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ISSN:1369 7021 © Elsevier Ltd 2009 VOLUME 12 – ELECTRON MICROSCOPY SPECIAL ISSUE24
Nanotechnology tools inpharmaceutical R&D
Global pharmaceutical industry is at cross roads. On one hand
the big pharmaceutical companies are enjoying enormous profits.
The combined annual net income for the top 10 pharmaceutical
companies (ranked by market capitalization) is currently around
$73 billion. The average price of a new drug has been rising much
faster than the rate of inflation. The drug companies continue to
charge high retail prices for new drugs that are only incrementally
different from older drugs whose prices have fallen. On the other
hand, there are increasing costs of R&D spending as the companies
are faced with the expiration of the patent protection on their
main profit generators. Even though there is a growing knowledge
of how diseases work at the genetic and molecular levels opening
up new drug targets, there have been relatively few new products
or new molecular entities (NME) in the pipeline as the strategy is
to continue to follow the ‘blockbuster drug’ model; which is like
searching for a needle in a haystack (Fig. 1).
The ‘blockbuster drug’ model in itself is questionable as standard drug
treatments for a number of therapeutic areas provide a therapeutic
benefit only to a limited percentage of patients who receive it
Nanotechnology is a new approach to problem solving and can be
considered as a collection of tools and ideas which can be applied
in pharmaceutical industry. Application of nanotechnology tools inpharmaceutical R&D is likely to result in moving the industry from
‘blockbuster drug’ model to ‘personalized medicine’. There are
compelling applications in pharmaceutical industry where inexpensive
nanotechnology tools can be utilized. The review explores the possibility
of categorizing various nanotechnology approaches to meet the
requirements in pharmaceutical R&D.
Challa S.S.R. Kumar1, 2
1 Center for Advanced Microstructures and Devices, Louisiana State University, 6980 Jefferson Hwy, Baton Rouge, LA 708062Magnano Technologies, 12538 Frankfurt Ave, Baton Rouge, LA 70816.
Email: [email protected] ; [email protected]
Fig. 1 NME approvals and drug companies’ spending on research and development (a congressional budget office study on R&D in the pharmaceutical industry, 2006).
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(Fig. 2)1,2. The irony is that medical diagnostics account for just 1%of healthcare spending, yet it is the basis for 60% of all healthcare
decision-making. Let us look at the cancer pharmaceutical industry
more closely as within the next decade cancer is likely to replace heart
disease as the leading cause of U.S. deaths; according to forecasts
by the National Cancer Institute (NCI) and the Centers for Disease
Control and Prevention. Having approximately published more than
1.5 million scientific publications on cancer and cancer drugs, carried
out more than 150 000 studies on mice, with an annual R&D funding
of $15 billion and an annual cost of treatment around $65 billion, we
are nowhere near to developing drugs that completely cure cance r3.
It is quite evident that the pharmaceutical industry has become less
innovative. Therefore, new approaches are required not only to changethe pace but also the direction of innovation.
The emergence of nanoscience and nanotechnology, which is
creation and utilization of materials and tools at the nanometer scale,
has been a great influence on a number of industries and particularly
the pharmaceutical industry. Just as recombinant technology and
biotechnology changed the landscape of pharmaceutical industry,
nanotechnology is poised to lift the pharmaceutical industry that is at
cross roads today, to new levels. However, unlike the biotechnology
industry which influenced primarily the pharmaceutical industry,
nanotechnology has broader applications and therefore, the
nanotechnology tools and materials developed for other industries
also have potential opportunities in the pharmaceutical industry as
well. In addition, there is a prevalent notion that nanotechnology
tools are exotic, too futuristic, disruptive and not suitable for quick
commercialization of products. This notion is far from truth as
nanotechnology tools are being shown to add value to existing
products for existing markets as well as opening opportunities in new
markets. This is true not only for the pharmaceutical industry but
also for other industries. However, what is clearly lacking is a model
for sorting out the plethora of nanotechnology tools that exists and
strategically correlating with potential opportunities into differentsegments of pharmaceutical R&D4-6. In addition, there is going to be
a paradigm shift in the pharmaceutical industry towards personalized
medicine as a new standard of care integrating therapeutics with
diagnostics. It is, therefore, important to develop a more scientific
approach for strategic implementation of nanotechnology tools in
the pharmaceutical industry. The goal of this article is to explore a
model for strategic decision making, termed as Innovation Box for
Implementation of Nanotech Tools (IBINT©) and its utility specifically
tailored for the pharmaceutical industry. This approach, as explained
below, is likely to be more versatile, valuable and practical than
traditional/current classification of nanotechnology in medicine (or
nanobiotechnology) into segments such as drug discovery, diagnosticsand drug delivery7. The new approach proposed here relies on taking
into consideration all the nanotechnology tools, from the more
expensive to the less expensive, and sorting them based on their
utility into three major categories of pharmaceutical R&D- Process
development, product development and personalized medicine (Fig. 3).
The concept of IBINT© is pictorially represented in Fig. 4. The basic
premise of IBINT© rests in its broad applicability of nanotechnology
tools influencing three major parts of pharmaceutical R&D-Process
development, product development and personalized medicine. These
three parts have different value propositions which in turn vary
depending on the types of targeted markets. While the traditional/
existing model limits the utility of nanotechnology tools to highly
complex, costly, risky and time consuming segments of pharmaceutical
R&D, IBINT© provides a scaffold for strategic development of
application of nanotechnology tools both in high cost as well as low
cost segments. A number of examples of nanotechnology tools can be
classified using IBINT© and are described briefly below. However, one
needs to keep in mind that the application of IBINT© becomes more
valuable when it is used for strategic decision making keeping in view
specific needs of individual pharmaceutical companies.
Fig. 2 The limitations of standard drug treatment as seen from the responserates of patients from selected group of therapeutic areas (Source: TRENDS inMolecular Medicine, 2001).
Fig. 3 Development of a model for application of nanotechnology tools in pharmaceutical industry.
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REVIEW Nanotechnology tools in pharmaceutical R&D
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Nanotechnology tools for
process developmentThere are already several nanotechnology tools available that can be
utilized in process development. The term process development refers
to both synthesis of drugs, drug intermediates and to development
of analytical tools for diagnostics. One of the most important
tools is miniaturization and automation in organic synthesis and
biological screening on a nanoscale. Two examples of such tools are
the NanoSynTestTM-system8 and the X-cubeTM system9. The central
feature of these systems is the ability to manipulate reactions in
nano-size titer plates with a density of about 100 wells/cm2 and the
capability to handle nano liter volumes. While the NanoSynTestTM
offers several modules for simultaneous drug synthesis and ultra
high throughput screening, the X-cubeTM allows organic reactionsto be performed in a flow manner at high temperatures and
pressures. Such tools in automation and miniaturization coupled with
nanotechnological approaches are expected to lead to efficient cost
reductions in process development of existing as well as new products.
In addition to the miniaturization of synthetic methods,
nanomaterials are being developed as efficient catalysts and supports
for solid-phase organic synthesis. Magnetic nanoparticle-supported
chiral Ru complexes are known to catalyze heterogeneous asymmetric
hydrogenation of aromatic ketones with remarkably high activity
and enantioselectivity10. Magnesium oxide nanoparticles are utilized
for residue-free catalytic process for production of Nabumetone, an
anti-inflammatory agent, in high yield and high selectivity11. Recently,
functionalized cobalt core carbon shell nanoparticles with excellent
magnetic properties and high stability in air and at temperatures up to
190°C have been reported12. Such nanobeads with high capacity for
ligand binding and ability to rapidly remove them from the reaction
mixture make them excellent solid supports in organic synthesis and
biotechnological applications.
Additionally, futuristic and more expensive nanotechnology tools
such as nano devices (nanoelectromechanical resonators) that can
weigh individual molecules13 and ultrafast electron imaging tools
for monitoring reactions as they happen14 are going to revolutionizequality control during process development of drug molecules.
An overview of some of these nanotechnology tools for process
development is depicted in Fig. 5.
Nanotechnology tools forproduct developmentSome of the tools described above can also be utilized for product
development. The term product development encompasses drug
discovery as well as development of diagnostic tools. One of the most
obvious and important nanotechnology tools for product development
is the opportunity to convert existing drugs having poor water
solubility and dissolution rate into readily water soluble dispersionsby converting them into nano-size drugs15,16. Simply by reducing the
particle size of drugs to the nanometer range, the exposed surface area
of the drug is increased and hence its ability to be absorbed. Once the
drug is in nano form, it can be converted into different dosage forms
such as oral, inhalation, nasal and injectable. Key implication of this
approach is the possibility of life cycle extension for existing drugs, for
existing markets. There are a number of well known drugs that have
already been commercialized using this approach for existing markets.
For example, immunosuppressant drug Rapamune® (sirolimus),
Emend® (aprepitant, MK 869), a substance P antagonist (SPA) for
prevention of acute and delayed chemotherapy-induced nausea and
vomiting (CINV) and for prevention of postoperative nausea and
vomiting, have nano-size drugs made by Elan Corporation using
nanocrystal™ technology17. Using micro emulsions as templates for
solid nanoparticles, NanoMed Pharmaceuticals is currently developing
a number of nano-size drugs using its patented Nanotemplate
Engineering™ technology. The insoluble drug delivery (IDD®)
technology platform from SkyePharma is utilized in several drugs
currently on the market such as SOLARAZE® for skin cancer and anti-
depressant PAXIL CR™. Finally, RBC Life Sciences® is developing a new
Fig. 4 An approach for strategic implementation of nanotechnology tools in the pharmaceutical industry. Fig. 5 Some of the nanotechnology tools for process development.
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line of nutritional and skincare supplements called NanoCeuticals™
with nanoscale ingredients. This allows RBC to create products which,
when consumed, reduce the surface tension of foods and supplements
to increase the wetness and absorption of nutrients.
As emphasis in drug development is towards controlled delivery
and release, nanotechnology offers a number of tools in order to
transform current drugs with these capabilities15,18-20. Nanotechnology
tools for developing drug delivery systems and devices are valued at
around $300 billion capturing significant applications in the health
care market. As controlled release and delivery technologies are
patentable, old ‘blockbuster drugs’ can have continued protection at a
relatively low cost. This is immensely attractive for the pharmaceutical
industry in order to ward off the generics industry away from their
hard earned profits. Additionally, drugs with these new capabilities
will likely find applications in new markets. Simplest in this category
are polymer encapsulated drugs such as MutliSal™, DermaSal™ and
MatrixSal™ from the company Salvona. Such polymer encapsulateddrugs can be fine tuned to deliver the drugs using a number of
stimuli such as pH, temperature, and water. In addition to simple
polymer encapsulation, more sophisticated nanotechnology tools,
such as nano core-shell designs, are also being developed in order
to further fine tune delivery and release. For example, in a recent
work Sengupta et al.21 demonstrated a novel approach for treating
angiogenesis using a core-shell architecture wherein the polymer core
has cytotoxic agent with the encapsulation of the anti-angiogenesis
agent in the surrounding phospholipid block-copolymer22 (Fig. 6). Such
a design enables temporal targeting of the tumor vasculature, resulting
in the intra-tumoural trapping of the nanoparticles. This resulted in
slow release and focal build-up of the cytotoxic agent within thetumor thereby prolonging exposure and an increase in the apoptotic
potential, which can overcome hypoxia-induced reactive resistance.
Yet another interesting example is gene delivery using multi-segment
Au-Ni nanorods23. By attaching selectively plasmids to the nickel
segment and a cell-targeting protein, transferrin, to spatially separated
Au region, the gene delivery system provides precise control of
composition, size and multi-functionality. Such nanotechology tools
have potential applications in genetic vaccination.
As mentioned earlier, medical diagnostics account for just 1%
of the total health care costs, even though at least 60% of all
healthcare decision-making is based on diagnosis. Limitations in
existing medical detection technologies – complexity, cost and time
consuming - have led to the development of several nanotechnology
tools for ultra-sensitive and fast diagnosis of disease conditions
and biomarkers20. Such nanotechnology diagnostic tools are driving
the product development not only in drug discovery process but
also in sensitive and timely disease detection. The majority of the
commercialized nanotechnology diagnostic tools involve either
quantum dots or gold nanoparticles. For example, biological barcode
assay utilizing gold nanoparticles has become a powerful analytical
tool for detection of both protein and nucleic acids in zepto molar
concentrations, much higher than those possible using the PCR or
ELISA techniques24. The company, Nanosphere, is using these tools to
develop rapid, multiplex clinical tests for some of the most common
inherited genetic disorders, including certain types of thrombophilia,alterations of folate metabolism, and cystic fibrosis25. Similarly,
hitherto undetectable pathogenic Alzheimer’s disease markers in
cerebral spinal fluid are being detected using these tools26. Quantum
dot-based nanotechnology tools have been instrumental in visualizing
not only cells but also specific components in the cell such as
proteins and to follow the growth of an organism through live cell
imaging7. They are also utilized for multiplexed and quantitative
immunohistochemistry for evaluating biomarkers on intact cells
and tissue specimens27. The companies, Invitrogen and Evident
technologies, offer a wide range of quantum dots for a variety of
applications in product development.
High throughput synthesis and screening is yet another importantrequirement in product development and nanotechnology is
offering several effective tools. The aim is to go beyond the current
ultrahigh-throughput screening levels of more than 100 000
assays per day covering not only larger hits but also qualified leads
through simultaneous screening for ADME (adsorption, distribution,
metabolism, and excretion) and toxicity testing. Efforts towards
miniaturization in high throughput parallel and combinatorial synthesis,
as described earlier, coupled with novel technological tools for
screening and bioinformatics for process integration are likely to bring
out a paradigm shift in product development. Some of the exciting
nanotechnology tools for such ultrahigh throughput screening are
described below.
Dip Pen Lithography is one such tool. The challenge of precision
nanoscale deposition of a wide range of molecules onto diverse
surfaces is overcome by Dip Pen Nanolithography® (DPN®), a high
resolution scanning probe-based direct-write technology. It satisfies
and exceeds these fundamental requirements through massive
scalability of the process with two dimensional probe arrays. The
researchers at Northwestern University28 demonstrated massively
parallel nanoscale deposition with a 2D array of 55 000 pens on a
Fig. 6 Polymer core-lipid shell nanoparticles carrying drug for anti-angiogenesiswithin the lipid shell and a chemotherapeutic drug within the polymer core.(Reprinted from22 with permission from Macmillan Publishers Ltd).
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REVIEW Nanotechnology tools in pharmaceutical R&D
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centimeter square probe chip. Fig. 7 shows SEM image of a portion
of an 88 000 000 gold dot array (40 × 40 within each block) on an
oxidized silicon substrate. On the right-hand side is a representative
AFM topographical image of part of a block28. The technique, therefore,
enables direct-writing of flexible patterns with a variety of molecules;
simultaneously generating 55 000 duplicates at the resolution of
single-pen DPN®. To date, there is no other way to accomplish thiskind of patterning at this unprecedented nano-resolution. The 2D
nano PrintArray™ from the company Nanoink is based on the DPN®
technology. Such advances enable ultrahigh throughput screening
for biological interactions at single molecular level. Similarly, the
company Nanostream offers a wide range of nanotechnology-based
tools for high throughput design and conduct of challenging biological
assays, screening compounds for purity and solubility, profiling
of ADME properties, accelerate formulation studies and perform
comparative stability screening29. The company Nanosys’s nanowire-
based microarrays is providing a 100-fold higher binding area without
reducing binding kinetics. While such nanostructured microarrays have
the flexibility of being compatible with today’s microarray platforms,the technology can be used to create, in principle, arrays of any
dimensions. Similarly, the company Bio Trove30 offers microarrays
with over 24 000 nano-liter reactions chambers for PCR amplifications
thereby reducing the reaction volumes at least 200 times smaller than
in current micro plate screening, making PCR an inexpensive option in
ultrahigh throughput screening.
An overview of some of these nanotechnology tools for product
development is depicted in Fig. 8.
Nanotechnology tools forpersonalized medicineScientific advances in genetic engineering, identification of biomarkers,
and mapping of molecular pathways for diseases coupled with explosive
growth of nanotechnology tools are driving the pharmaceutical industry
towards personalized medicine31-33. The pharmaceutical industry today
is already practicing the personalized medicine in a limited way. For
example, selective prescription of antidepressant drugs, anticoagulants
and proton pump inhibitors based on Cytochrome P450 (CYP450) test.
Similarly Herceptin, a breast cancer drug made by Genentech, is only
given to patients that test for unusual gene called HER2, which hasbeen implicated in cancer growth. As more and more drugs are getting
personalized, there is more pressure for pharmaceutical industries to
move from blockbuster business model to tailored therapies. This in
turn is leading to the development of novel nanotechnology tools
for personalized medicine. The model IBINT©, therefore, considers
personalized medicine as an important segment for the strategic
growth of pharmaceutical industry. There is a number of exciting
nanotechnology tools currently finding applications in the development
of personalized therapies16,19 and some of them are given below.
One of the most important nanotechnology tools for personalized
medicine is ultrasensitive molecular imaging. There are several novel
techniques that are currently under development. One such techniqueis HYPER-CEST molecular magnetic resonance imaging (MRI) which
allows for detection of signals from individual molecules within a
cell at about 10 000 times lower concentration than conventional
MRI techniques. The technique uses chemical exchange saturation
transfer (CEST) between the biosensor-encapsulated Xe and the
easily detectable pool of free Xe34. The various components of the
Xe biosensor are cryptophane-A cage, the linker, the targeting moiety
(biotin in this case), and the peptide chain. The 129Xe NMR spectrum of
this construct through chemical exchange with free Xe outside the cage
(resonance d1) enables sensitivity enhancement by depolarizing the
d3 nuclei and detecting at d1. Yet another tool is in situ atomic force
microscopy (AFM) with simultaneous confocal and epifluorescence
microscopes. It has been recently utilized to investigate the interactions
of enzymes and proteins within lipid bilayers35.
Surface-enhanced Raman spectroscopy (SERS) using nanoparticle
tags for detection and identification of biomarkers is gaining a lot
of prominence. Recently, PEGylated gold nanoparticles coupled with
targeting agents and small-molecule Raman reporters such as organic
dyes were found to be >200 times brighter than near infrared-emitting
quantum dots, and allowed spectroscopy imaging of tumors as small as
Fig. 7 SEM image of gold dot arrays on a silicon substrate. (Reprinted from 28 with permission from Macmillan Publishers Ltd)
Fig. 8 Some of the nanotechnology tools for product development.
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300 μm3 at a penetration depth of 1-2 cm36. Fig. 9 shows in-vivo SERS
spectra obtained from PEGgylated gold nanoparticles injected into
subcutaneous and deep muscular sites in a nude mouse. In addition to
cancer diagnosis, SERS is also proving to be a valuable technique for
carrying out a number of sensitive immune assays37, for example in the
diagnosis of musculoskeletal diseases38.
Yet another promising tool is the Sensation Detection Platform
from Nanomix39. This tool enables direct, electronic, label-free
detection of gases and biomarkers based on the changes in the
electronic characteristics of random networks of carbon nanotubes.
These devices are arrayed on silicon and plastic substrates and provide
multi-plexed, multi-analyte detection and pattern analysis for ultra-sensitive, specific, and reproducible bio-assays. For example, the
Nanomix asthma monitor in development is a small, inexpensive unit
that measures the level of nitric oxide (NO) in exhaled breath. Such
devices could reduce needed medicines such as inhaled corticosteroids,
reduction of traumatic and costly asthma attacks. Also, monitoring
of the progression and regression of a disease pre-symptomatically
enables a whole range of new medical decision-making. In addition
to carbon nanotubes, semiconducting nanowires have been shown
to be promising as highly sensitive and selective sensors for label-
free detection40. Similarly, analysis of various biomarkers in human
breath is anticipated to lead to point of care diagnosis of diseases
such as virus, lung or breast cancers, liver disease, gastrointestinal
problems, and many others. In general, explosion of highly sensitive
nanotechnology diagnostic tools is driving a change from empirically
based, trial-and-error medicine, to more evidence-based, personalized
solutions. These techniques enable simple, cost-effective, point-of-care
results for critical decision-making.
Novel concepts such as ‘body-on-a-chip’ which can mimic human
cells and human body and their reaction to different therapeutic
conditions help reduce the need for testing ADME in animals and
hence lower the cost of developing new drugs. The new body-on-a-
chip device, being developed by Cornell biomedical engineers, is lined
with human cells and reacts the way tissues and organs would do to
drugs41. In the same way, implantable micro chips such as those being
developed by MIT researchers will ensure continuous monitoring of
diseases and detection of biomarkers42. The concept is based on what
is called magnetic relaxation switches wherein shortening of transverse
relaxation time (T2) on aggregation of magnetic nanoparticles was
observed using MRI. By combining the sensing capabilities of nanoscale
magnetic relaxation switches (MRS) within multi-reservoir micro
structures made from Polydimethylsiloxane (PDMS), they have recently
demonstrated possible in vivo detection of soluble biomarkers forovarian cancer such as β-hCG. A prototype of such an implantable chip
is schematically represented in the figure below. In addition to body-
on-a-chip and implantable microchips, a new class of nanostructured
hybrid systems such as those consisting of neuronal cells grown on
nanoporous membranes coupled with microfluidic devices are likely
to lead to the development of artificial chemical synapse interface 43.
Similarly, artificially modulated neuronal connections between the
neuronal cells and silicon nanowires have been recently reported to
have potential opportunities to develop artificial neural networks44.
Finally, the most promising of all the nanotechnology tools for
personalized medicine is the ability to carry out integrated imaging
and therapy. The nanotechnology tools based on both optical and
magnetically tunable systems are currently under development. For
example, immunotargeted nanoshells consisting of dielectric silica
core gold shell nanoparticles coupled to targeting agents that have
the ability to either scatter or absorb light in the near infrared (NIR)
region are being developed to detect tumors using optical imaging and
destroy them using photo thermal therap y45.
An overview of some of these nanotechnology tools for personalized
medicine is depicted in Fig. 11.
Fig. 9 In-vivo SERS spectra obtained from PEGylated gold nanoparticles injected into subcutaneous and deep muscular sites in a nude mouse. (Reprinted from36 with permission from Macmillan Publishers Ltd).
Fig. 10 Multi-reservoir devices for detecting a soluble cancer biomarker (Reproduced from42 with permission of The Royal Society of Chemistry).
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ConclusionsNanotechnology is all about an innovative approach to problem solving
and is simply a collection of tools and ideas which have potential
applications in the pharmaceutical industry. Unlike the widespread
notion that nanotechnology tools are exotic, too futuristic, disruptive
and not suitable for quick commercialization of products, there
are compelling applications in the pharmaceutical industry where
inexpensive nanotechnology tools can be utilized. While it is true that
many tools in the nanotechnology toolbox are still at the concept level,
there are also a number of them that can be applied to process and
product development of pharmaceuticals. In order to strategically bring
together available nanotechnology solutions to pharmaceutical R&D,
the concept of Innovation Box for Implementation of Nanotech Tools
(IBINT©) is proposed. The ultimate application of nanotechnology
tools in pharmaceutical R&D is to move the industry from ‘blockbuster
drug’ model to ‘personalized medicine.’ Huge commitments to the
development of nanotechnology tools have already been made by
both governmental and private agencies all over the world46-49. It
is, therefore, important to continue to find models to strategically
match nanotechnology tools with appropriate requirements in the
pharmaceutical industry.
AcknowledgementsThe author gratefully acknowledges support from the Center for Advanced
Microstructures and Devices (CAMD), Louisiana State University, Baton
Rouge. The author is also thankful to Pharma IQ, a division of international
quality and productivity center (IQPC) for the invitation to deliver a
lecture during the meeting on The Future of Nanotechnology for Targeted
Drug Delivery, February 25 – 27, 2008 at Hyatt Harborside, Boston, MA.
The inspiration for this article is based on that lecture.
Fig. 11 Some of the nanotechnology tools for personalized medicine