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2010 Nanotechnology, the Future of Fighting Cancer? Bradley J. Kinnison The University of North Carolina at Chapel Hill 11/16/2010 2 COULD NANOTECHNOLOGY BE THE FUTURE OF FIGHTING CANCER? NANOTECHNOLGY ADVANCES COULD BE THE TINY SOLUTION TO THE WORLD’S MOST DANGEROUS DISEASE—CANCER. Cancer Retreats from Nanotechnology Advances BY BRAD KINNISON, November 23, 2010 The future of cancer prevention can fit into the palm of your hand: in fact, a thousand of them can. In an article from the British Journal of Cancer, cancer specialists Shiladitya Sengupta (BWH-HST Center for Biomedical Engineering) and Ram Sasisekharan (Biological Engineering Division, Massachusetts Institute of Technology) claim that nanotechnology is the future of detecting cancer in its earliest stages, Figure 1 Cancer cell metastasizes snapping higher resolution photos of tumors, and delivering chemotherapy drugs to tumors more effectively. This technology could very well revolutionize the future of fighting cancer. The best way to fight cancer is to catch it before it is too late, before it metastasizes and spreads all over the body like, well, like a cancer. The question that has troubled scientists is how to detect tiny cancer lesions that are too small for even modern medical imaging devices to see. These larger machines and chemical sensors are not sensitive enough, which means that they cannot easily ‘spot’ microscopic pockets of cancer. The answer may lie in nanotechnology. 3 Nanotech cantilever sensors can ‘zoom in’ and spot these microscopic pockets of cancer because of their tiny sensors. That may seem counterintuitive; how can a tiny sensor detect cancer better than a larger one? This is one case where size does not matter. The sensitivity of a sensor is determined by how much it vibrates when cancer molecules bump into it. When miniscule cancer molecules run into a tiny nanotech sensor they jar the sensor more than if the molecule had run into a larger sensor. This causes a higher vibration that is easier to measure, resulting in higher sensitivity. These cantilever sensors have platform extensions, almost like diving boards, that are engineered to bind to specific types of cancer cells. The sensor detects cancer by detecting the bend in the diving board when the cancer cell lands on it. Another benefit of the tiny size of the nanotech sensor is that it does not allow room for other non-cancer Figure 2 Cancer molecules jumping on the ‘diving board’ of a nanotech cantilever sensor molecules to bind to it, which is one of the biggest downfalls of cancer sensors used currently (such as PSA, prostrate serum antigen). The small size of these nifty nanotech sensors also allows more of them to be put into the body at one time in order to search for a wider variety of signs of cancer than a fat bulky sensor could. These nanotech devices can be used for more than just detecting cancer earlier than ever before—they are also revolutionizing tumor imaging. Tumor imaging is vitally important to treating cancer because it allows oncologists (doctors who specialize in cancer) to look at the physical changes in tumors and the tissue around them. 4 Nanotech imaging devices called quantum dots (Qdots) have been engineered to enhance the resolution of magnetic resonance imaging (MRI) photos of tumors to greater clarity than technology has ever allowed before. The difference between Qdot enhanced photos and the unenhanced MRI photos is like the difference in clarity between that picture you took with your 3 megapixel cell phone at your kid’s rec-league soccer game compared to the sports photographer with his massive Hubble-space-telescope camera lens at the NFL football game on Sunday night. But how exactly do the Qdots help generate such high resolution photos of tumors? You may not want to know the explanation, since it gets into the beautifully complex mess of quantum physics. Suffice it to say that MRI photos are taken by measuring the magnetic ‘spin’ quantum number of atoms, and these Qdots enhance the measurability of that spin state. These enhanced MRIs have not been allowed yet in humans because the Qdots are highly metallic, which can cause liver and kidney damage. The only way to avoid this metal poisoning right now is to inject the Qdot in small amounts below the toxic levels of the metal. Researchers are already working on a solution to this problem by attempting to create a protein ‘shell’ to cover the Qdot until it reaches its target organ. The scientists working on this ‘shell’ solution are confident in the success of their research, saying that “it is only a matter of time before we find the right protein complex to encapsulate the Qdot.” Figure 3 MRI of brain tumor Nanotechnology is not only bringing about ground breaking advances in early cancer detection and tumor imaging, but it is also showing up the competitors in effectively delivering chemotherapy drugs. One of the problems of current chemotherapy delivery systems is that they do not deliver the drugs efficiently, which is to say that not all of the drug makes it to the cancer cells for which it was intended. Small amounts of drug are lost all along the way because the body’s immune system is breaking down the ‘foreign’ drug delivery system. That would be like 5 a UPS truck getting to its destination with only half of the packages it was supposed to be carrying. Nanotech drug delivery systems have recently been engineered to make them like an armored truck, shielding these tiny devices from the immune system and carrying their payload directly to target cancer cells while losing little of the drug along the way. These nanodelivery systems deliver on average 3-10 times more drug to tumors than currently used chemo-transporters do. Only the future will show how much using nanotechnology to deliver drugs will revolutionize cancer treatment.