Nanoparts & cancer drug delivery Flashcards
Lec: intro to cancer and drug dleivery + characterisation of nanomedicines
unlike healthy cells, cancer cells do not …
carry on maturing (differentiation) or become so specialised
thus cells dont carry out their function in body
name of process of tumour creating its own blood vessels for blood supply and get rid of waste products etc?
angiogenesis
meaning of metastasis?
cancerous cells invade and destory surrounding healthy tissues and or organs
cancer spreading
term given where the cancer starts?
primary tumour
term given to tumour that has spread/ metastasized to another part from where it has originated?
secondary tumour
difference between benign and malignant tumour?
benign: cancer that doesnt metastasize
malignnat: cancer that invade/metastasize
cancer is a genetic disease, give some reasons for it?
inherited,
virus exposure,
toxic agent exposure,
unhealthy diet
examples of toxic agents thtat may cause cancer?
chemicals
radiation
UV rays form sun
…
what is cancer caused by specifically?
changes to genes (mutations) that control how cells function, especially grow and divide
type of tumour that is shielded by normal cells, grow slowly, do not spread?
benign
in what conditions/ cases may benign tumours cause problems?
if:
- become v large
- become uncomfortable/ painful
- are visible
- press on other organs
- take up space in skull
- release hormones, affecting how body works
malignant tumours can spread via what mechanisms to form secondary tumours?
bloodstream or lymph system
..they account for majority of cancer deaths
type of cancer treatment depends on what 2 things?
type of cancer
how advanced
all cancer treatment plans have SEs which are…
dose dependent
name the different treatment options for cancers?
hyperthermia
chemo
immunotherapy
hormone therapy
radiation
surgery
photodynamic therapy PDT
DDS
chemo uses drugs to kill cancer cells, slow growth, or prevent spread.
is treatment targeted for chemotherapeutic agents?
no
when are chemo drugs used?
when targeted/localised treatments not suitable
how are chemo drugs admin?
systemically.
have a NTW!
why may chemo be used after surgery/ radiation therapy?
to destroy any cancer cells remaining or spread to otherparts of body
3 examples of chemo drugs?
docetaxel
5FU
docorubicin
3 serious side effects of chemo such as docetaxel, 5 fluorouracil and doxorubicin?
fatigue, nausea and hair loss
name of treatment where body tissue is heated as high as 113F to help damage and kill cancer cells via probes that make energy from microwaves, radiowaves, ultrasound etc?
hyperthermia
some cons of hyperthermia treatment?
requires special treatment and expertise and can cause:
burns. blisters, pain, diarrhoea, nausea and vomiting
name of treatment used to slow/stop growth of breast and prostate cancers that use hormones to grow?
hormone therapy
- blocks bodys ability to make hormones/ interfered with how they behave in body
based on the MoA, list some SEs of hormone therapy?
hot flashes
diarrhea
nausea
fatigue
what does immunotherapy do?
helps bodys natural defence system in fighting cancer
name given to immune cells found near tumours?
TILs
tumour infiltrating lymphocytes
what may cause tumour to be undetected by immune system?
due to genetic changes of cancer cells or as result of having some surface proteins that shield tumour
name some cells immunotherapy includes
immune checkpoint inhibitors
Tcell transfer energy
MABs
immune system modulators- eg cytokines: INFs and ILs
name of therapy that is targeted and admin systemically?
immuno
MoA that allows T cell killing of tumour cell?
using checkpoint inhibitors
PD-L1 binds PD-1 and inhibits Tcell killing of tumour cell
by blocking PD-L1/ PD-1, then T cell can kill tumour cell
radiation treatment is localised and not targeted meaning it may cause damage to surrounding tissue, how does it work?
high doses of radiation damage DNA of exposed cancer cells to kill them and shrink tumours
surgery is the first line for most solid tumours - remove whole/part of it.
side effects?
pain and possible infections
name of treatment that uses drugs activated by light, called photosensitisers?
PDT
why is PDT associated with reduced damage to healthy tissues?
targeted and localised
how does PDT induce DNA damage and kill cancer cells?
upon exposure to light, the drugs (photosensitisers) make free radicals that do the job.
benefit of using DDSs in treating cancer? inc and dec what
inc conc of drug to tumour cells
dec conc of drug to healthy cells
2 types of targeting you can do w DDS to treat?
passive
active: e.g. antibody targeting