Dynamic and adaptive self-assembly systems are able to sense an external or internal (energy or matter) input and respond via chemical or physical property changes. Nanomaterials that show such transient behavior have received increasing interest in the field of nanomedicine due to improved spatiotemporal control of the nanocarrier function. In this regard, much can be learned from the field of systems chemistry and bottom-up synthetic biology, in which complex and intelligent networks of nanomaterials are designed that show transient behavior and function to advance our understanding of the complexity of living systems. In this Perspective, we highlight the recent advancements in adaptive nanomaterials used for nanomedicine and trends in transient responsive self-assembly systems to envisage how these fields can be integrated for the formation of next-generation adaptive stimuli-responsive nanocarriers in nanomedicine.
Dynamic and adaptive self-assembly systems are able to sense an external or internal (energy or matter) input and respond via chemical or physical property changes. Nanomaterials that show such transient behavior have received increasing interest in the field of nanomedicine due to improved spatiotemporal control of the nanocarrier function. In this regard, much can be learned from the field of systems chemistry and bottom-up synthetic biology, in which complex and intelligent networks of nanomaterials are designed that show transient behavior and function to advance our understanding of the complexity of living systems. In this Perspective, we highlight the recent advancements in adaptive nanomaterials used for nanomedicine and trends in transient responsive self-assembly systems to envisage how these fields can be integrated for the formation of next-generation adaptive stimuli-responsive nanocarriers in nanomedicine.
The
past decades have witnessed substantial progress in the field
of self-assembly, which is regarded as one of the most promising approaches
for the construction of dynamic and adaptive systems.[1−6] For example, great contributions have been made to the development
of tailor-made stimuli-responsive (nano)materials that can undergo
chemical or physical property changes as a response to external or
internal signals.[7−10] The construction of such adaptive nanoparticles is particularly
relevant for the field of nanomedicine.[11−13] The traditional advantage
of using nanocarriers for the transport of drugs in the body is their
ability to overcome the pharmacokinetic limitations associated with
conventional drugs.[14−16] The nanocarriers protect the drugs from undesired
interactions with the body, they provide a reservoir function for
the slow release of the therapeutic compounds and, more specifically,
the size regime allows more effective uptake in certain tissues, such
as facilitated by the enhanced permeation and retention (EPR) effect
observed in a number of tumors.[17−20] However, features such as long circulation time and
effective cell uptake are often not to be united in one and the same
particle with a defined shape, size, and surface charge.[21] It is, therefore, important to design particles
that can adapt their features based on the environment they are in,
exploiting local changes in, for example, pH or oxidative potential.[22,23] Research into adaptive nanoparticles for nanomedicine applications
has, therefore, in recent years, experienced a strong surge in activity.The current adaptive nanoparticles used in the field of nanomedicine
can, thus, undergo reversible responsive processes, for which an outside
trigger is always needed to switch the system back to its initial
state.[5,24] This is different from natural dissipative
out-of-equilibrium systems, such as those found within living cells,
which are governed by the rules of physics and developed through Darwinian
evolution.[25] Mimicking the complexity of
living systems via the construction of synthetic analogues, thereby
ultimately creating life de novo is still standing as one of the grand
challenges for scientists.[26] Although synthetic
out-of-equilibrium systems are primarily developed from a curiosity-driven
point of view to attain molecular assemblies with life-like features,
they can also be employed for the construction of more intricate adaptive
materials.[27−29] This field of science has made much progress recently.
The first pioneering research used to be mostly directed to transient
self-assembly of molecules into fibers and gels; however, nowadays,
besides self-regulated structural control, the first examples have
emerged of systems with transient function.[30−32] Such systems
have the ability to form architectures that are more diversified in
structure and function, allowing them to be employed in applications
where dynamics and functional adjustment based on environmental changes
are necessary.[25,33,34] They are internally regulated and have a built-in mechanism that
allows them to switch back to the ground state when the stimulus is
removed. Although this so-called autonomous regulation or self-adaptive
behavior seems to be still a distant prospect for most adaptive nanoparticles,
the first concepts that have been published demonstrate the feasibility
of this approach, which could lead to a next generation of vehicles
employed in nanomedicine.In this Perspective, we highlight
the development of adaptive self-assembled
systems for applications in biomimicry and nanomedicine. The design,
synthesis, and utilization of such dynamic and adaptive features provides
us on the one hand with a deeper understanding into the complexity
of cellular life. On the other hand, these systems and concepts will
be of great added value for the field of nanomedicine, in which transient
behavior can further improve the spatiotemporal control of nanocarrier
function. We will start with highlighting some specific examples of
the current state of adaptive nanoparticles in nanomedicine and then
follow up with recent trends in transient adaptive systems with life-like
features. We will end with a perspective on how these two fields could
be merged synergistically for a new generation of adaptive carriers
in nanomedicine.
Adaptive self-assembled systems
for nanomedicine
applications
Self-Assemblies with Adaptive Size
Contrary to conventional “stealth nanoparticles”, adaptive
nanocarriers possess the ability to maintain a larger initial size
and nearly neutral surface charge during blood circulation, but once
they have reached the desired tissue, their adaptive behavior allows
them to achieve a tailored morphology transformation, surface charge
reversal and disruption of the nanocarriers to improve the accumulation
and retention of the therapeutic compounds.[21,35−38] This is especially relevant for the targeting of tumor tissue.[34,39,40] Indeed, it is well-known that
the vasculature pH and redox state of the tumor microenvironment are
considerably different from healthy tissue.[41,42] Many research groups have developed strategies to build adaptive
transformable nanocarriers (by responding to pH, light, temperature,
etc.) to enhance the therapeutic efficacy of their carrier systems.[43,44] The chemistry of such adaptive nanocarriers is programmed to achieve
bond cleavage, protonation, or conformational changes in the diseased
region.[43,45] A range of different triggers is perused
for selective and active responsiveness, such as spatially controlled
external stimuli, tumor-associated abundant enzymes, the acidic pH
and redox state of the tumor microenvironment to construct multistage
delivery systems that combine the opposing features that promote both
long circulation time and deep penetration into tumor tissue by adapting
to the local microenvironment once they reach the desired targeted
site.[46−48]External triggers such as ultrasound, magnetic
field, light, and heat can be applied to induce the adaptive behavior
of nanoparticles in vivo.[46,49,50] For instance, nanoparticles can be spatiotemporally shrunken in
size by employing external stimuli in the targeted diseased region,
which enables more effective tissue penetration and on-demand delivery.
In this respect, NIR laser-induced targeted cancer thermo-chemotherapy
represents a novel anticancer strategy with facile control and practical
efficacy.[46,49,51] It does not
require any targeting moieties, as the control is achieved by the
point source of the laser employed. A recent study by Ge and co-workers
describes an interesting application of this methodology for the treatment
of hypoxic tumors.[46] They constructed ROS
cleavable polymeric vesicles that were loaded with photosensitizer-modified
dendrimer clusters and hydrogen peroxide. Upon irradiation with a
660 nm laser, the singlet oxygen produced by the photosensitizer cleaved
the copolymer of the vesicle carrier system. This resulted in disruption
of the polymeric vesicles and release of the dendrimers, which enabled
deeper penetration of the targeted tissue. Furthermore, the carriers
also provided the vesicle with self-supplied oxygen produced by the
thermal degradation of hydrogen peroxide upon irradiation with an
808 nm laser, which contributed to the total ablation of hypoxic hypopermeable
pancreatic tumors through photodynamic damage.The tumor microenvironment
is characterized by its acidic pH due
to the altered glucose metabolism known as the Warburg effect, which
is considered as an appropriate internal trigger to achieve adaptive
size behavior.[39,42] Based on this principle, Wang
et al. developed ultra-pH-sensitive cluster nanobombs (SCNs) by rational
self-assembly of poly(ethylene glycol)-b-poly(2-azepane
ethyl methacrylate)-modified PAMAM dendrimers, which were conjugated
with a platinum prodrug.[52] The designed
self-assembled nanoparticle complexes attained a relatively large
size around 80 nm at neutral pH. Upon accumulation/retention in the
slightly acidic tumor microenvironment (pH ∼ 6.5), the poly(2-azepane
ethyl methacrylate) blocks became hydrophilic due to their pH responsiveness
and rapid protonation, which led to the instantaneous dissociation
into small dendrimer building blocks, resulting in a sharp size transition
to less than 10 nm. Upon disassembly, the covalently conjugated Pt
prodrug was reduced by intracellular abundant glutathione (GSH) to
achieve a therapeutic effect. This rapid size-switching feature not
only facilitated nanoparticle extravasation and accumulation via the
enhanced permeability and retention effect but also allowed faster
nanoparticle diffusion and more efficient tumor penetration, thereby
contributing to more pronounced drug penetration and therapeutic efficacy
in vivo with poorly permeable BxPC-3pancreatic tumor models (Figure ).
Figure 1
(a) Chemical structure
of the transformable nanoparticles conjugated
with Pt prodrug. (b) Mechanism displaying the pH-induced protonation
of the hydrophobic block, resulting in a size switch behavior. (c)
Illustration of the interactions of the transformable particles with
cells and deeper penetration into tissue. (d) In vitro penetration
of Cy5-labeled nanoparticles in a 3D tumor model, observed by confocal
laser scanning microscopy (CLSM), indicating the effect of pH on penetration
ability (scale bar = 100 μm). Figure reproduced with permission
from ref (52). Copyright
2016 American Chemical Society.
(a) Chemical structure
of the transformable nanoparticles conjugated
with Pt prodrug. (b) Mechanism displaying the pH-induced protonation
of the hydrophobic block, resulting in a size switch behavior. (c)
Illustration of the interactions of the transformable particles with
cells and deeper penetration into tissue. (d) In vitro penetration
of Cy5-labeled nanoparticles in a 3D tumor model, observed by confocal
laser scanning microscopy (CLSM), indicating the effect of pH on penetration
ability (scale bar = 100 μm). Figure reproduced with permission
from ref (52). Copyright
2016 American Chemical Society.In certain acidic tumor microenvironments, pH gradients can even
reach values as low as 5.0–6.0 in the subcellular organelles.[41] Additionally, the rapid growth and proliferation
of tumors also lead to hypoxia and production of abundant reactive
oxygen species (ROS).[53−55] Taking advantage of these unique characteristics
of the tumor tissue, Tan et al. recently introduced a hydrophobic
poly ferrocene block conjugated to a DNA aptamer sequence which initially
self-assembled into 80 nm micelles assisted by the hydrophobic interaction
of the ferrocene moieties.[56] In the presence
of oxidants under acidic conditions, the ferrocene moieties underwent
the Fenton reaction and were easily oxidized into hydrophilic ferrocenium
salts, changing the hydrophilic/hydrophobic ratio. It led to a size
decrease of the assemblies as they were rearranged into micelles of
less than 10 nm in size, stabilized by the π–π
stacking interaction of ferrocene with G-quadruplexes; this thereby
improved the tumor penetration ability of the DNA polymer hybrid assembly.
These nucleic acid assemblies could also release highly toxic hydroxyl
radicals into the tumor microenvironment, achieving in vivo catalytic
therapy for efficient cancer treatment. These strategies in the design
of size adaptive nanocarriers successfully allow to combine longer
blood circulation, enhanced accumulation/retention, deeper tumor penetration
as well as efficient cancer cell internalization into one single nanoplatform.
Self-Assemblies with Adaptive Shape
Biological
structures, varying from molecules, viruses, and bacteria
to cells have evolved into precise shapes to mediate communication,
interaction, and function.[57−59] As an example, viruses are to
be found in a range of different geometries, varying from icosahedral
to rod-shaped structures, which affects their ability to infect specific
types of cells and alters their cellular residence time.[60,61] Since object shape is crucial in many natural processes, it is logical
to expect that this also accounts for the interaction of biological
systems with synthetic particles.[62−64] Indeed, apart from the
strong correlation of nanoparticle size with their biomedical performance,
the shape of nanomedicine particles has also proven to play a pivotal
role in a number of interactive processes between nanoparticles and
cells.[65−67] For instance, compared to particles with spherical
morphology, high-aspect-ratio polymeric assemblies displayed improved
cellular internalization via distinct uptake mechanisms, which were
similar to the uptake of rod-like bacteria by nonphagocytotic cells.[68,69] Worm-like particles showed advantageous fluid dynamics over other
morphologies including spherical, rod-shaped, and fingerprint-like
morphologies.[57,70]The shape of polymeric
nanoparticles has also proven to play a vital role in ligand–receptor
binding interactions with cells.[71−73] In comparison to their
spherical counterparts, rod-like polystyrene nanoparticles that were
equipped with a trastuzumab antibody as targeting ligand demonstrated
a greater ability to boost binding as well as avidity with their targets,
displayed an enhanced specific uptake and decreased nonspecific internalization.[74] Because of this improved binding and internalization,
rods modified with antibodies showed a much more enhanced killing
effect toward BT-474 breast cancer cells in comparison to the antibody
itself. Mathematical modeling suggests that this is caused by enhanced
polyvalent interactions of the nanorods with the cell surface, which
contribute to increased avidity and specificity, and which are modulated
by the balance of favored adhesion and entropic losses, as well as
shear-induced detachment that reduces binding. This improved targeting
behavior of rod-like polystyrene particles was also observed in in
vivo experiments in mice under physiological conditions.[66]In the above examples, shape is still
a static feature, and the
particles were preset in their specific morphology.[75,76] In this respect, it is of great interest that researchers have become
skilled in the production of self-assembled structures via inter/intramolecular
driving forces to construct a wide range of discrete nanoscopic architectures
with unique morphological features.[77−81] Their self-assembled nature introduces a dynamic
character in these particles, which can be employed to develop systems
with adaptive shapes by subtle changes in the local microenvironment.[13,82,83] Although not as far developed
as size-switchable particles, the first examples of this type of adaptive
particles have now been reported, which will be discussed in this
section.Nanoparticles based on smart polymer self-assemblies
can be morphologically
switched in response to a change in the local environment. For instance,
subtle changes in the balance between polymer viscosity and interfacial
tension allowed polymeric nanoparticles to undergo a stimulus-responsive
shape switch in real-time, which could be precisely controlled over
minutes and days.[84] It was shown that such
processes can be modulated by external triggers such as chemical agents,
pH, and temperature. Shape switching behavior was further utilized
in selective manipulation of the macrophage phagocytosis process of
disc-shaped polymeric nanoparticles composed of poly(lactic-co-glycolic acid) (PLGA), as reported by Mitragotri et al.
In their work, PLGA elliptical discs were opsonized with mouse IgG
and incubated with mouse peritoneal macrophages. The discs switched
their shape to spheres in due time, after which they were internalized
by the macrophages. As a control, discs that were designed not to
undergo a shape switch process were not phagocytosed because of their
large aspect ratio.Nanomedicine particles that are able to
undergo shape adaptive
behavior by responding to the microenvironment of diseased tissue
could facilitate the development of disease-selective therapeutics
and targeted drug delivery.[85−87] For instance, in a recent example
reported by Wang et al., an “on-site transformation”
strategy was demonstrated, based on self-assembled chitosan–peptide
conjugates (CPCs) with a labile PEG corona that were sensitive to
enzymes present in the targeted area; the morphology changing property
was employed for designing high-performance antibacterial therapeutics
(Figure ).[78] Upon arrival of the particles at the infectious
microenvironment, the presence of gelatinase resulted in cleavage
of the enzyme-susceptible peptides, which led to the release of the
outer PEG layer. As a result, the hydrophobic/hydrophilic ratio of
the molecular building blocks changed, upon which the spherical self-assemblies
spontaneously reorganized, via chitosan chain–chain interactions,
into fibrous structures. After that, the remaining exposed peptide
sequence on the particle surface adopted an α-helical conformation
that led to multivalent cooperative electrostatic interactions with
bacteria and the subsequent disruption of their cell membranes. Further
in vivo tests proved that the morphology-adaptive nanoparticles displayed
higher accumulation and longer retention time compared to their morphology-stable
counterparts, which led to improved antibacterial performance both
in vitro and in vivo.
Figure 2
Illustration of the self-assembly of CPCs and the principle
of
enzyme-induced morphology transformation. (a) The CPCs self-assembled
into nanoparticles with a pegylated protecting corona which was peeled
off by gelatinase. Hydrogen bonding interactions between chitosans
resulted in reorganized self-assembly into fibrous structures by the
change of the ratio of the hydrophobic/hydrophilic parts. (b) CPC-based
nanoparticles went through a morphology transformation as the gelatinase
(produced by the bacteria at the infectious site) cleaved the peptide
linker. Nanofibers with exposed antimicrobial peptide showed enhanced
accumulation and retention which resulted in efficient antibacterial
efficiency. Reproduced from ref (78) with permission from John Wiley and Sons. Copyright
2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.
Illustration of the self-assembly of CPCs and the principle
of
enzyme-induced morphology transformation. (a) The CPCs self-assembled
into nanoparticles with a pegylated protecting corona which was peeled
off by gelatinase. Hydrogen bonding interactions between chitosans
resulted in reorganized self-assembly into fibrous structures by the
change of the ratio of the hydrophobic/hydrophilic parts. (b) CPC-based
nanoparticles went through a morphology transformation as the gelatinase
(produced by the bacteria at the infectious site) cleaved the peptide
linker. Nanofibers with exposed antimicrobial peptide showed enhanced
accumulation and retention which resulted in efficient antibacterial
efficiency. Reproduced from ref (78) with permission from John Wiley and Sons. Copyright
2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.Another interesting feature of rod-like nanostructures is
their
ability to be transported through tumor pores more rapidly; they can
furthermore undergo alignment with the blood flow, which increases
the probability of convective delivery.[57,88,89] For example, in comparison with spherical gold nanoparticles
of the same hydrodynamic diameter, nanorods displayed 4× more
enhanced penetration in orthotopic mammary tumors after administration
in mice.[88] The construction of adaptive
self-assembled particles that can change their shapes to facilitate
tumor penetration is however underexplored, due to difficulties in
building block design. In a recent example reported by Gao et al.
(Figure ), orally
administered semielastic nanoparticles composed of a core of PLGA,
which was covered by a lipid shell, could efficiently overcome multiple
intestinal barriers and display enhanced diffusivity through the mucus
compared with unresponsive particles.[90] The semielastic spherical NPs possessed the ability to adapt to
ellipsoids within the complex mucosal hydrogel mesh structure, which
ultimately induced rotation-facilitated fast diffusion and tumor penetration,
revealed by molecular dynamics simulations and super-resolution microscopy
imaging. The faster diffusion and enhanced tumor penetration resulted
in increased bioavailability of doxorubicin (Dox; up to 8-fold) loaded
in the particles, compared to a free Dox solution. In comparison,
rigid NPs displayed poor adaptive ability and could not deform, and
overly soft NPs were impeded by interactions with the hydrogel network,
thus, displaying poor tumor penetration. These shape adaptive nanoparticles
indicate that the strategy of modifying nanoparticle rigidity and
adapting particle shape can be utilized to overcome multiple biological
barriers that are traditionally encountered during drug delivery.
Figure 3
(a) Schematic
illustration of a core–shell PLGA-lipid nanoparticle
(NP) and cryo-TEM images of a liposome modified with 5% pluronic F127
(Lip-F1275%), and two PLGA-lipid nanoparticles with different
core size (PLGA70-Lip-F1275% NP and PLGA160-Lip-F1275% NP). (b) Atomic force microscopy
images of Lip-F1275% NPs, PLGA70-Lip-F1275% NPs, and PLGA160-Lip-F1275% NPs and
the corresponding deformation images of the nanoparticles after being
subjected to forces of different magnitudes. Scale bar: 200 nm. (c)
Mucus penetration in a 3D model and cellular internalization of NPs
in an E12 cell monolayer. Green indicates Alexa Fluor 488-wheat germ
agglutinin, blue indicates Hoechst, and red inducates DiI-labeled
NPs staining. Scale bar: 20 μm. (d) confocal images of E12 cells
(nucleus stained with 4′,6-diamidino-2-phenylindole [DAPI])
incubated with NPs for 2 h. Colocalization of the PLGA core entrapping
DiO and the lipid layer labeled by DiI is indicated in yellow. Scale
bar: 20 μm. (e) NP penetration into the BxPC-3 multicellular
spheroids visualized via Z-stack images at intervals of 20 μm.
Scale bar: 50 μm. Figure reproduced from ref (90) under Creative Commons
Attribution https://creativecommons.org/licenses/by/4.0/. Copyright 2018
M. Yu et al.
(a) Schematic
illustration of a core–shell PLGA-lipid nanoparticle
(NP) and cryo-TEM images of a liposome modified with 5% pluronic F127
(Lip-F1275%), and two PLGA-lipid nanoparticles with different
core size (PLGA70-Lip-F1275% NP and PLGA160-Lip-F1275% NP). (b) Atomic force microscopy
images of Lip-F1275% NPs, PLGA70-Lip-F1275% NPs, and PLGA160-Lip-F1275% NPs and
the corresponding deformation images of the nanoparticles after being
subjected to forces of different magnitudes. Scale bar: 200 nm. (c)
Mucus penetration in a 3D model and cellular internalization of NPs
in an E12 cell monolayer. Green indicates Alexa Fluor 488-wheat germ
agglutinin, blue indicates Hoechst, and red inducates DiI-labeled
NPs staining. Scale bar: 20 μm. (d) confocal images of E12 cells
(nucleus stained with 4′,6-diamidino-2-phenylindole [DAPI])
incubated with NPs for 2 h. Colocalization of the PLGA core entrapping
DiO and the lipid layer labeled by DiI is indicated in yellow. Scale
bar: 20 μm. (e) NP penetration into the BxPC-3 multicellular
spheroids visualized via Z-stack images at intervals of 20 μm.
Scale bar: 50 μm. Figure reproduced from ref (90) under Creative Commons
Attribution https://creativecommons.org/licenses/by/4.0/. Copyright 2018
M. Yu et al.
Self-Assembled
Systems with Adaptive Behavior
As described in the previous
section, adaptive behavior can facilitate
nanoparticle efficacy in nanomedicine applications. Still, the number
of synthetic nanoparticles that are adaptive with respect to size
or shape are limited. This is in sharp contrast to biology, where
adaptivity is a ubiquitous phenomenon; dynamic control over shape
and size is an essential element in various biological processes.[25] As mentioned in the Introduction, adaptive behavior of biological systems often shows a transient
behavior, which allows them to autonomously turn back to their resting
state.[24,91,92] If nanoparticles
could be developed that regulate, in a biomimetic fashion, their activity
based on environmental cues, this would open up tremendous new opportunities
for the field of nanomedicine.[1,93] More specifically,
concepts can be exploited that are developed by the field of science
interested in bottom-up synthetic biology. In this discipline, biomimetic
assemblies are made which are dynamic and show out-of-equilibrium
behavior. Adaptation of these concepts would allow the construction
of nanocarriers that display stimulus-regulated control over their
features.In most cases, naturally occurring systems are associated
with
an energy consumption process to obtain spatial and temporal control
over the biological complexity and functionality.[92,94] Most frequently, this spatiotemporal control is manifested in the
form of energy dissipation, concentration diffusion, autonomous dynamics,
and feedback loops. Scientists call this energy-driven life-like behavior.[95] Translating this behavior to functional self-assemblies
is an exciting way to create complex, biomimetic systems.[30,96,97] In this regard, fuel-driven structural
and functional processes under temporal control are thought to play
a key role in providing man-made materials with biological features
in terms of natural organization and function.The first examples
of self-assembled adaptive systems were mostly
focused on chemically fueled transient molecular self-assembly into
fibers and gels with self-regulated structural control.[96,98] Following up on these studies, transient functional systems were
composed that showed dynamic adaptive changes depending on the environmental
conditions. The integration of enzymatic reaction networks with self-assembled
systems turned them catalytically active in an attempt to more closely
mimic the complexity of living systems. Internal regulation in these
systems allowed them to detect and produce a response to external
stimuli and return to the ground state when the stimuli were removed.
More recently, the first examples of adaptive colloidal systems have
been reported, which however still lack true autonomously regulated
self-adaptive behavior. Yet, the initial studies with vesicular and
colloidal particles are highly promising and indicate the potential
of these transient structures for the development of next-generation
vehicles that can potentially be used in nanomedicine. In this section,
these three stages of development of transient, adaptive systems will
be discussed.
Transient Adaptive Systems Featuring Fibers
and Gels
Systems that exploit sol–gel transitions
are one of the simplest, yet elegant designs of dissipative self-assembly
networks.[99] Boekhoven and co-workers developed
a series of active fibers able to mimic the transient behavior of
microtubules (Figure a).[100] Their strategy was based on a pH-responsive
gelator, dibenzoyl-l-cystine (DBC), the pKa of which is around 4.5. When the pH was below the pKa, the carboxylic groups were protonated, which
led to neutralization and consequent self-assembly of DBC in long
fibers through intermolecular hydrogen-bonding. By introducing the
DBC-diester (DBC-(OMe)2), which can self-assemble at all
pH ranges, a dissipative self-assembly system was created. The addition
of methyl iodide (MeI) to DBC under basic conditions resulted in the
transient formation of DBC-(OMe)2 fibers, which were disassembled
over a period of time. This was caused by the spontaneous hydrolysis
of the formed esters, which restores the system to its original state.
To reduce the long lifetimes of the system, a follow-up study was
recently performed by the same group. They showed that the concentration
of the chemical fuel can be used to control the mechanical properties
of the gel. Short-lived weak gels were obtained in the presence of
lower concentrations of MeI, while the addition of higher concentrations
of MeI caused the formation of long-lived stiff gels.
Figure 4
(a) Dissipative self-assembly
process of a molecular gelator to
form fibrillar networks from an activated building block, which is
obtained from a synthetic gelator in a dissipative self-assembly process
that is fueled by an alkylating agent. The system reverts to its thermodynamic
equilibrium, when the available energy is depleted. (b) Biocatalytic
temporal control of a self-regulating transient pH-state by kinetic
balancing of two antagonistic feedback-controlled enzymatic pH reactions,
in which a biocatalytic reaction network is used for internal pH modulation;
the enzyme urease converts urea to the basic ammonia, a process that
is amplified by autocatalytic positive feedback, while the antagonistic
esterase transforms an ester to acid under negative feedback control.
c) Schematic of the transient alkaline pH-profile (red) with an initial
lag time as produced by the biocatalytic reaction network in conjunction
with the coupled self-assembly response (blue). Initially, the system
is dormant and then becomes activated by simultaneous injection of
the urea and the ester. Addition of an acidic buffer elongates the
quasi-dormant period and implements an initial lag time to the system.
(a) Reproduced from ref (100) with permission from John Wiley and Sons. Copyright 2010
Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim. (b, c) Reproduced
with permission from ref (101). Copyright 2017 American Chemical Society.
(a) Dissipative self-assembly
process of a molecular gelator to
form fibrillar networks from an activated building block, which is
obtained from a synthetic gelator in a dissipative self-assembly process
that is fueled by an alkylating agent. The system reverts to its thermodynamic
equilibrium, when the available energy is depleted. (b) Biocatalytic
temporal control of a self-regulating transient pH-state by kinetic
balancing of two antagonistic feedback-controlled enzymatic pH reactions,
in which a biocatalytic reaction network is used for internal pH modulation;
the enzyme urease converts urea to the basic ammonia, a process that
is amplified by autocatalytic positive feedback, while the antagonistic
esterase transforms an ester to acid under negative feedback control.
c) Schematic of the transient alkaline pH-profile (red) with an initial
lag time as produced by the biocatalytic reaction network in conjunction
with the coupled self-assembly response (blue). Initially, the system
is dormant and then becomes activated by simultaneous injection of
the urea and the ester. Addition of an acidic buffer elongates the
quasi-dormant period and implements an initial lag time to the system.
(a) Reproduced from ref (100) with permission from John Wiley and Sons. Copyright 2010
Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim. (b, c) Reproduced
with permission from ref (101). Copyright 2017 American Chemical Society.More recently, a peptide hydrogel system was reported by
the Walther
group that contained a biocatalytic pH-regulated feedback-induced
transient state (Figure b).[101] At high pH, the peptide employed
was in a molecularly dissolved state. Upon addition of an acidic buffer
and the concomitant fast pH decrease, peptide assembly was induced.
This effect was counteracted by the enzyme urease, which was present
in the reaction medium and which converted urea into basic ammonia,
restoring the original pH levels. Urea was added to the medium together
with the acidic buffer. The lifetimes of the transient acidic profile
were adjusted by varying the urease concentration, triggering the
self-regulated pH reversal. This feedback-induced pH regulation enabled
access to time-programmed hydrogels, with lifetimes being regulated
from a few minutes to several hours. Those autonomously regulated
hydrogels were employed to temporally block microfluidic channels
and reroute fluid flow in a simplistic vascular network model in a
time-preprogrammed fashion.Chemically fueled dissipative out-of-equilibrium
systems can suffer
from waste products and can fail after a few cycles of operation.[33,99,100,102,103] Several systems are developed
to exploit waste-free strategies that include light, magnetism, and
ultrasound. Another stimulus to control the self-assembly of nanostructures
without producing waste products is ultrasound, which is extensively
used to overcome the kinetic barriers in the processes of dissolution
and gelation.[104−110] The Ulijn group recently reported transient reconfiguration of aromatic
dipeptide amphiphile nanostructures by using ultrasound.[109] Fmoc-phenylalanyl-leucine (Fmoc-FL) and Fmoc-tyrosyl-leucine
(Fmoc-YL) dipeptides formed tapes and straight fibers, respectively,
in aqueous solutions. When they were exposed to ultrasound irradiation
for 5 min, Fmoc-FL-dipeptide tapes adopted twisted fibrillar structures
and Fmoc-YL-dipeptide fibers transformed into spherical aggregates.
When the ultrasound was switched off, both architectures reconfigured
into the initial structures. The same transient reconfiguration was
observed in iterative ultrasound on–off cycles. Thus, the work
represents a rational use of a noninvasive stimulus and shows competing
H-bonding/hydrophobic interactions can be modulated temporarily.Replicators that are formed and destroyed simultaneously are one
of the promising systems that may help us to understand the mechanisms
behind life. The Fletcher group developed a system composed of a hydrophobic
alkene A and a hydrophilic alkene B that were conjugated to an amphiphilic
building block C in the presence of a Grubbs second generation catalyst
(Figure a,b).[111] The building block C, which self-assembles
into instable micelles, could also be destroyed by the same catalyst,
thereby yielding a thermodynamically stable product D. The formation
of C is an autocatalytic process where an initial lag phase was followed
by an exponential increase which moved the system toward out of equilibrium.
The kinetic profile of the reaction showed a maximum concentration
of C, followed by depletion as the reactant A and self-assembled C
ran out. When the fuel was supplied in batches, the replicator was
formed and depleted again. It is noteworthy to mention that D did
not form at the beginning of the reaction but only when C reached
a significant concentration. This implies that destruction occurs
only when C is self-assembled into micelles.[30]
Figure 5
Transient
self-assembling self-replicators and examples of autocatalysis.
(a) An autocatalytic system based on phase separation, coupled to
thermodynamic destruction, which in a closed experimental setup evolves
toward thermodynamic equilibrium. (b) Schematic representation of
a transient self-assembling self-replicator system. (c) Formation
of a dynamic combinatorial library of macrocyclic disulfides by thiol
oxidation of the building blocks 1 and 2 with two different peptide
sequences, followed by disulfide exchange (only some of the possible
combinations are shown). Mechanism of replication in a two-component
system: the building blocks form an exchanging mixture of macrocycles
of different sizes and building-block compositions via oxidation of
thiols to give disulfide bonds and subsequent disulfide exchange.
The hexamer macrocycles self-assemble into fibers as the peptide chains
(arrows) form β-sheets through a nucleation–elongation
mechanism. The fibers grow from their ends and break on mechanical
agitation, which doubles the number of fiber ends that further promote
the formation of self-replicating hexamer. (a, b) Reproduced from
ref (111) under Creative
Commons Attribution https://creativecommons.org/licenses/by/4.0/. Copyright 2018 I. Colomer et al.
Transient
self-assembling self-replicators and examples of autocatalysis.
(a) An autocatalytic system based on phase separation, coupled to
thermodynamic destruction, which in a closed experimental setup evolves
toward thermodynamic equilibrium. (b) Schematic representation of
a transient self-assembling self-replicator system. (c) Formation
of a dynamic combinatorial library of macrocyclic disulfides by thiol
oxidation of the building blocks 1 and 2 with two different peptide
sequences, followed by disulfide exchange (only some of the possible
combinations are shown). Mechanism of replication in a two-component
system: the building blocks form an exchanging mixture of macrocycles
of different sizes and building-block compositions via oxidation of
thiols to give disulfide bonds and subsequent disulfide exchange.
The hexamer macrocycles self-assemble into fibers as the peptide chains
(arrows) form β-sheets through a nucleation–elongation
mechanism. The fibers grow from their ends and break on mechanical
agitation, which doubles the number of fiber ends that further promote
the formation of self-replicating hexamer. (a, b) Reproduced from
ref (111) under Creative
Commons Attribution https://creativecommons.org/licenses/by/4.0/. Copyright 2018 I. Colomer et al.The Otto group applies a dynamic combinatorial chemistry approach
to explore the emergent behavior of synthetic self-replicating peptides.
A short peptide chain composed of hydrophilic and hydrophobic amino
acids was functionalized with a dithiol group to allow a reversible
exchange reaction to study the spontaneous emergence of replicators
from dynamic combinatorial libraries (DCLs). The continuous exchange
drives the system to equilibrium, but irreversible processes such
as self-replication drive the library out of equilibrium. Recently
published inspirational work by Sadownik et al. shows the diversification
of self-replicating molecules in DCLs (Figure c).[112] Addition
of a second building block, which was structurally similar to the
first one, led to the emergence of a set of replicators, where one
was the descendant of the other. These mutants (constitutional isomers)
were formed simultaneously via auto- and cross-catalysis, they competed
for common building blocks. Modest differences in selectivity resulted
in complementary sets that occupied different food niches. The behavior
observed in this system marks an important step toward creating Darwinian
evolution at the molecular level using fully synthetic molecules.
Adaptive Systems Featuring Enzymatic Reaction
Networks
Implementing the principle of out-of-equilibrium
in synthetic systems has recently gathered considerable attention
since it enables access to active materials with unprecedented properties.
However, most of the existing reports are limited to molecule-level
systems; nanoscale out-of-equilibrium systems have received little
attention. An improved understanding of assembled nanosystems with
a more interactive, autonomous and life-like state is however highly
important as an intermediate step to the complexity of living systems.
Recently, numerous examples of nucleic acid- and DNA-based systems
have been developed to tackle this challenge.[113−115] It is noteworthy that the difficulty of achieving and studying out-of-equilibrium
nanosystems lies in developing a delicate balance between energy input
and response output to allow the formation of a transient state of
the system. Additionally, it is more difficult to couple chemical
or enzymatic reaction networks to an intricate nanosystem, for example
based on polymer self-assembly, to generate precisely controlled output.[116−118] Despite the presence of many existing enzymatic reactions that direct
the regulatory pathways of assemblies in living organisms, translating
them into synthetic systems is still in its infancy because of the
limited availability of purified enzymes and their narrow window of
operation. Here we will discuss some recent examples on how enzymatic
networks can be employed for creating transient behavior.One
of the important capabilities of living systems is the adaptation
to the environment. Adaptation is a dynamic process which allows the
system to sense a change in the environment (input), create a transient
response (output), and return to the initial state. Helwig et al.
constructed an adaptive enzymatic reaction network based on a fluorogenic
compound Z-Phe-Arg-AMC, which was either cleaved by trypsin (Tr) or
chymotrypsin (Cr; Figure a).[119] With the help of a computer
model, they developed a network that can be optimized and tuned precisely
with respect to sensitivity, that is, initial response to the input,
and relaxation, that is, the response of the network to return to
its initial state. When the fluorogenic substrate was cleaved by Tr,
it produced a fluorescent compound, 7-amino-4-methylcoumarin (AMC)
and a short peptide chain. At a comparable rate, Tr also activated
Cg to the enzyme chymotrypsin (Cr) which could also cleave the fluorogenic
substrate, but at a different site. Cleavage with Cr yielded a nonfluorescent
compound and AMC was not be formed by Tr. To show the adaptive behavior,
the network was assembled in a continuously stirred-tank reactor,
where the components Tr, Cg, and Z-Phe-Arg-AMC were infused on one
side and a portion of the solution was withdrawn nonselectively on
the other side. When all the reaction rates within the network were
balanced, AMC was formed directly by the constant input of Tr. As
the Cr concentration increased, it started to compete with Tr, and
the AMC concentration was depleted up to the point that steady-state
conditions for AMC were established.
Figure 6
(a) Adaptive enzymatic reaction network
with an incoherent feed-forward
loop, in which the output is positively controlled in a direct manner
but negatively controlled in an indirect manner, and a typical shape
of an adaptive or pulse-like response (blue line) in response to a
persistent input (dashed black line). The sensitivity is a measure
of the strength of the response relative to the input. Relaxation
compares the steady-state response to the maximum response. (b) A
typical example of an adaptive enzymatic reaction network, inspired
by the feed-forward loop network motif, with trypsinase producing
a persistent input. (c) Nonequilibrium steady states in supramolecular
polymerization, in which the addition of ATP and Protein kinase A
to a solution of a perylenediimide derivative results in diphosphorylation
and subsequently a change in the structure and stereochemistry of
the supramolecular polymer. The addition of protein phosphatase is
needed to reset the polymer to its original nonphosphorylated state.
The addition of ATP to a solution of the perylenediimide derivative,
in the presence of both protein kinase A and protein phosphatase,
leads to a transient change of the supramolecular structure. The supramolecular
nonequilibrium system is kept in a dissipative steady state by continuous
influx of ATP. (a, b) Reproduced from ref (119) with permission from John Wiley and Sons. Copyright
2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim. (c) Reproduced
from ref (120) under
Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/. Copyright 2017 A. Sorrenti et al.
(a) Adaptive enzymatic reaction network
with an incoherent feed-forward
loop, in which the output is positively controlled in a direct manner
but negatively controlled in an indirect manner, and a typical shape
of an adaptive or pulse-like response (blue line) in response to a
persistent input (dashed black line). The sensitivity is a measure
of the strength of the response relative to the input. Relaxation
compares the steady-state response to the maximum response. (b) A
typical example of an adaptive enzymatic reaction network, inspired
by the feed-forward loop network motif, with trypsinase producing
a persistent input. (c) Nonequilibrium steady states in supramolecular
polymerization, in which the addition of ATP and Protein kinase A
to a solution of a perylenediimide derivative results in diphosphorylation
and subsequently a change in the structure and stereochemistry of
the supramolecular polymer. The addition of protein phosphatase is
needed to reset the polymer to its original nonphosphorylated state.
The addition of ATP to a solution of the perylenediimide derivative,
in the presence of both protein kinase A and protein phosphatase,
leads to a transient change of the supramolecular structure. The supramolecular
nonequilibrium system is kept in a dissipative steady state by continuous
influx of ATP. (a, b) Reproduced from ref (119) with permission from John Wiley and Sons. Copyright
2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim. (c) Reproduced
from ref (120) under
Creative Commons Attribution https://creativecommons.org/licenses/by/4.0/. Copyright 2017 A. Sorrenti et al.The Hermans lab employed enzymes to develop nonequilibrium steady
states in supramolecular polymers. In one of their recent examples,
Sorrenti et al. designed a stimuli-responsive system based on the
symmetric 3,4,9,10-perylenedimide-LRRASL peptide hybrid (PDI), where
both the serine residues could be phosphorylated by protein kinase
A (PKA) in the presence of ATP (Figure b).[120] This resulted first
in the formation of the monophosphorylated product of p-PDI and, consequently,
the diphosphorylated product, p2-PDI. In a similar manner, p2-PDI
could be covalently cleaved with λ-protein phosphatase (λPP),
first to p-PDI and then to PDI. Phosphorylation induced an alteration
in the supramolecular chirality and resulted in opposite-handed self-assembled
structures for PDI and p2-PDI. Self-sorting experiments showed that
they could not form mixed assemblies. When ATP was added to a solution
that contained PDI, PKA, and λPP, the system showed transient
behavior resulting in the change of supramolecular structure and the
chirality of the polymer. To achieve nonequilibrium steady states,
ATP was continuously added to the same system and waste products were
removed selectively in a continuous flow device. Dissipative out-of-equilibrium
systems that undergo transient self-assembly open an avenue for the
construction of life-like assemblies that display a high level of
adaptability and ultimately could perform complex functions as found
in natural systems.
Adaptive Systems Featuring
Colloidal and Vesicular
Structures
Although most biomimetic out-of-equilibrium assemblies
are based on fibers and gels, there are a number of noteworthy exceptions.
Based on a similar principle to Boekhoven’s work, van Ravensteijn
et al. developed a colloidal system that can undergo fuel-mediated
transient, reversible self-assembly. The particles were functionalized
with anionic carboxylic acids which stabilized the colloidal assembly
by electrostatic repulsions in aqueous solution buffered to pH 8–9.[103] When a strong methylating agent, dimethyl sulfate,
was added to the system as fuel, carboxylic acids were converted into
uncharged methyl esters within 2 h. Removal of the charges thus increased
the hydrophobic character of the particles, which induced their aggregation.
However, the methyl esters were hydrolyzed slowly back to charged
carboxylic acids, which redispersed the particles due to electrostatic
repulsions. The transesterification reactions in the buffered solution
thus ensured reversibility to the system. Refueling the system allowed
the initiation of this cycle again. Two additional consecutive cycles
confirmed the transient switching between aggregated and disassembled
states. Prins et al. reported a different strategy for the transient
stabilization of vesicular structures based on a surfactant containing
a cationic 1,4,7-triazacyclononane (TACN)·Zn(II) headgroup.[33] The presence of ATP led to the formation of
vesicular structures owing to the stabilizing interactions between
ATP and the oppositely charged head groups. The introduction of apyrase,
which can hydrolyze ATP into AMP + 2Pi, kept the system
in the out-of-equilibrium state since the rate of vesicle formation
triggered by ATP was more rapid than the consumption rate of ATP.
The process of transient vesicle formation was coupled to a chemical
reaction to create ATP-mediated temporal control of vesicular nanoreactors.One of the most remarkable examples of complex, far from equilibrium,
behavior emerging from self-assembled nanoparticle systems was achieved
by subjecting polystyrene beads to ultrafast laser pulses.[110] In this waste-free system, the colloidally
stable beads were manipulated to form different aggregate domains
by spatiotemporal temperature gradients mediated by the laser pulses
that induced Marangoni-type microfluidic flow. Brownian motion, on
the contrary, moved the particles away from aggregation. Tens to thousands
of unfunctionalized nanoparticles exhibited rich and complex behavior,
including adaptation and self-healing responsiveness to the changing
environment, depending on the perturbation strength, competition,
and self-replication to make copies of the adjacent domain, and displayed
self-regulation to persist their overall structure far from equilibrium.All living matter requires a boundary to contain and protect the
self from the environment. Therefore, compartmentalization can be
considered as an indispensable element of life, and it has become
an important tool for out-of-equilibrium systems. Polymersomes, which
are bilayer vesicles made from amphiphilic block copolymers, are versatile
nanocapsules with tunable properties such as permeability, flexibility,
and size.[83,121] These features make polymersomes
ideal compartments for mimicking life-like architectures. Recently,
we demonstrated the construction of self-adaptive nanoreactors, based
on pH-responsive polymersomes consisting of a pH-responsive poly(2-diethyl
amino ethyl methacrylate) (PDEAEMA) block. This system was based on
an earlier developed “breathing” microgel system.[31] During the formation of polymersomes, urease,
which can tune the pH change, and HRP, which served as a model enzyme,
were encapsulated. At high pH, the polymersomes shrunk because of
deprotonation of PDEAEMA, giving rise to impermeable membranes of
the nanoreactors, and substrates were strongly hindered to penetrate
the polymersomes, turning the nanoreactors in an “off”
state. The introduction of chemical fuel (HCl and urea) enabled a
rapid pH decrease, thereby resulting in a size increase of the polymersomes.
Thus, the polymersomes became permeable and the substrate was able
to pass through the membranes, allowing the “ON” state
of the nanoreactors. Over time, a gradual increase in pH was observed
due to the formation of ammonia via the action of urease on urea,
and the nanoreactors were switched off again. Several nanoreactor
“OFF–ON–OFF” cycles could be obtained
upon repeated introduction of fuel, endowing the nanoreactors with
cell-like “breathing” features.More recently,
Che et al. developed an ATP-mediated transient system
using bowl-shaped polymer vesicles named stomatocytes (Figure ).[102] We demonstrated that, upon loading the stomatocytes with catalytic
species in the cavity, they were able to convert chemical energy into
kinetic energy, thereby endowing the nanoparticles with motility.
In our previous work, we showed that the motion of the stomatocytes
can be steered by temperature or by fuel in low concentrations via
one- or two-enzyme systems; however, motion did not show transient
behavior in contrast to analogs found in nature. In this specific
case, Pt-loaded PEG-b-PS stomatocytes were decorated
with polylysine chains (PLL), which can dynamically interact with
ATP, noncovalently forming hydrophobic complexes on the stomatocyte
surface; this allowed a decrease of the nanometer-sized opening of
the stomatocyte cavity. As a result, the ATP-PLL interaction blocked
substrate access. Potato apyrase, an enzyme that can hydrolyze ATP
to AMP was added to the stomatocytes to remove ATP from the system,
which led to the recovery of the original open state of the system.
In this work, the stomatocyte nanomotors showed a regulated transient
velocity profile, which demonstrates that adaptive self-assembled
systems can be created with not only regulated structure, but also
function.
Figure 7
(a) Schematic of the transient deactivation and activation of a
stomatocyte nanosystem mediated by ATP. (b) Polylysine (PLL)-modified
stomatocytes loaded with Pt nanoparticles (PtNP) are characterized
by TEM and asymmetric flow field-flow fractionation (AF4). Scale bar
= 100 nm. (c) Velocity of the PtNP-loaded PLL-stomatocyte nanomotors
as a function of time upon the addition of ATP in the presence of
different concentrations of apyrase. Three cycles of the adaptive
nanomotor system upon the repeated addition of ATP. The arrows indicate
the addition of ATP. Reproduced from ref (102) with permission from John Wiley and Sons. Copyright
2019 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.
(a) Schematic of the transient deactivation and activation of a
stomatocyte nanosystem mediated by ATP. (b) Polylysine (PLL)-modified
stomatocytes loaded with Pt nanoparticles (PtNP) are characterized
by TEM and asymmetric flow field-flow fractionation (AF4). Scale bar
= 100 nm. (c) Velocity of the PtNP-loaded PLL-stomatocyte nanomotors
as a function of time upon the addition of ATP in the presence of
different concentrations of apyrase. Three cycles of the adaptive
nanomotor system upon the repeated addition of ATP. The arrows indicate
the addition of ATP. Reproduced from ref (102) with permission from John Wiley and Sons. Copyright
2019 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.
Conclusion and Future Perspectives
Adaptivity is a natural phenomenon scientists are trying to incorporate
in man-made molecular systems. This field of research has been traditionally
the domain of systems chemists and synthetic cell scientists. The
recent developments in this area are highly intriguing; self-regulated
polymeric assemblies have been created with transient properties.
Dissipative, biomimetic out-of-equilibrium architectures have been
designed. What is also interesting to note is that the first steps
have been made toward nanomaterials with functional adaptivity, instead
of only structural regulation.Although seemingly unrelated,
the area of nanomedicine can benefit
much from these developments in synthetic biology. The field has come
to the realization that static nanocarrier systems are often not the
most optimal solution for efficient drug delivery. Particles should
be able to adapt to the environment, in order to interact solely with
the target cells and tissues. This requires spatiotemporal control
over specific features such as size and shape. In contrast to natural
alternatives, synthetic polymers can be designed with adjustable and
fine-tunable chemical and mechanical properties to control self-assembly,
biodegradability and biocompatibility. The first adaptive polymeric
particles have successfully been tested in a biological context, showing
that there is indeed much to gain when features can be changed on
demand. In almost all reported cases this involves an irreversible
property change. Although this is already a major step forward when
compared to the static counterparts, and much more work is still to
be done, spatiotemporal control would be even more desired; particles
that dynamically change their size, shape, and surface charge can
more effectively overcome the different biological barriers nanomedicine
faces; self-regulated nanoparticles that only will become activated
when requested by the environment would increase drug efficacy or
allow immunomodulation; integration with living cells, thereby tuning
in to the cell’s homeostasis would be of great interest for
nanoparticles applied in enzyme replacement strategies. These adaptive
polymeric nanoparticles can more easily be realized by adopting the
concepts developed in the field of out-of-equilibrium assembly. This
interaction will, on the other hand, also provide this curiosity-driven
research field with clear application potential.
Authors: Daniel J Toft; Tyson J Moyer; Stephany M Standley; Yves Ruff; Andrey Ugolkov; Samuel I Stupp; Vincent L Cryns Journal: ACS Nano Date: 2012-08-28 Impact factor: 15.881