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7/28/2019 79957208 Session4 Drug Delivery Systems
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NANOCARRIERS :
ACTIVE VERSUS PASSIVE TARGETING
Catherine PASSIRANI
Inserm U646
Ingnierie de la Vectorisation ParticulaireUniversit dANGERS
Intensive Training for earlier Exposure to
Research : From chemistry to clinical trial
06/07/2010
1
7/28/2019 79957208 Session4 Drug Delivery Systems
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Physico-chemistry
of collodal systems
Interface study
Pharmaceuticaltechnology
Cancers
In vitro / in vivointeractions
Neurobiology
Imagery,radiotherapy and diagnostic
Clinical andindustrial
applications
Ingnierie de la Vectorisation Particulaire
2
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CANCER THERAPY
| Cancer : 10 millions new cases every year !
|
Decrease since 2005y Tumor biology
y Better diagnostic devices
y Improved treatments :
3
SURGERY RADIATION CHEMOTHERAPY
BUT
Healthy cells not avoided by drugs
TOXICITY
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NANOCARRIER AS AN EMERGING PLATFORM :
ADVANTAGES OVER FREE DRUG
| Prevention from premature interaction with the
biological environment
| Protection of the drug from degradation
| Control of the pharmacokinetic and drug tissue
distribution profile
4
Action site
Immune
System
Toxicity
site
ACTION SITE
Toxicity
site4
Immune
System
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NANOCARRIER
Log Scale (nm)
Micelles
Liposomes
SUV
LiposomesMLV
Nanoparticles
10 100 1000
Lipid
nanocapsules
5
Gold NP
Polymer
conjugates
http://images.google.fr/imgres?imgurl=http://www.iecb-polytechnique.u-bordeaux.fr/images/ml2.gif&imgrefurl=http://www.iecb-polytechnique.u-bordeaux.fr/pole1/erechml.html&h=440&w=450&sz=84&tbnid=0s3ZJlyySVMJ:&tbnh=121&tbnw=124&hl=fr&start=4&prev=/images?q=micelles&hl=fr&lr=http://images.google.fr/imgres?imgurl=http://www.exopol.com/autovac/figuras/liposoma.JPG&imgrefurl=http://www.exopol.com/autovac/liposomas.html&h=212&w=227&sz=11&tbnid=uGzhpwvv9gwJ:&tbnh=96&tbnw=103&hl=fr&start=2&prev=/images?q=liposomes&hl=fr&lr=&sa=G7/28/2019 79957208 Session4 Drug Delivery Systems
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Plasma proteins (opsonins)
NUMEROUS BARRIERS AFTER SYSTEMIC
INJ ECTIONMPS cells
6
A : non
specific
uptake byMPS cells
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LONG-CIRCULATING OR STEALTH NANOCARRIER
| Opsonization and phagocytosis mainly affected by
y Size (ideal range 70-200 nm)
y Surface charge (not too negative and not too positive)
y Hydrophilicity / hydrophobicity
Chemical modification ofnanocarrier surface
Small hydrophilic neutral nanocarrier
7
Polymers
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| Inert in biological environment
| Highly hydrophile
| Highly flexible
steric stabilization effects
stealth properties
targeting properties
Water cloud
(hydrogen bonds)
8
POLY(ETHYLENE GLYCOL) OR PEG
Hydrophobic surface
PEG
http://upload.wikimedia.org/wikipedia/en/a/a7/Polyethylene_glycol_chemical_structure.png7/28/2019 79957208 Session4 Drug Delivery Systems
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Plasma proteins (C3, opsonins,
nucleases)
NUMEROUS BARRIERS AFTER SYSTEMIC
INJ ECTIONMPS cells
9
B :
extravasation
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EXTRAVASATION THROUGH BLOOD VESSELS
| MPS organs
| Increased permeability
of the endothelium bypathological processes
y Inflamed tissues
y
Solid tumors
DISSE space
100 nm
Kupffer cell
Hepatocytes
c) Discontinuous endothelium
10
a) Continuous endothelium b) Fenestrated endothelium50 nm
Majority of the organes Gastrointestinal mucosaThyroid, Hypophysis
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EXTRAVASATION THROUGH BLOOD VESSELS
| In solid tumors
y
Extensive angiogenesisy Defective vascular architecture
y Production of permeability mediators
y
Impaired lymphatic drainage
Enhanced Permeability andRetention effect (EPR)
11Maeda et al.Tumor vascular permeability and the EPR effect in macromolecular
therapeutics: a review. J Control Release. 2000 Mar 1;65(1-2):271-84.
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PASSIVE TARGETING
Angiogenic
vessels
Limitedlymphatic
drainage
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PASSIVE TARGETING
Angiogenic
vessels
Limitedlymphatic
drainage
| Ubiquitous targeting :
y Lack of control
y Nanocarrier/Drug diffusion limitation
| No EPR effect in some tumors (low vascularisation)
| Differences of permeability of the vessels throughout
a tumor and between different types of tumor
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Plasma proteins (C3, opsonins,
nucleases)
NUMEROUS BARRIERS AFTER SYSTEMIC
INJ ECTIONMPS cells
14
C, D :
active binding
to specific cells
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ACTIVE VERSUS PASSIVE TARGETING
Angiogenic
vessels
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ACTIVE TARGETING
| Ligand conjugation
|
Binding to specific receptorson the cell surface
y Ligand-receptor interaction
|
High selectivity to receptorsy uniquely expressed on the cell
surface
y over-expressed on target cells
relative to normal cells
16
PEG
Longer PEG chains
Active chemical
group
LIGAND
High surface area to volume High ligand density
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TYPES OF TARGETING AGENTS
17
Sugars (galactose, )
Antibodies and
their fragments
Nucleic acids
(aptamers)
Proteins (epidermal
growth factor EGF,Transferrin)
Vitamins (folic acid, )
Peptides (RGD, )
ECM receptors (heparin
sulphate, chondroitin
sulphate, hyaluronan) 17
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DRUG RELEASE IN DRUG TARGETING
18
(1)
(2)(3)
Receptor
Non-internalizing
receptor
Nucleus
| Multivalent binding effects
(avidity)
| Higher binding affinityy targeting efficacy
y if binding-site barrier
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ACTIVE VERSUS PASSIVE TARGETING
| Specfic targeting
| Drug efficacy
| Lower toxicity
|
Receptors also expressedin healthy cells
| Different degree of
receptor expression
| Binding ligand affinity
| High densities of ligand :
accelerated elimination 19
| Easy to formulate
| Tumor accumulation
| On the market
|
Non specific targeting| Not always EPR effect
| Differences of vessel
permeability| Cell internalisation
prevented by PEG
| Multi Drug Resistance
Passive targeting Active targeting
but but
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NANOCARRIER-BASED DRUGS ON THE MARKET*
Compound Commercial
name
Nanocarrier Indications
Daunorubicin
Doxorubicin
Doxorubicin
Paclitaxel
DaunoXome
Myocet
Doxil/Caelyx
Abraxane
Liposomes
Liposomes
PEG/Liposomes
Albumine
nanoparticles
Kaposis sarcoma
KS, breast and
ovarian cancers
KS, breast and
ovarian cancers
Metastatic breast
cancer
*Except : polymer-protein conjugates, immunotoxins, chemo or radio-
immuno-conjugates, antibodies, micelles
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