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Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 115
Tabl e 5 Applications of CNOs in biomedical field. Adapted and reproduced with permission from MDPI [114]
Name of CNOs Application Comments f-CNO reinforced zein
hydrogels
f-CNO-polycaprolactone Anticancer
p-CNO-glassy carbon electrode
f-CNO-gelatin hydrogel Anticancer
Ox-CNO/Chitosan/Polyvinyl alcohol
p-CNO, Ox-CNO, Fluorescent CNO
Anticancer drug delivery
drug delivery
DNA sensor Large surface area and fast electron transfer are
drug delivery
Tissue engineering
Cell imaging
Exhibit pH-responsive sustained drug release spanning over 15 days, Enhanced mechanical strength, improved cytocompatibility
pH-dependent drug release, improved biocompatibility, mechanical strength, and hydrophobicity
the reasons behind sensing biomolecular interaction
Sustained release of 5-FU drug over 15 days and improved tensile strength indicating the prospect in tissue engineering and drug delivery
Exhibit negative allergic response, tissue regeneration capability
As an alternative to organic dyes, it can provide high resolution cellular image, Exhibited improved stability and cytocompatibility

3.6 Nanohorns in Drug Delivery

Although Carbon nanohorns (CNHs) were synthesized a decade back, their applica­tions in biomedical field are coming up very recently [115]. CNHs are considered a bridge between carbon nanotubes (CNT) and fullerenes. They are one-dimensional
2
carbon nanostructure consisting of sp
carbon atoms. Because of the presence of conical shape front tip CNHs are also known as nanocone [116]. They are struc­turally very similar to CNTs, the only difference is they are end capped by a cone or horn. The cone angle is about 120°, length 40–50 nm, and diameter is 2–5 nm (Fig. 8)[117, 118]. CNHs are frequently found to be in aggregates in different shapes and morphology, e.g., dahlia flower like, bud like, seed like, etc. Among them, the most prominent is dahlia like spherical structure having a diameter of 80–100 nm [119, 120]. CNHs havevery different and unique properties which are absent in other nanostructures. Because of their special beneficial properties, they are employed in nano-oncology for delivery of anticancer drugs [121, 122]. A detailed study of the application of covalent modified and non-covalent modified CNHs in cancer therapy is available in article [116].
CNHs are synthesized by vaporizing some carbon material without any added metal catalyst followed by quenching for removal of impurities [123]. Primarily three methods are employed, e.g., arc discharge, laser ablation, and joule heating. Because of the absence of metal impurities, the toxicity level in CNHs is much lower than that of CNTs. This is the biggest advantage of CNHs for their biomedical applications [124126]. In addition to t his, CNHs have large surface area and high porosity. The
116 N. B. Singh et al.
Fig. 8 a Morphological representation of A Carbon Nanohorns with dahlia like structure and B single CNH. Reproduced with permission from Elsevier [117], b TEM image CNH showing dahlia like features. Reproduced with permission from Elsevier [118]
asymmetric structural features allow them easy loading and releasing of drugs either through tip or walls [127]. CNHs can undergo covalent and non-covalent functional- ization depending on whether more stable interactions or less stable interactions are formed due to the formation or disruption of chemical bonds during their synthesis Fig. 9 [116]. Covalent interactions involve attachment of organic molecule such as polymeric materials on the surface to enhance biocompatibility and tailored prop­erties. Non-covalent functionalization on CNHs includes π–π stacking interactions, electrostatic interactions, packing bioactive molecules inside cavity, adsorbing metal nanoparticles over the outer surface, etc. CNHs are more reactive than CNTs since there is a loss of aromaticity due to the presence of many defect sites. Thus they are prone to easy chemical modification. A lot of researches have been performed on the ability of CHNs role as drug carrier to the site of tumor in cancer treatment. In most cases of drug delivery by CHNs cisplatin is used as a chemotherapeutic agent [128]. The efficacy of CHNs in drug delivery is enhanced with their NIR absorption ability which recognizes their role in photothermal and photodynamic therapy [129]. The heat generated during NIR irradiation kills the cancer cells in photothermal process. However, in photodynamic process, cell death happens due to the singlet oxygen and other reactive oxygen species. People have also explored the conjugate role of photothermal with drug vector. For example, doxorubicine (DOX) and cis platin were loaded on the surface of CNHs through π–π stacking interactions of non-covalent functionalization along with suitable photo and chemotherapeutic protocols for treatment of various cancer cells(Fig. 10)[128]. CHNs are also reported for their biosensing applications. A glucose biosensor is fabricated by encapsulating glucose oxidase in the Nafion-CNH composite [130]. Polysodium styrene sulfonate functionalized CNHs can adsorb myoglobin and can act as an effective biosensor for the detection of H
[131]. A recent report investigated the simultaneous determi-
2O2
nation of dopamine, uric acid, and ascorbic acid using CNH modified glassy carbon electrode [132].
Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 117
Fig. 9 Various routes of functionalization in CNHs. Adapted and modified with permission from [116]
Fig. 10 Scheme for preparation of Cisplatin and Doxorubicin loaded SW-Carbon Nanohorns. Reproduced from Ivyspring International open [128]
118 N. B. Singh et al.

3.7 Fullerene in Drug Delivery

Fullerenes are clusters of carbon represented by Cn(n > 20) with a spherical surface.
2
All carbon atoms are sp
hybridized and form pentagons and hexagons by covalent bonding with each carbon atom on the surface. Fullerenes are associated with some interesting physical and chemical properties beneficial for drug delivery. Research findings reported that fullerenes are highly compatible with the biomolecules. Thus fullerene is considered a promising carbon-based nanomaterial in biomedical field [133137]. However, toxicity and high drug loading are the key limitations of this material for its full utility. Several strategies are applied to overcome these issues such as stabilization and functionalization.
The delivery of drug docetaxel is studied using functionalized fullerene (C
60
Higher apoptosis rate and antitumor efficacy was observed in case of functionalized fullerene-docetaxel than that of free drug [138]. Controlled drug release systems using functionalized fullerene were prepared as nano-vesicles. Various drugs such as cisplatin, 5-fluorouracil cyclophosphamide, etc., are carried by these nano-vesicles for release in a controlled delayed manner [139]. In the research by Wang et al. the solubility of fullerene is improved by reacting with surfactant CTAF with magnetic property. It is further modified by introducing DNA to hold anticancer drug DOX [140]. Then C
@CTAB/DNA system is coated with HA-SS-COOH for controlling
60
agglomeration and to improve the morphology. It has been observed that cleavage of disulphide bonds of glutathione significantly reduced the extratumoral environment and encouraged the delivery of drug at the specific site. Glycine functionalized C is reported for delayed drug delivery. Misra et al. have investigated drug delivery of glycinated C
-fullerene conjugated with N-desmethyl tamoxifen and observed
60
higher drug loading and drug retaining efficacy [141]. Similarly, cancer drug DOX conjugated with fullerene using a thioketal linking group for controlled drug delivery application. This system exhibits better therapeutic effect, less toxicity, and slowdrug release property [142, 143]. Some significant applications of fullerene in recent drug delivery systems are listed in Table 6 highlighting its promising future in this field.
).
60

4 Challenges and Future Perspective

As discussed in this chapter, it is clear that in the past few years, carbon-based nanomaterials (CBNs) are creating a lot of interest in drug delivery and biomedical field [16, 17]. CBNs are equipped with remarkable optical, mechanical, and chemical properties. The unique properties at the nanoscale alter their behavior inside the body. Despite the long list of advantages, the CBNs have a number of limitations. Scaling up the synthesis of CBNs to the industrial scale is not up to the mark. Most of the CBNs face serious challenges while large scale production [15]. A thorough understanding is required to devicean optimum methodology to tackle these issues. The synthesis methodology must be economical, environment friendly and
Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 119
Tabl e 6 Some recent drug delivery applications of Fullerene. Adapted and reproduced with permission from MDPI [1]
Drug used Method Functionalization Research inference Ibuprofen Conjugation Transition metal N4
Hydroxyurea Conjugation Pristine C60,BC59,SiC59,
Doxorubicin Complexation Tolu ene Drug delivery to
Doxorubicin Complexation Tolu ene Function as
Choloroquine Chemical bonding Pristine C60and
N-desmethyl tamoxifen
Reaction with glycine N-desmethyl tamoxifen
clusters
AlC
,
59
chloroquine
and glycine
Delivery of ibuprofen
Hetero-fullerene for drug delivery
cancer cells
photosensitizer Al and Si doped
fullerene as drug delivery vehicle
Controlled drug release
produce high yield. Moreover,the toxicity issue of CBNs is one of the most important challenges that need special attention [25]. Generation of toxic by-products to cause health and environmental issues need stringent regulatory protocols during synthesis and commercialization of CBNs. The poor aqueous solubility is another limitation of CBNs application in drug delivery. Utilization of high end surface engineering technology, these CBNs can be made biocompatible along with water solubility which is a highly desirable property in drug delivery and tissue engineering field [43]. Long term fate of the CBNs needs careful assessment to bring them further for clinical trials to treat serious ailments. Thus the compatibility, safety, and efficacy of CBNs are of prime importance to work on for their promising future applications in drug delivery and clinical field.

5 Conclusions

The present chapter highlights the different roles and functions of CBNs in drug delivery and biomedical applications. Throughout history, drug delivery has evolved from traditional formulations to sophisticated nanomaterial-based strategies, and CBNs have emerged as promising candidates for revolutionizing this domain. By examining the historical journey, current breakthroughs, and promising prospects, this chapter paves the way for harnessing the power of carbon-based nanomaterials to users in a new era of precision medicine and improved patient outcomes. Use of a number of carbon nanomaterials in medical sector with their positive and negative impacts have been discussed in this chapter.
120 N. B. Singh et al.
Acknowledgements The authors are thankful to the management of Sharda University for providing facilities and resources to conduct the present study.
Conflict of Interest The author declared no potential conflicts of interest with respect to the research, authorship, and publication of this article.

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