The CRISPR-Cas system discovered in the eighties consists of a series of RNA proteins that signal and messengers of the immune system in prokaryotic organisms to protect against invading antigens of various sources. After the CRISPR-Cas discovery, many research advances were made in the following decades regarding knowledge, techniques, and applications. This showed the system could edit the DNA in an exact and specific manner, which made it very promising to exploit it in various fields, such as the therapeutic field. New therapies of various diseases, industrial applications, food manufacturing, among others, make its impact quite relevant. The following review will focus on the fundamental understanding and implications of CRISPR-Cas techniques has with an ethical and legal view. In addition, to explore some of the applications present and future in the healthcare department, some methods of drug delivery in gene therapy, and new research that is being developed with the CRISPR-Cas technology.

Dendrimers are symmetric molecules; their size is within the nanoscale. Its structure is usually homogeneous and monodisperse; they are composed of a nucleus and several layers 1. The number of layers that the dendrimer has defines its generation. There are different types of dendrimers. The synthesis of these macromolecules is carried out following steps of growth and activation, and organic reactions are required to obtain their branched structure2. Although size is essential, the determining factor of toxicity in dendrimers is the charge of the surface; it has been found that the higher generation dendrimers and the cationic ones are the most toxic compared to the lower generation anionics that evaluated at low concentrations did not show any toxicity 3. The dendrimers will favor the pharmacokinetics of a drug through the dendritic structure, the generation of the dendrimer to be used, the intramolecular interaction force between the adjacent functional groups in the dendrimer, the conditions of the environment such as pH, solvent polarity, strength ionic, saline concentration or presence of counterions, among others 4. Due to dendrimers' size and surface composition, the use of dendrimers in drug delivery has been increasingly studied. There are different interaction mechanisms between drugs in dendrimers, and these can be broadly divided into simple encapsulation, electrostatic interaction, and covalent bonds 5. The use of dendrimers in ocular administration has greatly impacted the complexity of this administration route. Gene therapy has also benefited from the emergence of these molecules as it facilitates targeted therapy. Keywords: Dendrimers, Drug delivery, Gene therapy, Pharmacokinetic, Transport System

No abstract

No abstract

Pharmacovigilance is based on the need to monitor and prevent possible problems caused by medications. Once national and international entities identify a problem related to medications, they issue alerts directed at health professionals, patients and the general population. In this research, national and international alerts were reviewed from 2014 to 2020, of thirteen drugs used in the treatment of common, disabling and/or fatal diseases that affect a large part of the Costa Rican population, taking alerts issued in pharmacovigilance centers databases worldwide. Health alerts show the identification of a problem and communicate the action taken by the regulatory body, which varies according to the severity of the problem. In Costa Rica, health alerts issued about drug-related effects are based on alerts issued by international regulatory bodies such as WHO and FDA, in addition to this, the Costa Rican Ministry of Health adapts the information from these alerts to the Costa Rican population. However, of the ten alerts analyzed, four were not issued in Costa Rica.