Session B4 176 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. GRAPHENE AND ITS APPLICATION AS A DRUG DELIVERY SYSTEM Taylor Daniels, [email protected], Mahboobin 4:00, Jessica Sorick, [email protected], Mena Lora 1:00 Abstract — Graphene is a carbon allotrope that is an extremely versatile material, and its unique properties have been found useful in the area of targeted drug delivery, specifically for cancer therapy. Graphene is the lightest and strongest material and can conduct heat and electricity better than any material on Earth. These are some of the properties that give graphene the ability to transport anti-cancer drugs to the distinct part of a cancer cell where they will be most effective. Graphene-based drug delivery systems have been found to be responsive to many internal and external physical stimuli typical for effective drug delivery systems, such as pH, redox potential, biomolecules, light, magnetic field, and temperature. Cancer is one of the greatest health care problems facing society today. The current chemotherapy methods being used to treat cancer have extreme side effects and varied responses between patients. In studies at the University of Manchester and University of Calabria, graphene oxide could target and neutralize cancer cells, thus preventing the recurrence of tumors. Graphene does this by entering the cancerous tumors through nearby blood vessels that leak due to the tumor. The graphene oxide causes the cancer stem cells to become completely non-cancerous. Therefore, the cells no longer can create tumors. Thus, graphene’s success as a drugdelivery system will be thoroughly investigated and explained. across an array of fields including membranes, composites and coatings, energy, biomedical applications, sensors, electronics and other nanotechnologies. New uses for graphene are being discovered so rapidly that a concise list such as this cannot begin to explain the diversity of graphene. One specific area of interest in graphene for the biomedical field is in its potential as a drug delivery vehicle. In a scholarly article on graphene’s drug delivery applications, it is stated that graphene is biocompatible and responsive to many stimuli vital for effective drug delivery [2]. Due to its biocompatibility and unique properties, research is being done on graphene’s ability to carry anticancer drugs. The future looks bright for graphene in the drug delivery field, specifically with anticancer related drugs. Graphene’s use in each of these areas is important and useful for society in everyday life. Many of graphene’s applications are sustainable by either reducing waste or by improving quality of life. Recent breakthroughs in graphene’s ability to effectively transport anticancer drugs could be the next step in finding a cure for cancer. What is known today about graphene and all of its possibilities would not be possible without the research and studies that began about seventy years ago on graphene and its existence. Key Words — Cancer treatment, drug delivery, graphene, graphene oxide, nano-carriers Although graphene was not isolated until 2004, studies began around 1947. Graphene was known to be millions of extremely thin layers stacked together to form graphite, such as in a pencil. According to the University of Manchester, the fact “that electric current would be carried by effectively massless charge carriers in graphene was pointed out theoretically in 1984, and the name 'graphene' was first mentioned in 1987 to describe the graphite layers that had various compounds inserted between them. The term was used extensively in work on carbon nanotubes, which are rolled up graphene sheets” [3]. Many of the theoretical explanations and descriptions of graphene from over fifty years of studies were found to be true in 2004 by two professionals at the University of Manchester. Graphene was discovered relatively recently in 2004 at the University of Manchester by Prof Andre Geim and Prof Kostya Novoselov. According to the University of Manchester, “One Friday, the two scientists removed some flakes from a lump of bulk graphite with sticky tape. They GRAPHENE IN THE WORLD TODAY Graphene: A Carbon Allotrope Graphene is a material that has been turning heads in recent news because of its great number of useful properties and uses in various areas. Graphene is a versatile carbon allotrope that is the lightest, thinnest and also strongest material known on Earth. Due to graphene’s versatility, according to La Fuente, CEO of Graphenea, “Initially this will mean that graphene is used to help improve the performance and efficiency of current materials and substances, but in the future, it will also be developed in conjunction with other twodimensional (2D) crystals to create some even more amazing compounds to suit an even wider range of applications” [1]. The possibilities for graphene are endless, and its uses span University of Pittsburgh, Swanson School of Engineering 1 Submission Date 3.31.2017 The History and Development of Graphene Taylor Daniels Jessica Sorick noticed some flakes were thinner than others. By separating the graphite fragments repeatedly, they managed to create flakes which were just one atom thick. They had isolated graphene for the first time” [3]. They were both awarded the 2010 Nobel Prize in physics for their groundbreaking work in isolating graphene. Geim and Novoselov sparked a huge interest in graphene that has scientists across the world researching graphene’s amazing properties and capabilities. Although Geim and Novoselov isolated graphene with a simple method of sticky tape and a lump of graphite, graphene today is synthesized in many different ways, including bottom-up synthetic approaches such as chemical vapor deposition, arc discharge and epitaxial growth. The most common method used is a top-down approach using mechanical, physical and chemical exfoliation of graphite with strong acids and oxidants. These methods require extensive oxidation of aromatic structures in order to weaken the Van der Waals interaction between graphene sheets followed by their exfoliation and dispersion in solution [2]. Research is being done to optimize the synthesis of graphene and graphene oxide to make the process greener, less wasteful, more cost effective, and overall more sustainable. undergoing tension or compression in one direction. It is mathematically calculated by longitudinal stress divided by strain. Therefore, because graphene has a high Young’s Modulus, it is elastic. Fracture strength is the pulling stress required to break a material. Therefore, with a high fracture strength, graphene is strong and difficult to break. Graphene’s high elasticity and fracture strength, along with its many other properties are useful in many industries. Some industries being substantially impacted by the combination of graphene’s amazing properties include transport, medicine, electronics, energy, defense and desalination. Graphene has many specific electrical properties, including great conductivity. Graphene offers ballistic transport, linear current-voltage (I-V) characteristics, and huge sustainable currents (>108 A/cm2). Graphene transistors show a rather modest on-off resistance ratio [5]. All of these electrical properties of graphene are useful properties for metallic transistor applications. Another unique property of graphene is that “Its electrons behave like particles of light, the massless photons that, in a vacuum, relentlessly move ahead at a speed of 300 million meters per second. Similarly, electrons travelling in graphene behave as if they did not have any mass and move ahead at a constant speed of one million meters per second. This opens up the possibility of studying certain phenomena more easily on a smaller scale, i.e. without the use of a large particle accelerator. Graphene also allows scientists to test for some of the more ghost-like quantum effects that so far only have been discussed theoretically” [6]. This is such a unique property that will be extremely useful for scientists. The fact that graphene can help study certain phenomena that before could only be studied using a particle accelerator, or never at all, is outstanding. Graphene oxide, shown in Figure 2, a derivative of graphene, has been found to be useful in many applications and also have some interesting and useful properties. According to Johnson of IEEE Spectrum, a scientific magazine, “When graphene oxide is exposed to a certain pH level it transforms into liquid crystal droplets. Previously, researchers needed atomizers and other mechanical equipment to change graphene into a spherical form” [7]. Changing graphene into liquid crystals is not only simple, but also inexpensive. This special property, along with graphene not having any magnetic properties, can be something useful in many applications, primarily in drug delivery. The Properties of Graphene Graphene, the world’s first two-dimensional material, is the strongest material on Earth; it is 200 times stronger than steel. It is this strong while still being extremely flexible and ultra-thin. Graphene is also a great conductor, perfect barrier and completely transparent. Graphene is a perfect barrier because it is impermeable to all gases and moistures. According to the University of Manchester, graphene is a hexagonal lattice of carbon atoms in a honeycomb like structure [3]. This lattice structure, shown in Figure 1, is one feature that makes many of graphene’s properties possible. FIGURE 1 [5] Structure of Graphene In an article on graphene and graphene oxide as nanocarriers, it is stated “Due to its unique structure and geometry, graphene possesses remarkable physical–chemical properties, including a high Young’s modulus, high fracture strength, excellent electrical and thermal conductivity, fast mobility of charge carriers, large specific surface area and biocompatibility” [2]. Young’s modulus is a numerical constant that describes the elastic properties of a solid FIGURE 2 [5] Structure of Graphene Oxide 2 Taylor Daniels Jessica Sorick possibly roll up like a newspaper. According to the University of Manchester, “Flexible, wearable electronics take advantage of graphene's mechanical properties as well as its conductivity. Indium-tin oxide is currently used for touch screens as it conducts well but it is brittle” [3]. Graphene, being almost completely transparent, would be a great alternative for touch screens. With graphene being the strongest material currently known on Earth, using graphene instead of plastic or glass for touch screens would reduce an enormous amount of waste because it would create an ultimately indestructible smartphone. Smartphones are damaged and broken regularly, but with graphene, smartphones would become much more sustainable, lasting much longer. Graphene’s use in touch screen products, like smartphones and tablets could become extremely useful and in demand in today’s technology filled world. The demand for new technology is growing and something new such as flexible smartphones would be an extremely successful innovation. Applications of Graphene One example of graphene in the area of composites and coatings is in aircrafts. It is expected that graphene will eventually be used to replace steel in aircrafts, reducing weight and increasing fuel efficiency and range while still being strong. According to La Fuente, CEO of Graphenea, “Due to its electrical conductivity, it could even be used to coat aircraft surface material to prevent electrical damage resulting from lightning strikes” [1]. Graphene’s ability to better aircrafts in all of these ways could create a lighter, more economical, stronger and safer aircraft, benefiting all of society since air travel has become an essential part of the lives of many people today. With recent research at Manchester University, the possibility of graphene to be used as a membrane for filtration is looking more promising. Graphene is known to be a perfect barrier, meaning it is impermeable to all gases and moistures. Graphene can even stop helium, the most difficult gas to block. According to Manchester University, “Graphene oxide membranes are capable of forming a perfect barrier when dealing with liquids and gasses. They can effectively separate organic solvent from water and remove water from a gas mixture to an exceptional level” [3]. This is an amazing property to have as a barrier because it can be useful in filtration. There are current studies looking into the ability to use graphene oxide membranes in water filtration and desalination, something that could potentially help solve the world's water crisis and improve the quality of life of millions of people. There are many possibilities for graphene in the area of energy, including batteries, supercapacitors, and wind and solar power storage. According to Graphenea, graphene’s high conductivity gives it the ability to offer much higher storage capacities with much better longevity and charge rate [1]. Due to this capability, it is possible that graphene batteries could soon be replacing traditional lithium ion batteries. Flexible and extremely lightweight batteries could also be in the near future with the help of graphene. According to the University of Manchester, batteries could be so flexible and lightweight that they could be stitched in clothing and possibly the body. The example of lightweight batteries is significant for many applications. Significant impact would be made for soldiers if they could have batteries stitched into their clothing, reducing the weight load they’d have to carry around all day essentially giving them more energy to stay out in the field longer [3]. These batteries could also potentially be rechargeable by the sun or body heat, which could be useful not only in this application, but in many others as well. It is said that graphene batteries are to have a lifetime four times longer than conventional batteries. This will lead to a reduction in battery waste, making graphene batteries sustainable. Graphene’s high conductivity can also lead to many applications and advancements in electronics such as smartphones, transistors, and semiconductors. One interesting application for graphene is flexible electronics that could Potential as a Drug Delivery System Drug delivery is an extremely important component of today’s medicine because it is not simple to transport drugs through the many barriers they encounter through the body. According to the American Association for the Advancement of Science, some critical barriers include rapid filtration in the kidney for drugs that spend a lot of time in the bloodstream, the plasma membrane at the tissue or cellular target, and the harsh acidic environment of endolysosomes. Other barriers are the nuclear membrane and the multiple drug resistance mechanisms that pathological cells can develop [8]. With the many barriers and obstacles drug delivery vehicles must overcome, it takes a special nanomaterial with specific properties to be effective in drug delivery. The most interesting, and even groundbreaking possible application for graphene is in its potential as a drug delivery system. CNTs, or carbon nanotubes, are currently being researched as drug delivery vehicles, but they have some disadvantages. According to an article on graphene and graphene oxide as nanocarriers in drug delivery, “Compared with CNTs, graphene exhibits some important qualities such as low cost, facile fabrication and modification, a higher surface area with two external surfaces and the absence of toxic metal particles. Thus, graphene has begun to threaten the dominance of CNTs in many applications, including drug delivery, demonstrating lower toxicity and superior biocompatibility” [2]. CNTs are rolled, 1-D graphitic materials, which are a carbon derivative such as graphene, and can be seen in Figure 3. 3 Taylor Daniels Jessica Sorick It has also been found that graphene is responsive to many different stimuli including pH, redox, light, magnetics, and temperature [10]. This response is very important because different drugs are best controlled by different stimuli. Graphene can specifically target tumors more accurately than other drug delivery vehicles; therefore, graphene is especially suitable for delivery of anticancer drugs. CURRENT CANCER TREATMENT Current cancer treatment options have been around for the past fifty years. A patient’s type of cancer and how advanced it is determines the type of treatments they receive [11]. Some people go through many different types of treatments, such as surgery, radiation, and chemotherapy. Other patients participate in clinical trials or research studies. Additionally, each cancer treatment has its own short and long term effects. Side effects vary from patient to patient. Some people have few side effects and some have many. Factors that can determine the side effects a patient experiences include age, additional health conditions, frequency of treatment, and type of treatment [12]. Common side effects include anemia, appetite loss, bruising, constipation, delirium diarrhea, fatigue, hair loss, infection, memory loss, nausea and vomiting, nerve issues, sexual and fertility problems, changes in skin and nails, sleep problems, and urinary and bladder problems [12]. One of the most common cancer treatment forms is surgery. Surgery is often used in combination with other treatment options. During surgery, the surgeon attempts to remove the cancerous tumor from the body. There are options of performing surgery that do not involve cuts with scalpels. These options include cryosurgery, lasers, and hyperthermia [11]. Cryosurgery involves using liquid nitrogen to destroy abnormal tissue. It is often used to treat early-stage skin cancer and precancerous growths on the skin and cervix. Lasers involve using powerful beams of light to cut through tissue and can focus accurately on small areas. This method is helpful in treating tumors on the skin or on the inside lining of internal organs [11]. Hyperthermia involves exposing body tissue to a high temperature in order to damage and kill cancer cells. This technique helps to make the cells more sensitive to radiation and chemotherapy. Surgery tends to work best for solid tumors contained in one area of the body. Because surgery is a local treatment, it cannot be used for blood cancers such as leukemia or cancers that have spread to other areas of the body. Radiation therapy uses high doses of radiation to kill cancer cells and shrink tumors. The two types of radiation therapy are external beam and internal radiation therapy [11]. External beam radiation therapy comes from a machine and does not touch the body but sends radiation to a specific part of the body from many directions. Internal radiation therapy involves inserting either a solid or liquid source of radiation into the body. Radiation is often used along with surgery in FIGURE 3 [8] Carbon nanotubes (CNTs) vs. Graphene Although graphene and CNTs are similar in some ways, their differences give graphene an advantage and better biocompatibility for drug delivery. Graphene’s large surface area allows for higher drug loading than other nanomaterials, such as CNTs. Higher drug loading refers to graphene’s ability to carry more of the drug, therefore increasing its efficiency. Graphene oxide shows many of the same properties as graphene and also seems suitable for drug delivery. As shown in Figure 4, both graphene and graphene oxide can be multifunctional nanocarriers, carrying the drug, antibody and imaging probe. FIGURE 4 [2] Graphene and Graphene Oxide as Nanocarriers Drug carriers must have the ability to achieve high targeting concentration and efficiency at tumor sites. Many nanocarriers currently being used do not have this ability due to their limited drug loading capacity. Such disadvantages lead to a decreased effect of the anti-tumor drug. Along with the inability to specifically target the placement of the drug comes the accumulation of the drug in normal tissue, leading to serious side-effects and limiting the clinical use of some nanocarriers [2]. None of these disadvantages of current nanocarriers have been found in graphene or graphene oxide. According to IEEE, many drug delivery systems tend to use magnetic particles because they are effective, but sometimes they cannot be used because they can be toxic in certain physiological conditions. One property that graphene does not have is magnetism [8]. This property combined with the fact that graphene can be changed into spherical liquid crystal droplets simply and inexpensively, strengthens the outlook for graphene’s drug delivery potential. 4 Taylor Daniels Jessica Sorick order to help shrink the cancer prior to surgery or to kill any remaining cancer cells after surgery has been performed [11]. Radiation therapy often damages healthy cells which causes the side effects. Patients often have fatigue, hair loss, nausea, and skin changes. Other side effects often depend on which areas of the body are being targeted by radiation. Treatment of the chest, head, and neck often result in issues with swelling, cough, and changes in the mouth. Radiation of the stomach, pelvis or rectum can result in diarrhea, bladder issues, and sexuality and fertility problems [11]. “Healthy cells that are damaged during radiation treatment almost always recover after treatment is over. But sometimes side effects are severe and do not improve” [11]. Chemotherapy is one of the most well-known forms of cancer treatment. It involves the use of drugs to stop or slow the growth of cancer cells. Chemotherapy can help to make a tumor smaller prior to surgery or radiation and also destroy remaining cancer cells after treatment with surgery or radiation. Chemotherapy is often used repeatedly to kill cancer cells that have returned or spread to other areas of the body [11]. Chemotherapy is most often given through an IV. Other forms include pills, injections, or topical creams. Like radiation, chemotherapy often “kills or slows the growth of healthy cells that grow and divide quickly” [11]. Cells that are often affected include cheek, intestines, and the cells that cause hair growth. Because of the cells affected, side effects often include mouth sores, nausea, and hair loss. Another common side effect is fatigue. Most often, side effects go away once treatment is over. Less common forms of cancer treatment include immunotherapy, targeted therapy, precision medicine, hormone therapy, and stem cell transplants. Immunotherapy is a type of biological therapy used to help your immune system fight cancer. “Biological therapy is a type of treatment that uses substances made from living organisms to treat cancer” [11]. Targeted therapy is the foundation for precision medicine, a newer form of treatment. It targets the changes in cancer cells in order to provide an individualized treatment for each patient. Precision medicine helps patients based on genetic background. Targeted therapy and precision medicine are not common treatment options yet but doctors hope to make it a part of routine care soon [11]. Hormone therapy slows and stops the growth of prostate and breast cancers which use hormones to grow [11]. Stem cell transplants restore patients’ stem cells that have been destroyed by chemotherapy and radiation therapy. Stem cell transplants do not work to fight cancer directly, but to help a patient recover [11]. Immunotherapy has many different side effects. The most common side effects are a result of skin reactions at the needle site [11]. Side effects include pain, swelling, soreness, redness, itchiness, and rashes. There are also flu-like symptoms such as fever, chills, weakness, dizziness, nausea, muscle or joint aches, fatigue, headaches, breathing issues, and changes in blood pressure. Less common side effects include weight gain, heart palpitations, sinus congestion, diarrhea and risk of infection [11]. Targeted therapy has many side effects. The most common are diarrhea and liver problems. Others include problems with blood clotting, high blood pressure, fatigue, mouth sores, loss of hair color, and skin problems such as rash or dry skin. “Very rarely, a hole might form through the wall of the esophagus, stomach, small intestine, large bowel, rectum, or gallbladder” [11]. There are medicines for these side effect to help prevent them or to treat them once they arise. Hormone therapy causes unwanted side effects because it blocks the body’s ability to produce hormones. The side effects vary from person to person. When being treated for prostate cancer, men will often experience hot flashes, sexual dysfunction, weakened bones, diarrhea, nausea, and fatigue. Women being treated for breast cancer often experience hot flashes, changes in their menstrual cycles, nausea, mood changes, and fatigue [11]. There are many different types of cancer treatments available to patients. Each option has its own benefits and specific uses. As a cancer patient, finding the right treatment often is a difficult process that involves considering different factors such as medical costs, but most importantly, side effects. Medical researchers at the University of Manchester and University of Calabria found that graphene can be used as a cancer treatment, and not just as a drug delivery system [13]. This will be discussed in further detail in a later section. These researchers found that because graphene oxide forms spheres, the graphene oxide solution could interrupt the ability of cancer stem cells (CSCs) to proliferate. This prevents the CSCs from ever creating tumors in the future [13]. Thus, using graphene as a cancer treatment would eliminate cancer recurrence that is common with current treatment options. Because graphene oxide has not been used in clinical trials, harmful side effects are not yet known. But, results “show that graphene oxide is not toxic to healthy cells, which suggests that this treatment is likely to have fewer side-effects if used as an anti-cancer therapy” [14]. GRAPHENE AND CANCER TREATMENT Drug Delivery Properties of Graphene Current cancer treatments have severe side effects and show limited therapeutic responses. Therefore, various drug delivery systems, including that of graphene, have been explored, aiming at cancer-targeted delivery and controlled release of therapeutic agents. Graphene has attracted attention as a possible drug delivery system due to its “intrinsic physical and chemical properties” [10]. Because of graphene’s high specific area, it can be loaded with various types of biomolecules that are applicable in drug delivery and gene transfection [10]. Inorganic nanoparticles can be anchored to the surface on nano-graphene 5 Taylor Daniels Jessica Sorick to offer additional optical and magnetic properties which can be useful for in vivo tumor multimodal imaging. In vivo tumor multimodal imaging is a tissue imaging technique that involves two or more imaging techniques in one examination. Although nano-graphene is toxic, an engineered surface coating exhibited no obvious toxic effect to a study on mice [10]. Taking advantage of nano-graphene’s chemical properties, graphene-based drug delivery systems can be responsive to a number of stimuli such as pH, redox potential, biomolecules, near infrared (NIR) light radiation, magnetic field, and temperature [10]. Graphene-based drug delivery systems responsiveness to pH, redox potential, and biomolecules of interest “have been widely developed to enhance therapeutic efficacy and reduce side effects” [10]. pH sensitive drug delivery systems are responsive to abnormal changes in pH values in cancer sites. Tumor sites are more acidic than healthy tissues, so acidic sensitive drug delivery systems are effective. By coating the surface of nano-graphene, graphene can be used for loading anticancer drugs and pH dependent drug release [10]. In order to improve therapeutic efficiency and reduce side effects, ligands have been used with graphene-based drug delivery systems. Additionally, pH responsive graphenebased drug delivery systems have been found to enhance the efficacy of chemotherapy [10]. Cellular redox environment is mainly regulated by levels of glutathione (GSH). GSH is a compound present in the cytoplasm of cells with high concentrations [10]. Deficiency in GSH levels leads to increased oxidative stress, while an excess increases resistance to oxidative stress. Oxidative stress is an imbalance between the production of reactive oxygen and the body’s ability to repair its harmful effects through neutralization [10]. Combined GSH and graphene oxide based nanocarriers have been proven to “significantly improve the killing efficiency against cancer cells” [10]. In addition to redox responsive surface modification of graphene to enable drug release, it was found that biodegradation behaviors of graphene oxide could be regulated by its redox-sensitive surface coating. In a recent work by Zhen Gu, a professor in the Biomedical Engineering Department at University of North Carolina Chapel Hill, adenosine triphosphate (ATP), the primary energy source of cells, was used as an intracellular trigger to enhance the release of the loaded drug from graphene oxide nanocarriers. Gu found that due to this, graphene oxide could offer “synergistic antitumor activity” [10]. Photothermal therapy (PTT) has been widely used to directly kill cancer cells using optical-absorbing nano-agents, which could generate heat under near infrared light irradiation. PTT is the use of electromagnetic radiation to treat cancer [10]. Many inorganic and organic nano-agents, including nano-graphene, have been deemed as efficient photothermal agents for direct photothermal removal of cancers [10]. Owing to the intrinsic high photothermal conversion ability of nanographene, NIR laser irradiation could also be used to enhance drug release from the nano-carrier, realizing photothermally triggered drug release [10]. In the past few years, graphenebased nanoparticles with magnetic properties have also been used for drug delivery. In research done by Xiaoying Yang, Associate Professor in the School of Pharmaceutical Sciences at Tianjin Medical University, it was found that cancer attacked with a graphene oxide based drug delivery system under a magnetic field showed high drug intake [10]. Thermal effect has also been shown to be a useful stimulus for graphene-based drug delivery. Therefore, graphene-based drug delivery systems containing thermosensitive polymers may be used as nano-carriers responding to temperature changes, which could be induced by directly heating or by indirect hyperthermia effects such as photothermal and magnetic [10]. Graphene-based drug delivery systems responding to stimuli such as pH, redox and biomolecules have been widely explored to realize cancerspecific drug delivery, by taking advantage of the acidic tumor environment and the high intracellular GSH level. With strong NIR absorbance, graphene has been widely explored for NIRresponsive drug delivery [10]. Whether graphene is unique here or may be replaced by other conventional drug carriers for these applications is still unknown. Clinical Trials at the University of Manchester Cancer stem cells (CSCs) are “immortal, divide rapidly, and are highly resistant to conventional treatments” [13]. CSCs are also responsible for the spreading of cancer, therefore the targeting of them is critical to the health of cancer patients. Dr. Aravind Vijayaraghavan and Professor Michael Lisanti at the Institute of Cancer Sciences at the University of Manchester began investigating the potential of graphene as a cancer treatment option. The research team ran tests to see how six types of CSCs, breast, pancreatic, lung, brain, ovarian, and prostate, reacted when subjected to graphene oxide [13]. The CSCs were treated with graphene oxide solution for 48 hours. It was found that graphene oxide interrupted the ability of CSCs in each cancer type to “proliferate by forming spheres, and forced them to differentiate into non-cancer stem cells” [13]. This prevents the CSCs from ever creating tumors in the future. It is not yet clear why this is true, but a current theory is that the graphene oxide interferes with the pathways in the cell membranes, stopping the proliferation mechanism [13]. The graphene oxide did not harm any healthy cells either. This medical discovery must be better understood before it can become a cancer treatment option. However, graphene’s ability to destroy CSCs without destroying healthy tissue is an important component of cancer treatment. SUSTAINABILITY OF GRAPHENE Sustainability is a word that can have many different meanings, and graphene falls under many of those definitions. According to the University of California, Los Angeles, 6 Taylor Daniels Jessica Sorick sustainable development is development that meets the needs of the present without compromising the ability of future generations to meet their own needs, particularly with regard to use and waste of natural resources. Sustainability assumes that resources are limited and should be conserved. Sustainable practices support ecological, human, and economic health and vitality [15]. Graphene will be helpful in the future in eliminating glass and plastic waste from smartphones and electronics. Also, graphene will be sustainable in batteries by reducing battery waste as well. Maybe the most sustainable use graphene will be used for is in drug delivery. One specific meaning of sustainability that can be applied to graphene is quality of life. Graphene is sustainable in drug delivery because it will improve the quality of life of the patients receiving drugs delivered by graphene. Graphene drug delivery will be more efficient and effective than current methods being used. Graphene’s potential to deliver anticancer drugs will immensely improve the quality of life of cancer patients and their families. With cancer being one of the greatest healthcare problems of today, improved anticancer drug delivery with a sustainable nanomaterial such as graphene will have an impact on society because most people know somebody that has or has had cancer. SOURCES [1] J. La Fuente. “Graphene Applications & Uses.” Graphenea. Accessed 1.10.2017. http://www.graphenea.com/pages/graphene-usesapplications#.WHMHAIWcHgA [2] J. Liu, L. Cui, D. Losic. “Graphene and graphene oxide as new nanocarriers for drug delivery applications.” Acta Biomaterialia. 2013. Accessed 1.8.2017. http://www.sciencedirect.com/science/article/pii/S 174270611300408X. pp. 9243-9257 [3] “The Home of Graphene.” The University of Manchester. Accessed 2.9.2017. http://www.graphene.manchester.ac.uk/ [4] “Graphenes, Graphene Oxides (GO),” TCI America. Accessed 2.28.17. http://www.tcichemicals.com/eshop/en/us/category_index/12 962/ [5] A. Geim, S. Morozov, K, Novoselov. “Electric Field Effect in Atomically Thin Carbon Films.” Association for the Advancement of Science. 2004. Accessed 3.2.17. http://science.sciencemag.org/content/306/5696/666 [6] “Graphene- the perfect atomic lattice.” Royal Swedish Academy of the Sciences. 2010. Accessed 3.2.17. http://www.nobelprize.org/nobel_prizes/physics/laureates/20 10/popular-physicsprize2010.pdf [7] D. Johnson. “Graphene transforms itself into a sphere for drug delivery.” IEEE Spectrum. 2014. Accessed 1.8.2017.http://spectrum.ieee.org/nanoclast/biomedical/devic es/graphene-transforms-itself-into-a-sphere-opening-upmedical-applications [8] A. Chilkoti, J. Hubbell. “Nanomaterials for Drug Delivery.” American Association for the Advancement of Science. Accessed 2.28.17. http://science.sciencemag.org/content/337/6092/303.full [9] “CNT & Graphene Chemistry.” Department of Chemistry, Kookmin University. 2011. Accessed 3.1.2017. http://polymer.kookmin.ac.kr/research/research.php [10] K. Yang, L. Feng, Z. Liu. “Stimuli responsive drug delivery systems based on nano-graphene for cancer therapy.” Advanced Drug Delivery Reviews. 2016. Accessed 1.11.2017. http://www.sciencedirect.com/science/article/pii/S0169409X 16301570. pp. 228-241. [11] “Cancer Treatment.” National Cancer Institute. 4.29.2015. Accessed 2.9.2017. https://www.cancer.gov/about-cancer/treatment [12] “Side Effects.” National Cancer Institute. 4.29.2015. Accessed 2.9.2017. https://www.cancer.gov/aboutcancer/treatment/side-effects [13] M. Williams. “Graphene used to fight cancer.” HeroX. 2015. Accessed 1.10.2017. https://herox.com/news/240graphene-used-to-fight-cancer [14] “Graphene shows potential as novel anti-cancer therapeutic strategy.” The University of Manchester. 2.25.2015. Accessed 3.27.17. THE FUTURE OF GRAPHENE AS A DRUG DELIVERY SYSTEM Graphene has many unique properties and has found its application among many areas of society. Among these areas, drug delivery for cancer treatment may soon be one of them because there are many problems with current cancer treatments. From recent research, it has been found that graphene as a drug delivery system for cancer treatment may reduce some of these problems, such as late effects of cancer treatment and recurrence. Some of graphene’s properties that would make it a successful drug delivery system include its large surface area, large drug loading capacity, ability to transform into a spherical form and responsiveness to many different stimuli great for drug delivery including pH, redox, light, magnetics, and temperature [10]. Despite encouraging pre-clinical results reported in recent years, graphene-based drug-delivery is still challenging. Understanding the potential toxicity and degradation behavior of graphene is most important for further development of graphene-based drug delivery systems [10]. Graphene without surface coating would cause significant toxicity to cells. Although it is well documented that nano-graphene with ultra-small sizes and biocompatible surface coatings appear to be quite safe in vitro to cells [10]. Therefore, major efforts are still needed to persuade the public to accept the use of graphene-based drug delivery systems in the clinic. 7 Taylor Daniels Jessica Sorick http://www.manchester.ac.uk/discover/news/grapheneshows-potential-as-novel-anti-cancer-therapeutic-strategy [15] “What is Sustainability?” University of California, Los Angeles. Accessed 3.26.2017. https://www.sustain.ucla.edu/about-us/what-issustainability/ ACKNOWLEDGEMENTS We would like to thank our writing instructor, Keely Bowers, the freshman engineering writing program director, Beth Newborg, and our conference co-chair, Abigail Kulhanek, for their guidance, feedback and support. Also, many thanks to Judith Brink and Ashley Sowa, the librarians at the Bevier Engineering Library, for their help with research advice for our topic. 8
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