Current Perspectives in Nanotechnology and Nanomedicine
Year : 2019 | Volume : 7 | Issue : 2 Page : 14-17
Sabitha Vadakedath1, Sanagapally Revanth Venkatsai Shanmukh2, Srujani Karra3, Venkataramana Kandi4*
1. Assistant Professor of Biochemistry, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India
2. House Surgeon, Chalmeda Anandrao Institute of Medical Sciences, Karimnagar, Telangana, India
3. House Surgeon, Mamatha Medical College, Khammam, Telangana, India
4. Associate Professor of Microbiology, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India
*Corresponding author: Dr. Venkataramana Kandi
Associate Professor of Microbiology, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India
Abstract
The idea of nanoparticles, nanotechnology, and their
applications to medicine could have emerged from the increase
in the incidences of malignancies, due to the paucity of safe
and effective anti-cancer drugs, and lack of sensitive diagnostic
tools. Also, because there is an increase in the treatment
failures due to the emergence of multi-drug resistant microbial
infections, the medical, scientific and the research fraternity
had started to look for better and efficient alternatives in the
form of nanotechnology. The nanotechnology has a wide
spectrum of applications including the fields of engineering,
agriculture, and pharmacy. The nanoparticles have a wide array
of applications in the field of medicine that includes but not
limited to preparation of pharmaceutical drugs and drug
delivery vehicles, improve diagnostic capabilities, and
regenerative medicine.
Introduction:
Nanoparticles measure less than 100 nanometers in size and
possess several unique properties like the uniform appearance,
stable conductance, and specific optical properties. Hence,
make them desirable in the fields of biology and materials
science. Nanoparticles are inorganic in nature with a
characteristic layer surrounding them1. Because of the large
surface area, nanoparticles can exert their effects on a large
area without a significant modification in their surface area.
They are synthesized by gas condensation, ion implantation,
attrition, pyrolysis, chemical precipitation, and hydrothermal
synthesis.
Nanoparticles are made up of three layers; the surface layer,
shell layer, and the inner core2. The properties exerted by
nanoparticles are majorly dependent on its size and enhanced
diffusion due to the high surface area to volume ratio. This
enhanced diffusion of nanoparticles leads to agglomeration
(cluster formation).
The unique size, shape, and structure of nanoparticles make
them highly reactive, and tough. The nanoparticles possess
varied optical properties (absorption in the visible region), and
magnetic properties, etc. These characteristic features of
nanoparticles make them suitable for various applications like
imaging, medical applications, catalysis, energy-based research,
and environmental applications3. The activity or performance
of nanoparticles is made accurate, and precise by coating their
surface with organic molecules or polymers, which determines
their stability, solubility and targeting ability. For biological
applications of nanoparticles, their surface is covalently tagged
with monoclonal antibodies, and other proteins (streptavidin),
and peptides
4.
Nanotechnology is the technology employed to produce
nanoparticles. There are two approaches to produce/
synthesize nanoparticles. The constructive or the bottom-up
an approach where small molecules are assembled based on
their molecular properties to improve their e?cacy, and the
top-down approach, also called as a destructive approach,
where large molecules with stability and high performance are
used to build nano-objects
5,
6.
Nanomedicine is the application of nanotechnology to the ?eld
of medicine, where the nanometer scale sized materials are
used for various purposes in medicine. The nanomaterials can
be easily interfaced with biological molecules or structures
because of their similarity in sizes. Hence nanoscale materials
can be used in both in vivo and in vitro biomedical research
and applications
7.
The three major areas where the nanomaterials have
applications in the medicine include the Imaging, diagnosis,
and treatment.
Nanotechnology and diagnostic imaging
The use of nanotechnology in imaging provides
functional versatility that is not provided by the traditional
small molecule agents. Here, radiolabeled nanoparticles are
attached to the probes for Positron Emission Tomography (PET),
Single Photon Emission Computed Tomography (SPECT) scans
and the images produced are used in the diagnosis of
conditions like the inflammation, atherosclerosis, angiogenesis,
ischemia, blood pool imaging etc.,
Ischemia is a condition that results in the improper
functioning of the heart muscles due to low or no oxygen
supply. Radiolabeled nanoparticles are used in imaging the site
of ischemia. Recently, the nanoparticles are used as
antioxidants to reduce the tissue oxidative stress. They are also
used to deliver the drugs to the ischemic region, and to image
complicated ischemic repercussions at the tissues using the
contrasts produced by nanoparticles
8.
Blood pool agents are magnetic resonance particles
used in angiography. These agents are large sized with high
molecular weight. This causes them to stay in the vascular
system for longer duration and result in gastrointestinal
bleeding. They can be used to visualize vasculature around
certain tumors, detect endovascular leaks, and help in
measuring tissue blood volume and levels of perfusion
9,
10.
Nanoparticles used as blood pool agents include multimodal
dendrimers for SPECT/CT, multimodal cross-linked dextran iron
oxide agents for PET/CT and PET/ MR and core-shell star
copolymers for PET
11.
Radiolabeled nanoparticles are used to detect
microvessels formed by angiogenesis. The clinical use of this
angiogenesis imaging is to detect the ischemia - induced
angiogenesis and intraplaque angiogenesis that leads to plaque
rupture, and also helps in the detection of tumor
angiogenesis
12.
Radiolabeled lipoprotein nanoparticles i.e., high-density
lipoprotein (HDL), low-density lipoprotein (LDL) are used to
monitor lipoprotein circulation and lipid uptake in
atheromatous lesions
13. Synthetic lipoprotein shells are
designed for multimodal imaging and therapeutic delivery
14.
Radiolabeled nanoparticles also help in locating intra-plaque
inflammation which helps in initiating therapy before rupturing
of the plaque.
Inflammation is the response of the body's immunity
against injury or pathogen invasion. It is associated with the
pathogenesis of many diseases. There are various nano probes
used to diagnose inflammation, in conjugation with PET, MRI,
and CT
15. The poor penetration of nano probes into deep
tissues limits nanoprobe use as inflammatory markers. To
overcome this, self-illuminating nanoparticles are used to
detect inflammation as well as in tumor therapy
16.
Nanotechnology and its applications in disease diagnosis
Nanotechnology-based diagnostics help in rapid testing,
allowing the accurate disease diagnosis and facilitate early
treatment almost at the first visit to doctors. This may help in
stopping the progression of the disease and minimizing the
morbidity and mortality among the patients. The short
circulation time and large size of dyes, chemicals, drugs used
in routine imaging of cancer stages can be overcome by the
use of nanotechnology-based microbubbles (1-5micrometer).
The microbubbles with a half-life of one minute are used to
detect and stage the cases of prostate cancer. The tumor tissue
shows overexpression of epithelial cells, which can be a
hindrance in the cancer diagnosis. This can also be eliminated
by the use of nanotechnology
17,
18.
Nano sized exosomes are used to diagnose pancreatic
cancer19. Nanowires based sensor detects bladder and
prostate cancer in the urine samples
20. Gold nanoparticles are
used to diagnose flu virus
21.
Gold nanoparticles with fluorescent protein are used
in the diagnosis of the specific type of cancers. Quantum dots,
a type of nanoparticles, are used to locate tumors. Nano
roughened glass plates are being used to understand the extent
of spread of cancers. Carbon nanotubes and gold nanoparticles
have been applied to detect proteins that are in turn used to
diagnose oral cancer.
Magnetic nanoparticles attached to the micro vessels
have been used to detect brain cancer cells and the nanopore
sensors are used for the purpose of increasing the sensitivity
of viral infection diagnosis
22,
23.
Nanotechnology and therapeutic applications
Nanotechnology-based drugs, due to their small size
and enhanced diffusion capabilities have several advantages
over the traditional drugs
24. The benefits of nano drugs include
minimal hepatic damage reduced renal excretion which
prolongs its circulation time, less accumulation of the drugs in
healthy tissue, and site specific drug delivery increases the
concentration of the drug at the pathological site thereby
improves therapeutic index.
Because of their site specific drug delivery, nano
pharmaceutical drugs may be effective in the treatment of solid
tumors. The mechanism underlying the treatment of solid
tumors with nano drugs is due to their accumulation at leaky
blood vessels and regulating the functions of lymphatic vessels.
The enhanced permeability and retention properties
of nano drugs make them more effective and have been used
selectively in the treatment of diseases like cancer, rheumatoid
arthritis, atherosclerosis etc.,
25. Nano preparations are also
being considered as potential alternatives to traditional
antimicrobial drugs, especially against the multi-drug resistant
microorganisms
26.
Conclusion and future perspectives
The technology which combines engineering and
science at the nanoscale (1-100nm) is called nanotechnology.
This technology has a wide spectrum of applications, including
medicine. Its role in the medical fields of surgery, drug delivery,
diagnostic strategies, are time-saving, and without/minimal
side effects. Nanotechnology could also be used to fix gene
damage or gene alterations. The drawbacks of nanotechnology
may include unemployment, owing to its fast and efficient
function. Nanoparticles may become an environmental threat,
because of the byproducts they release. Although the
nanotechnology can be applied to manufacture atomic
weapons, which is a boon to the country, if it falls in the hands
of psychopaths/terrorists, may lead to destruction and
unnecessary loss of lives. Thus, in conclusion, the
nanotechnology has more benefits than disadvantages, and if
used with caution, will definitely benefit the medical fraternity.
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Address for correspondence-dr.baheti@gmail.com/
www.paincure.in
How to cite this article : Vadakedath S,Shanmukh S R V,Karra
S, Kandi V. Current Perspectives in Nanotechnology and
Nanomedicine. Perspectives in Medical Research 2019;
7(2):14-17
Sources of Support: Nil,Conflict of interest:None declared