We are delighted to announce that First Year Medicine student Chukwuka Ivenso is the winner of this term's article writing competition for his outstanding piece on nanotechnology. Congratulations Chukwuka on winning the Echo Dot prize!
One Million Tiny Hands: Nanotechnology in Medicine and Drug Delivery
2023-24 Article Competition Term 1 Winner
"It is a staggeringly small world that is below. In the year 2000, when they look back at this
age, they will wonder why it was not until the year 1960 that anybody began seriously to
move in this direction" (Feynman, 1960).
In 1959 the Nobel Prize-winning physicist, Richard P. Feynman, delivered his
groundbreaking lecture "There's Plenty of Room at The Bottom", and from then, as the
scientific world began to take action, the groundwork for a future built on the back of
nanotechnology was laid out. Today, nanotechnology is ubiquitous, from zinc or titanium
nanoparticles defending us from harmful UV rays in sunscreen to enhanced digital display
screens and memory chips for our laptops and phones (Galligan, 2018). Notably, the
healthcare industry illustrates nanotechnology's impact on our lives, particularly in the field of
drug delivery; and by looking more closely at some of the intricate mechanisms which help
these technologies function, we can see just how great their potential is.
Consider designing a high-tech suitcase to protect and transport your valuables. This
suitcase, however, is unlike any other; it is so compact that it can navigate security
checkpoints undetected and then, once on its journey it's able to autonomously find its way
to the intended final destination without needing any additional external guidance, delivering
and unloading your possessions to you safe and intact. If this idea for a 'suitcase' were then
shrunk down to around 100-500nm it could loosely represent the basic concept behind a
successful nanoparticle drug delivery system. The motivation for developing this technology
arises from nanoparticles having been shown to enhance the disposition of drugs in the body
by increasing their solubility, bioavailability, and stability. Specific tissues and cells can also
be targeted more precisely, increasing efficacy and reducing the side effects of certain drugs.
Developing these drug delivery systems presents immediate challenges. The size of the
particle encapsulating the drug is a crucial consideration, influencing toxicity, distribution,
targeting ability and detection by other cells in the body. As these particles become smaller
their surface area to volume ratio gets larger, implying that there would be more of the drug
near the surface of a smaller molecule compared to a larger one. This is important as,
ideally, whatever drug is being carried should be located close to the periphery of the particle
in order to enter target areas more effectively. It has been shown that particles 200nm or
larger are more likely to activate the lymphatic system and be removed from circulation, so
most are created with the optimum size being approximately 100nm (Prokop and Davidson,
2008). For reference, a human red blood cell is approximately 7000nm wide, making the
average nanoparticle approximately 70 times smaller.
While size is an important factor that needs to be considered when designing one of these
miniature systems, another that is equally, if not more, important is the surface
characteristics of the nanoparticle. It would not serve well if the lymphatic system, which
makes the nanoparticles subject to the body's natural immune defence, detects and clears
them from circulation entirely. So, in order to overcome this some basic principles are
applied. The more hydrophobic a nanoparticle is the more likely it is to be cleared from
circulation due to the increased binding of blood components. Therefore, the logical step
would be to incorporate hydrophilic properties into their surface designs, which is exactly
what happens. Surfactants, polymers, or copolymers such as polyethylene glycol (PEG),
which are hydrophilic, are coated around the particle to provide the intended effect. Looking
a little more closely, PEG is a relatively inert polymer that hinders the binding of plasma
proteins (opsonisation) to the surface of the nanoparticle once incorporated (Li and Huang,
2010). Due to this, PEGylated nanoparticles can be referred to as “stealth” nanoparticles as
they prevent opsonisation, which allows them to go undetected in the body.
Drug delivery merely scratches the surface of what nanotechnology is capable of. In fact,
while still in its infancy, researchers are already beginning to manufacture and test
experimental devices such as mechanical red blood cells. These are experimental
nanorobots, referred to as respirocytes, which studies have shown to have the potential to
deliver over 200 times more oxygen to the body's tissues than natural red blood cells (Suhail
et al., 2021). Faster recovery times, increased athletic performance, potential cures for a
range of blood-linked disorders - one can only imagine the possibilities. With that being said,
there is still some way for the technologies to progress before becoming widespread viable
treatment options. Researchers must establish the ideal dosage range, frequency, and
duration of nanoparticles to attain therapeutic objectives while mitigating potential side
effects. While prior medical investigations have yielded highly sophisticated treatment
modalities, there still remains a challenge in efficiently counteracting drug overdoses.
Feynman's vision for "a hundred tiny hands" aiding us in our everyday lives and residing
within us is no longer a fictional dream, and with the rapid development of technology, it
would be no surprise if we will soon have to start replacing the word "hundreds" with
thousands or even millions.
References
Feynman, R.P. (1960). There's Plenty of Room at the Bottom. Engineering and Science,
[online] 23(5), pp.22–36. Available at: http://resolver.caltech.edu/CaltechES:23.5.1960Bottom
[Accessed 20 Mar. 2023].
Galligan, F. (2018). Exploring Nanotechnology's Daily Applications. [online] ACS Publications
Chemistry Blog. Available at:
https://axial.acs.org/nanoscience/nanotechnology-daily-applications.
Li, S.-D. and Huang, L. (2010). Stealth nanoparticles: High density but sheddable PEG is a
key for tumor targeting. Journal of Controlled Release, 145(3), pp.178–181.
doi:https://doi.org/10.1016/j.jconrel.2010.03.016.
Prokop, A. and Davidson, J.M. (2008). Nanovehicular Intracellular Delivery Systems. Journal
of Pharmaceutical Sciences, [online] 97(9), pp.3518-3590.
doi:https://doi.org/10.1002/jps.21270.
Sahu, T., Ratre, Y.K., Chauhan, S., Bhaskar, L.V.K.S., Nair, M.P. and Verma, H.J. (2021).
Nanotechnology based drug delivery system: Current strategies and emerging therapeutic
potential for medical science. Journal of Drug Delivery Science and Technology, [online] 63,
p.102487. doi:https://doi.org/10.1016/j.jddst.2021.102487."
Suhail, M., Khan, A., Rahim, M.A., Naeem, A., Fahad, M., Badshah, S.F., Jabar, A. and
Janakiraman, A.K. (2021). Micro and nanorobot-based drug delivery: an overview. Journal of
Drug Targeting, pp.1-10. doi:https://doi.org/10.1080/1061186x.2021.1999962.