79957208 Session4 Drug Delivery Systems

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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

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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=G
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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.png
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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

    20