A dual-targeted siRNA nanocarrier has been synthesized and validated that is selectively activated in environments where there is colocalization of two breast cancer hallmarks, elevated matrix metalloproteinase (MMP) activity and folate receptor overexpression. This siRNA nanocarrier is self-assembled from two polymers containing the same pH-responsive, endosomolytic core-forming block but varying hydrophilic, corona-forming blocks. The corona block of one polymer consists of a 2 kDa PEG attached to a terminal folic acid (FA); the second polymer contains a larger (Y-shaped, 20 kDa) PEG attached to the core block by a proximity-activated targeting (PAT), MMP7-cleavable peptide. In mixed micelle smart polymer nanoparticles (SPNs) formed from the FA- and PAT-based polymers, the proteolytically removable PEG on the PAT polymers shields nonspecific SPN interactions with cells or proteins. When the PAT element is cleaved within an MMP-rich environment, the PEG shielding is removed, exposing the underlying FA and making it accessible for folate receptor-mediated SPN uptake. Characterization of mixed micelles prepared from these two polymers revealed that uptake and siRNA knockdown bioactivity of a 50% FA/50% PAT formulation was dependent on both proteolytic activation and FA receptor engagement. MMP activation and delivery of this formulation to breast cancer cells expressing the FA receptor achieved greater than 50% protein-level knockdown of a model gene with undetectable cytotoxicity. This modular nanoparticle design represents a new paradigm in cell-selective siRNA delivery and allows for stoichiometric tuning of dual-targeting components to achieve superior targeting specificity.
A dual-targeted siRNA nanocarrier has been synthesized and validated that is selectively activated in environments where there is colocalization of two breast cancer hallmarks, elevated matrix metalloproteinase (MMP) activity and folate receptor overexpression. This siRNA nanocarrier is self-assembled from two polymers containing the same pH-responsive, endosomolytic core-forming block but varying hydrophilic, corona-forming blocks. The corona block of one polymer consists of a 2 kDa PEG attached to a terminal folic acid (FA); the second polymer contains a larger (Y-shaped, 20 kDa) PEG attached to the core block by a proximity-activated targeting (PAT), MMP7-cleavable peptide. In mixed micelle smart polymer nanoparticles (SPNs) formed from the FA- and PAT-based polymers, the proteolytically removable PEG on the PATpolymers shields nonspecific SPN interactions with cells or proteins. When the PAT element is cleaved within an MMP-rich environment, the PEG shielding is removed, exposing the underlying FA and making it accessible for folate receptor-mediated SPN uptake. Characterization of mixed micelles prepared from these two polymers revealed that uptake and siRNA knockdown bioactivity of a 50% FA/50% PAT formulation was dependent on both proteolytic activation and FA receptor engagement. MMP activation and delivery of this formulation to breast cancer cells expressing the FA receptor achieved greater than 50% protein-level knockdown of a model gene with undetectable cytotoxicity. This modular nanoparticle design represents a new paradigm in cell-selective siRNA delivery and allows for stoichiometric tuning of dual-targeting components to achieve superior targeting specificity.
Because
of their potent mechanism of action and the ability to
design them against otherwise undruggable therapeutic targets, gene-silencing
siRNA have been extensively explored for use as a next-generation
class of pharmaceutics. A locally administered siRNA therapy entered
clinical trials in 2004, and a human trial testing systemic administration
of naked siRNA for the treatment of acute renal failure began in 2007.[1] Since then, several siRNA-based approaches have
been brought from concept to preliminary clinical testing.[1,2] However, siRNA molecules administered in vivo are
susceptible to inactivation and rapid renal clearance.[3] As a result, there is currently a strong focus on development
of siRNA delivery systems, especially nanocarriers, that improve the
pharmacokinetics and enable targeting of siRNA to tumors or other
disease sites.Multifunctional nanoparticles are attractive
for cancer therapies
due to their potential to be designed to overcome both the extracellular
and intracellular delivery hurdles present systemically and in tumors.
Nanocarriers are traditionally designed to access tumor tissues via
the enhanced permeability and retention (EPR) effect, which results
from the leaky vasculature that is characteristic of many tumors.[4] However, the EPR effect alone does not robustly
prevent tumor drainage or reverse transport into the systemic circulation;[5,6] as a result, strategies have been sought to improve tumor retention
through incorporation of targeting ligands that bind to cell surface
receptors,[7,8] moieties that are responsive to biological
molecules (i.e., enzymes) secreted in the disease location,[9−11] or “smart” properties that respond to environmental
cues (i.e., acidic tumor pH or oxidative stress) to release or activate
the therapeutic payload.[12,13]Functionalization
of drug nanocarriers with targeting ligands,
such as transferrin and folic acid (FA), has emerged as a mechanism
to increase uptake by the targeted cancer cells.[14−16] FA (vitamin
B9) is selected for cancer-targeted therapies because folate receptors
are rapidly internalized when engaged by FA and because epithelial,
ovarian, cervical, breast, lung, kidney, colorectal, and brain cancer
cells all abundantly express FA receptor as a mechanism supportive
of rapid cell growth.[17] However, some normal
tissues, such as the lungs and kidneys, also contain cells with high
folate receptor expression, increasing the potential for off-target
effects.[17] Furthermore, while targeting
ligands increase receptor-mediated cell internalization and tumor
retention, they do not inherently increase initial tumor accumulation.
As a result, targeted vehicles often do not outperform equivalent
nontargeted nanoparticles,[18] and there
remains to be a significant need to optimize nanocarrier chemicophysical
properties for improved stability and extended circulation time.[19]In order to minimize off-target effects,
while also enhancing tumor-specific
uptake of siRNA and other chemotherapeutics, a new dual-targeted,
pH-responsive siRNA nanocarrier has been developed. This multifunctional
smart polymeric nanoparticle (SPN) was designed to concurrently target
two key hallmarks of the tumor microenvironment; this new targeting
mechanism specifically delivers bioactive siRNA payloads to environments
characterized by colocalization of cells with high folate receptor
expression[17,20] and elevated matrix metalloproteinases
(MMPs), which are overexpressed in many types of highly aggressive
and metastatic cancers.[21,22] This design was conceived
as an approach to improve selectivity relative to that of conventional
targeting approaches by actively delivering payloads only to sites
where both of these tumor hallmarks are present. Importantly, this
targeting mechanism also incorporates PEGylation for long circulation
time, and the resulting SPNs are within a size range optimized for
initial EPR-based tumor accumulation in vivo.[23,24]This new targeting approach builds from our previously reported
proximity-activated targeting (PAT) SPN containing a cationic dimethlyaminoethyl
methacrylate (DMAEMA)-based midlayer for siRNA packaging, as well
as an outer PEG layer linked to the corona by a matrix metalloproteinase-7
(MMP7) cleavable peptide.[11] The innermost
core of this nanoparticle, like the current design, consisted of a
pH-responsive butyl methacrylate (BMA), propyl acrylic acid (PAA),
and dimethylaminoethyl methacrylate (DMAEMA) copolymer block that
is membrane-disruptive within acidic environments, enabling endosomal
escape.[25−27] The previous nanocarrier was functionalized with
a 5 kDa proteolytically removable PEG corona; cleavage of this layer
shifted the nanoparticle’s zeta potential from +6 to +15 mV,
resulting in increased cell binding, cell uptake, and gene-silencing
activity.[11] However, cellular uptake of
this first-generation system was mediated solely by a proteolytically
driven increase in zeta potential.The new targeting strategy
disclosed herein was developed to enhance
the performance of this promising design and to provide a new, more
selective approach to folate receptor targeting. In this approach,
MMP activation of the SPN, which has an approximately neutral zeta
potential, uncovers underlying FA ligands that are not accessible
prior to enzymatic cleavage. Thus, cell surface folate receptors can
be engaged only following proteolytic activation within the tumor
microenvironment and, at that point, can provide a more robust mechanism
of triggering nanoparticle uptake relative to that of sole dependency
on increased zeta potential. To achieve this targeting mechanism and
to provide better shielding of the underlying cationic layer and improved in vivo blood compartment persistence,[28] a 20 kDa Y-shaped PEG block, rather than a 5 kDa PEG, was
utilized as the outer corona by linking it through an MMP-cleavable
peptide to the underlying poly[(DMAEMA)-b-(DMAEMA-co-PAA-co-BMA)] (pD–pDPB) diblock,[26] yielding PEG20k–peptide–pD–pDPB
(referred to as PAT-SPN). The 20k PEG on the PAT-SPN shields folate
receptor-mediated SPN uptake in the absence of proteolytic activation
by sterically masking a separate, shorter polymer with a 2 kDa PEG
block end-functionalized with FA to form FA–PEG2k–pD–pDPB (referred to as FA-SPN). A series of nanoscale
mixed micelles comprising different molar ratios of these two polymer
constituents (% FA-SPN/% PAT-SPN) was formed and characterized, and
an optimized dual-targeted formulation was identified that shows strong
potential for improved delivery to breast cancer cells.
Materials and Methods
Materials
Chemicals and materials
were purchased from
Sigma-Aldrich or Fisher Scientific and used as received unless otherwise
noted. DMAEMA and BMA monomers were twice passed through a basic alumina
column prior to use. 2,2′-Azobis(2-methylpropionitrile) (AIBN)
was recrystallized twice using methanol. Dialysis cassettes were purchased
from Spectrum. Lipofectamine transfection reagent was purchased from
Invitrogen (Carlsbad, CA, USA), and active humanMMP7 (MW = 19 kDa)
was purchased from EMD Chemicals. PAA monomer was synthesized as previously
reported.[29] Maleimide-Y-shape–PEG
(20 kDa) (MAL–PEG20k) and heterobifunctional NH2-PEG-NH-t-Boc (2 kDa) were purchased from
JenKem Technology USA (Allen, TX, USA).
Synthesis of PEG20k–Peptide (Reversible Addition–Fragmentation
Chain Transfer) RAFT Macro Chain Transfer Agent (CTA)
The
synthesis of 4-cyano-4-(ethylsulfanylthiocarbonyl) sulfanylpentanoic
acid (ECT) followed protocols previously described.[26,30]N-Hydroxyl succinimide-functionalized-ECT (NHS-ECT)
and PEG–peptide macroCTA were synthesized as previously described.[11] Briefly, the MMP7-cleavable peptide (H-VPLSLYSGCG-OH;
previously described in ref (11)) was synthesized using a PS3 synthesizer (Protein Technologies,
Tucson, AZ, USA), purified by HPLC (Waters Breeze system), and confirmed
by LC-MS (Waters Synpat ESI-MS). After validation of MMP7peptide
cleavability, 0.21 mmol of peptide and 0.11 mmol of MAL-PEG20k were added to a 50 mL round-bottomed flask and dissolved in 30 mL
of anhydrous methanol that had been nitrogen-purged for 30 min. 0.24
mmol of triethylamine (TEA) was then added. The reaction was nitrogen-purged
for 30 min and stirred in the dark at room temperature for 24 h. The
resulting PEG–peptide conjugate was purified from excess peptide
by dialysis against methanol containing 0.2% formic acid, using dialysis
tubing of MWCO = 6–8 kDa (Fisher Scientific, Hampton, NH, USA),
and the purified product was lyophilized. Purified PEG–peptide
conjugate and NHS-ECT were dissolved in a mixture of 50% MeOH/50%
DMF and nitrogen purged for 30 min. The reaction was stirred at 30
°C for 48 h and then dialyzed against methanol to remove DMF
and excess NHS-ECT. Methanol was subsequently removed by rotary evaporation.
Further purification was completed by precipitating the PEG20k–peptide RAFT macroCTA twice from THF into chilled diethyl
ether. The 1H NMR spectrum for PEG20k–peptide–ECT
is shown in Supporting Information Figure 1.
Synthesis of Folic Acid–PEG RAFT MacroCTA
A
FA–PEG RAFT macroCTA was synthesized by modifying a previous
protocol.[31] FA (88.3 mg, 0.2 mmol; 1H NMR is shown in Supporting Information
Figure 2) and amine-PEG2k-amine-Boc (300 mg, 0.15
mmol; 1H NMR is shown in Supporting
Information Figure 3) were co-dissolved in 10 mL of anhydrous
DMSO and 5 mL of anhydrous pyridine in a 50 mL round-bottomed flask.
The reaction solution was nitrogen-purged for 30 min before the dropwise
addition of N,N′-dicyclohexylcarbodiimide
(DCC) (62 mg, 0.3 mmol) dissolved in 1 mL of anhydrous DMSO into the
flask. The reaction was stirred in the dark for 48 h and then filtered
through a 0.45 mm PTFE membrane filter to remove the precipitate (dicyclohexyl
urea). The reaction solution was dialyzed against DMSO to remove excess
FA and then dialyzed in methanol. The FA–PEG2k product
was isolated by rotary evaporation (1H NMR is shown in Supporting Information Figure 4). The FA–PEG2k product dissolved in 6 mL of trifluoroacetic acid (TFA)
was vigorously shaken for 2 h to remove the t-Boc
protecting group. The resultant FA–PEG2k-NH2 was purified by precipitation into cold diethyl ether (1H NMR is shown in Supporting Information
Figure 5). Purified FA–PEG2k-NH2 (340 mg, 0.15 mmol) and NHS-ECT (210 mg, 0.58 mmol; 1H NMR is shown in Supporting Information Figure
6) were co-dissolved in a solvent of 33 mL of MeOH and 15 mL
of DMF and purged with nitrogen for 30 min. The reaction was stirred
in the dark at 30 °C for 24 h and then dialyzed against methanol
(MWCO = 3000 Da, Fisher Scientific) to remove DMF. Methanol was subsequently
removed by rotary evaporation. Further purification was completed
by precipitating the FA–PEG2k RAFT macroCTA twice
from THF into chilled diethyl ether (1H NMR is shown in Supporting Information Figure 7).
Synthesis of
pDMAEMA with PEG20k–Peptide RAFT
MacroCTA or FA–PEG2k RAFT MacroCTA
To synthesize
PEG20k–peptide–pDMAEMA (PEG–pep–pD),
the RAFT polymerization of DMAEMA with the PEG20k–peptide
macroCTA was conducted as previously described.[11] Briefly, PEG20k–peptide macroCTA (234.3
mg, containing 0.0130 mmol CTA content determined by UV–vis
absorption extinction coefficient at 320 nm, 8970 mol L–1 cm–1 in MeOH) was dissolved in 0.57 mL of dioxane
in a 2 mL reaction vial under stirring conditions at an initial monomer-to-CTA
ratio ([M]0/[CTA]0) of 150 and CTA-to-initiator
molar ratio ([CTA]0/[I]0) of 6.67. The RAFT
polymerization of DMAEMA with PEG20k–peptide macroCTA
was conducted at 70 °C under a nitrogen atmosphere. The polymerization
was quenched after 3.2 h (27.5% conversion, determined by 1H NMR; characterization of PEG–pep–pD is shown in Supporting Information Table 1). To make FA–PEG2k–pDMAEMA (FA–PEG–pD), DMAEMA, FA–PEG2k macroCTA (82.2 mg, 0.0304 mmol), and initiator were dissolved
in 1.37 mL of dioxane in a 5 mL flask under stirring conditions at
[M]0/[CTA]0 of 128 and [CTA]0/[I]0 ratio of 6.67. The resultant PEG–pep–pD and
FA–PEG–pD products were isolated by precipitation into
chilled 40:60 v/v diethyl ether/pentane once and by subsequent precipitation
into chilled pentane twice. The polymers were redissolved in deionized
water and lyophilized.
Synthesis of p(DMAEMA-co-PAA-co-BMA) Terpolymer Block from PEG–pep–pD
MacroCTA or
FA–PEG–pD MacroCTA
Synthesis of p(DMAEMA-co-PAA-co-BMA) terpolymer (pDPB) from PEG–pep–pD
was performed as previously described.[11] Briefly, stoichiometric quantities of DMAEMA, PAA, and BMA (25:25:50
mol %), PEG–pep–pD macroCTA (140.0 mg, containing 0.0049
mmol CTA content), and AIBN were dissolved in 1.038 mL cosolvent of
67% dioxane and 33% DMF. The [M]0/[CTA]0 and
[CTA]0/[I]0 ratios were 360 and 5.56, respectively.Using the FA–PEG–pD macroCTA, stoichiometric quantities
of DMAEMA, PAA, and BMA (23:29:48 mol %), FA–PEG–pD
macroCTA (120.0 mg, 0.0080 mmol), and AIBN were dissolved in 1.35
mL cosolvent of 67% dioxane and 33% DMF. The [M]0/[CTA]0 and [CTA]0/[I]0 ratios were 430 and
8.33, respectively. The reaction mixture was nitrogen-purged for 20
min and allowed to react at 70 °C for 20 h. Both resultant crude
products were precipitated into chilled 50:50 diethyl ether/pentane
twice. The resultant polymers, PEG–pep–pD–pDPB
and FA–PEG–pD–pDPB were resuspended in pure water,
dialyzed against water overnight to remove impurities, and then lyophilized.
Polymer Characterization
Molecular composition of polymer
products was determined using 1H NMR spectroscopy (Bruker
Biosciences Corporation, Billerica, MA, USA). Absolute molecular weight
and polydispersity of the copolymers were characterized by Agilent
Infinity gel permeation chromatography (GPC) (Agilent Technologies,
Santa Clara, CA, USA) via batch mode by measuring the polymer dn/dc using known concentrations of each
purified polymer sample.
Mixed Micellar Nanoparticle Assembly and
Size Measurement by
DLS and TEM
Varied ratios of PEG–pep–pD–pDPB
(referred to as PAT-SPN) and FA–PEG–pD–pDBP (referred
to as FA-SPN) polymers were codissolved in ethanol at a concentration
of 20 mg/mL. This solution was then diluted dropwise into a 20-fold
volume excess of 1× phosphate buffered saline (PBS) at pH 7.4
under stirring conditions to a final concentration of 1 mg/mL. Micelles
were diluted in diH2O to 0.20 mg/mL for hydrodynamic radius
measurement using dynamic light scattering (DLS) (Malvern Zetasizer
Nano-ZS). Particle diameter was confirmed using transmission electron
microscopy (TEM) imaging using a Philips CM20 system. Carbon film-backed
copper grids (Electron Microscopy Sciences, Hatfield, PA, USA) were
dipped into 0.15 mg/mL nanoparticle suspension for 1 min and then
dipped into 3% uranyl acetate for 15 s. Following each step, grids
were gently blotted dried. Grids were dried in a vacuum desiccator
overnight prior to imaging.
Assessment of the MMP7 Responsiveness of
Mixed Micelles
Proximity activation by MMP7 was determined
by GPC and through physicochemical
assessments of particle size and surface charge. Micelles in PBS (0.9
mg/mL) were treated with 50 nM active humanMMP7 in the presence of
50 μM Zn2+ ions (necessary for MMP7 activation) or
PBS alone as a control and incubated at 37 °C. Samples were diluted
to 0.2 mg/mL with deionized water, and size and ζ-potential
were measured on a Malvern Zetasizer Nano-ZS at various time points.
Cell Culture
MDA-MB-231breast cancer cells (ATCC,
Manassas, VA, USA) and MCF-7 mammary tumor cells (ATCC, Manassas,
VA, USA) lentivirally transduced to constitutively express firefly
luciferase were cultured on standard tissue culture-treated polystyrene
in an incubator maintained at 37 °C and 5% CO2. Cells
were maintained in growth media consisting of Dulbecco’s modified
Eagle’s medium (DMEM; Gibco-Life Technology) supplemented with
10% fetal bovine serum (FBS; Gibco) and 50 μg/mL gentamicin
(Mediatech, Englewood, CO, USA).
Flow Cytometry and Confocal
Microscopy Cell Uptake Measurements
Flow cytometry was used
to quantify intracellular delivery of the
different mixed micelle formulations. MDA-MB-231breast cancer cells
were seeded at 80 000 cells/mL in a 24-well plate (Corning
Costar, Tewksbury, MA, USA) and allowed to adhere overnight. For some
samples, micelles were pretreated with 50 nM MMP7 and 50 μM
ZnSO4 in the absence of serum for 6 h prior to treatment
of cells. In these studies, Alexa488-labeled dsDNA was used as a model
for siRNA and was formulated with nanoparticles at a charge ratio
of 6:1. Nucleic acid-loaded mixed micelle formulations with or without
MMP7 preactivation were then added to the cells at a dsDNA concentration
of 50 nM in DMEM supplemented with 10% FBS and 50 μg/mL gentamycin.
Free FA in the media at a concentration of 1.1 mg/mL was used for
competitive inhibition of folate receptor-mediated nanocarrier internalization.
After 6 h of incubation, cells were washed twice with PBS, trypsinized,
and resuspended in PBS containing 0.04% trypan blue to quench extracellular
fluorescence. Cellular internalization of the micelles was quantified
by fluorescence measurements using a BD FACSCalibur flow cytometer
(San Jose, CA).For confocal microscopy experiments, Cy5-labeled
dsDNA formulated at a charge ratio of 6:1 were prepared as for the
flow cytometry studies. Both MDA-MB-231 and MCF-7 cells were seeded
at a density of 80 000 cells/mL in 8-well chamber slides (Nunc/Thermo-Fisher).
Cells were treated with PAT-SPN/Cy5-DNA with or without MMP7 preactivation
(at 50 nM DNA concentrations) and with or without FA competition for
6 h. After washing twice with PBS and replacing the medium, the live
cells were imaged on a Zeiss LSM 510 confocal microscope.
siRNA Protection
from RNase Degradation
Ability of
micelles to protect siRNA against RNases was measured as previously
described[32,33] using the hyperchromic effect, which is
the increase in absorbance at 260 nm that occurs when RNA is degraded.
Mixed micelles were formulated with siRNA at a charge ratio of 6 and
subsequently diluted in 100 μL of dH2O for a final
siRNA concentration of 500 nM. The solution was then placed in a small
volume quartz cuvette. 300 nU of Riboshredder RNase blend (Epicenter,
Madison, WI, USA) was then added. Absorbance at 260 nm was monitored
over 20 min using a Cary 100 UV–vis spectrophotometer (Agilent
Technologies, Santa Clara, CA, USA).
Assessment of siRNA Gene
Knockdown
MDA-MB-231-Luc cells
were seeded at a density of 5 × 104 cells/cm2 in 96-well plates and allowed to adhere overnight. 50% FA/50% PAT
mixed micelle formulations were loaded with luciferase siRNA (Ambion
no. AM4629) at a charge ratio of 8. Some samples were preactivated
with MMP7 for 6 h and/or free FA was added as a competitive inhibitor,
as outlined in uptake studies. Cells were treated for 6 h with mixed
micelles at an siRNA concentration of 50 nM. The cells were then given
fresh media and incubated for an additional 18 h. To measure luciferase
gene silencing, luminescence of each sample was quantified on the
Xenogen IVIS-200 (PerkinElmer, Waltham, MA, USA) after adding 0.15
mg/mL luciferin. Luciferase activity was normalized to total protein
content measured from the cell lysate of each well using a Bradford
assay (Bio-Rad Laboratories Inc., Hercules, CA, USA).
Statistical
Analysis
All data are reported as Mean
+/− standard error. Analysis of variance (ANOVA) with Tukey’s
posthoc test was used to establish statistical significance, and p < 0.05 was considered to be significant.
Results
Synthesis
of PAT-SPN and FA-SPN Polymers
A RAFT polymerization
scheme previously reported[11] was used to
synthesize a triblock polymer by extending a MMP-cleavable, 20 kDa
Y-shaped PEG macroCTA with the RAFT blocks pD–pDPB to form
PEG–pep–pD–pDPB (hereafter referred to as PAT-SPN).
The total molecular weight of the polymer was 46.1 kDa, with a 6 kDa
siRNA-condensing pDMAEMA block and a 19 kDa pDPB block, as determined
by NMR and GPC (Table 1). The first-generation
PAT-SPN, previously reported, had an outermost corona composed of
5 kDa PEG and possessed a positive (+6 mV) zeta potential.[11] This second-generation PAT-SPN formulation was
synthesized with a larger 20 kDa Y-shaped PEG in order to better shield
the underlying cationic layer and to limit nonspecific cellular interactions
of the particles prior to removal of the MMP-cleavable PAT element.
Table 1
Molecular Weight (Mn)
and Composition of FA-SPN and PAT-SPN
name
total Mn (kDa)
Mw/Mn
PEG (kDa)
FA or peptide (kDa)
pD (kDa)
pDPB (kDa)
pD (mol % in pDPB)
pB
(mol % in pDPB)
pP (mol % in pDPB)
FA-SPN
38.5
1.28
2.0
0.5
13
23.0
21
46
33
PAT-SPN
46.1
1.27
20.0
1.0
6.0
19.1
24
54
22
Using the synthetic scheme in Figure 1A,
a new, FA-functionalized triblock FA–PEG–pD–pDPB
(hereafter referred to as FA-SPN) polymer was synthesized by RAFT
polymerization. A FA–PEG2k macroCTA was synthesized
and was subsequently chain-extended through a two-step RAFT polymerization
with the pDMAEMA and the p(DMAEMA-co-BMA-co-PAA) terpolymer blocks. The total molecular weight of
the FA–PEG–pD–pDPB polymer was 38.5 kDa, with
a 13 kDa siRNA-condensing pDMAEMA block and a 23 kDa p(DMAEMA-co-BMA-co-PAA) block (Table 1). The shorter 2 kDa PEG was utilized to allow for effective
shielding of the FA molecule by the 20 kDa PEG block on the PAT-SPNpolymer following co-assembly of the two polymers into mixed micelles.
The relatively monodisperse FA-SPN product (PDI = 1.27) was characterized
using GPC (Supporting Information Figure 8).
Figure 1
(A) Synthetic scheme of folic acid-modified, 2 kDa PEG-linked diblock
copolymer, FA–PEG2k–pD–pDPB (FA-SPN).
(B) Schematic of mixed micelle formed from combining FA-SPN and PAT-SPN.
(A) Synthetic scheme of folic acid-modified, 2 kDa PEG-linked diblock
copolymer, FA–PEG2k–pD–pDPB (FA-SPN).
(B) Schematic of mixed micelle formed from combining FA-SPN and PAT-SPN.
DLS and TEM Size Characterization
of Mixed Micelles Containing
Both FA-SPN and PAT-SPN Polymers
FA-SPN and PAT-SPN polymers
were used to create a series of five mixed micelles that consisted
of 0, 25, 50, 75, and 100 mol % FA-SPN, with the remaining fraction
composed of PAT-SPN (named based on the mol % FA-SPN followed by the
mol % PAT-SPN used to formulate the micelle). The hydrophobic, ampholytic
pDPB blocks of both polymers triggers co-assembly of the polymers
into micelles following polymer dilution into water (Figure 1B). The size of each mixed micelle composition was
characterized by DLS, and the two lead formulations were also imaged
using TEM (Figure 2 and Supporting Information Figure 9). All of the micelle compositions
had hydrodynamic diameters within the range of 53–59 nm. The
TEM images represent the size of the dehydrated micelles, with a partially
collapsed corona.[11] These images indicate
a consistent size of approximately 30 nm.
Figure 2
Diameter and morphology
of mixed micelle nanoparticles. Self-assembled
mixed micelles containing the following percent molar ratios of FA-SPN
and PAT-SPN were prepared: 0% FA/100% PAT, 25% FA/75% PAT, 50% FA/50%
PAT, 75% FA/25% PAT, and 100% FA/0% PAT. Nanoparticle diameter was
determined by DLS in PBS. Shown are representative (A) DLS curves.
The lead, dual-targeted mixed micelles (25% FA/75% PAT and 50% FA/50%
PAT) were also imaged using (B) TEM, representative images are shown
(bottom panels).
Diameter and morphology
of mixed micelle nanoparticles. Self-assembled
mixed micelles containing the following percent molar ratios of FA-SPN
and PAT-SPN were prepared: 0% FA/100% PAT, 25% FA/75% PAT, 50% FA/50%
PAT, 75% FA/25% PAT, and 100% FA/0% PAT. Nanoparticle diameter was
determined by DLS in PBS. Shown are representative (A) DLS curves.
The lead, dual-targeted mixed micelles (25% FA/75% PAT and 50% FA/50%
PAT) were also imaged using (B) TEM, representative images are shown
(bottom panels).Zeta potential and DLS
were used to characterize MMP7-dependent
changes in the chemicophysical properties of each of the mixed micelles.
Prior to MMP7 cleavage, the zeta potential of the mixed micelles inversely
correlated to the percent of the 20 kDa PEG-containing PAT-SPN polymer
(Figure 3C). Upon exposure to a pathologically
relevant concentration of MMP7 (50 nM), all of the mixed micelles
containing both FA-SPN and PAT-SPN (at ratios of 25% FA/75% PAT, 50%
FA/50% PAT, and 75% FA/25% PAT) exhibited a time-dependent increase
in nanoparticle surface charge (Figure 3B)
and a decrease in diameter (Figure 3A). The
relative decrease in hydrodynamic diameter following exposure to MMP7
correlated with the percent of the 20 kDa PEG-containing PAT-SPN polymer
in the mixed micelle, consistent with the MMP-activated shedding of
the 20 kDa PEG of this polymer accounting for the observed size changes
(Figure 3A). As expected, there was no significant
change in the diameter or zeta potential of the mixed micelle composed
solely of the FA-SPN (100% FA/0% PAT), even after exposure to active
MMP7 (58.4 nm, +11.9 mV) for 10 h (Figure 3C). All micelles reached a stable zeta potential over the time course
tested, suggesting that maximal peptide cleavage occurs within 10
h of exposure to active MMP7.
Figure 3
Temporal changes in (A) size and (B) zeta potential
of mixed micelles
following exposure to 50 nM MMP7. (C) Table of baseline and steady-state
zeta potential of each nanoparticle formulation following treatment
with MMP.
Temporal changes in (A) size and (B) zeta potential
of mixed micelles
following exposure to 50 nM MMP7. (C) Table of baseline and steady-state
zeta potential of each nanoparticle formulation following treatment
with MMP.
MMP7-Triggered and FA-Receptor
Enhanced Cellular Uptake in MDA-MB-231
Breast Cancer Cells
The balance of proteolytically activated
PAT-SPN and folate receptor-targeting FA-SPNpolymers was optimized
on the basis of cellular uptake by MDA-MB-231breast cancer cells,
which express high levels of folate receptor (Figure 4A). It was observed that the different mixed micelle formulations
caused no significant cytotoxicity within the tested, relevant range
of charge ratios (Supporting Information Figure
10). Subsequently, breast cancer cell internalization of mixed
micelles at a charge ratio of 6 was measured by flow cytometry with
or without proteolytic activation (50 nM of MMP7, a dose that is clinically
relevant[34] and was previously shown to
reach maximal cleavage of PAT-SPN within 3 h in vitro(11)) and in the absence or presence of
free FA as a competitive inhibitor. Mixed micelles containing the
lowest molar composition of FA-SPN (0% FA/100% PAT, 25% FA/75% PAT,
50% FA/50% PAT) exhibited the least cell internalization in the absence
of proteolytic activation (Figure 4A). In contrast,
the mixed micelles containing higher percentages of FA-SPN (75% FA/25%
PAT and 100% FA/0% PAT) produced significant uptake in the absence
of proteolytic activation (5.2× and 7.0× increase compared
to that of 0% FA, respectively), reflecting the higher zeta potential,
lower PEG density, and higher surface density of exposed FA (statistical
comparisons shown in Supporting Information Table
2).
Figure 4
Uptake of optimized (25% FA/75% PAT-SPN and 50% FA/50% PAT-SPN),
dual-targeted carriers depends on both MMP7 activation and folate
receptor engagement. MDA-MB-231 cells were treated with different
FA/PAT-SPN mixed micelle formulations. Internalization was (A) quantified
by flow cytometry analysis and (B) observed by confocal microscopy.
Treatment with 50 nM MMP7 increased cell internalization of micelle
formulations containing the PAT-SPN polymer. Addition of free FA (1.1
mg/mL) to the cell media blocked uptake of the FA polymer-containing
mixed micelle formulations. Data are presented as mean ± SEM
with n = 3. Statistical comparisons can be found
in Supporting Information Table 1.
Uptake of optimized (25% FA/75% PAT-SPN and 50% FA/50% PAT-SPN),
dual-targeted carriers depends on both MMP7 activation and folate
receptor engagement. MDA-MB-231 cells were treated with different
FA/PAT-SPN mixed micelle formulations. Internalization was (A) quantified
by flow cytometry analysis and (B) observed by confocal microscopy.
Treatment with 50 nM MMP7 increased cell internalization of micelle
formulations containing the PAT-SPN polymer. Addition of free FA (1.1
mg/mL) to the cell media blocked uptake of the FA polymer-containing
mixed micelle formulations. Data are presented as mean ± SEM
with n = 3. Statistical comparisons can be found
in Supporting Information Table 1.Pretreatment with MMP7 prior to
delivery to the cells significantly
(p < 0.05) increased uptake for all mixed micelles
that contained PAT-SPN compared to uptake of the control micelles
that had not been activated by MMP7 (Figure 4A and Supporting Information Table 3).
Mixed micelles containing the lowest mol % FA-SPN and the highest
mol % composition of PAT-SPN (0% FA/100% PAT, 25% FA/75% PAT, and
50% FA/50% PAT) exhibited the largest increase in cell uptake (3.8×,
3.2×, and 2.2×, respectively), proportional with the mol
% of PAT-SPN present in the micelle. In contrast, the mixed micelles
containing higher percentages of FA-SPN and lower PAT-SPN (75% FA/25%
PAT and 100% FA/0% PAT) had a negligible increase in uptake following
MMP7 exposure, consistent with the reduced presence of the MMP7-sensitive
peptide in the nanoparticle.To determine the contribution of
folate receptor binding to cellular
uptake, the cells were treated with excess FA to competitively inhibit
nanoparticle engagement of folate receptors. When competition is introduced
in the absence of MMP7 activation (no MMP, with FA; light gray bars),
the extent of uptake for the 75% FA/25% PAT and 100% FA/0% PAT mixed
micelles significantly decreases (0.4× and 0.5×, respectively; p < 0.05; Supporting Information
Table 3). In addition, folate receptor competition blocks the
enhanced cell uptake observed upon MMP7 activation of the mixed micelles
with the exception of the 0% FA/100% PAT mixed micelle. The 0% FA/100%
PAT composition does not rely on FA-mediated internalization, so the
observed increase in uptake following MMP cleavage for this formulation
is dependent only on increased zeta potential due to removal of the
PEG layer, as in the first-generation PAT-SPN.[11] Optimized mixed micelles (50% FA/50% PAT formulation) were
identified on the basis of their significant dependence on both MMP
cleavage and folate receptor engagement (i.e., there was a significant
increase in uptake following MMP activation, and this effect could
be abrogated by addition of free FA). Cellular uptake and intracellular
localization of these optimized formulations was confirmed by confocal
microscopy (Figure 4B). The dual-targeting
properties of the different FA/PAT-SPN mixed micelles were also confirmed
in a second breast cancer cell line, MCF-7 cells (Supporting Information Figure 11 and Tables
4 and 5). Taken together, these data demonstrate that efficient
dual-targeting was optimized for 50% FA/50% PAT mixed micelle formulations
and that these targeting properties were predictable and could be
titrated based on the mol % of the FA-SPN and PAT-SPN polymers present
in the micelle.
siRNA Protection by Mixed Micelles
Analogous mixed
micelles[35] and MMP-activatable micelles[11] are stable and do not aggregate in serum and
protect siRNA against degradation by serum components. In the current
study, the ability of the mixed micelles to protect the siRNA payload
against nuclease degradation was characterized on the basis of the
hyperchromic effect (Figure 5).[32] When Riboshredder RNase mix is added, the free
siRNA is fully degraded within 20 min. In contrast, degradation of
siRNA formulated into 25% FA/75% PAT and 50% FA/50% PAT-SPN micelles
was significantly inhibited and reached only about 10% degradation
under the same conditions. These data are consistent with previously
published results and confirm that surface modifications for dual
targeting did not alter SPN nuclease protection.[33]
Figure 5
Mixed micelle formulations protect siRNA from degradation. Free
siRNA and siRNA loaded into 50% FA/50% PAT-SPNs at an N/P of 6 were
subjected to a Riboshredder RNase blend, and degradation was quantified
by the hyperchromic effect (percentage increase of absorbance at 260
nm (A260)). An increase in A260 reflects siRNA degradation.
Mixed micelle formulations protect siRNA from degradation. Free
siRNA and siRNA loaded into 50% FA/50% PAT-SPNs at an N/P of 6 were
subjected to a Riboshredder RNase blend, and degradation was quantified
by the hyperchromic effect (percentage increase of absorbance at 260
nm (A260)). An increase in A260 reflects siRNA degradation.
Gene Knockdown of Model Gene Luciferase in Vitro
The extent of functional siRNA delivery using the dual-targeted
nanocarrier was assessed in vitro. A significant
intracellular barrier to siRNA bioactivity is endosomal entrapment;
therefore, hemolysis studies were performed to ensure pH-dependent
membrane disruptive activity (Supporting Information
Figure 12).[36] The varied mixed micelle
surface chemistries incorporated by the FA-SPN and PAT-SPN polymers
did not alter the previously established pH-dependent membrane disruption
behavior of the pDPB core-forming polymer block.[26] To test for siRNA bioactivity, MDA-MB-231breast cancer
cells stably expressing the model gene firefly luciferase were treated
with the 50% FA/50% PAT mixed micelle, as this particle possessed
optimal dual MMP7 and folate receptor-dependent internalization (Figure 3). The 50% FA/50% PAT micelles were used to deliver
a 50 nM dose of either scrambled or luciferase (Luc)-specific siRNA.
There was no significant difference in luciferase activity between
nontreated (NT) control cells compared to that of scrambled siRNA-treated
cells (Figure 6). However, luciferase expression
was significantly decreased (25%) in breast cancer cells treated with
Luc siRNA-containing micelles in the absence of MMP7 pretreatment.
These data are consistent with our previously published data confirming
that MMPs synthesized by cells can, at least partially, activate PAT-SPNs
in culture.[11] Enhanced proteolytic activation
of the micelle with exogenous MMP7 prior to delivery to cells increased
knockdown of luciferase to 53%. This MMP7 activation-dependent decrease
in gene expression was abrogated when excess FA was introduced to
the cells 1 h before micelle delivery; this FA-treated group preserved
90% of the luciferase expression, which is not significantly different
from that of NT or scrambled siRNA-treated control cells. Taken together,
these data further confirm the dual-targeting nature of the 50% FA/50%
PAT mixed micelles, as well as their ability to effectively achieve
siRNA intracellular bioavailability.
Figure 6
Gene-silencing bioactivity of siRNA delivered
by dual-targeting
FA/PAT-SPNs is significantly increased by MMP cleavage and FA receptor
binding. MDA-MB-231 cells stably expressing luciferase were treated
with 50% FA/50% PAT-SPN loaded with luciferase siRNA at a charge ratio
of 8. The samples that were exposed to MMP (50 nM) but not free folic
acid (1.1 mg/mL) achieved significant silencing of the target gene.
Data are presented as the mean ± SEM with n =
4. *p < 0.05 compared to NT.
Gene-silencing bioactivity of siRNA delivered
by dual-targeting
FA/PAT-SPNs is significantly increased by MMP cleavage and FA receptor
binding. MDA-MB-231 cells stably expressing luciferase were treated
with 50% FA/50% PAT-SPN loaded with luciferase siRNA at a charge ratio
of 8. The samples that were exposed to MMP (50 nM) but not free folic
acid (1.1 mg/mL) achieved significant silencing of the target gene.
Data are presented as the mean ± SEM with n =
4. *p < 0.05 compared to NT.
Discussion
Previous studies have demonstrated the utility
of FA-functionalized
nanoparticles for enhancing siRNA delivery and gene knockdown compared
to that of untargeted nanoparticles,[31,37] including
in ovarian cancer.[15] However, while folate
receptor expression is high in cancer cells, it is also highly expressed
in the kidneys and lungs,[17] and in vivo studies show undesirably high accumulation of folate-targeted
nanoparticles in these tissues.[28,37] One popular mechanism
to enhance the pharmacokinetics of cationic particles is the use of
PEGylation; however, nanoparticle passivation with PEG also reduces
interactions with cells, thereby limiting the cellular uptake in target
tissues.[15] The new design examined in this
work uses a two-stage delivery strategy to minimize the interaction
of nanoparticles with nontarget cells through a PEG corona that is
removed only in the proximity of active MMP7 to (1) reveal FA ligands
and (2) increase zeta potential for enhanced uptake specifically in
target tissues. Such multifunctional approaches are typically challenging
to fabricate, purify, and validate, especially if the future goal
includes clinical translation. This work seeks to partially overcome
practical obstacles of complexity through the use of modular molecular
structures that can yield nanoscale vehicles with multiple functions
in controllable proportions through the preparation of mixed micelles.While mixed micelles have been pursued for other applications,
this is, to our knowledge, is the first application where mixed micelles
have been used to characterize the relative contributions to biological
performance from multiple, independent specific targeting components
for siRNA delivery. The design, created from two molecular structures
containing near-identical core-forming hydrophobic blocks and different
hydrophilic corona-forming segments, enables the facile preparation
of micelles presenting solely FA-SPN (100% FA/0% PAT), solely PAT
(0% FA/100% PAT), or any proportion of these two features. The molecular
weights of the polymers used to create the mixed micelles were specifically
selected to ensure effective shielding of the FA moieties by the 20
kDa PEG block (Figure 1B). Varying the ratios
of PAT-SPN and FA-SPN enables the identification of a nanoparticle
composition optimized for in vivo delivery (effectively
shielded zeta potential) that achieves a high level of specific uptake
by cancer cells (where there is colocalized presence of MMP7 activation
and FA binding). Additionally, this family of nanoscale siRNA delivery
agents, composed of only two molecular species, eases the preparation
and characterization of materials. While the most straightforward
route to clinical translation may come in the form of MMP-activatable
tumor margin diagnostics, dual-targeting of MMP-responsive chemotherapeutic
carriers has led to recent improvements in tumor-specific targeting
for in vivo delivery and has been found to improve
chemotherapeutic response.[38] Therefore,
the dual-targeting nature of our micelles, as well as the controlled
synthesis and ability to rapidly tune and optimize our carrier properties,
may represent a breakthrough that will accelerate clinical translation
of MMP-targeted RNAi. Thus, this new approach provides manufacturing
simplicity and it produces complex nanomaterials with multifunctional
advantages to facilitate translation toward clinical applications.To overcome the lack of cell specificity inherent in many chemotherapeutics,
our design relies on enhanced active cellular uptake through the folate
receptor, occurring after peptide cleavage in the MMP7-rich tumor
microenvironment. Mixed micelles containing PAT-SPN are MMP-responsive
(Figure 3) and result in significant increases
in breast cancer cell uptake following MMP7 activation and exposure
of the FA targeting component (Figure 4). The
high level of uptake prior to MMP7 activation achieved by particles
containing higher percentages of FA-SPN is undesirable, as it suggests
the potential for nonspecific uptake in nontarget cells lacking the
MMP7-rich tumor microenvironment (Figure 4).
The 50% FA/50% PAT-SPN micelles exhibit a low zeta potential (+1.8
mV), which suggests that the presence of 50% PAT-SPN effectively shields
the charge contributed by the pDMAEMA layer utilized for siRNA packaging
(i.e., 100% FA/0% PAT-SPN zeta potential is +12.2 mV). Cells expressing
folate receptor have limited uptake of the 50% FA/50% PAT-SPN particles
in the absence of MMP7, suggesting that this mixed micelle will largely
avoid off-target tissues that express folate receptor, a significant
limitation of previous approaches using FA targeting. Cellular uptake
decreases with FA competition in the presence of MMP7 activation,
consistent with the hypothesis that the FA moieties on the nanoparticles
serve as an active breast cancer cell uptake mechanism (Figure 4). In summary, 50% FA/50% PAT has been identified
as optimal for dual MMP-responsiveness and folate receptor targeting.By limiting nonspecific cell uptake until the micelle is in the
tumor microenvironment, the proposed delivery system establishes a
new paradigm for achieving tissue specificity. This is expected to
avoid the debilitating side effects caused by current chemotherapies[39] and is anticipated to have especially high impact
in the clinical management of distributed disease. An additional consideration
of nanoparticle drug delivery for eventual clinical translation is
ensuring an optimal size (10–100 nm) for extended circulation
in the bloodstream and accumulation at disease sites.[4] All of the dual-targeted mixed micelles compositions tested
herein have a consistent hydrodynamic diameter of 53–59 nm
and minimal zeta potential (Figure 3), giving
them the added advantage of being large enough to reduce renal clearance
but small enough to avoid macrophage phagocytic removal.[40] This design also ensures the intracellular release
of the payload specifically after uptake by folate receptor-expressing
tumor cells and intracellular trafficking to the endosome. Furthermore,
the hydrophobic nanocarrier core provides the potential for co-delivery
of siRNA and a hydrophobic drug, which is particularly important for
delivery of an siRNA that will sensitize multidrug-resistant cancer
cells to chemotherapies.[41] On the basis
of its optimal dual-targeting cellular uptake characteristics and
minimal cytotoxicity, we used the 50% FA/50% PAT-SPN micelles to assess
siRNA payload delivery. Our nanoparticles provide significant protection
of siRNA, which is otherwise rapidly degraded in an environment that
is rich in RNases, overcoming another one of the major obstacles for
use of siRNA-based gene therapy to treat cancer.[42] Data presented here confirm that breast cancer cells can
be effectively targeted by nanoparticles with a folate receptor-dependent
mechanism of cell uptake. Importantly, micelles activated by MMP7
and delivered in the absence of free folate achieved significant (greater
than 50%) knockdown of target gene activity (Figure 6). This degree of model gene knockdown is comparable to that
of FA-targeted, polyethylenimine (PEI)-based siRNA nanocarriers at
the same siRNA concentration (50 nM) that knocked down target gene
expression by ∼40%.[43] However, strongly
cationic siRNA delivery systems, such as those based on PEI, are generally
unsuitable for use in vivo, especially by intravascular
(IV) administration.
Conclusions
The combination of near
neutral zeta potential, appropriate size,
and undetectable cytotoxicity at active doses suggests that the FA/PAT-SPN
micelles described in this work are ideal for effective tumor localization
following IV injection. These data combined with results supporting
that the optimized mixed micelle formulation is active only in environments
characterized by the presence of both MMP7 activity and folate receptor-expressing
breast cancer cells further support the proposed tumor retention and
protein knockdown performance of these novel mixed micelles in vivo. Taken together, these data indicate that these
nanoparticles are well-suited for translation in vivo as a highly tunable, dual-targeted siRNA carrier.
Authors: Stacey Kirkland-York; Yilin Zhang; Adam E Smith; Adam W York; Faqing Huang; Charles L McCormick Journal: Biomacromolecules Date: 2010-04-12 Impact factor: 6.988
Authors: Siwen Hu-Lieskovan; Jeremy D Heidel; Derek W Bartlett; Mark E Davis; Timothy J Triche Journal: Cancer Res Date: 2005-10-01 Impact factor: 12.701
Authors: Jürgen Soutschek; Akin Akinc; Birgit Bramlage; Klaus Charisse; Rainer Constien; Mary Donoghue; Sayda Elbashir; Anke Geick; Philipp Hadwiger; Jens Harborth; Matthias John; Venkitasamy Kesavan; Gary Lavine; Rajendra K Pandey; Timothy Racie; Kallanthottathil G Rajeev; Ingo Röhl; Ivanka Toudjarska; Gang Wang; Silvio Wuschko; David Bumcrot; Victor Koteliansky; Stefan Limmer; Muthiah Manoharan; Hans-Peter Vornlocher Journal: Nature Date: 2004-11-11 Impact factor: 49.962
Authors: Nikki Parker; Mary Jo Turk; Elaine Westrick; Jeffrey D Lewis; Philip S Low; Christopher P Leamon Journal: Anal Biochem Date: 2005-03-15 Impact factor: 3.365
Authors: Craig L Duvall; Anthony J Convertine; Danielle S W Benoit; Allan S Hoffman; Patrick S Stayton Journal: Mol Pharm Date: 2010-04-05 Impact factor: 4.939
Authors: J Oliver McIntyre; Barbara Fingleton; K Sam Wells; David W Piston; Conor C Lynch; Shiva Gautam; Lynn M Matrisian Journal: Biochem J Date: 2004-02-01 Impact factor: 3.857
Authors: Mark E Davis; Jonathan E Zuckerman; Chung Hang J Choi; David Seligson; Anthony Tolcher; Christopher A Alabi; Yun Yen; Jeremy D Heidel; Antoni Ribas Journal: Nature Date: 2010-03-21 Impact factor: 49.962
Authors: Anthony J Convertine; Danielle S W Benoit; Craig L Duvall; Allan S Hoffman; Patrick S Stayton Journal: J Control Release Date: 2008-10-17 Impact factor: 9.776
Authors: Thomas A Werfel; Corban Swain; Christopher E Nelson; Kameron V Kilchrist; Brian C Evans; Martina Miteva; Craig L Duvall Journal: J Biomed Mater Res A Date: 2016-01-11 Impact factor: 4.396
Authors: Aditya Ganju; Sheema Khan; Bilal B Hafeez; Stephen W Behrman; Murali M Yallapu; Subhash C Chauhan; Meena Jaggi Journal: Drug Discov Today Date: 2016-11-01 Impact factor: 7.851
Authors: Taylor E Kavanaugh; Thomas A Werfel; Hongsik Cho; Karen A Hasty; Craig L Duvall Journal: Drug Deliv Transl Res Date: 2016-04 Impact factor: 4.617
Authors: Samantha M Sarett; Thomas A Werfel; Irene Chandra; Meredith A Jackson; Taylor E Kavanaugh; Madison E Hattaway; Todd D Giorgio; Craig L Duvall Journal: Biomaterials Date: 2016-04-21 Impact factor: 12.479
Authors: Joseph P Marshalek; Paul S Sheeran; Pier Ingram; Paul A Dayton; Russell S Witte; Terry O Matsunaga Journal: J Control Release Date: 2016-09-26 Impact factor: 9.776
Authors: Joseph P Vanderburgh; Kristin A Kwakwa; Thomas A Werfel; Alyssa R Merkel; Mukesh K Gupta; Rachelle W Johnson; Scott A Guelcher; Craig L Duvall; Julie A Rhoades Journal: J Control Release Date: 2019-09-05 Impact factor: 9.776