Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies

Cardiotoxic therapies, whether chemotherapeutic or antibiotic, represent a burden for patients who may need to interrupt life-saving treatment because of serious complications. Cardiotoxicity is a broad term, spanning from forms of heart failure induction, particularly left ventricular systolic dysf...

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Main Authors: Adelaide Iervolino, Luigi Spadafora, Cristiano Spadaccio, Valentina Iervolino, Giuseppe Biondi Zoccai, Felicita Andreotti
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/15/1/87
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author Adelaide Iervolino
Luigi Spadafora
Cristiano Spadaccio
Valentina Iervolino
Giuseppe Biondi Zoccai
Felicita Andreotti
author_facet Adelaide Iervolino
Luigi Spadafora
Cristiano Spadaccio
Valentina Iervolino
Giuseppe Biondi Zoccai
Felicita Andreotti
author_sort Adelaide Iervolino
collection DOAJ
description Cardiotoxic therapies, whether chemotherapeutic or antibiotic, represent a burden for patients who may need to interrupt life-saving treatment because of serious complications. Cardiotoxicity is a broad term, spanning from forms of heart failure induction, particularly left ventricular systolic dysfunction, to induction of arrhythmias. Nanotechnologies emerged decades ago. They offer the possibility to modify the profiles of potentially toxic drugs and to abolish off-target side effects thanks to more favorable pharmacokinetics and dynamics. This relatively modern science encompasses nanocarriers (e.g., liposomes, niosomes, and dendrimers) and other delivery systems applicable to real-life clinical settings. We here review selected applications of nanotechnology to the fields of pharmacology and cardio-oncology. Heart tissue-sparing co-administration of nanocarriers bound to chemotherapeutics (such as anthracyclines and platinum agents) are discussed based on recent studies. Nanotechnology applications supporting the administration of potentially cardiotoxic oncological target therapies, antibiotics (especially macrolides and fluoroquinolones), or neuroactive agents are also summarized. The future of nanotechnologies includes studies to improve therapeutic safety and to encompass a broader range of pharmacological agents. The field merits investments and research, as testified by its exponential growth.
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spelling doaj.art-4aa3eece8aa24ee0be74ed28034f8a7d2023-11-30T23:57:28ZengMDPI AGPharmaceutics1999-49232022-12-011518710.3390/pharmaceutics15010087Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of NanotechnologiesAdelaide Iervolino0Luigi Spadafora1Cristiano Spadaccio2Valentina Iervolino3Giuseppe Biondi Zoccai4Felicita Andreotti5Department of Clinical Medicine and Surgery, Federico II University, 80131 Naples, ItalyDepartment of Clinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, 00189 Rome, ItalyDepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, MN 55905, USACentre Hospitalier Universitaire Henri-Mondor, Faculté de Médecine, Université Paris Est Créteil, 94000 Créteil, FranceDepartment of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, 00189 Rome, ItalyDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario A Gemelli IRCCS, 00168 Rome, ItalyCardiotoxic therapies, whether chemotherapeutic or antibiotic, represent a burden for patients who may need to interrupt life-saving treatment because of serious complications. Cardiotoxicity is a broad term, spanning from forms of heart failure induction, particularly left ventricular systolic dysfunction, to induction of arrhythmias. Nanotechnologies emerged decades ago. They offer the possibility to modify the profiles of potentially toxic drugs and to abolish off-target side effects thanks to more favorable pharmacokinetics and dynamics. This relatively modern science encompasses nanocarriers (e.g., liposomes, niosomes, and dendrimers) and other delivery systems applicable to real-life clinical settings. We here review selected applications of nanotechnology to the fields of pharmacology and cardio-oncology. Heart tissue-sparing co-administration of nanocarriers bound to chemotherapeutics (such as anthracyclines and platinum agents) are discussed based on recent studies. Nanotechnology applications supporting the administration of potentially cardiotoxic oncological target therapies, antibiotics (especially macrolides and fluoroquinolones), or neuroactive agents are also summarized. The future of nanotechnologies includes studies to improve therapeutic safety and to encompass a broader range of pharmacological agents. The field merits investments and research, as testified by its exponential growth.https://www.mdpi.com/1999-4923/15/1/87delivery systemsnanoparticlesliposomesdendrimerscardiotoxicitycardio-oncology
spellingShingle Adelaide Iervolino
Luigi Spadafora
Cristiano Spadaccio
Valentina Iervolino
Giuseppe Biondi Zoccai
Felicita Andreotti
Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies
Pharmaceutics
delivery systems
nanoparticles
liposomes
dendrimers
cardiotoxicity
cardio-oncology
title Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies
title_full Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies
title_fullStr Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies
title_full_unstemmed Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies
title_short Myocardial Cell Preservation from Potential Cardiotoxic Drugs: The Role of Nanotechnologies
title_sort myocardial cell preservation from potential cardiotoxic drugs the role of nanotechnologies
topic delivery systems
nanoparticles
liposomes
dendrimers
cardiotoxicity
cardio-oncology
url https://www.mdpi.com/1999-4923/15/1/87
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