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 Nanomedicine in
Health and Disease

Copyright reserved © 2011

 Nanomedicine in
Health and Disease

Editors
Ross J. Hunter
Cardiology Research Fellow
St Bartholomew’s Hospital
London
UK
Victor R. Preedy
Professor of Nutritional Biochemistry
School of Biomedical & Health Sciences
King’s College London
and
Professor of Clinical Biochemistry
King’s College Hospital
UK

Science Publishers
Jersey, British Isles
Enfield, New Hampshire

Copyright reserved © 2011

 Published by Science Publishers, an imprint of Edenbridge Ltd.
• St. Helier, Jersey, British Channel Islands
• P.O. Box 699, Enfield, NH 03748, USA
E-mail: [email protected] Website: www.scipub.net
Marketed and distributed by:

Copyright reserved © 2011

ISBN 978-1-57808-725-9

Cover Illustrations: Reproduced by kind courtesy of the undermentioned authors:

Figure No. 3 from Chapter 4 by Kerriann R. Greenhalgh
Figure No. 5 from Chapter 9 by Rehab Amin
Figure No. 4 from Chapter 12 by Moritz Beck-Broichsitter et al.

Library of Congress Cataloging-in-Publication Data

Nanomedicine in health and disease / editors, Ross J. Hunter, Victor
R. Preedy.
p. ; cm. -- (Nanoscience applied to health and medicine)
Includes bibliographical references and index.
ISBN 978-1-57808-725-9 (hardcover)
1. Nanomedicine. 2. Nanotechnology--Health aspects. I. Hunter,
Ross, 1977- II. Preedy, Victor R. III. Series: Nanoscience applied
to
health and medicine.
[DNLM: 1. Nanomedicine--methods. 2. Nanostructures--therapeutic
use. QT 36.5]
R857.N34N356 2011
610.28--dc23
2011016513

The views expressed in this book are those of the author(s) and the publisher does not assume responsibility
for the authenticity of the findings/conclusions drawn by the author(s). No responsibility is assumed
by the publisher for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions or ideas
contained in the material herein. Because of rapid advances in the medical sciences, in particular,
independent verification of diagnoses and drug dosages should be made.
All rights reserved. No part of this publication may be reproduced, stored in a retrieval
system, or transmitted in any form or by any means, electronic, mechanical, photocopying or
otherwise, without the prior permission of the publisher, in writing. The exception to this is
when a reasonable part of the text is quoted for purpose of book review, abstracting etc.
This book is sold subject to the condition that it shall not, by way of trade or otherwise
be lent, re-sold, hired out, or otherwise circulated without the publisher's prior consent in
any form of binding or cover other than that in which it is published and without a similar
condition including this condition being imposed on the subsequent purchaser.
Printed in the United States of America

Copyright reserved © 2011

 Preface

The nanosciences are a rapidly expanding field of research with a

wide applicability to all areas of health. They encompass a variety of
technologies ranging from particles to networks and nanostructures.
For example, nanoparticles have been proposed to be suitable carriers of
therapeutic agents, while nanostructures provide suitable platforms for
sub micro bioengineering. However, understanding the importance of
the nanoscience and technology is somewhat problematic as much of the
literature on the subject is highly technical, written with little consideration
for the novice. In this series Nanosciences Applied to Health and Biomedical
Sciences we aim to disseminate the information in a readable way by having
unique sections for the novice and expert alike. This enables readers to
transfer their knowledge base from one discipline to another, or from
one academic level to another. Each chapter has an abstract, key facts,
applications to other areas of health and disease, and a mini-dictionary of
key terms and phrases used within that chapter. Finally, each chapter has a
series of summary points. In this book we focus on nanomedicine in health
and disease. We cover the regulation of nanomedicine, nanotubes, topical
applications of nanoparticles, nanocrystals, antioxidant nanoparticles,
lipid nanocapsules, nanotheragnostic colloids, nanotechnology in the
control of infectious disease, virus-based nanoparticles and the safety of
nanoparticles. We also cover nanomedicine in relation to pulmonary drug
delivery, the control of infectious disease, radiation protection, arthritis,
cancer nanomedicine, blood diseases, neurodegenerative disorders, and
tissue and implant engineering.
Contributors to Nanomedicine in Health and Disease are all international
or national experts or leading authorities or are carrying out ground-
breaking and innovative work on their subject. The book is essential
reading for research scientists, medical doctors, health care professionals,
pathologists, biologists, biochemists, chemists and physicists, and general
practitioners as well as those interested in disease and nano sciences in
general.
The Editors

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 Contents

Preface v
Section 1: Introduction and Technology

1. Nanomedicine: An Introduction 3
Lajos P. Balogh
2. The Regulation of Nanomedicine 20
Joel D’Silva and Diana Bowman
3. Nanotubes and Their Application to Nanomedicine 43
Gianni Ciofani
4. Nanoparticles for Topical Application 64
Kerriann R. Greenhalgh
5. Nanocrystal Formulations for improved Delivery 79
of Poorly Soluble Drugs
Jan Möschwitzer and Rainer H. Müller
6. Antioxidant Nanoparticles 100
Beverly A. Rzigalinski, Kathleen Meehan, Mark D. Whiting,
Candace E. Dillon, Kevin Hockey and Michael Brewer
7. Lipid Nanocapsules in Nanomedicine 122
Marie Morille, Patrick Saulnier, Jean-Pierre Benoit
and Catherine Passirani
8. Nanotheragnostic Colloids in Disease 146
José L. Arias
9. Nanotechnology in Controlling Infectious Disease 167
Rehab Amin
10. Virus-based Nanoparticles as Tools for Biomedicine 184
Stefan Franzen, Steven A. Lommel and Bruce Oberhardt
11. Safety of Nanoparticles in Medicine 203
Maria Dusinska, Lise Marie Fjellsbø, Zuzana Magdolenova,
Solveig Ravnum, Alessandra Rinna and Elise Rundén-Pran

Copyright reserved © 2011

 viii Nanomedicine in Health and Disease

Section 2: Applications to Health

12. Pulmonary Drug Delivery with Nanoparticles 229

Moritz Beck-Broichsitter, Thomas Schmehl, Werner Seeger
and Tobias Gessler
13. Carbon Nanotubes and Infectious Diseases 249
Yitzhak Rosen, Brandon Mattix, Apparao Rao and Frank Alexis
14. Radiation Protection with Nanoparticles 268
Cheryl H. Baker
15. Nanoparticle Therapy in Arthritis 293
José L. Arias
16. Phospholipid-based Nanomicelles in Cancer 314
Nanomedicine
Hayat Onyuksel and Amrita Banerjee
17. Tumor-specific Liposomal Nanomedicines: Antitumor 336
Antibody-modified Doxorubicin-loaded Liposomes
Tamer Elbayoumi and Vladimir Torchilin
18. Nanomedicine in Blood Diseases 356
Denis B. Buxton
19. Nanomedicine and Neurodegenerative Disorders 377
Ari Nowacek, Gang Zhang, JoEllyn McMillan, Tomomi Kiyota,
Elena Batrakova and Howard E. Gendelman
20. Nanotechnological Applications in Tissue and Implant 398
Engineering
Viswanathan S. Saji and Han-Cheol Choe
Index 415
About the Editors 421
Color Plate Section 423

Copyright reserved © 2011

 Section 1: Introduction and Technology

Copyright reserved © 2011

 1
Nanomedicine: An Introduction
Lajos P. Balogh

ABSTRACT

Nanoscience and nanotechnology is closing the gap in our

knowledge between molecular and bulk properties. This process
has enormous significance in understanding and changing our
world. It is expected that this field will expand greatly as advances
are being made in using nanoscience and nanotechnology for
basic, translational, and clinical medical research. In the next
decade, nanomedicine will forever change how we diagnose and
treat patients.
The general relationship between science, technology, medicine,
business and society is always the same, whether it is “nano”
or not “nano”. However, the emergence of nanomedicine has a
significant practical future in medicine and human health. The
market for life sciences and health care products can currently
be measured in hundreds of billions of U.S. dollars. A market of
many billions more is predicted within ten years, primarily in
medical devices, implants, imaging and diagnostics enabled by
nanoscience and nanotechnology. As a consequence, the quality
of life is expected to improve considerably.
Nanomedicine research is reforming our understanding of biological
processes, it will transform clinical medicine, and it will change the
way pharmaceutical commercialization and business is done.

364 Ocean Ave, Ocean Shores Tower, Suite 702, Revere, MA 02151; Email: [email protected];
[email protected]

Copyright reserved © 2011

 4 Nanomedicine in Health and Disease

A strategy to accelerate nanoscience and nanoengineering

for medicine and health reflects increasing societal need and
technology pull, as well as basic science push. Apart from the great
promises of the relevant sciences and developing technologies,
there are several challenges present for this paradigm-changing
field, especially in the areas of communication, commercialization,
safety, regulations, standardization, education, and public policies.
The success of nanomedicine ultimately will depend on whether or
not we can transform and harmonize commercialization processes
to allow personalized medicine, whether nanoscience becomes
a successful “nanobusiness,” and whether these new tools and
devices will reach the clinic and improve public health. In reality,
at the clinical level, the practitioner does not have to know that
it is nanotechnology at work—only that the new procedure or
“medicine” works better, and it is more affordable.

INTRODUCTION

A few terms are defined at the outset.

A nanometer (nm) is 1x10–9 m; 1000 nm equals 1 µm.
Science is the study of the physical world and its manifestations, aimed
at discovering ruling principles of the phenomenal world by employing
scientific methods, especially systematic observation and experiment.
(See also: http://encarta.msn.com/encnet/features/dictionary/
dictionaryhome.aspx.)
Engineering is the process of designing and making tools, machines,
apparatus, and systems to exploit phenomena for practical human purposes.
It translates basic and applied science into technology. Mathematics and
predictive models are distinct components of engineering, which is always
quantitative.
Technology is the study, development, and application of engineered
devices, machines, and techniques for manufacturing and productive
processes; a method or methodology that applies technical knowledge
or tools; and the sum of a society’s or culture’s practical knowledge,
especially with reference to its material culture. Technology has to satisfy
additional requirements such as utility, usability and safety. (See also:
http://en.wikipedia.org/wiki/Technology#cite_note-12.)
Medicine is the study and the cycle of diagnosis, treatment, monitoring,
prediction, and prevention of diseases. Following up with patients,
collecting and evaluating data, and other tasks are also considered part
of medicine. The term “medicine” itself could also mean a substance that

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