Session C1 6042 Disclaimer — This paper partially fulfills a writing requirement for first year (freshman) engineering students at the University of Pittsburgh Swanson School of Engineering. This paper is a student, not a professional, paper. This paper is based on publicly available information and may not be provide complete analyses of all relevant data. If this paper is used for any purpose other than these authors’ partial fulfillment of a writing requirement for first year (freshman) engineering students at the University of Pittsburgh Swanson School of Engineering, the user does so at his or her own risk. THE BENEFITS OF NANOPARTICLES AS AN ALTERNATIVE TO CHEMOTHERAPY ALONE IN TRIPLE-NEGATIVE BREAST CANCER TREATMENT Eliza Schally, ems221@pitt.edu, Mena 4:00, Dana Scherler, das240@pitt.edu, Vidic 2:00 Revised Proposal — The use of molecular-targeted nanoparticles is a more efficient and effective method of delivering breast cancer-treating pharmaceuticals than standard chemotherapy treatment alone. Chemotherapy has been known to cause harsh side effects and often leads to tumors developing a resistance to the drugs used [1]. This molecular targeting allows the nanoparticles, typically administered intravenously, to actively seek out and only affect cancerous tissue, which leaves less of a chance for the drugs to cause the negative side effects associated with chemotherapy, such as cardiotoxicity, neuropathy, extreme fatigue and nausea, hematological toxicity, and skin necrosis [2]. Furthermore, nanoparticles have a controlled release feature that lessens the chance of the tumor developing a resistance to the treatment as compared to a burst of treatment followed by a rest period, which a patient would experience while receiving chemotherapy. Nanoparticles have been known to treat cancerous tumors in general but one of the most recent advancements in this type of treatment is in the treatment of triple-negative breast cancer, which is a “highly aggressive subcategory of breast cancer [that] currently lacks well-defined molecular targets for effective targeted therapies” [3]. Some nanoparticles that are being researched in their abilities to treat triple-negative breast cancer are lipid ECO-based nanoparticles, which target β3 integrin with the drug siRNA [3] and human serum albumin nanoparticles which target the epidermal growth factor receptor with the drug lapatinib [4]. Research on the use of nanoparticles in the delivery of breast cancer treatment drugs will mostly come from academic journals and other online articles. This application of nanoparticles is a new, innovative technology; therefore, the available research and published journals are current and plentiful. Using this research, this paper will first introduce nanotechnology and nanoparticles. Then, we will explain how the nanoparticles are able to deliver the chemotherapy drugs directly to the tumor, and why this is a significantly better method than traditional chemotherapy. After giving a general explanation of the role of nanoparticles in cancer treatment, we will elaborate on several specific nanoparticles, such as lipid ECO-based nanoparticles, and their particular uses. University of Pittsburgh Swanson School of Engineering 1/29/16 While there are currently many unknowns surrounding nanotechnology and its uses, nanoparticles have the potential to greatly improve the unnecessary side effects of traditional chemotherapy. Further research and development of the applications of nanoparticles in breast cancer treatment will allow for a safer and more exact way of eliminating tumors, opening doors for continued research in the uses of nanoparticles in the treatment of other cancers. REFERENCES [1] Y. M. Abaza, C. Alemany, et al. (2014). “Nanoparticle Albumin-Bound-Paclitaxel in the Treatment of Metastatic Urethral Adenocarcinoma: The Significance of Molecular Profiling and Targeted Therapy.” Case Reports in Urology. (Online article). http://web.b.ebscohost.com/ehost/detail/detail?vid=11&sid=c b0a2f81-4cea-4fe3-8e74e729b4538d58%40sessionmgr120&hid=118&bdata=JnNpdG U9ZWhvc3QtbGl2ZQ%3d%3d#AN=100534925&db=aph [2] E. J. Sanchez-Barcelo, M. D. Mediavilla, C. AlonsoGonzalez, R. J. Reiter. (2012, April 16). “Melatonin uses in oncology: breast cancer preventuion and reduction of the side effects of chemotherapy and radiation.” Expert Opinion on Investigational Drugs. (Online article). http://www.tandfonline.com/doi/pdf/10.1517/13543784.2012. 681045 [3] J. G. Parvani, M. D. Gujirati, M. A. Mack, W. P. Schiemann, Z. Lu, et al. (2015, June 6). “Silencing β3 Integrin by Targeted ECO/siRNA Nanoparticles Inhibits EMT and Metastasis of Triple-Negative Breast Cancer.” Cancer Research. (Online article). http://web.b.ebscohost.com/ehost/detail/detail?vid=5&sid=cb 0a2f81-4cea-4fe3-8e74e729b4538d58%40sessionmgr120&hid=118&bdata=JnNpdG U9ZWhvc3QtbGl2ZQ%3d%3d#AN=103084067&db=aph [4] X. Wan, X. Zheng, X. Pang, Z. Zhang, T. Jing, W. Xu, Q. Zhang, et al. (2015, April). “The potential use of lapatinibloaded human serum albumin nanoparticles in the treatment of triple-negative breast cancer.” International Journal of Pharmaceutics. (Online article). 1 Eliza Schally Dana Scherler http://web.b.ebscohost.com/ehost/detail/detail?vid=6&sid=cb 0a2f81-4cea-4fe3-8e74e729b4538d58%40sessionmgr120&hid=118&bdata=JnNpdG U9ZWhvc3QtbGl2ZQ%3d%3d#AN=101919012&db=aph ANNOTATED BIBLIOGRAPHY A. Bhargava-Shah, K. Foygel, R. Devulapally, R. Paulmurugan, et al. (2016, January 20). “Orlistat and antisense-miRNA-loaded PLGA-PEG nanoparticles for enhanced triple negative breast cancer therapy.” Nanomedicine (London). (Online article). http://www.ncbi.nlm.nih.gov/pubmed/26787319 This research article, published in a medically focused journal by Future Medicine, focuses on the use of hydrophilic polyethylene glycol-conjugated polylactic-co-glycolic acid nanoparticles (PLGA-PEG-NPs) loaded with orlistat (an antiobesity drug typically used to treat diabetes) in conjunction with chemotherapy. It states that successful treatment of triplenegative breast cancer would require lower doses of chemotherapy drugs and thus lessen the harm it inflicts on patients. This confirms the efficacy of nanoparticles. G. Hermerén. (2007, October 21). “Challenges in the Evaluation of Nanoscale Research: Ethical Aspects.” Springer Science + Business Media. (Online article). http://web.a.ebscohost.com/ehost/command/detail?sid=ab000 6c8-649f-44b9-8e480c2b90d7e5f0%40sessionmgr4003&vid=6&hid=4112 This article, from a professional, peer-reviewed journal specializing in informed discussion of ethical and social concerns of nanotechnology, weighs the scientific advantages against the ethical disadvantages of nanoscale research. By comparing nanotechnology to any new technology, this article conveys that the benefits cannot be discovered until they are tested. Information from this article will help us justify the use of nanotechnology, even with its many uncertainties, in breast cancer treatment. W. J. Irvin Jr., L. A. Carey, et al. (2008, December). “What is triple-negative breast cancer?” European Journal of Cancer. (Online article). http://rt4rf9qn2y.scholar.serialssolutions.com/?sid=google&a uinit=WJ&aulast=Irvin&atitle=What+is+triplenegative+breast+cancer%3F&id=doi:10.1016/j.ejca.2008.09. 034&title=European+journal+of+cancer+(1990)&volume=44 &issue=18&date=2008&spage=2799 This article, from a professional, peer-reviewed journal that discusses original research in oncology, defines triplenegative breast cancer and its characteristics, including its current risk factors and therapies. This article will give us information about the current therapy, chemotherapy, to compare to molecular-targeted nanoparticles. Furthermore, statistics from this article, such as the number of deaths from triple-negative breast cancer, will help us emphasize the need for a new method of treatment. “Nanoparticles Smart Drug Delivery System for Cancer” LexInnova. (2013, October). http://www.wipo.int/export/sites/www/patentscope/en/progra ms/patent_landscapes/documents/lexinnova_nanoparticles_s mart_delivery_system_for_tumors.pdf Information from this article, written by a preeminent legal solutions provider, gives an overview of nanotechnology in general and then assesses the benefits of using nanoparticles to treat cancer, proposing that eventually they may be used as a complete alternative to chemotherapy. This will be the main source of information about the general technological and biological processes in this area of medicine, serving as a foundation for specific examples. J. G. Parvani, M. D. Gujirati, M. A. Mack, W. P. Schiemann, Z. Lu, et al. (2015, June 6). “Silencing β3 Integrin by Targeted ECO/siRNA Nanoparticles Inhibits EMT and Metastasis of Triple-Negative Breast Cancer.” Cancer Research. (Online article). http://web.b.ebscohost.com/ehost/detail/detail?vid=5&sid=cb 0a2f81-4cea-4fe3-8e74e729b4538d58%40sessionmgr120&hid=118&bdata=JnNpdG U9ZWhvc3QtbGl2ZQ%3d%3d#AN=103084067&db=aph This article, published in the most cited professional peerreviewed cancer journal in the world, details the use of lipid ECO-based nanoparticles to deliver β3 integren siRNA, a metastasis-inhibiting therapeutic agent used in treating triplenegative breast cancer. This information will be used as a specific example of the effectiveness of nanoparticles as opposed to chemotherapy in the application of treatment of this particular type of breast cancer. S. Ruan, L. Zhang, J. Chen, T. Cao, Y. Yang, Y. Liu, Q. He, F. Gao, H. Gao, et al. (2015, June 27). “Targeting delivery and deep penetration using multistage nanoparticles for triplenegative breast cancer.” RSC Advances. (Online article). http://pubs.rsc.org/en/content/articlepdf/2015/ra/c5ra12436k This article, from a professional, peer-reviewed journal that covers all chemical sciences with the goal of advancing development of the various fields, explains how drug-loaded nanocarriers are systematically delivered to tumor sites and details delivery strategies to enhance deeper penetration into the tumor. This information will help us understand the logistics of how nanoparticles can target a tumor in comparison to traditional cancer treatments. J. Silva, A. R. Fernandes, P. V. Baptista. (2014). “Application of Nanotechnology in Drug Delivery.” INTECH. (Online article). http://www.intechopen.com/books/application-ofnanotechnology-in-drug-delivery/application-ofnanotechnology-in-drug-delivery This article, from a professional, peer-reviewed online book specializing in the fields of science, technology, and medicine, introduces the use of nanomedicine for cancer. This article conveys that traditional treatments, like chemotherapy, 2 Eliza Schally Dana Scherler target all cells, while nanoparticles can specifically target the tumor cells. We will use this article to provide a general introduction of the uses and benefits of nanotechnology in cancer treatment. X. Wan, X. Zheng, X. Pang, Z. Zhang, T. Jing, W. Xu, Q. Zhang, et al. (2015, April). “The potential use of lapatinibloaded human serum albumin nanoparticles in the treatment of triple-negative breast cancer.” International Journal of Pharmaceutics. (Online article). http://web.b.ebscohost.com/ehost/detail/detail?vid=6&sid=cb 0a2f81-4cea-4fe3-8e74e729b4538d58%40sessionmgr120&hid=118&bdata=JnNpdG U9ZWhvc3QtbGl2ZQ%3d%3d#AN=101919012&db=aph Cited from a journal for pharmaceutical scientists with a special section on pharmaceutical nanotechnology, this article describes why triple-negative breast cancer and molecular targeted therapy are compatible and details how labatinibloaded HSA nanoparticles are more effective in penetration and inhibition of triple-negative breast tumors. This provides insight into the interactions between nanoparticles, cancer treatment drugs, and breast cancer cells and details the use of a specific nanoparticle in this application. 3