Optimal dosing a medical challenge
One of the key ways to successfully treat disease is to provide and maintain a therapeutic drug dosage throughout treatment. Sub-optimal therapeutic exposure reduces efficiency and typically leads to drug resistance, while overexposure increases side effects.
Maintaining an optimal concentration of drugs in the blood remains a major challenge in modern medicine. Since most drugs undergo rapid degradation, patients are forced to (and often forget) to take multiple doses at regular intervals. And because each patient has a distinct pharmacokinetic profile, the drugs concentration in their blood varies significantly.
Observing that only about 50 per cent of cancer patients get an optimal drug dosage during certain chemotherapy, UdeM associate professor of chemistry Alexis Vallée-Bélisle, an expert in bio-inspired nanotechnologies, started to explore how biological systems control and maintain the concentration of biomolecules.
“We have found that living organisms employ protein transporters that are programmed to maintain precise concentration of key molecules such as thyroid hormones, and that the strength of the interaction between these transporters and their molecules dictates the precise concentration of the free molecule,” he said.
This simple idea led Valléé-Belisle - who holds a Canada Research Chair in bioengineering and bionanotechnology - and his research team to start developing artificial drug transporters that mimic the natural effect of maintaining a precise concentration of a drug during treatment.
UdeM PhD student Arnaud Desrosiers, the first author of the study, initially identified and developed two DNA transporters: one for quinine, an antimalarial, and the other for doxorubicin, a commonly used drug for treating breast cancer and leukemia.
He then demonstrated that these artificial transporters could be readily programmed to deliver and maintain any specific concentration of drug.
“More interestingly, we also found that these nanotransporters could also be employed as a drug reservoir to prolong the effect of the drug and minimize its dosage during treatment,” said Desrosiers.
“Another impressive feature of these nanotransporters," he added, "is that they can be directed to specific parts of the body where the drug is most needed - and that, in principle, should reduce most side effects.”