Quality Assessment of Nanomedicines 380

17.4 Current Regulatory Framework over Nanomaterials 381

17.4.1 USA 382

17.4.1.1 ANSI 387

17.4.1.2 ASTM 387

17.4.2 European Union 387

17.4.2.1 CEN 390

17.4.3 Taiwan 390

17.4.4 Iran 390

17.4.5 Canada 390

17.4.6 Australia 391

17.4.7 Japan 392

17.4.8 India 392

17.4.9 People’s Republic of China 393

17.4.10 Republic of Korea 394

17.4.11 Russia 394

17.4.12 WHO 394

17.4.13 OECD 394

17.4.14 ISO 396

17.4.15 VAMAS 397

17.5 Conclusion and Future Outlook 401

References 402

Index 407

Nanotechnology in Medicine

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A Hardback by Mahendra Rai, Mrunali Patel, Rashmin Patel

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    View other formats and editions of Nanotechnology in Medicine by Mahendra Rai

    Publisher: John Wiley and Sons Ltd
    Publication Date: 18/11/2021
    ISBN13: 9781119769866, 978-1119769866
    ISBN10: 1119769868

    Description

    Book Synopsis


    Table of Contents

    Preface xiii

    List of Contributors xv

    List of Abbreviations xix

    Part I Nanomedicine: Nanotoxicological Insights 1

    1 Nanomedicines: Applications and Toxicological Concerns 3
    Mrunali Patel, Rashmin Patel, and Mahendra Rai

    1.1 Introduction 3

    1.2 Nanomedicine’s Revolution 9

    1.3 Potential Applications of Nanomedicine 10

    1.3.1 Diagnosis 10

    1.3.2 Drug Delivery 12

    1.3.3 Tissue Engineering and Regenerative Medicine 17

    1.4 Clinical Translation of Nanomedicine 18

    1.5 Nanotoxicological Challenges 19

    1.6 Safety Issues and Regulations 22

    1.7 Conclusion and Future Perspectives 23

    References 24

    2 Microbial Biopolymers and Their Derivatives as Nanotechnological Tools for Medicine:
    Applications, Advantages, Toxicity, and Safety
    29
    Paulo Ricardo Franco Marcelino, Fernanda Gonçalves, Nayelen Sayuri Aizawa, Henrique Paiva
    Pereira, Talita Martins Lacerda, and Silvio Silvério da Silva

    2.1 Introduction 29

    2.2 Natural Polymers: Conceptualization, Classifications, and Physicochemical Characteristics 30

    2.3 Applications of Biopolymers in Nanoparticles, Nanofibers, and Drug Delivery Systems of Therapeutic Importance 35

    2.4 Safety of Microbial Biopolymers Used in Nanoscale-Systems for Therapeutic Applications 38

    2.5 Conclusions 40

    References 41

    Part II Nanoparticles: Toxicity and Safety 47

    3 Selenium Nanoparticles: Toxicity and Safety 49
    Irina A. Shurygina, Irina S. Trukhan, Nataliya N. Dremina, and Michael G. Shurygin

    3.1 Introduction 49

    3.2 Selenium Forms 50

    3.3 Toxicity of Selenium Nanoparticles 52

    3.4 Toxicity Mechanisms 56

    3.5 Conclusion 60

    References 60

    4 Impact of Nanoparticles on Protozoa 67
    Daniela Plachá and Josef Jampílek

    4.1 Introduction 67

    4.1.1 Antiprotozoal Drugs 72

    4.2 Nanosystems 74

    4.2.1 Preparation and Synthesis of Nanoparticles and Systems 75

    4.3 Nanosystems with Effect on Human Parasitic Protozoa 77

    4.3.1 Malaria 77

    4.3.2 Trypanosomiases 79

    4.3.3 Leishmaniasis 81

    4.3.4 Toxoplasmosis 87

    4.3.5 Cryptosporidium 89

    4.3.6 Acanthamoeba 90

    4.4 Nanosystems with Effect on Veterinary Parasitic Protozoa 91

    4.5 Nanomaterial Toxicity on Beneficial Protozoa 93

    4.6 Conclusion 96

    Acknowledgment 97

    References 97

    5 Toxicity of Metallic Nanoparticles: A Pressing Issue 109
    Tejal Mehta, Dhaivat Parikh, Kartik Hariharan, Namdev Dhas, and Viral Patel

    5.1 Introduction 109

    5.2 Toxicity of Metal Nanoparticles and Influence of Physicochemical Properties 110

    5.2.1 Toxicity of Copper and Copper Oxide Nanoparticles 110

    5.2.2 Toxicity of Gold Nanoparticles 112

    5.2.2.1 Physicochemical Factors Influencing AuNPs’ Toxicity 112

    5.2.3 Toxicity of Silver Nanoparticles 115

    5.2.4 Toxicity of Zinc Oxide Nanoparticles 117

    5.2.5 Toxicity of Iron Oxide Nanoparticles 118

    5.2.6 Physicochemical Properties Affecting Toxicity 119

    5.3 Accumulation and Toxicity of Metal-Based Nanoparticles in Various Organs 119

    5.4 Conclusion and Future Perspectives 128

    Acknowledgment 128

    References 128

    6 Toxicity, Safety, and Biodistribution of Multifunctional Mesoporous Silica
    Nanoparticles
    137
    Mansi Athalye, Rashmin Patel, and Mrunali Patel

    6.1 Introduction 137

    6.2 Bioapplicability of Mesoporous Silica Nanoparticles 138

    6.3 Biodistribution, Toxicity, and Safety of MSN 139

    6.3.1 Factors Affecting Biodistribution of Mesoporous Silica Nanoparticles 140

    6.3.1.1 Particle Size 140

    6.3.1.2 Particle Shape 142

    6.3.1.3 Functionalization 142

    6.3.1.4 Dose 144

    6.3.1.5 Route of Administration 145

    6.4 Safety Evaluation of Mesoporous Silica Nanoparticles 145

    6.4.1 Cytotoxicity 146

    6.4.2 Tissue Compatibility 147

    6.4.3 Genotoxicity 147

    6.4.4 Immunotoxicity 148

    6.4.5 Autophagy 148

    6.4.6 Endothelial Dysfunction and Toxic Effects on Blood Cells 149

    6.4.7 Blood Compatibility 149

    6.4.8 Neurotoxicity 149

    6.5 Conclusion and Future Directions 149

    References 153

    7 Safety and Toxicity Issues of Polymeric Nanoparticles: A Serious Concern 156
    Priya Patel, Naimish Vyas, and Mihir Raval

    7.1 Introduction 156

    7.2 Application of Nanomaterials 157

    7.3 Classification of Nanoparticles (NPs) 157

    7.3.1 Polymeric Nanoparticles 158

    7.3.1.1 Advantages of Polymeric Nanoparticles 159

    7.3.1.2 Polymers Used in the Preparation of Polymeric Nanoparticles 159

    7.3.1.3 Methods of Preparation of Polymeric Nanoparticles 160

    7.3.1.4 Polymeric Nanoparticles in Drug Delivery 162

    7.4 Nanotoxicology 163

    7.4.1 Toxicity of Nanoparticles 163

    7.4.2 Tissue Toxicity of Nanomedicine 164

    7.4.3 Mechanisms of Nanoparticle Toxicity 164

    7.4.4 Toxicity of Polymeric Nanoparticles 164

    7.4.5 Nanoformulations Showing Toxicity 165

    7.5 Safety Assessment of Nanomedicines by Methodological Considerations 167

    7.5.1 Nanoparticles Safety Study 168

    7.5.2 Methodological Considerations for Safety Assessment of Nanomedicines 169

    7.6 Conclusion and Future Perspectives 170

    References 170

    8 Green Synthesis of Copper and Copper-Based Nanoparticles for Their Use in Medicine: Toxicity and Safety 174
    Sadhucharan Mallick and Piyali Sabui

    8.1 Introduction 174

    8.2 Green Synthesis Methods of Copper and Copper-Based Nanoparticles 176

    8.2.1 Fungi-Assisted Synthesis of Nanoparticles 176

    8.2.2 Actinomycetes-Assisted Synthesis of Nanoparticles 176

    8.2.3 Bacteria-Assisted Synthesis of Nanoparticles 177

    8.2.4 Algae-Assisted Synthesis of Nanoparticles 177

    8.2.5 Phytochemical-Assisted Synthesis of Nanoparticles 177

    8.2.6 Biomolecule and Biopolymer-Mediated Synthesis of Nanoparticles 178

    8.3 Purification of Copper and Copper-Based Nanoparticles 179

    8.4 Characterization of Green Synthesized Copper and Copper-Based Nanoparticles 179

    8.5 Copper and Copper-Based Nanoparticles as Nanomedicines 179

    8.5.1 Application as Antibacterial Agents 179

    8.5.2 Application as Antifungal Agents 182

    8.5.3 Application as Antiviral Agents 182

    8.5.4 Application as a Targeted Drug Delivery System 182

    8.5.5 Application as Anticancer Agents 183

    8.5.6 Applications in Molecular Imaging 184

    8.6 Copper and Copper-Based Nanoparticles and Their Toxicity 184

    8.6.1 Nanotoxicology 184

    8.6.2 Different Types of Toxicity 185

    8.6.3 Toxicity Effect of Copper and Copper-Based Nanoparticles 185

    8.7 Safety Implications of Copper and Copper-Based Nanoparticles 186

    8.8 Future Perspectives 187

    8.9 Conclusion 188

    References 189

    Part III Nanotoxicology and Drug Delivery 195

    9 Gene Delivery Using Nanocarriers: Toxicity and Safety Aspects 197
    Imran Vhora and Nirav Khatri

    9.1 Introduction 197

    9.2 Nanocarrier Types 198

    9.2.1 Lipid-Based Nanocarriers 198

    9.2.2 Polymeric Nanocarriers 200

    9.3 Target Diseases and Routes of Administration 200

    9.4 Learnings from Clinical Trials 214

    9.4.1 Toxicity with Systemic Delivery – Intravenous Administration 215

    9.4.2 Toxicity with Local Delivery 215

    9.4.2.1 Pulmonary Delivery 216

    9.4.2.2 Intratumoral and Other Local Delivery in Cancer 216

    9.4.2.3 Subcutaneous, Intradermal, and Intramuscular Delivery 216

    9.5 Mechanisms of Toxicity of Gene Delivery Nanocarriers 217

    9.5.1 Cellular Damage and Inflammatory Mediators 217

    9.5.2 ROS Induction 219

    9.5.2.1 Off-target Effects of the Genetic Cargo 219

    9.6 Overcoming Toxicity Issues with Nanocarrier-Mediated Gene Therapy 220

    9.6.1 Modification of Genetic Cargoes 220

    9.6.2 Modification of Nanocarrier System 220

    9.6.2.1 Optimizing Excipient Chemistry – Lipid and Polymer Chemistry 220

    9.6.2.2 Modification of Nanocarrier Morphology 222

    9.6.3 Preclinical Testing for Expected Toxicities 223

    9.7 Future Perspectives and Conclusion 225

    References 226

    10 Toxicity and Safety Evaluation of Lipid-Based Nanoparticles for Brain Delivery 233
    Mitali Patel and Priyanshi Patel

    10.1 Introduction 233

    10.2 Barriers Across Brain Delivery 234

    10.2.1 The Blood–Brain Barrier (BBB) 234

    10.2.2 The Blood Cerebrospinal Fluid (BCSF) Barrier 234

    10.3 Role of Lipid Nanoparticles in Brain Delivery 235

    10.3.1 Liposomes 236

    10.3.2 Solid Lipid Nanoparticles (SLNs) 236

    10.3.3 Nanostructured Lipid Carriers (NLCs) 237

    10.3.4 Lipid–Drug Conjugates (LDCs) 237

    10.3.5 Lipid Polymer Hybrid Nanoparticles (LPHNPs) 238

    10.4 Transport Mechanisms Involved for Brain Delivery 238

    10.4.1 Paracellular Transport 238

    10.4.2 Transcellular Transport 238

    10.4.3 Carrier-mediated Transport 238

    10.4.4 Receptor-mediated Endocytosis 238

    10.4.5 Adsorptive-mediated Endocytosis 239

    10.5 Toxicity of Lipid Nanoparticles 239

    10.6 Safety of Lipid Nanoparticles 240

    10.7 Conclusion and Future Perspectives 242

    References 242

    11 Risk Assessment of Injectable Nanoparticles Used as Nanomedicine 248
    Marco Vinícius Chaud, Fernando Batain, Eliana Barbosa Souto, Patrícia Severino, Aleksandra
    Zielińska, and Thais Francine Ribeiro Alves

    11.1 Introduction 248

    11.2 Nanomaterials, Nanoparticles, and Nanoformulation 249

    11.3 Injectable Nanoparticles Toxicity 251

    11.4 Safety of Nanoparticles in Acute and Chronic Studies 253

    11.5 Future Perspectives and Conclusion 254

    References 255

    12 Dermatological Delivery of Nanodrugs: Applications, Toxicity, and Safety 259
    Saurabh Shivalkar, Arushi Verma, Vishal Singh, and Amaresh Kumar Sahoo

    12.1 Introduction 259

    12.2 An Overview of Dermatology and Nanodrugs 260

    12.3 Nanomaterials for Dermatologically Active Nanodrugs 262

    12.4 Nanoformulations for Topical and Transdermal Delivery 265

    12.5 Applications of Dermatological Nanodrugs and Its Delivery Mechanisms 268

    12.5.1 Prevention 268

    12.5.1.1 Antisepsis 268

    12.5.1.2 Cosmetics and Photoprotection 269

    12.5.2 Diagnosis 269

    12.5.3 Therapeutic Applications 270

    12.5.3.1 Phototherapy 270

    12.5.3.2 Sebaceous Gland Disorders 270

    12.5.3.3 Treatment of Inflammatory Skin Diseases 270

    12.5.3.4 Other Therapeutic Applications 270

    12.6 Toxicity Evaluation of Dermatologically Active Nanodrugs 271

    12.6.1 Nanodrugs and Toxicity Due to Penetration 271

    12.6.2 Genotoxicity 273

    12.7 Safety Considerations 273

    12.8 Limitations and Risk 274

    12.9 Conclusion 274

    References 275

    13 Nanonutraceuticals: Considerations for Toxicity and Safety Assessment 281
    Shah Esha Bhavin and Anuradha Ketan Gajjar

    13.1 Introduction 281

    13.2 Novel Carrier-Based Drug Delivery Systems 282

    13.2.1 Lipidic Nanosystems 283

    13.2.1.1 Non-Vesicular Systems 283

    13.2.1.2 Vesicular Systems 283

    13.2.2 Polymeric Nanosystems 283

    13.2.3 Lipid Polymer Nanosystems 285

    13.3 Safety and Toxicity Assessment of Nanoparticles 285

    13.4 Approaches for Biodegradable Nanoparticles 289

    13.5 Modified Nanocarriers (Nanosponges) 291

    13.5.1 Cyclodextrin-Based Nanosponges 291

    13.6 Conclusion and Future Perspectives 293

    References 293

    14 Current Challenges and Future Needs for Nanotoxicity and Nanosafety Assessment 299
    Ravish J. Patel, Amit Alexander, Anu Puri, and Bappaditya Chatterjee

    14.1 Introduction 299

    14.2 Nanomaterials: Risk Assessment 302

    14.3 The Hurdles in Toxicity Evaluation of Nanomaterials 304

    14.3.1 Physicochemical Properties of Nanomaterials’ Characterization 304

    14.3.1.1 Size of Nanomaterials 304

    14.3.1.2 Composition Effects 304

    14.3.1.3 Surface-Related Effects 304 Agglomeration 305

    14.3.1.5 Solubility 305

    14.3.1.6 Surface Charge and Dispersity 305

    14.3.1.7 Dose Metric 305

    14.3.2 In vitro, In vivo, and In silico Approaches for the Assessment of Toxicity for the Nanomaterials 305

    14.4 Nanosafety Assessment Tools 307

    14.5 Conclusion and Perspectives 308

    References 310

    Part IV Nanotechnology, Ethics, and Regulatory Framework 315

    15 Safety Regulations for the Use of Nanotechnological Products for Biomedical Applications: A Systematic Literature Review 317
    Raquel Von Hohendorff, Wilson Engelmann, and Daniele Weber S. Leal

    15.1 Introduction 317

    15.2 The State-of-the-art of Biomedical Applications of Nano-Products 318

    15.3 The Scientific Perspective on Nano-products for Biomedical Applications, Risks, and Regulations 322

    15.4 Using RRI as a Methodological Pathway Toward Communication Between the Science System and the Law System 324

    15.5 Final Considerations and New Propositions 340

    Notes 341

    References 342

    16 Nanoethics and Nanotechnology 349
    Iti Chauhan, Madhu Verma, and Mohd Yasir

    16.1 Introduction 349

    16.1.1 Types of Nanotechnology 349

    16.1.2 Applications of Nanotechnology 349

    16.2 Nanoethics 351

    16.2.1 Regulatory Agencies 354

    16.2.1.1 Nanotechnology and State Regulation (India) 355

    16.2.2 Distributive Justice 356

    16.2.2.1 Bridging the Gap 357

    16.2.3 Nanoweapons 358

    16.2.4 Ethics in Nanomedicine 358

    16.2.4.1 Ethics in Research and Development 359

    16.2.4.2 Health and Safety Issues 360

    16.2.4.3 Toxicity Associated with Nanoparticulate System 361

    16.2.5 Privacy and Confidentiality 361

    16.2.6 Human Enhancement 362

    16.2.7 Nanopollution 363

    16.2.7.1 Health Issues 363

    16.2.7.2 Measuring Nanomaterials’ Concentration in the Environment 364

    16.2.7.3 Environmental Issues 365

    16.2.7.4 Social Issues 365

    16.2.7.5 Speculative Issue 366

    16.2.8 Educational Issues 367

    16.2.9 Biological Issues 367

    16.3 Conclusion 368

    References 368

    17 Current Regulatory Framework in Nanotechnology and Medicine 373
    Nitin Dubey and Nidhi Dubey

    17.1 Introduction 373

    17.1.1 Classification of Nanomaterials 374

    17.1.2 Nanoparticles 374

    17.2 Quality Attributes and Regulatory Concerns of Nanomaterials 375

    17.2.1 Physicochemical Characterization 375

    17.2.2 Nonclinical Studies for Nanomaterials 376

    17.2.3 Clinical Studies for Nanomaterials 377

    17.2.4 Identification of Hazardous Material 377

    17.2.5 Exposure Risk to Humans and Environment During Nanomaterial Manufacturing, Storage, or Disposal 378

    17.3 Quality Assessment of Nanomedicines 380

    17.4 Current Regulatory Framework over Nanomaterials 381

    17.4.1 USA 382

    17.4.1.1 ANSI 387

    17.4.1.2 ASTM 387

    17.4.2 European Union 387

    17.4.2.1 CEN 390

    17.4.3 Taiwan 390

    17.4.4 Iran 390

    17.4.5 Canada 390

    17.4.6 Australia 391

    17.4.7 Japan 392

    17.4.8 India 392

    17.4.9 People’s Republic of China 393

    17.4.10 Republic of Korea 394

    17.4.11 Russia 394

    17.4.12 WHO 394

    17.4.13 OECD 394

    17.4.14 ISO 396

    17.4.15 VAMAS 397

    17.5 Conclusion and Future Outlook 401

    References 402

    Index 407

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