Nanoparticles-
Drug Delivery System in Cancer Therapy
Pradeep
Sahu1*, Swati Chaturvedi1, Ravindra Dhar Dubey1, Shweta Paroha2, Shilpi
Chatterjee1 and Tanushree Chatterjee1
1Institute of
Pharmacy, RITEE, Chhatauna, Mandir
Hasaud, Raipur, Chhattisgarh, India.
2Siddhi Vinayaka Institute of Technical
Sciences, Mangla, Bilaspur,
Chhattisgarh, India.
ABSTRACT:
Cancer nanotherapeutics are rapidly
progressing and are being implemented to solve several limitations of
conventional drug delivery systems such as nonspecific biodistribution
and targeting, lack of water solubility, poor oral bioavailability, and low
therapeutic indices. To improve the biodistribution
of cancer drugs, nanoparticles have been designed for
optimal size and surface characteristics to increase their circulation time in
the bloodstream. Nanoparticle has emerged as a
promising strategy for the efficient delivery of drugs used in the treatment of
cancer by avoiding the reticuloendothelial system,
utilizing the enhanced permeability and retention effect and tumor-specific
targeting. Delivery methods using nanoparticle are
highlighted including both degradable and non-degradable polymers. The
preparation techniques include emulsion polymerization, micelle polymerization,
desolation of macromolecule, and emulsion-solvent evaporation methods. The
particle size of the polymeric nanoparticle is in the
nanometer range (10-1000 nm) and is dependent on the method of preparation
employed.
KEYWORDS: Nanoparticles,
Cancer, Reticuloendothelial system, Drug delivery.
1. INTRODUCTION:
A nanoparticle (or nanopowder
or nanocluster or nanocrystal)
is a microscopic particle with at least one dimension less than 100 nm.1
Nanoparticles are defined as particulate dispersions
or solid particles with a size in the range of 10-1000nm. The drug is
dissolved, entrapped, encapsulated or attached to a nanoparticle
matrix. Depending upon the method of preparation, nanoparticles,
nanospheres or nanocapsules
can be obtained.2 Nanocapsules are systems
in which the drug is confined to a cavity surrounded by a unique polymer
membrane, while nanospheres are matrix systems in
which the drug is physically and uniformly dispersed.3-6
Nanoparticle
research is currently an area of intense scientific research, due to a wide
variety of potential applications in biomedical, optical, and electronic
fields. Nanoparticles are of great scientific
interest as they are effectively a bridge between bulk materials and atomic or
molecular structures. A bulk material should have constant physical properties
regardless of its size, but at the nano-scale this is
often not the case. Size-dependent properties are observed such as quantum
confinement in semiconductor particles, surface plasmon
resonance in some metal particles and superparamagnetism
in magnetic materials. The properties of materials change as their size
approaches the nanoscale and as the percentage of
atoms at the surface of a material becomes significant.
For bulk materials larger than one micrometre
the percentage of atoms at the surface is minuscule relative to the total
number of atoms of the material. The interesting and sometimes unexpected
properties of nanoparticles are not partly due to the
aspects of the surface of the material dominating the properties in lieu of the
bulk properties. Nanoparticles exhibit a number of
special properties relative to bulk material. For example, the bending of bulk
copper (wire, ribbon, etc.) occurs with movement of copper atoms/clusters at
about the 50 nm scale.
Nanoparticle exerts its site-specific drug delivery by
avoiding the reticuloendothelial system, utilizing
enhanced permeability and retention effect and tumor-specific targeting. These
carriers are designed in such a way that they are independent in the
environments and selective at the pharmacological site. The formation of nanoparticle and physiochemical parameters such as pH,
monomer concentration, ionic strength as well as surface charge, particle size
and molecular weight are important for drug delivery. Further, these nanoparticles have the capability to reverse multidrug
resistance a major problem in chemotherapy.
2. THE EVOLUTION OF
NANOTECHNOLOGY:
The Nanoscale was initially used by R. P. Feynman, a physicist.
In his talk, 1959, called “There’s plenty of room at the bottom. But there’s
not that much room - to put every atom in its place - the vision articulated by
some nanotechnologists - would require magic fingers”. He was one of the first
people to suggest that scaling down to nano level and
starting from the bottom was the key to future technology and advancement.7-8
In ancient Greek ‘Nano’ means dwarf.9
Nanotechnology is the creation and utilization of materials, devices, and
systems through the control of matter on the nanometre-length scale, i.e. at
the level of atoms, molecules, and supramolecular
structures. These technologies have been applied to improve drug delivery and
to overcome some of the problems of drug delivery for cancer treatment. Several
nanobiotechnologies mostly based on nanoparticles, have been used to facilitate drug delivery
in cancer. The magic of nanoparticles mesmerize
everyone because of their multifunctional character and they have given us hope
for the recovery from this disease. Although we are practicing better drug
delivery paths into the body, we ultimately seek more accurate protocols to
eradicate cancer from our society. This review focuses on progress in treatment
of cancer through delivery of anticancer agents via nanoparticles.
In addition, it pays attention to development of different types of nanoparticles for cancer drug delivery.10
Although the number
of different type of nanoparticles is increasing
rapidly, most can be classified into two major types. Particles
that contain organic molecules as a major building material and those that use
inorganic elements, usually metals, as a core. Liposome, dendrimers, carbon nanotubes,
emulsions, and other polymers are a large and well-established group of organic
particles. Use of these organic nanoparticles has
already produced exciting results.11 Liposomes
are being used as vehicles for drug delivery in different human tumors, including breast cancer. Dendrimers,
used in MRI as contrast agents, have aided visualisation of various
pathological processes. Conjugated with pharmacological agents and targeting
molecules, organic nanovectors are potent vehicles
for drug delivery and selective imaging of different human cancers. Most
inorganic nanoparticles share the same basic
structure. This consists of a central core that defines the fluorescence,
optical, magnetic, and electronic properties of the particle, with a protective
organic coating on the surface. This outside layer protects the core from
degradation in a physiologically aggressive environment and can form
electrostatic or covalent bonds, or both, with positively charged agents and biomolecules that have basic functional groups such as
amines and thiols. Several research groups have
successfully linked fluorescent nanoparticles to
peptides, proteins, and oligonucleotides.
3.1 Multifunctional Nanoparticles:
Nanoparticles have a
further advantage over larger microparticles, because
they are better suited for intravenous delivery. The smallest capillaries in
the body are 5–6 mm in diameter. The size of particles being distributed into
the bloodstream must be significantly smaller than 5 mm, without forming
aggregates, to ensure that the particles do not form an embolism. Nanoparticles can be used to deliver hydrophilic drugs,
hydrophobic drugs, proteins, vaccines, biological macromolecules, etc. They can
be formulated for targeted delivery to the lymphatic system, brain, arterial
walls, lungs, liver, spleen, or made for long-term systemic circulation.
Therefore, numerous protocols exist for synthesizing nanoparticles
based on the type of drug used and the desired delivery route. Once a protocol
is chosen, the parameters must be tailored to create the best possible
characteristics for the nanoparticles.
Four of the most
important characteristics of nanoparticles are their
size, encapsulation efficiency, zeta potential (surface charge), and release
characteristics. Different nanoparticles have been
discussed below.
3.2 Lipid/Polymer Nanoparticles:
Positively charged
lipid-based nanoparticles are known to trigger strong
immune responses when injected into the body. This can be problematic when
attempting to use this type of nanoparticle as a drug
delivery vehicle. Lipid-based cationic nanoparticles
are a new promising option for tumor therapy, because
they display enhanced binding and uptake at the neo-angiogenic
endothelial cells, which a tumor needs for its
nutrition and growth.12 By loading suitable
cytotoxic compounds to the cationic carrier, the tumor endothelial and consequently also the tumor itself can be destroyed. For the development of such
novel anti-tumor agents, the control of drug loading
and drug release from the carrier matrix is essential. Structural investigation
of drug/lipid membranes may give valuable information about the organization of
drugs in lipid matrices. Screening of different matrices for a given drug may
be useful for fast and efficient optimization of drug/lipid combinations in
pharmaceutical development. In a new therapeutic approach, targeted drug
delivery is performed not to the tumor itself, but to
the neo-angiogenic blood vessels that the tumor stimulates to grow for its nutrition. This procedure
is based on the observation that cationic liposomes
show enhanced binding and uptake at tumor endothelial
cells. For efficient development of pharmaceutical formulations, it is useful
to obtain an insight into the physico-chemical
constraints of drug loading and drug release from the lipid matrix. Structural
investigation of drug/lipid membranes, for example by X-ray scattering
techniques, can give valuable information about the organization of a drug in
the membrane, and it can help to optimize a lipid matrix with respect to its solubilizing potency of a given drug. Polymeric
nanoparticle, are stable and non-phototoxic upon
systemic administration. Upon cellular internalization, the photosensitizer is released from the nanoparticle
and becomes highly phototoxic. Irradiation with visible light results in
cell-specific killing of several cancer cell lines.13
3.3 Gold / Magnetic Nanoparticles:
As the distance increases,
the number of particles decreases, revealing a particle gradient. Bottom:
Simplified representation of the material showing particles in decreasing
concentration along the surface.
Gold nanoparticles are the most commonly used nanoparticles for diagnostics and drug delivery. The unique
chemical properties of colloidal gold make it a promising targeted delivery
approach for drugs or gene specific cells. Gold and silica composite nanoparticles have been investigated as nanobullets
for cancer.14-15 The use of magnetic nanoparticles
in cell biology was first proposed in the early 1990s, and their use has made
the separation of cells or molecules such as proteins, peptides and DNA
considerably easier.16 In medicine, nanoparticles
first found use in the diagnosis of tumors in the
liver and spleen using magnetic resonance tomography. In cancer therapy a
major difficulty is to destroy tumor cells without
harming the normal tissue. Radiotherapy attempts to focus irradiation on the tumor, but nevertheless damages healthy tissue which cannot
always be protected in the desired way. Magnetic drug targeting employing nanoparticles as the carrier is a promising cancer
treatment avoiding side effects of conventional chemotherapy.17 There is also a very significant role of hyperthermia in
cancer drug delivery. There is increasing evidence that hyperthermia at 40–43°C
enhances the uptake of therapeutic agents into cancer cells and provides an
opportunity for improved targeted drug delivery. Using nanoparticles
(NPs) for drug delivery of anticancer agents has significant advantages such as
the ability to target specific locations in the body, the reduction of the
overall quantity of drug used, and the potential to reduce the concentration of
the drug at non target sites resulting in fewer unpleasant side effects.18-19
3.4 Virus Based Nanoparticles:
In the latest
research development virus-based nanoparticles are
being extensively investigated for nanobiotechnology
application.20-23 Viruses have long been envisaged as nanoparticle vectors suitable for drug delivery, vaccines,
and gene therapy. Recently, viruses have been explored as nano-containers
for specific targeting applications. However these systems typically require
modification of the virus surface using chemical or genetic means to achieve tumor-specific delivery. The latest technology developed
engineered virus (nanoparticles) for cancer
treatment. Viruses by their extraordinarily nature are well-defined nanoparticles, and several teams of investigators are
taking a cue from nature and developing non-infectious, engineered viral nanoparticles for use as multifunctional nanoscale devices.
4. PREPARATION OF NANOPARTICLES:
Nanoparticles can be prepared from a variety of materials such as proteins,
polysaccharides and synthetic polymers. The selection of matrix materials is
dependent on many factors including size of nanoparticles
required, inherent properties of the drug, e.g., aqueous solubility and
stability, surface characteristics such as charge and permeability, degree of
biodegradability, biocompatibility and toxicity, drug release profile desired
and antigenicity of the final product.24 Nanoparticles have been prepared most frequency by three
methods first dispersion of preformed polymers, second polymerization of
monomers and third ionic gelation or coacervation of hydrophilic polymers. However, other
methods such as supercritical fluid technologyand
particle replication in non-wetting templates have also been
described in the literature for production of nanoparticles.25-26 The latter was claimed to have absolute control of particle
size, shape and composition, which could set an example for the future mass
production of nanoparticles in industry.
4.1 Dispersion
of preformed polymers:
Dispersion of
preformed polymers is a common technique used to prepare biodegradable nanoparticles from poly (lactic acid) (PLA); poly (D,L-glycolide), PLG; poly (D, L-lactide-co-glycolide) (PLGA) and
poly (cyanoacrylate) (PCA).27-29This
technique can be used in various ways as described below.
4.1.1 Solvent
evaporation method:
In this method,
the polymer is dissolved in an organic solvent such as dichloromethane,
chloroform or ethyl acetate which is also used as the solvent for dissolving
the hydrophobic drug. The mixture of polymer and drug solution is then emulsified
in an aqueous solution containing a surfactant or emulsifying agent to form an oil in water (o/w) emulsion. After the formation of
stable emulsion, the organic solvent is evaporated either by reducing the
pressure or by continuous stirring. Particle size was found to be influenced by
the type and concentrations of stabilizer, homogenizer speed and polymer
concentration.30 In order to produce small particle size, often a
high-speed homogenization or ultrasonication may be
employed.31
4.1.2
Spontaneous emulsification or solvent diffusion method:
This is a
modified version of solvent evaporation method.32 In this method, the water miscible solvent along with
a small amount of the water immiscible organic solvent is used as an oil
phase. Due to the spontaneous diffusion of solvents an interfacial
turbulence is created between the two phases leading to the formation
of small particles. As the concentration of water miscible solvent
increases, a decrease in the size of particle can be achieved. Both
solvent evaporation and solvent diffusion methods can be used for
hydrophobic or hydrophilic drugs. In the case of hydrophilic drug,
a multiple w/o/w emulsion needs to be formed with the drug dissolved in
the internal aqueous phase.
4.2 Polymerization method:
In this method,
monomers are polymerized to form nanoparticles in an
aqueous solution. Drug is incorporated either by being dissolved in the
polymerization medium or by adsorption onto the Nanoparticles
after polymerization completed. The nanoparticle
suspension is then purified to remove various stabilizers and surfactants
employed for polymerization by ultracentrifugation and re-suspending the
particles in an isotonic surfactant-free medium. This technique has been
reported for making polybutylcyanoacrylate or poly (alkylcyanoacrylate) nanoparticles.33-34 Nanocapsule formation and their particle size depend on the
concentration of the surfactants and stabilizers used.35
4.3 Coacervation or ionic gelation method:
Much research
has been focused on the preparation of nanoparticles
using biodegradable hydrophilic polymers such as chitosan,
gelatin and sodium alginate. Calvo and co-workers
developed a method for preparing hydrophilic chitosan
nanoparticles by ionic gelation.36-37 The
method involves a mixture of two aqueous phases, of which one is the polymer chitosan, a di-block co-polymer
ethylene oxide or propylene oxide (PEO-PPO) and the other is a polyanion sodium tripolyphosphate.
In this method, positively charged amino group of chitosan
interacts with negative charged tripolyphosphate to
form coacervates with a size in the range of
nanometer. Coacervates are formed as a result of
electrostatic interaction between two aqueous phases, whereas, ionic gelation involves the material undergoing transition from
liquid to gel due to ionic interaction conditions at room temperature.
4.4 Chemical solution method:
Conventional
methods such as solvent extraction-evaporation, solvent diffusion and organic
phase separation methods require the use of organic solvents which are
hazardous to the environment as well as to physiological systems. Therefore,
the supercritical fluid technology has been investigated as an alternative to
prepare biodegradable micro- and nanoparticles
because supercritical fluids are environmentally safe.38 A supercritical fluid can be generally defined as a solvent
at a temperature above its critical temperature, at which the fluid remains a
single phase regardless of pressure. Supercritical CO2 (SC CO2) is the most
widely used supercritical fluid because of its mild critical conditions (Tc = 31.1 °C, Pc = 73.8 bars), nontoxicity, non-flammability, and low price. The most
common processing techniques involving supercritical fluids are supercritical
anti-solvent (SAS) and rapid expansion of critical solution (RESS). The process
of SAS employs a liquid solvent, eg methanol, which
is completely miscible with the supercritical fluid (SC CO2), to dissolve the
solute to be micronized; at the process conditions, because the solute is
insoluble in the supercritical fluid, the extract of the liquid solvent by
supercritical fluid leads to the instantaneous precipitation of the solute,
resulting the formation of nanoparticles. RESS
differs from the SAS process in that its solute is dissolved in a supercritical
fluid (such as supercritical methanol) and then the solution is rapidly
expanded through a small nozzle into a region lower pressure, Thus the solvent
power of supercritical fluids dramatically decreases and the solute eventually
precipitates. This technique is clean because the precipitate is basically
solvent free. RESS and its modified process have been used for the product of
polymeric nanoparticles.39 Supercritical fluid technology technique,
although environmentally friendly and suitable for mass production, requires
specially designed equipment and is more expensive.
5.
CHARACTERISATION OF NANOPARTICLE:
Particle size
and size distribution are the most important characteristics of nanoparticle systems. They determine the in vivo distribution,
biological fate, toxicity and the targeting ability of nanoparticle
systems. In addition, they can also influence the drug loading, drug release
and stability of nanoparticles. Many studies have
demonstrated that nanoparticles of sub-micron size
have a number of advantages over microparticles as a
drug delivery system.40
5.2 Surface properties of nanoparticles:
Nanomaterials exibihit
some remarkable specific properties that may be significantly different from
the physical properties of bulk materials. Some known physical properties of nanomaterials
are related to different origins; for example, large fraction of surface atoms,
large surface energy, spatial confinement, and reduced imperfections. The
followings are the Some of the examples are discussed
here like. Nanomaterials may have a significantly lower melting point or phase
transition temperature and appreciably reduced lattice constants, due to huge
fraction of surface atoms. Mechanical
properties of nanomaterials may reach the
theoretical strength, which are one of two orders of magnitude higher than that
of single crystals in the bulk form. Optical
properties of nanomaterials can be
significantly different from bulk crystals. Electrical conductivity decrease with a reduced dimension due to
increased surface scattering. Magnetic
properties of nanostructured materials are
distinctly different from that of bulk materials. Self-purification is an intrinsic thermodynamic property of
nanostructures and nanomaterials.
6. NANOPARTICLES DRUG DELIVERY SYSTEM:
6.1 Drug loading:
Ideally, a
successful nanoparticulate system should have a high
drug-loading capacity thereby reduce the quantity of matrix materials for
administration. Drug loading can be done by two methods like Incorporating at
the time of nanoparticles production and absorbing
the drug after formation of nanoparticles by
incubating the carrier with a concentrated drug solution (adsorption
/absorption technique). Different proteins compete to bind the nanoparticles and green florescent proteins, giving
characteristic florescence profiles.
Drug loading and
entrapment efficiency very much depend on the solid-state drug solubility in
matrix material or polymer (solid dissolution or dispersion), which is related
to the polymer composition, the molecular weight, the drug polymer interaction
and the presence of end functional groups (ester or carboxyl).41-43
The PEG moiety has no or little effect on drug loading.[44] The macromolecule
or protein shows greatest loading efficiency when it is loaded at or near its isoelectric point when it has minimum solubility and
maximum adsorption. For small molecules, studies show the use of ionic
interaction between the drug and matrix materials can be a very effective way
to increase the drug loading.45-46
6.2 Drug release:
To develop a
successful nanoparticulate system, both drug release
and polymer biodegradation are important consideration factors. In general,
drug release rate depends on solubility of drug; desorption of the surface bound/
adsorbed drug; drug diffusion through the nanoparticle
matrix; nanoparticle matrix erosion/degradation; and
combination of erosion/diffusion process. The image below is of drug delivering
nanoparticles.
Thus solubility, diffusion and biodegradation of the matrix
materials govern the release process. In the case of nanospheres,
where the drug is uniformly distributed, the release occurs by diffusion or
erosion of the matrix under sink conditions. If the diffusion of the drug is
faster than matrix erosion, the mechanism of release is largely controlled by a
diffusion process. The rapid initial release or ‘burst’ is mainly attributed to
weakly bound or adsorbed drug to the large surface of nanoparticles.47
It is evident that the method of incorporation has an effect on release profile.
If the drug is loaded by incorporation method, the system has a relatively
small burst effect and better sustained release characteristics.48
6.3 Drug Delivery
Strategies Used to Fight Cancers:
There are a variety
of different delivery strategies that are either currently being used
or are in the testing stage to treat human cancers as follows.49
Direct introduction of
anticancer drugs into tumor: Injection directly into the tumors, Tumors neurosis therapy, Injection
into the arterial blood supply of cancer,
Local injection into the tumor for radiopotention, Localized delivery of anticancer by inplants.
Routes of delivery: Intraperitoneal,
Intrathecal, Nasal,
Oral, Pulmonary inhalation,
Subcutaneous injection or implants, Transdermal
drug delivery, Vascular routes : intravenous, intra-arterial.
Systematic delivery targeted
to tumor: Heat activated
targeted drug delivery, Tissue
selective drug delivery for cancer using carriers-mediated transport system,
Tumor-activated prodrug therapy for
targeted delivery of chemocherapy, Pressure induced filteration
of drug across vessels to tumors, Promoting
selective permeation of the anticancer agent into the tumor, Two-step targeting using bispecific
antibody, Site specific delivery and
light activation.
Drug delivery targeted to
blood vessels of tumors: Antiangiogenesis therapy, Aangiolytic therapy,
Drugs to induce clloting in blood vessels of
tumors, Vascular targeting agents.
Special formulations and
carriers of anticancer drugs: Albumin based drugs carriers,
Carbohydrate enhanced chemotherapy, Delivery of proteins and peptides for
cancer therapy, Fatty acid as targeting
vectors linked to active drugs , Microspheres, Monoclonal antibodies Peglycated liposomes
(enclosed polyethylene glycol bilayer), Polyethylene
glycol (PEG)technology, Single-chain
antigen binding technology.
Transmembrane
drug delivery to intracellular tangents: Cytoporter, Receptor-mediated endocydosis,
Transduction of proteins and peptides, Vitamins
as carriers of anticancer agents.
Biological therapies: Antisense therapy, Cell therapy, Gene therapy,
Genetically modified bacteria, Oncolytic viruses.
6.4 Pathways of Nanoparticles in Cancer Drug Delivery
Nanotechnology has
tremendous potential to make an important contribution in cancer prevention,
detection, diagnosis, imaging and treatment. It can target a tumor, carry imaging capability to document the presence of
tumor, sense pathophysiological
defects in tumor cells, deliver therapeutic genes or
drugs based on tumor characteristics, respond to
external triggers to release the agent and document the tumor
response and identify residual tumor cells. Nanoparticles are important because of their nanoscaled structure but nanoparticles
in cancer are still bigger than many anticancer drugs. Their “large” size can
make it difficult for them to evade organs such as the liver, spleen, and
lungs, which are constantly clearing foreign materials from the body. In
addition, they must be able to take advantage of subtle differences in cells to
distinguish between normal and cancerous tissues. Indeed, it is only recently
that researchers have begun to successfully engineer nanoparticles
that can effectively evade the immune system and actively target tumors. Active tumor targeting of
nanoparticles involves attaching molecules, known
collectively as ligands to the outsides of nanoparticles.50
7.
APPLICATIONS OF NANOPARTICULATE DELIVERY SYSTEM:
7.1 Tumor
targeting using nanoparticulate delivery systems:
The rationale of
using nanoparticles for tumor targeting is based on nanoparticles will be able to deliver a concentrate dose of
drug in the vicinity of the tumor targets via the enhanced permeability and
retention effect or active targeting by ligands on the surface of nanoparticles and nanoparticles will
reduce the drug exposure of health tissues by limiting drug distribution to
target organ. Studies show that the polymeric composition of nanoparticles such as type, hydrophobicity
and biodegradation profile of the polymer along with the associated drug’s
molecular weight, its localization in the nanospheres
and mode of incorporation technique, adsorption or incorporation, have a great
influence on the drug distribution pattern in vivo. The exact
underlying mechanism is not fully understood but the biodistribution
of nanoparticles is rapid, within ˝ hour to 3 hours,
and it likely involves MPS and endocytosis/phagocytosis process.51 This
indicates the greatest challenge of using nanoparticles
for tumour targeting is to avoid particle uptake by
mononuclear phagocytic system (MPS) in liver and
spleen. Such propensity of MPS for endocytosis/phagocytosis of nanoparticles
provides an opportunity to effectively deliver therapeutic agents to these
cells. This biodistribution can be of benefit for the
chemotherapeutic treatment of MPS- rich organs/tissues localized tumors like hepatocarcinoma, hepatic metastasis arising from digestive
tract or gynecological cancers brochopulmonary
tumors, primitive tumors and metastasis, small cell tumors, myeloma and
leukemia. It has been proved that using doxorubicin loaded conventional nanoparticles was effective against hepatic metastasis
model in mice. It was found there was greater reduction in the degree of
metastasis than when free drug was used. The underlying mechanism for the
increased therapeutic efficacy of the formulation was transfer of doxorubicin
from healthy tissue, acting as a drug reservoir to the malignant tissue.52
7.2 Long circulating nanoparticles:
To be successful
as a drug delivery system, nanoparticles must be able
to target tumors which are localized outside MPS-rich organs. In the past
decade, a great deal of work has been devoted to developing so-called “stealth”
particles or PEGylated nanoparticles,
which are invisible to macrophages or phagocytes.53 A major
breakthrough in the field came when the use of hydrophilic polymers (such as
polyethylene glycol, poloxamines, poloxamers,
and polysaccharides) to efficiently coat conventional nanoparticle
surface produced an opposing effect to the uptake by the MPS.54
These coatings provide a dynamic “cloud” of hydrophilic and neutral chains at
the particle surface which repel plasma proteins.55-56 As a result,
those coated nanoparticles become invisible to MPS,
therefore, remained in the circulation for a longer period of time. Hydrophilic
polymers can be introduced at the surface in two ways, either by adsorption of
surfactants or by use of block or branched copolymers for production of nanoparticles. As a result, such long-circulating nanoparticles have increased the potential to directly
target tumors located outside MPS-rich regions. Coating conventional nanoparticles with surfactants or PEG to obtain a
long-circulating carrier has now been used as a standard strategy for drug
targeting in vivo.
7.3 Reversion of multidrug resistance in tumour cells:
Anticancer
drugs, even if they are located in the tumour interstitium, can turn out to be of limited efficacy
against numerous solid tumour types, because cancer
cells are able to develop mechanisms of resistance.57 These mechanisms allow tumours to
evade chemotherapy. Multidrug resistance (MDR) is one of the most serious
problems in chemotherapy. MDR occurs mainly due to the over expression of the
plasma membrane pglycoprotein (Pgp),
which is capable of extruding various positively charged xenobiotics,
including some anticancer drugs, out of cells. In order to restore the tumoral cells’ sensitivity to anticancer drugs by
circumventing Pgp-mediated MDR, several strategies
including the use of colloidal carriers have been applied. The rationale behind
the association of drugs with colloidal carriers, such as nanoparticles,
against drug resistance derives from the fact that Pgp
probably recognizes the drug to be effluxed out of
the tumoral cells only when this drug is present in
the plasma membrane, and not when it is located in the cytoplasm or lysosomes after endocytosis.58-59
7.4 Nanoparticles for oral delivery of
peptides and proteins:
Significant
advances in biotechnology and biochemistry have led to the discovery of a large
number of bioactive molecules and vaccines based on peptides and proteins.
Development of suitable carriers remains a challenge due to the fact that
bioavailability of these molecules is limited by the epithelial barriers of the
gastrointestinal tract and their susceptibility to gastrointestinal degradation
by digestive enzymes. Polymeric nanoparticles allow
encapsulation of bioactive molecules and protect them against enzymatic and
hydrolytic degradation. For instance, it has been found that insulin-loaded nanoparticles have preserved insulin activity and produced
blood glucose reduction in diabetic rats for up to 14 days following the oral
administration.60 The surface area of human mucosa extends to 200
times that of skin.61 The gastrointestinal tract provides a variety
of physiological and morphological barriers against protein or peptide
delivery, e.g., (a) proteolytic enzymes in the gut
lumen like pepsin, trypsin and chymotrypsin;
(b) proteolytic enzymes at the brush border membrane
(endopeptidases); (c) bacterial gut flora; and (d)
mucus layer and epithelial cell lining itself.62 One important
strategy to overcome the gastrointestinal barrier is to deliver the drug in a
colloidal carrier system, such as nanoparticles,
which is capable of enhancing the interaction mechanisms of the drug delivery
system and the epithelia cells in the GI tract. .
7.5 Targeting of nanoparticles to epithelial
cells in the GI tract using ligands:
Targeting
strategies to improve the interaction of nanoparticles
with adsorptive enterocytes and M-cells of Peyer’s patches in the GI tract can be classified into
those utilizing specific binding to ligands or receptors and those based on
nonspecific adsorptive mechanism. The surface of enterocytes
and M cells display cell-specific carbohydrates, which may serve as binding
sites to colloidal drug carriers containing appropriate ligands. Certain glycoproteins and lectins bind
selectively to this type of surface structure by specific receptor-mediated
mechanism. Different lectins, such as bean lectin and tomato lectin, have
been studied to enhance oral peptide adsorption.63-64 Vitamin B-12
absorption from the gut under physiological conditions occurs via
receptor-mediated endocytosis. The ability to
increase oral bioavailability of various peptides (e.g., granulocyte colony
stimulating factor, erythropoietin) and particles by covalent coupling to
vitamin B-12 has been studied.65-66 For
this intrinsic process, mucoprotein is prepared by
the mucus membrane in the stomach and binds specifically to cobalamin.
The mucoprotein completely reaches the ileum where resorption is mediated by specific receptors.
7.6 Nanoparticles for gene delivery:
Polynucleotide
vaccines work by delivering genes encoding relevant antigens to host cells
where they are expressed, producing the antigenic protein within the vicinity
of professional antigen presenting cells to initiate immune response. Such
vaccines produce both humoral and cell-mediated
immunity because intracellular production of protein, as opposed to
extracellular deposition, stimulates both arms of the immune system.67
The key ingredient of polynucleotide vaccines, DNA,
can be produced cheaply and has much better storage and handling properties
than the ingredients of the majority of protein-based vaccines. Hence,
polynucleotide vaccines are set to supersede many conventional vaccines
particularly for immunotherapy. Nanoparticles loaded
with plasmid DNA could also serve as an efficient sustained release gene
delivery system due to their rapid escape from the degradative
endo-lysosomal compartment to the cytoplasmic
compartment.68
7.7 Nanoparticles for drug delivery into the brain:
The blood-brain
barrier (BBB) is the most important factor limiting the development of new
drugs for the central nervous system. The BBB is characterized by relatively
impermeable endothelial cells with tight junctions, enzymatic activity and
active efflux transport systems. It effectively prevents the passage of
water-soluble molecules from the blood circulation into the CNS, and can also
reduce the brain concentration of lipid-soluble molecules by the function of
enzymes or efflux pumps.69 Consequently,
the BBB only permits selective transport of molecules that are essential for
brain function. Strategies for nanoparticle
targeting to the brain on the presence of and nanoparticle
interaction with specific receptor-mediated transport systems in the BBB.
For example polysorbate 80/LDL, transferrin
receptor binding antibody (such as OX26), lactoferrin,
cell penetrating peptides and melanotransferrin have
been shown capable of delivery of a self non transportable drug into the brain
via the chimeric construct that can undergo
receptor-mediated transcytosis.70-74 It has been reported poly (butylcyanoacrylate) nanoparticles
was able to deliver hexapeptide dalargin,
doxorubicin and other agents into the brain which is significant because of the
great difficulty for drugs to cross the BBB. Despite some reported success with
polysorbate 80 coated NPs, this system does have many
shortcomings including desorption of polysorbate
coating, rapid NP degradation and toxicity caused by presence of high
concentration of polysorbate-80.75 OX26 MAbs
(anti-transferrin receptor MAbs),
the most studied BBB targeting antibody, have been used to enhance the BBB
penetration of liposome.76
7.8 Delivery of specific
anticancer drugs as nanoparticles:
Paclitaxel: Biodegradable nanoparticles
formulation using poly (lactic-co-glycolic) acid has shown comparable activity
to traditional formulation and much faster administration .paclitaxel
could be incorporated at very high loading efficiencies nearing 100% using nanoprecipitation method which leads to a very narrow
therapeutic index.77-78
Doxorubicin: Doxorubicin has a number of undesirable
side effects, such as cardio toxicity and myelosuppression,
which leads to a very narrow therapeutic index. Conjugates of dextran and doxorubicin have been encapsulated in chitosan nanoparticles of
approximately 100nm diameter and it was found to cure tumor injected mice by
60%.Conjugated doxorubicin to PLGA nanoparticles
showed an in vitro.79
5-Fluorouracil: The hydrophillicity
of 5-fluorouracil (5-FU) allowed it to complex with dendrimers
after simply incubating the polymer with the drug. The dendrimer
formulation showed 5-FU clearance only after 7h for non-PEG-ylated
system and 13h for PEG-ylated system, which shows
ability to control the 5-FU release in vivo and the extension of that release
by PEG ylations of the polymers in the formulations.80
8. CONCLUSION:
Nanotechnology is
definitely a medical boon for diagnosis, treatment and prevention of cancer
disease. It will radically change the way we diagnose, treat and prevent cancer
to help meet the goal of eliminating suffering and death from cancer. Although
most of the technologies described are promising and fit well with the current
methods of treatment, there is still safety concerns associated with the
introduction of nanoparticles in the human body.
These will require further studies before some of the products can be approved.
The most promising methods of drug delivery in cancer will be those that
combine diagnostics with treatment. These will enable personalized management
of cancer and provide an integrated protocol for diagnosis and follow up that
is so important in management of cancer patients. There are still many advances
needed to improve nanoparticles for treatment of
cancers. Future efforts will focus on identifying the mechanism and location of
action for the vector and determining the general applicability of the vector
to treat all stages of tumors in preclinical models.
Further studies are focused on expanding the selection of drugs to deliver
novel nanoparticle vectors. Hopefully, this will
allow the development of innovative new strategies for cancer cures.
9.
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Received on 10.01.2011
Accepted on 17.01.2011
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Research Journal of
Pharmaceutical Dosage Forms and Technology. 3(2): March-April 2011, 33-41