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Section 1: Archives
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Remotely Activated Nanoparticles
Destroy Cancer
Targeted nanotech-based treatments will
enter clinical trials in 2007.
By Kevin Bullis
The first in a new generation of
nanotechnology-based cancer treatments will likely begin clinical
trials in 2007, and if the promise of animal trials carries through
to human trials, these treatments will transform cancer therapy.
By replacing surgery and conventional chemotherapy with noninvasive
treatments targeted at cancerous tumors, this nanotech approach
could reduce or eliminate side effects by avoiding damage to healthy
tissue. It could also make it possible to destroy tumors that
are inoperable or won't respond to current treatment.
One of these new approaches places gold-coated nanoparticles,
called nanoshells, inside tumors and then heats them with infrared
light until the cancer cells die. Because the nanoparticles also
scatter light, they could be used to image tumors as well. Mauro
Ferrari, a leader in the field of nanomedicine and professor of
bioengineering at the University of Texas Health Science Center,
says this is "very exciting" technology.
"With chemotherapy," Ferrari says, "we carpet bomb
the patient, hoping to hit the lesions, the little foci of disease.
To be able to shine the light only where you want this thing to
heat up is a great advantage."
Although several groups are now working on similar localized treatments,
Naomi Halas and Jennifer West have led the way in this area, and
their work is the farthest along. (See "Nano Weapons Join
the Fight Against Cancer.") Nearly ten years ago, Halas,
professor of chemistry and electrical and computer engineering
at Rice University, developed a precise and reliable method for
making nanoshells, which can be hollow spheres of gold or, in
the case of the cancer treatment, gold-coated glass spheres. These
spheres are small enough (about 100 nanometers in diameter) to
slip through gaps in blood vessels that feed tumors. So as they
circulate in the bloodstream, they gradually accumulate at tumor
sites.
Halas tuned the nanoparticles to absorb specific wavelengths of
light by changing the thickness of the glass and gold. For the
cancer treatment, she selected infrared wavelengths that pass
easily through biological tissues without causing damage. To destroy
a nanoshell-infiltrated tumor, the tumor is illuminated with a
laser, either through the skin or via an optical fiber for areas
such as the lungs.
"We shine light through the skin, and in just a few minutes,
the tumor is heated up," Halas says. "In the studies
that were initially reported--and this has been repeated now more
than 20 times in at least three different animal models--we have
seen essentially 100 percent tumor remission." The tests
also suggest the nanoshells are nontoxic. Halas says they are
eliminated from the body through the liver over several weeks.
The technology was developed at Rice in collaboration with Jennifer
West, a professor of bioengineering. It has been licensed by Nanospectra
Biosciences, a startup based in Houston, TX, that is beginning
the process of getting FDA approval for clinical trials for treating
head and neck cancer. In the future, the technology could be used
for a wide variety of cancers.
"There is a potential for this
to bring a profound change in cancer treatment," Halas says.
"For the case of someone discovering a lump in their breast,
this would mean that a very simple procedure could be performed
that would induce remission." She says that "for many,
many cases of cancer, rather than the lengthy chemotherapy or
radiation therapy," an individual would have "one simple
treatment and very little side effects."
Halas anticipates that approval for
the method will come quickly, in part because the nanotechnology
is not a drug but a device, for which the approval process is
simpler. Also, she expects it will perform the same in humans
as in animal models, "because heat and light work in exactly
the same way whether you're in a pig, a dog, [or] a human being."
Since their initial experiments, the researchers have been further
developing the technology. They've demonstrated the ability to
coat the nanoshells with antibodies that latch on to breast-cancer
cells, further improving the selectivity of the treatment. They've
also attached molecules that make the nanoshells into pH sensors
that would be useful for both imaging tumors and as an "optical
biopsy" for identifying cancers, Halas says.
The clinical trials this year will not take advantage of these
advances. But eventually the antibody targeting could make preventative
cancer treatments possible. "If you have the genetic profile
for prostate cancer occurring in your family, one could imagine
treating extremely early stages, when you have something a millimeter
or smaller which you could barely visualize," Halas says.
"With antibody targeting and then illumination of that region,
you could destroy those cells at a very early stage. You could
have a treatment every five to ten years, and then you would be
free of the disease." The nanotechnology could also be used
to eradicate cancers that have spread too much to be removed by
surgery.
While people will not be able to take advantage of these advances
in the near future, Halas says that treatments based on the original
design could be available in a couple of years. Ferrari cautions
that most treatments do not make it through clinical trials, but,
he says, "I'm hopeful that their clinical trials will yield
great results."
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