Heat-triggered 'grenades' hit cancer

Fernandel

Chadvocatus
So, science found a new way to be both terrifying and absolutely feckin' awesome at the same time.
Heat-triggered 'grenades' hit cancer
By James Gallagher Health editor, BBC News website
  • 31 October 2015
  • From the section Health

Image copyright Kostas Kostarelos
The scientists use liposomes to carry toxic drugs into tumours

Scientists have designed microscopic "grenades" that can explode their cancer-killing payload in tumours.

The team will present its findings at the National Cancer Research Institute conference next week.

They plan to use liposomes - tiny bubbles of fat which carry materials round the body - to release toxic drugs when their temperature is raised.

The "grenades" are intended to avoid side-effects by ensuring the drugs target only the tumour.

Experts said such technology, which has been effective in animal experiments, was the "holy grail of nanomedicine".

Cancer scientists are trying to harness the transporting abilities of these fatty spheres by getting them to carry toxic drugs to tumours.

"The difficulty is, how do you release them when they reach their target?" Prof Kostas Kostarelos, from the University of Manchester, told the BBC News website.

The Nanomedicine Lab in Manchester has designed liposomes that are water-tight at normal body temperature. But when the temperature increases to 42C they become leaky.

"The challenge for us is to try to develop liposomes in such a way that they will be very stable at 37C and not leak any cancer drug molecules and then abruptly release them at 42C," Prof Kostarelos added.

Warming
He suggests heat pads could be used to warm tumours on the body surface such as skin, head or neck cancers.


Image copyright Thinkstock
Probes can heat tumours inside the body, and there is also discussion about using ultra sound to warm tumours.

In early tests on mice with melanoma there was "greater uptake" of drugs in tumours using the thermal grenades. And that resulted in a "moderate improvement" in survival rates.

Prof Kostarelos said similar techniques were being trialled in patients and this "is not a fantasy."

Prof Charles Swanton, the chairman of the conference, said targeted liposomes were a "holy grail of nanomedicine".

He added: "These studies demonstrate for the first time how they can be built to include a temperature control, which could open up a range of new treatment avenues.

"This is still early work but these liposomes could be an effective way of targeting treatment towards cancer cells while leaving healthy cells unharmed."
Another article from the Express Star on the topic:
PUBLISHED: October 31, 2015 7:10 am
Heat-activated 'grenades' developed to fight cancer
Heat-activated "grenades" filled with cancer-fighting drugs have been developed by scientists, in the latest step to treat the disease.

The discovery could help reduce the damage to healthy cells which can be caused by other forms of treatment, the scientists said

The creation of a heat-activated trigger to release the drugs has been hailed as a way to make sure cancerous, rather than healthy tissue is targeted.

The findings of two studies by a team based at the University of Manchester are due to be presented at the National Cancer Research Institute (NCRI) cancer conference in Liverpool next week.

The method of treatment would see small bubble-like structures called liposomes carry drugs around the body to a tumour where they explode at a heat level above body temperature.

By heating the tumour scientists were able to control when the liposomes released their drugs.

It is hoped the development, which has so far been tested using warm water baths and heating pads on mice, could pave the way for more treatment options.

Study author and professor of nanomedicine at the University of Manchester Kostas Kostarelos said the discovery could help reduce the damage to healthy cells which can be caused by other forms of treatment.

He said: "Temperature-sensitive liposomes have the potential to travel safely around the body while carrying your cancer drug of choice.

"Once they reach a 'hotspot' of warmed-up cancer cells, the pin is effectively pulled and the drugs are released. This allows us to more effectively transport drugs to tumours, and should reduce collateral damage to healthy cells.

"The thermal trigger is set to 42 degrees Celsius (107.6F), which is just a few degrees warmer than normal body temperature.

"Although this work has only been done in the lab so far, there are a number of ways we could potentially heat cancer cells in patients - depending on the tumour type - some of which are already in clinical use."

Professor Charles Swanton, chair of this year's NCRI conference, said the development builds on what is the "holy grail" of nanomedicine.

He said: "Finding ways to accurately direct the liposomes towards tumours has been a major challenge in targeted drug delivery.

"These studies demonstrate for the first time how they can be built to include a temperature control, which could open up a range of new treatment avenues.

"This is still early work but these liposomes could be an effective way of targeting treatment towards cancer cells while leaving healthy cells unharmed."
So, "Nanomachines, SON!" is actually not that far off from the truth, as researchers from the University of Manchester found out. Drugs are carried around by liposomes, with the delivery system being triggered by heat -- scientists intend to heat up cancer cells in the patient's body to release drugs to the cancer cells in a more targeted manner, making sure healthy tissue is not targeted alongside tumors. They've only tested it on mice so far, but the implications are astounding.

...Unless, of course, my unscientific mind has been carried away by sensationalist media reporting. Wouldn't be the first time. :p

What do you think, SV?
 
More options for targetable therapy in cancer is always good. But yes, this is actually a remarkable accomplishment. I mean, it's not world-changing by any means, but the possibility is a definite step forward in designing new treatments.
 
What do you think, SV?
I've heard about stuff like this back in my bionanotechnology class in highschool, except that time they thing being heated was iron atoms. Substances that can be heated such that the heat doesn't hurt the body in general but anything near the substance is destroyed is doable. The sticking point has always been finding the other part of the pair, a means to seek out cancerous cells only. That said this one sounds like it uses a much lower temperature to trigger than the iron one did, so its certainly an improvement.
 
It's a very crude means of targeting a particular area. Better than nothing and the main thing is that it reduces side effects.

Substances that can be heated such that the heat doesn't hurt the body in general but anything near the substance is destroyed is doable.
It's basically just a bubble that leaks when you heat it up. 'Grenade' is a very poor choice of metaphor by the journalist.

Given current chemo therapy doesn't actually raise life expectancy I'd say this is pretty earth shaking.
Chemotherapy is highly effective against some types of tumours and clearly increases survival rates.
 
Given current chemo therapy doesn't actually raise life expectancy I'd say this is pretty earth shaking.

The side effects have a lot to do with not increasing the life expectancy. Malnutrition due to appetite loss and vomiting and the death of cells elsewhere in the body (with consequences ranging from hair loss to impaired immunity) do not help a sick patient live longer.

A targeted therapy like this means you can use less drugs and less spillage to unintended areas. Conventional chemo drugs go all over the body and wreak havoc everywhere.
 
This technique sounds like it would work with drugs in general, not just chemotherapy drugs, which is good. They aren't the only drugs with nasty side effects after all; just some of the worst.
 
Wait, hold up; Which high school did you go to that had bionanotechnology classes?
TJHSST, best public school in the country. Though the bionanotechnology class consisted entirely of reading formal scientific articles on the subject, then getting quizzed on it. Which was informative in it of itself, it got me experience reading formal scientific articles. As for actual things, we did get to dissect a piglet, separate DNA out from other organic matter, and other cool stuff.
 
TJHSST, best public school in the country. Though the bionanotechnology class consisted entirely of reading formal scientific articles on the subject, then getting quizzed on it. Which was informative in it of itself, it got me experience reading formal scientific articles. As for actual things, we did get to dissect a piglet, separate DNA out from other organic matter, and other cool stuff.
Isn't dissecting piglets and separating DNA fairly ordinary for high school science classes?
 
I'm a bit confused, if you have to heat the area where the cancer is, then you need access to it. If you have access, why not just use a needle to deliver the drug?
 
This stuff, whilst fantastic, isn't actually all that new. I know that I learnt about it in Biology back in secondary school, almost five years back now. It was used as an example of the things that we're using nanotechnology for in real life.

Its good to see they've ironed out the kinks though.
 
...Unless, of course, my unscientific mind has been carried away by sensationalist media reporting. Wouldn't be the first time. :p

The suggestion of heat pads really sets off alarms for me regarding the quality of this reporting.

Liposomes are already being used for targeted drug delivery by attaching targeting ligands. This causes them to fuse with the targeted cell and dump their contents inside. Photodynamic therapy also uses a similar method to the one in the OP, introducing a harmless compound that becomes toxic when exposed to a certain frequency of light, and is more actively taken up by most types of cancer cells. PDT in particular adds another layer of selectivity over this method, which is actually rather rudimentary by itself.

The ultrasound idea in the article might be a way to take advantage of density differences between certain tumors and surrounding tissue to selectively warm the tumor. This could have the advantage of targeted delivery without having to go in for surgery.

I'm a bit confused, if you have to heat the area where the cancer is, then you need access to it. If you have access, why not just use a needle to deliver the drug?

This might be a way to achieve gradual release of the drug at the target site as opposed to the needle, which might ensure its uptake before it gets out too far. Heat pads and probes are pretty crude though, so I can see where the confusion comes from.
 
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Isn't dissecting piglets and separating DNA fairly ordinary for high school science classes?
Not in my experience, and I took Biology twice (once at a rural school, and then AP Biology the next year at a rather well-off private college prep school).

Anecdotal, of course, but you'd think the latter at least would have had it if it were common.
 
Isn't dissecting piglets and separating DNA fairly ordinary for high school science classes?

Biology was a freshman class in my High School so we didn't go quite that far into it. We did some dissection on worms, frogs, and I think we ended on a mouse. Separating DNA was beyond that though this was almost 20 years ago so might have been more a feasibility thing than anything else. We talked about DNA and the process but most of the class was focused on biological systems and the like.

Now they did offer an AP Biology that you could take your senior year. Only about 15 of us out of a class of 230 took it. We dissected cats in that one and did a bunch of experiments on plants and bacteria. I think DNA testing was still a little bit off for a country public high school back in 2000.

I know that our teacher used to type everyone's blood as an experiment in the class but stopped once some kids got blood types that were not possible given what their parents had.
 
Speaking from the perspective of an English schooling, we had like three dissections over the course of our required Biology GCSE, and I can't remember what they were because I always left when the smell got to me.

On the technology itself?

Alas, it's not in production soon enough.
 
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