2017
DOI: 10.1016/j.jconrel.2017.07.021
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Watching the gorilla and questioning delivery dogma

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Cited by 24 publications
(17 citation statements)
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“…While the role of complement in infusion reactions to nanomedicine is being debated, 11 there is a concern that uncontrolled complement activation may affect the disease outcome and nanomedicine performance in general. 12, 13, 14…”
mentioning
confidence: 99%
“…While the role of complement in infusion reactions to nanomedicine is being debated, 11 there is a concern that uncontrolled complement activation may affect the disease outcome and nanomedicine performance in general. 12, 13, 14…”
mentioning
confidence: 99%
“…1–4, contemporary nanoparticles typically employ some type of polymeric coating (e.g., PEG, poloxamer, polyethylenoxide, dextran) to extend circulation times and improve biodistribution [32, 33, 35, 36]. Of these coating strategies, PEGylation is by far the most common despite the expanding number of studies documenting problems associated with its immunogenicity [47, 5963]. Consistent with the ability of PEG to prevent uptake by macrophages, leukocyte uptake was dramatically reduced (29% vs. 87% particle positive), and the vast majority of circulating lipoplexes were present in the plasma (Figs.…”
Section: Discussionmentioning
confidence: 99%
“…The technology continues to be upgraded and a process using supercritical fluids has recently been proposed for physical adsorption of PEG on liposome surface [ 9 ]. Pegylation, however, does not prevent non-specific binding of proteins, which often results in complement activation-related infusion reactions of varying severity [ 10 , 11 ] and other anti-PEG immunity-associated issues [ 12 ].…”
Section: Introductionmentioning
confidence: 99%