Targeted medicine is better described as ‘retentive’ or
possibly ‘adhesive’ medicine. Any molecule which enters the human blood-stream
is rapidly circulated throughout all parts of the entire body. Conventional
medicines have a very limited and specific mechanism of action, which is why their
effects are only experienced in the disease-state locations. That being said, exceeding
the dosage on conventional drugs can cause toxic effects and the most common
example of this is acetaminophen, a headache medicine, which in excessive doses
can cause toxicity in the liver. Amongst medicinal therapies, chemotherapy is
unique in that it is comprised of compounds known to either kill, or prevent
the replication of, human cells and it is dosed at a concentration known to be
toxic. The ‘theory of action’ is that, since the cancer is growing faster than
all other tissues, it will be more affected than other tissues. Unfortunately,
all cells are affected, which is why chemotherapy patients lose their hair and
have several other side-effects. Although medicine in the blood-stream will
flow to all parts of the human body, use of nanoparticles or other delivery
systems which have a specific binding ligand will encourage the nanoparticles
to be retained at the site of specific cells through ligand binding mechanisms
(e.g. the nanoparticles flow everywhere, but they ‘stick’ to the cancer by
ligand binding) Recently, researchers from Johns Hopkins University and AsclepiX
Therapeutics used AI111 (PLGA-PEG-NHS) and AK037 (mPEG-PLGA) from PolySciTech (www.polyscitech.com) to create
peptide-decorated nanoparticles for adhesion to triple-negative breast cancer.
This research holds promise for improved treatments for this drug-resistant and
highly invasive form of cancer. Read more: Bressler, Eric M., Jayoung Kim, Ron
B. Shmueli, Adam C. Mirando, Hojjat Bazzazi, Esak Lee, Aleksander S. Popel,
Niranjan B. Pandey, and Jordan J. Green. "Biomimetic peptide display from
a polymeric nanoparticle surface for targeting and antitumor activity to human
triple‐negative breast cancer cells." Journal of Biomedical Materials
Research Part A (2018). http://onlinelibrary.wiley.com/doi/10.1002/jbm.a.36360/full
“Abstract: While poly(lactic-co-glycolic
acid)-block-polyethylene glycol (PLGA-PEG) nanoparticles (NPs) can encapsulate
drug cargos and prolong circulation times, they show non-specific accumulation
in off-target tissues. Targeted delivery of drugs to tumor tissue and tumor
vasculature is a promising approach for treating solid tumors while enhancing
specificity and reducing systemic toxicity. AXT050, a collagen-IV derived
peptide with both antitumor and antiangiogenic properties, is shown to bind to
tumor-associated integrins with high affinity, which leads to targeted
accumulation in tumor tissue. AXT050 conjugated to PLGA-PEG NPs at precisely
controlled surface density functions both as a targeting agent to human tumor
cells and demonstrates potential for simultaneous antitumorigenic and
antiangiogenic activity. These targeted NPs cause inhibition of adhesion and
proliferation in vitro when added to human triple-negative breast cancer cells
and microvascular endothelial cells through binding to integrin αVβ3.
Furthermore, we find an in vivo biphasic relationship between tumor targeting
and surface coating density of NPs coated with AXT050. NPs with an intermediate
level of 10% peptide surface coating show approximately two-fold greater
accumulation in tumors and lower accumulation in the liver compared to
non-targeted PLGA-PEG NPs in a murine biodistribution model. Display of
biomimetic peptides from NP surfaces to both target and inhibit cancer cells
has the potential to enhance the activity of cancer nanomedicines.”
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