Theranostics 2019; 9(26):8312-8320. doi:10.7150/thno.37128 This issue Cite
Research Paper
1. School of Food and Biological Engineering, Hefei University of Technology, Hefei, Anhui, 230009, China
2. Institutes for Life Sciences, School of Medicine, South China University of Technology, Guangzhou, Guangdong 510006, China
3. Department of Laboratory Medicine, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, People's Republic of China
* These authors contributed equally to this work.
Rationale: PEGylation of nanocarriers could extend blood circulation time and enhance tumor accumulation via the enhanced permeability and retention (EPR) effect. Unfortunately, the PEG moiety suppresses tumor cell internalization of nanocarriers, resulting in limited therapeutic efficiency (known as the PEG dilemma). Designing stimuli-responsive shell-detachable nanocarriers, which could detach the PEG corona from the nanocarriers in desired tumor tissues in response to the local environment, is an appealing approach to overcome the PEG dilemma, but nanocarrier applications are also limited by a lack of universal stimuli for PEG detachment.
Methods: In this study, we synthesized red light-responsive, amphiphilic mPEG bridged to the photosensitizer Ce6 via a thioketal (TK) bond (mPEG-TK-Ce6), which was then used to achieve the PEGylation of polylactide (PLA)-based nanoparticles encapsulating the Pt(IV) prodrug. The therapeutic efficacy of the prepared nanoparticles was evaluated in vitro and in vivo.
Results: We demonstrated that the amphiphilic mPEG-TK-Ce6 can realize the PEGylation of Pt(IV) prodrug-loaded PLA nanoparticles and consequently enhanced nanoparticle accumulation in tumor tissues. When the tumor tissues were subjected to 660 nm irradiation, reactive oxygen species (ROS) generated by Ce6 induced the rapid degradation of the adjacent TK bond, resulting in PEG detachment and enhanced tumor cell internalization. Therefore, mPEG-TK-Ce6 facilely achieved PEGylation and light-responsive dePEGylation of the nanocarrier for enhanced antitumor efficacy in nanomedicine.
Conclusion: Such red light-responsive amphiphilic mPEG-TK-Ce6 facilely achieved PEGylation and dePEGylation of the nanocarrier, providing a facile strategy to overcome PEG dilemma.
Keywords: PEGylation, dePEGylation, photocleavable molecule, nanocarrier, cancer therapy
Coating the surface of antitumor nanocarriers with polyethylene glycol (PEG), i.e., PEGylation, is the most widely used strategy to inhibit protein adsorption and prevent rapid elimination [1-5], consequently extending the blood circulation time, enhancing tumor accumulation via the enhanced permeability and retention (EPR) effect, and decreasing collateral damage to normal healthy tissues. Several PEGylated nanomedicines, including PEGylated liposomal doxorubicin (Doxil®) and the PEG-PLA micelle form of paclitaxel (Genexol-PM®), have been approved for the treatment of malignant tumors [6-9], and many PEGylated nanodrugs have entered clinical trials. As expected, PEGylation has achieved improved tumor enrichment of nanoparticles after systemic administration; however, PEGylation also hinders the internalization of nanocarriers, resulting in limited therapeutic efficiency [10-13]. Therefore, it is highly desirable to develop a facile strategy to achieve the on-demand PEGylation and dePEGylation of nanocarriers according to the requirements.
An appealing approach for overcoming the PEG dilemma is the design of shell-detachable nanocarriers, which detach the PEG corona from nanocarriers in the tumor tissues in response to the local environment, subsequently promoting cellular uptake and enhancing antitumor efficacy [14-18]. Therefore, endogenous stimuli in the tumor microenvironment, such as acidic pH [19-21], hypoxia [22-23], and overexpression of certain enzymes [24-25], have been utilized to develop PEG-detachable nanoparticles. However, due to the heterogeneity of tumors, the pH of the extracellular environment and the dynamically varied expression of enzymes in different types of tumors in different stages or in different parts of the same tumor [26-28], the broader applicability of tumor microenvironment-responsive nanoparticles is limited. Thus, exploring alternative and generally applicable strategies for tumor-specific PEG detachment is urgently needed.
In recent years, red and near-infrared (NIR) light (650-950 nm), which are triggers for photothermal and photodynamic therapy, have received tremendous attention because of several advantages [29-33]. Light in the red and NIR regions is also considered an external stimulus and used in stimuli-responsive drug delivery systems [34-38]. Recently, it has been reported that reactive oxygen species (ROS) generated by photosensitizers under irradiation readily cleave thioketal (TK) bonds [39-42]. Therefore, an innovative molecule, amphiphilic mPEG bridged to the photosensitizer Ce6 via a TK bond (mPEG-TK-Ce6), was synthesized and used to achieve the PEGylation of polylactide (PLA)-based nanoparticles encapsulating the prodrug Pt(IV). The prepared nanocarrier is referred to as TCNPPt. PEGylation protects nanocarriers from rapid elimination, consequently enhancing the extravasation of nanoparticles from vessels into tumor tissues. When the tumor was subjected to 660 nm irradiation, ROS generated by Ce6 induced the rapid degradation of adjacent TK bonds and dePEGylation of TCNPPt, facilitating tumor cell internalization and improving chemotherapeutic effects (Figure 1). We systematically evaluated the effect of the on-demand PEGylation and dePEGylation of TCNPPt with the assistance of red light on the cellular uptake, blood circulation, tumor accumulation, and antitumor efficacy.
(A) Schematics showing the on-demand PEGylation and dePEGylation of nanocarriers via amphiphilic mPEG-TK-Ce6. (B) The PEGylation of TCNPPt efficiently prolonged the circulation time. Then, the dePEGylation of TCNPPt at the tumor site was achieved by cleaving the adjacent TK bond of mPEG-TK-Ce6 after irradiation to enhance cellular uptake.
To prepare Pt(IV) prodrug-encapsulated nanoparticles (TCNPPt), mPEG45-TK-Ce6 (5.0 mg), PLA40 (5.0 mg, the synthesis described in supporting information) and Pt(IV) (2.5 mg) were dissolved in dimethyl sulfoxide (DMSO, 1.0 mL), and then added dropwise to ultrapure water (10.0 mL) for 2 h. This solution was dialyzed against ultrapure water for 24 h and filtered through a 0.45 μm filter. Similarly, fluorescein isothiocyanate (FITC)-labeled nanocarriers FITCTCNPPt were fabricated by the addition of FITC-labeled PLA (0.2 mg) to the preparation. The size and morphology of TCNPPt were determined by light scattering (Malvern Zetasizer Nano ZS90) and transmission electron microscopy (TEM, JEOL-2010, Tokyo, Japan), respectively.
Aqueous TCNPPt (5.0 mL, [Ce6] = 150 μg/mL) solution was irradiated (660 nm, 0.05 W/cm2) for different amounts of time (0, 5, 10, and 20 min). Then, the samples were lyophilized for gel permeation chromatography (GPC) and 1H NMR analysis. The degradation ratios of the TK bond were calculated according to previous reports [43].
After receiving preirradiation (660 nm and 0.05 W/cm2 for 5, 10 or 20 min), the FITCTCNPPt nanocarriers (0.1 mL, [FITC-PLA]= 2 μg/mL, [platinum]= 4.31 μg/mL) were cocultured with MDA-MB-231 cells. The cells were analyzed by flow cytometry (BD Biosciences, Franklin Lakes, NJ) at 2 and 4 h. In addition, portions of the samples were lyophilized for inductively coupled plasma mass spectrometry (ICP-MS) analysis of the intracellular platinum concentration. For confocal laser scanning microscopy (CLSM) observations, the treated cells were counterstained with Alexa Fluor568 phalloidin and 4′,6-diamidino-2-phenylindole (DAPI) at 4 h and then analyzed by CLSM (LSM 710, Carl Zeiss, Inc., Jena, Germany).
The TCNPPt nanocarriers were preirradiated as described above and cocultured with MDA-MB-231 cells at different platinum concentrations (0.5, 1.0, 2.0 and 4.0 μM). After further incubation for 24 h, a 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay was performed to analyze cell viability. After the aforementioned treatment was administered at a platinum concentration of 2.0 μM, cell apoptosis was also examined by flow cytometric analysis.
Mice bearing MDA-MB-231 xenografts were treated with TCNPPt via intravenous (i.v.) injection and then imaged at predetermined time points by the Bruker Xtreme In-Vivo Fluorescence Imaging System (excitation, 650 nm). The injection dosages of platinum and Ce6 were 2.0 and 3.48 mg/kg, respectively. Moreover, after i.v. injection of TCNPPt for 6 h, the tumor site of the TCNPPt (L+) group was irradiated (660 nm and 0.05 W/cm2 for 20 min). The main organs and tumors were collected at 24 h for fluorescent imaging and ICP-MS analyses.
Mice bearing MDA-MB-231 xenografts were randomly divided into the following 6 groups (five mice per group): PBS, cisplatin, Pt(IV) prodrug-free TCNP plus irradiation (TCNP (L+)), TCNPPt without irradiation (TCNPPt (L-)), TCNPPt plus irradiation (TCNPPt (L+)) and TCNP (L+) + TCNPPt. The equivalent injection doses of platinum and Ce6 were 2.0 and 3.48 mg/kg, respectively. The tumor sites in the predetermined groups were irradiated (660 nm and 0.05 W/cm2 for 20 min) at 6 h postinjection. For the TCNP (L+) + TCNPPt group, TCNPs were injected (i.v.), the tumor was irradiated at 6 h postadministration, and TCNPPt was then injected. On the 16th day following the first treatment, the tumor tissues were excised, weighed and imaged.
To synthesize amphiphilic mPEG-TK-Ce6, carboxyl-terminated mPEG45-COOH was first reacted with a TK linker and subsequently conjugated with Ce6 (Figure S1). A PLA homopolymer was synthesized using 10-hydroxydecanoic acid as the initiator under catalysis by Sn(Oct)2 (Figure S2A). Then, the amphiphilic mPEG-TK-Ce6 with a critical aggregation concentration of 0.036 mg/mL (Figure S3) was utilized to achieve the PEGylation of the Pt(IV) prodrug-loaded PLA nanoparticle (denoted TCNPPt). The loading contents of Ce6 and platinum in TCNPPt were 7.5 ± 0.59% and 4.31 ± 0.36%, respectively. Similarly, FITC-labeled TCNPPt (FITCTCNPPt) was prepared to track the nanocarrier (Figure S2C).
According to our design, 660 nm irradiation induced the production of ROS by the conjugated Ce6 (Figure S4), causing the cleavage of adjacent TK bonds and rapid dePEGylation. To demonstrate this, TCNPPt was irradiated by light (660 nm and 0.05 W/cm2 for 5, 10 or 20 min), and the TCNPPt nanoparticles were then collected for GPC analysis. As shown in Figure 2A, the peak gradually increased at 29.2 min (Ce6) as the irradiation time increased. In addition, the TCNPPt nanoparticles were lyophilized and analyzed by 1H NMR after irradiation. As the preirradiation time increased, the amount of CH3 from the TK bond of mPEG-TK-Ce6 (with a peak at 1.58 ppm) gradually decreased (Figure S5), while the peak at 2.12 ppm indicated that the amount CH3 from acetone (the product of TK bond rupture) increased. Based on these 1H NMR spectra, the degradation ratio of the TK bond was calculated, as shown in Figure 2B, and found to exhibit time dependence. Approximately 39.6% of the TK bond of mPEG-TK-Ce6 was cleaved after receiving 0.05 W/cm2 irradiation for 30 min. These results indicated that a 660 nm laser efficiently caused PEG detachment under light irradiation.
The size, morphology, zeta potential and stability of TCNPPt with or without 660 nm light irradiation were also determined. TCNPPt nanoparticles were irradiated for different amounts of time (0, 5, 10, and 20 min at 0.05 W/cm2), and the nanoparticles that were not irradiated were used as a control. PEG detachment did not significantly affect the size, morphology and stability of TCNPPt. The TCNPPt nanoparticles were approximately 120 nm in diameter (Figure 2C) and had a spherical morphology (Figure 2D). The size (Figure 2C) and zeta potentials (Figure S6) of TCNPPt exhibited slightly decrease after light irradiation. And, preirradiation also caused a slight increase in the TCNPPt size in 10% FBS within 6 days (Figure 2E), which could be attributed to the enhanced protein adsorption after dePEGylation. The dilution stability of TCNPPt were performed with the different dilution in PBS, which showed that TCNPPt maintain a stable form (Figure S7). In addition, compared with the nonirradiated condition, light-induced PEG detachment did not obviously affect the release rate of the Pt(IV) prodrug from TCNPPt (Figure 2F).
Characterization of red light-responsive TCNPPt. (A) GPC of mPEG-TK-Ce6 after irradiation with a 660 nm laser for different amounts of time (0.05 W/cm2). (B) The degradation of mPEG-TK-Ce6 with respect to irradiation for different amounts of time. The size (C), TEM images (D), and stability (E) of TCNPPt after irradiation for different amounts of time. (F) The platinum release curve of TCNPPt after 660 nm light irradiation for different amounts of time.
The PEGylation of nanocarriers minimizes their elimination in vivo, and the disadvantage of PEGylation is the hindrance to cellular uptake. We proposed that red light-induced dePEGylation could overcome these limitations. To investigate this hypothesis, the cellular uptake of preirradiated FITCTCNPPt was examined using qualitative and quantitative methods. First, FITCTCNPPt was irradiated and then cocultured with MDA-MB-231 cells for 2 and 4 h (the dose of platinum was 4.31 μg/mL). Then, intracellular FITC fluorescence was analyzed by flow cytometry. As shown in Figure 3A and 3B, preirradiation of FITCTCNPPt obviously elevated the intracellular fluorescence signal at 2 and 4 h, and showed that preirradiation had a time-dependent effect on cellular uptake. The enhanced tumor cell uptake of the preirradiated nanoparticles was further corroborated by CLSM. Clearly, the most intracellular green fluorescence was observed when the cells were treated with FITCTCNPPt plus 20 min of preirradiation (Figure 3C). Furthermore, we also determined the intracellular platinum content via ICP-MS. At both timepoints, preirradiation significantly elevated the intracellular platinum concentration (Figure 3D). For instance, the amount of intracellular platinum in cells treated with FITCTCNPPt plus 20 min of preirradiation was 1.96-fold greater than that in cells treated with FITCTCNPPt without preirradiation after 4 h of incubation. Thus, these results demonstrated that light-induced dePEGylation led to enhanced cellular uptake of TCNPPt.
We demonstrated that light-induced dePEGylation increased the amount of intracellular platinum. To further investigate the advantage of red light-responsive nanocarriers in cancer therapy, their antiproliferative activity against tumor cells was examined. TCNPPt was preirradiated for different periods, and then various amounts of TCNPPt were used to treat the tumor cells for the MTT assay. Figure 4A showed that tumor cell proliferation was most significantly inhibited by TCNPPt plus 20 min of preirradiation at platinum concentrations of 2.0 μM or 4.0 μM. Noted that the blank nanoparticle TCNP did not exhibit obvious toxicity (Figure S8). Furthermore, after receiving these treatments, the cells were stained with annexin V-FITC and propidium iodide (PI) for the analysis of cell apoptosis. At the platinum concentrations shown in Figure 4B and 4C, TCNPPt without irradiation had a negligible effect on the survival of tumor cells; however, preirradiation for 5 and 10 min induced 17.7% and 21.7% cell apoptosis, respectively. Preirradiation of TCNPPt for 20 min significantly increased the percentage of apoptotic cells (30.9%). Collectively, these anticancer results verified that the red light-induced dePEGylation effect markedly increased the antiproliferative activity of the tumor cells.
Encouraged by the superior in vitro antiproliferation efficacy, animal experiments were performed to investigate the potential advantage of PEGylation during blood circulation and subsequent dePEGylation at the tumor site of TCNPPt with the assistance of light. Before evaluating the antitumor efficacy, the pharmacokinetics and biodistribution of TCNPPt were examined. ICR mice were injected (i.v.) with TCNPPt and cisplatin at an identical platinum dose of 2.0 mg/kg, and the concentration of platinum in plasma over time was analyzed (Figure 5A), and the pharmacokinetic parameters were calculated in Table S1. Clearly, free cisplatin was rapidly eliminated in the blood circulation, while the circulation of TCNPPt was significantly prolonged due to PEGylation.
Red light-induced dePEGylation enhances the cellular uptake of TCNPPt. The cellular uptake of preirradiated FITCTCNPPt (0, 5, 10, and 20 min) analyzed using flow cytometry after 2 h (A) and 4 h (B) of incubation. CLSM images (C) and ICP-MS analysis (D) of cells after receiving these treatments. The green fluorescence represented the FITCTCNPPt singal. Cell nuclei and the cytoskeleton were stained with DAPI (Blue) and Alexa Fluor568 phalloidin (Red), respectively. The scale bar is 10 μm.
Red light-induced dePEGylation significantly enhances the antiproliferative activity. (A) Cell viability of preirradiated TCNPPt (0, 5, 10, and 20 min) at different concentrations of TCNPPt. (B) Cell apoptosis induced by preirradiated TCNPPt (0, 5, 10, and 20 min) at an identical platinum concentration of 2.0 μM. (C) The percentage of late apoptotic cells induced by different treatments according to flow cytometric analysis (Figure 4C).
Because TCNPPt with prolonged blood circulation was readily extravasated from vessels into the tumor tissues via the EPR effect, the biodistribution of TCNPPt was evaluated in the mice bearing MDA-MB-231 xenografts. As shown in Figure 5B, an obvious fluorescence signal was observed at the tumor sites at 1 h postinjection, and the intensity of the signal was strong until 24 h postinjection. To further verify whether the dePEGylation of TCNPPt induced by red light enhances TCNPPt tumor cell uptake and improves the subsequent accumulation in the tumor tissue, tumor-bearing mice were administered TCNPPt, and portions of the mice tumor tissues were irradiated at 6 h postinjection. The main organs were collected and observed at 24 h postinjection. As shown in Figure 5C and Figure S9, the fluorescence signal observed in the tumors in the TCNPPt (L+) group was greater than that in the TCNPPt(L-) group, but the signal intensity of the organs in both groups was similar, indicating that the dePEGylation induced by red light enhances the internalization of the nanoparticles by the tumor cells. In addition, the platinum content at 24 h after administration was examined using ICP-MS, as shown in Figure 5D. The platinum content in the tumor tissue in the TCNPPt (L+) group was 1.64-fold greater than that in the TCNPPt (L-) group. Therefore, the on-demand PEGylation and dePEGylation of TCNPPt assisted by light not only enhances drug accumulation in tumor tissues but also potentially reduces nonspecific cellular uptake and avoids cytotoxicity.
The abovementioned results clearly showed the advantage of on-demand PEGylation and dePEGylation of TCNPPt assisted by light. It is rational to speculate that tumor site-specific light irradiation significantly increases the anticancer efficacy of TCNPPt. Therefore, mice bearing MDA-MB-231 xenografts were randomly divided into the following 6 groups (n = 5): PBS, cisplatin, platinum-free TCNP plus irradiation (TCNP (L+)), TCNPPt without irradiation (TCNPPt (L-)), TCNPPt plus irradiation (TCNPPt (L+)) and TCNP (L+) plus TCNPPt (L-). The mice that were irradiated received the irradiation treatment at 6 h postinjection. As shown in Figure 6A, the cisplatin and TCNPPt (L-) treatments only slightly inhibited tumor growth. In addition, the TCNP (L+) treatment exhibited moderate anticancer efficacy, which could be due to the photodynamic effect of the conjugated Ce6. Furthermore, the tumor-suppressive effect of TCNPPt with light irradiation was much better than the combination of TCNP (L+) and TCNPPt (L-), verifying that red light-induced PEG detachment significantly enhances the anticancer efficacy of TCNPPt. Notably, no obvious body weight loss was observed (Figure S10). In addition, the tumor images (Figure 6B) and tumor weights (Figure 6C) showed that the TCNPPt (L+) group had the best anticancer efficiency.
Red light-induced dePEGylation improved tumor accumulation. (A) The platinum concentration over time for free cisplatin and TCNPPt. (B) The distribution of TCNPPt in MDA-MB-231 tumor-bearing mice. (C) Ex vivo images of the main organs at 24 h. (D) ICP-MS analysis of the platinum content in the major organs. In Figure 5B-D, TCNPPt (L+) indicates that the tumor site was irradiated at 6 h.
The on-demand PEGylation and dePEGylation of TCNPPt assisted by light significantly improves the anticancer efficacy. (A) Tumor growth curves after receiving different treatments. The mice were divided into the following six groups: PBS, cisplatin, Pt(IV) prodrug-free TCNP plus irradiation (TCNP (L+)), TCNPPt without irradiation (TCNPPt (L-)), TCNPPt plus irradiation (TCNPPt (L+)) and TCNP (L+) plus TCNPPt (L-). Tumor images (B) and weights (C) of the various groups on the 16th day.
We successfully synthesized red light-responsive, amphiphilic mPEG-TK-Ce6 for the on-demand PEGylation and dePEGylation of the TCNPPt nanocarrier. The PEGylation of TCNPPt efficiently prolonged its blood circulation after systemic administration. When a 660 nm laser was used to irradiate the tumor site, ROS generated by Ce6 in mPEG-TK-Ce6 cleaved the adjacent TK bond to cause the dePEGylation of TCNPPt, significantly enhancing tumor cellular uptake and the subsequent anticancer effect. Importantly, compared with other stimuli-responsive nanocarriers, red light-responsive TCNPPt is more extensive and practical, and this study provides a facile strategy to achieve the on-demand PEGylation and dePEGylation of nanocarriers.
Supplementary materials and methods, figures, and table.
This work was supported by National Natural Science Foundation of China (51822302, 51773067, 81602691), the Program for Guangdong Introducing Innovative and Entrepreneurial Teams (2017ZT07S054), the Natural Science Foundation for Distinguished Young Scholars of Guangdong Province (2017B030306002), and the Fundamental Research Funds for the Central Universities.
The authors have declared that no competing interest exists.
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Corresponding authors: E-mail: yangxzedu.cn (Xianzhu Yang), E-mail: shensongedu.cn (Song Shen)
Received 2019-5-29
Accepted 2019-10-11
Published 2019-10-22