Escolar Documentos
Profissional Documentos
Cultura Documentos
4559
Keywords: Asymmetric group, Bio-functionalization, Cancer therapy, Drug delivery, Functionalized nanoparticles, Postpolymerization, Thiol group, Tissue engineering.
1. INTRODUCTION
Nanotechnology is the study of functional systems at the
molecular level and it is one of the fast growing areas of research in many scientific disciplines. Work in the nanotechnology field began as early as 1959. The theoretical capability of building things with atomic precision was initially envisioned by the physicist Richard Feynman who stated that
There is plenty of room at the bottom [1]. Nanoparticles
(NPs), which range in size from 1-100 nm, are attractive
multifunctional materials due to their unique size, chemical
and physical properties. Several advances have been made in
the past years in regards to the synthesis of NPs, which has
opened up the door to numerous original applications in
many different fields including nanomedicine, biomedical
sciences and engineering. The literature on NPs is already
very dense and well investigated starting from metal NPs to
polymer NPs among which gold (Au), silver (Ag), silica (Si),
PEG, PLGA, PCL (see the summary of abbreviations in Table 1) have been extensively studied and are already found in
various applications such as catalysis, chemical sensing, biolabeling, photonics and nanocarrier for drug and biomolecules delivery [2-7]. Potential biomedical applications
of NPs have increased in the last decades due to their resistance to oxidation, easy synthesis, and optical properties and
if appropriate ligands functionalization is used they can be
highly tolerated by organs [8]. Metal NPs are good vehicles
for tracers and therapeutic agents and can be easily functionalized. In addition, polymeric NPs are biocompatible and can
serve as active targeting nanocarriers. Despite the many
*Address correspondence to this author at the Bionanotechnology, Kyungwon University, Gyeonggi-do 461-701, South Korea; Tel: +82-31-7508753; Fax: +82-31-750-8819; E-mail: ykyusik@kyungwon.ac.kr
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Subbiah et al.
being the most widely investigated. NPs have been extensively investigated due to their advantageous properties such
as their biodegradability and biocompatibility in physiological systems, natural abundance and suitability for chemical
modification and functionalization of the NPs derived from
various materials. This review provides an update on NPs
functionalization and their specific applications in biomedical science (therapy, diagnosis and sensors). An overview of
the design criteria for functionalization will be briefly discussed, followed by different functionalization groups that
have been specifically used for medicinal applications. The
most appealing aspect of the FNPs systems, namely targeted
delivery, will also be summarized. Finally, future challenges,
perspectives and directions will be discussed.
2. FUNCTIONALIZATION OF NANOPARTICLES
After NPs have been functionalized with chemical and
biomolecules through a covalent bond, the bioactivity of the
synthesized material should be carefully examined for any
undesirable changes in intrinsic activity. The physicochemical properties of the NPs, the size, distribution, surface
charge and nature of the FNPs are likely to determine the in
vivo fate of the delivery of the drug (Fig. 6). It is generally
recognized that 20-200nm particles are suitable for systemic
delivery of therapeutics. Particles larger than this size range
are quickly up taken by the RES and rapidly cleared from the
circulation, whereas particles within this size range can cross
the fenestration in the hepatic sinusoidal endothelium, leading to hepatic accumulation instead of long circulation times
[29]. The targeting ability of NPs for site-specific delivery of
drugs is paramount when the drug is delivered systemically.
Targeted delivery concentrates the drug at the site of action
Fig. (1). General schematic of FNPs, their components, and multifunctional applications in the field of biomedicine.
Nanoparticles
Table 1.
List of Abbreviations
APS
Aminopropyl silane
BBB
BSAP
CT
Computed tomography
DACH
Diaminocyclohexane
DEAP-Lys
DTIC
EDC
1-ethyl-3-(3-dimethylaminopropyl)carbodiimide
EPR
FLK
FNPs
Functionalized nanoparticles
HPMA
N-(2-hydroxypropyl) methacrylamide
LHRH
MPI
MPS
(3-methacryloxypropyl) trimethoxysilane
MRI
NPs
Nanoparticles
N-C-F
PASP
PBCA
Poly (butylcyanoacrylate)
PCL
Poly (-caprolactone)
PDLLA
Poly (D,L-lactide)
PE
Poly (ethylenimine)
PEG
PET
Positron-emission tomography
PGA
PHEO
PHEP-Pal
PLA
PLGA
PLLA
Poly (L-lactide)
PNIPA
Poly (N-isopropylacrylamide)
PPS
PSMA
PVA
RES
Reticuloendothelial system
RGD
Arginine-glycine-aspartic acid
scTNF
SMCC
Succininamidyl-4-(N-maleimidomethyl) cyclohexane-1-carboxylate
TDDS
THF
Tetrahydrofuran
TOPO
Tri-N-octylphosphine oxide
4561
and potentially reduces any undesired effects at normal tissues. Also, it is essential to design NPs with a controllable
release profile that satisfies the desired application. Better
protection against environmental factors and more tunable
control is achieved if loading is performed by encapsulation
rather than adsorption on to the NPs. Successful combinations of these factors in the design of NPs are likely to lead
to enhanced therapeutic outcomes, while reducing undesired
effects at normal tissues.
Functionalization of the NPs can be defined as the addition of a chemical functional group on their surface in order
to achieve surface modification that enables their self organization and renders them compatible. NPs have mainly been
functionalized with thiols, disulfides, amines, nitriles, carboxylic acids, phosphines and biomolecules [30-35]. The
main goal of functionalizing NPs is to cover their surface
with a molecule that possesses the appropriate chemical
functionality for the desired application. In all cases, functionalization of the particles produces a drastic change in
their surface properties. The surface chemistry of NPs is already an important aspect of their synthesis, since this property can be exploited to control their size and self organization during formation. This can be achieved by complexing
groups that bind on the surfaces during their formation and
complex formation should not promote agglomeration. A
significant amount of research has examined methods of
modifying NPs and it would not be feasible to exhaustively
cover this body of literature in a single review; therefore, this
review will only discuss some representative examples of
NPs functionalization, highlighting the work discussed
above. In addition, we will focus on describing the richness
of such chemistry and potential biomedical applications (Fig.
(1)).
2.1. Methods of Functionalization
There are two strategies for introducing functional groups
to surfaces and NPs. The first method is direct functionalization, where the whole functional ligand is a bi-functional
organic compound. In this approach, one of the functionally
reactive groups is used to attach to the NPs surface (complexing agent) and the second group contains the required
active functionality (NPs surface modifying group). Direct
functionalization is preferred because it only requires a single conjugation step. One limitation of the direct functionalization method is the incompatibility of the functional group
F with the preparation process, for instance the modifying
group may react with the particle surface [10]. Another reason to utilize a step-wise procedure is steric hindrance. An
example of the interference of functional groups with the
particle surface is the back bonding of amino or ammonium
groups to the charged surfaces. In the case of silica particles
covered with 3-aminopropyl groups (from the reaction with
3-aminopropyl-triethoxysilane), the zeta potential and thus
particle agglomeration was controlled by the co-reaction
with 3-(trihydroxysilyl) - propylmethylphosphonate. Back
bonding of the NH2 groups to the particle surface was therefore suppressed by the interaction between the amino and
phosphonate groups [36]. For direct functionalization thiol,
phosphine oxide, phosphonates, carboxylates groups have
commonly been used in the case of chalcogenides, oxide
Subbiah et al.
NPs, and noble metal NPs. The binding strength of the complexing molecule must be high enough to ensure maximum
surface coverage. This is of particular importance, especially
when the complex-functional molecule is grafted in substitution of the complexing agent that was previously used for the
synthesis of the particles. In this sense, it would be best to
utilize polydentate ligands, such as dithiols or oligomeric
phosphines which bind much more strongly to the surface
[37]. Functionalization methods are graphically described in
Fig. (2).
The second method is post-functionalization, which is
generally preferred because this strategy is more versatile
and the nature of the functionalizing moieties may not be
fully compatible with good control over the size and dispersion state of the particles in the solvent used for their synthesis. This describes a bifunctional compound where a bindingchelating group is reacted first and the group of coupling site
can be converted, in a second step, to the final functional
group F. Post-functionalization of the particles requires a
molecule to be grafted on the surface such that it has a structure that can be described as N-C-F (Nanoparticle-Chelating
agent-Functional group). For post-functionalization, silanelike compounds have been generally used. Hydrolysis/condensation reactions lead to the formation of a silane
like coating around the particles with a fraction of the functional group orientated towards the outside of the particle.
This process has been used in many systems, mostly in oxide
systems [38], but it has also been investigated in the case of
chalcogenides [39]. The main advantages of this approach
come from the large number of commercially available silane coupling agents, the chemistry of which is well documented. In addition, the core/shell structure ensures a strong
binding of the functional groups with a high surface coverage. The main problem with this method is that the functional group must have a high affinity to the surfaces of the
particles and cannot exist as isolated clusters. Unavoidable
clusters must be eliminated with special care.
Other functionalization processes have also been used,
including the encapsulation with a polymer that possesses
both the chelating and the functional group. This novel approach has been used for TOPO capped CdSe/ZnS particles,
which consists of retaining the TOPO molecules, and grafting a functionalization molecule in which the complexing
group is a long alkyl chain that interacts with the octyl
groups through hydrophobic interactions [40, 41].
2.2. Class of Functionalization
Thiol/Aminothiol
The thiol conjugation method, which was initially proposed by Brust et al, has been widely used for NPs functionalization [42]. Guerrero et al synthesized three kinds of thiol
FNPs. Initially they synthesized thiol functionalized gold
(Au) clusters through Au-S bonds with dodecanethiol and
octanethiol molecules, named Au-SC12 and Au-SC8 [43],
based on the method of Brust et al. In addition, Au NPs
capped with both octanethiol and thiolated undecanoic acid
molecules, named Au-SC8/SC11COOH, were also fabricated
based on the method of Simard et al synthesis [44]. Finally
water soluble Au NPs capped with tiopronin (Au-ST) were
synthesized based on the method of Templeton et al [45],
Nanoparticles
4563
Fig. (2). Schematic representation of functionalization methods. Direct functionalization, which uses a conjugating agent in order to directly
attach the chemical moiety, and post-functionalization, which uses a binding/chelating agent to attach to the NPs and a secondary functional
group for covalent attachment of the biomolecule of interest.
face of the NPs, opening the possibility of attaching functional biomolecules to bio FNPs. Sousa et al studied the possibility of employing both aspartic and glutamic acids as
chelating agents for the synthesis of NPs [54]. Tie et al reported a two step synthesis of NPs by directly anchoring
different amino acids such as leucine, arginine, cysteine and
tyrosine to the NPs surface [55]. Viota et al successfully
attached different amino acids to FNPs with the aim of producing biological functional NPs [56]. Wampler et al produced Au NPs functionalized with proteins and investigated
the mechanical properties of the resulting NPs, which could
be used to tune the properties of biomolecular films [57].
Koh et al modified -Fe2O3 NPs with aminopropyltriethoxy
silane and concluded that the functionalized antibody IgG
retained a 50% binding activity [58]. More recently, the use
of N-(2-aminoethyl)-APS (AEAPS) for the surface modification of iron oxide NPs have become a popular method for the
covalent attachment of antibodies such as anti-CD34, as reported by Chen et al [59]. In addition, NPs modified with
molecules such as organosilane, vinyl alcohol/ vinyl amine
co-polymer were used for subsequent conjugation of antibodies, which could then be utilized for targeting specific
biological cells and tissues [60]. Li et al used lipid NPs functionalized with an integrin antagonist (anti-FLK-1 antibody)
to target the monoclonal antibody for antiangiogenesis therapy wherein the NPs were labeled with 90Y for radioimmunotherapy [61]. Dharap et al developed a molecular targeting
camptothecin (anticancer) drug delivery system using BH3
and LHRH peptides functionalized polymeric NPs to treat
ovarian cancer [62]. Missailidis et al developed a targeted
delivery system through the successful functionalization of
aptamer molecules to polymeric NPs to increase the specificity against a C595 monoclonal antibody [63]. In addition,
Subbiah et al.
HPMA NPs were functionalized with Arginine-GlycineAspartic acid (RGD) peptides along with radionucleotides
and drugs to target cell adhesion molecules such as integrins
for applications in cancer treatment [64].
Asymmetric Group
Colloidal NPs with controlled size, shape and composition can be synthesized using state of the art nanomaterials
[65, 66]. Nevertheless only highly symmetric NPs such as
spheres, rods, and more recently tetrapods have been extensively analyzed [67-70]. Nanomaterials of greater complexity can be built with lower symmetry components, offering
the possibility of creating materials with a higher level of
integrated functionality. Asymmetric nanostructures are
more versatile building blocks compared to their symmetric
counterparts [71]. For example, Au NPs were asymmetrically modified with single strand DNA, which can be used as
the building block to prepare more complex structures such
as dimers and trimers [72, 73]. Recent studies have been
demonstrated that asymmetric diblock Au-polymer nanorods
can self-assemble into bundles, tubes, and sheets [74]. Love
et al synthesized Au half-shell structures by evaporating Au
on to an array of silica colloidal particles, which is simply
known as the post-functionalization method [75]. Lu et al
reported that further heat treatment of these structures produced Au-metal oxide asymmetric dimers [76]. Similarly,
Au shell structures were grown on a silica surface to produce
Au cups or caps [77]. The asymmetric structure in the nano
rod system has also been realized using the chemical vapor
deposition technique, which is known as the direct functionalization method [78-80]. Likewise, asymmetric rods can be
synthesized using template directed growth [74, 81]. However, when this approach is used, relatively large particles
are produced. For example, the Au-metal oxide asymmetric
dimers can only be prepared from metal oxide particles
larger than 200nm. The Au-polymer asymmetric nanorods
have diameters around 200nm and lengths over 1m. As a
result, they can only be used to prepare particles with dimensions of m or larger. To synthesize nanometer sized assemblies, smaller asymmetric building blocks are needed. Furthermore, it is desirable to develop a range of methods that
can yield such structures. The structure of the tetrapod is
topologically similar to that of a sp3 hybridized carbon atom.
This kind of structure can serve as a building block to pre-
pare superstructures, especially 3D superstructures, by mimicking the bonding between carbon atoms and organic molecules. Liu et al successfully prepared asymmetrically functionalized Cd/Te tetrapods and nanorods via a site selective
modification method [71]. The properties of the synthesized
products were previously compared with the asymmetric
product produced by Banin and co-workers [82]. Hence
tetrapods or other such materials can be used as building
blocks for asymmetric functionalization. Rajesh et al described a simple asymmetric functionalization technique to
produce Au NPs with reactive ligands localized to a small
region of the Au NPs surface and assembled the particles
together to form dimers [83]. The advantage of this approach
is that the ligands in a spatially limited region of the surface
may be used for further chemistry and the rest of the ligands
can be selected to remain unreactive during any coupling
process [84].
Polymers in Functionalization
Research on the synthesis of colloidal NPs by the topdown or bottom-up methods has recently dramatically increased. The polymer matrix embedded in the NPs plays a
major role in dictating the compatibility of the NPs for applications in harsh environments such as in acidic and alkalic
solutions [85]. Also polymer NPs are widely used in pharmaceuticals application particularly cancer therapy and drug
targeting (see Tables 2, 3, 4). In polymeric nanocomposites
synthesis, NPs or nanofibers have been used as fillers to improve the properties of the nanocomposites [86-88] such as
strength, which is very important in tissue engineering applications. The filler and the polymer linkage is poor when the
nanocomposites are prepared by simple mixing, which produces artificial defects and consequently decreases the mechanical property of the nanocomposites [89-91]. To overcome this problem, an appropriately engineered interphase
will be required, which will also improve the strength,
toughness and compatibility of the composites [92]. The
interfacial interaction of the NPs and the polymer matrix is
an important factor in improving the quality and properties
of the nanocomposites [89, 90]. Nevertheless, functionalization of NPs with polymers requires a surfactant to produce a
strong bond, stabilize the NPs and render the NPs compatible
with the polymer [93]. Zhanhu Guo et al synthesized polymer functionalized alumina NPs using neutral MPS (3-
Nanoparticles
4565
Fig. (4). Covalent attachment of biomolecules such as antibody and antibody fragments using coupling agent EDAC and SMCC respectively.
The label NH2 (A) designates the covalent cross linking reaction and SH (B) designates sulphhydryl-amine coupling reaction respectively.
Miscellaneous
Viral NPs with modified chemical groups have been obtained from acidic hot spring in Iceland and can be used in a
variety of harsh conditions such as the acidic environments
found in the body [105]. In addition to the functionalization
methods described above some other methods have also been
examined. Dendritic NPs structures were the first nanomaterials that could be used for precise stoichiometrical functionalization since the stoichiometries were mathematically defined by geometric restrictions [106]. Hainfeld et al reported
the stoichiometrical monofunctionalization of Au NPs [107].
Worden et al reported stoichiometrical functionalization of
Au NPs via solid-phase chemistry and polymerization
method [108, 109].
3. IMPLICATIONS OF FNPS IN BIOMEDICAL
SCIENCES
Nanomedicine and clinical treatments hold promise to
benefit from the considerable investments being made in
nanotechnology research [110]. Nanomedicine depends on
several overlapping molecular technologies and advances in
Fig. (5). Schematic showing the procedure used for FNPs preparation by the post-polymerization method using a surfactant.
Subbiah et al.
Fig. (6). Programming FNPs for specific tissue delivery using a targeting ligand. Model of cancer cell specific targeting through both passive
(EPR effect) and active tissue targeting, which is shown in the dotted inset image. Cationic charged FNPs are more likely to have an increased affinity to the cell membrane compared to anionic FNPs. Factors affecting FNPs based drug delivery and possible toxicity of FNPs is
also shown along with the example of ROS (Reactive oxygen species) mechanism of cell death.
Nanoparticles
plored with the goal of allowing the NPs to enter (endocytosis) or disrupt the membranes of pathogenic micro organisms
and tumor cells. Polymer-based NPs alone do not have capacity for cell-specific targeting but provide flexible chemistry for the attachment of cell specific targeting agents that
allow for both increased cell uptake and often cell specificity. Many membrane-bound receptors can be used for targeting via receptor mediated endocytosis. NPs with glycosidic
moieties [120-122] and other small molecules such as folate
provide selective targeting to cell types that displays the appropriate receptor protein [123]. Asialoorosomucoid functionalized with poly-lysine to target the asialoglycoprotein
receptor on hepatocytes and NPs functionalized with irontransport protein transferrin [124-128] are the two classic
examples of cell targeting using functionalized NPs. The
success of the targeting strategy is dependent on the conjugation chemistry used for functionalization, the length of the
spacer between the ligand and NPs, the ligand receptor binding strength and the number of targeting ligands per NPs.
Efficient cell-specific targeting always requires careful optimization of the various parameters that affect cell-surface
binding because of nonspecific electrostatic binding to the
surface of non-targeted cells [129].
3.3. Cancer Therapy
3.2. Therapy
Polymeric NPs have been designed to augment drug concentrations in blood or vascularized tissues and aim to reduce
a drugs toxicity and to improve its therapeutic effects [114117]. Rothenfluh et al reported on the development of a
novel NPs based drug delivery system for intra tissue drug
release in articular cartilage, which may prove useful in drug
and biomolecular therapy in diseases such as osteoarthritis
[118, 119]. The interaction of surface charged FNPs with the
endosomal membranes of the cells is schematically shown in
Fig. (6). Different types of NP functionalities have been exTable 2.
4567
Cancer remains one of the worlds most devastating diseases. Although there are more than 10 million new cases
every year [130], the number of deaths due to cancer has
been reduced in the past few years due to the development of
new technological systems, which have been developed
based on a better understanding of tumor biology, improved
diagnostics systems and treatment modalities including surgical intervention, radiation and chemotherapy. Chemotherapeutics often also kill healthy cells and cause toxicity to patients [131]. Developing chemotherapeutics with increased
Company
Drug
Company
Drug
Abraxis
Gilead Sciences
Liposomal daunorubicin
Keroes
Ortho Biotech
Liposome-PEG doxorubicin
Nanobiotix
Skyepharma
Liposomal cytarabine
Introgen therapeutics
Zeneus
Liposomal doxorubicin
Liplasome pharma
Enzon
PEG-GCSF
Samyang
Liposome-PEG doxorubicin
Bio Alliance
Pharma
Polyglutamate paclitaxel
Amgen
Methoxy-PEG-Poly(D,L-lactide) taxol
Transcave
Liposomal annamycin
Phoenix
GP-Pharm
Liposomal cisplatin
Acusphere
Inex, Exon
Liposomal fentanyl
Schering-plough
Liposome-PEG doxorubicin
OSI Pharm.,
Liposomal doxorubicin
Cell therapeutics
Polycyclodextrin camptothecin
Supratek Pharma
PEG-camptothecin
Insert therapeutics
Callisto
PEG-L-asparginase
Cell therapeutics
Polyglutamate camptothecin
Access Pharm.,
Liposomal vincristine
Elan entermed
Poly(iso-hexyl-cyanoacrylate)doxorubicin
activities and less toxicity can be achieved by either passively or actively targeting cancer cells. A nano based targeting system reached clinical trials in the mid 1980s then during the 1990s the first product based on polymeric liposome
and polymer protein conjugates were marketed. More recent
studies have focused on creating therapeutics based on the
targeting strategy of NPs and nanocarrier systems that have
been approved for wider use. This can be achieved by conjugating nanocarriers with drugs and ligands that bind to over
expressed antigens or receptors on the target cells. Fig. (6)
illustrates the targeting of tumor cells with functionalized
nanosystem containing therapeutics and the numerous barriers that this technology encounters based on the principle of
EPR [131]. Many research groups have experimented using
liposomes, NPs and other nanomaterials and have suggested
that the most effective threshold size is <200 nm for better
extravasations into tumors [132-135]. Targeting approaches
suffer from several limitations such as the inefficient diffusion of nanosystems to the tumor cells, which might induce
multiple drug resistance and render many potential drugs
inactive. One way to overcome this limitation is functionalization, so that it can actively bind to the specific cells after
extravasations. Ligand functionalization can be used to
achieve active tissue targeting through a variety of conjugation chemistries [134]. It is imperative that the agents bind
with high selectivity to molecules that are uniquely expressed on the cell surface. To maximize specificity, a surface marker should be over expressed on the target cells
where the ligand FNPs may cause receptor mediated internalization to release the drug inside the cells [136]. It is generally known that higher binding affinities increase the targeting efficacy. In addition, multivalent avidity may be used
to improve targeting. Agents such as proteins mainly antibodies and their fragments, nucleic acid, or other receptor
ligands such as peptides, vitamins and carbohydrates can be
used for targeting. Furthermore, it is possible to increase the
binding affinity and selectivity to cell surface targets by engineering proteins that detect a specific conformation of a
drug target receptor. Peer et al used a fusion protein consisting of a scFv antibody fragment to target and deliver small
interfering RNA to lymphocytes where a 10000 fold increased affinity for the target receptor, integrin LFA-1 was
observed [137]. The types of NPs and FNPs, their size and
type of drug that have been used for cancer therapy are listed
in Table 3.
3.4. Drug Delivery
One of the basic goals of pharmacology is delivery of the
right drug, right dose at the right time to the right patient so
as to optimize the therapeutic efficacy of the drug. In this
regard, drug delivery is one of the most important factors in
the field of pharmacology. Nanotechnology may prove vital
to fulfilling the goals of drug delivery. The more traditional
ways of viewing drug delivery is to look at different routes
of drug administration, such as oral, parenteral, transdermal
and inhalational. Throughout the history of medicine, there
has been a need to develop alternative methods of delivering
a drug to a patient. The primary goals of novel drug delivery
approaches would be to provide an easy route of administration, ensure patient compliance, decrease toxicity, improve
bioavailability and achieve precise therapeutic targeting.
Subbiah et al.
Technologies associated with drug delivery are now commonly used to create and extend the potency of the drug. The
discovery of better delivery systems, in conjunction with the
discovery of new pharmacological compounds, will potentially advance disease diagnosis and treatment beyond our
wildest expectation [22]. Nanotechnology now is a crucial
factor in the development of novel drug delivery systems and
it has significantly impacted the field of drug delivery in the
last decade. Nanotechnology is being used to manipulate not
only the size of the drug particles but the physical characteristics and thus the extent and location of drug delivery. NPs
have tremendous applications in therapeutics [28] and transdermal vaccine delivery [180]. Nanotechnologies will again
be examined as they relate specifically to drug delivery. The
application of nanotechnology to the diagnosis and treatment
of cancers is seen as nanotechnologys largest public health
contribution. Nanotechnology shifts the techniques from
microfabrication, such as osmotic pumps, to secondary
nanometer sized constructs (microspheres). Orringer et al
describe targeting brain tumors with NPs through antigen
dependent specific or nonspecific mechanisms [181]. Formulation science has formed a unique bridge with computer
technology for the creation of a controlled-release microchip
capable of infinite modulation [182]. The targeted delivery
can be fulfilled by stimuli induced targeting based on physical properties, such as the magnetic induction between magnetic NPs and a magnet at the site of action and cell or tissue
specific targeting based on a strong affinity between a ligand
and target receptor, such as the RGD peptide to a specific
cellular receptor or mineral affinity of biphosphonates (BPs)
to the mineral phase of bone [183].
3.5. Targeted Drug Delivery System (TDDS)
One of the most promising attributes of NPs is their potential for targeting to specific tissues and their ability to
carry multiple drugs and/or imaging agents. It is possible to
increase the local drug concentration by carrying the drug
within the NPs and releasing it when it is bound to the targets. TDDS would be targetable to individual cellular addresses within specific tissues and organs. Currently, natural,
synthetic polymers and lipids are typically used as drug delivery vectors. While offering great opportunities, designing
tissue seeking NPs is a challenging task that requires overcoming physiological and biochemical barriers [184]. For
intravenously administered NPs, the in vivo fate of NPs is
predominantly determined by their size and surface charge.
NPs size restricted to <200nm and functionalized with polymer to avoid opsonization and subsequent phagocytosis and
to remain in circulation for sufficient time to reach the targeted site. For instance, the BBB restricts the transportation
of even small molecular weight drugs, hydrophilic compounds and charged molecules from circulation to the central
nervous system, likewise bone possesses a membrane that
consists of lining cells, which function as a marrow blood
barrier with pores of approximately 80-100nm [185]. Thus,
identifying targeting ligands and designing the appropriate
NPs are keys for successful delivery of drugs to the site of
action at therapeutic levels for a desired period of time (Fig.
(6)). Polysorbate FNPs are known to result in greater transport of NPs across the BBB [186]. NPs are capable of specifically and locally delivering drugs and other therapeutics
Nanoparticles
Table 3.
4569
NPs and FNPs that have been Used for Cancer Therapy
Nanoparticles
Size (nm)
Drug
Indications
Refs.
PCL
250-300
Tamoxifen
Breast cancer
[138]
150-500
Doxorubicin
Antineoplastic
[139]
PBCA
178
Doxorubicin
Daltons lymphoma
[140]
200
Paclitaxel
[141]
Polymer P10(4)
Neuroblastoma, melanoma
[142]
PEG-PASP
50
Doxorubicin
Leukemia
[143]
50-80
Doxorubicin
Solid tumors
[144]
PNIPA-b-PDLLA
60
Paclitaxel
[145]
100
100
Paclitaxel
Paclitaxel
Various cancer
Various cancer
[146]
[147]
11
Camptothecin
Various cancer
[148]
PEG-lipid
10-40
Tamoxifen
Lung carcinoma
[149]
290
Doxorubicin
Solid cancer
[150]
[151]
Poly(2-ethyl-2-oxazoline)-b-PCL
30-80
paclitaxel
Various cancer
Poly (benzyl-L-aspartate)-b-PHEO
37
Doxorubicin
Antineoplastic
[152]
96
Ellipticin
Anticancer
[153]
PGA-b-PEG
40
Doxorubicin
Solid cancer
[154]
PDLLA-b-methoxy PEG
30
Paclitaxel
Various cancer
[155]
Pluronics
10-100
10-100
Doxorubicin
Carboplatin
Colon cancer
Colorectal cancer
[156]
[157]
PCL-b-methoxy-PEG
78
<200
Cisplatin
Paclitaxel
Anticancer
Ovarian &breast cancer
[158]
[159]
PLGA-b-PEG
Docetaxel
Prostate cancer
[176]
Au NPs
<50
Gemcitabine
[2]
30
Photodynamic therapy
Various cancer
[160]
<2
phototherapy
Solid tumors
[161]
60
[162]
3-15
Thermotherapy
Brain tumors
[163]
20-30
Magnetically guided
mitoxantrone
Tumor angiogenesis
[164]
6-PAMAM
<10
Avidin-G6Gd
Intraperitoneal disseminated
tumor
[165]
5- PAMAM
40-100
Methotrexate
Chemotherapeutics
[166]
Methotrexate
Epithelial cancer
[167]
<10
Camptothecin
[168]
PEG-PLGA
105
Doxorubicin
Various cancer
[169]
PEG-PCL
50-130
Paclitaxel
Various cancer
[170]
20-40
Doxorubicin
Various cancer
[171]
104
Paclitaxel
Various cancer
[172]
Doxorubicin
Solid tumors
[173]
Doxorubicin,
Various cancers
[174]
20
Paclitaxel
Various cancers
[175]
Antibody-enzyme-conjucated NPs
Ab-directed enzyme
prodrug
Ovarian cancer
[176]
Daunomycin
Brain tumor
[177]
Anti-PSMA aptamer
168
Docetaxel
[178]
PHEP-Pal
40-100
Phthalidimide
Anticancer
[179]
- not available.
Subbiah et al.
tested drug, target organ and indication for TDDS are shown
in Table 4.
3.6. Gene Delivery and Tissue Engineering
Tissue engineering applications have also trended towards the development and implementation of nanometer
sized components. Tissue engineering typically involves the
fabrication of biological constructs that will restore, maintain
and improve tissue function [214]. One common strategy is
to isolate cells of interest and grown them in culture to form
a three-dimensional (3D) tissue, which can be genetically
modified in vitro before transplantation The resulting cell
tissues can be encapsulated with NPs and functionalized with
growth factors, then transplanted into the body within polymeric 3D matrices, which creates the potential for targeted
tissue development and provides mechanical support for the
Agent
Size (nm)
Drug
Refs.
PLGA
Alendronate
40-60
Estrogen
Bone-osteoporosis
[189]
poly(lysine)
165
Doxorubicin
[190]
Protein NPs
Albumin bound
130
Paclitaxel
[191]
Magnetic NPs
Meso-2,3dimercaptosuccinic acid
8.1
Drugs
[192]
Magnetic NPs
15
Imaging
[193]
Superparamagnetic NPs
PEG
40-50
Fibroblasts- cancer
[194]
Au NPs
32
Scattered light
photo illumination
[195]
PLGA-b-PEG-COOH
PSMA
70-250
Anti cancer
Prostate- cancer
[196]
BSAP
Folate
70
Various drug
[197]
Transferrin
<100
Oligonucleotide
[198]
Magnetic NPs
Insulin
20
[199]
PLLA-PEG NPs
Biotin
100-150
Anti cancer
[200]
Polystyrol NPs
Sc-TNF
190
Anti cancer
[201]
PLA
250
Anti cancer
[202]
Liposomes
100
Raf genes
[203]
PE
RGD peptides
100
siRNA
[204]
Albumin
Fibrinogen
Radioisotopes
[205]
PLGA
MP lipid A
357
Dentritic cells
[206]
Liposomes
Folate
110
Doxorubicin
[207]
Liposomes
CD19
Doxorubicin
B-cell lymphoma
[208]
Liposomes
HER2 receptor
110
Doxorubicin
HER2 cells
[209]
mPEG/PLGA
Peptidomimetics
50-300
Various
Brain cells
[210]
Liposomes
Hyaluronic acid
120-170
Doxorubicin
[211]
PLA
Galactose
50-280
Retinoic acid
Hepatocytes
[212]
Viral particles
Cyclin gene
[213]
- not available.
Nanoparticles
developing tissues [215]. The major obstacles in tissue engineering included a limited half-life and stability of growth
factors proteins in vivo and the degradation of protein and
polymeric matrices during release from the polymer caused
by moisture, temperature, pH, etc., Gene therapy approaches
are now being investigated for tissue regeneration to address
some of the limitations in the current tissue engineering
strategies. Gene therapy can be defined as the treatment of
human diseases by the transfer of genetic materials into specific cells of the patients [216]. The genes of interest can be
cloned into an expression plasmid and used as a DNA complex for tissue regeneration using viral and non-viral gene
delivery vectors. In the age of genetic manipulation and gene
delivery, transfection systems on the nanoscale are being
custom-tailored using a variety of materials for different applications particularly for patients that suffer from lost, deficient or failing tissue and require tissue transplantation. This
technology has been and will be developed from a multidisciplinary perspective (particle mediated gene therapy) and
encompass concepts developed in the fields of gene therapy
and tissue engineering. Delivering DNA with polymeric matrices such as collagen, PLGA and alginate hydrogels was
previously reported [217]. The combination of these fields
involves the functionalization or incorporation of
genes/proteins onto NPs, which can then be implanted or
injected to promote tissue regeneration and treat genetic diseases such as hemophilia, muscular dystrophy, and cystic
fibrosis through replacement of errant genes within the affected cells. In this regard, gene therapies also being developed for cardiovascular, neurological, infectious diseases,
wound healing and cancers by delivering genes to augment
naturally occurring proteins, to alter the expression of existing genes, or to produce cytotoxic proteins or prodrug activating enzymes to kill tumor cells [218]. The list of possible
therapeutic genes and delivery is extremely broad and encompasses a wide array of factors involved in the growth and
differentiation of the various tissues in the body. Makhluf et
al surface modified PVA-Fe3O4 NPs with (3-aminopropyl)
trimethoxysilane through amidation and used this system as
a protein carrier into sperm cells and demonstrated that the
antigenicy of the resulting conjugates was maintained [219].
4571
3.7. Diagnosis
Over the last decades, tomographic imaging methods
such as Computed Tomography (CT), MRI and PositronEmission Tomography (PET), have become indispensable
tools for the diagnosis of a large number of diseases. While
PET provides high sensitivity in static imaging based on
tracer materials, MRI and CT offers intrinsic tissue contrast
at high spatial resolution and dynamic imaging. Real time
imaging of 3D volumes using MRI remains challenging,
whereas the limitations of CT involve the use of ionizing
radiation. Gleich and Weizenecker presented a new imaging
modality called magnetic particle imaging (MPI), which potentially offers quantitative 3D real-time imaging using magnetic NPs [220-223]. Therefore it could become the modality
of choice for diagnoses requiring fast dynamic information.
In this regard, hybrid organic-inorganic NPs are being used
and are thought to hold promise for use as novel nanocarrier
probes for biological applications such as MRI, MPI, PET,
hyperthermia inducing agent, magnetically controlled media
Fig. (7). 3 in 1 nanosystem can be constructed from metal or polymeric FNPs that contains encapsulated drug, targeting ligand and
diagnostic agent through click chemistry or physical adsorption.
ous types of materials and their functionalization and connects the molecular mechanisms involved in physiology to
drug targets and other biomedical applications such as imaging and tissue engineering. In addition, the fusion of functional groups to NPs allows for the development of multimodality therapeutic strategies to integrate drug targeting,
cancer therapy, diagnostics and tissue engineering. The work
that has been conducted in this field so far has provided a
better understanding of FNPs systems and has advanced the
realization of bringing innovative multifunctional nanocarriers consisting targeting molecules, therapeutics, diagnosing
tool to patients faster. A model of the FNPs 3in 1 nanosystem is shown in Fig. (7). Fabrication of the three in one
FNPs nanosystem for therapy, targeting and imaging, can be
achieved by producing NPs with the appropriate therapeutic,
targeting ligand and imaging agent.
Subbiah et al.
[14]
[15]
[16]
[17]
[18]
[19]
ACKNOWLEDGEMENTS
This work was supported by Kyungwon University research fund in 2010 and Grant No. 10032112 from the Regional Technology Innovation Program of the Ministry of
Knowledge Economy. This work was also supported by
GRRC program of Gyeonggi province [2009-B02, Development biodevice using DNA tile structure].
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