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    NANOTHECNOLOGY AND ITS USE IN MEDICINE

    SHISHIR RAMKUMAR

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    Praxis Business School

    Nanotechnology and its use in medicine

    A Report

    Submitted to

    Dr. Prithwis Mukherjee

    In partial fulfillment of the course

    Business Information System

    On

    7th

    November 2010

    By

    Shishir Ramkumar

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    Table of content

    No. Contents Page No.

    1. Abstract 4

    2. Introduction 5

    3. History of nanotechnology 54. Nanomedicine 6

    5. Drug delivery 6

    6. Protein and Peptide delivery 7

    7. Uses of nanoparticles 8

    8. Neuro-electronic interface in nanotechnology 11

    9. How nanotechnology has revolutionized medicine 12

    10. Conclusion and the way forward 15

    11. References 15

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    ABSTRACT

    Nanotechnology is the science of the very small. There have been many developments in the recent past

    taking this technology from the science fiction books to reality. This paper discusses the various aspects

    of nanotechnology especially in medicine and how it is helping humans cure diseases that have plagued

    us since time immorial. Also discussed here is the different technologies used and under development

    which will aid the medical world for curing patients faster and in an easier manner

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    INTRODUCTION

    The use of Nanotechnology in medicine offers some exiting possibilities. Some of the techniques are only

    imagined, where as others are in various stages of development or actually being used today.

    Nanotechnology involves the use of nano particles, currently under development, as well as the use ofmanufactured nano robots for repairs at the cellular level

    Whatever we can call it the use of nanotechnology in the field of medicine can revolutionize the way we

    detect and treat damages in the human body and disease in the future, and many techniques only

    imagined a few years ago are making remarkable progress towards becoming a reality

    HISTORY OF NANOTECHNOLOGY

    Human have unwittingly used nanotechnology for thousands of years. For example in the production of

    steel, vulcanized rubber or in painting. Each of these processes rely on the properties of stochastically

    formed atomic ensembles mere nano meters in size. They are different from chemistry because these

    particles do not rely on the properties of the individual molecules. The first mention of some of the

    distinguishing concepts in nano technology was in 1867 by James Clerk Maxwell, when he proposed a

    thought experiment, the use of a tiny entity known as the Maxwell Demon in handling individual molicules

    The first observations and size measurements of the nano particle was made in the 1st

    decade of the 20th

    century. They are mostly associated with the German physicist Richard Adolf Zsigmondy who made a

    detailed study of Gold Sols and other nano materials whose size was less than 10nm. He published his

    book in 1914. He used the Ultramicroscope that employs the dark field method for seeing the particles

    with sizes much lesser than the wavelength of light. He was also the first to use the nanometer explicitly

    for the characterizing the size of the particle. He established it as 1/1000000th of a millimeter. He also

    developed the first system of classification based on the size of the particle in the nanometer range.

    There have been many significant developments during the 20th

    century in characterizing nano material

    and related phenomena belonging to the field of interface and collide science. In the 1920s Irving

    Langmuir and Katherine B. Boldgett introduced the concept of monolayer, a layer of material one

    molecule thick. Langmuir won the Nobel Prize in chemistry for his work.

    The term Nanotechnology was first defined by Norio Taniguchi of Tokyo University in 1947. It is defined

    as follows: Nanotechnology mainly consists of the processing of, separation, consolidation, and

    deformation of material by one atom or one molecule. Since that time the definition of nanotechnology

    has be extended to include features as large as 100nm. Also the idea off nanotechnology accepts the

    structures exhibiting quantum mechanical aspects such as quantum dots.

    The topic of Nanotechnology was again touched upon by physicist Richard Feynman when he gave a talkon the topic There is plenty of room at the bottom on December 29th, 1959. In this talk he decribed a

    process by which the ability to manipulate individual atoms and molecules might be developed, using one

    set of precise tools to build and develop another smaller set, and so on down to the needed scale. In this

    course he noted that scaling problems might arise from the changing magnitude of various physical

    phenomena: Gravity would become less important and the Van der Waals attraction would become more

    important, etc. Van der Waals attraction is the sum of the attractive or repulsive forces between molecules

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    other than those due to covalent bonds or to the electrostatic interaction of ions with one another or with

    neutral molecules. These include:

    y Force between two permanent dipoles

    y Force between one permanent dipole and one induced dipole

    y Force between 2 instantaneously induced dipoles.

    These forces are weaker compared to the chemical bonds but play a very important role in

    Nanotechnology. The basic idea put forward by Richard Feynman appears feasible and exponential

    assembly enhances it with parallelism to produce useful quality of the end product. At the end of the

    speech, Feynman proposed 2 challenges for which he offered $1000 each for solving. The first was to

    build a nanomotor and the second to construct letters so small that the entire Encyclopedia Britannica

    could be fitted onto a structure as small as a needle head. To his surprise the Nanomotor was built by

    November 1960 by William McLellan. And the second challenge was successfully completed by Tom

    Newman in 1985.

    In 1965 Gordon Moore observed that the Silicon Transistors were undergoing a continual process ofscaling downwards. This observation was later codified as Moores Law. Since his observation the size

    of Silicon Transistors have decreased from 10 micrometers to 65 nanometers. And the minimum feature

    of a silicon transistor is 180 atoms.

    NANOMEDICINE

    Nano medicine is the medical application of nanotechnology. It ranges from the use of nano materials in

    medical application to nanoelectric biosensors. Nanotechnology in medicine is now moving towards

    Molecular Nanotechnology and its applications. Nanotechnology in medicine has been receiving funding

    from the US government and the National Health Institute. In 2006 the journal Natural Materialsestimated that 130 nanotechnology based drugs and delivery systems were being developed worldwide.

    The current problems with nanotechnology are issues related to toxicity and environmental impact that

    the technology has.

    DRUG DELIVERY

    Nanomedical approach of drug delivery centers on developing nanoscale particles or molecules to

    improve drug bioavailability. Bioavailability refers to the availability of drug molecules where they are

    needed and where they would do most good in the human body. Drug delivery focuses on maximizing

    bioavailability both at specific places in the body and over a period of time. This can be achieved

    potentially by molecular targeting by nanoengineered devices which is all about targeting damage

    causing molecules and delivering the drugs to those cells with precision. But more than $65 billion are

    wasted every year due to bad bioavailability. In Vivo imaging is another field where nano tools and

    devices are being used. They are now using Nano-diamonds for more precision and high resolution

    imaging. The new methods of nanoengineered materials maybe effective in treating fatal diseases such

    as cancer and even AIDS. With the current rate at which inventions are made, no one knows what the

    scientists and engineers in the field of Nanotechnology would come up with in the future. There are

    predictions however that in the near future, nanoscientists would be able to create self assembling

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    biocompatible nanodevices that will that will detect, evaluate, treat and report back to the clinical doctor

    automatically about the disease for which they have been used.

    Lipid or polymer based nanoparticles can be created to improve the therapeutic properties of drugs. The

    strength of the drug delivery system is the ability to alter the bioavailability of the drug. Nanoparticles can

    aid in this as they have unusual properties. As the nanoparticles are smaller than the cell itself, they are

    accepted by the cell. Whereas larger particles are either rejected or are cleared by the body. There is alot of complex drug delivery system being developed to ensure that the particles have been taken through

    the cell membrane right into the cytoplasm. This is very important because many diseases affect the

    various processes within the cell and use them to spread across the body. These diseases can only be

    impeded if the drugs are delivered right into the cell. One of the many ways of drug delivery is the

    Triggered Response. In this the drugs are placed in the body and only activate when a particular signal is

    given. This is illustrated in the following example. A drug which has a poor solubility can be replaced by a

    drug delivery system which can exist in both a hydrophilic and hydrophobic environment. This will

    increase the solubility of the drug and increase the efficiency of the delivery system. If the drug delivery is

    not regulated it can cause tissue damage as too much of the drug is given to the patient. Regulated

    release can solve the problem. There is also the problem of the drug being cleared quickly from the body.

    This can happen because of wrong delivery of the drug or higher dosage of the drug. But with regulated

    drug delivery system the dosage can be controlled and the bad side effects of high dosage can be

    eliminated. This can be done by altering the pharmacokinetics of the Drug. Tissues can be damaged due

    to poor biodistribution through widespread distribution of the drug. But the particulates from the drug

    delivery system can solve this problem as they lower the volume of distribution and reduce the effect on

    non target tissues.

    One of the many major impacts of nanomedicine would be the invention and use of nanodrugs which will

    have high success rate in curing diseases and low or no side effects. But this is still just a thought as it

    has not been achieved yet. May nanoscientists and nanomedical experts are working towards making

    materials which will have the above mentioned characteristics. If invented they could solve the age old

    diseases that have plagued humanity since the beginning.

    PROTEIN AND PEPTIDE DELIVERY

    Protein and peptide exert multiple actions on the human body and have been shown to have great

    promise in the treatment of various diseases and disorders. These macromolecules are called

    biopharmaceuticals. Targeted delivery of these molecules using nanomaterials like nanoparticles and

    Dendrimers is called nanobiopharmaceutics, and these particles are called nanobiopharmaceuticles.

    DENDRIMERS

    Dendrimers are a new class of polymeric materials which are highly branched. The structures of these

    materials have a great impact on their physical and chemical properties. Due to this they have a very

    useful role in biomedical application. A dendrimer is usually symmetrical around a core and has a

    spherical 3 dimensional morphology. The name has been derived from the Greek word Dendron which

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    mean tree. It is very similar to the dendrons that we find in the nerve cells. The difference is shown in the

    figure below

    Fig 1. Dendrimer and Dendron

    VARIOUS USES OF NANOPARTICLES

    1. CANCER DETECTION AND CURE

    Due to the small size of the nanoparticles, they have various different uses in oncology or cancer

    therapy. Quantum Dots (nanoparticles with quantum properties such as light emission), when

    used with MRI (Magenetic Resonance Imaging), can produce high definition imaging of the tumor

    site. This is because the particles are much brighter than organic dyes and they need only one

    light source to get excited and start emitting light of their own. This could mean a lot of money

    being saved as the quantum dots which are fluorescent produce higher contrast imaging that the

    organic dyes. Plus the costs of the dyes are so high that higher quantities are required for goodresolution pictures but high quantity of the dyes can cause side effects in the body and cause

    distress for the patient. But there is a down side to the use of quantum dots. They are usually

    made out of toxic materials. There is work under way to make these quantum ddots out of

    materials which a not harmful to the human body. Once that is available in the medical market,

    the cure of cancer will become faster, cheaper and easier. This process of using quantum dots to

    detect cancer is shown below

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    Fig. 2: a diagram that shows nanoparticles or other cancer drugs might be able to treat cancer.

    Due to the high surface area to volume ration, nanoparticles can be used to seek out and bind the cancer

    cells. And also due to their small size they can be used to accumulate at the cancer site and surround thetumor cell. But at the current moment, these particles are just being used to detect the cells. There are a

    host of different ideas being experimented on to enable these particles to do more than just detect the

    tumor. Work is in progress in the development of nanoparticles that will detect and destroy the cancer

    cells. This process is illustrated in Fig. 2. One of the many different ideas is to use is the Kanzius RF

    therapy. In this the microscopic nanopraticles attach themselves to a cancer tumor and cook the tumor

    by producing radio waves which heat only the nanoparticle and the cancer cell near it.

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    Another use is to detect the cancer cells as early as possible. There can be sensor test chps with

    thousands of micro wires which can detect the protein and other chemical biomarkers left behind the

    cancer cells. This can help in detecting the cancer cells in the earliest stage when there are only a few

    cells in the blood.

    Another method which has been tested on mise is the use of gold coated nanoshells. In a research

    conducted by Rice Universitys Prof. Jennifer West, 120 nm diameter nanoshells have been used to curecancer in mice. This nanoshell is coated with gold and is targeted to bond with the cancerous cells by

    producing antibodies or peptides to the nanoshell surface. Once the nanoshell has bonded to the cancer

    cell, a infrared laser is shot at the cell through the surface of the skin without burning it. The laser heats

    the gold to a temperature high enough to kill the cancer cells.

    Fig 3. Gold coated nanoshell synthesis.

    Another scientist of Michigan University, James Baker has developed a technology by which accurate

    efficient drug delivery is possible for cancer treatment. He has developed molecules called Dendrimers.

    These molecules have numerous hooks. Few of the hooks are coated with folic acid ( it is a vitamin which

    is naturally released by the body). The Dendrimers are then released into the area where the cancer is

    located. As Cancer cells have a higher affinity towards folic acid, the hooks coated with them attaches

    itself to the cancerous cell. It is then absorbed into the cancer cell. The other hooks are coated with drugs

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    which cure cancer. Once inside the cancer cell the drugs take effect and kill the cells. This is a highly

    effective way of delivering cancer curing drugs.

    2. USES IN SURGURY

    Again in the research stage, nanotechnology and nanoparticles can be used to fuse flesh

    together. In an experiment conducted by the researches of Rice University, 2 pieces of chicken

    flesh were placed together, touching each other. A greenish liquid which contains goald coated

    nanoshells is trickled over the seam where the 2 pieces touch. Then an infra red laser is used to

    trace the seam. This causes the two sides to weld together. This can solve the difficulties that

    arise due to blood leaks, which occur during highly sensitive and complicated surgeries like a

    heart transplant or a kindly transplant. The surgeon will have to cut the arteries during the

    process and restitching thing again will cause the blood loss.

    3. NANOPARTICLETARGETING

    Nanopartilce technology is a very promising tool in advancement of drug delivery medical imaging

    and as diagnostic sensors. But biodistribution of these particles is not yet possible as we do not

    have the technology to target specific organs in the body. This is different from targeting on

    cancer cells because, there the target cells are easier to target because of the chemical

    composition, which is different from that of its surrounding cells. But research is on and some

    findings show the ability of gold composites to selectively target certain organs in the body

    according to size and charge. The research used positively and negatively charged gold

    nanoparticles. The positively charged nano particles were found entering the kidneys and the

    negatively charged nanoparticles were found entering the liver and spleen. This showed that thepositively charged nanoparticle affected the liver and the excretory pathway. Even thought the

    particles are very small about 5nm in size, they accumulate in the liver over time and can be toxic

    to the body as they are made from highly toxic chemicals.

    NEURO-ELECTRONIC INTERFACES IN NANOTECHNOLOGY

    This is a visionary goal that deals with the building of nanodevices and nanomachines that will allow

    computers to be linked to the nervous system. This will work when a molecular structure is built that can

    permit the detection and control of the nervous impulses by an external computer. This computer will alsobe able to interpret, register and respond to the impulse given off by the body when it feels sensation.

    This will be very helpful in curing many diseases because many diseases cause the decay of the nervous

    system. Also many injuries and accidents that cause damage to the nervous system resulting in a

    dysfunctional system and paraplegia. The molecules can help the computer and control the nervous

    system through neuro-electric interface and can overcome the effects of the injuries. While selecting the

    application, the power source has to be kept in mind. The power source and be either refuelable or non

    refuelable. In a refulable application, the energy is continuously or periodically refilled with external sonic,

    magnetic, chemical or electrical sources. A non refuelable application is that which will have its own fuel

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    system but it wwill stop working when the fuel runs out. Thus these two strategies have to be adopted

    while using the neuro-electronic interfaces.

    There are a few limitations to this technology. One is the interference from electrical fields such has In

    Vivo machines, and electromagnetic impulses. To prevent it from affecting the interface, additional

    insulation is required. Also a thick wiring is required to conduct electrical charges without overheating.

    The wiring of the structure is also very difficult because they have to be placed precisely with the nervoussystem to monitor and respond to the nervous impulse. For this to happen there has to be a structure built

    that will hold it in position. But the structure then has to be compatible with the immune system of the

    body so that it doesnt get rejected by the body as an external body. A lot of research is being done on

    this but very little progress has been made so far. But the medical use of this and the economic value of

    this invention is so great that researchers have not abandoned hope and continue researching and trying

    to make it a reality that can be used by the common man.

    HOW NANOTECHNOLOGY IS REVOLUTIONIZING MEDICINE

    As science advances it makes it easier to make objects which are smaller and more complex than everbefore. These can be very helpful in various fields such as nanomedicine and nanoengineering. Also with

    nanodevices being developed right now, they can enter the body and look around in ways that large

    humans can only dream about. There are a few of these ways that have revolutionized medicine. Those

    are

    1. Nanobots: These are devices that have great potential in medical use. It is basically the

    technology of creating machines or robots which are of the microscopic scale. Since they are

    microscopic in size they are required in large numbers to perform tasks in the macro scale. This

    technology is still largely science fiction but research is underway to robots which can replicate

    itself when it comes in contact with the target disease cell. The other use of these nanobots could

    be to build other nanobots making then really cost effective.

    fig3 a nanobot

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    2. Nanocomputers: this is a necessity as they will be used to direct nanobots in their work. These

    special computers would have to be built parallel to the nanorbot development. Efforts to creat

    nanocomputers are already underway and there is a movement towards quantum computing,

    which is likely to continue to provide processes and possibilities for the science of medicine.

    Fig 4 nanocomputers

    3. Cell repair: as the cells are incredibly small, damage to the cells can be very difficult to repair.

    But nanotechnology could and has provided ways by which the cells can be repaired without the

    patient undergoing complex surgeries. This can be done by the use of nanobots. Small nanobots

    can manipulate the structure of the molecules and atoms and can repair the cell from within the

    body.

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    fig 5: nanobot repairing cells.

    4. Cancer treatment: as discussed before nanotechnology has a high potential in cancer

    treatment. This is because of the inherent properties of the nanodevices and nanoparticles which

    can help in the treatment of the cancer cells. The current technology of chemotherapy destroys

    the cells surrounding the cancer cells. But with advances in nanotechnology and also the drug

    delivery mechanism of nanotechnology the cure of cancer can become less painfull and more

    effective without side effects.

    5. Aging: nanodevices can be used to erase some signs of aging. As mentioned before they are

    being used in cell repair technology. Aging is the natural process in which the cells in the body

    loose the ability to repair themselves over time. Thus with the application of nanotechnology in

    items such as anti aging creams and in nanorobotics, aging can not only be slowed but also

    stopped altogether. This does not mean that the humans can attain immortality. The application

    of this technology is restricted to superficial usage. There is a lot of research going on in this field

    for the cosmetic industry.

    6. Heart diseases: some form of nanotechnology has been used already in curing heart diseases.

    One of these are the pace makers being used. But nanotechnology can go further in curing many

    heart related diseases. Nanobots again can be used o repair damaged heart cells and also beused to clean up major arteries which get clogged because of cholesterol deposition.

    7. Virtual reality: virtual reality is now being used to explore the interiors of the human body. By

    injecting nanobots which have the capability to transmit real time images from inside the human

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    body. The doctors can control these nanobots and see what is happening inside the body with

    really accurate cameras.

    8. Gene Therapy: at the moment nanotechnology is creating particles which are of the cellular

    level. It is possible to creat particles or even nanobots which are so small that they are smallerthan the human DNA. They can be used to alter the human genome. This has many medical

    applications because it can cure hereditary diseases such as cancer, alzimers and diabetes. But

    there is a major ethical question that has to be answered. Also the human genome is not yet fully

    understood. Hence the research on this technology will gain momentum only if the two above

    mentioned problems are solved.

    9. Medical monitoring: nanotechnology can increase the ability of the body to monitor its own

    bodily functions. Also it will give us a clear idea about each part functions and how they can be

    controlled. This can be done by implanting small nanochips which can monitor the bodily

    functions and send data to a computer or any other device such as cell phones and laptops.

    People can get alerts about their bodily functions when they wish to. Major heart atta cs can be

    prevented by this technology.

    10. Prenatal diagnosis: there are a number of ways nanotechnology can help in prenatal detection

    and cure. Being able to get inside the uterus and even inside the fetus without causing trauma an

    really be helpful in diagnosis. The parents can know whether their child is healthy or has some

    disease which can be fatal for the child as he or she grows up. In care of accidents where the

    uterus and the child inside can be harmed, nanotechnology can be used to repair it and prevent

    the loss of the child and the mother. Also in case of infertility, the nanobots can be used to detect

    the problem and cure it increasing the ability of the mother to have children

    CONCLUSION AND THE WAY FORWARD

    There are many uses of nanotechnology in medicine as discusses above. Many of these technologies are

    still in the research stage or in the stage of the researchers mind ie. In the form of an Idea. A lot of

    research is going into developing this technology. Not only for medicine, but in physics, chemistry,

    defense, and day to day use, nanotechnology is being used. It has left the realms of science fiction books

    and movies and has now become a reality. There is a lot of objection from various communities about the

    misuse of this technology. But like the nuclear technology can be used both, for our benefit or for making

    the nuclear bomb, nanotechnology can be used for both good and the bad. Thus regulated usage is amust for most of these technologies as in the wrong hands and used in the wrong way, they can cause

    more damage than good for our society

    REFERENCES

    www.understandingnano.com

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    http://files.nanobio-raise.org/Downloads/Nanomedicine-fullweb.pdf

    http://www.foresight.org/COnferences/MNT11/Abstracts/Sullivan/index.html

    http://www.thebrokeronline.eu/en/Online-discussions/Blogs/Nano-Rights-and-Peace/Regulatory-

    challenges-of-nanomedicine

    www.physorg.com/news144350075.html

    http://en.wikipedia.org/wiki/Dendrimer

    http://mrsec.wisc.edu/Edetc/SlideShow/slides/contents/gold.html

    http://www.google.co.in/imgres?imgurl=http://www.coe.drexel.edu/ret/personalsites/2006/Stanisz/na

    nobots1.jpg&imgrefurl/

    http://www.google.co.in/imgres?imgurl=http://www.jordansparks.com/cellRepairRobot.jpg&imgrefurl=http://www.jordansparks.com/