Nanomedicine and drug delivery: a mini review

Abstract

The field of nanotechnology now has pivotal roles in electronics, biology and medicine. Its application can be appraised, as it involves the materials to be designed at atomic and molecular level. Due to the advantage of their size, nanospheres have been shown to be robust drug delivery systems and may be useful for encapsulating drugs and enabling more precise targeting with a controlled release. In this review specifically, we highlight the recent advances of this technology for medicine and drug delivery systems.


Nanoparticles

Nanoparticles are organic or inorganic structures (sizes 1–100 nm) similar to antibodies and DNA plasmids [ 13 ]. Significant work has been done in past decades in the field of nanotechnology; now it is possible to fabricate, characterize, and modify the functional properties of nanoparticles for medical diagnostics and biomedical applications [ 410 ]. Nanobiotechnology bridges the physical and biological sciences [ 11 ], with applications of nanophase and nanostructures in different areas of science, especially in biomedicine, in which these objects are of great interest [ 1216 ]. Nanoparticles are influencing the field of medicine from nanobiotechnology, microfluidics, biosensors, drug delivery, and microarrays to tissue micro-engineering [ 17 ]. Metal, organic and polymeric nanoparticles and liposomes are commonly studied and can be designed for the site-specific delivery of drugs (Fig.  1 ) [ 18 ] especially those drugs which have poor solubility and absorption [ 19 , 20 ].

Fig. 1

Example of metal nanoparticles, dendrimers, peptide-based nanoparticles, liposomes, carbon nanotubes and quantum dots

Nanoparticles for drug delivery

The most promising application of nanomaterials is the promise of targeted, site-specific drug delivery. The potential of eliminating a tumorous outgrowth without any collateral damage through nanomaterial-based drug delivery has created significant interest and nanoparticles form the basis for bio-nano-materials [ 3 ] and major efforts in designing drug delivery systems are based on functionalized nanoparticles [ 21 , 22 ]. Initially, they were devised as carriers for vaccines and anticancer drugs [ 23 ] and then the nanometer size ranges may significantly enhance the drug delivery by affecting the bio-distribution and toxicodynamics of drugs [ 24 , 25 ]. This can make in vivo delivery of many types of drugs which pose serious delivery problems, a relatively easy task [ 26 ]. Modifying or functionalizing nanoparticles to deliver drugs through the blood brain barrier for targeting brain tumors can be regarded as a brilliant outcome of this technology [ 27 ]. For example, doxorubicin does not cross the blood–brain barrier, but its integration with polysorbate 80 modified polybutylcyanoacrylate nanoparticles can increase its delivery to the brain to a significant extent [ 28 ]. Due to their size, shape and functionality, nanoparticle systems play a pivotal role in creation of DNA delivery vectors [ 29 ]. They can penetrate deep into tissues and are absorbed by the cells efficiently [ 30 ]. Nano-sized colloidal carriers of drugs can be regarded as an advanced development in pharmacotherapy [ 31 ]. They act as potential carriers for several classes of drugs like anti-cancer, anti-hypertensive and hormones, etc. [ 18 ]. Submicron colloidal particles have been used as nanoparticles for the purpose of drug delivery [ 32 ] and also used for the diagnosis of diseases [ 26 ]. Nanoparticles have widened the scope of pharmacokinetics for insoluble drugs. For example, the trans-retinoic acid nanoparticle coated by CaCO 3 was developed as a new drug delivery system, which on spray drying formed aggregates. The aggregates thus formed were found to re-disperse in water, which stimulated insulin secretion from islets [ 33 ]. Generally, nanoparticle may be composed of polymeric or inorganic materials. Some important examples from literature are reviewed in the following sections.

Polymeric nanoparticle

Polymeric nanoparticles are made from biocompatible and biodegradable materials and a variety of natural (gelatin, albumin) and synthetic polymers (polylactides, polyalkylcyanoacrylates) [ 32 ] are considered as the most promising drug carrier as compared to liposomes [ 34 ]. Polymers as host material play a significant role in metals [ 3436 ] and semiconductors [ 3740 ] nanoparticles. These nanoparticles are designed as drug carrier with the objective of delivering active molecules to the intended target [ 41 ]. Polymers are filled with dispersed nano-fillers (smaller than 100 nm) in nano-composites [ 42 ]. Polymer hydrophobicity, nanoparticle area and monomer concentration affect the adsorption capacity of the drug [ 43 ]. During polymerization, drugs may be added and be entrapped within the nanoparticle polymer network. Problems of drug bioavailability can be solved with nanotechnology. To improve drug absorption and bioavailability of hydrophobic drugs (paclitaxel or 5-fluorouracil) nano-scale cavities with liposomes or encapsulated polymers can be designed which can metabolize drugs at optimum rates for desired therapeutic effect in target tissues [ 4446 ]. Nano-capsules can be synthesized using polymers or from albumin and liposomes [ 24 ].

There are several polymers available for the synthesis of nanoparticles. Polylactide–polyglycolide copolymers, polyacrylates and polycaprolactones, etc. are synthetic polymers whereas albumin, gelatin, alginate, collagen and chitosan used as natural polymers [ 25 ]. Polylactides and poly (DL-lactide-co-glycolide) polymers undergo hydrolysis upon implantation, form biologically compatible fragments, and are mostly investigated for drug delivery [ 47 ]. It is apparent that chemical conjugation of drugs with different polymers provides opportunities to increase their activities. Jie et al. synthesized amphiphilic N -(2-hydroxy)-propyl-3-trimethylammonium-chitosan-cholic acid polymers by joining cholic acid and glycidyl trimethyl ammonium chloride onto chitosan and self-assembled into nanoparticles in phosphate-buffered saline. Doxorubicin could be encapsulated into these nanoparticles and then could easily be uptaken by breast cancer (MCF-7) cells and released into the cytoplasm [ 48 ]. Shengtang et al. synthesize folic acid-conjugated chitosan–polylactide copolymers to build a drug carrier with active targeting of paclitaxel. Targeting characteristic was confirmed using folic acid receptor-expressed MCF-7 breast cancer cells [ 49 ]. One research described the fabrication of quatemized poly(propylene imine) dendrimer of generation-3, QPPI (G3) as a drug carrier for poorly soluble anti-inflammatory drug nimesulide and an improvement in solubility of drug was observed [ 50 ]. Abdullah et al. [ 51 ] encapsulated nano-scaled emulsion containing ibuprofen with carbopol 934, 940 and ultrez 10 as viscosity modifiers. Behbehani et al. [ 52 ] observed the effect of silica nanoparticles on the activity of α-amylase. Park et al. [ 53 ] reported that glycol chitosan-based nanoparticles of adriamycin are useful for sustained and specific delivery of adriamycin, thus showing lower cytotoxicity than adriamycin alone.

Release of drugs from nanoparticles and biodegradation are important parameters to be considered for developing successful formulations. Therefore, the diffusion characteristics and breakdown properties of the nanoparticles at the drug delivery site need to be carefully mapped to achieve effective therapeutic capabilities [ 54 ].

Inorganic nanoparticles

Nanoparticles offered important multifunctional platforms for biomedical applications. Varieties of nanoparticles, such as silica nanoparticles [ 55 ], quantum dots [ 56 , 57 ], metal nanoparticles [ 58 ] and lanthanide nanoparticles [ 59 , 60 ], have unique properties which are adapted for different applications in the bio-analysis field.

A nanoparticle does not only indicate drug delivery but confirmation of target delivery is also important. Tracking of nanomedicine from the systemic to sub-cellular level becomes essential. Many florescent markers are available; however, nanoparticles have not only advantage of showing improvement in fluorescent markers for medical imaging and diagnostic applications but also in imaging of tumors and other diseases in vivo [ 61 ]. For example, Lee et al. synthesized Fe 3 O 4 nanocrystals on uniform dye-doped mesoporous silica nanoparticles to be used as a contrast agent in magnetic resonance imaging and loaded doxorubicin in the pores. This system has great potential as probes in magnetic resonance and fluorescence imaging and doxorubicin was successfully delivered to the tumor sites and its anticancer activity was retained [ 62 ]. Similarly, histidine-tagged cyan fluorescent protein-capped magnetic mesoporous silica nanoparticles system was fabricated for drug delivery and fluorescent imaging [ 63 ]. Quantum dots are small-sized (1–10 nm) semiconductor nanocrystals composed of inorganic elemental core (e.g., Cd and Se) surrounded by a metallic shell (ZnS). They are widely used in biological research and can also be used as drug carriers or simply as fluorescent labels for other drug carriers [ 56 , 57 ]. Among the broad diversity of nanoparticles, iron oxide and gold nanoparticles are the most intensively studied [ 64 ]. Due to the presence of surface plasmons, gold, copper and silver nanoparticles strongly absorb light in the visible region, making it possible to study their size-dependent light absorption through surface plasmon resonance (SPR). Gold nanoparticles and nanorods have many unique properties, which have been explored for potential applications in bio-molecular detection (Fig.  2 ) [ 65 ]. In terms of biocompatibility and non-cytotoxicity, gold nanoparticles as approved by the FDA have distinct advantages over other metallic particles and could also be utilized as a favorable carrier for delivery of drugs [ 66 ]. These nanoparticles can be conjugated with amino acid [ 67 ] and proteins [ 68 ]. Fabrication of gold nanoparticles and functionalization with organic molecules to interact with any physiological system are more important [ 6971 ]. These functionalized nanoparticles are a promising candidate for drug delivery as biomarkers of drug resistance cancer cell [ 72 ]. Reported application of gold nanoparticles includes insulin delivery by nasal route [ 73 ], improved antimicrobial action against E. coli strains [ 74 ] and ciprofloxacin-protected nanoparticles [ 75 ] for better drug release. Dhar et al. [ 64 ] reported a method for synthesis of gold nanoparticles using natural, gellan gum for the delivery of doxorubicin hydrochloride and demonstrated the successful loading of doxorubicin onto gold nanoparticles. Similarly, Gibson et al. [ 76 ] defined a very accurate measurement of biological activity by well-defined preparation of gold drug nanoparticle system. Hwu et al. [ 72 ] synthesized three paclitaxel-conjugated nanoparticles using Fe 3 O 4 and gold as the core. These conjugated nano-materials comprise a new class of candidates as anticancer drugs. Our group has investigated synthesis and functionalization of gold nanoparticles [ 77 ]. We have functionalized gold nanoparticles with different anticancer drugs for target drug delivery and also as reducing and capping agents for gold nanoparticle synthesis. As such, the applications are very broad and useful for the release of different biologically active molecules. Recent work by us suggested that Au NPs-Au NRs complexes can also be used for further attachment of drugs and biomolecules for potential-targeted drug delivery [ 78 ]. Our research indicated that the surface modification can enhance the stability of Au NRs and we can use Au NRs as multiplex biosensors. Our focus was on the development of nanoparticles for bio-sensing and targeted drug delivery for cancer therapeutics. We developed folic acid and doxorubicin-tagged nanoparticles through a novel chemical linking protocol and tagged folic acid and doxorubicin on different planes of the nanorods. In this configuration, the nanorods can potentially target cancer cells very selectively and then deliver a cancer drug with high efficiency. An investigation of biological activity of this system is ongoing and will be reported.

Fig. 2

a TEM images of gold nanoparticles, b nanorods, c SEM images of nanoparticles

Nanoparticle characterization can be performed by measuring the following parameters as particle size, surface charge, surface functionality and optical and magnetic properties. Formation of nanoparticles is demonstrated using surface plasmon resonance by the UV–Vis–NIR absorption spectra (Fig.  3 ). The most commonly used techniques to measure nanoparticles size are transmission electron microscopy (TEM) and scanning electron microscopy (SEM). The zeta potential of a particle is used to establish the colloidal stability of nanoparticles and it also gives the complete picture of overall charges. Moreover, it can also help in formulating the more stable nanoparticles product by shedding information on the effect of various parameters as pH, concentration of an additive or ionic strength of the medium on it [ 79 , 80 ].

Fig. 3

Visible-NIR spectra of gold nanoparticles ( a ) and nanorods ( b )

Conclusion

Nanoparticles are rapidly becoming the focus of most efforts aiming at targets and site-specific drug delivery. The targeting ability of nanoparticles depends on certain factors such as particle size, surface charge, surface modification and hydrophobicity. Still many problems related to selective binding, targeted delivery and toxicity need to be overcome. Limited knowledge about the toxicity of nanoparticles is a major concern and certainly deserves more attention. If these nanoparticles are cautiously designed to tackle problems related to target and route of administration, they may lead to a new more successful paradigm in the world of therapeutics and research. The most promising research in nanoparticle production is via using supercritical fluids which are environmental friendly and free of toxic solvents. Much research is currently being performed to overcome these hurdles which will definitely establish nanoparticle-based drug delivery as the gold standard for site-specific therapeutics.


Conflict of interest

The authors declare that they have no competing interests.

Authors’ contributions

AZM surveyed and drafted the review article. All authors read and approved the final review.


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