We postulate that nanoparticles (NPs) for use in therapeutic
applications
have largely not realized their clinical potential due to an overall
inability to use in vitro results to predict NP performance in vivo. The avian embryo and associated chorioallantoic
membrane (CAM) has emerged as an in vivo preclinical
model that bridges the gap between in vitro and in vivo, enabling rapid screening of NP behavior under physiologically
relevant conditions and providing a rapid, accessible, economical,
and more ethical means of qualifying nanoparticles for in
vivo use. The CAM is highly vascularized and mimics the diverging/converging
vasculature of the liver, spleen, and lungs that serve as nanoparticle
traps. Intravital imaging of fluorescently labeled NPs injected into
the CAM vasculature enables immediate assessment and quantification
of nano-bio interactions at the individual NP scale in any tissue
of interest that is perfused with a microvasculature. In this review,
we highlight how utilization of the avian embryo and its CAM as a
preclinical model can be used to understand NP stability in blood
and tissues, extravasation, biocompatibility, and NP distribution
over time, thereby serving to identify a subset of NPs with the requisite
stability and performance to introduce into rodent models and enabling
the development of structure–property relationships and NP
optimization without the sacrifice of large populations of mice or
other rodents. We then review how the chicken embryo and CAM model
systems have been used to accelerate the development of NP delivery
and imaging agents by allowing direct visualization of targeted (active)
and nontargeted (passive) NP binding, internalization, and cargo delivery
to individual cells (of relevance for the treatment of leukemia and
metastatic cancer) and cellular ensembles (e.g., cancer xenografts
of interest for treatment or imaging of cancer tumors). We conclude
by showcasing emerging techniques for the utilization of the CAM in
future nano-bio studies.