Intravesical therapy, already used to treat bladder cancer, is a potential treatment option for urinary tract infections. However, short dwelling time and washout proved to be challenging obstacles. To circumvent these issues, PLGA 503H and PLGA 2300 nanoparticles were prepared and surface modified with wheat germ agglutinin (WGA). Nanoparticles of both poly(d,l-lactic-co-glycolic acid) (PLGA) types exhibited high inherent adhesion to human uroepithelial cells. Although surface-bound WGA could be easily increased, adhesion did not. Loading the nanoparticles with trimethoprim did not counteract cell adhesion. Varying the medium for instillation revealed highest adhesion in sodium bicarbonate buffer (pH 5). To evaluate dwelling time, nanoparticles were incubated with the cell monolayer for increasing time intervals. A contact time of 15 min seems to be too short for adhesion to the cells as less than 50% particles remained bound after washing. However, after 30 min 70% of the particles added were bound, and afterward, no further increase was observed. WGA only slightly increased the adhesion of the PLGA nanoparticles, but this approach might not be economically viable. However, PLGA nanoparticles displayed a high inherent adhesion to cells that might substantially foster intravesical therapy.
Intravesical therapy, already used to treat bladder cancer, is a potential treatment option for urinary tract infections. However, short dwelling time and washout proved to be challenging obstacles. To circumvent these issues, PLGA503H and PLGA 2300 nanoparticles were prepared and surface modified with wheat germ agglutinin (WGA). Nanoparticles of both poly(d,l-lactic-co-glycolic acid) (PLGA) types exhibited high inherent adhesion to human uroepithelial cells. Although surface-bound WGA could be easily increased, adhesion did not. Loading the nanoparticles with trimethoprim did not counteract cell adhesion. Varying the medium for instillation revealed highest adhesion in sodium bicarbonate buffer (pH 5). To evaluate dwelling time, nanoparticles were incubated with the cell monolayer for increasing time intervals. A contact time of 15 min seems to be too short for adhesion to the cells as less than 50% particles remained bound after washing. However, after 30 min 70% of the particles added were bound, and afterward, no further increase was observed. WGA only slightly increased the adhesion of the PLGA nanoparticles, but this approach might not be economically viable. However, PLGA nanoparticles displayed a high inherent adhesion to cells that might substantially foster intravesical therapy.
Cystitis
and pyelonephritis, summarized as urinary tract infections
(UTI), are among the two most common infectious diseases in the US.[1] Mostly prevalent in women, risk factors include
age, sexual activity, and pregnancy, as well as diabetes.[2] Common symptoms of cystitis are dysuria and pollakisuria,
while the more serious pyelonephritis is associated with flank pain,
nausea, and fever.[3] The most frequent pathogen
is uropathogenic Escherichia coli (UPEC).[4,5] UPEC has the ability to adhere to facet cells via type 1 pili, more
specifically to the mannose-specific adhesin FimH located on the tips.[6] After cell invasion, UPEC forms intracellular
bacterial communities (IBC). It is reported that UPEC redistributes
from the IBC back into the bladder lumen and can cause recurring infections
by invading neighboring cells.[7,8]Therapy usually
comprises antibiotic treatment, for example, fosfomycin-trometamol,
nitrofurantoin, pivmecillinam, and trimethoprim (TMP), or TMP combined
with sulphamethoxazole.[9] However, increasing
bacterial resistances to the commonly used antibiotics complicate
therapy and reduce treatment options.[10] A safe and effective procedure is intravesical administration via
catheter,[11] which is already used to treat
bladder cancer.[12] An antibiotic solution
or suspension is directly applied into the bladder, inducing a high
local drug concentration while reducing or avoiding systemic side
effects.[13] However, instillation time is
limited due to the increasing desire to urinate causing patient discomfort.
Furthermore, urination leads to washout of drugs, and the low permeability
of the urothelium might prevent diffusion of the antibiotic during
the small time frame.[14]An innovative
attempt to confer targeting and adhesion capabilities to drug carriers
is to mimic the interaction of FimH of UPEC with the urothelial cells.[15] For that purpose, wheat germ agglutinin (WGA)
seems to be a viable option. The carbohydrate-binding protein adheres
to urothelial cells similar to FimH[16] and
can be covalently linked to poly(d,l-lactic-co-glycolic acid) (PLGA)-based formulations loaded with
various active pharmaceutical ingredients.[17] PLGA is an US FDA-approved biodegradable and biocompatible polymer
often used to prepare nano- and microspheres and offers a wide variety
of types to cater to specific needs.[18,19] Drug release
profiles are dependent on molecular weight and the lactic acid to
glycolic acid ratio, whereby a 50:50 ratio provides the fastest liberation.[20] PLGA nanoparticles can protect drugs from degradation
and allow for drug delivery of various drugs or proteins to specific
targets.[18] Nanospheres with increased adhesion
capabilities might alleviate short dwelling times and washout processes
during intravesical therapy by remaining longer in the bladder and
therefore increasing patient compliance.In this study, we evaluate
the cell adhesion capabilities of nanoparticles prepared from widely
used PLGA503H and the lower molecular weight PLGA 2300. Nanospheres
were loaded with TMP, an antibiotic used in the treatment of UTI.
Furthermore, the particle surface was modified with WGA to potentially
increase the dwelling time in the bladder. With high adhesion, nanoparticles
loaded with an antibiotic could attach to the bladder wall and remain
even after urination, prolonging the therapeutic effect and reducing
diffusion pathways. Cell adhesion of the particles was studied using
monolayers of immortalized human uroepithelial cells (SV-HUCs) as
artificial urothelium and factors such as incubation time (simulating
instillation time), pH (determining parameters of the instillation
medium), and effect of the TMP load on adhesion.
Results
and Discussion
Modification of PLGA Nanospheres
with WGA
As an artificial urothelium for in vitro analysis
of particle adhesion, healthy HUCs with no tumorigenic characteristics,
SV-HUCs, were used. With higher adhesion capabilities, the residence
time inside the bladder could be improved, therefore shortening the
period of instillation and patient discomfort. For this purpose, the
nanosphere surface was modified with WGA and evaluated in detail.
WGA has proven to increase cell adhesion of PLGA particles to the
tumorigenic bladder cell line 5637 in previous studies.[17]To evaluate the amount of WGA on the nanoparticles
and amount needed to potentially increase adhesion to cells, WGA added
for surface modification varied (Table ). Starting with 0.25 mg WGA, an amount used previously
to enhance binding affinity,[17] resulted
in 1.8 μg surface-bound WGA per mg PLGA503H particles and 1.1
μg per mg PLGA 2300. When quadrupling the WGA amount, a 2.9-fold
(PLGA503H) and a 3.4-fold (PLGA 2300) increase was observed. The
highest amount of WGA added further increased the immobilized amount
of lectin 1.7-fold and 2.5-fold (PLGA503H and 2300, respectively),
culminating in an almost similar amount per mass with no significant
difference (p ≥ 0.05) between the two PLGA
types.
Table 1
Nanoparticle Batches Used for WGA
Optimizationa
batch
WGA [mg]
z-avg [nm]
PDI
surface-bound WGA[μg/mgparticles]
503H no WGA
0
240.2 ± 3.1
0.152 ± 0.01
503H 0.25 WGA
0.25
240.2 ± 3.1
0.152 ± 0.01
1.826
±0.04
503H 1.0 WGA
1.00
240.2 ± 3.1
0.152 ± 0.01
5.230 ±0.23
503H 1.25 WGA
1.25
240.2 ± 3.1
0.152 ± 0.01
8.878
±0.22
2300 no WGA
0
286.1 ± 3.6
0.200 ± 0.01
2300 0.25 WGA
0.25
286.1 ± 3.6
0.200 ± 0.01
1.066 ±0.01
2300 1.0 WGA
1.00
286.1 ± 3.6
0.200 ± 0.01
3.603 ±0.04
2300 1.25 WGA
1.25
286.1 ± 3.6
0.200 ± 0.01
8.918 ±0.17
“No WGA” batches were used for modification with
different amounts of WGA. All measurements were carried out in triplicates.
All pairwise comparison (Holm–Sidak method) resulted in statistically
significant differences (p ≤ 0.001) for the
size and WGA on the surface for all batches except for WGA on the
surface of 503H 8.9 WGA and 2300 8.9 WGA, which showed no significant
differences (p ≥ 0.05).
“No WGA” batches were used for modification with
different amounts of WGA. All measurements were carried out in triplicates.
All pairwise comparison (Holm–Sidak method) resulted in statistically
significant differences (p ≤ 0.001) for the
size and WGA on the surface for all batches except for WGA on the
surface of 503H 8.9 WGA and 2300 8.9 WGA, which showed no significant
differences (p ≥ 0.05).While the surface-bound WGA could be increased by a decent
amount, cell interaction did not. In the case of PLGA503H (Figure A), no significant
increase in cell adhesion between plain (no WGA) and WGA-grafted nanoparticles
was observed; on the contrary, even a slight decrease was detected.
Because each washing step-mimicking urination was analyzed in three
separate wells, where particles were exposed to hydrodynamic forces
of the washing solution, variations in the remaining particles between
each single washing step and in standard deviations were expected,
as indicated by the higher values for the six washing step bars of
503H 1.0 and 1.25. In the case of PLGA 2300 (Figure B), the adhesion increased with higher WGA-density
of the nanoparticles. After four washing steps, there was a slight
difference between 0.25 WGA and 1.0 WGA, but the difference became
substantial after six washing steps. In the case of 1.25 WGA, more
nanoparticles were still bound after two washing steps, the binding
rate after four and six washing steps was very similar to that of
1.0 WGA. However, plain PLGA 2300 particles interacted less with the
artificial tissue than their 503H counterparts, resulting in only
55% remaining PLGA 2300 particles after two washing steps in comparison
to 80% PLGA503H. Microscopic images of particles on cells using an
oil-immersion objective are depicted in Figure . Both nuclei (blue) and membrane (red) were
stained to provide a better visualization of the nanoparticles (green).
The clusters of particles are clearly visible, however, because of
the size, some single ones might not be distinguishable. While a similar
amount of PLGA503H particles with and without WGA remained on the
cells during the procedure, there was a visible difference with PLGA
2300. However, because those images are just a fraction of the used
monolayer, conclusions based solely on the images cannot be drawn.
Zeta-potential was in the range of −55 to −58 for all
particles with no clear differentiation between WGA-grafted and nongrafted
particles.
Figure 1
Effect of different WGA amounts on adhesion of PLGA-503H-TMP (A)
and PLGA-2300-TMP (B) nanoparticles. Asterisks above bars show significant p-values vs the initial particle load and
brackets show statistically significant differences between washing
steps (***p ≤ 0.001, **p ≤
0.01, *p ≤ 0.05, and ns p ≥ 0.05).
Figure 2
Fluorescent microscopic images of PLGA 503H
and 2300 nanoparticles (green) with and without WGA. For visualization,
cell membrane (red) and nucleus (blue) have been marked with fluorescent
dyes.
Effect of different WGA amounts on adhesion of PLGA-503H-TMP (A)
and PLGA-2300-TMP (B) nanoparticles. Asterisks above bars show significant p-values vs the initial particle load and
brackets show statistically significant differences between washing
steps (***p ≤ 0.001, **p ≤
0.01, *p ≤ 0.05, and ns p ≥ 0.05).Fluorescent microscopic images of PLGA503H
and 2300 nanoparticles (green) with and without WGA. For visualization,
cell membrane (red) and nucleus (blue) have been marked with fluorescent
dyes.Although the nanoparticles could be surface modified
with increased amounts of WGA, the effect on cell adhesion was modest.
Only PLGA 2300 yielded slightly improved adhesion because of its lectin
content. Nonetheless, particles without WGA revealed good adhesion
qualities, probably due to the small diameter and thus low susceptibility
to hydrodynamic forces upon washing and facilitated hydrophobic interactions
with the cell surface. Because of the economic factors and the innate
adhesion capabilities, 1.25 mg WGA was deemed not feasible, and 0.25
mg WGA had no notable impact on adhesion. With that in mind, the following
studies were carried out using 1.0 mg WGA to modify nanoparticles.
Effect of Drug Loading
on the Adhesion of WGA Nanoparticles on SV-HUCs
Characterization
of TMP-Loaded Nanoparticles
The characteristics of drug-loaded
and WGA-grafted nanoparticles
in use for adhesion studies are given in Table . Because the particle yield was not sufficient
for the adhesion studies, multiple batches were mixed, as indicated
by differences in size.
Table 2
Nanoparticle Batches
of PLGA 503H and PLGA 2300 Loaded with TMP Used for Adhesion Studiesa
batch
z-avg [nm]
PDI
TMP load [%]
surface-bound WGA [μg/mgparticles]
503H no TMP
215.3 ± 0.6
0.089 ± 0.01
7.480 ± 0.05
503H 1.5% TMP
240.2 ± 3.1
0.152 ± 0.01
1.52 ± 0.01
5.230 ± 0.23
503H 19.5% TMP
191.9 ± 1.4
0.154 ± 0.02
19.48 ± 0.01
5.210 ± 0.06
2300 no TMP
390.6 ± 4.1
0.208 ± 0.01
3.348 ± 0.05
2300 4.3% TMP
326.7 ± 2.9
0.180 ± 0.01
4.26 ± 0.19
3.906 ± 0.05
2300 7.5% TMP
286.7 ± 1.1
0.173 ± 0.02
7.50 ± 0.55
3.805 ± 0.10
Particle modification had no effect on the size and TMP load. All
measurements were carried out in triplicates. All pairwise comparison
(Holm–Sidak method) resulted in statistical significant differences
(p ≤ 0.001) for the size, TMP load, and WGA
on the surface for all batches except for WGA on the surface of 2300
4.3% TMP and 2300 7.5% TMP, which showed no significant differences
(p ≥ 0.05).
Particle modification had no effect on the size and TMP load. All
measurements were carried out in triplicates. All pairwise comparison
(Holm–Sidak method) resulted in statistical significant differences
(p ≤ 0.001) for the size, TMP load, and WGA
on the surface for all batches except for WGA on the surface of 2300
4.3% TMP and 2300 7.5% TMP, which showed no significant differences
(p ≥ 0.05).PLGA503H particles were in the size
range of 190–240 nm. A loading of 1.52 and 19.48% TMP was accomplished.
The smaller size of the 503H 19.5% TMP batch is due to the increased
amount of dimethyl sulfoxide (DMSO) necessary for dissolution of TMP.
Surface-bound WGA was comparable between the TMP batches and are similar
to the results presented in Table . However, PLGA503H no TMP had a 50% higher WGA amount
per mass in comparison to PLGA503H 1.5 and 19.5%.PLGA 2300
nanoparticles were generally bigger in size than the 503H spheres,
and the TMP load was initially higher, while the maximum load was
less than half compared with PLGA503H. Scanning electron images showed
a spherical form (Figure ), albeit PLGA 2300 nanoparticles were damaged/melted in the
process because of exposure to the electron beam. A maximum drug loading
of PLGA 2300 was found to be inconsistent in our study group; therefore,
we opted to use an average batch for further testing. Surface-bound
WGA was consistent across the three batches.
Figure 3
Scanning electron images of PLGA 503H and PLGA
2300 nanoparticles.
PLGA 2300 nanoparticles were damaged/melted when viewed through the
electron beam.
Scanning electron images of PLGA503H and PLGA
2300 nanoparticles.
PLGA 2300 nanoparticles were damaged/melted when viewed through the
electron beam.
Adhesion
Study
To evaluate the
effect of TMP on cell adhesion, nanoparticles with two different amounts
of TMP were compared with plain nanoparticles without any active pharmaceutical
ingredient. The particles were dispersed in artificial urine and incubated
with the monolayer for 60 min.PLGA503H nanospheres without
WGA-corona (Figure A) displayed the highest adhesion rate when loaded with 1.5% TMP.
An increase in the TMP content to 19.5% TMP resulted in no noticeable
change in adhesion after four and six washing steps. On the contrary,
the adhesion of WGA-grafted spheres (Figure B) decreased upon drug loading of the particles
after two washing steps but became equal after subsequent washing
steps between drug-free and drug-loaded nanoparticles (19.5% TMP).
Figure 4
Effect of the TMP load on adhesion of (A) non-WGA
and
(B) WGA PLGA 503H nanoparticles on SV-HUCs. Asterisks above bars show
significant p-values vs the initial
particle load and brackets show statistically significant differences
between washing steps [***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and
ns p ≥ 0.05 (n = 3)].
Effect of the TMP load on adhesion of (A) non-WGA
and
(B) WGA PLGA503H nanoparticles on SV-HUCs. Asterisks above bars show
significant p-values vs the initial
particle load and brackets show statistically significant differences
between washing steps [***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and
ns p ≥ 0.05 (n = 3)].In general, the number of remaining PLGA 2300 non-WGA particles
(Figure A) was comparable
between drug-free nanoparticles and those loaded with 7.5% TMP after
four and six washing steps. The adhesion of nanoparticles with 4.3%
TMP loading was 40% lower than that of drug-free nanoparticles. Nanospheres
with surface-bound WGA (Figure B) showed almost no difference in the adhesion rate upon loading
with TMP.
Figure 5
Effect
of the TMP load on adhesion of (A) non-WGA and (B) WGA PLGA 2300 nanoparticles
on SV-HUCs. Asterisks above bars show significant p-values vs the initial particle load and brackets
show statistically significant differences between washing steps [***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and ns p ≥ 0.05
(n = 3)].
Effect
of the TMP load on adhesion of (A) non-WGA and (B) WGA PLGA 2300 nanoparticles
on SV-HUCs. Asterisks above bars show significant p-values vs the initial particle load and brackets
show statistically significant differences between washing steps [***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and ns p ≥ 0.05
(n = 3)].Although the adhesion rates fluctuated between particles
with different TMP contents, a trend was not visible. On one hand,
a drug load of 1.5% might be too low as to expect a significant influence
on adhesion. On the other hand, the adhesion rate of nanoparticles
did not decrease upon loading with almost 20% TMP so that TMP exerts
no influence on cell adhesion when incorporated in both matrices,
PLGA503H and PLGA 2300.
Effect
of pH on the Adhesion of WGA Nanoparticles on SV-HUCs
To
evaluate the potential suspension media, the influence of buffers
with different pH levels on cell adhesion was investigated. For that
purpose, standard glycine (pH 3 and 9) and sodium bicarbonate (pH
5 and 7) buffers were prepared and PLGA503H (1.5% TMP) as well as
PLGA 2300 (4.3% TMP) nanoparticles, either with or without WGA modification,
were incubated with artificial urothelium for 60 min and evaluated.At an acidic environment of pH 3, more than 80% of both non-WGA-
and WGA-grafted PLGA503H nanoparticles remained still bound on the
monolayer after two washing steps as opposed to only 40–52%
in the case of PLGA 2300 nanoparticles (Figure ); however, beginning detachment of SV-HUCs
was observed at this pH level. At a slightly acidic pH 5, the highest
adhesion rate of all nanoparticle types amounting to 80–90%
was achieved after washing twice. Raising the pH to pH 7 or to pH
9 resulted in a drop of the adhesion rate to 40–50% for all
nanoparticle types.
Figure 6
Effect of different pH
levels on adhesion of
TMP and WGA-TMP-nanoparticles on SV-HUCs. Remaining particles after
two washing steps are depicted in graph. Asterisks above bars show
significant p-values vs the initial
particle load and brackets show statistically significant differences
between groups (***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and ns p ≥ 0.05).
Effect of different pH
levels on adhesion of
TMP and WGA-TMP-nanoparticles on SV-HUCs. Remaining particles after
two washing steps are depicted in graph. Asterisks above bars show
significant p-values vs the initial
particle load and brackets show statistically significant differences
between groups (***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and ns p ≥ 0.05).Independent from the type of PLGA and surface
modification, the number of adhering nanoparticles decreased by 50%
at pH > 5. As WGA is generally stable over a wide pH range,[21] and the dimer remains unaltered between pH 5
and 7,[22] the effectiveness of WGA should
not be affected. However, the adhesion rate of WGA-grafted nanoparticles
was not higher than that of lectin-free ones except for PLGA 2300
at pH 3. This indicates for a higher nonspecific binding at a slightly
acidic pH.
Effect
of Incubation Time on the Adhesion of WGA Nanoparticles on SV-HUCs
Patients receiving intravesical treatment are usually asked to
attempt retaining the treatment for 1–2 h, including repositioning
quarter-hourly.[23] To reduce patient discomfort,
the dwelling time of TMP nanoparticles necessary to remain inside
the bladder was evaluated in vitro using SV-HUC monolayers.
To determine the most effective incubation time, nanoparticles were
incubated with the cells for 15–60 min, and the adhering particles
quantified. The suspension media was artificial urine to simulate
the conditions in the bladder.After 15 min of incubation, 40–50%
of PLGA503H particles (Figure A) and 30–40% PLGA503H WGA particles (Figure B) adhered on the monolayer.
Because of this short time frame, a large proportion of nanospheres
remained in the supernatant, and only the lowest layer adhered to
the cells. Prolonging the contact time to 30 min resulted in a considerable
increase of adherent particles to >70% (Figure A,B) after two washing steps and still 50–60%
after four and six washing steps. However, a further increase in the
incubation time had a marginal effect. After 45 min, WGA-grafted nanospheres
seemed to withstand four and six washing steps slightly better than
after 30 min and 60 min of incubation without any significant advantage.
Non-WGA particles showed no improvement upon longer incubation than
30 min.
Figure 7
Effect of incubation
time on adhesion of (A)
non-WGA and (B) WGA PLGA 503H nanoparticles on SV-HUCs. Asterisks
above bars show significant p-values vs the initial particle load and brackets show statistically significant
differences between washing steps (***p ≤
0.001, **p ≤ 0.01, *p ≤
0.05, and ns p ≥ 0.05).
Effect of incubation
time on adhesion of (A)
non-WGA and (B) WGA PLGA503H nanoparticles on SV-HUCs. Asterisks
above bars show significant p-values vs the initial particle load and brackets show statistically significant
differences between washing steps (***p ≤
0.001, **p ≤ 0.01, *p ≤
0.05, and ns p ≥ 0.05).PLGA 2300 nanospheres showed a similar trend (Figure ). In a similar way,
30–40% of both non-WGA (Figure A) and WGA nanoparticles (Figure B) were bound to the cell monolayer after
incubation for 15 min. This amount of adhering nanoparticles was almost
doubled when the incubation time was prolonged to 30 min. A further
prolonged exposure did not promote adhesion but rather a slight decrease
was observed. This observation might be due to diffusion of TMP and/or
the fluorescent dye from the spheres into the medium. Interestingly,
WGA exerted a little impact at the 30 min point increasing the remaining
particles by about 10%.
Figure 8
Effect of incubation
time on the adhesion rate of (A) non-WGA and (B) WGA PLGA 2300 nanoparticles
on SV-HUCs. Asterisks above bars show significant p-values vs the initial particle load and brackets
show statistically significant differences between washing steps (***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and ns p ≥ 0.05).
Effect of incubation
time on the adhesion rate of (A) non-WGA and (B) WGA PLGA 2300 nanoparticles
on SV-HUCs. Asterisks above bars show significant p-values vs the initial particle load and brackets
show statistically significant differences between washing steps (***p ≤ 0.001, **p ≤ 0.01, *p ≤ 0.05, and ns p ≥ 0.05).Nanoparticles prepared from both PLGA
types showed a similar sweet spot at 30 min where about 70% of the
particles added were still bound to the artificial urothelium. Surface
modification of PLGA 2300 nanospheres with bioadhesive WGA modification
slightly increased cell adhesion but offered no advantage in the case
of PLGA503H. Even though a patient is asked to change positions,
washing steps applied in this study were more vigorous than the expected
turbulence in the bladder. Therefore, this study suggests that 30
min dwelling time might be sufficient. However, in vivo testing is absolutely necessary to confirm these findings.
Conclusions
Both
PLGA types proved to possess an inherent adhesion capability to the
cell surface of SV-HUC monolayers. Because nonspecific-binding mechanisms
seem to be sufficient, the utility of an additional bioadhesive ligand
such as WGA is highly questionable. Considering the slight to negligible
increase in adhesion and the complex as well costly surface modification,
the utility of WGA for this use is economically unviable. Because
the amount of the active pharmaceutical ingredient inside the nanospheres
had no effect on adhesion capability, the maximum drug-loading capacity
should be striven for. According to binding assays with human artificial
urothelium, the nanoparticles should be administered in a suspension
medium of pH 5, and a dwelling time of 30 min is sufficient when instilled
into the bladder. Nevertheless, these findings need to be confirmed in vivo.
Materials
and Methods
Materials
Uric acid was supplied
by AppliChem GmbH (Darmstadt, Germany).
Ethyl acetate (≥99.5%), N-(2-hydroxyethyl)piperazine-N′-ethanesulfonic acid (HEPES) (Pufferan, ≥99.5%),
MES (Pufferan ≥ 99%), sodium chloride (≥99%), calcium
chloride dihydrate (≥99%), 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide-hydrochloride
(EDAC), N-hydroxysuccinimide ≥ 99% (NHS),
and disodium oxalate (≥99%) were obtained from Carl Roth GmbH
+ Co. KG (Karlsruhe, Germany). PLGA503H (Resomer RG 503H) and PLGA
2300 (Resomer Sample CR Type RG 50:50 Mn 2300) were provided by Evonik
Nutrition & Care GmbH (Essen, Germany). Ammonium chloride, magnesium
sulfate heptahydrate, sodium bicarbonate, and monosodium phosphate
monohydrate were purchased from Merck KGaA (Darmstadt, Germany). Potassium
chloride (max. 0.0001% Al) was obtained from Riedel-de Haën
AG (Seelze, Germany). Poloxamer 188 (Kolliphor P 188), TMP (crystallized,
≥
99.0%; TMP), sucrose (>99.5%), urea (>99.5%), creatinine hydrochloride,
trisodium citrate, sodium sulfate (≥99.0%), 0.25% (w/v) trypsin/ethylenediaminetetraacetic
acid (EDTA) solution (trypsin/EDTA), disodium phosphate (98.5–101.0%),
sodium chloride, and potassium phosphate monobasic were provided by
Sigma-Aldrich Corporation (St. Louis, Missouri, USA). BODIPY 493/503,
formic acid (98% pure), Gibco F12K nutrient mixture (1×) [+]l-glutamine, Gibco PenicillinStreptomycin (Pen/Strep), fetal
calf serum (FCS), and the Micro BCA protein assay kit were purchased
from Thermo Fisher Scientific (Waltham, Massachusetts, USA). HOECHST
3342 was obtained from Invitrogen (Paisley, UK). WGA was purchased
from Vector Laboratories (Burlingame, CA, USA), and Alexa Fluor 594/647
conjugate of WGA was purchased from Life Technologies (Carlsbad, CA,
USA). DMSO (anhydrous, max. 0.005% water) and acetonitrile (water
< 30 ppm) were acquired from VWR International (Radnor, Pennsylvania,
USA).
Preparation
of TMP-Loaded PLGA Nanospheres
PLGA nanospheres loaded with
TMP were prepared by the o/w emulsion technique applying a solvent
evaporation protocol. Briefly, 60–250 mg of TMP were completely
dissolved in 500–1500 μL DMSO and mixed with a solution
of 400 mg PLGA in 2.48 mL ethyl acetate. To enable fluorimetric detection,
1 μg BodiPy (BP) was added. For emulsification, the PLGA–TMP–BP
solution was quickly poured into 8 mL of a 2% (w/v) aqueous poloxamer-188
solution. In the case of PLGA 2300, an Ultra-Turrax T8 homogenizer
(IKA-Werke GmbH & Co. KG, Staufen, Germany) set to 25,000 rpm
was used to homogenize the emulsion for 5 min. For PLGA503H, an ultrasonic
homogenizer (Sonoplus HD 2070, BANDELIN Electronic GmbH & Co.
KG, Berlin, Germany) set at a 70% amplitude was employed for 1 min.
To facilitate solvent evaporation, the emulsion was first poured into
150 mL of a 3% (w/v) aqueous poloxamer-188 solution and stirred for
1 h using an OMNI 5000 homogenizer (Omni International, Georgia, USA).
The residual solvent was removed on a rotary evaporator (Hei-VAP Core,
Heidolph Instruments GmbH & Co. KG, Schwabach, Germany). Differing
molecular weights required adjustment of the parameters: PLGA 2300
nanospheres were kept at 300 mbar (30 min), followed by 230 mbar (20
min) and 20 mbar (15 min). When using PLGA503H, pressures of 130
mbar (30 min) and 20 mbar (30 min) were applied. Prior to storage
or lyophilization, the nanoparticles were washed twice by repeating
centrifugation (PLGA2300: 5220g, RT, 2 min and PLGA503H 10,620g, RT, 3 min) and resuspension in either
20 mM HEPES/NaOH (pH 7.4) containing 0.1% (w/v) poloxamer-188 for
storage in the suspension at 4 °C or in distilled water for lyophilization.
Surface Modification
of PLGA Nanospheres with WGA
WGA was covalently bound to
the free surface-oriented carboxyl groups of PLGA nanoparticles by
the carbodiimide method. For that purpose, a mixture of 500 μL
nanoparticle suspension (20 mg/mL), 250 μL EDAC (16 mg/mL),
and 250 μL NHS (24 mg/mL) in 0.1 M MES/0.5 M NaCl (pH 6) (MES6)
each was stirred for 15 min at room temperature. After centrifugation
(20,816g, 4 °C, 3 min), the supernatant was
discarded, and the particles resuspended in 2 mL MES6. This step was
repeated twice, and the nanoparticles dispersed in 500 μL 20
mM HEPES/NaOH (pH 8) (HEPES8). After the addition of 500 μL
of either distilled water (negative control) or WGA solution (0.5–8.48
mg/mL), the suspension was stirred for another 2.5 h. To remove excessive
coupling reagents, the suspension was centrifuged (20,816g, 4 °C, 3 min) and washed with 2 mL HEPES8. Finally, the particles
were suspended in an aqueous solution of 0.1% (w/v) poloxamer-188/2.0%
(w/v) sucrose, frozen, and lyophilized.
Characterization
of Nanospheres
Size Distribution
The Z-average and polydispersity index of nanospheres
were evaluated by dynamic light scattering using a Zetasizer Nano
ZS (Malvern Instruments, Malvern, UK). Nanospheres were suspended
in distilled water (1 mg/mL), and 600 μL were used for analysis.
Scanning Electron
Microscope
One drop of a nanoparticle suspension in 20 mM
HEPES/NaOH (pH 7.4) with 0.1% (w/v) poloxamer-188 was placed on a
0.1 μm polycarbonate membrane filter and dried in vacuo. The samples were sputter coated with gold and examined in a FlexSEM
1000 (Hitachi High-Technologies Corporation, Tokyo, Japan) scanning
electron microscope at 20 kV (accelerating voltage).
Quantification of the TMP
Content
Sample
Preparation
Lyophilized nanospheres (2.5–8.0 mg) were
dissolved in 2 mL ethyl acetate. TMP was extracted by thoroughly mixing
the solution with 1 mL 0.1% (v/v) aqueous formic acid. After collection
of the aqueous phase, this step was repeated twice. The collected
aqueous layers were lyophilized, and the lyophilisate was dissolved
in 0.1 mL 0.1% (v/v) aqueous formic acid solution for analysis.
High-Performance
Liquid Chromatography Analysis
High-performance liquid chromatography
(HPLC) analysis was carried out using a Nexera XR (Shimadzu Corp.,
Kyoto, Japan) system with diode array detection of TMP set to 280
nm. A flow rate of 0.5 mL/min was used to pump 5 μL of the sample
through an RP18e analytical column (Acclaim 120, Thermo Scientific,
Waltham, MA, USA) at 30 °C. A linear gradient consisting of 0.1%
(v/v) aqueous formic acid solution and 0.1% (v/v) formic acid in acetonitrile
was applied, starting at 1 + 99 and shifting to 95 + 5 within 10 min.
A calibration curve of TMP (1000–1.25 μg/mL) was prepared.
According to the International Conference on Harmonisation (ICH) guidelines,
limit of detection (LOD) (0.85 μg/mL) and limit of quantification
(LOQ) (2.57 μg/mL) were calculated based on the standard deviation
of the regression line.
Quantification
of WGA
WGA was quantified
by the Micro BCA protein assay kit (Thermo Scientific, Waltham, Massachusetts,
USA). A solution of 50% micro BCA reagent, 48% micro BCA reagent MB,
and 2% micro BCA reagent MC was used as a working reagent. Nanoparticles
(3.00 mg) were completely dissolved in 500 μL 1 M NaOH and neutralized
with 500 μL 1 M HCl. In a 96-well microplate, 150 μL of
dissolved particles were mixed with 150 μL of the working reagent
and sealed. After 30 s of radial shaking and 2 h incubation at 37
°C, the absorption was determined in a microplate reader (Infinite
M200 Pro, TECAN, Männedorf, Switzerland) at 562 nm. For quantification,
a calibration curve of WGA was prepared (20–0.1 μg/mL),
and the LOD (0.31 μg/mL) and LOQ (0.92 μg/mL) were calculated,
according to the ICH guidelines.
Cell
Culture
Cultivation of SV-HUCs
SV-HUCs
were obtained from American
Type Culture Collection (Rockville, USA) and used between passages
30 and 50. The media used for cultivation of the SV-HUC cell line
was Gibco Ham’s F-12K with 146 mg l-glutamine, 10
mL Pen/Strep, and 100 mL FCS. Cells were cultivated at 37 °C
in a 5% CO2/95% air atmosphere and 95% relative humidity.
The cells were subcultivated with trypsin/EDTA at 80–90% confluency
and seeded (3,260,000 cells/mL) into 75 cm2 cell culture
flasks.
Cultivating
SV-HUC Monolayers
SV-HUC monolayers were seeded into 96-well
microplates at a density of 17,000 cells/well. Cells were cultivated
for 7–8 days until 100% confluency was reached and then used
for binding assays.
Microscopic Analysis
For microscopic analysis of nanoparticles
on an SV-HUC monolayer, cell media was removed, and the cell layer
was washed with 100 μL of phosphate-buffered saline (PBS) (pH
7.4). A 2 mg/mL particle suspension (50 μL) in PBS (pH 7.4)
and, for better visualization, 1 μL of HOECHST 33342 (1 mg/mL)
to stain nuclei was added and incubated for 30 min at 4 °C. The
cell membrane was stained using 5 μL of Alexa Fluor 594/647-labeled
WGA with 30 min of incubation. After two washing steps with 100 μL
PBS, the cells were fixed for 10 min at 4 °C with paraformaldehyde
in PBS. To inactivate nonreacted paraformaldehyde, the cells were
incubated for 10 min at 4 °C after the addition of 50 mM ammonium
chloride. After two final washing steps with PBS, microscopic analysis
was carried out using a Zeiss Axio Observer.Z1 microscopy system (Carl
Zeiss, Oberkochen, Germany).
Binding Assay of Nanospheres
to SV-HUC Monolayers
To
evaluate the cell adhesion of WGA-modified particles, binding studies
were performed on 100% confluent SV-HUC monolayers, which was verified
microscopically. First, the cell media was removed and replaced by
adding 100 μL of artificial urine (pH 7), 0.1 M glycine/HCl
(pH 3), 66.67 mM Na2HPO4/KH2PO4 (pH 5 or 7), or 0.1 M glycine/NaOH (pH 9). After 5 min of
incubation at 37 °C under agitation in a microplate reader (Infinite
M200 Pro, TECAN, Männedorf, Switzerland), this step was repeated.
The relative fluorescence intensity of the blank was determined at
485 nm/525 nm (exc/em). After removal of the supernatant, 100 μL
nanoparticle suspension (2 mg/mL WGA-modified and nonmodified as a
negative control) in the respective buffer was added to a set of three
wells for each measuring point (0, 2, 4, and 6 washing steps). The
particle suspension was incubated for 15–60 min at 37 °C.
The first measurement was taken directly after incubation to determine
the maximum particle amount on the cells (100% remaining). Further
measurements were taken after 2–6 washing steps with the respective
buffer. The results are displayed as percent remaining in comparison
to the maximum amount determined earlier.
Statistical
Analysis
Statistical
analysis was carried out with SigmaPlot 13 (Systat Software Inc.,
San Jose, Ca, USA). All data are presented as mean ± standard
deviation and were acquired in triplicates. Groups were compared using
the t-test and one-way ANOVA. P values
≤0.05 were considered statistically significant.
Authors: Jordan L Kennedy; Dana L Haberling; Chaorui C Huang; Fernanda C Lessa; David E Lucero; Demetre C Daskalakis; Neil M Vora Journal: Chest Date: 2019-04-29 Impact factor: 9.410
Authors: Roger Chou; Shelley Selph; David I Buckley; Rongwei Fu; Jessica C Griffin; Sara Grusing; John L Gore Journal: J Urol Date: 2016-12-24 Impact factor: 7.450