Engineering Research Center for Biomedical Materials,School of Life Science,Anhui University,Hefei 230601,China
Keywords:Micelles Ortho ester PEGylation Size transition Antitumor
ABSTRACT Although surface PEGylation of nanomedicines can decrease serum protein adsorption in vivo,it also blocks uptake by tumor cells.This dilemma could be overcome by employing detachably PEGylated strategy at tumoral extracellular microenvironment to achieve improved cellular uptake while prolonged circulation times.Herein,the amphiphilic graft copolymers with pH-sensitive ortho ester-linked mPEG in side chains and polyurethanes in backbone,can self-assemble into the free and doxorubicin (DOX)-loaded micelles.The pH-sensitive micelles could undergo several characteristics as follows:(i) PEGylated shells for stability in sodium dodecyl sulfonate (SDS) solution;(ii) DePEGylation via degradation of ortho ester linkages at tumoral extracellular pH(6.5)for gradually dynamic size changes and effective release of DOX;and(iii)enhanced cellular uptake and cytotoxicity via positive DOX.Moreover,the dynamic micelles with detachable PEGylation could quickly penetrate the centers of SH-SY5Y multicellular spheroids (MCs) and strongly inhibit tumor growth in vitro and in vivo,and might be considered as promising and effective drug carriers in tumor therapy.
Polyethylene glycol (PEG) approved by FDA has been widely applied as shielding of nanomedicines to prolong blood circulation times,reduce serum protein adsorption and decrease liver uptake [1-5].PEGylated polymeric delivery systems such as PEGylated liposomal doxorubicin is highly desirable in clinic cancer treatment,and approve so far minimize toxicity [6-8].However,they fail to significantly improve the therapeutic efficacy because PEGylation also blocks tumoral cellular uptake,limiting the high-efficiency drug accumulation at tumor sites [9,10].Therefore,it is an imperious demand to develop a specially PEGylated polymeric delivery system with detachable PEGylation for enhanced chemotherapeutic efficacy[10,11].
To overcome this dilemma,stimuli-triggered strategies have been proposed to construct the polymeric delivery systems with the extracellular DePEGylation upon reaching the targeted tumor [10-13].Tumor tissues exhibit a distinctly gradient pH distribution from extracellular milieu (pH 6.5-7.0) to intracellular microenvironment (pH 4.5-5.5),so it is a desirable choice to utilize acid-responsive groups to link PEG for tumoral extracellular precise detachable PEGylation[14-16].However,the most commonly used acid labile chemical groups such as hydrazines,acetals,vinyl ethers and so on,can response to tumoral intracellular pH (4.5-5.5),but not response to tumoral extracellular pH (6.5-7.0)[17-19].Ortho esters,whose hydrolysis rate might improve 1-4 orders of magnitude compared to above acid labile linkages under mildly acidic conditions,have the potential to response to extracellular pH[20-23].Moreover,our group has successfully designed a series of ultra-pH-sensitive poly(ortho ester)s-based drug delivery systems with dynamic size transitions at tumoral extracellular pH[24-27].Thus,an ultrapH-sensitive polymeric delivery system with extracellular detachable PEGylation may be constructed by optimizing the hydrophilicity of the structures surrounding the ortho ester linkages.
PEG as a hydrophilic polymer,could significantly improve pH sensitivity of ortho esters when chemical linkage together.The design can be implemented via transesterification between hydroxy of PEG and methoxy group of ortho ester monomer as reported previously[28].Additionally,polyurethanes have been widely developed for medical biomaterials ranging from artificial kidney to drug controlled release,owing to their excellent biocompatibility,adhesiveness and antithrombotic properties,as well as excellent mechanical properties [29].Moreover,polyurethane structures are easily chemically modified by active groups for hydrophilic/hydrophobic balance and excellently biological functions [30].In this work,a desirable polymeric drug delivery system with detachable PEGylation could be realized by the tunable combination of polyurethanes in the backbone and orthoester-linked PEG in the side chains,thus achieving ideal chemotherapy efficacy.
N,N-dimethylformamide (DMF),toluene,triethylamine(TEA),dimethylsulfoxide (DMSO) and dichloromethane(DCM) were dried from CaH2before use.Hexamethylene diisocyanate (HDI),pyridinium p-toluene sulfonate acid (Py-PTSA),dibutyltin dilaurate(DBTDL),N,N-carbonyldiimidazole(CDI),methoxypolyethylene glycol (mPEG) (Mw=550) and 3-(4,5-dimeth-ylthiazol-2-yl)-2,5-diphenylter-razolium bromide (MTT) were purchased from Sigma-Aldrich (China).Doxorubicin hydrochloride (DOX·HCl) was obtained from Meilun Biological Technology Co,Ltd and desalted with TEA before use.2,2,2-Trifluoro-N-(2-methoxy-1,3-dioxolan-4-ylmethyl) acetamide (TA) and N-(1,3-dihydroxypropan-2-yl)-2,2,2-trifluoroacetamide (NF) were synthesis and purified as described previously[24,28].Human neuroblastoma cancer cell lines (SH-SY5Y),human liver carcinoma cell line (HepG2)and murine hepatic cancer cell line (H22) were obtained from KeyGEN BioTECH (Nanjing,China).Male ICR mice(18-22 g) were purchased from Animal Center of Anhui Medical University (Hefei,China),and used in the Guide of Experimental Animal Ethics Committee of Anhui University.
In a nitrogen atmosphere,TA (2.29 g,10.00 mmol),mPEG(8.25 g,15.00 mmol),Py-PTSA (0.027 g,0.06 mmol)and toluene(100 ml) were refluxed together at 115 °C for 8 h.Afterwards,the mixture was concentrated,dissolved in CDM(100 ml),and extracted with saturated NaCl solution in turn.The CDM layer was orderly dehydrated over anhydrous MgSO4,concentrated and stirred in NaOH solution(20 ml,1.00 mol/l)for 5 h.Finally,the OEmPEG as a white powder (5.22 g,78.3%) was yielded by extraction with CDM twice,drying over anhydrous MgSO4and vacuum desiccation.Its structure was determined via1H NMR spectrum in CDCl3using a Bruker AM-400 MHz spectrometer(Bruker Biospin).
NF (1.34 g,7.16 mmol),HDI (1.20 g,7.16 mmol) and a catalytic amount of DBTDL were vigorously stirred together in DMF(7 ml) for 24 h at 25°C under the protection of nitrogen,and then added dropwise to stirred anhydrous ether.The polyurethanes grafting trifluoro ethyl amide (PU-g-F3) were obtained via vacuum drying.Afterwards,PU-g-F3was stirred in 1.00 mol/l of NaOH aqueous solution for 6 h.Finally,PU-g-NH2as a white solid (1.39 g,75.0%) was obtained via dialysis and lyophilization in turn.
The synthesis of PU-g-OEmPEG100 was as follows:OEmPEGactive ester(4.97 g,7.72 mmol)prepared via reaction between OEmPEG and CDI at the molar ratio of 1 to 1.5,was added to a stirred mixture of PU-g-NH2(1.00 g),TEA (1.56 g,15.44 mmol),and DMF (30 ml) under nitrogen at 25°C for 12 h.PU-g-OEmPEG100 as a white solid (3.00 g,63.8%) was yielded by dialysis (MWCO 3500) against distilled deionized water for 24 h and lyophilization.The other two copolymers were synthesized through the same process.The polymeric structures,grafting degrees and molecular weights were determined by1H NMR spectrum,TNBSA assay and gel permeation chromatography(GPC),respectively.
The polymeric micelles were formed using a dialysis method.To obtain DOX-loaded micelles(PU-g-OEmPEG-DOX),40 mg of copolymers and 8 mg of deprotonated DOX were dissolved in 3 ml of DMSO and added dropwise into 20 ml of PBS (pH 7.4)under slowly stirring.Afterwards,the mixture was transferred to dialysis bags(MWCO 3500)for dialysis against PBS(pH 8.0)for 24 h.The free micelles were prepared through the same process as that for DOX-loaded micelles.
To measure the concentration at which the copolymers can encapsulate a hydrophobic drug,the CMC studies were done using a fluorescence probe (Nile Red).The copolymers(1.0×10-7to 1 mg/ml) and Nile Red (1×10-6mol/l)were mixed together in PBS at pH 7.4,and a Hitachi spectrofluorophotometer was used to measure the fluorescence signals at a fixed excitation wavelength of 554 nm with an emission spectrum (550-720 nm).The micellar CMC values were confirmed from plots with polymer concentration and maximum absorption wavelength as horizontal and vertical coordinate,respectively.
The DePEGylation of micelles was determined via the hydrolysis rates of ortho ester linkages in side chains.Briefly,the micelles were suspended in PBS (pH 7.4 and 6.5),and immediately lyophilized at preset time points.Afterwards,the lyophilized samples were dissolved in d6-DMSO and the structural signals were measured via1H NMR.The peak at 5.85 ppm corresponded to the characteristic proton of ortho esters,and the peaks at 7.99 and 8.25 ppm represented the characteristic protons of hydrolysates of ortho esters.The hydrolysis rates (HR) of ortho esters were calculated as follows:
The micellar average diameters and morphology were determined via Zetasizer dynamic light scattering detector(DLS) and Transmission Electron Microscope (TEM).DLS and/or Scanning Electron Microscope (SEM) were used to evaluate the micellar size changes at pH 7.4 and 6.5 and stability in sodium dodecyl sulfonate(SDS)solution.
Micellar drug loading content (DLC) and drug loading efficiency (DLE) were measured and calculated as described before[24].
Micellar DOX release in the PBS (pH 7.4 and 6.5) were studies via a dialysis method.In brief,micelles-DOX were suspended in 1 ml of PBS and dialyzed against 5 ml of the corresponding PBS at 37 °C.At each time points,all release media were sampled and replaced with another 5 ml of PBS.The release amount of DOX was measured via UV-Vis spectroscopy and calculated based on a calibration curve.
HepG2 and SH-SY5Y cells were used to determine micellar cytotoxicity and cellular uptake at pH 7.4 and 6.5 via MTT assay,CLSM and flow cytometry respectively as described before[25].
SH-SY5Y multicellular spheroids (MCs) were successfully cultured as described previously [31,32],and the MCs (200-300 μm) were picked,and co-cultured with various DOX formulations (8 μg/ml) for predetermined time intervals.Afterwards,the culture medium was removed and MCs were thoroughly washed by PBS before observation.Finally,the MCs were imaged and determined by CLSM and Image J.Z-stack,respectively.
Briefly,SH-SY5Y MCs (approximately 200-250 μm) were collected and incubated with various DOX formulations(8 μg/ml) for 5 d,and the diameter of each spheroid was observed and taken image using the optical microscope.The volume of MCs was calculated as:
V=(π×a×b)/6
Whereaandbrepresent the maximum and the minimum diameter of each MCs,respectively[33].
H22 tumor-bearing ICR mice were randomly divided into 4 cohorts(Free DOX and 3 DOX-loaded micelles)of 18 mice each,and drug contents in blood samples and major tissues(heart,liver,kidney,lung,spleen and tumor)of mice at different time point were determined as described[24,25].
The tumor regression study of various DOX formulations were performed using H22 tumor-bearing mice[24,25].
Experimental data are shown as the mean ± standard deviation (SD),and the significance of the data is calculated by SPSS.
As displayed in Fig.1,ortho ester-linked PEG (OEmPEG) in polymeric side chains was synthesized via transesterification between TA and mPEG using Py-PTSA as a catalyst.Polyurethanes in backbone were synthesized via polyreaction between trifluoroacetyl serinol and hexamethylene diisocyanate at the molar ratio of 1 to 1.After deprotection in the presence of NaOH (1.00 mol/l),PEGylated copolymers were obtained by partially grafting reaction between active OEmPEG and polyurethanes.The structures of intermediate products and PEGylated polyurethanes were confirmed by1H NMR(Fig.2),and the degrees of PEGylation in the copolymers were measured to be 55.2%,74.4% and 96.5% by TNBSA assay [34]and1H NMR,respectively.The average molecular weights of three PEGylated copolymers were detected to be 2.74×104,3.25×104and 3.91×104g/mol respectively by GPC(Table 1).
Fig.1-Synthetic route of ortho ester-linked PEGylated polyurethanes.Reaction conditions:(i)mPEG/Py-PTSA;(ii)1.00 mol/l NaOH;(iii)CDI/TEA;(iv)HDI/DBTDL;(v)1.00 mol/l NaOH;(vi)TEA.
Fig.2- 1H NMR spectra of PU-g-F3,PU-g-NH2 and PU-g-OEmPEG.
Three amphipathic PEGylated polyurethanes could selfassemble to be micelles in a neutral buffer solution.The micellar CMCs were determined to be very lower (0.8-9×10-4mg/ml)using Nile Red as a probe(Fig.3G),suggesting that three micelles may keep stable when diluted in the blood circulation.The DOX-loaded micelles were also prepared using a solvent exchange method,and the micellar DLC and DLE were measured and calculated to be 6.7%-9.4% and 55.2%-71.1%,respectively (Table 2),at the feeding ratio of 5 to 1 between copolymers and DOX.As seen in Fig.3A-3C,the average hydrodynamic diameters of PU-g-OEmPEG60,PU-g-OEmPEG80 and PU-g-OEmPEG100 micelle were confirmed to be 156.6,185.2 and 223.1 nm by DLS,respectively,and were smaller in a drying state observed by TEM (Fig.3D-3F).In addition,the particle sizes of the DOX-loaded micelles became larger owing to embedding drugs in their hydrophobic cores (Table 2).Interestingly,the hydrophilic/hydrophobic ratio of PU-g-OEmPEG impacted on micellar CMCs,particle sizes,and DOX loading.Higher hydrophobicity resulted in smaller micellar CMCs and sizes,and higher drug loading.Furthermore,as shown in Fig.3H,the micellar particle sizes and count rates didn’t change in SDS solution for 48 h,suggesting micellar kinetic stability in blood circulation[35].
Fig.3-Particle size of PU-g-OEmPEG60(A),PU-g-OEmPEG80(B)and PU-g-OEmPEG100 micelle(C)measured by DLS;Morphology of PU-g-OEmPEG60(D),PU-g-OEmPEG80(E)and PU-g-OEmPEG100 micelle(F)determined by TEM;CMCs(G)and kinetic stabilities in the SDS solution(H).
Table 1- Yields,molecular weights and grafting degrees of PU-g-OEmPEG.
Table 2- DLE,DLC and particle sizes of PU-g-OEmPEGDOX.
Fig.4-Micellar 1H NMR spectra at pH 7.4 and 6.5 following time course and hydrolysis mechanism.
1H NMR was used to determine the hydrolysis of ortho esters,which represented the micellar DePEGylation.As displayed in Figs.4 and 5A,three micelles exhibited similar hydrolysis of ortho esters,and ortho esters in side chains were not hydrolyzed in 48 h at pH 7.4,but their hydrolysis was much accelerated at tumoral extracellular pH value(6.5).The degradation of ortho esters reached about 60% in 12 h,and was quickly accomplished in 24 h at pH 6.5.The result revealed that the rapid DePEGylation could be achieved at tumoral extracellular milieu via pH-sensitive OEmPEG in side chains.Moreover,the similar hydrolysis of ortho esters in three micelles may result in similar size changes and drug release.In addition,as shown in Fig.4,the cleavage of fivemembered cyclic ortho esters in side chains yielded formic ether and formate,indicating following a distinct exocyclic mechanism as previously described[20-23].
The detachable DePEGylation in micellar hydrophilic shells had a noticeable impact on particle sizes (Figs.5B,5D-5F).The micelles showed similarly dynamic size changes in 24 h at tumor extracellular pH value (6.5).The sizes decreased rapidly in the first 1 h,possibly due to the decrease of hydrophily/hydrophobicity ratio along with the partial DePEGylation,and then gradually increased to above 450 nm in the next 23 h,potentially owing to micellar structural instability with further DePEGylation.It’s worth noting that the micellar dynamic size changes at pH 6.5 might be good for tumoral drug accumulation,when initially arriving at tumor sites as small nanoparticles for enhanced penetration and then becoming large nanoparticles within tumors for improved retention [36-38].Moreover,the dynamic size change may trigger micellar gradual drug release at tumoral extracellular milieu.On the other hand,the micelles without DePEGylation displayed constant particle sizes at pH 7.4,which was consistent with the results revealed by NMR analysis,suggesting the micellar stability in the circulation.
Fig.5-Micellar hydrolysis of ortho esters(A),size changes(B)and drug release(C)at pH 7.4 and 6.5 following time course;Morphology and particle size of PU-g-OEmPEG60 micelle at pH 7.4(D),pH 6.5(1 h)(E)and pH 6.5(24 h)(F),respectively.
As displayed in Fig.5C,the micellar DOX release exhibited similarly distinct dependence of detachable DePEGylation.Three DOX-loaded micelles without DePEGylation released only approximately 20% of DOX at pH 7.4 in 24 h.However,the amount of drug release was much increased and reached about 70% for PU-g-OEmPEG-DOX at pH 6.5 in 24 h.Such higher amount of drug release was mainly attributed to the micellar gradual swelling with loose structure along with DePEGylation.Moreover,DOX as a positive antitumor drug,can be easily internalized by tumor cells and further enhance cell-killing ability[39].
To investigate the effect of micellar detachable PEGylation on pharmacological activity,in vitrocytotoxicity and cellular uptake of various DOX formulations were compared via SHSY5Y and HepG2 at pH 7.4 and 6.5 for 24 h,respectively.Meanwhile,the free micelles as negative controls were also exposed to the two types of tumor cells.As seen in Fig.6A and 6B,the free micelles exhibited no cytotoxicity even at the highest concentration(1000 μg/ml),suggesting their excellent biocompatibility.As displayed in Fig.6C-6F,PU-g-OEmPEGDOX showed the distinct cytotoxicity along with the increase of drug dosage.Moreover,their cytotoxicity was lower than that of free DOX at pH 7.4,but was similar at pH 6.5.The result implied that the micellar DePEGylation can improve cell-killing ability via extracellular rapid drug release and enhanced cellular internalization of positive DOX revealed by CLSM (Fig.7A and 7B) and flow cytometry (Fig.7C-7F),respectively.
As displayed in Fig.8A and 8B,the multicellular spheroids(MCs)prepared from SH-SY5Y cells in the presence of Poly(2-hydroxyethyl methacrylate) as previously described [31,32],can be applied to evaluate the tumor uptake and penetration effectsin vitro,and the CLSM was used to observe the fluorescence signals of DOX in SH-SY5Y MCs.As shown in Fig.8C and 8D,free DOX only distributed just within the periphery of MCs in the first 8 h,and penetrated only about 150 μm from the outer layers to the center of MCs after 24 h.While,PU-g-OEmPEG-DOX could quickly arise in the center of MCs in the first 8 h,although the fluorescence signals in the center were weak.Moreover,it could be observed that strong fluorescence signals distributed from the periphery toward the center after 12 h,and almost occupied the entire MCs after 24 h.These results suggested that PU-g-OEmPEGDOX could penetrate deeper into MCs than free DOX owing to their dynamic size transitions triggered by DePEGylation[13,36-38].
Fig.6-In vitro cytotoxicity of free micelles,DOX-loaded micelles and free DOX in HepG2(A),(C)and(E),and SH-SY5Y(B),(D)and(F)at different pH values(7.4 and 6.5).
Fig.7-Cellular uptake of DOX formulations in HepG2(A),(C)and(D)and SH-SY5Y(B),(E)and(F)confirmed by CLSM(pH 6.5)and flow cytometry(pH 7.4 and 6.5),respectively;Scale bar=10 μm.
Fig.8-SH-SY5Y MCs photographed by inverted microscope(A)and SEM(B),penetration in MCs photographed by CLSM(C),and mean fluorescence intensities of various DOX formulations in MCs(D);Scale bars=100 μm.
Fig.9-Growth inhibition of MCs by formulations:(A)image of MCs following time course and(B)volume of MCs following time course;Scale bars=100 μm.
Various DOX formulations were incubated with MCs to evaluate the effect of micellar detachable PEGylation on the growth inhibition of MCs.Meanwhile,the culture medium and free micelles as negative controls were also exposed to MCs.As seen in Fig.9,the controls without cytotoxicity failed to stunt tumor growth and the volumes of MCs gradually increased day after day.However,all DOX formulations could efficiently inhibit the growth of MCs and make their volumes smaller day after day.Among them,free DOX limited tumor growth mainly through killing tumoral outer cells,but PU-g-OEmPEG-DOX destructed MCs through cytotoxicity from periphery toward center.It is why the outer layers of MCs become loose for free DOX group and the enter MCs become loose for PU-g-OEmPEG-DOX group after 3 d.Furthermore,PU-g-OEmPEG-DOX turned out to be the best tumor inhibition in all DOX formulations after 5 d.The results agreed well with their stronger tumor penetration of MCsin vitro,suggesting that tumoral extracellular DePEGylation,dynamic size transitions and rapid drug release could be beneficial for tumor inhibition[13,36-39].
To evaluate the effect of micellar detachable PEGylation onin vivodrug biodistribution,various DOX formulations were injected into the H22 tumor-bearing mice via i.v.administration.As displayed in Fig.10,results clearly indicated that DOX concentrations in each tissue varied with different formulations.The amount of DOX in micelles was obviously lower in heart,spleen and lung,but higher in blood than that of free DOX.Moreover,PU-g-OEmPEG60-DOX obtained the highest tumoral drug concentration in all formulations,possibly owing to its smaller particle size,stable circulation,enhanced drug penetration and retention via detachable PEGylation and dynamic size change at tumor tissues[13,36-38].
Fig.10-In vivo biodistribution of DOX in H22 tumor-bearing mice.Data are represented as mean±SD(n=3).
Fig.11-Tumor image(A),change trend in tumor volume(B),tumor weight(C)and change trend in body weight(D)of H22 tumor-bearing mice after treatment.(∗represents P <0.05 and ∗∗represents P <0.01).
To verifyin vivoantitumor ability of the micelles with detachable PEGylation,ICR mice bearing tumors derived from H22 cells were used.Treatment began when the tumor volumes were up to 60 mm3in all mice.Saline,blank micelle,and DOX formulations (6 mg/kg) were administered via tail vein,respectively,and the injection date was labeled as Day 0.The tumor volumes and the body weights of the mice were measured every day,and the tumors were surgically removed,weighed and taken images at the end of the treatment.As seen in Fig.11A-11C,all DOX formulations obviously restrained tumor growth compared to the control and blank micelle,and PU-g-OEmPEG60-DOX achieved the best tumor inhibition and destruction through single intravenous dose.It was probably owing to its efficient tumor accumulation and cytotoxicity to tumor cells.In addition,as shown in Fig.11D,mice injected with free DOX exhibited a considerable weight loss,suggesting high toxicity of the free drug at this dose.It is possibly attributed to the nonspecific interactions and recognition of free DOX with normal organs,especially heart[40].
The detachably PEGylated micelles were successfully constructed and exhibited dynamic size changes and effective drug release along with DePEGylation,via the hydrolysis of ortho ester linkages in side chains at tumoral extracellular pH value (6.5).In vitrocytotoxicity and cellular uptake measurements revealed that PU-g-OEmPEG-DOX were more easily internalized and had greater toxic effects on tumor cells at tumoral extracellular pH value.Moreover,PU-g-OEmPEG-DOX could quickly penetrate the centers of SH-SY5Y multicellular spheroids (MCs) and strongly inhibit tumor growthin vitroandin vivo.Therefore,the detachably PEGylated micelles with tumoral extracellular dynamic size changes and rapid drug release can serve as promising prototypes with further functionalization in chemotherapy.
The authors report no conflicts of interest.The authors alone are responsible for the content and writing of this article.
This work is financially supported by the National Natural Science Foundation of China (No.51803001,51603001 and 51503001),the Research Foundation of Education Department of Anhui Province of China(No.KJ2018ZD003 and KJ2018A0006),and the Academic and Technology Introduction Project of Anhui University(AU02303203).
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Asian Journal of Pharmacentical Sciences2020年6期