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MOLECULAR BASIS OF
TARGATED DRUG DELIVERY
       SYSTEM




                         1
 Introduction
 Reasons for site specific drug delivery
 Anatomy & Physiology Of Cell
 Types Of Blood Capillaries
 Anatomical & Physiological considerations For Targeting
 Ideal Characteristics Of DDTS
 Components Of DDTS
 Levels Of Drug Targeting
 Ligend driven receptor mediated drug delivery
 Future perspective
 Conclusion
 References

                                                            2
 The concept of targeted drug delivery system
  given by “Paul Ehrlich”, proposed drug delivery
  as a “magic bullet”.
 Targeted drug delivery implies for selective and
  effective localization of pharmacologically active
  moiety at preselected target(s) in therapeutic
  concentration.
 It restrict the entry of drug in non-targeted cells,
  thus minimizing toxic effects.

                                                         3
 Targetingis signified if target compartment is distinguished
 from other compartment.
                 Drug                                       Drug in carrier

 Non target      Target site                                                  Non target
   site                                                Target site
                                                                                site

                               No affinity-      Targeted                 No affinity-
  Affinity -
                                low effect        effect                   low effect
  toxicity



 Inactivation/
     Less                                                                        More
  therapeutic                                                                 therapeutic
     effect                                                                      effect
                               Bio-environmental factors
                                                                                            4
Reasons For Site-Specific Drug Delivery

Properties                       Factors

Pharmaceutical                   Solubility
                                 Drug stability

Biopharmaceutical                Low absorption

Pharmacokinetic &                Short half-life
pharmacodinemic                  Large volume of distibution
                                 Low specificity


Clinical                         Low therapeutic index
                                 Anatomical & cellular barrier

                                                                 5
Anatomy & Physiology Of Cell




                               6
Extravasation




                7
Types Of Blood Capillaries




(1) Continuous capillary (as found in the general circulation). The endothelium is continuous
with tight junctions between adjacent endothelial cells. The subendothelial basement
membrane is also continuous.
(2) Fenestrated capillary (as found in exocrine glands and the pancreas). The endothelium
exhibits a series of fenestrae which are sealed by a membranous diaphragm. The
subendothelial basement membrane is continuous.
(3) Discontinuous (sinusoidal) capillary (as found in the liver, spleen and bone marrow). The
overlying endothelium contains numerous gaps of varying size. The subendothelial basement is
either absent (liver) or present as a fragmented interrupted structure (spleen, bone marrow)
                                                                                           8
9
Lymphatic System
Solid tumors lack lymphatic system,so the macromolecules drugs
enters tumor interstitium by extravasation & remain there,known as
EPR effect.




                                                                     10
Anatomical & Physiological considerations For Targeting

 Phagocytic uptake by the cells of the mononuclear phagocyte
 systems (MPS; also sometimes known as the reticuloendothelial
 system, RES)
   MPS System
 • fixed cells: macrophages in liver (also known as Kuppfer cells),
 spleen, lung, bone marrow and lymph nodes
 • mobile cells: blood monocytes and tissue macrophages
     Factors Affecting MPS Clearance
1. Particle size : Particulates in the size range of 0.1−7 μm tend to be cleared by the
                   MPS, localizing predominantly in the Kuppfer cells of the liver.
                     Negatively charged vesicles tend to be removed relatively
2. Particle charge : rapidly from the circulation whereas neutral vesicles tend to
                     remain in the circulation for longer periods.
3. Surface hydrophobicity : Hydrophobic particles rapidly taken up by MPS system.
                                                                                      11
Ideal Characteristics Of TDDS
• specifically target the drug to target cells or target tissue;

• keep the drug out of non-target organs, cells or tissue;

• ensure minimal drug leakage during transit to target;

• protect the associated drug from metabolism;

• protect the associated drug from premature clearance;

• retain the drug at the target site for the desired period of time;

• facilitate transport of the drug into the cell;

• deliver the drug to the appropriate intracellular target site;

• Should be biodegradable and non-antigenic.                           12
Components Of TDDS

TDDS Component                 Purpose

The active moiety              To achieve the therapeutic
                               effect
The carrier system (which can To effect a favorable
be either soluble or          distribution of the drug
particulate)                  To protect the drug from
                              metabolism
                              To protect the drug from early
                              clearance
A “homing device”              To specifically target the drug
                               to the target cells or target
                               tissue
                                                                 13
Carriers
Carriers  are the drug vectors which protect,transport
  and retain drug “an route” and deliver it to target
  site.
   Ideal characteristics of carrier
 It must be able to cross anatomical barriers.
 It must be recognized selectively by target cell.
 Carrier should be non-toxic, non-immunogenic,
  biodegradable particulate.
 After internalization carrier should release the drug
  moiety inside target organ.
 Extravasation and Passive delivery                 14
Carrier System Used For Targeted Drug Delivery
Colloidal Carriers   1)Vesicular system:
                     liposomes,niosomes,virosomes,immunoliposomes
                     2)Microparticulate system:
                     microspheres,nanoparticles
Cellular carriers    Resealed erythrocytes,serum
                     albumin,antibodies,platlets,leukocytes
Supramolecular       Micelles,reverse micelle,liquid crystals,lipoprotein
                     (VLDL,LDL)
delivery
Polymer based        Muco-adhesive,biodegradable,bioerodible,soluble
                     synthetic carriers
delivery

Macromolecular       1)proteins,glycoprotein,neo-glycoprotein
                     2)Mabs
carriers             3)Polysaccharides

                                                                        15
Levels Of Drug Targeting
               Targeting occurs because of the body‟s
Passive Targeting
   natural response to the physiological
   characteristics of the drug-carrier system.
   colloidal carriers are taken up by RES in liver &
   spleen.
  Disadvantage :extravasation is poor with
   microparticulate system.
 Macrophage related infected cell lines      Drug proposed for
                                             encapsulation

 INTRACELLULAR PARASITES:                    Antimalarial &
 Leismaniasis,Brucellosis, Candidiasis       Antiinfective
 NEOPLASM: lukemia,hodgkin’s disease,viral   Cytotoxic & antiviral
 infected disease                            drugs                   16
Inverse Targeting

It is based on successful attempts to avoid passive
  uptake of colloidal carrier by reticuloendothelial
  system.
 Methods For Inverse Targeting

                                 Inverse Targeting



    Pre injection of blank                           Change in size, surface charge,
       colloidal carrier                                hydrophilicity of carrier


       Blockade of RES

Phospholipid microsphere emulsified with poloxamer
 338 showed the lowest RES uptake in mouse.                                            17
Active Targeting
The natural distribution pattern of the drug carrier
  composites is enhanced using chemical,biological
  & physical method.
                            Active Targeting


   First order targeting   Second order targeting   Third order targeting



  Organ targeting            Cellular targeting      Intracellular targeting


Active targeting devided in two types:
1)Ligand mediated targeting            pH sensitive

2)Physical targeting                 Temperature sensitive                     18
Dual Targeting
Drug targeting employs carrier molecules,which have their
   own effect thus synergies the active ingradient effect.

 Double Targeting

 Controlled release of drug   Drug targeting
     Sustained release        Active/passive     Double
 Stimuli responsive release     targeting       targeting
   Self-regulating release


 Combination Targeting
Targeting can be achieved via physical(pemeation
   enhancer),chemival(prodrug),or carrier encapsulation

                                                            19
Problems Associated With Targeted Drug Delivery System

   Rapid clearance of targeted systems specially
    antibody targeted system.

   Immune reactions against intravenous administered
    carrier system.

   Problems of insufficient localization of targeted
    systems into tumour cells.

   Down regulation of surface epitopes.

   Diffusion and Redistribution of released drug
    leading to non-specific accumulation.
                                                         20
Cell Surface Biochemistry & Molecular Targets
Distinctive cellular elements present on the surface of the
target cells are important for targeting.
• Cell surface antigen
• Cell specific antibodies
• Cell surface receptors
 Receptor as drug delivery

Types of receptors present on
  biocell,
• lectin like receptors
• Monoclonal antibody
• Hormone
• MHC-1
                                                              21
Ligand As Drug Delivery

    Types of ligand internalized via receptor mediated
     endocytosis.
Endogenous      Immunological    Glycoconjugate    Antibodies
ligand          ligand
Transferin      Interferons      Glycolipid        Haptens
Folate          MHC-peptides     Glycosides        Mabs
Lipoprotein     Interlukins      Polysaccharides   Immunotoxins


Limitations of natural ligands

1. The endogenously produced ligands may compete with
   exogenously delivered ligand.
2. Ligands may elicit immunological response.
3. Bind to multi receptor types.
                                                                  22
LIGAND DRIVEN RECEPTOR MEDIATED
          DRUG DELIVERY
 Cellular Processes
Endocytosis:
(1) Recognition: Coating mediated by blood components
(2) Adhesion: Attachment of ligand to macrophage cells of
RES
(3) Digestion: Particle transfer to phagosome,phago-
lysosome,digestive vacuoles.




                                                            23
Endocytosis Processes




                        24
Receptor Madiated Endocytosis
Three internalization mechnisms have been proposed:
1. Fluid phase pinocytosis
2. Adsorptive,receptor mediated pinocytosis
3. Adsorptive,non-receptor (diffusive)mediated pinocytosis
  Clathrin Coated Endocytosis
 Clathrin is vesicular coat proteins mediate internalization
   of receptor-ligand complex
    Functions
    They concentrate carriers & receptors in the vesicles.
    They serve to transport & target vesicles from the donor
     compartment to appropriate destinations.
                                                                25
Clathrine Independent Endocytosis
 It involve the component of cytoskeleton.
 Caveolae are coated investigations of plasma
  membrane,they do not separate from the plasma
  membrane,known as “POTOCYTOSIS”
 Folate undergo potocytosis.




                       Non clathrine         micropinosomes
    Clathrine coated
    pinocytosis        coated



                                 phagosome



                                                              26
Ligand Mediated Transcytosis
   receptor-mediated pinocytosis,
    the endosomes carrying the
    drug actually bypass the
    lysosomes and migrate toward
    the basolateral membrane,
    resulting in the release of the
    undegraded drug into the
    extracellular space bounded by
    the basolateral membrane. This
    process, known as transcytosis,
    represents a potentially useful
    and important pathway for the
    absorption of high molecular
    weight drugs such as peptides
    and proteins.

                                      27
INTRACELLULAR DISPOSITION OF DRUG-CARRIER COMPLEX

Receptor Recognition & Ligand-Receptor Interaction

                  Cell Specific Recognition of Carrier



                      Binding Of Drug Conjugate
                                                         Influence By Proteine
                                                               Kinase C
                              Endocytosis



                          Intracellular release




                           Cellular Retention

                                                                                 28
Intracellular Complex Of Ligand-Receptor complex

                           Ligand-Receptor Complex



                        Transported In Endosome Vesicles
                                                                Lysosome



             Receptor                                      Ligand




      Transported To Cell Surface




                                                                           29
Delivery Of Drug-Carrier complex To Acidic Endosomal & Lysosomal
                                Compartment

 “Lysomotropic Approach”

   Vesicle Shunt Model      Assumes that early & late endosomes are pre-
                            existing compartments that communicate through
                            vesicle-mediate transport

     Maturation model       Assumes that early endosomes mature gradually into late
                            endosomes

Ligand degradation by lysosomal pH decrease by Ammonium Chloride which
neutralise acidic pH of lysosome

 Delivery Of Drug-Carrier complex To Cytosolic Compartment

Various methods available to target cytosole by exposing the vesicle to adenovirus
& immunotoxins which degrade endosomal vesicles & deliver the content to
cytosol.

                                                                                      30
Future Perspective
    The innovation in this field of research on the targeted drug
     delivery in the coming years would be a shift from “receptor to
     nucleus”.
    This site-specific delivery rotate towards the gene delivery to
     nucleus.

         Conclusion
•In the early days of the 20th century, Paul Ehrlich developed his
    “magic bullet” concept: the idea that drugs reach the right site in
    the body, at the right time, at the right concentration. It should not
    exert side-effects, neither on its way to the therapeutic target, nor at
    the target site, nor during the clearance process.
•    they are indicated for the treatment of life-threatening diseases
    like cancer, and severe infectious diseases.
                                                                               31
REFERENCES

1. Vyas s. p.,Khar r. k., 2010, „Molecular Basis Of
   Targeted Drug Delivery‟ Targeted & Controlled
   Drug Delivery System, 6th Edition, CBS Publishers
   & Distributors,New Delhi,Page no:38-80
2. Hillery m.,Lloyd w.,2005, „Advanced Drug
   Delivery and Targeting: An Introduction‟Drug
   Delivery & Targeting, 3rd Edition, Taylor & Francis
   Inc,29 West 35th Street, New York,Page no:56-71
3. Banker s. g.,Rhodes t. c.,2002, „Target Oriented
   Drug Delivery System‟Modern Pharmaceutics,4th
   Edition,United States Of America,Page no:531-580
                                                         32
33

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Molecular basis of targated drug delivery system

  • 1. MOLECULAR BASIS OF TARGATED DRUG DELIVERY SYSTEM 1
  • 2.  Introduction  Reasons for site specific drug delivery  Anatomy & Physiology Of Cell  Types Of Blood Capillaries  Anatomical & Physiological considerations For Targeting  Ideal Characteristics Of DDTS  Components Of DDTS  Levels Of Drug Targeting  Ligend driven receptor mediated drug delivery  Future perspective  Conclusion  References 2
  • 3.  The concept of targeted drug delivery system given by “Paul Ehrlich”, proposed drug delivery as a “magic bullet”.  Targeted drug delivery implies for selective and effective localization of pharmacologically active moiety at preselected target(s) in therapeutic concentration.  It restrict the entry of drug in non-targeted cells, thus minimizing toxic effects. 3
  • 4.  Targetingis signified if target compartment is distinguished from other compartment. Drug Drug in carrier Non target Target site Non target site Target site site No affinity- Targeted No affinity- Affinity - low effect effect low effect toxicity Inactivation/ Less More therapeutic therapeutic effect effect Bio-environmental factors 4
  • 5. Reasons For Site-Specific Drug Delivery Properties Factors Pharmaceutical Solubility Drug stability Biopharmaceutical Low absorption Pharmacokinetic & Short half-life pharmacodinemic Large volume of distibution Low specificity Clinical Low therapeutic index Anatomical & cellular barrier 5
  • 8. Types Of Blood Capillaries (1) Continuous capillary (as found in the general circulation). The endothelium is continuous with tight junctions between adjacent endothelial cells. The subendothelial basement membrane is also continuous. (2) Fenestrated capillary (as found in exocrine glands and the pancreas). The endothelium exhibits a series of fenestrae which are sealed by a membranous diaphragm. The subendothelial basement membrane is continuous. (3) Discontinuous (sinusoidal) capillary (as found in the liver, spleen and bone marrow). The overlying endothelium contains numerous gaps of varying size. The subendothelial basement is either absent (liver) or present as a fragmented interrupted structure (spleen, bone marrow) 8
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  • 10. Lymphatic System Solid tumors lack lymphatic system,so the macromolecules drugs enters tumor interstitium by extravasation & remain there,known as EPR effect. 10
  • 11. Anatomical & Physiological considerations For Targeting Phagocytic uptake by the cells of the mononuclear phagocyte systems (MPS; also sometimes known as the reticuloendothelial system, RES) MPS System • fixed cells: macrophages in liver (also known as Kuppfer cells), spleen, lung, bone marrow and lymph nodes • mobile cells: blood monocytes and tissue macrophages Factors Affecting MPS Clearance 1. Particle size : Particulates in the size range of 0.1−7 μm tend to be cleared by the MPS, localizing predominantly in the Kuppfer cells of the liver. Negatively charged vesicles tend to be removed relatively 2. Particle charge : rapidly from the circulation whereas neutral vesicles tend to remain in the circulation for longer periods. 3. Surface hydrophobicity : Hydrophobic particles rapidly taken up by MPS system. 11
  • 12. Ideal Characteristics Of TDDS • specifically target the drug to target cells or target tissue; • keep the drug out of non-target organs, cells or tissue; • ensure minimal drug leakage during transit to target; • protect the associated drug from metabolism; • protect the associated drug from premature clearance; • retain the drug at the target site for the desired period of time; • facilitate transport of the drug into the cell; • deliver the drug to the appropriate intracellular target site; • Should be biodegradable and non-antigenic. 12
  • 13. Components Of TDDS TDDS Component Purpose The active moiety To achieve the therapeutic effect The carrier system (which can To effect a favorable be either soluble or distribution of the drug particulate) To protect the drug from metabolism To protect the drug from early clearance A “homing device” To specifically target the drug to the target cells or target tissue 13
  • 14. Carriers Carriers are the drug vectors which protect,transport and retain drug “an route” and deliver it to target site. Ideal characteristics of carrier  It must be able to cross anatomical barriers.  It must be recognized selectively by target cell.  Carrier should be non-toxic, non-immunogenic, biodegradable particulate.  After internalization carrier should release the drug moiety inside target organ.  Extravasation and Passive delivery 14
  • 15. Carrier System Used For Targeted Drug Delivery Colloidal Carriers 1)Vesicular system: liposomes,niosomes,virosomes,immunoliposomes 2)Microparticulate system: microspheres,nanoparticles Cellular carriers Resealed erythrocytes,serum albumin,antibodies,platlets,leukocytes Supramolecular Micelles,reverse micelle,liquid crystals,lipoprotein (VLDL,LDL) delivery Polymer based Muco-adhesive,biodegradable,bioerodible,soluble synthetic carriers delivery Macromolecular 1)proteins,glycoprotein,neo-glycoprotein 2)Mabs carriers 3)Polysaccharides 15
  • 16. Levels Of Drug Targeting Targeting occurs because of the body‟s Passive Targeting natural response to the physiological characteristics of the drug-carrier system. colloidal carriers are taken up by RES in liver & spleen. Disadvantage :extravasation is poor with microparticulate system. Macrophage related infected cell lines Drug proposed for encapsulation INTRACELLULAR PARASITES: Antimalarial & Leismaniasis,Brucellosis, Candidiasis Antiinfective NEOPLASM: lukemia,hodgkin’s disease,viral Cytotoxic & antiviral infected disease drugs 16
  • 17. Inverse Targeting It is based on successful attempts to avoid passive uptake of colloidal carrier by reticuloendothelial system. Methods For Inverse Targeting Inverse Targeting Pre injection of blank Change in size, surface charge, colloidal carrier hydrophilicity of carrier Blockade of RES Phospholipid microsphere emulsified with poloxamer 338 showed the lowest RES uptake in mouse. 17
  • 18. Active Targeting The natural distribution pattern of the drug carrier composites is enhanced using chemical,biological & physical method. Active Targeting First order targeting Second order targeting Third order targeting Organ targeting Cellular targeting Intracellular targeting Active targeting devided in two types: 1)Ligand mediated targeting pH sensitive 2)Physical targeting Temperature sensitive 18
  • 19. Dual Targeting Drug targeting employs carrier molecules,which have their own effect thus synergies the active ingradient effect. Double Targeting Controlled release of drug Drug targeting Sustained release Active/passive Double Stimuli responsive release targeting targeting Self-regulating release Combination Targeting Targeting can be achieved via physical(pemeation enhancer),chemival(prodrug),or carrier encapsulation 19
  • 20. Problems Associated With Targeted Drug Delivery System  Rapid clearance of targeted systems specially antibody targeted system.  Immune reactions against intravenous administered carrier system.  Problems of insufficient localization of targeted systems into tumour cells.  Down regulation of surface epitopes.  Diffusion and Redistribution of released drug leading to non-specific accumulation. 20
  • 21. Cell Surface Biochemistry & Molecular Targets Distinctive cellular elements present on the surface of the target cells are important for targeting. • Cell surface antigen • Cell specific antibodies • Cell surface receptors Receptor as drug delivery Types of receptors present on biocell, • lectin like receptors • Monoclonal antibody • Hormone • MHC-1 21
  • 22. Ligand As Drug Delivery  Types of ligand internalized via receptor mediated endocytosis. Endogenous Immunological Glycoconjugate Antibodies ligand ligand Transferin Interferons Glycolipid Haptens Folate MHC-peptides Glycosides Mabs Lipoprotein Interlukins Polysaccharides Immunotoxins Limitations of natural ligands 1. The endogenously produced ligands may compete with exogenously delivered ligand. 2. Ligands may elicit immunological response. 3. Bind to multi receptor types. 22
  • 23. LIGAND DRIVEN RECEPTOR MEDIATED DRUG DELIVERY Cellular Processes Endocytosis: (1) Recognition: Coating mediated by blood components (2) Adhesion: Attachment of ligand to macrophage cells of RES (3) Digestion: Particle transfer to phagosome,phago- lysosome,digestive vacuoles. 23
  • 25. Receptor Madiated Endocytosis Three internalization mechnisms have been proposed: 1. Fluid phase pinocytosis 2. Adsorptive,receptor mediated pinocytosis 3. Adsorptive,non-receptor (diffusive)mediated pinocytosis Clathrin Coated Endocytosis  Clathrin is vesicular coat proteins mediate internalization of receptor-ligand complex Functions  They concentrate carriers & receptors in the vesicles.  They serve to transport & target vesicles from the donor compartment to appropriate destinations. 25
  • 26. Clathrine Independent Endocytosis  It involve the component of cytoskeleton.  Caveolae are coated investigations of plasma membrane,they do not separate from the plasma membrane,known as “POTOCYTOSIS”  Folate undergo potocytosis. Non clathrine micropinosomes Clathrine coated pinocytosis coated phagosome 26
  • 27. Ligand Mediated Transcytosis  receptor-mediated pinocytosis, the endosomes carrying the drug actually bypass the lysosomes and migrate toward the basolateral membrane, resulting in the release of the undegraded drug into the extracellular space bounded by the basolateral membrane. This process, known as transcytosis, represents a potentially useful and important pathway for the absorption of high molecular weight drugs such as peptides and proteins. 27
  • 28. INTRACELLULAR DISPOSITION OF DRUG-CARRIER COMPLEX Receptor Recognition & Ligand-Receptor Interaction Cell Specific Recognition of Carrier Binding Of Drug Conjugate Influence By Proteine Kinase C Endocytosis Intracellular release Cellular Retention 28
  • 29. Intracellular Complex Of Ligand-Receptor complex Ligand-Receptor Complex Transported In Endosome Vesicles Lysosome Receptor Ligand Transported To Cell Surface 29
  • 30. Delivery Of Drug-Carrier complex To Acidic Endosomal & Lysosomal Compartment “Lysomotropic Approach” Vesicle Shunt Model Assumes that early & late endosomes are pre- existing compartments that communicate through vesicle-mediate transport Maturation model Assumes that early endosomes mature gradually into late endosomes Ligand degradation by lysosomal pH decrease by Ammonium Chloride which neutralise acidic pH of lysosome Delivery Of Drug-Carrier complex To Cytosolic Compartment Various methods available to target cytosole by exposing the vesicle to adenovirus & immunotoxins which degrade endosomal vesicles & deliver the content to cytosol. 30
  • 31. Future Perspective  The innovation in this field of research on the targeted drug delivery in the coming years would be a shift from “receptor to nucleus”.  This site-specific delivery rotate towards the gene delivery to nucleus. Conclusion •In the early days of the 20th century, Paul Ehrlich developed his “magic bullet” concept: the idea that drugs reach the right site in the body, at the right time, at the right concentration. It should not exert side-effects, neither on its way to the therapeutic target, nor at the target site, nor during the clearance process. • they are indicated for the treatment of life-threatening diseases like cancer, and severe infectious diseases. 31
  • 32. REFERENCES 1. Vyas s. p.,Khar r. k., 2010, „Molecular Basis Of Targeted Drug Delivery‟ Targeted & Controlled Drug Delivery System, 6th Edition, CBS Publishers & Distributors,New Delhi,Page no:38-80 2. Hillery m.,Lloyd w.,2005, „Advanced Drug Delivery and Targeting: An Introduction‟Drug Delivery & Targeting, 3rd Edition, Taylor & Francis Inc,29 West 35th Street, New York,Page no:56-71 3. Banker s. g.,Rhodes t. c.,2002, „Target Oriented Drug Delivery System‟Modern Pharmaceutics,4th Edition,United States Of America,Page no:531-580 32
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