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Biomedical Application
of Nanoparticles
OXIDATIVE STRESS AND DISEASE
Series Editors
Edited by
Bertrand Henri Rihn
Université de Lorraine
CRC Press
Taylor & Francis Group
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Boca Raton, FL 33487-2742
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v
vi Contents
Index....................................................................................................................... 323
http://taylorandfrancis.com
Foreword
Nanotechnology is a field of research and development that focuses on structures,
devices, and processes based on the atomic, molecular, or supramolecular modeling of
matter at scales typically of the order of one to one hundred nanometers (1–100 nm).
The constituents—sometimes referred to as elementary bricks—are nanomate-
rials that are produced only in small quantities. Nanomaterials include nanopar-
ticles, nanostructured coatings, dense bulk materials, and nanocomposites (with an
organic, inorganic, or metal matrix). These materials are expected to show novel
types of behavior due to the relative importance of quantum phenomena at this scale.
Many potential industrial and medical applications are emerging, and some nano-
materials are already in use. The European Commission estimated that the nano-
technology world market amounted to slightly over €40 billion in 2001. By 2008, the
global market for nanotechnology products is expected to top €700 billion. Between
2010 and 2015, the economic stakes via the advent of nanotechnology worldwide
are set to rise to €1,000 billion per year across all sectors (according to the National
Science Foundation) of which nanomaterials specifically account for almost €340
billion (Hitachi Research Institute). BCC Research (https://www.bccresearch.com
/market-research/nanotechnology/nanocomposites-global-markets-nan021e.html)
estimated that in 2016, the nanocomposite market reached 333,043 metric tons and
$2.4 billion with an annual growth rate around 20% in both unit and value terms.
Over the same period, the nanotechnology industry is estimated to employ two to
three million people worldwide.
On the basis of such figures, many see the advent of nanosciences—nanotech-
nologies and nanomaterials—as a major turning point in twentieth and twenty-first
century industrial development. However, as in other industries, questions must be
asked about the introduction of these new products; notably, how to measure their
impact on health, the environment, and society. This is essential to guarantee the
responsible, safe, and controlled development of nanoscience applications.
The world nanoparticle market for biomedical, pharmaceutical, and cos-
metic applications was estimated at €85 million in 2000 (Rapport de la Direction
Générale de l’Industrie, des Technologies de l’Information et des Postes, 2004) and
reached €126 million in 2005 (i.e., an average yearly growth rate of 8.3%). This
market concerns inorganic particles used in the production of antimicrobial agents,
biological markets for research and diagnosis, biomagnetic separation, drug carriers,
MRI contrast medium, and in orthopedic devices and sunscreens. As reported by
the European Technology Platform (ETP) on Nanomedicine, nanomedicine has the
potential to enable early detection and prevention and to drastically improve diagno-
sis, treatment, and follow-up of many diseases, including cancer. Overall, the ETP on
Nanomedicine has identified more than 70 products under clinical trial that cover all
major diseases, including cardiovascular, neurodegenerative, musculoskeletal, and
inflammatory, as well as enable technologies in all healthcare areas. Nanomedicine
has been reported to account for 77 marketed products, ranging from nanodelivery
(44) and pharmaceutical (18) to imaging, diagnostics, and biomaterial (15).
ix
x Foreword
As emphasized by the ETP and described in the various sections of this book,
nanomedicine is a key enabling instrument for personalized, targeted, and regenera-
tive medicine by delivering the next level of drugs, treatments, and implantable devices
to clinicians and patients for real breakthroughs in healthcare. Beyond that, nanomedi-
cine provides important new tools to deal with the grand challenge of an aging popula-
tion and is thought to be instrumental for improved and cost-effective healthcare—a
crucial factor for making medicine and treatment available and affordable to all.
Lester Packer
Enrique Cadenas
Oxidative Stress and Disease Series Editors
xi
http://taylorandfrancis.com
Editor
Bertrand Henri Rihn, MD, DSc, professor of biochemistry and molecular biol-
ogy at Lorraine University, France, is a leading expert in the field of particulate
toxicology, with research topics including safety toxicology, immunotoxicology,
and investigating the transcriptomic changes in macrophages following nanopar-
ticle exposure. In addition to his research, Professor Rihn has also worked as a
clinical toxicologist, and was awarded the Baratz Award (2004) and the E. Taub
Award (2011) from the National Academy of Medicine (France). He also served as
the president of the French Society of Toxicology from 2007 to 2009, and was a
EUROTOX Registered Toxicologist.
xiii
http://taylorandfrancis.com
Contributors
Khaled G. Abdel-Wahhab Alain Celzard
Medical Physiology Department Institut Jean Lamour
National Research Center UMR 7198–Centre National de
Cairo, Egypt Recherche Scientifique—Université
de Lorraine
Mosaad A. Abdel-Wahhab Épinal, France
Food Toxicology and Contaminants
Department Yahya E. Choonara
National Research Center Wits Advanced Drug Delivery Platform
Cairo, Egypt Research Unit
Department of Pharmacy and
Jean-Claude André Pharmacology
CNRS School of Therapeutic Sciences
Nancy, France Faculty of Health Sciences
University of the Witwatersrand
Sneha Bhagyaraj Johannesburg, South Africa
Centre for Nanomaterials Science
Research Frédéric Cosnier
University of Johannesburg Institut National de Recherche et de
Doornfontein, South Africa Sécurité
Département Toxicologie et
Nadia Canilho Biométrologie
SRSMC UMR 7565 Vandœuvre-lès-Nancy, France
Université de Lorraine–Centre National
de Recherche Scientifique Roudayna Diab
Vandœuvre-lès-Nancy, France SRSMC UMR 7565
Université de Lorraine–Centre National
Flemming R. Cassee de Recherche Scientifique
National Institute for Public Health and Vandœuvre-lès-Nancy, France
the Environment
Bilthoven, the Netherlands Silvia Diabaté
Karlsruhe Institute of Technology
and
(KIT)
Institute for Risk Assessment Studies Institute of Toxicology and Genetics
Utrecht, the Netherlands Eggenstein-Leopoldshafen, Germany
xv
xvi Contributors
CONTENTS
1.1 Introduction.......................................................................................................3
1.2 Nanomedicine....................................................................................................8
1.3 Diagnostics/Imaging with Nanomaterials......................................................... 9
1.4 Nanopharmaceuticals...................................................................................... 12
1.5 Nanoparticle-Based Drug Delivery................................................................. 15
1.6 Tissue Engineering with Nanomaterials.......................................................... 18
1.7 Toxicology of Nanoparticles Used for Medical Purposes............................... 18
1.8 Conclusion....................................................................................................... 19
References.................................................................................................................20
1.1 INTRODUCTION
Nanotechnology is a means to develop and use chemical substances, materials, devices,
structures, and systems that have novel properties and functions due to their small size.
Nanoparticles have at least one dimension on the nanoscale (1–100 nanometers, nm)
and exhibit novel properties compared to the non-nanoscale form of a material of
the same composition. The dimension of 1–100 nm may be considered an interme-
diate state between atomic or molecular/bulk state, where materials exhibit some
unexpected and unusual new properties that cannot be defined by classical laws of
physics. Unique physical properties (e.g., magnetic, optical, mechanical, and electri-
cal) and quantum mechanics (e.g., electron configuration and confinement) can vary
continuously or abruptly with changes in the size of some materials produced at the
nanoscale. Nanomaterials are used because they have desirable properties, includ-
ing enhanced pharmacokinetic and targeting properties, optical properties, catalytic
properties, porosity properties, electromagnetic properties, mechanical properties,
and material and structural surface properties (e.g., stiffness; elasticity; strength;
weight reduction; increased stability; or improved functionality, such as “easy to
clean,” “antifog,” “anti-fingerprint,” or “scratch resistance”). The unique physico-
chemical properties of nanomaterials are being exploited for use in several fields of
research, including science and medicine.
There was a significant increase in the popularity of nanotechnology and the devel-
opment of diverse nanomaterials in the 1990s and the 2000s, with the incorporation
3
4 Biomedical Application of Nanoparticles
specifications using designed protein molecules. Drexler took these concepts and
expanded their potential in a book titled Engines of Creation: The Coming Era of
Nanotechnology (Drexler 1986). While nanotechnology came into existence through
Feynman’s and then Drexler’s visions of molecular manufacturing, the field has
evolved to include research in chemistry, materials science, medicine, toxicology,
ecotoxicology, and industrial hygiene. The goal for nanotechnology research is not
to create billions of assemblers that will revolutionize our world, but rather to explore
both the manufacturing and nonmanufacturing aspects of nanotechnology through
a combination of chemistry, materials science, molecular biology, and molecular
engineering.
As with any new technology, identification of potential health risks is a prereq-
uisite for a proper assessment of the usefulness and safety of the new chemicals,
materials, and products that may be developed. Although impressive from a physi-
cochemical viewpoint, the novel properties of nanomaterials raise concerns about
potential adverse effects on biological systems. Beginning in the early 2000s, con-
cerns about the potential human and environmental health effects of nanomaterials
were being expressed by many scientists, regulators, and nongovernmental agencies
because particles and materials in the nanosize range may pose toxicological hazards
due to their enhanced reactivity (e.g., chemical, electrical, magnetic) and potential for
systemic availability and environmental occurrence (Santamaria 2012). Because of
the physicochemical properties of nanomaterials, they may modify cellular uptake,
protein binding, translocation from portal of entry to the target site, and may even
have the potential to cause tissue injury. There has also been an increasing amount
of research to evaluate the toxicokinetics and toxicodynamics of nanomaterials. The
inhalation and dermal routes of exposure have been the primary focus for health
effects research of nanomaterials; however, research on the ingestion of nanomateri-
als from food, or the intravenous exposure from the use of nanomaterials in medical
devices, diagnostics, and therapeutics also increased significantly during the 2000s
(Santamaria 2012). During this time, multidisciplinary research programs were ini-
tiated in the United States by the National Center for Environmental Research of
the U.S. Environmental Protection Agency (USEPA), National Toxicology Program
(NTP), National Institute of Environmental Health (NIEH), and National Institutes
of Health (NIH) to address the impact of nanoparticles on human health and the
environment. There were also multidisciplinary nanotechnology research pro-
grams implemented by groups in Europe, such as the European Commission (EC),
the World Health Organization (WHO), U.K. Royal Society and Royal Academy
of Engineering, Germany’s Federal Institute for Risk Assessment (BfR), and the
Organization for Economic Co-operation and Development (OECD). During the
early 2000s, several groups recommended frameworks or screening strategies for
developing nanomaterials that may be used safely, including the International Life
Sciences Institute (ILSI), the European Centre for Ecotoxicology and Toxicology
of Chemicals (ECETOC), and the collaborative partnership between DuPont
Corporation and the non-governmental organization Environmental Defense. The
intent of these frameworks or screening strategies was to define a systematic pro-
cess for identifying, managing, and reducing potential environmental, health, and
safety risks of engineered nanomaterials from production through manufacture, use,
6 Biomedical Application of Nanoparticles
disposal, and ultimate fate. The screening strategies are targeted toward companies
and public and private research institutions that are actively working with nanoma-
terials and developing associated products and applications.
Interest in engineered nanoparticles and their potential uses in medicine has
increased significantly over the past several decades. Developments in the field of
nanotechnology and nanomedicine have been driven by the development of instru-
mentation and the availability of tools that allow scientists to see things that they
were not able to see in the past. In 1931, the transmission electron microscope (TEM)
was developed by Max Knoll and Ernst Ruska. It allowed for significantly better
resolution than the light microscope. Insight into the atomic range, however, first
became possible with the field electron microscope developed by Erwin Müller in
1936 and its further development to the field ion microscope (FIM) in 1951, which
allowed physicists to see individual atoms and their arrangement on a surface. The
scanning tunneling microscope (STM) was invented by Gerd Binnig and Heinrich
Rohrer in 1981 and, with this technology, individual atoms could be clearly identi-
fied for the first time, a breakthrough essential to the development of the field of nan-
otechnology because what had previously been concepts now could be viewed and
tested (Fanfair et al. 2007). Some of the limitations in STM were eliminated through
the development of the Atomic Force Microscope (AFM) in 1986, a microscope
that could image non-conducting materials such as organic molecules and could be
used to study biological macromolecules and living organisms. AFM was integral
to the study of carbon fullerenes (also known as buckyballs), which fall within the
angstrom (Å) range (10 Å = 1 nm) and were first identified and produced in Richard
Smalley’s laboratory at Rice University in Texas in 1985 (Kroto et al. 1985). The
fullerene was named after Richard Buckminster Fuller because of its resemblance
to the late architect’s geodesic domes. The structure is approximately 1 nm in diam-
eter and consists of a 60 carbon atom cage that forms the shape of a soccer ball.
Research with fullerenes marked the beginning of the current era of nanoscale sci-
ence and technology and its unprecedented impacts across broad sectors of society
(Santamaria 2012). The idea that one could actually in some sense “touch” atoms and
molecules also came about in the 1980s, when scientists attempted to further study
Drexler’s proposed theory regarding the ability to manipulate atoms and molecules.
Using the various methods of scanning probe microscopy, it became possible not
only to demonstrate nanoscale structures precisely, but also to position and manipu-
late them in a controlled way (Krukemeyer et al. 2015).
In 2001, the National Nanotechnology Initiative (NNI) was approved in the
United States. The program had the following goal:
dosage form, and stable dosage forms of drugs that could not previously be formu-
lated conventionally.
The research, development, and production of nanomaterials are greatly outpac-
ing the speed by which toxicological information is being acquired on engineered
nanomaterials. An understanding of the mammalian and ecotoxicological profiles
of nanomaterials will be necessary to ensure that nanomaterials are safe for use and
to establish appropriate safety procedures for handling nanomaterials that may pose
potential health hazards if there is sufficient exposure in the workplace, environment,
or to consumers. For newly developed nanomaterials, it may be necessary to con-
duct a broad range of in vitro and in vivo studies to evaluate potential toxicological
effects following oral, dermal, or inhalation exposure. The lessons we have learned
from the chemical and biotechnology industries pave the way for the successful and
safe incorporation of materials developed from technologies such as nanotechnology
into products that can improve the quality of life. It is important that nanomaterials
are developed responsibly with optimization of benefits, minimization of risks, and
international cooperation to identify and resolve gaps in knowledge.
1.2 NANOMEDICINE
Nanobiotechnology and nanomedicine are concerned with molecular intra- and
intercellular processes and are concentrated on research into the possibilities of con-
trolling and manipulating cell processes, for example, by targeted transport of active
substances (Krukemeyer et al. 2015).
Examples of applications of nanotechnology in biomedical sciences include drug
delivery, nutraceuticals, production of biocompatible materials such as bone or tis-
sue substitutes, implants, biosensors, tissue engineering, various diagnostic materi-
als, and cosmetics (e.g., anti-aging formulations). Multifunctional nanoparticles for
medical applications have been devised with (1) stealth-like features to evade the
immune system and prevent opsonization; (2) protective layers to prevent the deg-
radation of biologic cargo (e.g., proteins, DNA); (3) targeting moieties to improve
specificity and tumor accumulation; (4) membrane-permeation moieties to improve
cell uptake; (5) imaging agents to assess delivery and dosing; (6) endosome escape
mechanisms, target-dependent assembly or disassembly to control drug release;
(7) microenvironment sensors (pH, proteases, phospholipases) to trigger drug release
and cell uptake; and (8) intracellular targeting moieties to direct drugs to specific
intracellular compartments (Krukemeyer et al. 2015). There are several types of
nanomedical applications of nanoparticles, including imaging and diagnostics,
genetic screening, tests for viral or bacterial infection and the first signs of diseases
before symptoms are manifested, the development of medicines and vaccines, drug
delivery, treatments for diseases such as diabetes, cancer, heart disease, neurological
diseases such as Alzheimer’s and Parkinson’s, organ implants, and targeted thera-
pies. Nanoparticles and nanodevices under investigation for diagnostic or medicinal
purposes are quantum dots, nanoshells, nanospheres, gold nanoparticles, paramag-
netic nanoparticles, and carbon nanotubes. For pharmaceutical purposes, nanopar-
ticles have been defined as solid colloidal particles ranging in size from 10 nm to
400 nm and consisting of macromolecular materials in which the active agent (drug
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[112]
[113]
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Mem. Acc. Lincei Roma (4), iv. 1888, p. 543, etc., and other
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Some writers are of opinion that there are only two thoracic
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[137]
[138]
[139]
It may be worth while to repeat that "joint" means a piece, and is
the equivalent of "link" in a chain.
[140]
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Riley, Insect Life, iii. 1891, p. 443, and iv. 1891, p. 119.
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The "black beetle," Stilopyga orientalis, belongs to this tribe, as
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The name of the species is not given (Tr. N. Z. Inst. xvi. 1883, p.
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SB. Ak. Wien, xci. 1885, p. 361. The nomenclature applied to the
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[203]
[204]
In his recent Insectes fossiles des temps primaires, pp. 373 and
396, M. Brongniart has himself removed this Insect to
Protodonates. We shall again mention it when discussing that
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[205]
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[209]
This character is evidently erroneous as regards the males of the
genus Phyllium.—D. S.
[210]
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Denk. Ak. Wien, xxxvi. 1875; Arch. mikr. Anat. xx. and xxi., 1882.
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Bull. Soc. ent. France (6), x. 1890, p. xxxvii., and CR. Ac. Paris,
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See Redtenbacher, Über Wanderheuschrecken, in Jahresber.
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The small space above lm left free from dots is, we presume, due
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Bonnet and Finot, Rev. Sci. Nat. (3) iv. p. 345. The word we have
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[253]
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P. Boston Soc. xix. 1878, p. 267; and xx. 1881, p. 121.
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