2021
DOI: 10.3390/app11167187
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Nanotechnology, Nanomedicine, and the Kidney

Abstract: The kidneys are vital organs performing several essential functions. Their primary function is the filtration of blood and the removal of metabolic waste products as well as fluid homeostasis. Renal filtration is the main pathway for drug removal, highlighting the importance of this organ to the growing field of nanomedicine. The kidneys (i) have a key role in the transport and clearance of nanoparticles (NPs), (ii) are exposed to potential NPs’ toxicity, and (iii) are the targets of diseases that nanomedicine… Show more

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Cited by 31 publications
(21 citation statements)
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“…Larger particles (d H > 100 nm) are readily picked up by the phagocytic cells and accumulated in the liver and the spleen [ 40 , 43 ], whereby particles of the > 200 nm size diameter show higher uptake rates by the spleen in comparison to the liver [ 44 , 45 ]. Very small nanoparticles (< 10–15 nm) are eliminated by the kidneys [ 46 , 47 ]. Generally, ultrasmall MNPs nanoparticles enter the blood vessels of the glomeruli in the nephrons and are eventually extracted in urine by the ureter and then by the urinary bladder.…”
Section: Intravenously Injected Mnpsmentioning
confidence: 99%
“…Larger particles (d H > 100 nm) are readily picked up by the phagocytic cells and accumulated in the liver and the spleen [ 40 , 43 ], whereby particles of the > 200 nm size diameter show higher uptake rates by the spleen in comparison to the liver [ 44 , 45 ]. Very small nanoparticles (< 10–15 nm) are eliminated by the kidneys [ 46 , 47 ]. Generally, ultrasmall MNPs nanoparticles enter the blood vessels of the glomeruli in the nephrons and are eventually extracted in urine by the ureter and then by the urinary bladder.…”
Section: Intravenously Injected Mnpsmentioning
confidence: 99%
“…The primary filtrate is transmitted through fenestrated capillaries into the Bowman’s capsule, which encloses the glomerulus and collects the filtrate, via the renal vasculature to the glomeruli. The filtrate is subsequently passed via the proximal and distal renal tubules, where nutrients, water, and ions are reabsorbed, and waste products are released ( Hauser et al, 2021 ).…”
Section: Kidney Targeted Nanoparticle Drug Delivery Systemmentioning
confidence: 99%
“…When constructing nanomedicine, the size, shape, and charge of nanoparticles must be considered, since these will determine whether they are cleared or accumulated by the kidneys. A positively charged nanomedicine, for example, may be able to filter through a negatively charged GBM and podocytes more efficiently than neutral or negatively charged substances ( Hauser et al, 2021 ). Interaction sites and probable uptake sites of NPs, which are extracted or employed to target the kidney.…”
Section: Kidney Targeted Nanoparticle Drug Delivery Systemmentioning
confidence: 99%
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“…On the other hand, intra-arterial injection of nanoparticles carries risks of increased nanoparticle binding to blood components and can potentially lead to thrombi or stenosis. Moreover, during the therapy, circulating nanoparticles may interact with the kidneys [49,50], leading to a worst-case renal tubule blockage. Accordingly, a prerequisite for the preparation of nanoparticles will be the maximum delineation of nanoparticle sizes that are safe for administration to animals and, subsequently, to humans.…”
Section: Discussionmentioning
confidence: 99%