“…Although safety concerns have been raised for acute kidney injury and increased risk of mortality when HES is administered to seriously ill patients requiring acute volume resuscitation (particularly to patients with severe sepsis and those in intensive care), [38][39][40][41] HES has extremely low immunogenicity, presumably owing to the common structural features between HES and glycogen, both of which are branched polysaccharides. 42 A good manufacturing practice, high water solubility, tailorability, biocompatibility, biodegradability, and well-dened and proven in vivo safety features not only facilitate HES to be widely applied in clinics as PVE, 36,[43][44][45] cryoprotectant, [46][47][48][49] organ preservation solutions, 50 granulocytes separation solutions, [51][52][53] and cell culture medium, 54 but also to be a promising drug carrier with promising clinical translation potential. [55][56][57] To this end, various drug delivery systems have been recently developed based on HES, including HES and small drug conjugates; [27][28][29][30]32,34,58 HES and protein conjugates; 56,59 HES-derived nanocolloidosomes; 60 and HES-based nanoparticles, [61][62][63][64][65][66][67] capsules, [68][69]…”