PMID- 34076369 OWN - NLM STAT- MEDLINE DCOM- 20210805 LR - 20231107 IS - 2192-2659 (Electronic) IS - 2192-2640 (Print) IS - 2192-2640 (Linking) VI - 10 IP - 13 DP - 2021 Jul TI - Recent Developments in Nanomaterial-Based Shear-Sensitive Drug Delivery Systems. PG - e2002196 LID - 10.1002/adhm.202002196 [doi] AB - Nanomaterial-based drug delivery systems (DDSs) increase the efficacy of various therapeutics, and shear stress has been shown to be a robust modulator of payload release. In the past few decades, a deeper understanding has been gained of the effects of flow in the body and its alteration in pathological microenvironments. More recently, shear-responsive nanomaterial DDSs have been developed. Studies on this subject mainly from the last decade are reviewed here, focusing on innovations of the material design and mechanisms of the shear response. The two most popular shear-controlled drug carriers distinguished by different release mechanisms, that is, shear-deformable nanoparticles (NPs) and shear-dissociated NP aggregates (NPAs), are surveyed. The influence of material structures on their properties such as drug loading, circulation time, and shear sensitivity are discussed. The drug development stages, therapeutic effects, limitations, and potential of these DDSs are further inspected. The reviewed research emphasizes the advantages and significance of nanomaterial-based shear-sensitive DDSs in the field of targeted drug delivery. It is also believed that efforts to rationally design nanomaterial DDSs responsive to shear may prompt a new class of diagnostics and therapeutics for signaling and rectifying pathological flows in the body. CI - (c) 2021 Wiley-VCH GmbH. FAU - Wang, Yi AU - Wang Y AUID- ORCID: 0000-0003-4106-5698 AD - Department of Materials Science and Engineering, Lehigh University, Bethlehem, PA, 18015, USA. FAU - Pisapati, Avani V AU - Pisapati AV AD - Department of Bioengineering, Lehigh University, Bethlehem, PA, 18015, USA. FAU - Zhang, X Frank AU - Zhang XF AD - Department of Bioengineering, Lehigh University, Bethlehem, PA, 18015, USA. FAU - Cheng, Xuanhong AU - Cheng X AUID- ORCID: 0000-0002-6331-8572 AD - Department of Materials Science and Engineering, Lehigh University, Bethlehem, PA, 18015, USA. AD - Department of Bioengineering, Lehigh University, Bethlehem, PA, 18015, USA. LA - eng GR - R21 HL152348/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review DEP - 20210602 PL - Germany TA - Adv Healthc Mater JT - Advanced healthcare materials JID - 101581613 RN - 0 (Drug Carriers) RN - 0 (Pharmaceutical Preparations) SB - IM MH - Drug Carriers MH - Drug Delivery Systems MH - Drug Development MH - *Nanoparticles MH - *Nanostructures MH - *Pharmaceutical Preparations PMC - PMC8273148 MID - NIHMS1711545 OTO - NOTNLM OT - advanced nanomaterials OT - deformable nanoparticles OT - drug delivery systems OT - nanoparticle aggregates OT - shear-sensitive COIS- Conflict of Interests: The authors declare no competing interests - financial or otherwise. EDAT- 2021/06/03 06:00 MHDA- 2021/08/06 06:00 PMCR- 2022/07/01 CRDT- 2021/06/02 09:27 PHST- 2021/04/21 00:00 [revised] PHST- 2020/12/14 00:00 [received] PHST- 2021/06/03 06:00 [pubmed] PHST- 2021/08/06 06:00 [medline] PHST- 2021/06/02 09:27 [entrez] PHST- 2022/07/01 00:00 [pmc-release] AID - 10.1002/adhm.202002196 [doi] PST - ppublish SO - Adv Healthc Mater. 2021 Jul;10(13):e2002196. doi: 10.1002/adhm.202002196. Epub 2021 Jun 2.