Drug delivery can affect drug pharmacokinetics, absorption, distribution, metabolism, duration of therapeutic effect, excretion, and toxicity. Nanoparticles (NPs) are thought to have potential for novel drug delivery and release purposes.
Critical considerations for a successful nano based drug delivery system include its ability:
- To target specific tissues and cell types
- Endocytosis (uptake into the cells)
- Targeting agent (address tags)
- To escape from the biological particulate filter
- Mononuclear Phagocyte System (clearance of unwanted particulate material)
- Clearance avoidance
- Main NP research question—how is particulate material recognized and cleared?
In this article, we will cover the above four highlighted areas.
Figure 1. Endocytosis (Credit: Mariana Ruiz Villarreal LadyofHats - Own work) |
Biological Particulate Filter
Cells of Mononuclear Phagocytic System (MPS) are cells responsible for the clearance of particulate matter such as bacteria, fungi, viruses, and dying cells from the circulation.
NP association with the host highly evolved MPS is a function of particle opsonization upon contact with blood and rapid recognition of these opsonins via the MPS.[113,115] This is particularly observed in structurally distinct fenestrated vasculature via liver Kupffer cells and splenic macrophages.[127,128]
As soon as nanoparticles enter to the bloodstream, they are prone to aggregation and protein opsonization (protein binding to nanoparticle surface as a tag for immune system recognition). The opsonized nanoparticles could be cleared from the bloodstream by phagocytosis or filtration in the liver, spleen, and kidney. This rapid and non-specific clearance by the immune system results in decreased retention time and thus limits bioavailability.
To design improved NPs for drug delivery, we need to consider how to escape from such biological particulate filter and the like, which include:
- Scavenger endothelial cells
- Cells responsible for the avid clearance of macromolecules and nanoparticles from the blood circulation
- Liver sinusoidal endothelial cells (LSECs)
- Cells largely responsible for removing viruses and small immune complexes from blood
- Are only pinocytic (vs phagocytotic)
- Kupffer cells (KCs—localized in liver)
- Represent the largest population of mononuclear phagocytes in the body.
- Should virions be aggregated, by whatever means, they may be too large for pinocytic uptake and would then qualify for phagocytic uptake by KC but not LSEC (see Fig. 1).
- Spleen
- Spleen is the 2nd largest unit of the mononuclear phagocyte system
- The spleen is a center of activity of the mononuclear phagocyte system and is analogous to a large lymph node
- Cells lining the lymph sinuses
Clearance Avoidance Design
Nanoparticle delivery vehicles designed to either avoid or specifically harness this host recognition system (i.e., MPS) could improve payload delivery, reduce inflammatory effects and improve drug efficacy.
The particle size and surface properties of NPs can be manipulated to avoid rapid clearance by phagocytic cells, allowing both passive and active drug targeting.
Design considerations of clearance avoidance include:
Drugs with very low solubility possess various biopharmaceutical delivery issues including:
- Surface modification
- By decorating the nanoparticle surface with polyethylene glycol (PEG), carbohydrates, acetyl groups, or protein moieties (arginine-glycine-aspartate (RGD) peptide, albumin), retention time can be altered [6].
- However, such surface modification can also alter the recognition ability for targeted delivery. Thus, the cleanability and biodistribution of therapeutic nanoparticles should be well concerned during the design process.
- Size consideration
- Size is one important factor playing role in controlling circulation and biodistribution of therapeutic nanoparticles.
- Nanoparticles smaller than 10 nm, can be easily cleared by physiological systems (filtration through the kidney), while particles larger than 200 nm may be cleared by phagocytic cells in the MPS.
- Accordingly, therapeutic nanoparticles with a size of <100 nm have longer circulation time in the bloodstream.[134]
- For example, many studies reported that therapeutic nanoparticles in 20–200 nm size showed a higher accumulation rate in tumors because they cannot be recognized by the MPS and filtrated by the kidney.[135-137]
Advantages of Nanoparticle Applications
Drugs with very low solubility possess various biopharmaceutical delivery issues including:
- Limited bio accessibility after intake through mouth
- Less diffusion capacity into the outer membrane
- Require more quantity for intravenous intake
- Unwanted after-effects preceding traditional formulated vaccination process.
However all these limitations could be overcome by the application of nanotechnology approaches in the drug delivery mechanism.
The shape and size of nanoparticles affects how cell in the body “see” them and thus dictate their distribution, toxicity, and targeting ability.
Most importantly, nanoparticles can cross the BBB providing sustained delivery of medication for diseases that were previously difficult to treat.[133]
Drug designing at the nanoscale has been studied extensively and is by far, the most advanced technology in the area of NP applications because of:
- Potential for administration through various routes, including oral, pulmonary, nasal, parenteral, intraocular etc.
- The possibility to modify their properties like solubility, drug release profiles, diffusivity, bioavailability and immunogenicity by incorporating nanoparticles
- Adjustments in nanostructures size, shape, hydrophobicity, and surface changes can further enhance the bioactivity of these nanomaterials.
- Nanostructures stay in the blood circulatory system for a prolonged period and enable the release of amalgamated drugs as per the specified dose. Thus, they cause fewer plasma fluctuations with reduced adverse effects.
- Being nanosized, these structures penetrate in the tissue system, facilitate easy uptake of the drug by cells, permit an efficient drug delivery, and ensure action at the targeted location.
- The uptake of nanostructures by cells is much higher than that of large particles with size ranging between 1 and 10 µm.
- Hence, they directly interact to treat the diseased cells with improved efficiency and reduced or negligible side effects.
- NPs reportedly aid in preventing drugs from being tarnished in the gastrointestinal region and help the delivery of sparingly water-soluble drugs to their target location.
- Nanodrugs show higher oral bioavailability because they exhibit typical uptake mechanisms of absorptive endocytosis.
- For instance, thymoquinone, a bioactive compound in Nigella sativa, is studied after its encapsulation in lipid nanocarrier. After encapsulation, it showed sixfold increase in bioavailability in comparison to free thymoquinone and thus protects the gastrointestinal stuffs.
- Ability to reach the smallest capillary vessels, due to their tiny volume, and to penetrate the tissues either through the paracellular or the transcellular pathways.
Figure 2. Elements of nanotechnology, which are utilized in therapeutic applications (source: [134]) |
Research Areas of Nanotechnologies in Drug Delivery
Polymeric nanoparticles can be categorized into nanospheres and nanocapsules both of which are excellent drug delivery systems. Likewise, compact lipid nanostructures and phospholipids including liposomes and micelles (first generation nanoparticle-based lipid systems) are very useful in targeted drug delivery.
The primary goals for research of nanotechnologies in drug delivery include:
- More specific drug targeting and delivery
- Reduction in toxicity while maintaining therapeutic effects
- Greater safety and biocompatibility
- Faster development of new safe medicines
Drug Loading
Choice of an ideal nano-drug delivery system is decided primarily based on the biophysical and biochemical properties of the targeted drugs being selected for the treatment.
There are two ways through which nanostructures deliver drugs:[126]
- Passive
- Drugs are incorporated in the inner cavity of the structure mainly via the hydrophobic effect
- When the nanostructure materials are targeted to a particular sites, the intended amount of the drug is released because of the low content of the drugs which is encapsulated in a hydrophobic environment.
- Self-delivery
- Drugs intended for release are directly conjugated to the carrier nanostructure material for easy delivery.
- In this approach, the timing of release is crucial as the drug will not reach the target site and it dissociates from the carrier very quickly, and conversely, its bioactivity and efficacy will be decreased if it is released from its nanocarrier system at the right time.
Nanostructures could be utilized as delivery agents by encapsulating drugs or attaching therapeutic drugs and deliver them to target tissues more precisely with a controlled release.[129,130]
The main benefits of these nanoparticles are associated with their surface properties; as various proteins can be affixed to the surface.Moreover, adjustments in nanostructures size, shape, hydrophobicity, and surface changes can further enhance the bioactivity of these nanomaterials.
Figure 4. Drug release from polymeric gels. (A) Encapsulated drug released concomitant with gel degradation. (B) Release by linker cleavage of covalently tethered drug, followed by gel degradation. |
Controlled Drug Release
Controlled and sustained drug release at the target site, improving the therapeutic efficacy and reducing side effects.
Nanostructures can stay in the blood circulatory system for a prolonged period and enable the release of drugs as per the specified dose. Moreover, pH-, thermo-, ultrasound-, or light-sensitive nanomaterials allow for controlled NP dissociation and triggered drug release. The combination of these approaches can further improve specificity and efficacy of NP-based drug delivery and brings the development of a ‘smart’ or ‘intelligent’ nanosized drug deliver system a major step forward.
How the hydrogel releases the drug is often essential to achieve desirable therapeutic outcomes, and the required duration of drug availability (short term versus long term) and its release profile (continuous versus pulsatile) depend on the specific application.[6]
With consistent efforts, researchers have strived to engineer nanosized hydrogels by modifying their physical and chemical properties, referring to them as ‘smart’ or ‘intelligent’ hydrogels since they respond to external stimuli like temperature (Fig. 3), pH, light, magnetic and electric fields, ionic strength, or enzymatic environment.
Some NP-based drug deliver system with tunable drug release designs will be discussed in the below subsections.
Ultrasound
Drug-Releasing Linkers
Most biodegradable drug-delivery implants encapsulate a drug within gels of limiting pore size that retards diffusion, and release the drug concomitant with hydrolytic degradation—often of ester bonds—of the polymer (Fig. 4A).[131,132]
In contrast, for a Tetra-PEG gels using drug-releasing linkers, they required a porous gel that readily allows diffusion, is substantially stable over the duration of drug release, and degrades subsequent to release of the drug (Fig. 4B).[21]
Smart Targeting of Nanoparticles
One of the more prevalent targeting ligands conjugated to nanoparticles are small molecules. The major advantages of using a small molecule as targeting ligand is its stability, ease of conjugation with nanoparticles, and the potential low cost, assuming it can be chemically synthesized with high yield.
Existence of a multitude of preparation methods of polymeric nanoparticles can control the release characteristics of incorporated therapeutic agents, which allows the delivery of a higher concentration of agents to the target location.Moreover, the surface of polymeric nanoparticles could be easily modified and functionalized with a specific recognition ligand which increases the specificity of therapeutic agents in targeted tissue.
In a review article,[140] it illustrates methods of ligand-nanoparticle functionalization, provides a cross-section of various ligand classes, including small molecules, peptides, antibodies, engineered proteins, or nucleic acid aptamers, and discusses some unconventional approaches currently under investigation.
In this article, we will use oligonucleotides for illustration.
Oligonucleotides—Good ligands for NP Functionalization
Oligonucleotides are short DNA or RNA molecules, oligomers. The various types of oligonucleotides do not only play essential roles within living organisms but also have found widespread applications in different research areas ranging from antisense therapy and siRNA delivery to hierarchical self-assembly for the creation of new materials.[139] Their inherent properties of accurate addressability and programmability, high target specificity, as well as ease of synthesis and functionalization have made oligonucleotides attractive ligands for NP functionalization.[138]
Chemically modified oligonucleotides, such as locked nucleic acids (LNA) or peptide nucleic acids (PNA), have been developed to increase target binding affinity through increased base-stacking and to be enriched with high stability toward nuclease digestion, respectively.
Taking into account the versatility of oligonucleotides, it is unsurprising, that oligonucleotides as ligands to coat NPs play an important role in the function of nanoparticulate systems.
Over the last two decades DNA-coated NPs have become increasingly important for applications in nanomedicine. The DNA ligand shell stabilizes the NP core both through sterical and electrostatic interactions resulting in NPs that are highly stable in a variety of complex media. Different conjugation strategies based on direct oligonucleotide chemisorption, physisorption, or involving coupling chemistry have been developed.
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