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Theranostics and Image Guided Drug Delivery

Theranostics and Image Guided Drug Delivery

Maya Thanou

(2018)

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Book Details

Abstract

Molecular imaging of drugs or drug carriers is a valuable tool that can provide important information on spatiotemporal distribution of drugs, allowing improved drug distribution at  target sites. Chemically labelled drugs can be used to both diagnose and treat diseases. This book introduces the topic of image guided drug delivery and covers the latest imaging techniques and developments in theranostics, highlighting the interdisciplinary nature of this field as well as its translational ability. These technologies and techniques hold potential for individualised, safer therapies.
The book introduces the chemistry behind labelling drugs or drug carriers for imaging. It then discusses current scientific progress in the discovery and development of theranostic agents as well as the latest advances in triggered drug delivery. Novel imaging techniques that can be combined with therapeutics are presented, as well as results and findings from early clinical trials.
This text will provide postgraduates and researchers in various disciplines associated with drug discovery, including chemistry, device engineering, oncology, neurology, cardiology, imaging, and nanoscience, an overview of this important field where several disciplines have been combined to improve treatments. Readers will be introduced to techniques that can be translated to the clinic and be applied widely.
Dr Thanou is a Senior Lecturer in the Institute of Pharmaceutical Science, King’s College London and an Honorary Research Fellow at Imperial College London. She finished her PhD in LACDR (Leiden/Amsterdam Centre for Drug Research) in 2000 and after a short period as project manager in Kytogenics Pharmaceuticals Inc., she took her first academic appointment at Cardiff University as Lecturer in Polymer Therapeutics. She continued her career as Dorothy Hodgkin Royal Society Fellow at Imperial College, at the Department of Chemistry and the Genetic Therapies Centre.  She is a drug delivery scientist and is currently focusing on the design and development of nanoparticles for Image Guided Drug Delivery. She has published a variety of academic articles on these topics and she is the main or co-inventor of a number of patents.
In this complex and multidisciplinary field, the book Theranostics and Image Guided Drug Delivery offers a comprehensive and well-balanced view of state-of-the-art methods and agents available today, with emphasis on theranostic approaches that have the promise of clinical translation in the near future. A major merit of this book is the combination of an up-to-date overview of the more “classical” methodologies such as image-guided, hyperthermia-triggered drug release, with an introduction to less advanced and less known techniques like microwave imaging or capsule endoscopy and their potential use in theranostics.
Dr. Eva Toth, Dr. Sara Lacerda Centre de Biophysique Mol8culaire, CNRS, Orl8ans (France)

Table of Contents

Section Title Page Action Price
Cover Cover
Theranostics and Image Guided Drug Delivery i
Preface vii
Contents xi
Chapter 1 - Image Guided Focused Ultrasound as a New Method of Targeted Drug Delivery 1
1.1 Introduction to Image Guided Focused Ultrasound Drug Delivery 1
1.1.1 Fundamentals of Focused Ultrasound Treatment in Living Tissues 3
1.1.2 Image Guided Focused Ultrasound Mediated Drug Delivery 4
1.2 Requirements of Image Guided FUS Triggered Drug Delivery Systems 4
1.3 FUS Induced Increase in Temperature for Tissue Specific Drug Release from Thermosensitive Carriers 7
1.3.1 Ultrasound and Bubbles to Increase Drug Permeability in Tissues 17
1.4 Drug Delivery Dosage Forms and FUS Future Perspectives 22
References 23
Chapter 2 - Image-guided Drug Delivery Systems Based on NIR-absorbing Nanocarriers for Photothermal-chemotherapy of Cancer 29
2.1 Introduction 29
2.2 Inorganic Nanocarriers Used as Photothermal-controlled Drug Delivery Systems 31
2.2.1 Metallic Nanocarriers 31
2.2.1.1 Gold Nanocarriers 31
2.2.1.2 Two-dimensional Nanosheets 33
2.2.1.3 CuS Nanostructures 34
2.2.2 Nanocarbons 35
2.2.2.1 Carbon Nanotubes 36
2.2.2.2 Nanographene 36
2.2.3 Other Inorganic Nanocarriers 38
2.3 Organic Nanocarriers Used as Photothermal-controlled Drug Delivery Systems 39
2.3.1 Conjugated Polymer Nanocarriers 39
2.3.1.1 Polyaniline Nanoparticles 39
2.3.1.2 Polypyrrole Nanoparticles 40
2.3.1.3 Polydopamine Nanoparticles 41
2.3.1.4 Other Conjugated Polymer Nanocarriers 41
2.3.2 Near-infrared Cyanine Dyes 43
2.3.2.1 Indocyanine Green Nanoparticles 43
2.3.2.2 Other Near-infrared Cyanine Dye Nanoparticles 44
2.3.3 Other Organic Nanocarriers 45
2.4 Conclusions and Outlook 46
Acknowledgements 47
References 47
Chapter 3 - Applications of Magnetic Nanoparticles in Multi-modal Imaging 53
3.1 Nanoparticles and Magnetic Nanoparticles 53
3.1.1 Application of Nanoparticles in Biomedicine 53
3.1.2 Magnetic Nanoparticles 57
3.1.2.1 Magnetic Properties of Magnetic Nanoparticles 57
3.1.2.2 Classification of Magnetic Nanocarriers 60
3.2 Applications of MNPs in Biomedical Imaging 61
3.2.1 Imaging MNPs 61
3.2.1.1 Magnetic Resonance Imaging 62
3.2.1.1.1\rMNPs as T2 Contrast Agents.Particle size can greatly affect the magnetic properties of nanoparticles. Both r1 and r2 values decr... 63
3.2.1.1.2\rMNPs as T1 Contrast Agents.MNPs show both longitudinal and transverse relaxation processes. However, their influence on T2 relax... 64
3.2.1.2 Magnetic Particle Imaging 64
3.2.1.3 Magneto-motive Ultrasound Imaging 65
3.2.1.4 Magneto-photoacoustic Imaging 67
3.2.1.5 Magnetic Nanoparticles in Multi-modal Imaging 68
3.2.1.5.1\rMNPs Combined with Fluorescence Probes for MRI-optical Imaging.Optical imaging is the mostly used imaging modality for preclinic... 69
3.2.1.5.2\rMNPs Combined with Radioisotopes for MRI-PET/SPECT Imaging.Nuclear imaging of cancer has been the main emphasis of nuclear medic... 72
3.3 Applications of MNPs in Drug Delivery 74
3.3.1 Biocompatibility of MNPs 74
3.3.2 Obstacles and Challenges of MNPs in Drug Delivery Applications 75
Acknowledgements 76
References 76
Chapter 4 - Photodynamic Therapy 86
4.1 Fundamentals of Photodynamic Therapy 86
4.1.1 The Paradigm 86
4.1.2 Applications 87
4.1.3 Mechanisms of Action 88
4.1.4 Biological Actions 89
4.2 Theranostic Features of PDT Drugs 90
4.2.1 Fluorescent Properties of PDT Drugs 90
4.2.2 Selectivity of PDT Drugs 91
4.2.2.1 Photosensitisers with Intrinsic Selectivity 91
4.2.2.2 Passive Targeting in PDT 91
4.2.2.3 Active Targeting: Photosensitiser-ligand Conjugates 95
4.2.2.4 Active Targeting: Photoimmunoconjugates 96
4.2.2.5 Active-targeting: Multifunctional Nanoparticles 97
4.2.3 Subcellular Localization 99
4.3 PDT Drugs Combined with Additional Imaging Agents 100
4.3.1 Nanoparticles as Contrast Agents in PDT 101
4.3.2 Photosensitiser Conjugates with Contrast Agents 102
4.4 Theranostic Applications of PDT 103
4.4.1 Tumour Delimitation 103
4.4.2 Fluorescence Image Guided Surgery and PDT 105
4.4.3 Dosimetry 106
4.4.3.1 Photobleaching-based PDT Dosimetry 106
4.4.3.2 Singlet Oxygen Luminescence Dosimetry 107
4.4.3.3 Singlet Oxygen Chemical Trapping Dosimetry 108
4.5 Outlook and Concluding Remarks 109
Abbreviations 110
Acknowledgements 111
References 111
Chapter 5 - Radiolabelling Liposomal Nanomedicines for PET Imaging 123
5.1 Liposomal Nanomedicines 123
5.2 The Importance of Imaging in the Development and Evaluation of Liposomal Nanomedicines 124
5.3 Radiolabelling Liposomal Nanomedicines for Nuclear Imaging: SPECT versus PET 125
5.3.1 Radiolabelling of Liposomal Nanomedicines with PET Isotopes 126
5.3.1.1 Using Chelators/Radionuclides Attached to the Phospholipid Bilayer 126
5.3.1.2 Using Intraliposomal Chelators 129
5.3.1.3 Exploiting the Metal-chelating Properties of the Encapsulated Drugs 132
5.4 Challenges for Clinical Translation 132
5.5 Conclusion 134
References 134
Chapter 6 - Liposomes for Hyperthermia Triggered Drug Release 137
6.1 Introduction 137
6.2 Base Lipids of TSL 142
6.3 Cholesterol 144
6.4 Surface Modification 145
6.5 Release Improvement 148
6.6 Encapsulated Compounds 151
6.7 Targeting 153
6.8 Testing Release 155
6.9 Conclusions 156
References 156
Chapter 7 - Targeted Delivery with Ultrasound Activated Nano-encapsulated Drugs 164
7.1 Introduction 164
7.2 Development and Characterization of a Cyclodextrin-based Drug Carrier 167
7.2.1 Chemical Modification and Cyclodextrin Derivatives 167
7.2.2 Doxorubicin as a Guest Molecule in a Cyclodextrin-based Complex 168
7.2.3 Characterization of Cyclodextrins and Their Complexes 169
7.3 Adaptation of Clinical MRgFUS System for in vitro Application of FUS 170
7.4 Discussion and Conclusions 176
Acknowledgements 179
References 179
Chapter 8 - Theranostics in the Gut 182
8.1 Introduction 182
8.2 The Gastrointestinal Tract 183
8.2.1 Organisation and Structure of the Gastrointestinal Tract 183
8.2.2 Diseases of the Gastrointestinal Tract 186
8.3 Basic Concepts of Capsule Endoscopy 187
8.3.1 Capsule Endoscopy for Diagnosis 187
8.3.1.1 Video Capsule Endoscopy 187
8.3.1.2 Fluorescence Imaging 188
8.3.1.3 pH Measurement 188
8.3.1.4 Ultrasound Imaging 189
8.3.1.5 Other Capsule Endoscopy Devices 189
8.3.2 Capsule Endoscopy for Therapeutic Use 189
8.3.2.1 Targeted Drug Delivery 189
8.3.2.2 Other 190
8.3.3 Sonopill 190
8.4 Ultrasound-mediated Targeted Drug Delivery 191
8.4.1 Ultrasound Delivery 192
8.4.1.1 Hyperthermia 193
8.4.1.2 Cavitation 193
8.4.2 Ultrasound-driven Microbubble Delivery 194
8.4.2.1 The Physics of Microbubbles 194
8.4.3 Targeting 195
8.4.4 Bioeffects and Delivery Mechanisms Using Ultrasound 196
8.4.5 Carriers, Agents and Their Uses 196
8.5 Theranostic Ultrasound Capsule Endoscopy 198
8.5.1 Ultrasound Approaches for UmTDD in Capsule Endoscopy 198
8.5.1.1 Extracorporeal and Intracorporeal Ultrasound 198
8.5.2 Imaging for Ultrasound-mediated Targeted Drug Delivery 199
8.5.2.1 Localisation 200
8.5.2.2 Treatment Monitoring 201
8.6 Realising UmTDD in the Gastrointestinal Tract 201
8.6.1 Barrett’s Oesophagus 202
8.6.2 IBD: Crohn’s Disease and Ulcerative Colitis 202
8.6.3 Colon Cancer 203
8.7 Future Theranostic and Image-guided Opportunities for Ultrasound Capsule Endoscopy 204
Acknowledgements 205
References 205
Chapter 9 - Microwave Imaging and the Potential of Contrast Enhancing Agents for Theranostics Use 211
9.1 Introduction 211
9.2 Dielectric Theory and Tissue Electrical Properties 213
9.2.1 Microwave Imaging Methods 215
9.2.2 Microwave Tomography Equipment and Image Processing 217
9.3 The Potential of Microwaves to Induce Thermal Therapy 219
9.4 Use of Nanoparticles as Contrast Agents and Their Potential as Microwave Theranostics for Microwave Cancer Treatment 221
9.5 Conclusions 230
Acknowledgement 230
References 231
Subject Index 234