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- •PEGylated Nanocarriers in Medicine and Pharmacy
- •Preface
- •Contents
- •Editors and Contributors
- •About the Editors
- •Contributors
- •1.1.3.1 Passive Targeting Agent
- •1.1.3.2 Solubility Enhancers
- •1. PEGylated Pharmaceutical Nanocarriers
- •1.1 PEGylation
- •1.1.1 PEG Characteristics
- •1.2 PEGylation Determination
- •1.2.2.1 Thermal Gravimetric Analysis (TGA)
- •1.2.2.2 Nuclear Magnetic Resonance (NMR)
- •1.2.2.4 X-Ray Photoelectron Spectroscopy
- •1.3.1 Nanoparticulate System
- •1.3.1.1 Solid Lipid Nanoparticles
- •1.3.1.2 Nanostructured Lipid Carriers (NLCs)
- •1.3.1.3 Polymeric Nanoparticles
- •1.3.2 Metal Nanoparticles
- •1.3.2.1 Silver Nanoparticles
- •1.3.2.2 Gold Nanoparticles
- •1.3.2.3 Titanium Dioxide Nanoparticles
- •1.3.2.4 Copper Nanoparticles
- •1.3.3 Vesicular Systems
- •1.3.3.1 Liposomes
- •1.3.3.2 Niosomes
- •1.3.3.3 Ethosomes
- •1.4.1 Cancer
- •1.4.2 Gene Delivery
- •1.4.3 Diagnostics Imaging
- •1.4.4 Vaccines
- •1.4.5 Rheumatoid Arthritis
- •1.4.6 Hemophilia
- •1.4.7 Pain Therapy
- •1.4.8 Diabetes
- •1.4.9 Others
- •1.6 Conclusion
- •References
- •2.1 Introduction
- •Nanoprecipitation (Solvent Diffusion)
- •Emulsification (Solvent Evaporation or Nanoemulsion)
- •Physical Adsorption Strategy
- •2.2.2.1 Pre-Insertion PEGylation
- •2.2.2.2 Post-Insertion PEGylation
- •2.3.1 Indirect Assessment (Qualitative Assessment)
- •2.3.1.1 Particle Size
- •2.3.1.2 Zeta Potential
- •2.3.1.3 Surface Hydrophilicity
- •2.3.1.4 Microscopic Techniques
- •2.3.1.5 Fourier Transform-Infrared Spectroscopy (FT-IR)
- •2.3.2 Direct Assessment (Quantitative Assessment)
- •2.3.2.1 Colorimetric Methods
- •2.3.2.2 Chromatographic Methods
- •2.3.2.4 Nuclear Magnetic Resonance (NMR)
- •2.3.2.5 X-Ray Photoelectron Spectroscopy (XPS)
- •References
- •3.1 Introduction
- •3.2 Characterization Techniques
- •3.3 Infrared Spectroscopy
- •3.4 Raman Spectroscopy
- •3.5 X-Ray Photoelectron Spectroscopy
- •3.6 Nuclear Magnetic Resonance
- •3.7 Energy-Dispersive X-Ray Spectroscopy
- •3.8 Mass Spectroscopy (MS)
- •3.9 Thermogravimetric Analysis
- •3.10 Differential Scanning Calorimetry
- •3.11 Atomic Force Microscopy
- •3.12 Scanning Electron Microscopy
- •3.13 Transmission Electron Microscopy
- •3.14 Conclusion
- •References
- •4.1 Introduction
- •4.3.1 Nanoparticles PEGylation
- •4.3.2 Polyplexes (PP) PEGylation
- •4.5.1 Systemic Drug Delivery
- •4.5.2 Nonsystemic Drug Delivery
- •4.5.2.3 PEGylated Intravaginal Nanocarriers
- •4.5.2.6 Vaccines Entrapped PEGylated Nanocarriers
- •4.6.2 PEG Molecular Weight (MW)
- •4.7 PEGylated Nanocarriers Products
- •4.8.3 Disadvantageous Physicochemical Properties
- •4.8.5 Limited RES Evasion Capacity
- •4.9 Conclusion
- •References
- •5.1 Introduction
- •5.1.2 PEG Solubility Characteristics
- •5.2 Water-Soluble PEGylated Small Molecule Drugs
- •5.3 Soluble PEGylated Proteins/Enzymes
- •5.3.2 Organic Solvent–Soluble PEGylated Proteins/Enzymes
- •5.4 Water-Soluble PEGylated Drug Nanocarriers
- •5.4.1 Water-Soluble PEGylated Silicon Nanocarriers
- •5.4.2 Water-Soluble PEGylated Carbon Nanotubes
- •5.4.4 Water-Soluble PEGylated Dendrimers
- •5.4.5 Water-Soluble PEGylated Polymeric Micelles
- •5.5 Hydrated or Hydrophilic PEGylated Drug Nanocarriers
- •5.5.1 Hydrated PEGylated Lipid Nanocarriers
- •5.5.2 Hydrophilic PEG-Coated Zein Nanocarriers
- •References
- •5.6.4.1 PEG Chain Length/Molecular Weight
- •6.1 Introduction
- •Increased Solubility
- •Improved Stability
- •Reduced Immunogenicity
- •Enhanced Circulation Time
- •Heterogeneity
- •6.3.1 Enhancing Immune Responses
- •6.3.2 Suppressing Immune Responses
- •6.3.3 Immune Evasion
- •6.4.1 Strategies to Overcome Immunological Barriers
- •6.4.1.1 PEGylation
- •6.4.1.2 Cell Membranes
- •6.4.1.3 Carbohydrates
- •6.4.1.4 Proteins
- •6.6.1 Cancer Therapy
- •6.6.2 Gene Therapy
- •6.6.3 Immunotherapy
- •6.6.4 Central Nervous System (CNS) Drug Delivery
- •6.6.5 Pulmonary Drug Delivery
- •6.6.6 Ocular Drug Delivery
- •6.6.7 Cardiovascular (CVS) Drug Delivery
- •6.8 Conclusion
- •References
- •7.1 Introduction
- •7.3 Nanocarrier-Based Targeted Drug Delivery
- •7.4.1 Covalent Approach
- •7.4.2 Non-covalent Approach
- •7.4.2.1 PEGylation Via Monovalent Interactions
- •High-Affinity Host-Guest Interactions
- •7.4.2.2 PEGylation Via Multivalent Interactions
- •PEGylated Block Copolymers
- •PEGylated Graft Copolymers
- •Polyelectrolyte Complex-Based Systems
- •Non-ionic Interaction-Based Systems
- •PEGylated Dendritic Copolymers
- •PEGylated Copolymers Utilizing Mobile Side Groups
- •7.5 Various Targeting Strategies
- •7.5.1 Active Targeting
- •7.5.2 Passive Targeting
- •7.5.2.1 PEG Dilemma
- •7.7.1 Brain Disorders
- •7.7.2 Pulmonary Disorders
- •7.7.3 Cancer
- •7.7.4 Inflammatory Disorders
- •7.7.5 Bone Disorders
- •7.7.6 Blood Disorders
- •7.8 Stimuli-Sensitive Nanocarriers
- •7.8.1 External-Responsive Nanocarriers
- •7.8.1.1 Ultrasound-Responsive PEGylated Nanocarriers
- •7.8.1.2 Thermal-Responsive PEGylated Nanocarriers
- •7.8.1.3 Magnetic Responsive PEGylated Nanocarriers
- •7.8.2 Internal-Responsive Nanocarriers
- •7.8.2.1 pH-Responsive Systems
- •7.8.2.2 Redox-Responsive Systems
- •7.8.2.3 Enzyme-Responsive Systems
- •7.8.2.4 Hypoxia-Responsive Systems
- •7.8.3 Multimodal Responsive Nanocarriers
- •7.9 Conclusion
- •References
- •8.1 Introduction
- •8.3.1 PEGylated Liposome
- •8.3.2 PEGylated Micelles
- •8.3.3 PEGylated Nanogels
- •8.3.4 PEGylated Inorganic Nanoparticles
- •8.3.5 PEGylated Polymeric Nanoparticles
- •8.4.1 Cancer
- •8.4.1.1 Breast Cancer
- •8.4.1.2 Lung Cancer
- •8.4.1.3 Colon Cancer
- •8.4.1.4 Brain Cancer
- •8.4.2 Autoimmune Diseases
- •8.4.3 Inflammatory Disorders
- •8.4.4 Cardiovascular Diseases
- •8.4.5 Ocular Diseases
- •8.5 Conclusion
- •References
- •9.1 Introduction
- •9.4.1.1 Amino Acid Modifications
- •9.4.1.3 Cysteine Thiol Residue Conjugation
- •9.4.2 Releasable PEGs
- •9.7.1.1 Cationic Lipid Toxicology
- •9.8 RNA Lipid Nanoparticle
- •9.13 Conclusion
- •References
- •10.2.1 PEGylated Nanocarriers
- •10.2.1.1 Polymeric NPs
- •10.2.1.2 Liposomes
- •10.2.1.3 Dendrimers
- •10.2.1.4 Polymeric Micelles
- •10.6 Conclusion
- •References
- •11.1 Introduction
- •11.1.2 Factors Influencing PPDs’ Short-Term Efficiency
- •11.2 What Is PEGylation?
- •11.3.1 Random PEGylation
- •11.3.2 Site-Specific PEGylation
- •11.3.2.1 Amine Conjugation
- •11.3.2.2 Cysteine Conjugation
- •11.4.1 Binding Affinity
- •11.4.2 Altered Biological Activity
- •11.4.3 Physicochemical Modifications
- •11.4.4 PEG Size
- •11.4.5 PEG Structure
- •11.6 PK Profiling
- •11.9 FDA-Approved PEGylated Products
- •11.11 Conclusion
- •References
- •12.1 Introduction
- •12.1.2 Current Market Scenario
- •12.2.1 PEGylated Iron Oxide Nanoparticles
- •References
- •13.1 Introduction
- •13.2.1 PEGylated Lipid-Based NPs
- •13.2.2 PEGylated Polymeric Nanoparticles
- •13.2.3 PEGylated Metal-Based Nanoparticles
- •13.2.4 Multifunctional PEGylated Nanocarriers
- •13.2.5 Targeted PEGylated Nanocarriers
- •13.3.1 Surface Modification Chemistry
- •13.3.2 Polymer Chemistry
- •13.3.4 Characterization Techniques
- •13.4.1 Longer Circulation Time
- •13.4.2 Enhanced Cellular Uptake
- •13.4.3 Controlled Drug Release
- •13.5.1 Cancer Theragnostic
- •13.5.2 Cardiovascular Theragnostic
- •13.7.2 Prolonged Circulation Time
- •13.7.3 Improved Drug Delivery
- •13.7.4 Diagnostic Functionality
- •13.8 Technical Challenges
- •13.8.4 Limited Clinical Validation
- •13.10 Conclusion
- •References
- •14.1 Introduction
- •14.2 Reversible PEGylation Strategies
- •14.2.1 Reversible PEGylation Chemistry
- •14.2.2.1 Aromatic Linkers
- •14.2.2.2 Aliphatic Linkers
- •14.2.3 Cleavage Linkers
- •14.2.3.1 Hydrolyzable Linkers
- •14.2.3.2 Enzymatically Cleavable Linkers
- •14.2.4 pH-Responsive PEGylation
- •14.2.4.1 Proteasome Inhibitor MG132
- •14.2.5 Temperature-Responsive PEGylation
- •14.2.6 Light-Responsive PEGylation
- •14.3.1 Analytical Techniques
- •Zeta Potential
- •Hydrophobic Interaction Chromatography (HIC)
- •Near Infrared (NIR) Spectroscopy
- •Fourier Transform-Infrared Spectroscopy (FT-IR)
- •13C-NMR
- •Mass Spectrometry
- •High-Performance Liquid Chromatography (HPLC)
- •Calorimetry
- •X-Ray Photoelectron Spectroscopy (XPS)
- •Nuclear Magnetic Resonance (NMR)
- •TGA-DSC
- •14.3.2.1 Protein Adsorption
- •14.3.2.2 Cellular Association
- •14.3.2.5 Bioactivity Assay
- •14.3.2.6 Enzyme-Linked Immunosorbent Assay (ELISA)
- •14.3.2.7 Sandwich ELISA
- •14.3.2.8 Anti-PEG ELISA
- •14.3.3.1 In Vivo Blood Circulation Half-Life
- •14.3.3.2 Radiolabeling
- •14.4.1 Therapeutic Applications
- •14.4.1.1 Anticancer Activity
- •14.4.1.2 Antibiotic Administration
- •14.4.1.3 Enzyme-Replacement Therapy
- •14.4.1.4 Red Blood Cell Substitution
- •14.4.1.5 Oxygen Toxicity Diseases
- •14.4.2 Pharmaceutical Applications
- •14.4.2.1 PEGylated Liposomes
- •14.4.2.2 PEGylated Proteins
- •14.4.2.3 Targeted Delivery
- •14.5.1 Design Complexity
- •14.5.3 Biological Environment Stability
- •14.5.4 Trigger Selection
- •14.5.5 Immunogenicity
- •14.5.6 Scale-up Difficulties
- •14.5.8 Cost
- •14.6 Conclusion
- •References
- •15. Stimuli-Responsive PEGylated Nanocarriers
- •15.1 Introduction
- •15.2 External Stimuli-Responsive Systems
- •15.2.1 Thermoresponsive Systems
- •15.2.2 Magnetically Responsive Systems
- •15.2.3 Ultrasound-Triggered Drug Delivery
- •15.2.4 Light-Triggered Drug Delivery
- •15.2.5 Electroresponsive Systems
- •15.3 Internal Stimuli-Responsive Systems
- •15.3.1 pH-Responsive Systems
- •15.3.2 Redox-Responsive Systems
- •15.3.3 Enzyme-Responsive Systems
- •15.3.4 Self-Regulated Systems
- •15.4.3 Multistimuli Responsive Systems
- •15.7 Conclusion
- •References
- •16.1 Introduction
- •16.3 PEGylated Products
- •16.3.1 PEGylated Liposomes
- •16.3.2 PEGylated G-CSF
- •16.3.3 PEGylated Proteins
- •16.3.4 PEGylated Nanoparticles
- •16.5.1 Poly(Zwitterions)
- •16.5.2 Poly(Glycerols)
- •16.5.3 Poly(Amino Acids)
- •16.5.4 Poly(Oxazolines)
- •16.5.6 Poly(Vinylpyrrolidones)
- •16.5.8 Polypeptides
- •16.5.9 Carbohydrate-Based Systems
- •16.5.10 Hydrophilic Polymers
- •16.5.11 Non-PEGylated Nanoparticles
- •16.6 Future Prospects
- •16.7 Conclusion
- •References

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PEGylated Nanocarriers forGene
Therapy
LopamudraMishra, LakshmiKumari, YashSharma,
KanakChahar, SatyamKhare, PreetiPatel, DilpreetSingh,
andBalakDasKurmi
Abstract
The developed disease and mutations in treatment need emerging strategies to
tackle physiological and biopharmaceutical challenges. Many drugs/therapies
are available for symptomatic relief; however, they are sometimes only partially
effective and have a number of dangerous adverse effects. New therapeutic
approaches must therefore be developed to overcome complications and target
permanent cures for specic diseases. Permanent and targeted clinical care has
been signicantly impacted by the production of nanotechnology-based prod-
ucts. The use of nanotechnology has aided in the creation of extremely disease-
selective gene therapy systems, which will be able to deliver the gene in the body
to correct the abnormality and recover the genetic function. Carriers like lipo-
somes, dendrimers, and polymer nanomaterials have recently gained attention as
possible drug delivery systems for various complex physiological diseases,
decreasing toxicity and increasing biocompatibility. PEGylated nanocarriers are
8
L. Mishra · L. Kumari · S. Khare
Department of Pharmaceutics, ISF College of Pharmacy, Moga, Punjab, India
Y. Sharma · K. Chahar
Department of Pharmaceutical Quality Assurance, ISF College of Pharmacy,
Moga, Punjab, India
P. Patel
Department of Pharmaceutical Chemistry, ISF College of Pharmacy, Moga, Punjab, India
D. Singh
University Institute of Pharma Sciences, Chandigarh University, Gharuan, Mohali, India
B. D. Kurmi (
Department of Pharmaceutical Quality Assurance, ISF College of Pharmacy,
Moga, Punjab, India
Department of Pharmaceutics, ISF College of Pharmacy, Moga, Punjab, India
*)
239

240
L. Mishra et al.
signicantly the most cutting-edge techniques for non-invasive gene delivery
technologies. When compared to non-PEGylated complexes, PEGylated nano-
carriers showed superior biodistribution, enhanced safety proles, and effective
gene transfer in vector-based nanoformulations. Additionally, compared to poly-
meric systems PEGylation improves the gene expression and stability in a sys-
tem that has been progressively studied in pre-clinical settings. In the present
chapter, we compiled the utilization of PEGylated nanocarriers along with differ-
ent formulation approaches for gene therapy in an extensive set of disease condi-
tions and barriers.
Keywords
Gene therapy · CNS · CVS · Vectors · PEGylation · Liposomes
8.1 Introduction
8.1.1 Background onGene Therapy
Gene therapies entail the effective intracellular delivery of certain genomic materials (transgene) inside specic cells to produce a pharmacological effect by replacing or repairing an existing abnormality or giving the cells a new genetic function
(Nayerossadat etal. 2012; Stone 2010). To turn off a particular gene or restore a
specic gene function, various gene delivery-based systems may be used in gene
therapy. Gene therapy’s ultimate objective is to replace the malfunctioning or missing gene with a single dose of the appropriate base material (Katare and Aeri 2010).
In 1989, tumor-inltrating lymphocytes underwent the rst human gene transfer,
and the rst human gene therapy was performed on the adenosine deaminase (ADA)
gene in 1990 to treat SCID (severe combined immunodeciency defect) patients
(Aiuti etal. 2017). Due to its immense therapeutic potential to cure a variety of
genetic illnesses by introducing novel genes (DNA and RNA) into target cells
together with transgene expression, gene therapy has expanded quickly (Cao etal.
2019). Moreover, the direct invivo delivery of certain naked therapeutic genes is
unfeasible and rife with difculties, such as the susceptibility to prone gene degradation with nucleases in plasma having non-specicity towards the targeted cells,
and the inability of entering negatively charged genes into negatively charged cellular membranes (Razi Sooyani etal. 2013). In fact, just six gene therapies have
been approved in the west despite around 2600 gene therapeutics were nished or
been tested in clinical studies (Ginn etal. 2018). The European Medicines Agency
(EMA) have granted conditional marketing authorization to Glybera®, an AAVbased treatment for familial lipoprotein lipase impairment, in 2012.
The US Food and Drug Administration (FDA) licensed IMLYGIC®, a herpes
simplex virus type 1 that have been genetically altered, in 2015 for the local treatment of melanoma patients’ unresectable lesions. The European Medicines Agency
(EMA) approved Strimvelis® in 2016 as a treatment for severe combined

8 PEGylated Nanocarriers forGene Therapy
241
immunodeciency brought on by adenosine deaminase deciency (ADA-SCID).
The FDA authorized three gene therapies in 2017. Both KYMRIAH® and
YESCARTA® are genetically altered autologous CAR T cell immunotherapies that
are directed against CD19; they are both approved for the treatment of non-Hodgkin
lymphoma, and KYMRIAH® is also approved by regulatory authorities to treat
acute lymphoblastic leukemia. AAV-based gene therapy called LUXTURNA® is
intended to treat biallelic RPE65 mutation-related retinal degeneration (Anguela
and High 2019). There are mainly two basic subcategories of gene therapy: somatic
and germline. Germline gene therapy has a lot of potential; however, it cannot currently be used because of ethical constraints. Somatic cells are the only cells in
humans that have been altered by gene therapy thus far (Goncalves and Paiva 2017).
Genetic material can generally be transferred by a vector that can be dened as the
vehicle which is helpful to deliver particularly the desired gene. The ideal vector
could provide an accurate or precise dosage of genetic material to every target cell,
enabling the production of the gene product without hazardous side effects (Wang
etal. 2019).
An ideal vector must be non-immunogenic, safe, and able to transport a gene to
a certain cell type. It should also be able to accommodate foreign genes of a suitable
size and achieve the amount and duration of trans-genic expression necessary to
rectify the deciency (Davis and Cooper 2007). Transduction is usually the transfer
of a gene using a viral vector, whereas transfection describes the transfer of a gene
using a non-viral vector. Although, there are several viral as well as nonviral vectors
for gene delivery as depicted in Fig.8.1, the prime utilization in a therapy depend
on genetic material being transported on the cell membrane and ultimately inside
the cell nucleus (Ramamoorth and Narvekar 2015).
Fig. 8.1 Various types of vectors used for gene therapy along with its advantages and limitations

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8.2 Challenges forGene Delivery andPEGylation
asaSolution
Efcient as well as safe delivery of genes into the target cells remains a signicant
challenge. There are several challenges associated with gene delivery, including
poor stability, low transfection efciency, rapid clearance by the immune system,
and off-target effects. To overcome these challenges, various gene delivery vectors
developed rationally, which includes viral and non-viral vectors (Wang etal. 2013).
Retrovirus (RV), adenovirus (AD), adeno-associated virus (AAV), and lentivirus
(LV) are examples of viral vectors that often demonstrate a wide variety of species
and tissue tropism and require for straightforward preparation and administration
techniques. They also exhibit persistent gene expression and excellent transduction
efciency (Boulaiz etal. 2005). However, they possess a number of disadvantages
includes high cost, limited target cell selectivity, high toxicity, immunogenicity, and
mutagenicity, as well as the inability to transfer large-sized genes.
Circumventing the immune response to a particular vector is wide known principle challenge which induces an immune response, especially, adenovirus and
AAV, particularly express the immunogenic epitopes inside the organism (Razi
Sooyani etal. 2013). Despite appearing to be less effective than viral approaches,
nonviral delivery mechanisms like nanocarriers have inherent benets including
exibility and safety. For the creation of nanocarriers along with minimal toxicity,
high cell selectivity, and high stability, nanoparticle complexes modied by functional molecules such as peptides, proteins, integrins, lectins, and antibodies has
been developed (Wang etal. 2022). There are several kinds of nanoparticles (NPs)
that can be used as nanocarriers, including micelles, dendrimers, inorganic or metal
NPs, quantum dots (QDs), liposomes, and polymeric NPs. These nanocarriers must
circulate inside the blood stream for as long as feasible in order to reach target tissues at appropriate concentrations (Edis etal. 2021).
An example of one of these methods is coating the therapeutic’s surface with the
help of inert polymer that prevents interactions with bloodstream constituents and
gives it “stealth” qualities. Since, it often has a long history of being safe for humans
and is regarded as generally recommended as safe (GRAS) by the FDA, polyethylene glycol (PEG) is the “stealth” polymer that is most frequently utilized in the drug
delivery industry (Padin-Gonzalez etal. 2022).
PEGylation, the attachment of polyethylene glycol (PEG) onto the surface of
gene delivery vectors, have been shown to upregulate the efciency as well as safety
of gene delivery in order to improve its pharmacokinetic and pharmacodynamic
properties (Lu and Zhang 2018). PEGylation can increase the stability of gene
delivery vectors inside the bloodstream, reduce clearance by the immune system,
and enhance their ability to penetrate target cells (Suk etal. 2016). Also, it has been
proven to increase the circulation time of gene therapy vectors in the bloodstream,
reduce clearance by the immune system, and improve target cell uptake. Moreover,
PEGylation can reduce the toxicity and immunogenicity of gene delivery vectors
(Suk etal. 2016; Chen etal. 2016).

8 PEGylated Nanocarriers forGene Therapy
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In the 1970s, Davis and colleagues developed the term “PEGylation,” which they
dened as the attachment of polyethylene glycol (PEG) with drug molecules
(Hamidi etal. 2006). Preparing conjugates of protein/peptide drugs with PEGs with
varying degrees of polymerization was the major goal of this procedure. Later, the
goal is to change the pharmacokinetic prole as well in the invivo course of the
bound drug in the body of host following systemic administration (Veronese and
Pasut 2005; Roberts etal. 2020).Talking about chemistry of PEGs, PEGs are amphiphilic polymers made of ethylene oxide repeating units that are comparatively
chemically inert. PEG molecules come in a wide range of molecular weights and
are accessible commercially. PEGs arenamed depending on the amount of ethylene
oxide units present in the polymer chain. PEGs may be arranged in a variety of ways
and are primarily divided into two classes: linear polymers and branched polymers.
Additionally, PEGs can be categorized into two groups: PEGs with free hydroxyl
(–OH) groups at both ends and PEGs with one or two methoxylated end group(s)
(i.e., –OH replaced by –OCH3) (Hamidi etal. 2006).
Nanocarriers are often utilized to carry genes and medicinal molecules, with or
without coupling of ligands. Because of their unique targeting mechanism and regulated drug release prole, these carriers are highly selectable and efcient (Edis
etal. 2021). The reticuloendothelial system (RES) removes nanocarriers from the
circulation, which is their main disadvantage. RES absorption, stability, immunogenicity, drug leakage, hydrophobicity and hemolytic toxicity, are the key reasons
why nanocarriers’ employment is constrained in the biomedical area, despite the
fact that they have demonstrated a wide variety of uses (Su and Kang 2020).
PEGylation of nanocarriers is the only method available to bypass the restrictions.
PEGylation is the process of coating or conjugating polyethylene glycol (PEG) with
nanocarrier systems.
To increase biocompatibility and get around the opsonins of nanocarriers,
PEGylation have been an absolute boon in the nanomedicine eld (Verhoef and
Anchordoquy 2013). PEGylation, however, may protect the targeting ligand and
hinder the targeting of a particular cell, but un-PEGylated nanocarriers show fast
clearance from the blood circulation. Because of this, there are less opportunities
for targeted nanocarriers to engage with or be recognized by the appropriate receptor site, which will ultimately result in a less successful therapeutic outcome (Li and
Huang 2010). Additionally, PEGylation causes nanocarriers to expand in size and
molecular weight, which might change their biological capabilities. The charge,
size, biocompatibility, contact with macrophages, and circulation duration of nanocarriers can all be affected by the molecular weight as well as density of PEG chains.
When compared to PEG or targeting ligand conjugation alone, PEGylated targeted
nanocarriers (PEG + targeting ligand) have demonstrated improved targeting outcomes at clinical level (van Vlerken etal. 2007). PEGylation is applicable to reduce
the immunogenicity and prolong the circulation of various viral gene vectorssuch
as adenovirus and associated virus (Wonganan and Croyle 2010)..
The development of an ideal PEGylated nanocarrier for systemic usefulness in
the early 1980s and 1990s was prompted by the reproducibility of protein PEGylation
which was used for generating efcient circulating, and subsequently more

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effective intravenous therapies for drug and gene delivery (Klibanov etal. 1990).
The mononuclear phagocyte system (MPS) cells quickly remove NPs from systemic circulation after they are recognized as foreign objects, preventing accumulation in target cells and tissues (Ahmed etal. 2005). However, PEG coatings on NPs
protect the surface from aggregation, phagocytosis, and opsonization, prolonging
circulation time, much like what was seen with PEGylated proteins.
Doxil®, the rst PEGylated nanoparticle (NP) product to receive FDA approval,
was introduced in 1995. With a drug half-life of around 72h along with circulation
half-life of 36h, Doxil “Stealth®” liposomes improves doxorubicin bioavailability
about 90-fold in 1week after injection compared to free drug (Gabizon etal. 2003;
Laginha etal. 2005). Since then, PEGylation has established itself as a staple in NP
formulation. PEG chains presented on NPs produce a hydrated cloud with a sizable
excluded volume which can sterically prevent NPs from interacting with nearby
NPs or blood components because of their hydrophilic nature. Additionally, the
exibility of PEG’s conformational range makes it thermodynamically unfavorable
for outside substances to penetrate the PEG corona (Lu and Zhang 2018). Ultimately,
gene delivery is still a major problem in the eld of gene therapy. PEGylation, on
the other hand, has become a potential method for enhancing the effectiveness and
security of gene delivery vectors. The area of gene therapy has the potential to
undergo a revolution with the introduction of PEGylated gene delivery vectors,
opening the door for the creation of safer and more effective gene treatments.
8.3 Types ofPEGylated Nanocarriers
Number of nanocarriers, including liposomes, dendrimers, polymeric nanoparticles,
polymeric micelles, metal-organic frameworks have achieved clinical authorization
for the efcient delivery of a wide range of therapies, making them promising
instruments for the targeted drug delivery for the treatment of cancer and many
other disorders. They have the benets of being biocompatible, comparatively
harmless, and naturally able to shield the encapsulated payload from enzymatic
degradation. Other unfavorable circumstances and advantages and disadvantages
are given in Table8.1 (Taher etal. 2023). Additionally, by changing the pharmacokinetic prole of the medications, they found to improve the therapeutic efcacy of
the encapsulated pharmaceuticals and reduce their toxicity. Due to their combined
benets, nanoscale drug carriers have been approved for use in several clinical settings with a range of small molecule therapies, most recently siRNA.However, worries about potential carrier toxicity occasionally prevent the broad use of
nanocarrier-based treatments in medicine (Gajbhiye etal. 2020).
In rare instances in animal trials, it has been observed that nanocarriers with
specic physical and chemical properties stimulate host-immune system, leading to
several side effects and/or a lack of benecial effects of the medicine that is encapsulated. For instance, the size of the generated nanocarriers’ particles or surface
electrostatic charges are crucial in dening such immune responses. Immune cells
in these trials effectively identify the nanoparticles as alien substances, leading to

8 PEGylated Nanocarriers forGene Therapy
Table 8.1 Advantages and disadvantages of PEGylated nanocarriers
Nanocarriers
Liposomes Liposomes offered numerous
Micelle Polymeric micelles possess
Nanogels Nanogels have shown
Inorganic
nanoparticles
Advantages Disadvantages
Production cost of liposomes
advantages in delivering genes
into the cells
Liposomes can be complexed
either with negatively or
positively charged molecules
Liposome offers a huge degree
of protection to DNA from
degradative processes
Liposomes are enabled to
carry large pieces of DNA, as
big as a chromosome
Liposomes must be targeted
into specic cells or tissues
several unique features that
favor their applicability for
drug delivery in cancer. The
main advantage of polymeric
micelles is their capability to
solubilize several solubility
compromised drugs within the
core, thus improving their
bioavailability
excellent biocompatibility
with a high loading capacity
for different guest molecules
as they possess hydrophilic
properties and due to their
unique physical properties,
nanogels showed distinct
advantages over other types of
nanomaterials for various
biomedical utilities
Inorganic nanoparticles
possess several properties such
as non-toxic, hydrophilic,
biocompatible, and shows high
stability when compared to
organic materials. These drug
delivery systems are designed
for improving drug efcacy
and reduced down the adverse
effects have been evolved by
the development of various
novel inorganic nanoparticles
is high
Leakage and fusion of
encapsulated complexed drug
may be possible
Sometimes phospholipids
present on liposomes
undergoes oxidation and
hydrolysis-like reactions
Shorter half-life
Polymeric micelles mainly
show two weaknesses: one of
which is low payload of drugs
and the other is less stability
in aqueous medium. Hence,
this part pledged with drug
loading capacity of polymeric
micelles
One of the major challenges
during the formation of
nanogels with the help of such
polymers is to limit the
particle size, that requires
ne-tuning of the polymer
concentrations or various
environmental parameters
includes temperature, pH, and
ionic strength
There are several issues shown
by inorganic nanoparticles
including long-term stability,
low drug loading efciency,
and also brings batch-to-batch
variations. Moreover,
non-biodegradability as well
as long-term toxicity are the
limitations of inorganic
nanocarriers
245
References
Suk etal.
(2016)
Shiraishi
and
Yokoyama
(2019)
Vijayan
etal. (2017)
Karakoti
etal. (2011)
(continued)

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Table 8.1
Nanocarriers
Polymeric
nanoparticles
(continued)
Advantages Disadvantages
Polymeric nanoparticles
offered huge advantages over
conventional systems which
may include biocompatibility,
biodegradability, easy to
fabricate, non-immunogenic,
non-toxic, and site-specic
targeting to organs or tissues
The limitations of these
polymeric nanoparticles
include toxic degradation,
toxic monomers aggregation,
residual material associated
with them, as well as toxic
degradation process
References
Suk etal.
(2016)
the multilayered immune responses (Geiger etal. 2018). Additionally, it has been
noted that the nanoparticles interact with circulating protein levels, including complement proteins, which is the prime part of humoral immune response, causing the
mononuclear phagocyte system (MPS) to quickly eliminate them from body. The
innate immune system’s mononuclear phagocyte system (MPS), which is made up
of dendritic cells (DCs), monocytes, and macrophages, is essential for the phagocytosis of pathogens during all stages of the immune response. When considered collectively, these immune system interactions having the potential to affect the invivo
fate of administered nanocarriers and may reduce their therapeutic efcacy.
8.3.1 PEGylated Liposome
The most effective nanocarriers that have achieved commercial success are liposomes. The Greek terms “lipos” and “soma,” which translate to “fat” and “body,”
majorly, are the source of the word “liposome.” A liposome is a globular lipid
bilayer that ranges in size from 50 to 1000nm. Cholesterol and phospholipids are
used to make it. After that, polyethylene glycol (PEG)-based liposomes were created to improve their clinical acceptability (Mohamed etal. 2019).
PEGylation can be done in two different ways: by combining PEG-lipids with
liposomal dispersion before liposome formation (post-insertion approach) or by
adding PEG-lipids to the composition of lipids prior to liposome formation. The
effectiveness of liposomal PEGylation is inuenced by both the dimension and
saturation density of the PEG.Although very long PEG chains result in a dramatic
drop-in transfection activity, very small PEG molecules cannot stop protein absorption and speed up blood circulation. Typically, medium-length PEG molecules are
utilized to modify liposomes. The covering density increases with the molecular
PEG-lipid/lipid composition ratio (Jain and Nahar 2010). Figure8.2 illustrates the
de-PEGylation system, where PEG is getting cleaved from the liposomes after the
liposomes reached the target site in order to improve endosomal escape of carrier.
Liposome PEGylation prolongs circulation duration by limiting liposomemacrophage interaction and MPS uptake. Additionally, PEG-liposomes are known
to assemble in tumor foci. The steric barrier among PEG-liposomes and macrophages and attachment to blood proteins determine how PEG-liposomes interact
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