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Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 105
interactions, π–π stacking interactions are utilized for non-covalent modification of GO. For example, Liu et al. prepared pyrene-based polymers for modification of rGO using π-π stacking interaction [39].
Graphene-based nanomaterials show great potential in stimuli-responsive drug delivery, as suitable functionalized graphene has the capability to respond to periph­eral stimuli like PH, temperature, magnetic field, electric field, sound, near-infrared radiation, etc. Lower pH of tumor cell (5.5), compared to the physiological pH of 7.4, acts as a stimulus for pH-sensitive drug delivery systems [40]. Kavitha et al. combined pH-sensitive PEDA group poly 2-(diethylamino ethyl methacrylate) to the GO covalently to deliver camptothecin drug to the tumor cell. This drug was attached to PDEA-GO using non-covalent, hydrophobic, and π–π stacking interactions [40,
41]. Recently, Boddu et al. reported pH-sensitive rGO-embedded chitosan beads for
the co-delivery of two anticancer drugs curcumin and 5-fluorouracil [40, 42]. Fe
3O4
magnetic nanoparticles are deposited to develop a magnetic graphene oxide drug carrier for DOX [32]. To improve DOX efficiency towards human breast cancer treat­ment Pooresmalili and coworkers have grown copolymer brushes composed of acry­lated β-cyclodextrin (Ac-β-CD) and N-isopropylacrylamide (NIPAM) on magnetic graphene oxide surface [38, 43]. Kim et al. designed redox-sensitive GO derivative functionalized with methoxy poly(ethylene glycol) (MePEG) to release chlorin e6 drug to treat cholangiocarcinoma [40, 44].
Applications of graphene-based nanomaterials are not only restricted to cancer therapy but also extended towards other treatments, like wound dressing, neuro­logical disorder, drug addiction, etc. In 2021, Wang et al. reported NIR light responsive nanocarrier based on rGO and chitosan to deliver teriparatide drugs for repairing osteoporotic bones [45]. Xiong et al. developed lactoferrin functional­ized graphene oxide (GO) nanosheets to load and transport puerarin to the brain across the blood–brain barrier to cure Parkinson’s disease [46]. Excessive reactive oxygen species (ROS), like H
, free radicals (O
2O2
,OH•) singlet oxygen, etc.,
2
are responsible for inflammation, aging, cancer, and atherosclerosis. Wu et al. fabri­cated nanofiber membrane of rGO coupled with ROS-responsivePEGDA-EDT (poly (ethylene glycol) diacrylate -1, 2-ethanedithiol) copolymer for the delivery of fucox­anthin as the anti-oxidative and anti-inflammatory drug [40, 47]. Various surface­modified graphene derivatives have shown promising performance as nanocarriers in drug delivery. Some compounds have been functionalized to modify the graphene surface to improve their performance in drug delivery. Some of the recent reports on graphene-based nanomaterials for drug delivery applications are listed in Table 1. Apart from drug delivery, graphene nanomaterials also have potential applications in bioimaging, biosensing, gene delivery, and tissue engineering [28, 38]. The concerns associated with their usage are toxicity,inadequate information about their metabolic process, and uncertainty of long-term impact on various tissues and organs. Though a lot of research have been done to overcome these challenges, further efforts must be dedicated to expand their practical applications in biomedicine.
106 N. B. Singh et al.
Tabl e 1 Recent reports of graphene-based nanomaterials for drug delivery
Graphene nanomaterial Drug Application References Transferrin/folic acid
double-targeting graphene oxide (TFGP/DOX)
Cyclodextrin dendritic-Graphene oxide
β-cyclodextrin/ cystamine/ polyethylene glycol functionalized graphene oxide (GO-Cys-CD-PEG)
Ferric oxide/ chitosan/ Reduced graphene oxide nanocomposite
Graphene oxide/ chitosan/ montmorillonite nanocomposite
Gemcitabine/ reduced graphene oxide (GEM-rGO)
Cyanine5 modified miRNA/graphene oxide/ folic acid/ poly ethylene glycol/ platinum nanocomposite
Topotecan (TCN) loaded thermo sensitive nanocargos (TCN-TS-NC)
Methotrexate/GO Methotrexate Controlled delivery of drug were
Fas ligand conjugated rGO system
Daidzein-Graphene oxide(GO-DZ) complex
DOX Non-toxic, controllable drug delivery
DOX Good release and effectiveness of
DOX Redox and pH dual-responsive
DOX pH-triggered and magnetically
Gemcitabine (GEM)
GEM Notable cytotoxic activities towards
Platinum Multifunctional platform for ovarian
Topotecan Intramuscular (IM) administration of
Sevoflurane Deliver the drug towards the brain
Daidzein GO-DZ is antiosteoporoticoraldrug,
system has potential application for the treatment of hepatocellular carcinoma
DOX studied towards MCF- 7, human breast cancer cells
nanocarrier with high drug loading efficiency and used to treat human liver cancer cell line (HepG2 cells)
controlled DOX release towards A549 and MCF-7 cancer cells
Controlled delivery of GEM and cytotoxic effect was studied in vitro towards MDA-MB-231 breast cancer cell line
A549 and HEL-299, lung cancer cells
cancer therapy against cisplatin resistant SKOV3 cells
the drug showed control release against SCC7 cells, which can be used for the treatment of various tumors like ovarian and rectal cancer
studied for hepatocellular carcinoma cells (HepG2), porcine skin fibroblasts (PEF) and human embryonic kidney cells (HEK293A)
ischaemic region, can be explored to treat cerebral ischaemia
its cytotoxicity was studied towards human osteosarcoma cell lines (MG-63)
[48]
[49]
[50]
[51]
[52]
[53]
[54]
[55]
[56]
[57]
[58]
Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 107
3.2 Drug Delivery by Graphene Quantum Dot-Based
Nanomaterials
Graphene quantum dots (GQDs) are graphene-based nanoparticles, consisting of one or a few layers of graphene sheets with size generally less than 20 nm [40,
59]. The methods of GQDs synthesis are broadly categorized into two types: top-
down and bottom-up processes. In top-down strategies, GQDs are generally synthe­sized by cutting the graphene sheets or different carbon materials, such as graphite, coal, fullerene, and carbon nanotubes by physical or chemical methods. Bottom-up approaches generally involve assembly of the small molecules, such as amino acids, sugar, citric acid, and other organic precursors by pyrolysis or stepwise organic synthesis [60]. The advantages of GQDs over graphene are their excellent lumi­nescence behavior, low cytotoxicity, and high aqueous dispersibility and stability [61]. Unlike graphene, GQDs have nonzero band gap that can be altered by varying size, shape, and surface morphology [62]. Their large surface area, very small size, and better biocompatibility make them ideal for biomedical applications like drug delivery, biosensing, and bioimaging. Similarly, like graphene, GQD can easily interact with drug molecules using π–π interactions and its surface can be faction­alized suitably. It also shows stimuli-responsive behavior towards different stimuli, like light, pH, magnetic fields, and ultrasound [63]. Due to these unique properties, GQDs have great potential in drug delivery processes.
Recent reports on GQDs based nanocarrier for drug delivery applications are summarized here. Felix et al. incorporated anticancer drugs, imatinide on GQD­surface for the treatment of leukemia [64]. Lee et al. employed green fluorescent protein (GFP) nucleic acid, and branched polyethyleneimine (PEI) functionalized GQDs to encapsulate DOXfor colon cancer therapy. It was a pH-responsive nanostar drug carrier which successfully released the drug in the acidic tumor microen­vironment [65]. Gelatin-coated magnetite (Fe nanocomplex was developed by Pooresmaeil et al. to carry DOX to the breast cancer cells [66]. To enhance fluorescence imaging and biocompatibility, nitrogen doped GQDs (N-GQD) have been utilized by Frieler et al. Fluorescence tracking and delivery of DOX by N-GQDs towards MCF-7 and HeLa cancer cells have been investigated by them [67]. MiRGD peptide functionalized GQDs were designed by Ghafary et al. for targeted delivery of DOX and curcumin to the tumor cells [68]. Some recent reports are listed in Table 2. Figure 4 represents a schematic diagram of drug delivery by GQDs based nanocarrier. Beyond a drug carrier, graphene quantum dots act as a good therapeutic agent for various diseases, like, Alzheimer’s disease, Parkinson’s disease, hepatitis, diabetes, psoriasis, and cancer. It also has antimicrobial activity and wound healing properties [59].
)/graphene quantum dots hybrid
3O4
108 N. B. Singh et al.
Tabl e 2 Graphene quantum dots-based nanocarriers recently used for drug delivery
Graphene nanomaterial Drug Application References GQDs decorated with dextran/
poly(N-isopropylacrylamide)GQDs-Dex/ PNIPAM copolymeric hydrogel
Cytarabine (Cyt) loaded on carboxyl functionalized GQDsand wrapped with chitosan-CS/GQDs/Cyt
Epidermal growth factor receptor (EGFR)-specific antibody (scFvB10) conjugate to GQDs (SvFvB10-GQDs)
GE11 peptide functionalized GQDs (GQDs@GE11)
Tryptophanconjugated graphene quantum dots (Trp-GQDs) nanocomposite
Buprenorphine Temperature
Cytarabine pH-sensitive drug
Cisplatin Targeted
Cisplatin and doxorubicin
Curcumin pH-dependent,
triggered drug delivery for pain management
release towards cancer cells
delivery and pH-dependent release of cisplatin to breast cancer cells (MDA-MB-231)
GE11 peptide was used as targeting agent to EGFR receptors present on cancer cells and simultaneous release of two drugs boost the effect of chemotherapy for nasopharyngeal carcinoma
nontoxic drug delivery to MCF-7, human breast cancer cell line
[69]
[70]
[71]
[72]
[73]
3.3 Drug Delivery by Carbon Nanotube-Based
Nanomaterials
Carbon nanotubes (CNTs) are cylindrical shape carbon allotrope. CNTs are in general classified as single-walled (SWCNTs) and multi-walled carbon nanotubes (MWCNTs) depending on the graphene sheets number that rolled up to form the nanotubes. For example, SWCNTs and MWNTs contain single and multiple concentric graphene cylinders, respectively [74]. When CNTs contain only two layers encompassing two graphene sheets folded one upon another, it is referred to as double-walled carbon nanotubes (DWCNTs). Both the end of CNTs can be open ended or capped with a fullerene dome [75]. SWCNTs usually have a diameter of around 1 nm, in the range of 0.4 to 3 nm [74]. The length-to-diameter ratio of
Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 109
Fig. 4 Diagram of receptor-mediated drug delivery by targeting ligand conjugated GQDs into a tumor cell. Reproduced with permission from Elsevier [59]
nanotubes is about 1000 and hence they are considered as one-dimensional nanoma­terials [32, 76]. MWNTs have inner diameter in the range of 1 and 3 nm and outer diameter varies from 2 to 100 nm [77]. The length of the CNTs is the micrometer range. The separation between two concentric cylinders has been observed in the range of 0.27 to 0.42 nm for DWCNTs and MWCNTs [78].
CNTs are produced following three main techniques, electric arc discharge, laser ablation, and chemical vapor deposition (CVD). In electric arc discharge method, two graphite rods are used as cathode and anode inside a chamber. Direct current is passed, at very high temperature around 4000 K, anode sublimates and is deposited on cathode. MWCNTs are generally produced without using a catalyst, where as SWCNTs are synthesized utilizing a metal catalyst [30, 79]. In laser ablation approach, a pure graphite target is vaporized by laser radiation at high temperature and condensed on cooled copper rod in nanotube form. Large amounts of SWCNTs are produced by this method when transition metal particles are added as catalysts. But this method is expensive.In CVD method, carbon precursors (acetylene, benzene, carbon monoxide, methane, etc.) are decomposed and CNT is formed on the surface of metal catalyst particles [80]. Compared to other techniques, thermal or plasma­enhanced catalytic chemical vapor deposition technique is commonly employed as this method is more economic and produces large quantities of CNTs in pure f orm.
CNTs are very strong materials with high tensile strength. Young’s modulus for SWCNTs and MWCNTs are in the range of 2.8–3.6 TPa and 1.7–2.4 TPa,
110 N. B. Singh et al.
respectively [80]. These materials have very high thermal and electrical conduc­tivity. Depending on the structure and diameter, CNTs can be conducting or semi­conducting [76]. They are resistant to very high temperatures (750 °C in air and 2800 °C in vacuum) [32]. CNTs show interesting electrochemical properties and optical activity. Moreover, they have unique structures with low density, high surface area to volume ratio, and ability to cross cellular membranes. All these properties are responsible for a wide range of applications in various fields. But CNTs agglomerate in water because of strong van der Waals attraction and π–π stacking interactions. Thus, for biomedical applications proper functionalization of carbon nanotubes is essential to improve their aqueous solubility and biocompatibility.
Functionalized CNTs have attained remarkable importance in the field of drug delivery [30]. Various functional groups (like hydroxyl, carboxyl, amine, sulfonyl, etc.), molecules (including polymers and surfactants), and ionic or metallic species can be introduced on the surface of CNTs. Fullerenes, porphyrins, and metals have been incorporated inside the cavity of CNTs using hydrophobic interactions [76]. Different functionalization strategies, like covalent attachment, non-covalent attach­ment, and biocompatible surface modification are applied to design CNT-based drug delivery systems [76]. Drug molecules can be attached onto the surface or inside the internal space of the functionalized CNTs and then CNTs transport and deliver these molecules into the targeted cells. Dong et al. functionalized MWCNTs by transactivator of transcriptionpeptide-chitosan(MWCNTs-TC) to load anticancer drug DOX effectively. pH-controlled release of DOX was studied using BEL-7402 cells, a hepatoma cell line [81]. Cao et al. developed multifunctional MWCNTs, where polyethyleneimine (PEI) functionalized MWCNTs were covalently attached to a targeting ligand, hyaluronic acid (HA), and an imaging dye fluorescein isothio­cyanate (FI). MWCNT/PEI-FI-HA encapsulated DOX with high drug loading effi­ciency (72%) and delivered it to the target HeLa cancer cells over expressing CD44 receptors [82]. A platinum(IV) complex having a folate derivative was connected to the surface of an amine-functionalized SWCNTs. These functionalized SWCNTs carried the Pt(IV) complex to the cancer cell and delivered Pt(II) produced by intracellular reduction of Pt(IV) [83]. Recently, externally controllable SWCNTs based drug delivery system was designed by Madani et al. First SWCNTs-liposome complexes (CLCs) have been prepared and incorporated into 3D alginate hydrogel. Fluorescein isothiocyanate dextran is used as a model drug, which is released from CLCs when stimulated by NIR laser [84]. Some more recent applications of CNTs in drug delivery are briefed in Table 3.

3.4 Nanodiamond Based Drug Delivery Systems

Nanodiamonds (NDs) are the latest found carbon allotropes with single crystal size of 2–8 nm and large surface area. They are mainly composed of carbon atoms with a diamond like framework. The carbon atoms constituting the NDs, are in tetrahedral
Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 111
Tabl e 3 Recent applications of CNTs in drug delivery
CNTs Drug Application References SWCNTs attached with
Congo Red (CR) supramolecular ribbon-like assemblies
SWCNTs Paclitaxel Developed two models to
Carboxylated MWCNTs Isoniazid Isoniazid-conjugated MWCNTs
Ethylenediamine and phenylboronic acid group functionalized MWCNTs
Carboxylated MWCNTs Griseofulvin and
Carboxyl-SWCNT functionalized with polyethylene glycol/ polyethyleneimine
Doxorubicin SWNT-CR complexes have high
Paclitaxel High drug loading capability and
Sulfamethoxazole Methotrexate Use in treatment of rheumatoid
drug binding capability and pH-control drug release ability
determine the efficiency of paclitaxel towards the inhibition of cancer cell growth
showed effective drug delivery and good antibacterial activity towards Mycobacterium tuberculosis
targeted drug release to colon cancer cells
Improve the dissolution of hydrophobic antifungal drugs
arthritis
[85]
[86]
[87]
[88]
[89]
[90]
arrangements in a 3D cubic framework. The crystal structure consists of two inter­penetrating cubic close packed face centered lattices. The functional groups present in the ND’s surface allow for a variety of compounds to get attached to it. A large portion of atoms in NDs occupy the defect sites on grain boundaries on the surface and thus can alter the bulk properties strongly than that of macro or micro crystalline diamonds. NDs belong to two different types, e.g., detonation NDs (DND) and fluo­rescent NDs (FND) based on their size and synthetic strategy. DNDs are produced from explosives such as RDX or TNT. They are monodispersed in nature with a size about 5 nm. Alternatively, FNDs are manufactured at high temperature and pressure [91]. They exhibit polydispersity with wide size distribution.
NDs have some superior and special properties making them an interesting mate­rial in diverseareas. It is about fifty times harder than stainless steel and titanium. This quality of ND is utilized in biomedical applications for cutting and implanting tools for surgical purposes. Their high surface area, biocompatibility, and easy synthetic and doping methods are highly exploited in different applications [92]. NDs demon­strate interesting optical and photophysical phenomena which are utilized in making fluorescent probes in the bioimaging field [93]. For example, NDs exhibit fluores­cence emission at 550 to 800 nm from the nitrogen vacancy defect centers which are employed as fluorescent probe in tracking single particle. NDs are also applied for
112 N. B. Singh et al.
Tabl e 4 Some recent drug delivery applications of nanodiamonds
Functionalized component
N-Hydroxy- succinimide and 1-(3-dimethylaminopropyl)
-3-ethylcarbodiimide hydrochloride
Dicumyl peroxide and methyl 3-sulfanylpropanoate
Nitric acid, sodium octanoate, sodium-laurate, sodium oleate
Targeted drug Method Comments References
Cetuximab and cisplatin
Doxorubicin Conjugation
Paclitaxel Detonation,
Conjugation Inhibition of
by thiolene click reaction
PEG conjugation
HepG2 cells
pH-dependent slow release of drug with high drug loading capacity
High dispersion in water
[98]
[99]
[102]
drug deliveryof compounds which have low solubility. pH-dependent drug release by ND is reported for G9a inhibitor for hepatocellularcarcinoma therapy [94]. They are currently getting increased interest in theranostic field. NDs are successfully applied in tissue engineering, gene delivery, and bone surgery [95]. Biocompatibility of functionalized NDs is found to be superior to CNTs [96]. In drug delivery system, nanodiamonds have shown immense potential due to their biocompatibility. Wide varietyof molecules are absorbed by functionalized NDs and used for targeting tumor cells [97]. Li et al. fabricated bioconjugate of cetuximab-NDs-cisplatin for inhibition of HepG2 cells [98]. Ester functionalization on NDs surface helps in dispersion in water with enhanced loading capacity [99]. Controlled release of DOX in acidic envi­ronment has been tested using the composite of functionalized ND with polymers. Grafting of polymers on the surface of amine-functionalized NDs have been studied by Lu et al. [100]. Delivery of an anticancer drug gemcitabine by ND-PEG (polyethy­lene glycol) has been successfully studied by them. Various beneficial properties and applications of nanodiamonds are presented pictorially in Fig. 5 [101]. Some recent progress and application of functionalized NDs for drug delivery is listed in Table 4.

3.5 Nano-Onions in Drug Delivery

Carbon nano-onions (CNOs) are zero dimensional cages like structures [103]. They have multilayered close shells like onion (Fig. 6)[104]. The diameter of CNOs with
or C80fullerene core is varied from 1.4 to 50 nm and interlayer gap of 3.4 Å
C
60
[103105]. Depending on their fabrication method structural variations with different sizes and shapes are observed. Electron beam irradiation, arc discharge, thermal annealing, thermal reduction, etc., are some of the techniques used for t he production of CNOs. Pristine CNOs undergoaggregation in water and organicsolvent due to their
Carbon-Based Nanomaterials for Drug Delivery: Past, Present, Future … 113
Fig. 5 Schematic representation of beneficial properties and applications of nanodiamonds. Adapted and modified with permission from MDPI [101]
hydrophobic nature. However,the solubility can be altered by surface modification by functionalization [106]. CNOs can be manufactured easily,are highly stable and pure, and have small polydispersity index. Their distinctive properties make them highly useful as drug carriers [107]. Various studies have proved their biocompatibility. Their properties can be tailored by covalent and non-covalentfunctionalization [108].
Fig. 6 High-resolution transmission electron microscopy (TEM) image of a Carbon nano-onion; Reproduced with permission from Elsevier [104(a)] b Structure of carbon nano-onion. Adapted with permission from Elsevier [104(b)]
114 N. B. Singh et al.
Various applications of functionalized CNOs in biomedical sector in sensing, drug delivery, bioimaging, tissue engineering, etc., are explored by many research scientists [109]. CNOs are successfully examined for controlled release of drugs in ph-responsive manner. Composite of poly[N(4-aminophenyl)methacrylamide)] with CNOs is investigated for controlled release of DOX spanning over 15 days. 99.2% release was observed at pH 4.5 while at pH 6.5 release amount was only 59.3% [110]. Functionalization of CNOs with hyaluronic acid-phospholipid improves the solubility. This non-covalent functionalization is used for targeting different cancer cells Fig. 7.[111]. Composites of CNOs with surfactants display high solubility due to the hydrophilic nature of surfactants and improved physicochemical proper­ties. Bobrowska et al. functionalized CNO with different surfactants such as CTAB, SDS, SDBS, Triton X-100, and Tween 20 for investigating their biological activity against E. Coli. [112]. The results indicate a synergistic effect of the functionalized nanocomposite compared to pure surfactant. Graphite based water soluble CNO has been successfully employed for cell imaging of E. Coli. and Pseudomonas putida. The fluorescence property of this CNO is also used for the detection of glucose molecules [113]. Table 5 lists some recent progress of application of CNOs in biomedical field [114].
Fig. 7 Non-covalent functionalization of pristine-CNOs with hyaluronic acid-phospholipid conju­gate and its fluorescent counterpart. Reproduced with permission from Elsevier [111]