Polymer-based nano-therapies to combat COVID-19 related respiratory injury: progress, prospects, and challenges

J Biomater Sci Polym Ed. 2021 Jun;32(9):1219-1249. doi: 10.1080/09205063.2021.1909412. Epub 2021 Apr 14.

Abstract

The recent coronavirus disease-2019 (COVID-19) outbreak has increased at an alarming rate, representing a substantial cause of mortality worldwide. Respiratory injuries are major COVID-19 related complications, leading to poor lung circulation, tissue scarring, and airway obstruction. Despite an in-depth investigation of respiratory injury's molecular pathogenesis, effective treatments have yet to be developed. Moreover, early detection of viral infection is required to halt the disease-related long-term complications, including respiratory injuries. The currently employed detection technique (quantitative real-time polymerase chain reaction or qRT-PCR) failed to meet this need at some point because it is costly, time-consuming, and requires higher expertise and technical skills. Polymer-based nanobiosensing techniques can be employed to overcome these limitations. Polymeric nanomaterials have the potential for clinical applications due to their versatile features like low cytotoxicity, biodegradability, bioavailability, biocompatibility, and specific delivery at the targeted site of action. In recent years, innovative polymeric nanomedicine approaches have been developed to deliver therapeutic agents and support tissue growth for the inflamed organs, including the lung. This review highlights the most recent advances of polymer-based nanomedicine approaches in infectious disease diagnosis and treatments. This paper also focuses on the potential of novel nanomedicine techniques that may prove to be therapeutically efficient in fighting against COVID-19 related respiratory injuries.

Keywords: ARDS; COVID-19; Polymer; hydrogel; nanocarrier; respiratory injury; scaffold; tissue engineering.

MeSH terms

  • Antiviral Agents / administration & dosage
  • Antiviral Agents / therapeutic use*
  • Biosensing Techniques
  • COVID-19 / diagnosis
  • COVID-19 / pathology
  • COVID-19 Drug Treatment*
  • COVID-19 Testing
  • COVID-19 Vaccines
  • Dendrimers
  • Drug Carriers / administration & dosage
  • Drug Carriers / chemistry
  • Drug Delivery Systems
  • Early Diagnosis
  • Humans
  • Lung / pathology
  • Lung / physiopathology
  • Micelles
  • Nanoconjugates / therapeutic use
  • Nanomedicine / methods*
  • Nanoparticles
  • Nanostructures / administration & dosage
  • Nanostructures / therapeutic use*
  • Polymers / therapeutic use*
  • Precision Medicine
  • Respiratory Distress Syndrome / drug therapy
  • Respiratory Distress Syndrome / etiology
  • Respiratory Distress Syndrome / pathology
  • SARS-CoV-2 / drug effects*
  • Tissue Engineering
  • Treatment Outcome

Substances

  • Antiviral Agents
  • COVID-19 Vaccines
  • Dendrimers
  • Drug Carriers
  • Micelles
  • Nanoconjugates
  • Polymers