Dr. Mae-Wan Ho attempts to separate hype from reality in nanotechnology's vision for medicine, to help decide how the technology can improve our lives without compromising our dignity and freedom.
In August last year, scientists from Osaka University unveiled the worlds tiniest sculptures, bulls the size of a single blood cell, made using lasers. That was a dramatic demonstration that techniques for miniaturising machines are feasible, perhaps ultimately, down to the size of molecules that could fit inside cells.
Researchers from universities of Glasgow, Edinburgh and Strathclyde are working on robots about the size of a pill, that, when swallowed could measure temperature, acidity and oxygen concentration in the stomach, and the signals transmitted to an external receiver. Other researchers have developed a minute camera in a pill that can transmit pictures of all parts of the gut.
But these miniaturisations are still far from the molecular scale of nanometres (a billionth of a meter, and purists would not include those devices in the realm of nanotechnology. All the same, the possibilities seem endless. "There is plenty of room at the bottom," so said quantum physicist Richard Feynman in an after-dinner speech in 1959 that inaugurated the age of miniaturisation that leads ineluctably towards nanotechnology.
The microbull-sculpting scientists in Osaka have also built the smallest micromechanical system ever, a spring whose arm is only 0.3microns wide, which would just quality as a nanodevice. (A micron is a millionth of a metre.)
Carlo Montemagno of Cornell University made a molecular motor less than one-fifth the size of a red blood cell. The key components are a protein from E. coli attached to a nickel spindle and propeller a few nanometers across, which is powered by ATP, the energy-intermediate that the body itself uses to power all living activities. But this molecular motor works with the efficiency of only 1 to 4 percent, comparing poorly with those in living organisms that could work at close to 100 percent efficiency.
Researchers in Michigan have designed smart nanobombs that are said to evade the immune system, to home in on diseased cells to kill them or deliver drugs to them.
Also on the way are electronic devices that can tell cells to make specific hormones when the body needs them, and electricity generators that self-assemble inside the cell.
The first medical application of implantable nanotechnology was tried in diabetic rats. This implant, developed by Tejal Desai of University of Illinois, consists of a silicon box a tenth of a millimetre across too large to qualify as a nanodevice - containing a sponge of fibrous collagen tissue seeded with pancreatic cells from pig, dog or mouse. The box is porous with holes 20nm wide that can let glucose molecules in. If the cells detect too much glucose in the blood stream, they start producing insulin. The insulin molecule is small enough to pass through the pores into the bloodstream and bring glucose level down. The hope is that bulky molecules such as antibodies wont be able to get in to cause immune rejection of the cells in the box.
Another idea is to interact directly with cells, so they can be harnessed as pharmaceutical factories to produce drugs on demand. Milan Mrksich, chemist at the University of Chicago, plans to hook up cells to electronic circuits by tethering them to a carpet of molecular arms. Carbon chains between 10 to 20 atoms long attached to a gold-plated glass plate with sulphur atoms. The strands are packed so tightly that they have to stand upright on the surface. That creates a thicket of free sticky molecular ends to capture and manipulate cells.
To grab hold of cells, Mrksich can tag the exposed ends of the molecular chain with a ligand a small molecule that binds to receptors on cells. When an electric potential is applied to the gold layer, electrons jump from the gold layer onto the molecule. Electron shift along the chain alters the chemistry of the ligand, activating it so that it will bind to a cell.
Different kinds of receptors on the cell surface, when stimulated by binding to specific ligands, can trigger the expression of different genes to produce different products. But will the tethered cells survive and do as they are directed? More than likely, they are simply going to die when pinned onto electronic devices.
Although many potential applications are envisaged in biomedical applications, the actual products that will come on to the market for the foreseeable future are not much more than better research tools or aids to diagnosis. These include magnetic crystals and semiconductor crystals (quantum dots) attached to antibodies to detect the presence of specific protein antigens or bacteria, and nanoparticles for better drug delivery.
The much hyped possibility of nanoscale robots - nanobot - that can repair damaged cells, or self-replicate and run amok, as equally feared, remains in the realm of science fiction. Many scientists including Richard Smalley, 1996 Nobel laureate for buckminister fullerene, a new form of carbon in the shape of the geodesic domes designed by architect Bucksminter Fuller, and George Whitesides, Professor of Chemistry in Harvard University, are both sceptical.
There are simply no working examples of molecular machines outside living cells, and those in living cells are made and assembled on totally different principles from the way chemists make them in the laboratory.
In the lab, one can use the atomic force microscope to pick up and move individual atoms; but that doesnt mean one can make molecular-size machines that assemble other molecular machines. The atomic force microscope is a macroscopic device that can be precisely controlled to control individual atoms. Molecular size machines, on the other hand, will be subject to quantum forces that are basically uncontrollable. Another major problem is to supply the source of energy that can sustain the artificial molecular machines to do their work. (My own critique of nanobots is contained in "Can computers become super-intelligent?", this series.)
In contrast to the debate on genetic engineering, where misinformation, denial and obfuscation abound, scientists in this new area are informing the public with admirable clarity and candour, especially in separating hype from reality and in anticipating some of the risks involved (see special issue of Scientific American published last September).
As far as I can see, miniaturising diagnostic and surgical equipment, as in the pill-size monitors and cameras described earlier, are realisable possibilities that can deliver the benefit of minimising trauma and invasiveness of medical procedures.
But nano-implants have to treated with scepticism and caution, The promises of implants that restore sight, hearing, speech, mobility, and other organ-functions are obviously beneficial to those who have lost those functions after birth, though others who were born without them might take a different view, and should not be coerced into accepting those devices. Even more scepticism and caution should be accorded to implants that are supposed to enhance brain function, enable brain to brain and brain to machine communications (see "The Brave New World quartet", this series).
The prospect of adverse immune reactions has already been pointed out. We have yet to develop artificial materials that dont cause at least some problems when inserted into the body, starting with silicone breast implants. Nanoscale devices are worse. As David Williams, an adviser to the EU on problems of public perceptions of medical technologies says, "The human body is best designed to repel or attack things the size of a cell." Worse yet, the devices could clog up our immune system for good.
Quantum dots, nanoparticles, carbon nanotubes (in microelectronics) and other throw-away nanodevices may constitute whole new classes of non-biodegradable nano-junk and nano-smog, environmental pollutants that could make cancer-causing asbestos seem tame.
Other possible applications will raise alarm. Nano-surveillance units could be swallowed, or injected and lodged in the body, so as to tag and keep track of individuals, even without their knowledge.
Mind-control units could be implanted to make people behave in desired ways. The recent creation of a roborat with implanted electrodes in its brain that can make it move in controlled directions is a graphic demonstration of how such devices can compromise the most distinguishing hallmark of an organism, let alone a human being: the possession of autonomous purpose and will. There is no limit to the evil ends to which such technology could be put.
It is important for both scientists and the general public to keep close track of the developments, to distinguish hype from reality, and to decide how the technology can improve our lives without compromising our dignity and freedom.
Article first published 23/08/02
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