PMID- 29261028 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2045-8932 (Print) IS - 2045-8940 (Electronic) IS - 2045-8932 (Linking) VI - 8 IP - 1 DP - 2018 Jan-Mar TI - The new frontiers of the targeted interventions in the pulmonary vasculature: precision and safety (2017 Grover Conference Series). PG - 2045893217752329 LID - 10.1177/2045893217752329 [doi] LID - 2045893217752329 AB - The pulmonary vasculature plays an important role in many lung pathologies, such as pulmonary arterial hypertension, primary graft dysfunction of lung transplant, and acute respiratory distress syndrome. Therapy for these diseases is quite limited, largely due to dose-limiting side effects of numerous drugs that have been trialed or approved. High doses of drugs targeting the pulmonary vasculature are needed due to the lack of specific affinity of therapeutic compounds to the vasculature. To overcome this problem, the field of targeted drug delivery aims to target drugs to the pulmonary endothelial cells, especially those in pathological regions. The field uses a variety of drug delivery systems (DDSs), ranging from nano-scale drug carriers, such as liposomes, to methods of conjugating drugs to affinity moieites, such as antibodies. These DDSs can deliver small molecule drugs, protein therapeutics, and imaging agents. Here we review targeted drug delivery to the pulmonary endothelium for the treatment of pulmonary diseases. Cautionary notes are made of the risk-benefit ratio and safety-parameters one should keep in mind when developing a translational therapeutic. FAU - Brenner, Jacob S AU - Brenner JS AD - 1 14640 Pulmonary, Allergy, & Critical Care Division, University of Pennsylvania, Philadelphia, PA, USA. FAU - Kiseleva, Raisa Yu AU - Kiseleva RY AUID- ORCID: 0000-0001-8065-3551 AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Glassman, Patrick M AU - Glassman PM AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Parhiz, Hamideh AU - Parhiz H AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Greineder, Colin F AU - Greineder CF AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Hood, Elizabeth D AU - Hood ED AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Shuvaev, Vladimir V AU - Shuvaev VV AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. FAU - Muzykantov, Vladimir R AU - Muzykantov VR AD - 2 14640 Department of Pharmacology, The Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. LA - eng GR - K08 HL130430/HL/NHLBI NIH HHS/United States GR - K08 HL138269/HL/NHLBI NIH HHS/United States GR - T32 HL007439/HL/NHLBI NIH HHS/United States GR - T32 HL007954/HL/NHLBI NIH HHS/United States PT - Journal Article DEP - 20171220 PL - United States TA - Pulm Circ JT - Pulmonary circulation JID - 101557243 PMC - PMC5768280 OTO - NOTNLM OT - ARDS OT - acute respiratory distress syndromes and acute lung injury OT - drug delivery OT - endothelium OT - inflammation OT - vascular targeting EDAT- 2017/12/21 06:00 MHDA- 2017/12/21 06:01 PMCR- 2017/12/20 CRDT- 2017/12/21 06:00 PHST- 2017/12/21 06:00 [pubmed] PHST- 2017/12/21 06:01 [medline] PHST- 2017/12/21 06:00 [entrez] PHST- 2017/12/20 00:00 [pmc-release] AID - 10.1177_2045893217752329 [pii] AID - 10.1177/2045893217752329 [doi] PST - ppublish SO - Pulm Circ. 2018 Jan-Mar;8(1):2045893217752329. doi: 10.1177/2045893217752329. Epub 2017 Dec 20.