Nanomedicine
The field of "Nanomedicine" is the science
and technology of diagnosing, treating, and preventing disease and
traumatic injury, of relieving pain, and of preserving and improving
human health, using nanoscale structured materials, biotechnology, and
genetic engineering, and eventually complex machine systems and
nonorobots. It was perceived as embracing five main subdisciplines that in many ways are overlapping by common technical issues
Nanodiagnostics
It is the use of nanodevices for the early disease identification or predisposition at cellular and molecular level. In
in-vitro
diagnostics, nanomedicine could increase the efficiency and
reliability of the diagnostics using human fluids or tissues samples by
using selective nanodevices, to make multiple analyses at subcellular
scale, etc. In
in vivo diagnostics, nanomedicine could develop
devices able to work inside the human body in order to identify the
early presence of a disease, to identify and quantify toxic molecules,
tumor cells.
Regenerative medicine
It is an
emerging multidisciplinary field to look for the reparation,
improvement, and maintenance of cells, tissues, and organs by applying
cell therapy and tissue engineering methods. With the help of
nanotechnology it is possible to interact with cell components, to
manipulate the cell proliferation and differentiation, and the
production and organization of extracellular matrices.
Present
day nanomedicine exploits carefully structured nanoparticles such as
dendrimers, carbon fullerenes (buckyballs), and nanoshells to target
specific tissues and organs. These nanoparticles may serve as diagnostic
and therapeutic antiviral, antitumor, or anticancer agents. Years
ahead, complex nanodevices and even nanorobots will be fabricated, first
of biological materials but later using more durable materials such as
diamond to achieve the most powerful results.
The
human body is comprised of molecules, hence the availablity of
molecular nanotechnology will permit dramatic progress to address
medical problems and will use molecular knowledge to maintain and
improve human health at the molecular scale.
Applications in medicine
Within 10-20 years it should become possible to construct machines on
the micrometer scale made up of parts on the nanometer scale.
Subassemblies of such devices may include such as useful robotic
components as 100 nm manipulater arms, 10 nm sorting rotors for molecule
by molecule reagent purification, and smooth super hard surfaces made
of automically flawless diamond.
Nanocomputers would assume the
important task of activating, controlling, and deactivating such
nanomechanical devices. Nanocomputers would store and execute mission
plans, receive and process external signals and stimuli, communicate
with other nanocomputers or external control and monitoring devices, and
possess contextual knowledge to ensure safe functioning of the
nanomechanical devices. Such technology has enormous medical and dental
implications.
Programmable nanorobotic devices would allow
physicians to perform precise interventions at the cellular and
molecular level. Medical nanorobots have been proposed for genotological
applicatons in pharmaceuticals research clinical diagnosis, and in dentistry,
and also mechanically reversing atherosclerosis, improving respiratory
capacity, enabling near-instantaneous homeostasis, supplementing immune
system, rewriting or replacing DNA sequences in cells, repairing brain
damage, and resolving gross cellular insults whether caused by
irreversible process or by cryogenic storage of biological tissues.
Feynman offered the first known proposal for a nanorobotic surgical procedure to cure heart disease,
"A friend of mine (Albert R. Hibbs) suggests a very interesting
possibility for relatively small machines. He says that, although it is a
very wild idea, it would be interesting in surgery if you could swallow
the surgeon. You put the mechanical surgeon inside the blood vessel and
it goes into the heart and looks around. It finds out which valve is
the faulty and takes a little knife and slices it out, that we can
manufacture an object that maneuvers at that level, other small machines
might be permanently incorporated in the body to assist some
inadequately functioning organs".
Many
disease causing culprits such as bacteria and viruses are nanosize. So,
it only makes sense that nanotechnology would offer us ways of fighting
back. The ancient greeks used silver to promote healing and prevent
infection, but the treatment took backseat when antibiotics came on the
scene. Nycryst pharmaceuticals (Canada) revived and improved an old cure
by coating a burn and wound bandage with nanosize silver particles that
are more reactive than the bulk form of metal. They penetrate into skin
and work steadily. As a result, burn victims can have their dressings
changed just once a week.
Genomics and protomics research is
already rapidly elucidating the molecular basis of many diseases. This
has brought new opportunities to develop powerful diagnostic tools able
to identify genetic predisposition to diseases. In the future, point of
care diagnosis will be routinely used to identify those patients
requiring preventive medication to select the most appropriate
medication for individual patients, and to monitor response to
treatment. Nanotechnology has a vital role to play in realizing
cost-effective diagnostic tools.
Chris Backous developing
Lab-on-Chip
to give doctor immediate results from medical tests for cancer and
viruses, it gets its information by analyzing the genetic material in
individual cells. Advances in gene sequencing mean this can now be done
quickly and sequencing with tiny samples of body fluids or tissues such
as blood, bone marrow, or tumors. The device can also detect the
BK
virus, a sign of trouble in patients who have had kidney transplants.
Ultimately (Pilarski thinks,) chip technology will be able to detect
what kind of flu a person has, or, even if they have SARS or HIV.
Nanotechnology
has the potential to offer invaluable advances such as use of
nanocoatings to slow the release of asthma medication in the lungs,
allowing people with asthma to experience longer periods of relief from
symptoms after using inhalants. Thus, what nanotechnology tries to do is
essentially make drug particles in such a way, that they don't dissolve
that fast, done this with.
Nanosensors developed for military
use in recognizing airborne rogue agents and chemical weapons to detect
drugs and other substances in exhaled breath.
Basically, you can detect many drugs in breath, but the amount you
detect in breath is going to be related to the amount that you take and
also to whether it partitions well between the blood and the breath.
Drug abuse like marijuna (and things like), concentration of alcohol,
testing of athletes for banned substances, and individual's drug
treatment programs are two areas long overdue for breath detection
technologies. We see this in future totally replacing urine testing.
Currently,
most legal and illegal drug overdoses have no specific way to be
effectively neutralized, using nanoparticles as absorbents of toxic
drugs, is another area of medical nanoscience that is rapidly gaining
momentum. Goal is design nanostructures that effectively bind molecular
entities, which currently don't have effective treatments. We are
putting nanosponges into the blood stream and they are soaking up toxic
drug molecules to reduce the free amount in the blood, in turn, causes a
resolution of the toxicity that was there before you put the
nanosponges into the blood.
French and Italian researchers have
come up with a completely new approach to render anticancer and
antiviral nucleoside analoges significantly more potent. By linking the
nucleoside analoges to sequalene, a biochemical precursor to the whole
family of steroids, the researchers observed the self-organization of
amphiphilic molecules in water. These nanoassemblies exhibited superior
anticancer activity
in vitro in human cancer cells.
Laurie
B Gower, PhD, has been researching bone formation and structure at the
nanoscale level. She is examining biomimetic methods of constructing a
synthetic bone graft substitute with a nanostructured architecture that
matches natural bone so that it would be accepted by the body and guide
the cells toward the mending of damaged bones. Biomineralization refers
to minerals that are formed biologically, which have very different
properties than geological minerals or lab-formed crystals. The crystal
properties found in bone are manipulated at nanoscale and are imbedded
within collagen fibers to create an interpenetrating organic-inorganic
composite with unique mechanical properties. She foresees numerous
implications of the material in the future of osteology.
Hichan
Fenniri, a chemistry professor, tried to make artificial joints act more
like natural ones. Fenniri has made a nanotube coating for titanium hip
or knee, is very good mimic of collagen, as a result of coating
attracts and attaches more bone cells, osteoblasts, which help in bone
growth quickly than uncoated hip or knee.
There is ongoing attempts to build 'medical microrobots' for
in vivo medical use.
In 2002, Ishiyama
et al ,
at Tohku University developed tiny magnetically driven spinning screws
intended to swim along veins and carry drugs to infected tissues or
even to burrow into tumors and kill them with heat. In 2005, Brad
Nelson's
team reported the fabrication of a microscopic robot, small enough
(approximately 200 µm) to be injected into the body through a syringe.
They hope that this device or its descendants might someday be used to
deliver drugs or perform minimally invasive eye surgery. Gorden's
group at the University of Manitoba has also proposed magnetically
controlled 'cytobots' and 'karyobots' for performing wireless
intracellular and intranuclear surgery.
'Respirocytes', the first
theoreotical design study of a complete medical nanorobot ever
published in peer-reviewed journal described a hypothetical artificial
mechanical red blood cell or 'respirocyte' made of 18 billion precisely
arranged structural atoms.
The respirocyte is a bloodborne spherical 1 µm diamondedoid 1000
atmosphere pressure vessel with reversible molecule selective surface
pumps powered by endogenous serum glucose. This nanorobot would deliver
236 times more oxygen to body tissues per unit volume than natural red
cells and would manage carbonic acidity, controlled by gas concentration
sensors and an onboard nanocomputer.
Nanorobotic microbivores
Artificial phagocytes called microbivores could patrol the bloodstream,
seeking out and digesting unwanted pathogens including bacteria,
viruses, or fungi.
Microbivores would achieve complete clearance of even the most severe
septicemic infections in hours or less. The nanorobots do not increase
the risk of sepsis or septic shock because the pathogens are completely
digested into harmless sugars, amino acids, and the like, which are the
only effluents from the nanorobot.
Surgical nanorobotics
A surgical nanorobot, programmed or guided by a human surgeon, could
act as a semiautonomous on site surgeon inside the human body, when
introduced into the body through vascular system or cavities. Such a
device could perform various functions such as searching for pathology
and then diagnosing and correcting lesions by nanomanipulation,
coordinated by an onboard computer while maintaining contact with the
supervising surgeon via coded ultrasound signals.
The
earliest forms of cellular nanosurgery are already being explored
today. For example, rapidly vibrating (100 Hz) micropipette with a <1
µm tip diameter has been used to completely cut dentrites from single
neurons without damaging cell viability.
Axotomy of roundworm neurons was performed by femtosecond laser surgery, after which the axons functionally regenerated.
Femtolaser acts like a pair of nanoscissors by vaporizing tissue
locally while leaving adjacent tissue unharmed. Femtolaser surgery has
performed the individual chromosomes.
Nanogenerators'
They could make new class of self-powered implantable medical devices,
sensors, and portable electronics, by converting mechanical energy from
body movement, muscle stretching, or water flow into electricity.
Nanogenerators
produce electric current by bending and then releasing zinc oxide
nanowires, which are both piezoelectric and semiconducting. Nanowires
can be grown on polymer-based films, use of flexible polymer substrates
could one day allow portable devices to be powered by movement of their
users.
"Our bodies are good at converting chemical energy from
glucose into the mechanical energy of our muscles," Wang (faculty at
Peking University and National Center for Nanoscience and Technology of
China) explained "these nanogenerators can take mechanical energy and
convert it to electrical energy for powering devices inside the body.
This could open up tremendous possibilities for self-powered implantable
medical devices."