Abstract
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Integrated nanotechnology platform for tumor-targeted multimodal imaging and therapeutic cargo release
Significance
The main goal in the emerging field of cancer nanomedicine is to generate, standardize, and produce multifunctional carriers designed to improve the response of drugs against tumors. Here we report the design, development, and preclinical validation of a ligand-directed bioinorganic platform that integrates tumor targeting, receptor-mediated cell internalization, photon-to-heat conversion, and drug delivery. This enabling hydrogel-based technology can accommodate a broad variety of ligands, nanoparticles, and payloads. We show experimental proof-of-concept in mouse models of breast and prostate cancer with molecular imaging and marked reduction of tumor growth. However, with future proof that this technology is translatable, medical applications beyond cancer may also be leveraged.
Abstract
A major challenge of targeted molecular imaging and drug delivery in cancer is establishing a functional combination of ligand-directed cargo with a triggered release system. Here we develop a hydrogel-based nanotechnology platform that integrates tumor targeting, photon-to-heat conversion, and triggered drug delivery within a single nanostructure to enable multimodal imaging and controlled release of therapeutic cargo. In proof-of-concept experiments, we show a broad range of ligand peptide-based applications with phage particles, heat-sensitive liposomes, or mesoporous silica nanoparticles that self-assemble into a hydrogel for tumor-targeted drug delivery. Because nanoparticles pack densely within the nanocarrier, their surface plasmon resonance shifts to near-infrared, thereby enabling a laser-mediated photothermal mechanism of cargo release. We demonstrate both noninvasive imaging and targeted drug delivery in preclinical mouse models of breast and prostate cancer. Finally, we applied mathematical modeling to predict and confirm tumor targeting and drug delivery. These results are meaningful steps toward the design and initial translation of an enabling nanotechnology platform with potential for broad clinical applications.
A long-term goal in contemporary cancer nanomedicine has been to design and generate drug delivery systems that improve the narrow therapeutic window associated with conventional chemotherapeutics (1, 2). Conceptually, several nanotechnology-based entity candidates, including protocells (3), biosynthetic nanoparticles (NPs), viruses, and liposome-based nanoparticles, could be targeted for active delivery through a defined cell surface ligand receptor system and/or physically triggered for finely tuned cargo release (2, 4, 5).
Numerous efforts have been made to functionalize NPs by combining them with antibodies, aptamers, peptides, vitamins, or carbohydrates (6–8), but the majority of studies involve untargeted nanoplatforms (4, 9). In practice, targeting NPs is far from trivial, and ongoing challenges include synthesis and purification, selection of an appropriate ligand receptor, and specific composition for NP conjugation. Even the conjugation reaction itself may alter the binding of the tumor-targeting moiety to its receptor through conformational changes, steric freedom restriction, or orientation distortion (10, 11). Unfortunately, the cost-to-benefit ratio of these modifications often elevate the complexity of the NP synthesis, complicating regulatory hurdles because of formulations that are heterogeneous or difficult to reproduce (10, 12, 13).
To minimize such drawbacks, NPs can be functionalized via virus-based nanoplatforms as an alternative for targeted cargo delivery (14–16). In particular, filamentous bacteriophage (phage)—a prokaryotic virus—is an attractive candidate to develop a bionanomedicine for cancer therapeutics because phage particles are cost-effectively produced with biological uniformity, as well as being physically robust and stable under harsh conditions (17). Notably, phage-based nanoplatforms are biocompatible and nonpathogenic with eukaryotic organisms and are able to preserve the desired cell targeting and internalization (18). Moreover, phage particles are ideal for incorporating other NPs, which can be released after reaching the tumor site. An admixture of colloidal gold NP (AuNP) with phage particles spontaneously organizes into hydrogel network-like fractal structures (19, 20). These hydrogel networks offer convenient multifunctional integration within a single entity for tumor targeting, enhanced fluorescence and dark-field microscopy, near-infrared (NIR) photon-to-heat conversion, and surface-enhanced Raman scattering (SERS)-based detection (20, 21).
In the present work, we developed a tumor targeting theranostic (meaning a combination of therapeutics and diagnostics) hydrogel-based nanoplatform that enables ligand-directed tumor targeting, multimodal imaging capability, and triggered therapeutic cargo release. Our data suggest that targeted hydrogel photothermal therapy represents a functional theranostic approach (fostering “see and treat, treat and see”) in the diagnosis and management of tumors.
Results
Essential Functional Attributes of the Nanoplatform (I): Temperature-Sensitive Cargo Release.
We set out to design and generate a targeted hydrogel photothermal nanotherapy platform that would release therapeutic cargo to tumors after NIR laser-triggered heating by incorporating heat sensitive-based liposome (HSL) (22) formulations into targeted phage-based hydrogel networks (Fig. S1).
In proof-of-concept experiments, we evaluated several candidate systems at the nanoscale level—such as liposomal-based NPs, AuNP, mesoporous silica nanoparticles (MSNPs) (23), and phage-based systems—because they may be targeted by a ligand to a defined cell membrane receptor. HSLs were initially chosen because delivery of their contents can be triggered through temperature-sensitive mechanisms and, by formulating them with lipids with established phase-transition temperature (SI Materials and Methods), cargo release may be more finely tunable. Therefore, we selected a well-defined heat-sensitive formulation to achieve triggered release specifically at temperatures >40 °C. As a negative control, corresponding non-HSLs (SI Materials and Methods) were also formulated side-by-side and normalized by vesicle extrusion through a standard 100-nm-sized track-etched membrane.
To profile cargo release from the experimental (heat-sensitive) or control (non–heat-sensitive) liposomes, we loaded them with calcein (at a self-quenching concentration) to monitor the time- and temperature-dependent fluorescence release. Experimental and control liposomes were gradually heated from room temperature to 50 °C. As predicted, the heat-sensitive formulation released fluorescent calcein at temperatures above 40 °C, whereas the negative control remained intact up to 45 °C (Fig. 1A). Next, the temperature was kept constant at 42 °C, and calcein release was monitored over time. Fluorescent calcein was released within 10 min from HSLs; in contrast, negative control non–HSLs retained >90% of their contents for the 30-min experimental duration (Fig. 1B), showing temperature-sensitive test cargo release from HSL.
Essential Functional Attributes of the Nanoplatform (II): Hydrogel Assembly.
Having demonstrated the differential time- and temperature-dependent release of cargo from HSL relative to the corresponding negative control non-HSLs, we subsequently generated a nanocarrier-based version through the optimal integration of self-assembled hydrogels (19, 20) (Fig. S2) consisting of AuNP and phage particles plus HSLs (named henceforth HSL-containing hydrogels).
Transmission electron microscopy (TEM) analysis (Fig. 1C), as well as optical and NIR surface-enhanced Raman scattering (NIR-SERS) profiling, confirmed the physical elements of the HSL-containing hydrogel (Fig. 1D and Fig. S3). As the hydrogel is formed (dilutions 5 and 6; Fig. 1D), a gradual reduction in absorption occurs at 520 nm accompanied by an increase in absorption in the NIR region (800–900 nm). This absorbance is plausibly attributed to the coupled plasmon resonance of the hydrogel as the interparticle distance (dAu) becomes gradually smaller than the particle radius during self-assembly and clustering (24). We subsequently assessed whether the integrity- and temperature-dependent release of HSLs was maintained when incorporated into hydrogels. Both the overall cargo release profile and the release kinetics of calcein were essentially indistinguishable from those observed for HSLs alone (Fig. 1 E and F).
Essential Functional Attributes of the Nanoplatform (III): NIR-Triggered Cargo Release.
Given that hydrogels have photon-to-heat converting properties and possess a broad absorption band in the NIR region (20), we next investigated whether the HSL-containing hydrogels would also exhibit temperature-stimulated release on NIR irradiation in an in vitro agarose gel phantom model (SI Materials and Methods).
On NIR laser illumination (808-nm fiber-coupled diode NIR), a positive temperature differential was observed for hydrogel embedded in phantoms relative to either HSLs or AuNP alone (Fig. 2A). Moreover, termination of NIR laser stimulation caused a gradual temperature drop back to baseline, illustrating that the temperature differential was dependent on the interaction between the NIR laser and hydrogel. These data demonstrate that hydrogels have elastic properties that allow reversible laser-based heating without loss of physical integrity under the experimental conditions used. To assess the effect of photon dose on the temperature differential in the phantom assays, hydrogels underwent exposure to increasing NIR laser power density and/or time interval (Fig. 2B). We identified a positive correlation between temperature differential and photon dose (Fig. 2B), which was absent in AuNP (negative control).
To evaluate whether HSL-containing hydrogels would also maintain photon-to-heat conversion properties, either HSL-containing hydrogels or HSL alone (control) embedded phantom vials were submitted to 14- or 28-W/cm2 laser-driven NIR power densities over 10 min. At a NIR laser power density of 14 W/cm2, the temperature of the hydrogel increased twofold (Fig. 2C). Further, when heated at 28 W/cm2, the temperature of the HSL-containing hydrogel increased threefold compared with HSL alone.
We next evaluated whether the heat produced by the hydrogel-NIR laser interaction could trigger the release of encapsulated material. To this end, hydrogels were formed with the cytotoxic chemotherapeutic drug doxorubicin (dox), encapsulated with HSL, and embedded in phantoms. We used a multispectral fluorescent imaging system to visualize the induced release of dox. On illumination with NIR (14- and 28-W/cm2 power densities), a reproducible and robust photon dose-dependent increase in fluorescence intensity was observed. These data demonstrate NIR laser-triggered drug release of HSL-containing hydrogels (Fig. 2D).
Magnetic Resonance Temperature Imaging of Temperature Elevation and Triggered Heat-Sensitive Liposome Release.
To assess the NIR laser-induced spatiotemporal heat distribution, magnetic resonance temperature imaging (MRTI) was performed (Fig. 3A). HSL-containing hydrogels were embedded in agarose gel phantoms with a NIR laser positioned perpendicular to the sample. Spatiotemporal heat distribution and heat expansion of HSL-containing hydrogels were documented and analyzed by MRTI on laser treatment (Fig. 3B). Quantification of a region of interest (ROI) further revealed that the temperature rapidly increased by 38 °C within 150 s (Fig. 3B, Lower). Additionally, because a consistent drop in temperature was observed when NIR laser illumination was terminated, these results indicate that the heat production occurs exclusively during NIR laser activation.
To evaluate visually the content release from HSL-containing hydrogels in vitro, gadolinium (Gd-DTPA)-encapsulated-HSLs served as a surrogate marker for T1-weighted imaging (T1WI). T1 mapping was performed before and after laser illumination (Fig. 3C). A decrease in T1 relaxation time was observed in the heated region (>42 °C, calculated based on MRTI), where the average T1 relaxation time in the ROIs was 400.6.±10.8 ms before and 312.3 ± 6.1 ms after NIR laser treatment (Fig. 3C, Lower), confirming the release of Gd-DTPA in the region where the temperature increased to >42 °C.
Targeting Hydrogels in Vitro.
We showed that spatial and temporal control of cargo release from hydrogels can be achieved by NIR illumination. However, without active ligand-directed capabilities, one would be limited to local/regional administration of HSL-containing hydrogels or, perhaps in some cases, would be dependent on the enhanced permeability and retention (EPR) effect (25, 26). Therefore, to provide active targeting features to HSL-containing hydrogel systems, a ligand consisting of a well-established cyclic peptide (sequence YRCTLNSPFFWEDMTHECHA), which binds to the chicken tumor virus no.10 regulator of kinase-like protein (CRKL), was inserted into the phage-displayed portion of the hydrogel (27). CRKL-binding phage particles specifically and strongly target EF43.fgf-4 mammary carcinoma cells (27). Thus, we first verified that the particle targeting capability was indeed preserved by incubating either targeted or nontargeted hydrogels with EF43.fgf-4 cells (Fig. 4A and Fig. S4A).
Next, we examined whether the targeted particles maintained their inherent peptide-mediated binding properties in HSL-containing hydrogels by using rhodamine-labeled test HSLs. Side-by-side immunostaining experiments showed efficient cell internalization of targeted phage particles but not untargeted control particles (Fig. 4B and Fig. S4B), confirming that ligand targeted phage particles do not lose functional capabilities in the context of HSL-containing hydrogels. To analyze the subcellular localization of targeted HSL-containing hydrogel after internalization, we performed TEM with EF43.fgf-4 tumor cells. AuNP clusters were observed within the endosomal compartments (Fig. 4C, red arrows), further substantiating the immunostaining showing internalization of targeted HSL-containing hydrogels.
Tracking Hydrogels in Vivo.
To evaluate the whole-body biodistribution of targeted HSL-containing hydrogel noninvasively, we next incorporated NIR-labeled heat-sensitive liposomes into the targeted hydrogel formulation and administered it systemically (i.v.) into BALB/c mice bearing EF43.fgf-4 mammary carcinoma. Optical imaging was performed at 1, 7, and 24 h after administration. Tumor-bearing mice that received targeted HSL-containing hydrogels had an average tumor fluorescent intensity 160% higher than those that received nontargeted HSL-containing control hydrogels (Fig. 5 A and B). To validate these results histologically, rhodamine-labeled HSLs were used with either targeted or nontargeted HSLs and again were administered into tumor-bearing mice. Tumors were collected after 24 h, and sections were stained with antiphage and CD34 antibodies and observed by confocal and dark-field microscopy. Robust intracellular accumulation of AuNP, targeted phage, and HSLs were observed within the tumor sections compared with negative controls (Fig. 5C).
Triggered Heat Generation and NIR-Induced Cargo Release in Vivo.
We next sought to evaluate whether accumulated hydrogels in tumors could exhibit temperature-stimulated release on NIR laser illumination. Targeted hydrogel, AuNP, or PBS vehicle was administered i.v. to EF43.fgf-4 tumor-bearing mice. After 24 h, NIR laser (3.5 W/cm2) treatment was applied for 3 min, and intratumoral temperature was serially monitored with a thermocouple probe. As depicted in Fig. 6A, an intratumoral temperature increase of 4.6 °C was observed during NIR laser application in tumor-bearing mice treated with targeted hydrogel relative to those receiving AuNP (14.2 ± 6.3 °C vs. 9.6 ± 2.8 °C; *P < 0.05). No laser damage of the skin was noted either macroscopically or microscopically.
Next, we administered targeted dox-HSL–containing hydrogels or dox-HSL alone to EF43.fgf-4 tumor-bearing mice and treated the tumors with NIR laser for 3 min at 3.5 W/cm2 (Fig. 6B). Mice receiving targeted dox-HSL–containing hydrogel showed rapid elevations in intratumoral temperature, reaching 45 °C within 3 min of NIR laser treatment, whereas mice treated with dox-HSL (negative control) showed no detectable intratumoral temperature increase.
To assess heat distribution and tumor treatment efficacy of the targeted hydrogels, we designed and prepared a targeted hydrogel formulation (sensor/reporter) by using Gd-DTPA–encapsulated (0.5 mmol/mL) and NIR dye-labeled HSLs as a surrogate marker of drug release and a tracking agent for real-time optical imaging (Fig. S5A). Targeted particle accumulation in tumors was observed after 24 h of hydrogel administration. Tumors were subsequently exposed to NIR laser application at 3.5 W/cm2 for 3 min, and tumor temperature was monitored by MRTI. In line with the previous thermocouple measurement results, temperature elevations of 7–13 °C within the tumor tissue were noted (Fig. 6C). These data are consistent with gold nanoshell reports that heat generation on NIR laser illumination occurs in a localized area with only minimal or no heat conduction to surrounding tissues (28). To visualize the release of Gd-DTPA from HSL, T1 mapping was performed before and after NIR laser illumination. Decreases in T1 relaxation time were observed in the tumor ROI (Fig. S5B), with times averaging 518.9 ± 43.0 ms before and 457.6 ± 48.1 ms after NIR laser treatment (Fig. 6D).
Antitumor Activity of Targeted Hydrogel Formulations.
The antitumor effect of targeted hydrogel delivery with subsequent NIR laser irradiation (photothermal therapy) was evaluated in comparison with conventional dox-HSL treatment (Fig. 6E). A single dose of targeted dox-HSL–containing hydrogel, dox-HSL only, or vehicle (PBS) alone was administered systemically (i.v.) into EF43.fgf-4 tumor-bearing mouse cohorts (day 11, black arrow). Photothermal therapy at 3.5 W/cm2 for 3 min (day 12, red arrow) began 24 h after administration. Tumor growth was reduced in tumor-bearing mouse cohorts receiving the targeted dox-HSL–containing hydrogel compared with control mice receiving dox-HSL (mean tumor volumes at day 12; 88.0 vs. 140.4 mm3, respectively). Moreover, inhibition of tumor growth persisted to day 21 in mice injected with the targeted dox-HSL–containing hydrogel compared with either dox-HSL or vehicle (mean tumor volumes at day 21; 185.4, 599.9, and 764.4 mm3, respectively; **P < 0.01 and ***P < 0.001).
Predictive Correlation of Tumor Response: Mathematical Modeling and Validation.
To substantiate our findings in vivo, we used a mechanistic mathematical model (SI Materials and Methods) of drug transport through the tumor interstitium and fitted it to predict and verify the corresponding tumor response. The underlying biophysical processes can be arithmetically defined by the exponential death rate equation (
The central hypothesis of the model is that the death rate of a cell population is proportional to total amount of drug uptake over time—i.e., the time integral of the rate of drug uptake by the tumor cells—where cells reach a constant rate of death, which is exponential in time (30). Thus, the decrease of total tumor mass (M) as a function of time can be expressed as
Given that the tumor growth was markedly reduced after treatment, the mathematical model introduced here clearly indicates that the superior features of the targeted dox-HSL–containing hydrogel is due to its ability to deliver a greater amount of dox-loaded HSL to tumors than the appropriate controls. By accounting for the critical physical transport issues, one could speculate that our mathematical model is able to predict the behavior of targeted delivery systems based on hydrogel nanoplatforms.
Design and Translational Development of Alternative Targeted Hydrogel Formulations Based on Mesoporous Silica Nanoparticles.
To further increase the versatility of the hydrogel-based nanoplatform introduced here, we also designed, generated, and evaluated alternative nanoscale materials, namely a hydrogel prepared by electrostatically mediated self-assembly of phage particles, AuNP, and MSNP (33, 34). Fig. S5C shows a cryo-TEM image of the MSNP-containing hydrogel, and the Inset indicates the ordered arrangement of 2.5-nm-diameter cylindrical pores that comprise the MSNP framework.
A major advantage of MSNPs, which are negatively charged at neutral pH (pKa = 3, ζ-potential = −35.2 mV) due to deprotonation of surface silanols (≡Si-OH), is that their internal porosity provides an enormous surface area (>1,000 m2/g) on which to adsorb disparate types of cargo combinations through van der Waals, electrostatic, or hydrogen-bonding interactions (23). Previous reports have shown that owing to the high pKa of dox (8.25), it electrostatically associates with the negatively charged MSNP, resulting in orders of magnitude greater loading than in standard liposomes (35). For electrostatically associated cargos (and strongly adsorbed cargos in general), the drug release is mediated in part by the dissolution of the amorphous silica framework—to form nontoxic silicic acid Si(OH)4—thus enabling sustained release. The use of MSNPs is central for optimizing treatment according to recent experimental models showing that the integrated drug uptake profile by the cells over time is indeed a key determinant of the dose–response relationship.
Antitumor Activity of Mesoporous Silica Nanoparticles-Based Formulation in Preclinical Models of Breast and Prostate Cancer.
As proof-of-concept, we similarly evaluated the homing properties of these alternative hydrogel formulations for in vivo payload delivery of FITC in two cancer models: the EF43.fgf-4 syngeneic model of breast cancer and the DU145-derived xenograft model of prostate cancer. A strong glucose-regulated protein-78 (GRP78)-binding motif (sequence CSNTRVAPC) served as an established ligand moiety for in vivo targeted delivery to vascular endothelial cells and tumor cells (36). Targeted FITC-MSNP-containing hydrogels bound 6-fold more to EF43.fgf-4 isogenic mammary carcinoma (immunocompetent mouse host; Fig. 6G), and 16-fold more to DU145-derived tumor xenograft (immunodeficient mouse host; Fig. 6H) compared with the control untargeted hydrogels. Moreover, binding to control brain, pancreas, and muscle was borderline detectable (Fig. 6G). Fig. S5D illustrates representative images of FITC-loaded MSNPs in human DU145-derived tumor xenografts.
Next, we evaluated the translational potential of this platform by testing the delivery of loaded MSNP (dox-MSNP) in a targeted hydrogel to tumor models (Fig. 6I). Control groups included treatment with dox-MSNP alone, and vehicle (PBS) alone. A robust and significant reduction in tumor growth was observed in animals treated with targeted dox-MSNP–containing hydrogels relative to negative control groups.
SI Materials and Methods
Materials.
All lipids, including lissamine rhodamine B 1,2-dipalmitoyl-sn-glycero-3-phosphoethanolamine (DPPE-rhodamine) and methoxy poly (ethylene glycol) 1,2-dipalmitoyl-sn-glycero-3-phosphoethanolamine 2000 (DPPE-PEG2000) were purchased from Avanti Polar Lipids. Imidazole hydrochloride, doxorubicin (dox) hydrochloride, and calcein were purchased from Sigma-Aldrich. Magnevist (gadolinium diethylenetriamine pentaacetic acid) was purchased from Bayer Schering Pharma AG. Near infrared dye (CellVue NIR815) was purchased from LI-COR. All solutions were prepared with distilled, deionized Milli-Q plus water.
Sequencing of DNA Encoding Peptide Inserts.
Peptide insert displayed on the pIII coating protein of phage particles was amplified by PCR for sequencing. PCR primer sequences were as follows: forward, 5′-TAATACGACTCACTATAGGGCAAGCTGATAAACCGATACAATT-3′; reverse, 5′-CCCTCATAGTTAGCGTAACGATCT-3′. PCR reactions were carried out in a final volume of 20 μL containing 2 μL 1:1,000 diluted phage solution, 400 nM each primer, and 0.05 U/μL DNA polymerase (M300F Go Taq; Promega). PCR conditions were as follows: 1 cycle at 94 °C for 3 min, followed by 35 cycles each at 94 °C for 10 s, 60 °C for 30 s, and 72 °C for 1 min. One cycle at 72 °C at 3 min was added. Samples were cooled to 4 °C after the reaction. Gel electrophoresis of the PCR product was performed using 1.2% (wt/vol) E-Gel (Invitrogen). PCR products were diluted to 1:10 in water and sequenced by Sanger sequencing.
Phage Particle Growth, Purification, and Titration.
Phage particles were amplified in host bacteria and purified as described elsewhere (17). For phage titration, K91/kan bacteria were grown to OD600 1.8–2.0. Phage serial dilutions were prepared, and 20 and 200 μL bacteria was infected for 20 min. One hundred microliters of infected bacteria was plated onto a Luria–Bertani (LB) kan/tet plate and incubated at 37 °C overnight. Colonies were counted, and the number was multiplied by the corresponding dilutions to obtain titer. Titers were on the order of 109–1011 TU/μL.
Synthesis of Liposomes.
A thin lipid film was formed under a gentle flow of argon and hydrated with 300 mM citrate buffer (pH 4.0), 50 mM calcein (pH 7.4), or Gd-DTPA–based contrast agent [0.5 mmol/mL, gadopentetate dimeglumine, Magnevist (Bayer Schering Pharma)]. Extrusion was then performed 10 times under a 100-nm-sized track-etched membrane (Whatman) at 60 °C. Calcein and Gd-DTPA liposomes were dialyzed against PBS (MWCO 10 k dialyzer cassette; ThermoScientific). For the purpose of labeling liposomes, DPPE-rhodamine or NIR dye (LI-COR Biosciences) was included at 0.3%mol or 0.01%mol of total lipids, respectively. Dox was added to the flow-through solution at a molar ratio of drug:lipid = 1:5 and loaded into liposomes. Dox and phospholipid concentrations were measured by OD480 and a colorimetric assay (Bioassay Systems), respectively. The size of the liposomes was determined using dynamic light scattering (DLS; ZEN3600; Malvern Instrument) and TEM.
Synthesis of Hydrogels.
Heat-sensitive liposomes were composed of 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), 1,2-dipalmitoyl-sn-glycero-3- phospho-(1'-rac-glycerol) (DPPG), and methoxy poly (ethylene glycol) 1,2-dipalmitoyl- sn-glycero-3-phosphoethanolamine 2000 (DSPE-PEG2000) at a molar ratio of 80:20:3. Non–heat-sensitive liposomes (NHSL) were composed of l-α-phosphatidylcholine (HSPC), cholesterol, and DSPE-PEG2000 at a molar ratio of 50:75:3 and incorporated with either calcein, Gd-DTPA–based contrast agent, or dox. Loaded MSNPs were obtained as previously described (35). Hydrogels were assembled by adding AuNP and either liposomes or MSNP to phage solution in imidazole. The releasing profile of liposomes containing hydrogels was characterized by using quenching properties of calcein or dox at high concentration.
Preparation of MSNP.
The MSNP were prepared as described with minor changes (23). Briefly, 0.29 g of n-cetyltrimethylammonium bromide (CTAB) was dissolved in 150 mL of 0.5 M ammonium hydroxide solution at 50 °C. After 1 h, 3 mL of 0.88 M dilute tetraethyl orthosilicate solution (TEOS, in ethanol) was added to the CTAB solution under vigorous stirring. After 1 h, stirring was stopped, and the as-synthesized colloidal solution was kept at 50 °C for 20 h. The obtained colloidal solution (~50 mL) was transferred to a 100-mL glass bottle and heated at 70 °C for 24 h. The subsequent purification steps followed a standard procedure (23). The hydrodynamic size [162 nm, polydispersity index (PDI) = 0.033] and surface charge (−35.2 mV) of the extract MSNP were measured by DLS (Zetasizer Nano-ZS; Malvern Instrument).
Assembly of HSL- and MSNP-Containing Hydrogel.
Hydrogel was assembled by modifying previously described methods (20). Briefly, 36 nm AuNP solution (PDI = 0.23), verified by DLS and TEM analysis, was prepared following the common citrate reduction procedure. Au(III) chloride (≥99.99%) was purchased from Sigma-Aldrich. Assembly of hydrogel began with eight serial dilutions of 1010–1011 T.U. of phage in 100 μL of 1.0 M imidazole solution (pH 7.4). Imidazole-hydrochloride was purchased from Sigma-Aldrich. Liposome and AuNP solution (final OD530 = 2.0) was added to each dilution without mixing and allowed to stand overnight. MSNP-containing hydrogels were assembled by adding MSNP (5 mg/mL) to preformed hydrogel matrix, briefly vortexed, and allowed to sit for at least 1 h. HSL- and MSNP-hydrogel was purified and concentrated with centrifugation at 452 × g for 2–4 min.
Analysis of the Releasing Profile of HSL- and HSL-Containing Hydrogel.
The releasing profile of calcein or dox from liposomes was determined by measuring the intensity of fluorescence (λex/λem = 495/515 nm for calcein, λex/λem = 470/592 nm for dox; SpectraMax, Molecular Devices) as a function of temperature. Liposomes were dissolved in PBS and heated in a heat blocker, and the solution was then sampled for fluorescence measurements. The percentage of release was calculated according to the following: (It − I0)/(I100 − I0) × 100, where I0 is the fluorescent intensity at room temperature, I100 is with the addition of Triton-X 100 (0.1%), and It is at a certain temperature or time point. The percent release over time was measured at 42 °C. HSL-containing hydrogels, centrifuged for 5 min at 1,807 × g to remove free components, were tested as described above.
Hydrogel Cell Internalization Assay.
Cells (5 × 104) were plated in eight-well chamber slides (Nunc) coated with collagen (Roche). After culturing overnight, cells were blocked with DMEM containing 30% FBS for 1 h and incubated with targeted phage (3.3 × 109 TU/mL), hydrogel (5 × 106 TU/mL), or HSL-containing hydrogel (1.9 × 106 TU/mL) for 24 h in DMEM containing 2% (vol/vol) FBS. In each experiment, untargeted phage was used as a control with the same viral concentration. Cells were washed five times with PBS containing 10% (vol/vol) BSA, four times with glycine buffer (pH 2.8), and finally three times with PBS to remove the noninternalized materials. Cells were fixed with PBS containing 4% (vol/vol) paraformaldehyde (PFA) for 15 min at room temperature. Fixed cells were permeabilized with PBS containing 0.3% Triton X-100 for 5 min, rinsed with PBS, and blocked with PBS containing 1% BSA and 5% (vol/vol) goat serum for 30 min at room temperature. Cells were incubated first for 1 h with polyclonal rabbit anti-fd phage IgG (Sigma-Aldrich) at a 1:750 dilution and then with Alexa488-conjugated goat anti-rabbit IgG (Invitrogen) at a 1:200 dilution for 30 min. Cells were rinsed with PBS, briefly fixed with PBS containing 4% (vol/vol) PFA, mounted in the presence of DAPI (Vectashield), and analyzed with an inverted Olympus FV1000 laser scanning confocal microscope. Imaging and 3D reconstruction were performed on a series of horizontal scans through tissue sections, arranged as a vertical stack by image analysis software (FV1000 version 1.6; Olympus). Internalized AuNP were observed by dark field microscopy.
DLS and TEM.
DLS was performed by diluting liposomes in water and measuring the z-average and PDI. The size of liposomes was determined by DLS (ZEN3600; Malvern Instrument) and TEM. TEM was also performed to observe internalization of the hydrogel. TEM samples were fixed with PBS containing 3% (vol/vol) glutaraldehyde + 2% (vol/vol) PFA and were placed on 100 mesh formvar-coated carbon nickel grids treated with poly-l-lysine for 1 h. Excess samples were blotted with filter paper and then stained with filtered aqueous 1% ammonium molybdate + 0.02% BSA, pH 7.0, for 1 min. Stained samples were blotted dry from the grids with filter paper, and samples were allowed to dry. Samples were then examined in a JEM 1010 transmission electron microscope (JEOL) at an accelerating voltage of 80 kV. Digital images were obtained with the AMT Imaging System (Advanced Microscopy Techniques). To observe the internalization in tumor cells of HSL-containing hydrogel, the tumor cells were treated with hydrogel (3.3 × 106 TU/mL) for 24 h, washed three times with PBS, and fixed with PBS containing 3% (vol/vol) glutaraldehyde + 2% (vol/vol) PFA in 0.1 M cacodylate buffer, pH 7.3, for 1 h. Then, samples were washed and treated with 0.1% Millipore-filtered cacodylate-buffered tannic acid, postfixed with 1% buffered osmium tetroxide for 30 min, and stained en bloc with 1% Millipore-filtered uranyl acetate. Samples were dehydrated in increasing concentrations of ethanol, infiltrated, and embedded in LX-112 medium. Samples were polymerized in a 60 °C oven for 2 d. Ultrathin sections were cut with a Leica Ultracut microtome, stained with uranyl acetate and lead citrate in a Leica EM Stainer, and examined as described above.
MRI and MRTI.
MRI images were taken before the injection of hydrogels and after 24 h. General inhalation anesthesia of isoflurane was given during scanning and injection. All images were taken in a 1.5-T superconductive magnet (Signa Excite HD; GE Healthcare) equipped with high-performance gradients (23 mT/m maximum amplitude and 120 T/m per second maximum slew rate) and fast receiver hardware (bandwidth, ±500 MHz). Mice were placed under a 3-cm-diameter, receive-only surface coil designed for small animal imaging. Core body temperature was measured using a rectal thermometer. Both T1-weighted images [fast spin echo, repetition time (TR) 600 ms, echo time (TE) 10.9 ms, bandwidth ±25 kHz, four excitations, field of view 5 × 2.5 cm, matrix 256 × 256 pixels] and T1 maps using multiecho gradient-echo [MFGRE; TE = 5, 10, 20, 30, 40, 50 ms, flip angle (FA) = 60, TR = 65 ms, field of view 5 × 2.5 cm] were obtained. Targeted hydrogels (Au concentration = 0.163 mg/mL, CRKL phage = 1.5 × 107 TU/μL, OD800 = 11, Gd-DTPA = 0.76 mg/mL) were injected via the tail vein. At 24 h after injection, the same T1-weighted images and T1 maps were performed on mice followed by laser illumination (Diomed 15-plus; Diomed) at 3.5 W/cm2 for 3 min under real-time MRTI guidance. The MRTI acquisition used the MFGRE sequence (TR/TE 65/16 ms, flip angle 30°, bandwidth ±35.71 kHz, one excitation, field of view 6 × 6 cm, matrix 1,286 × 128 pixels, slice thickness 3 mm). Images were acquired for 30 s before laser exposure, during the 3-min laser exposure, and continued for 90 s after the treatment for a total of 5 min. Estimates of tissue temperature changes were generated by performing a complex phase subtraction of MR data and assumed changes in phases were a result of the temperature-dependent water proton resonance frequency (PRF) (−0.01 ppm/°C). Maps and graphs of temperature and contrast enhancements were generated and analyzed offline using an in-house code written in MATLAB (MathWorks).
In Vivo Photothermotherapy.
When tumors reached 5–6 mm in diameter, NIR dye-labeled hydrogels were injected via the tail vein, and in vivo imaging was performed (Pearl Impulse Small Animal Imaging System; LI-COR). For treatment purposes, mouse cohorts were randomly assigned to three groups: targeted-dox-hydrogels, dox-HSL, and PBS. These agents were injected i.v. with dox equivalent to an amount of 0.037 mg/mouse, and the tumor was illuminated with an NIR laser after 24 h. Laser illumination was performed under isoflurane anesthesia. To monitor tumor temperature during the laser treatment, a thermometer was inserted intratumorally. Tumor growth was followed by daily caliper measurements. Tumor size was measured at its major (a) and minor axis (b) by a caliper, and tumor volume was calculated according to the equation (a × b2)/2. At least seven mice were used in each experimental cohort.
Measurement of Gold Concentration and Hydrogel Relaxivity.
The concentration of gold in the hydrogel was measured with inductively coupled plasma MS (ICP-MS) by Galbraith Laboratories. T1 relaxivity of Magnevist HSLs and hydrogel was measured with a relaxometer (Bruker; Minispec).
Imaging of Cargo Release.
Release of calcein and dox from HSL on heating was assessed with an In-vivo Multispectral System (Carestream Health) with filters of λex/λem = 480/535 nm for calcein and λex/λem = 470/600 nm for dox. Liposomes were incorporated in 2% (wt/vol) low melting-point agarose and gelatinized in a 384-well black wall plate at 4 °C. Heat treatment was performed on a heat blocker at 42 °C or 45 °C for 15 min.
Laser Treatment of Hydrogel and Imaging of Cargo Release.
Hydrogels were gelatinized in agarose, and the phantoms were illuminated with a diode NIR laser with a wavelength of 808 nm (Diomed 15-plus; Diomed). Laser photons were delivered through an optical fiber. Changes in fluorescence intensity were imaged before and after laser treatment. Temperature was monitored with a thermometer (RET-3; Braintree Scientific) placed in the phantom.
Immunohistochemistry.
After hydrogel injection, mice were killed, and the tissues were collected, fixed in PBS containing 4% (vol/vol) PFA, and infused with 30% (wt/vol) sucrose before being frozen in Tissue Tek optimum cutting temperature (OCT) compound (Sakura). Frozen sections (10 μm) were cut with a cryotome (CM1850; Leica). After permeabilization with PBS containing 0.3% Triton X-100, slides were blocked with PBS containing 5% (vol/vol) goat serum for 30 min and incubated with polyclonal rabbit anti-fd phage antibody (1:750; Sigma-Aldrich) and rat anti-CD34 antibody (1:200; RDI division of Fitzgerald Industries) for 2 h followed by incubation with Cy5-conjugated goat anti-rat IgG antibody (Jackson ImmunoResearch Laboratories) and Alexa488-conjugated goat anti-rabbit IgG antibody (Invitrogen) for 1 h. Slides were mounted in the presence of DAPI (Invitrogen) and imaged with an Olympus FV1000 laser scanning confocal microscope. Imaging and 3D reconstruction were performed by taking a series of horizontal scans through tissue sections, arranged as a vertical stack, by image analysis software (ImageJ; National Institutes of Health).
Raman Spectrum and NIR-SERS Imaging.
Raman spectra of HSL-containing hydrogel and their components were taken by Raman Station 400F (Perkin-Elmer) with an excitation laser at 785 nm. The background was taken with the same volume of pure water and subtracted from the results.
Mathematical Model: Conservation of Drug Mass.
Because drug diffusion occurs on a time scale of minutes (thus very small compared with the cell cycling time), this equation has no explicit time dependence. D is drug diffusivity in the extracellular compartment; λU is local specific uptake rate of drug by the cancer cells [1/(cell density × time)]; and σ and ϕ are local drug concentration and cell density, respectively (functions of time and position). The first term on the right side of Eq. S1 represents diffusion of drug molecules in the extracellular space after extravasation; the second represents uptake of drug molecules by the cells
Mathematical Model: Conservation of Cell Mass.
t′ is a dummy variable for time integration. Eq. S2 embodies the central hypothesis that the death rate of a cell colony is proportional to the total amount of drug taken up over time; we extensively tested this hypothesis in vitro with several different cell and drug types (30). The integral on the right side of Eq. S2 represents the total amount of drug taken up over time of exposure
Mathematical Model: Short-Time Drug Response.
Tumor cells take up drug over the first several days. The viable fraction of cells changes slowly during this transitory phase, with a quadratic time dependence. The key parameter is the rate F (drug mass/time) of release of drug mass from the nanoparticles into the tumor. By integrating Eq. S1 over the entire tumor volume, invoking the divergence theorem, and applying the boundary condition
where V0 is the tumor volume at t = 0.
Mathematical Model: Long-Time Behavior.
The cells take up the drug and reach a cruising speed or rate of death, which is exponential in time. By taking the limit of Eq. S2 as
Mathematical Model: Parameter Estimation and Model Validation.
By fitting Eq. S2 to the in vivo viability data for targeted HSL-containing hydrogel delivery vs. PBS controls, we obtain the dimensionless parameter
Discussion
We introduce a targeted theranostic nanoplatform that integrates peptide-targeted phage particles, photon-to-heat conversion, and HSL or MSNP into a ligand-directed hydrogel that carries and delivers both diagnostic agents and therapeutic drugs. The early translational results presented here indicate that either HSL or MSNP maintain their essential physical attributes, contents, and heat-sensitive releasing function on NIR laser treatment after incorporation into targeted hydrogels. We demonstrate that HSL-containing hydrogels generate heat only locally on NIR laser illumination in vivo so that the spatially restricted rise in temperature leads to localized release of hydrogel contents on photothermal command in a remarkably superior manner relative to negative controls. The versatility of this enabling nanotechnology allows design of different formulations of assorted ligands (such as binding peptide motifs, peptidomimetic-inspired drugs, and monoclonal antibodies) at rates designated in advance for tumors of various sizes, growth rates, and cell types. MSNPs were successfully incorporated into targeted hydrogels, and with systemic administration, clearly reduced xenografted human tumors with no evident off-target effects, encouraging speculation that the further incorporation of heat-sensitive lipid compositions within ligand peptide-targeted MSNP-containing hydrogels, will allow one to attain greater control by suppressing drug leakage without NIR irradiation and greater cytotoxic activity due to a superior drug capacity released with NIR irradiation. The hydrogel-based nanoplatforms described here and mathematically validated have potential for translation into theranostic clinical applications such as image-guided approaches to diagnostic and therapeutic monitoring (see and treat, treat and see), and ultimately the targeted delivery of several therapeutic nanomaterials against malignant tumors and other human diseases.
Materials and Methods
Animals.
BALB/c and BALB/c nude mice (6–8 wk) were purchased from Charles River. All animal work followed standard procedures approved by The University of Texas M.D. Anderson Cancer Center and the University of New Mexico Institutional Animal Care and Use Committee.
Cryo-TEM.
The cryo-TEM sample was prepared with an FEI Vitrobot Mark IV on a Quantifoil R1.2/1.3 holey carbon grid, using a sample volume of 4 µL, a blot force of 1, and blot and drain times of 4 and 0.5 s, respectively. Imaging was acquired with a JOEL 2010 TEM at 200 kV equipped with a Gatan model 626 cryo stage.
Statistical Analysis.
Statistics were analyzed with GraphPad Prism (GraphPad). A Student t test served to evaluate the in vitro data statistically. Statistical analysis of the animal study results was performed with a two-way ANOVA. P < 0.05 was considered statistically significant.
Additional methods are described in SI Materials and Methods.
Acknowledgments
We thank Dr. Andrew R. M. Bradbury (Los Alamos National Laboratories) for critical reading of this manuscript. This study was supported by the Japan Society for the Promotion of Science fellowships (to H.H.), National Science Foundation Grant DMS-1562068 (to V.C.), National Institutes of Health (NIH) Grants 1U54CA149196 and 1U54CA143907 (to V.C.), Lymphoma Leukemia Society Grant 7010-14 SCOR (to C.J.B.), NIH U01 CA151792-01 (C.J.B.), Oncothyreon (C.J.B.), NIH Grants R01U54CA143837 (to V.C., W.A., and R.P.), 1U54CA151668 (to V.C., W.A., and R.P.), and P50 CA140388 (to W.A. and R.P.), and awards from the Gillson–Longenbaugh Foundation and the Prostate Cancer Foundation (to W.A. and R.P.).
Footnotes
Conflict of interest statement: C.J.B. declares that the protocell nanocarrier technology is exclusively licensed by Oncothyreon Inc. (Seattle, WA). W.A. and R.P. are inventors on patents filed on the technology and intellectual property reported here, which have been licensed to Arrowhead Research Corporation. W.A. and R.P. are entitled to standard royalties if commercialization occurs. The University of New Mexico currently manages these arrangements in accordance with its established institutional conflict of interest policy.
This article contains supporting information online at www.pnas.org/lookup/suppl/10.1073/pnas.1525796113/-/DCSupplemental.
References
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Funding
Funders who supported this work.
Gillson-Longenbaugh Foundation and the Prostate Cancer Foundation (1)
Grant ID: to W.A. and R.P.
Japan Society for the Promotion of Science (1)
Grant ID: Fellowship to H.H.
KAU (1)
Grant ID: 54-130-35-HiCi to V.C.
Lumphoma Leukemia Society (1)
Grant ID: 7010-14 SCOR to C.J.B.
NCI NIH HHS (11)
Grant ID: U54 CA149196
Grant ID: 1U54CA143907
Grant ID: 1U54CA149196
Grant ID: 1U54CA151668
Grant ID: U54 CA151668
Grant ID: R01U54CA143837
Grant ID: U54 CA143837
Grant ID: U54 CA143907
Grant ID: U01 CA151792-01
Grant ID: P50 CA140388
Grant ID: U01 CA151792
NIH (7)
Grant ID: W.A.
Grant ID: P50 CA140388 to W.A. and R.P.
Grant ID: R01U54CA143837 to V.C.
Grant ID: 1U54CA149196 and 1U54CA143907 to V.C.
Grant ID: 1U54CA151668 yo V.C.
Grant ID: U01 CA151792-01 to C.J.B.
Grant ID: and R.P.
National Science Foundation (1)
Grant ID: DMS-1562068 to V.C.
Oncothyreon (1)
Grant ID: to C.J.B.