ConspectusOver the past decades, major efforts were undertaken to develop
devices on a nanoscale level for the efficient and nontoxic delivery
of molecules to tissues and cells, for the purpose of either diagnosis
or treatment of disease. The application of such devices in drug delivery
has proven to be beneficial for matters as diverse as drug solubility,
drug targeting, controlled drug release, and transport of drugs across
cellular barriers. Multiple nanotherapeutics have been approved for
clinical treatment, and more products are being evaluated in preclinical
and clinical trials. However, many biological barriers hinder the
medical application of nanocarriers. There are two main classes of
barriers that need to be overcome by drug nanocarriers: extracellular
and intracellular barriers, both of which may capture and/or destroy
therapeutics before they reach their target site. This Account discusses
major biological barriers that are confronted by nanotherapeutics,
following their systemic administration, focusing on cellular entry
and endosomal escape of gene delivery vectors. The use of pH-responsive
materials to overcome the endosomal barrier is addressed.Historically,
cell biologists have studied the interaction between
cells and pathogens in order to unveil the mechanisms of endocytosis
and cell signaling. Meanwhile, it is becoming clear that cells may
respond in similar ways to artificial drug delivery systems and, consequently,
that knowledge on the cellular response against both pathogens and
nanoparticulate systems will aid in the design of improved nanomedicine.
A close collaboration between bioengineers and cell biologists will
promote this development. At the same time, we have come to realize
that tools that we use to study fundamental cellular processes, including
metabolic inhibitors of endocytosis and overexpression/downregulation
of proteins, may cause changes in cellular physiology. This calls
for the implementation of refined methods to study nanocarrier–cell
interactions, as is discussed in this Account.Finally, recent
papers on the dynamics of cargo release from endosomes
by means of live cell imaging have significantly advanced our understanding
of the transfection process. They have initiated discussion (among
others) on the limited number of endosomal escape events in transfection,
and on the endosomal stage at which genetic cargo is most efficiently
released. Advancements in imaging techniques, including super-resolution
microscopy, in concert with techniques to label endogenous proteins
and/or label proteins with synthetic fluorophores, will contribute
to a more detailed understanding of nanocarrier-cell dynamics, which
is imperative for the development of safe and efficient nanomedicine.