Only a tiny fraction of an injected drug now reaches
its intended target. Too much medication can injure
a patient—too little, and there are no therapeutic
effects. The multi-stage approach to nano drug
delivery will increase efficacy and reduce toxicity
of therapeutic compounds. We hope to reduce systemic
exposure which will allow current drugs to be more
effective. Furthermore, newer drugs may have a
better chance of coming to market because of reduced
toxicity profiles.
This is kind of like overcoming barriers. You need
to cross all ten barriers to get to the diseased
cells. It’s not enough to cross nine. Thus, the idea
for the multiple stages that is similar to the
concept of a Russian matryoshka doll
or a Russian nested doll.
A new multi-stage drug delivery system will deliver
therapeutic and/or monitoring agents directly at the
site of a tumor or other targeted cells. The
multi-stage system is comprised of a biodegradable
nanocarrier made of silicon that is fully
biocompatible and thus does not injure the body.
This first-stage cargo can be loaded with even
smaller nanoparticles (up to 20 nanometers) that can
in turn contain medications or contrast agents.
The first stage goes to the initial site of
administration, next to the inner wall of a blood
vessel near the diseased cells. As the TSDV shell
degrades, it releases the second stage – tiny
nanoparticles that penetrate the walls of the inner
blood vessels and enter the diseased cells. The
third stage is then released and it consists of
either the medication to kill the tumor cells or the
contrasting agents to get quality medical images of
it, or both.
The TSDV are engineered to seek out specific cancer
cells, which differ from normal cells. This is
accomplished by coating the TSDV with targeting
molecules that can recognize and latch onto the
outer surface of the cancer cells. Targeting
molecules include antibodies, peptides,
oligonucleotides and aptamers.
The TSDV have pores that expand as the TSDV shell
degrades and allow the nanoparticles inside to
proceed to the next stage. The nanoparticles then
travel through the tiny holes in disease-associated
blood vessels and into the targeted cells, where the
therapeutic or monitoring agents are released.
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