Controlled and Targeted Drug Delivery Using nanoparticles

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    CONTROLLED AND

    TARGETED DRUG DELIVERY

    USING NANOPARTICLES

    Presented By:Anjali Bansal

    B.Tech-M.Tech(BT)

    JV-B/09/1162

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    CONTENTS

    1. Introduction

    2. Use of nanotechnology in Drug Delivery

    3. Nanoparticle platforms for targeted drug delivery

    Liposomes

    Polymeric nanoparticles

    Lipid- Polymer hybrid NP

    Dendrimers

    4. Optimal Design of nanoparticles

    Size

    Surface Charge

    PEGylation

    Ligand Functionalization

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    CONTENTS Continued

    5. Targeting Ligands

    Antibody and antibody fragments

    Aptamers

    Peptides

    Sugars

    Small Molecules

    6. Controlled Drug Delivery

    7. Features of Controlled Drug Delivery

    8. References

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    INTRODUCTION

    TARGETED DRUG DELIVERY-pharmacologically active agent or medicament is selectivelytargeted or delivered only to its site of action and not to the non-target organs or tissues or cells.

    The drug may be delivered :

    To the capillary bed of the active sites,

    To the specific type of cell ,even an intracellular region. Example-tumour cells but not to normal cells,

    To a specific organ/tissues by complexing with the carrier thatrecognizes the target.

    REASON FOR DRUG TARGETING:

    In the treatment or prevention of diseases.

    To achieve a desired pharmacological response at a selected siteswithout undesirable interaction at other sites.

    The drug have a specific action with minimum side effects & bettertherapeutic index. Example- in cancer chemotherapy and enzyme

    replacement therapy.

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    Use Of Nanotechnology in Drug

    Delivery

    Therapeutic nanoparticle technologies revolutionize the drug

    development process.

    Special Feature: unique physiochemical properties.

    Improves the therapeutic index of drugs.

    Improves the bioavailability of water-insoluble drugs.

    Protect the therapeutic agents from physiological barriers.

    Enable the development of novel classes of bioactive

    macromolecules (e.g., DNA and siRNA).

    The incorporation of imaging contrast agents within nanoparticlescan allow us to visualize the site of drug delivery or monitor the in

    vivo efficacy of the therapeutic agent.

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    Nanoparticle platforms for Targeted

    Drug Delivery

    Four major classes:

    1. Liposomal platforms

    2. Polymeric nanoparticles

    3. Lipid-polymer hybrid NP

    4. Dendrimers

    These platforms enhance the pharmacological properties and

    therapeutic index of drugs.

    These can encapsulate drugs with high loading efficiency and

    protect them from undesired effects of external conditions.

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    Liposomes

    Liposomes are non-toxic, non-hemolytic and non-immunogenic even upon repeatedinjections; they arebiocompatible and biodegradable .

    Artificial, single, or multilaminar

    vesicles made with bilayeredmembrane structures, composed ofnatural or synthetic amphiphiliclipid molecules.

    Also allows for the delivery ofbioactive macromolecules (e.g.,

    DNA) for therapeutic applications. Ligand-conjugated liposomes

    enhance targeted drug delivery.

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    Advantages of liposomes:

    1. Favourable safety profiles.

    2. Improves therapeutic index of drugs.

    3. Long systemic circulation half-life.

    4. Ease of surface modifications.

    5. Delivery of bioactive molecules.

    6. Rapid Metabolism of drugs.

    Disadvantages:1. Immediate uptake and clearance by the RES system.

    2. Their relatively low stability in vitro.

    3. Do not readily allow for sustained release of therapeuticmolecules.

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    Polymeric Nanoparticles

    The drug is either physically

    entrapped in or covalently bound

    to the polymer matrix.

    Polymeric micelles can be formed

    by self assembly of amphiphilicpolymers with two or more

    polymer chains of different

    hydrophobicity.

    In aqueous environments, these

    block copolymers can

    spontaneously self-assemble into

    core-shell nanostructures, with a

    hydrophobic core and a hydrophilic

    shell.

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    Lipid-Polymer Hybrid Nanoparticles

    Integrate the unique advantages of bothpolymeric nanoparticle and liposome

    systems, while overcoming some of their

    limitations.

    High drug encapsulation yield, tunable

    and sustained drug release profile.

    Excellent serum stability, long circulation

    half-life.

    Potential for differential targeting of cells

    or tissues. Synthesized using a simple process.

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    Dendrimers Dendrimers are synthetic, branched macromolecules with a

    well-defined chemical structure, consisting of an initiator core

    and multiple layers with active terminal groups.

    Carries drugs via covalent conjugation to the multivalent

    surfaces or encapsulation in the cavities of the cores through

    hydrophobic interaction, hydrogen bond, or chemical linkage.

    can also carry bioactive

    macromolecules such as

    DNA by condensing them

    through electrostatic

    interactions.

    By use of pH or enzyme-

    sensitive linkages, stimulus-

    responsive dendrimers can be

    generated.

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    Optimal Design of Nanoparticles

    Significant challenge for the successful development of therapeutic

    nanoparticles-rapid clearance during systemic delivery.

    Some factors need to be considered for optimal design of

    nanoparticles:

    1. Size

    2. Surface charge

    3. PEGylation

    4. Ligand Functionalization

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    1.Size: Size plays an importanat role in long circulation and biodistribution of

    nanoparticles.

    Nanoparticles smaller than 10 nm-cleared by kidneys or through

    extravasation

    Larger nanoparticles-higher tendency to be cleared by cells of the

    mononuclear phagocyte system.

    Nanoparticles

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    For example, nanoparticles with a primary amine at the surface promote

    higher rates of phagocytic uptake when compared to those having sulfate,

    hydroxyl, or carboxyl groups at the surface.

    3. PEGylation:

    Surface modification of nanoparticles with PEG.

    high flexibility and hydrophilicity, and low toxicity and immunogenicity.

    reduce nanoparticle accumulation in off-target organs such as liver

    and spleen.

    PEG shell on the nanoparticle surface shields hydrophobic or chargedparticles from attachment by blood proteins, leading to prolonged

    circulation.

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    Length, shape, and density of PEG chains on the nanoparticle

    surface largely affect its surface hydrophilicity and phagocytosis.

    4. Ligand Functionalization:

    Conjugation of targeting ligands to the surface on PEGylated

    nanoparticles affect their biodistribution.

    Targeting ligands improves the cell-or tissue- specific delivery of

    nanoparticles. Favorable tumor targeting, while minimizing nanoparticle

    accumulation in the liver and spleen.

    Narrow window of ligand density for favorable tumor targeting.

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    Targeting Ligands Successful development of targeted nanoparticles depends on the

    targeting ligands.

    Factors to be considered includes :

    ligand biocompatibility,

    cell specificity,

    binding affinity,

    purity of the ligand

    size and charge of the ligand molecule

    their ease of modification and conjugation to the nanoparticles.

    Choice also depends on the production cost, scalability, and stability

    in mass production.

    Five different classes of targeting ligands includes: antibodies and

    antibody fragments, aptamers, peptides, sugars, and small

    molecules.

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    Antibody and Antibody fragments

    Important class of targeting ligands .

    High degree of specificity for cellular receptors and a wide range of

    binding affinities.

    Hybridoma technology have led to the development of chimeric,

    humanized, and fully human mAbs to reduce their immunogenicity.

    Compared to mAbs, antibody fragments have demonstrated higher

    potential for the engineering of targeted nanoparticles as they are

    smaller in size and lack the complement activation region of mAbs,

    while retaining the antigen binding specificity.

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    Aptamers Nucleic acid aptamers are single-

    stranded DNA or RNAoligonucleotides with well-

    defined, three-dimensional

    structures.

    Can recognize a wide variety of

    molecules ( e.g. , proteins,

    phospholipids, sugars, and nucleic

    acids) with high affinity and

    specificity.

    When compared with antibodies,aptamers exhibit lower

    immunogenicity and a relatively

    smaller size compared with ~150

    kD for antibodies, which enables

    better tissue penetration.

    Selection of Aptamers by SELEX(

    Systematic evoultion of ligands by

    exponential enrichment) method

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    Peptides

    Peptide ligands have shown significant targeting potential because

    of their small size, high stability, and relative ease of large-scale

    synthesis with excellent quality control.

    The development of phage display techniques and other screening

    methods has enabled the discovery of new peptide-targetingdomains and the isolation of new cell-specific peptide ligands.

    Peptide-conjugated nanoparticles have been widely used for

    targeting cancer cells and tumor vasculature.

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    Sugars

    Specific sugar molecules ( e.g. , lactose, galactose, and mannose)

    can recognize lectins that are overexpressed on the surface of

    numerous cancer cells.

    For example, galactose could recognize the asialoglycoprotein

    receptor which is expressed on hepatocytes, and its high expressionis retained on primary liver cancer cells.

    To compensate for the weak binding affinity of

    carbohydrates,multiple or multivalent molecules should be

    conjugated to the surface of nanoparticles to achieve multivalent

    interactions.

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    Small Molecules Small molecules have also attracted considerable attention as potential

    targeting ligands due to their low molecular weights, low production costs,

    and easy conjugation with nanoparticles. Allows the functionalization of multiple ligand molecules on single

    nanoparticles.

    Folic acid, which is essential in many metabolic processes for cell survival,

    has shown high specificity in recognizing folate receptors that areoverexpressed in many types of tumor cells.

    Effective in treating ovarian,

    breast, lung, renal, and

    colon cancers.

    High affinity and specificity

    toward cellular receptors.

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    Controlled Drug Delivery Employ devices such as polymer-based disks, rods, pellets, or

    microparticles.

    Best used method: biodegradable polymer microspheres.

    Commercial products based on polymer microspheres - Lupron

    Depot and Nutropin Depot

    Factors affecting drug release in microspheres:

    1. Polymer molecular weight

    2. The copolymer composition

    3. The nature of any excipients added to the microsphere formulation

    (e.g., for stabilization of the therapeutics)

    4. The microsphere size

    Stabilization of drug during fabrication- Stabilizers are added.

    For example, to improve the encapsulation of bovine serum

    albumin (BSA) in microspheres of poly(-caprolactone) (PCL), Yang

    et al. included poly(vinyl alcohol) (PVA) in the BSA solution.

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    Polymers

    BulkEroding

    SurfaceEroding

    Depending on the rate of

    hydrolysis of their functional

    groups

    Bulk Eroding polymers( Burst of drug):

    1. Example: PLG2. Readily allow permeation of water into the

    polymer matrix

    3. Degrade throughout the microsphere matrix.

    4. 50 % of the total drug load released during the first

    few hours of incubation.

    Surface-Eroding polymers:1. Example: polyanhydrides

    2. Composed of relatively hydrophobic monomers

    linked by labile bonds.

    3. Able to resist the penetration of water into the

    polymer bulk, while degrading quickly into

    oligomers and monomers at the polymer/water

    interface via hydrolysis.

    4. Drug is released primarily at the surface as the

    polymer breaks down around it.

    5. Drug release proceeds at a constant velocity.

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    Features of Controlled Drug

    DeliveryADVANTAGES:

    Eliminate over or underdosing.

    Maintain drug levels in desired range.

    Increased patient compliance and convenience.

    Prevention of side effects.

    Increase the efficacy of currently used drugs.

    DISADVANATAGES:

    Large-scale manufacturing.

    Inactivation of drug during fabrication.

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    REFERENCES Clinical Cancer Research , Therapeutic nanoparticles for drug

    delivery in cancer, Kwangjae cho, Xu Wang, Shuming nie, et al.

    downloaded from

    http://clincancerres.aacrjournals.org/content/14/5/1310.full

    http://ne.ucsd.edu/faculty/l7zhang/research.php

    http://www.azonano.com/article.aspx?ArticleID=1222 Review article on Aptamers for Targeted Drug Delivery

    Partha Ray and Rebekah R. White, Department of Surgery, Duke

    University Medical Center, DUMC Box 103035, Durham, NC 27710,

    USA, downloaded from http://www.mdpi.com/1424-8247/3/6/1761

    Controlled Drug delivery system presentation by Dr. Basavaraj K.

    Nanjwade,KLE Universitys College of Pharmacy,BELGAUM- 590010,

    India

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    References continued..

    Controlled and novel drug delivery by N.K. JAIN

    Microspheres for Drug Delivery,Kyekyoon Kevin Kim and Daniel W.

    Pack,University of Illinois at Urbana-Champaign

    Nanoparticle Technologies for Cancer Therapy

    Frank Alexis, Eric M. Pridgen, Robert Langer, and Omid C. Farokhzad

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