Susmita Aryal1, Hyungkyu Park1, James F Leary2, Jaehong Key1. 1. Department of Biomedical Engineering, Yonsei University, Wonju, Gangwon-do 26493, South Korea. 2. Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN 47906, USA.
Abstract
Recent breakthroughs in nanoparticle research have led to improved drug delivery and have overcome problems associated with normal drug delivery methods. Optimizing the design of nanoparticles in terms of controlled size, shape, and surface chemistry of nanoparticles can maximize the therapeutic efficacy. To maximize therapeutic effects, advanced formulation and fabrication methods have been developed. Biomedical applications of nanoparticles produced using the new fabrication techniques, including drug delivery and molecular imaging, have been widely explored. This review highlights the simple and versatile manufacturing techniques that can be used in the development of new types of nanoparticles that have strictly controlled physiochemical properties and their multifaceted advantages in drug delivery and molecular imaging.
Recent breakthroughs in nanoparticle research have led to improved drug delivery and have overcome problems associated with normal drug delivery methods. Optimizing the design of nanoparticles in terms of controlled size, shape, and surface chemistry of nanoparticles can maximize the therapeutic efficacy. To maximize therapeutic effects, advanced formulation and fabrication methods have been developed. Biomedical applications of nanoparticles produced using the new fabrication techniques, including drug delivery and molecular imaging, have been widely explored. This review highlights the simple and versatile manufacturing techniques that can be used in the development of new types of nanoparticles that have strictly controlled physiochemical properties and their multifaceted advantages in drug delivery and molecular imaging.
In the past 50 years, intensive research has been carried out in the fields of nanoscience and nanotechnology, which has led to great progress. New nano-drug delivery methods have led to new paradigms for health care. The special characteristics of nanoparticles, including their ease of accessibility and functionalization, biocompatibility, and stability, have made them valuable candidates for targeted therapy.1 These unique features allow encapsulation of toxic drugs and specific transport to the tumor site using either passive or active targeting methods.2 However, despite many new approaches in drug delivery using nanoparticles, only a few have actually led to tangible and significant results. Fabrication of nanoparticles with specific functional properties, including size, shape, and composition, is the key issue. This review provides an outline with respect to the current challenges and potential of fabricating nanoparticles for general purpose drug delivery and molecular imaging.Various nanoparticle carrier designs have been developed and refined. But numerous hurdles still remain. In nanoparticle-based therapeutics, conventional synthesis of nanoparticles using techniques like emulsification produce polydispersed particles whose physicochemical characteristics, drug release profiles, degradation kinetics, and materials are troublesome to assess. Controlling these parameters is crucial for the effective application of the nanoparticles. Advances in design methodologies have succeeded in overcoming some of the limitations and have provided an exceptional approach in creating drug delivery particles with a rational design and highly ordered structure with numerous functional characteristics. Recent and ongoing studies related to design include top-down manufacturing approaches, such as soft lithography, micro-molding, and imprinting. Several groups have effectively used top-down microfabrication strategies and have generated drug delivery nanoparticles.3 In this review, we consider novel lithography-based fabrication approaches together with their remarkable applications in drug delivery and molecular imaging. Lithography can produce particles with a homogeneous size as well as unique designs. Non-spherical shapes have attracted increased attention in biomedical applications. Specifically, the penetration, pathway, and cellular uptake are determined by shape and shape-related factors, such as the aspect ratio and particle edge character.4,5Lithography techniques in biomedical applications have the possibility to make well-defined nanoparticles and have become the alternative for the traditional method. A top-down method provides consistency in terms of particle size, shape, and geometry, and provides a monodisperse population with better yields, allowing the scale-up of manufacturing. Furthermore, this approach also improves encapsulation efficiency and drug stability.6
Nanoparticles in molecular imaging
Molecular imaging noninvasively provides a detailed picture that aids in the understanding of the biological behavior inside organisms.7 Molecular imaging is important in early disease detection, screening, diagnosis, therapy, and image-guided treatment of life-threatening diseases. However, current limitations of some molecular imaging techniques include poor target specificity, toxicity, expense, and low rate of tissue penetration.7,8 For these reasons, nanoparticles are emerging as a new class of molecular imaging agent because of their exclusive properties, which include small size, large surface area, improved in vivo pharmacokinetics, strong target binding via multiple ligands, and multimodal signaling capacity. In addition, nanoparticle-mediated molecular imaging has inherently low toxicity compared to conventional imaging agents. To expand the possibilities for nanoparticles in molecular imaging, selective targeting component(s) should be conjugated to the surface of the nanoparticles. This aids in achieving better image quality and also increases the applicability and functionality of imaging. The evolution of medical imaging from plain radiography to X-ray imaging, computer assisted tomography (CT), ultrasound (US) imaging, magnetic resonance imaging (MRI), and optical imaging holds enormous potential for improved health care.9
MRI
MRI is a non-invasive biomedical imaging technique that provides diverse anatomical, physiological, and molecular information from the interior of the organism. MRI is often preferred as it offers high tissue penetration depth and spatial resolution sufficient to visualize the entire human body. For example, superparamagnetic iron oxide nanoparticles act as contrast agent in MRI due to their small size, which enables prolonged circulation, facilitates surface modification to favor internalization, low toxicity, and high relaxivity, which are important in MRI-mediated diagnosis. Superparamagnetic iron oxide nanoparticles can be used to detect disease in macrophage-rich tissues. However, drawbacks of MRI include low sensitivity, which has limited the use of MRI. MRI can be improved by controlling physiochemical properties of the contrast agent.10 For example Culver et al.11 showed that gold nanostars incorporated with gadolinium are a promising contrast agent for MRI.
X-ray imaging and CT
CT is a leading imaging technology that provides three-dimensional anatomic imaging with high spatial resolution. Gold nanoparticles can be used as an X-ray contrast agent. Their relevant properties include high X-ray attenuation, lack of toxicity, colloidal stability, and targeted delivery.12 However, disadvantages of CT include high dose of ionizing radiation that is required and insufficient imaging sensitivity. Dual modality applications can be applied to overcome these limitations.
Optical imaging
Advantages of optical imaging include high sensitivity, low cost, and great potential for use with small animals. Quantum dots are a form of nanoparticles that are used extensively for optical imaging. However, optical imaging is hindered by the limited depth of penetration of light, which limits imaging deep within tissues, and the low spatial resolution compared to CT and MRI.Every molecular imaging modality has specific advantages and disadvantages. A combination of imaging technologies is an important strategy to overcome the shortcomings of an individual imaging technology. The development of multimodal imaging nanoparticles has intensified in recent years. These probes contain two or more components that allow their detection by more than one imaging technology. No single methodology is adequate to provide all the fundamental data. The focal points of one method can be combined with the advantages of the other, while lessening the drawbacks of both at the same time. Nanotechnology can facilitate combinations of two or three imaging modalities like MR-optical, MR-positron emission tomography (PET), PET-CT, optical-PET, MR-CT, and MR-PET-optical.13 For example, PET imaging provides qualitative information about the disease with high sensitivity, with CT and MRI being important role in providing a resulting high resolution image that conveys anatomical information. Therefore, combinations of these imaging modalities can provide highly sensitive, high spatial resolution approaches that minimize the drawbacks of the individual techniques.14Imaging by nanoparticles can be performed by single, double, or triple imaging modalities. Triple model imaging offers more unique and comprehensive information than either the single or dual modality. However, single modal imaging techniques are stable, target specific, less toxic, and biocompatible.The goal of nanoparticle research is to control biological behavior and electromagnetic properties by controlling shape, size, and surface characteristics to make them suitable for imaging. The geometry of the nanoparticles influences their efficacy both in vitro and in vivo. According to Hwang et al.,15 unlike spheres, disks have a directional preference to an external magnetic field arising from their symmetrical shape. The authors opined that the unique shape is the key to improve their efficacy. Non-spherical particles outperform their spherical counterparts with several crucial advantages that include prolonged circulation and reduced macrophage uptake.An ideal nanoparticle imaging agent for clinical use must have high sensitivity, sufficient resolution, low toxicity, and must be rapidly excreted and biodegradable.
Drug delivery with nanoparticles
The aim of nanoparticle-based drug delivery is enhanced delivery to reduce the toxicity of the free drug to the non-targeted organs, which can prevent drug degradation. Many types of nanoparticles have been developed for drug delivery, but only few have been approved and tested in clinical trials.16 Nanoparticles can be comprised of organic macromolecules, dendrimers, self-assemblies of smaller molecules, carbon nanotubes, and other components.17–20 Delivering therapeutic drugs to the target organ is the major obstacle. Protecting the drug from rapid degradation and clearance is also important.Nanoparticles can help detect the location and extent of disease, and can provide information about the response to treatment. Design of nanoparticles that is characterized according to particle composition, size, shape, and surface properties define the therapeutic outcome. The size, shape, and surface chemistry of nanoparticles can greatly influence cellular uptake and treatment efficacy. Smaller nanoparticles are typically internalized more into cells than larger nanoparticles.21 For example, one study described particles with a diameter of 25 nm that were more efficaciously internalized into the cytoplasm of MCF-7 cells in contrast to 150 nm nanoparticles.22 Improved control of the size, structure, and biophysical properties of nanoparticles have led to tailored effects on molecular and cellular interactions.Particle shape is another important parameter that regulates the in vivo performance of delivery vehicles. Uptake of nanoparticles is dependent on the particle shape, which involves factors like cell-particle interaction, strain energy required to wrap the membrane around the particles, and particle concentration at the cell membrane.23 Moreover, controlling the shape of nanoparticles can be used to target the nanoparticles to the desired cells and to avoid rapid clearance. The progression of advanced biomedical manufacturing techniques has raised the possibility of producing nanoparticles that are not spherical. Compared to spherical particles, non-spherical nanoparticles can be more readily internalized. For example, disk-shaped particles have higher binding capability compared to spherical particles in the interaction between the particles and cells.24 These non-spherical morphologies offer significant advantages concerning key pharmacokinetic parameters in vivo. In addition, several studies have clarified the relationship between biological responses and shape and size of nanoparticles. Size and shape can advantageously modulate immune activities like activation and suppression, and can help guide the particles toward the desired organ. For example, Lebre et al described that spherical, micron-sized hydroxyapatite particles evoke a weaker inflammatory response than smaller particles with a sharp edge, and noted that the size and shape of nanoparticles are profoundly pertinent physical attributes that influence the interaction between nanoparticles and living cells.25Surface property also affects the interaction between nanomaterials and cells. This property is directly related with physical stability. Particles with neutral zeta potential tend to aggregate more rapidly. A stronger charge can increase the stability of the particles, which extends their shelf life. Strongly cationic nanoparticles interact more favorably with cell membranes, which will enhance their intracellular uptake. However, cationic particles are more toxic. This problem has spurred the use of different chemistries to modulate the surface of nanoparticles with the goal of improving their biomedical applications. Positively charged nanoparticles can be taken up by cells to a greater extent than anionic nanoparticles. For example, one study compared chitosan that was uncoated (positively charged) or coated with hyaluronic acid (negatively charged). The uptake of coated chitosan coated with hyaluronic acid was reduced and a relatively large amount of uncoated chitosan nanoparticles were rapidly taken up by the cells.26Another important factor in the cellular uptake of nanoparticles is the elastic deformation of the particles. Key et al27 demonstrated the avid deposition of soft discoidal polymeric nanoconstructs (DPNs) in tumor tissue. Similarly, phagocytic cells engulfed more rigid particles than did soft particles. Rigid particles have low deformability, prolonged period of interaction, and pronounced internalization. In contrast, soft particles have high deformability, short interaction, and are poorly internalized. While rigid DPNs are internalized more avidly than soft DPNs, the latter show extended circulation time due to their deformability. It is also assumed that by mimicking the vascular behavior of blood cells, soft DPNs exhibit higher efficiency and better escape from macrophages. Thus, nanoparticle elasticity is also responsible for low macrophage uptake, extended longevity in the blood, and progressive accumulation within the tumor vascular bed (Figures 1 and 2).28,29
Figure 1
Nanoparticle size, shape, and surface charge dictate biodistribution among the different organs including the lungs, liver, spleen and kidneys.
Intravital microscopy images showing soft (A) and rigid (B) discoidal polymeric nanoconstructs (DPNs) within the tortuous and abnormal tumor microvasculature, respectively. (C) Bar graph summarizing the level of DPN accumulation with the tumor microvasculature.
Advanced nanofabrication technique for the synthesis of diverse nanoparticles and their advantagesHigh yield: over 85%Available to incorporate a second metalSufficient contrast because of low atomic massEasy control of size, shape, and surface chemistryAvailable in various size from nm to µmHigh conductivity (93.51 μs)Low viscosity (4.48 cP)High drug encapsulation: 91.5%Available in various applicationsIncreased docetaxel circulation timeSimilar docetaxel exposure to tumorImproved tumor growth inhibitionIncreased median survival timeControl particles size and can make different shapeLow macrophage uptake and blood longevityLow costLargeAvailable in uniform SERS substratesFirst report on the bottom-up fabrication to develop gold nanoparticles with diameters exceeding 50 nmAbbreviations: PRINT, particle replication in non-wetting templates; SERS, surface-enhanced Raman scattering.
Experimental approaches for the design of nanoparticles
Advancements in the top-down development of fabrication of nanoparticles have created the possibility of developing nanoparticles with uniform sizes and shapes. Such fabrication methods provide the desired structure with the appropriate properties, which are difficult to obtain using bottom-up approaches, such as thermodynamically driven self-assembly. In this section, we focus on advancements in fabrication methods for shape-specific nanoparticle drug carriers and discuss their advantages and disadvantages.Microfluidic devices can generate homogeneous nanoparticles with higher yield. Nanoparticle size is improved compared to those obtained from conventional methods. Microfluidic devices have been developed to synthesize particles with diameters ranging from nanometers to micrometers, using materials that include semiconductors, metals, and polymers. For example, in one study, a focused flow device was used to generate monodisperse polymeric particles.30 The monodisperse particles were synthesized with minimal variations in size (25 to 30 µm), with a prevalent diameter of 28 µm. In the same study, monodisperse microparticles were fabricated and the release kinetics of bupivacaine was compared with microparticles having the same size that had been generated by the conventional method. Monodisperse particles generated from the microfluidic device displayed higher yields and could encapsulate larger molecules. Furthermore, the monodispersed particles prepared by the microfluidic device released the drug more slowly than conventional polydispersed particles of a similar size. In addition, the initial burst release of drug from the monodispersed microfluidic particles was significantly less compared to conventional polydispersed particles (Figure 3).
Figure 3
The left side shows (A) a schematic illustration of the procedure to fabricate monodisperse polymer microparticles and (B) optical microscopy image showing the orifice of the flow-focusing region generating droplets of dichloromethane (DCM) in water. The right-hand side shows (A, B) scanning electron microscopy images of monodisperse poly(lactic-co-glycolic acid) (PLGA) microparticles with a diameter of approximately 28 μm. (C) Size distribution of the microparticles measured using a coulter counter.
Scheme illustrating the generation of nanoarrays of individual DNA strands using 50 nm islands (left) and arrays with multiple DNA strands per 100×100 nm islands (right).
Note: Reproduced from Hager R, Halilovic A, Burns JR, Schaffler F, Howorka S. Arrays of individual DNA molecules on nanopatterned substrates. Sci Rep. 2017;7:42075 (https://creativecommons.org/licenses/by/4.0/).46
Scheme illustrating the generation of nanoarrays of individual DNA strands using 50 nm islands (left) and arrays with multiple DNA strands per 100×100 nm islands (right).Note: Reproduced from Hager R, Halilovic A, Burns JR, Schaffler F, Howorka S. Arrays of individual DNA molecules on nanopatterned substrates. Sci Rep. 2017;7:42075 (https://creativecommons.org/licenses/by/4.0/).46Huanbutta et al described a novel approach to load therapeutic molecules into nanoparticles for colon-specific drug delivery.47 Nanoparticles containing the anti-inflammatory drug prednisolone were made by electrohydrodynamic atomization with various concentrations of Eudragit® S100 (EDS) concentrations and prednisolone/EDS weight ratios. Electrohydrodynamic atomization may prove useful in the simple manufacture of drug containing nanoparticles for the delivery of the payload. Bowerman et al demonstrated that a commercial anticancer drug can be loaded in nanoparticles using an imprint lithography based on PRINT.48 These rod-shaped poly(lactic-co-glycolic acid)-docetaxel nanoparticles displayed increased circulation time and similar docetaxel exposure to the tumor compared to nanoparticles alone.Ishida et al49 described a Langmuir-Blodgett technique that was used to fabricate two-dimensional arrays of 50 nm gold nanoparticles. The hydrophobic nanoparticles were about 50 nm in diameter and stable. The stability was maintained in the dry state, which allowed their subsequent re-dispersion in chloroform.Zhan et al reported that non-lithographic, nanopatterning approaches fabricate nanoparticles of 100 nm or smaller in size on substrates having a large area.50 Current specialized lithography techniques are intricate and expensive compared to conventional fabrication. By combining the nanoimprinting method with an ultrathin alumina membrane, homogeneous nanoparticle patterns can be inexpensively made on large areas of substrates. The ultrathin alumina membrane does not require coating and heating of nanoparticles, and is more environmentally friendly and simple.Inorganic nanoparticles are an attractive candidate in drug delivery. In particular, silica nanoparticles feature unique properties, such as tunable void volume, low density, large surface area, ease of surface modification, stability, and biocompatibility. Zhang et al fabricated hollow mesoporous silica nanoparticles based on soft-or -hard-templating methods. The nanoparticles exhibited relatively high drug loading capacity and protein adsorption capacity, as well as controlled pH-responsive release behavior. Compared with conventional silica nanoparticles, the hollow mesoporous silica nanoparticles with a large cavity and a permeable mesoporous shell had obvious advantages in mass diffusion and transportation, as well as in storage capacity. This fabrication method is desirable as it enables the preparation of high quality nanoparticles with a tunable particle size, high surface area, and controlled morphology. Currently, however, the manufacture of the desired quantity of mesoporous silica nanoparticles needed to scale-up to a commercial scale is challenging.51Particle stretching is another technique of fabricating nano- and microparticles with different shapes. Spherical particles prepared by the bottom-up method can be used to produce anisotropic shapes. In this fabrication method, the shape varies with the physical properties of the particles, and with the film and the interaction between them. Champions et al produced more than 20 different shapes of nano- and microparticles using particle stretching methods. Spherical polystyrene particles were used as the starting material and polyvinyl alcohol as the aqueous phase. The prepared particles displayed the same polydispersity index as spherical particles before stretching. The particle yield was high, with 108 to 109 particles produced per stretching apparatus. The uniqueness of the particle stretching technique is the capacity to compare varied shaped particles molded from the same stock.52The fabrication process is limited by high operating cost, low throughput, surfactants exposed to corrosive etchants, high energy radiation, relatively high temperature, and the wavelength used. These limitations have proven unfavorable to the use of conventional lithographic techniques for many researchers. These drawbacks motivated the exploration and development of a new nanofabrication technique. Recent nanofabrication techniques have created opportunities for fabrication on the nonplanar surface and over a large surface area. These techniques are also applicable to biological materials and to sensitive organic and organometallic materials. Moreover, they enable fabrication at low cost and offer high-throughput compared with conventional lithographic methods.53
Conclusions and outlooks
This review considered recent top-down nanofabrication strategies to achieve therapeutics and imaging performances that are superior to the current performance of nanoparticles. However, despite the tremendous development and acceptance of nanoparticles for clinical uses that include therapeutics and molecular imaging, nanomedicine faces a critical bottleneck in moving nanoparticles from the bench to the bedside. Major obstacles preventing the clinical translation of nanomedicine are the inability to increase specific target site accumulation, decrease off-target site accumulation, and lessen rapid clearance by immune cells. With the emergence of recent top-down nanofabrication techniques like lithography, monodispersed particles with controlled shape and size can be generated. They can be used to increase the accumulation of nanoparticles in tumor sites, with significantly enhanced binding with and uptake into target cells. Furthermore, with the advancement in microfluidic technologies to mimic organs, organ functions in the diseased tissues as nanoparticle interactions can be investigated to gather fundamental information with regard to drug delivery to predict in vivo performances. The top-down nanofabrication approach used to synthesize nanoparticles is proving to be an alternative tact to overcome the disadvantages and barriers of the bottom-up method. However, challenges such as scale-up of manufacture, stability of nanoparticles, and effective delivery remain to be overcome.
Authors: Stephanie E A Gratton; Patricia A Ropp; Patrick D Pohlhaus; J Christopher Luft; Victoria J Madden; Mary E Napier; Joseph M DeSimone Journal: Proc Natl Acad Sci U S A Date: 2008-08-12 Impact factor: 11.205