The original idea of nanobots argued that with enough effort mechanical machines could work at that level, even if it would be difficult. It'd allow for these machines to work outside of water and for them to be built out of materials like diamond. We're still not there yet, and may never be.
I understand why researchers use the term 'nanotechnology' to describe their work with molecular biology, but it gives entirely the wrong impression. Just look in this thread, where you have people asking 'what could possibly go wrong?' Pop culture makes people think nanotech = tiny robots = grey goo destroying the world.
Electron transport chain:
History doesn’t repeat, but it rhymes… and so do peoples fears. Many times they are misinformed and misplaced, but usually right to be concerned in the first place.
My dumb take: what could go wrong? Interrupting normal proteins to become prions, that’s what.
it would take a serious lack of imagination on my part to look at something like a custom protein and not think about the possible disastrous consequences that follow -- let alone something being described to me as a 'molecular robot', even without a lot of pop-culture influence.
Unless these things are capable of replication (they're not) then they're just an advanced version of regular drugs.