A Nanotech Cure for
Cancer?<http://www.wired.com/medtech/health/multimedia/2005/11/69206>
Dendrimer visualization from Dr. James Baker's laboratory at the University
of Michigan Nanotechnology Institute.
 It's a space-opera scene we know by heart: The hero's tiny craft faces off
against the vast enemy ship. Now scale down the set a billion times or so,
and replace Luke Skywalker's X-wing and the Death Star with a clump of
drug-bearing molecules and a misshapen cancer cell.
Ka-BOOM!
This scenario -- from a National Cancer Institute
video<http://nano.cancer.gov/resource_center/video_journey.asp>-- is
just one possibility offered by the burgeoning field of cancer
nanotechnology, where miniscule molecules are designed with literally atomic
precision to combat a disease that kills half a million Americansevery year.

"It's 21st-century medicine," said Vicki Colvin of Rice University's Center
for Nanoscale Science and Technology. "It sits at the intersection of some
of the greatest achievements in many different areas of science, from
material science to cell biology to physics and advances in imaging."
Indeed, the National Cancer Institute, which recently announced two waves of
funding for nanotech
training<http://nano.cancer.gov/news_center/news_release_2005_09_21.asp>and
research <http://nano.cancer.gov/news_center/news_release_2005_10_03.asp>,
sees nanotechnology as vital to its stated goal of "eliminating suffering
and death from cancer by 2015."
To anyone familiar with the long, often fruitless search for cancer's cure,
or the unfulfilled promise of nanotechnology, this may seem far-fetched. But
in recent years, scientists have learned more about howcancer works at the
cellular level. They have also learned to build molecules that could detect
and destroy cancer cells, making today's painful and often-ineffective
treatments a thing of the past.
Though the jump from lab to patient is long, scientists are confident that
it can be made.
"Developing any drug or diagnostic is a long process, and that's still going
to be the case," said Greg Downing, director of the Office of Technology and
Industrial Relations at the National Cancer Institute. "But these
technologies have the potential to overcome challenges we can't overcome
now."
The technologies now being developed are not the complex miniature machines
usually associated with nanotechnology, but particles a few nanometers wide.
(As a point of reference, the average human hair is about 100,000 nanometers
wide, and a red blood cell is 4,000 nanometers in diameter.)
The first cancer nanotech applications will likelyinvolve detection.
Nanoparticles could recognize cancer's molecular signatures, gathering the
proteins produced by cancerous cells or signaling the presence of telltale
genetic changes. Researchers have already used a protein called albumin --
considered a naturally occurring nanoparticle -- to detect
proteins<http://www.clinchem.org/cgi/content/abstract/clinchem.2005.052944v1>found
in ovarian cancer tissue.
Other nanoparticles could adhere to cancerous cells and, when viewed under a
magnetic resonance imager or fluorescent light, reveal cancers now hidden to
our eyes.
"Nanotech gives us the opportunity to detect cancer tumors at 1,000 cells,
whereas we're now seeing them at 1 million cells. By the time you detect
some cancers today, there's no option of curing them, only of prolonging
life," said Sri Sridhar, director of Northeastern University's Nanomedicine
Science and Technology Program.
While diagnostic nanoparticles will first be used to analyze blood or tissue
samples outside the body, they could eventually be injected into the
bloodstream (making it possible to also design particles that will be
flushed from the patient unless they stick to cancer cells). But
nanoparticles can be made not only to find those cells, but to destroy them.

One such application involves metallic molecules that adhere to cancer cells
and can then be heated with microwaves, a magnetic field or infrared light,
destroying the tumor while leaving surrounding tissues unharmed. Researchers
at Rice University <http://www.media.rice.edu/media/Nanoshells_FAQ.asp> have
done just this <http://www.newscientist.com/article.ns?id=dn4341> with
gold-coated particles and breast cancer tissue cultures.
***
Also promising is the design of molecular envelopes forchemical compounds
that would otherwise be toxic to ingest. Another possibility, as seen in the
National Cancer Institute's video, are nanoparticles that carry therapeutics
on their surfaces.
Researchers at the University of Michigan have already treated liver
cancer<http://www.med.umich.edu/opm/newspage/2005/nanoparticles.htm>in
mice with drug-carrying nanoparticles that lodged in the tumor cells'
folic acid receptors.
"We've become very good at building nanoparticles decorated with biological
particles, from DNA to proteins," said Bob Langer, a professor of chemical
and biochemical engineering at the Massachusetts Institute of Technology,
whose lab is currently researching ovarian cancer.
Researchers also hope to make particles that combine all these functions.
"We call this the mother ship," said Sadik Esener, an electrical and
computer engineering professor at the University of California,San Diego.
"You can put multifunctional particles on it, like an aircraft carrier
transports choppers and planes. It goes into the body, and if it encounters
a suspicious region, finds out what that area is about and delivers the
therapeutics."
No less important is nanotechnology's possible use in collecting information
about molecular processes. Combined with information about how cells and
tissues interact, this could produce detailed digital models of cancer.
"We want to have quantitative computer simulations that will actually
predict how a tumor will evolve in a patient," said Vito Quaranta, a cancer
biology professor at Vanderbilt University's Integrative Cancer Biology
Center. "One of the major problems today is that we're not capable of
knowing to what extent and when a particular cancer will be invasive -- when
it will spread from prostate to bone, lung to brain. It's the invasion that
kills."
Physicians could use thisknowledge to guide their treatment. Moreover, said
Quaranta, they might even be able to predict a therapy's outcome by
simulating how it would modify the tumor over time, perhaps even looking
years into the future.
How soon these cancer nanotechnologies will be commercially available is
hard to guess. Though the NCI's Cancer Nanotechnology
Plan<http://nano.cancer.gov/about_alliance/cancer_nanotechnology_plan.asp>calls
for clinical trials on out-of-body applications within three years,
and trials on in-body therapies and diagnostics within five years,
researchers are cautious about promising too much.
"There's a lot of what I call the 'wow factor' here," said Colvin. "It's a
long road ahead of us."
Beyond the inevitable difficulty of duplicating laboratory results in
patients, universal standards for ensuring the uniformity and quality of
nanoparticles are still being devised. Nanoparticles willalso be harder to
test than traditional pharmaceuticals, which are better characterized, less
complex and interact with tissues in different ways.
"Toxicology testing is really problematic," said Robert Best, a geneticist
and bioethicist at the University of South Carolina's NanoCenter. "As you
approach this size range, surface chemistry and quantum effects start to get
figured in."
However, given the inadequacy of most present treatments, toxicity is not
always the most pressing concern, especially for individuals who have
aggressive, highly lethal cancers.
"We're not talking about treating high cholesterol," said Best. "We're
talking about cancer, and there's some we can't stop with the agents at
hand."




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