Improving the therapeutic efficacy and reducing systemic side effects of drugs is an important aspect in chemotherapy. The strategy presented here is the use of cisplatin loaded, temperature-sensitive, hydrogel nanoparticles (CisPt-NPs) and their ability to deliver and release chemodrugs selectively, based on thermal stimuli. The specially synthesized CisPt-NPs show a temperature-dependent increase of cisplatin release, at neutral pH (as in blood and normal tissue), in both the presence and absence of common metallic ions, as well as at the low pH found in lysosomes, where endocytosed NPs often localize. These CisPt-NPs were uptaken by breast cancer MDA-MB-435 cells, via endocytosis, and then mostly localized in the lysosomes. The in vitro cytotoxicity tests show that these CisPt-NPs have a significantly better efficacy at the slightly elevated temperatures. Potential applications are discussed.
Improving the therapeutic efficacy and reducing systemic side effects of drugs is an important aspect in chemotherapy. The strategy presented here is the use of cisplatin loaded, temperature-sensitive, hydrogel nanoparticles (CisPt-NPs) and their ability to deliver and release chemodrugs selectively, based on thermal stimuli. The specially synthesized CisPt-NPs show a temperature-dependent increase of cisplatin release, at neutral pH (as in blood and normal tissue), in both the presence and absence of common metallic ions, as well as at the low pH found in lysosomes, where endocytosed NPs often localize. These CisPt-NPs were uptaken by breast cancerMDA-MB-435 cells, via endocytosis, and then mostly localized in the lysosomes. The in vitro cytotoxicity tests show that these CisPt-NPs have a significantly better efficacy at the slightly elevated temperatures. Potential applications are discussed.
The development of hydrogel
nanoparticles (NPs) that transport and deliver chemodrugs selectively
to the tumor area is a recent strategy for improving therapeutic efficacy
and avoiding systemic side effects, such as renal toxicity, phlebitis,
bone marrow suppression, and nausea.[1,2] Such selective
delivery may be achieved by active and/or passive targeting of such
NPs.[3]Two important aspects for consideration
in the development of drug
delivering NPs are the chemodrug loading capacity and the control
over its release. An optimal design of the NPs would facilitate incorporation
of a large amount of the drug, with efficient release to the tumor
region, preferably in a controlled manner, while limiting release
elsewhere.[4] The latter is one of the most
challenging aspects. Designing the NP matrix to enhance and enable
controlled release of the drug is often based on environmental stimuli,[3] e.g., temperature, pH,[1] light,[5,6] glucose,[7] antigen,[8] and reducing agents, such as glutathione.[9]Using temperature as a stimulus to control
the drug release from
NPs is particularly attractive because it can exploit the variation
in the local temperature, typical for tumor tissues.[10] Tumor tissues have been shown to have slightly elevated
temperatures, compared to the host basal temperature, due to an increased
metabolic rate.[11] Also, additional temperature
differentials can be induced by external heating of the tumor region,
e.g., by ultrasonic, magnetic field, or light-mediated heating, targeted
to the nanoparticles.[12−14]The integration of temperature-sensitive properties
into the design
of hydrogel nanoparticles has shown promise for enhancement of the
drug release to the somewhat hotter tumor tissues, while limiting
the release elsewhere.[10] Due to the flexible
structures of these NPs, the polymer interactions inside the NPs can
be made temperature sensitive, thereby altering the NP size and its
polymer density; consequently, the release efficiency of the loaded
drugs changes.Many different kinds of temperature-sensitive
nanoparticle matrices
have been formulated, such as poly(vinyl alcohol),[15,16] cellulose derivatives,[17] and complex
core–shell polymer designs.[18] Among
them, one of the most common matrix systems for hydrogel NPs is poly(N-isopropylacrylamide) (PNIPAM), which shows good biocompatibility
as well as temperature sensitivity, a so-called lower critical solution
temperature (LCST) behavior in aqueous solution, across a biologically
relevant temperature and pressure range.[10,19,20] Hydrogen bonding is formed between the amide
of PNIPAM and water, and a cage-like structure is formed around the
isopropyl group below the LCST; this solvates PNIPAM and expands the
nanoparticles.[10,21,22] On the other hand, these structures are broken above the LCST; the
latter shrinks the NPs, thereby “squeezing out” chemodrugs
from the NPs or, alternatively, tightening the pores of the hydrogel,
to reduce the chemodrug’s release.[1,20−22] This matrix is often combined with other components,
such as SiO2-coated, Fe3O4 nanoparticles
or butyl methacrylate, to enhance functionality and shift the LCST.[23,24]We emphasize that an upper critical solution temperature (UCST)-like
behavior, characterized by swelling rather than deswelling at elevated
temperature, potentially lends itself to being very valuable as well
because swollen hydrogels do enhance the release of chemodrugs due
to their lower polymer density.[25,26] Some examples of UCST-based
hydrogels are given in the review by Seuring and Agarwal.[27]The combination matrix of acrylamide and
acrylic acid is an example
of an UCST-like hydrogel in the presence of a salt such as NaCl.[27] This combination has been studied for both bulk
hydrogel and NPs, since acrylic acid forms hydrogen bonds with acrylamide,
bonds that may break at elevated temperatures, causing the hydrogel
matrix to swell.[25,28−30] Echeverria
and Mijangos have further demonstrated the ability to control the
specific swelling properties of acrylamide-co-acrylic
acid particles by altering the cross-linker content and incorporating
gold nanoparticles into the matrix.[31] Also,
acrylic acid binds a certain type of drugs tightly, due to its carboxyl
group.[1] Although these acrylamide-acrylic
acid hydrogels show promising properties, as of yet no application
of this matrix for temperature-responsive drug delivery systems has
been reported, to the best of our knowledge, especially for cancer
treatment, where the tumor is at a temperature slightly higher than
that of the normal body temperature (37 °C).Here we present
NPs based on the combination of acrylic acid and
acrylamide; they are specifically designed for temperature-sensitive
release of chemodrugs. We incorporated cisplatin into these copolymer
NPs (CisPt-NPs). Cisplatin, which is a chemodrug commonly used for
carcinoma and melanoma,[2,32] was chosen as a model drug. We
present the temperature-sensitive behavior of the cisplatin release,
under physiological conditions, with and without some of the ions
that are abundantly present in vivo. We also monitored the intracellular
localization of the NPs in cancer cells and observed them to accumulate
primarily in the lysosomes. We thus also investigated the temperature-sensitive
release of cisplatin in a lysosome-mimicking environment. CisPt-NPs
showed increased cytotoxicity to tumor cells with increasing temperature.
The results presented here show that acrylamide-co-acrylic acid hydrogel NPs may be a promising candidate for a stable
and reliable temperature-sensitive drug delivery system.The
CisPt-NPs were synthesized in two steps (Figure 1A and B and Supporting Information). Similar
NPs have shown temperature-dependent swelling property
near the physiological temperature.[25] We
have also confirmed that our CisPt-NPs have a temperature sensitivity
by using dynamic light scattering (Figure S1, Supporting Information), with emphasis on the lysosomal pH
of 4.[33]
Figure 1
(A) CisPt-NP synthesis, (B) postloading
procedure, and (C) release
mechanism.
(A) CisPt-NP synthesis, (B) postloading
procedure, and (C) release
mechanism.The feeding ratio of acrylamide
to acrylic acid was chosen to have
equal moles of the monomers after the polymerization.[25] When the NPs are synthesized only from acrylamide or only
from acrylic acid, the temperature sensitivity decreases.[25] The emulsifier concentration and solvent were
chosen based on Owens and our standard protocol.[25,34,35] The combination produces NPs whose size
distribution is narrow and with a size that is ideal for drug delivery
application (i.e., avoiding rapid clearance from the body and targeting
the tumor passively in vivo).[3]Before
cisplatin loading, the size of the p(AA-co-AAm) NPs,
at room temperature, was found to be 90 (±2) nm with
a polydispersity index (PDI) of 0.30 (±0.01), while after the
loading the size was 132 (±3) nm with a PDI of 0.30 (±0.01),
using dynamic light scattering (Figure S2A, Supporting
Information). The images from transmission electron microscopy
showed a uniform NP size distribution (Figure S2B, Supporting Information). The zeta-potential of the p(AA-co-AAm) NPs was −57 (±5) mV before the cisplatin
loading, while it was −56 (±5) mV after the loading. Thus,
there was significant size expansion with cisplatin postloading. However,
there was little change in surface potential, indicating that the
cisplatin was not just adsorbing to the surface. The loading of cisplatin
was 11 (±3) (cisplatin/CisPt-NPs) wt % of the unloaded particles.Acrylic acid enhances the incorporation of cisplatin by the substitution
of its chlorides with carboxyl groups of the NPs (Figure 1B).[1,36] What is more, the bonding of
the carboxyl group and the platinum of cisplatin is reversible, under
physiological conditions.[1,36,37] In the presence of a high concentration of Cl–, hydronium ions, or metallic cations, the carboxyl group interaction
with the platinum center of cisplatin gets looser (Figure 1C).[1,29] This may also explain the pH-enhanced
release of cisplatin from the CisPt-NPs, discussed below.The
temperature-dependent release of cisplatin was assessed in
phosphate-buffered saline (PBS) (pH 7.4), which mimics serum conditions,
at three different temperatures: 32 °C, 37 °C, and 42 °C
(Figure 2). The percent release of the cisplatin
(η) was calculated according to the following equation (eq 1).where t is
the time point
of the drug release study; T is the temperature of
the drug release study; C(t,T) is the concentration of cisplatin released at that time
point, and C0(T) is the
initial (t = 0) concentration of cisplatin in the
CisPt-NPs. Also, the percent enhancement of the cisplatin release
in PBS (Figure 2, inset) was calculated by
the following equation (eq 2).where η0(t) is the percent release of the cisplatin
at 32 °C, at a given
time point, t.
Figure 2
Cisplatin release in PBS at three different
temperatures: 32 °C,
37 °C, and 42 °C. Error bars show the standard deviation.
Inset: % Enhancement of cisplatin release at 37 and 42 °C, compared
to 32 °C.
Cisplatin release in PBS at three different
temperatures: 32 °C,
37 °C, and 42 °C. Error bars show the standard deviation.
Inset: % Enhancement of cisplatin release at 37 and 42 °C, compared
to 32 °C.We monitored the cisplatin
release over a period of 48 h, starting
at 6 h. Over the time scale we monitored, cisplatin always showed
the highest release percentage at 42 °C, compared to 37 and 32
°C. After 48 h, 25% of cisplatin got released from the CisPt-NPs
at 42 °C, while only 19% and 17% of the cisplatin got released
at 37 and 32 °C, respectively. Although the average cisplatin
release is slightly higher at 37 °C, compared to 32 °C,
this is not statistically significant.The above temperature
sensitivity of the drug release is attributable
to three different factors. First, the swelling property of the CisPt-NPs
decreases the density of the matrix at higher temperature, which could
facilitate the escape of cisplatin from the matrix. Second, the reverse
substitution reaction rate of the carboxyl group, attached to the
platinum center of the cisplatin with chloride, is enhanced at higher
temperature, because of the higher accessibility of the Cl– ions.[1,26] Third, the rate of diffusion of the cisplatin
molecules increases with temperature.As described above, another
major factor that governs the release
of the drug is the presence of divalent ions.[29] Therefore, we evaluated the effects of such ions on the drug release
profile, particularly those of Mg2+ and Ca2+, which are abundantly present in the bloodstream, as shown in Figure 3. The concentration of each ion used is 1 mM, similar
to their blood levels.[38]
Figure 3
Cisplatin release in
PBS, containing 1 mM each of Ca2+ and Mg2+,
at three different temperatures: 32 °C,
37 °C, and 42 °C. Error bars show the standard deviation.
Inset: % Enhancement of cisplatin release at 37 and 42 °C, compared
to 32 °C.
Cisplatin release in
PBS, containing 1 mM each of Ca2+ and Mg2+,
at three different temperatures: 32 °C,
37 °C, and 42 °C. Error bars show the standard deviation.
Inset: % Enhancement of cisplatin release at 37 and 42 °C, compared
to 32 °C.The difference in the
release of cisplatin becomes more evident
after 6 h. We observe that, over 48 h, 32.0% of the cisplatin got
released when the solution was at 42 °C, while only 22.0% and
17.8% of cisplatin got released at 37 and 32 °C, respectively.The increase in drug release observed in the presence of divalent
ions over longer incubation times may be attributed to the disruption
by the divalent cations of the loose interaction between the carboxyl
groups of the NP matrix and the cisplatin molecule’s center.[29]We evaluated the release profile of CisPt-NPs
in PBS with 10% fetal
bovine serum and confirmed the temperature sensitivity (Figure S3, Supporting Information).Determining the
intracellular fate of the p(AA-co-AAm) NPs is essential
to designing a drug release process, due to
the importance of the local chemical environment inside the cells.
The p(AA-co-AAm) NPs can be taken up by the cells
via various intracellular pathways that dictate the intracellular
fate of the p(AA-co-AAm) NPs. The intracellular colocalization
of the p(AA-co-AAm) NPs was monitored using fluorescence
confocal microscopy. We observe that these p(AA-co-AAm) NPs mostly colocalize with lysosomes, as shown in Figure 4. The overlapping of the fluorescence (seen as yellow/orange)
from the 5-FTSC-labeled NPs (green) with the lysotracker labeled acidic
vesicles (red) shows the colocalization. We have previously observed
similar phenomena for the amine-functionalized hydrogel nanoparticles.[35] Late endosomes and lysosomes are acidic in nature
and have a pH value in the range of 4–5.[33] Since we observe that most of the p(AA-co-AAm) NPs are trapped into low pH environments, we next studied the
temperature-sensitive release of drugs at acidic conditions (Figure 5).
Figure 4
Cellular uptake study of 5-FTSC-loaded p(AA-co-AAm) NPs using MDA-MB-435. Blue indicates the nucleus, stained with
Hoechst Blue. Green indicates the 5-FTSC-loaded p(AA-co-AAm) NPs. Red indicates the lysotracker. A significant amount of
colocalization of red and green is observed (shown in yellow/orange).
Figure 5
Cisplatin release study in pH 4 buffer at three different
temperatures:
32 °C, 37 °C, and 42 °C. Error bars represent standard
deviations. Inset: % Cisplatin release enhancements, relative to release
at 32 °C.
Cellular uptake study of 5-FTSC-loaded p(AA-co-AAm) NPs using MDA-MB-435. Blue indicates the nucleus, stained with
Hoechst Blue. Green indicates the 5-FTSC-loaded p(AA-co-AAm) NPs. Red indicates the lysotracker. A significant amount of
colocalization of red and green is observed (shown in yellow/orange).The release studies were performed
by suspending the CisPt-NPs
in a pH 4 buffer (50 mM phthalate buffer containing 150 mM NaCl),
which mimics the lowest pH level in the intact lysosome.[33]Cisplatin release study in pH 4 buffer at three different
temperatures:
32 °C, 37 °C, and 42 °C. Error bars represent standard
deviations. Inset: % Cisplatin release enhancements, relative to release
at 32 °C.The release of cisplatin
in 48 h at 42 °C was 75.6%, while
the release at 37 and 32 °C was 54.5% and 48.2%, respectively.
The difference in the drug release became evident within the first
6 h and remained so over the rest of the observed time period. More
cisplatin was released at this low pH than in PBS and in PBS with
metallic ions, which is consistent with what was reported previously
with rhodamine 6G.[39] The higher release,
under acidic conditions, such as inside the tumor tissue as well as
the lysosomes, will further increase the tumor selectivity of the
delivered cisplatin.[33,40]Acrylamide-co-acrylic acid hydrogel shrinks at
low pH because of the protonation of the carboxyl groups and formation
of more hydrogen bonds.[29,41] However, when the system
was heated, these hydrogen bonds were broken, which resulted in the
decrease of the matrix density (Figure S1, Supporting
Information).[25] In addition, the
carboxyl groups on the conjugated cisplatin were substituted by the
hydronium ions, and cisplatin was released from the CisPt-NPs.[1]Also, we compared the total cisplatin release
from CisPt-NPs to
that from cisplatin-loaded nanoparticles made of poly(acrylic acid-co-methyl methacrylate), which reported about 80% of cisplatin
released in PBS at 37 °C.[42] This is
a 4 times higher release of cisplatin than from our CisPt-NPs. However,
as is shown above, increasing amount of cisplatin was released from
the CisPt-NPs at the elevated temperature, at the pH of lysosomes,
where we showed that CisPt-NPs were trapped. This selective and controlled
release can further increase the therapeutic index.As a proof
of principle, we demonstrated the efficacy of this technique,
with a view toward in vivo applications. The temperature-enhanced
increase in NP drug release also resulted in increased cytotoxicity
(Figure S4, Supporting Information), whereas
free cisplatin did not show any statistically significant increase
with temperature (Figure S5, Supporting Information).In summary, temperature-sensitive NPs (CisPt-NPs), with
a matrix
of p(AA-co-AAm), were synthesized as a carrier for
the chemotherapeutic drug, cisplatin, with the aim of reducing side
effects; the latter is expected from the lowering of the release of
free cisplatin in the blood stream and by selectively increasing its
release in the tumor region, due to the temperature difference. We
evaluated the temperature-dependent release profiles of the drug from
the matrix, as well as its in vitro cytotoxicity. With increasing
temperature, these NPs showed a very significant increase in the release
of cisplatin, in PBS, even in the absence of divalent metallic ions.
Furthermore, adding divalent ions, which are physiologically present
in the body, further accelerated the drug release with increasing
temperature. Intracellular fluorescence imaging showed that most of
the nanoparticles colocalize with lysosomes. The release of cisplatin
showed an even stronger correlation with the temperature at the low
lysosomal pH. Furthermore, we have shown that the in vitro cytotoxicity
of the CisPt-NPs also increases with higher temperature, correlating
well with the temperature-enhanced drug release. We believe that the
above results demonstrate both the feasibility and the potential utility
of such temperature-sensitive NPs as drug carriers with a high therapeutic
index.
Authors: Chao Lin; Zhiyuan Zhong; Martin C Lok; Xulin Jiang; Wim E Hennink; Jan Feijen; Johan F J Engbersen Journal: Bioconjug Chem Date: 2007 Jan-Feb Impact factor: 4.774
Authors: Sanket A Deshmukh; Subramanian K R S Sankaranarayanan; Kamlesh Suthar; Derrick C Mancini Journal: J Phys Chem B Date: 2012-02-27 Impact factor: 2.991