Drug delivery systems comprised of various types of carriers have long
been the object of pharmacological investigation. The search has been
stimulated by the belief that carriers will lead to reduced drug toxi
city, dosage requirements, enhanced cellular targeting and improved sh
elf-life. Among the carriers investigated are complex polymeric carboh
ydrates, synthetic proteins and liposomal structures. For the past fou
r years, we have been experimenting with a radically new class of carr
iers comprised of surface-modified nanocrystalline ceramics. While the
ceramics provide the structural stability of a largely immutable soli
d, the surface modification creates a glassy molecular stabilization f
ilm to which pharmacological agents may be bound non-covalently from a
n aqueous phase with minimal structural denaturation. As a consequence
of maintained structural integrity and owing to concentration effects
afforded by the surfaces of the nanocrystalline materials, drug activ
ity following surface immobilization is preserved. We have used succes
sfully surface-modified nanocrystalline ceramics to deliver viral anti
gens for the purpose of evoking an immune response, oxygenated haemogl
obin for cell respiration and insulin for carbohydrate metabolism. The
theoretical principles, technical details and experimental results ar
e reviewed. Surface-modified nanocrystalline materials offer an exciti
ng new approach to the well-recognized challenges of drug delivery.