Open Access Article
Pengwen
Chen
a,
Shangwei
Li
a,
Zhining
Xu
bc and
Horacio
Cabral
*a
aDepartment of Bioengineering, Graduate School of Engineering, The University of Tokyo, Bunkyo-ku, Tokyo, 113-8656, Japan. E-mail: horacio@bmw.t.u-tokyo.ac.jp
bPolymer Chemistry and Physics Research Group, HUN-REN Research Centre for Natural Sciences, Budapest, H-1117, Hungary
cFaculty of Science, Eötvös Loránd University, Budapest, H-1117, Hungary
First published on 13th March 2024
Phototherapy shows great potential for pinpoint tumour treatment. Heptamethine cyanine dyes like IR783 have high potential as agents for antitumour phototherapy due to their inherent tumour targeting ability, though their effectiveness in vivo is unsatisfactory for clinical translation. To overcome this limitation, we present an innovative strategy involving IR783-based polymeric nanoassemblies that improve the dye's performance as an antitumoural photosensitizer. In the formulation, IR783 is modified with cysteamine and used to initiate the ring-opening polymerization (ROP) of the N-carboxyanhydride of benzyl-L-aspartate (BLA), resulting in IR783-installed poly(BLA). Compared to free IR783, the IR783 dye in the polymer adopts a twisted molecular conformation and tuned electron orbital distribution, remarkably enhancing its optical properties. In aqueous environments, the polymers spontaneously assemble into nanostructures with 60 nm diameter, showcasing surface-exposed IR783 dyes that function as ligands for cancer cell and mitochondria targeting. Moreover, the nanoassemblies stabilized the dyes and enhanced the generation of reactive oxygen species (ROS) upon laser irradiation. Thus, in murine tumor models, a single injection of the nanoassemblies with laser irradiation significantly inhibits tumour growth with no detectable off-target toxicity. These findings highlight the potential for improving the performance of heptamethine cyanine dyes in antitumor phototherapy through nano-enabled strategies.
New conceptsOur research presents an innovative approach to antitumor phototherapy by enhancing the efficacy of heptamethine cyanine dyes, exemplified by IR783, through the use of nanoassemblies. The uniqueness of our concept is evident in several key aspects, as follows: (i) by polymerizing hydrophobic poly(amino acid)s from the meso-position of the dye, we significantly improved the stability and ROS generation capacity of the dyes. This was achieved through a unique process involving the twisting of the molecular conformation and altering the electron orbital distribution of the dyes without altering the chemical backbone of the dye; (ii) the resulting poly(amino acid)s self-assembled into nanostructures in water, presenting the negatively charged dyes on their surface. This design capitalizes on the dyes' inherent targeting capabilities toward cancer cells and their natural tropism to mitochondria for intracellular delivery. Thus, a single injection of the nanoassemblies is able to regress tumours after irradiation. |
A few strategies have been proposed for improving the performance of heptamethine cyanine dyes as photosensitizers for effective tumour phototherapy. For example, structural modifications of the dye backbone offered opportunities to enhance the photostability and improve the optical properties,21,22 and developing carrier systems loading the dyes helped to ameliorate the pharmacokinetics.23,24 However, altering the backbone structure has risks to diminish the intrinsic tumour-targeting ability of these dyes, since the structure–activity relationship of the tumour-targeting ability has not been clarified yet,25 and encapsulating the dyes into delivery systems would mask the dye-mediated tumour-targeting. Thus, strategies that can improve the optical properties and pharmacokinetics without diminishing the inherent tumour targeting capability of heptamethine cyanine dyes are required.
Herein, we devised an innovative approach employing IR783-based polymeric nanoassemblies to augment the PDT performance without altering the backbone structure of the dye molecule. In the polymer, the N-carboxy anhydride of benzyl-L-aspartate (BLA) was polymerized from the meso-chlorine position (Scheme 1A). The introduction of the poly(BLA) (pBLA) block twists the molecular conformation of IR783 and enhances the intramolecular charge transfer (ICT), as predicted in our in silico models, which can potentiate the ROS generation and enhance the photostability.22,26–28 Moreover, the hydrophobicity and helical structure of the pBLA block can enable the assembly of the polymers into nanostructures29,30 for further enhancing the non-radiative energy conversion and facilitate the uptake by tumour cells (Scheme 1B). Our results showed that the polymers assembled into nanoparticles (IR-PA) with around 60 nm diameter in aqueous conditions with the IR783 moieties exposed on the surface. The IR-PA achieved high and selective tumour accumulation upon systemic injection in a mouse model, and demonstrated effective PDT against CT26 tumours after a single intravenous (i.v.) injection and light irradiation. This formulation serves as a unique paradigm for improving the performance of heptamethine cyanine dyes as photosensitizers for antitumour phototherapy.
Theoretical computations were performed to explore the conformational and electronic structures of the molecules under investigation. The thermodynamically optimal conformations of the molecules were determined (Fig. 1A). Notably, while IR783 exhibited a nearly planar structure, the introduction of cysteamine and the pBLA block altered the optimal conformation of the molecule backbone. In particular, in IR783-pBLA, the incorporation of the pBLA block induced a highly twisted molecule conformation. Such highly twisted conformation could reduce the π–π stacking between the molecules and elevate the excited-state intramolecular motion.22,26 Furthermore, the presence of the pBLA block significantly modulated the electron distribution in the molecule (Fig. S4, ESI†). Compared to IR783 and IR783-cysteamine, IR783-pBLA exhibited a smaller HOMO–LUMO gap, which can enhance the non-radiation decay rate.22 Moreover, HOMO and LUMO of IR783-pBLA showed heightened discrepancy in the spatial distribution, confirming the enhanced ICT effect, which can facilitate ROS generation.26–28
In aqueous conditions, the IR-PA manifested as a cyan-blue solution with a maximal absorption wavelength at 660 nm (Fig. S6, ESI†). The fluorescence emission peak of IR-PA centred around 770 nm, and its emission intensity demonstrated a significant correlation with the solvent (Fig. 1D and E). While strong fluorescence was observed from IR-PA in DMSO, a moderate emission was detected in water-based solvents, such as PBS buffer and RPMI cell culture medium (Fig. 1E). Moreover, the addition of surfactants or heating amplified the fluorescence emission of IR-PA in the aqueous system (Fig. S7, ESI†), confirming that the reduction of fluorescence emission intensity was due to intermolecular quenching. Moreover, the Stokes shift of IR-PA (≈110 nm) was notably larger than that of IR783-cysteamine (≈54 nm) and Cy5 (≈19 nm) (Table S1, ESI†). This discrepancy serves as evidence supporting the existence of an enhanced ICT mechanism in IR783-pBLA, which resulted from its twisted molecular structure and tuned molecular orbital.37–39 In comparison with the small molecular IR783-cysteamine, IR-PA exhibited a higher molar extinction coefficient and a lower fluorescence quantum yield (Table S1, ESI†), indicating a stronger non-radiative energy decay post light excitation. Subsequent evaluation aimed to specify the energy conversion pathway through assessing photothermal conversion and ROS generation upon irradiation of the samples. Surprisingly, neither IR783-cysteamine nor IR-PA demonstrated significant photothermal conversion under 633 nm laser irradiation, displaying similar temperature profiles to PBS even at a high concentration (20 μM) (Fig. S8, ESI†). Next, the ROS generation from the samples under 633 nm laser irradiation was evaluated by a 1,3-diphenylisobenzofuran (DBPF) probe. After incubation with IR-PA, the absorbance peak of DBPF at 430 nm significantly decreased (Fig. 1F), indicating the generation of ROS that oxidized DBPF to diminish its absorbance. Moreover, compared with IR783-cysteamine, IR-PA showed more effective ROS generation (Fig. 1G), indicated by the faster decay of the absorbance of DBPF at 430 nm. Finally, the photostability of the IR-PA and IR783-cysteamine was assessed. Upon irradiation by a 633 nm laser, IR783-cysteamine displayed a clear photobleaching, with a notable decrease in absorbance around 660 nm and a shift in maximal absorbance wavelength to 540 nm (Fig. 1H). Additionally, the colour of the IR783-cysteamine changed from cyan blue to pink (Fig. S9, ESI†). In contrast, IR-PA exhibited improved photostability. Even after 30 min irradiation by the laser, the absorbance at 660 nm (Abs660) of IR-PA only dropped to around 0.85 of the initial value, while the Abs660 of IR783-cysteamine dropped below 0.4 of the initial value (Fig. 1I). This enhanced photostability resulted from the formation of the nanoassembly, which may restrict the conformation change of the backbone of IR783 during potential oxidation.40 This hypothesis was confirmed by investigating the photostability of IR783-pBLA in DMSO, where it cannot form IR-PA. The results showed that the free polymers have comparable photostability to IR783-cysteamine (Fig. S10, ESI†). In summary, IR-PA demonstrated superior ROS generation ability and photostability compared to small molecule IR783-cysteamine, which could benefit the phototherapy performance.
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| Fig. 2 In vitro performance of IP-PA. (A) Cellular uptake of IR783-cysteamine and IR-PA after incubation with CT26 cells for 6 h. Data shown as mean ± S.D., n = 3. The values are compared via unpaired t-test. **p < 0.002. (B) Cellular uptake of IR-PA in CT26 cells after different treatments. Data shown as mean ± S.D., n = 3. The values are compared with the non-treated group via one-way ANOVA. **p < 0.002, *** p < 0.0002. (C) Representative fluorescence images of CT26 cells after incubating with IR-PA for 6 h (red: IR-PA, green: mitochondria stained by MitoTracker, yellow: pixels with co-localized red and green colours). Scale bar = 20 μm. Quantitative co-localization analysis of red and green signals is performed by correlation regression between red and green intensities shown in the scatterplot at the upper right corner. Qualitative co-localization analysis is visualized by the plot profile (lower right corner) along the direction of the white arrow in the microscopic image. (D) Representative fluorescence images of CT26 cells incubated with CM-H2DCFDA probes after different treatment (green: activated CM-H2DCFDA probes indicating generated ROS). Scale bar = 100 μm. (E) Mean green fluorescence intensity from the images in (D). Data shown as mean ± S.D., n = 3. The values are compared via unpaired t-test. **p < 0.002, *** p < 0.0002. (F) Live/dead (calcein/EthD-1) cytotoxic assay staining of CT26 cells after different treatments (green: calcein staining indicating living cells, red: EthD-1 staining indicating dead cells). Scale bar = 100 μm. (G) Quantified result showing the dead cell percentage from the experiment presented in Fig. 2D. Data shown as mean ± S.D., n = 4. The values are compared via unpaired t-test. *p < 0.03, *** p < 0.0002. (H) Cytotoxicity of different treatments measured by CCK-8 kit with CT26 cells. Data shown as mean ± S.D., n = 3. The values are compared via unpaired t-test, **p < 0.002, **** p < 0.0001. | ||
The subcellular distribution of IR-PA upon uptake was then investigated by microscopy observation (Fig. 2C). The fluorescence signal of internalized IR-PA (red pixels) displayed robust co-localization (R2 = 0.92) with the staining of MitoTracker Green (green pixels). This suggests the capability of IR-PA to target mitochondria, which is advantageous for photodynamic therapy due to the sensitivity of mitochondria to ROS.16,41,42 Subsequently, the intracellular ROS generation induced by IR-PA was evaluated. Upon treatment with IR-PA and subsequent laser irradiation, intense green fluorescence from the activated CM-H2DCFDA probes was detected in CT26 cells (Fig. 2D), confirming the efficient ROS generation inside the cells. Moreover, in comparison to IR783-cysteamine, the cells treated with IR-PA exhibited a higher ROS signal (Fig. 2E). This heightened signal can be ascribed to the stronger ROS generation capacity and augmented cellular uptake of IR-PA. Conversely, in all the groups without laser irradiation, no substantial ROS signal was detected, validating that ROS generation occurred solely through the photodynamic mechanism. Consequently, IR-PA showed potent PDT efficacy against CT26 cells, confirmed by viability staining (Calcein/EthD-1 staining). After incubation with IR-PA and subsequent laser irradiation, strong red fluorescence signals (EthD-1 staining) were observed, referring to dead cells (Fig. 2F and G).
While IR783-cysteamine treatment also induced cell death upon laser irradiation, the resulting red cells/green cells number ratio was lower than that of IR-PA + laser treatment, indicating a comparatively lower photodynamic therapy efficacy. For a more accurate quantification of the cytotoxicity, a CCK-8 kit was used to evaluate the cell viability after treatment (Fig. 2H). The result corroborated the superior cytotoxic effect of IR-PA over equivalent IR783-cysteamine upon laser irradiation. Furthermore, no cytotoxicity was observed in any group without laser irradiation, confirming the biocompatibility of the materials.
The therapeutic efficacy of IR-PA was subsequently assessed in the CT26 tumour model. In the treatment group, the mice received intravenous (i.v.) injections of IR-PA, followed by laser irradiation to the tumours 16 h post-injection. Clearly, the tumours in the treatment group exhibited strong necrosis (Fig. 3D), while there were no discernible changes in tumour morphology observed in the other groups. To further validate the impact of the treatment on the tumours, histological analysis was conducted. H&E staining of the tumour sections revealed large damage in the group treated with IR-PA and laser irradiation, a pattern not observed in other groups. Additionally, TUNEL assay results exhibited robust apoptosis/necrosis signals within tumours treated with IR-PA and laser irradiation (Fig. 3E), indicating the successful PDT within the tumours. Thus, IR-PA + laser irradiation treatment remarkably inhibited the tumour growth (Fig. 3F) and extended the survival time of the animals (Fig. 3G). Conversely, no significant differences were observed among the other groups.
No treatment-associated toxicity was detected throughout the experiment. Animals across all groups displayed a similar trend in body weight change (Fig. 4A). A more quantitative evaluation was performed by measuring the blood biomarkers associated with liver and kidney damage (Fig. 4B–E), but no significant difference could be determined between any two groups. Even in the liver, despite the high accumulation of IR-PA, no toxicity was observed in both blood tests (Fig. 4B and C) and histological analysis (Fig. 4F). Moreover, H&E staining images of all other organs displayed no pathological changes (Fig. S12, ESI†). Hence, IR-PA demonstrated efficient and safe photodynamic therapy against CT26 tumours, as evidenced by its notable therapeutic effects without inducing observable toxicity in the experimental animals.
Next, NCA ring-opening-polymerization (ROP) was performed by using IR783-cysteamine as the initiator.34–36 IR783 (0.77 g, 1 mmol) and BLA-NCA (5 g, 20 mmol) were dissolved in anhydrous DMF (10 mL). The solution was kept reacting under 35 °C for 48 h in an Ar atmosphere and then precipitated against diethyl ether. The product, namely IR783-poly(β-benzyl-L-aspartate) (IR783-pBLA), was collected by filtration. The IR783-pBLA was characterized by 1H-NMR in d6-DMSO under 80 °C (NMR ECS-400; JEOL, Japan).
Theoretical computation was performed to investigate the molecular structures of the materials by Gaussian software. In the case of IR-pBLA, simplification was conducted by shortening the pBLA block into 3 BLA units to facilitate the computation. All the molecular structures were optimized by the Gaussian 16 QM modelling package with the B3LYP/6-31G(d,p) density functional theory (DFT) method.
To prepare IR-PA, the IR783-pBLA polymer was dissolved in DMSO (10 mg mL−1) and further 10× diluted into pure water with vigorous stirring. The diluted solution was then dialyzed against water or 10 mM phosphate buffer with different pHs to remove the remaining DMSO. DLS measurement was conducted to determine the size distribution of the samples. The surface charge of the IR-PA was determined by ζ-potential measurement (Zetasizer Nano-ZS; Malvern, UK). Absorbance and emission spectra of the samples were determined by a microplate reader (Spark; Tecan, Switzerland) with a quartz plate. To investigate the fluorescence quenching mechanism, the IR-PA water solution was added with 10% Triton X-100 or heated up to 80 °C before measurement. For taking the fluorescence images of IR783-pBLA in different solvents, the samples were added to a 96-well plate and imaged by an IVIS Spectrum imaging system (SP-BFM-T1, PerkinElmer, USA) (excitation filter: 640 nm, emission filter: 780 nm). The molar extinction coefficients of IR783-cysteamine and IR-PA at 650 nm in water solution were detected by comparing the absorbance of the samples at 650 nm with equivalent Cy5 as a standard.49 The molar extinction coefficients of the samples were calculated by the following equation.
The fluorescence quantum yield of IR783-cysteamine and IR-PA in water solution was detected by comparing the fluorescence emission spectra of the samples with equivalent Cy5 as a standard.50 The samples were excited by 620 nm light and the emission spectra were recorded from 640 nm to 850 nm. The fluorescence quantum yield of the samples was calculated by the following equation.22
The photothermal conversion efficiency of IR-PA and IR783-cysteamine was evaluated in PBS. The samples (20 μM IR783 eq., 200 μL) were added into a 96-well plate and continuously irradiated by 633 nm laser (300 mW cm−2). The temperature of the sample was tracked by an electronic thermometer (Lutron TM-947SD; Lutron, Taiwan). Pure PBS was used for comparison. The ROS generation efficiency of IR-PA and IR783-cysteamine was evaluated by a DPBF probe. IR-PA or IR783-cysteamine (5 μM IR783 eq. in water) was incubated with DPBF (20 μM). Upon irradiation by a 633 nm laser (300 mW cm−2) for the determined time, the absorbance spectrum (350–500 nm) of the sample was measured by a microplate reader. The absorbance at 430 nm was recorded for indicating the ROS generation.
For evaluating their photostability, IR-PA or IR783-cysteamine water or DMSO solutions (5 μM IR783 eq.) were irradiated by a 633 nm laser (300 mW cm−2) for the determined time. The absorbance spectrum (450–900 nm) of the samples was measured by a microplate reader and the absorbance values at 660 nm were recorded to indicate the photostability.
To test the possible interaction between IR-PA and albumin, the absorbance spectra (550–900 nm) of IR783-cysteamine or IR-PA (20 μM) were measured in aqueous buffer with or without BSA (20 μM).
000g × 10 min) to collect the supernatants. The absorbance of the supernatants at 650 nm was detected by a microplate reader to indicate the cellular uptake. To determine the uptake mechanism, different treatments were applied. In one experiment, cells were added with different endocytosis inhibitors (20 μM chlorpromazine, 5 mM MβCD, 2 mM amiloride) and incubated for 1 h under 37 °C before incubating with IR-PA (20 μM). In another experiment, the cells were incubated in IR-PA together with 20 μM IR783 for competitive inhibition. Additionally, the cells were also incubated with IR-PA under 4 °C. After 6 h, the cells were harvested and measured with the same protocol described above to determine the cellular uptake.
The subcellular distribution of IR-PA upon internalization was then evaluated. CT26 cells were seeded into an 8-well chamber slide (5 × 103 cells per well) and left for overnight culture before the experiment. IR-PA (5 μM) was added into the culture medium. After 12 h incubation, the cells were washed by PBS 3 times and stained by MitoTracker with the protocol provided by the manufacturer. The cells were then imaged by a confocal laser scanning microscope (LSM780; Zeiss, Germany) (excitation laser: 488 and 633 nm; detection range: 495–520 nm and 680–780 nm, respectively). Scatterplot-based co-localization analysis of the two fluorescence channels was performed by Zen software. Plot profile analysis was performed by Image J software.
The CM-H2DCFDA probe was used to evaluate the in vitro ROS generation from IR-PA. CT26 cells were seeded into a 48-well plate (104 cells per well) and left for overnight culture before the experiment. IR-PA or equivalent IR783-cystamine (10 μM) was added into the culture medium. After 6 h incubation, the culture supernatants were discarded and changed to PBS containing 10 μM CM-H2DCFDA. After more 30 min incubation, the culture supernatants were again changed to clean PBS and cells in the irradiation groups were irradiated with a 633 nm laser (300 mW cm−2) for 15 min. Finally, the cells were observed by a confocal laser scanning microscope (excitation laser: 488 nm; detection range: 495–520 nm).
The cytotoxicity of IR-PA was firstly evaluated by live/dead viability/cytotoxicity staining. CT26 cells were seeded into a 48-well plate (104 cells per well) and left for overnight culture before the experiment. IR-PA or equivalent IR783-cystamine (10 μM) was added into the culture medium. After 6 h incubation, the culture supernatants were discarded and changed to fresh medium. In the irradiation groups, cells were irradiated with a 633 nm laser (300 mW cm−2) for 15 min. After more 24 h incubation, the cells were stained with a live/dead viability/cytotoxicity kit with the protocol provided by the manufacturer, then observed by a confocal laser scanning microscope (excitation laser: 488 and 514 nm; detection range: 495–510 nm and 600–620 nm, respectively). The images were analysed by Image J software to quantify the number of cells stained with red fluorescence and green fluorescence. A more quantitative cytotoxicity evaluation was performed by using CCK-8 kit. CT26 cells were seeded into a 96-well plate (5 × 103 cells per well) and left for overnight culture before the experiment. IR-PA or equivalent IR783-cystamine (10 μM) was added into the culture medium. After 6 h incubation, the culture supernatants were discarded and changed to fresh medium. In the irradiation groups, cells were irradiated with a 633 nm laser (300 mW cm−2) for 15 min. After more 24 h incubation, the cell viability was measured by CCK-8 kit with the protocol provided by the manufacturer.
Representative tumour samples and organs were harvested from the mice on day 12 post inoculation. The tissues were embedded in O.C.T. compound and frozen in hexane under −90 °C, then sliced by a cryostat (CM1950; Leica Biosystems, Germany) into 10 μm thick sections. The tumour sections were stained by a H&E staining kit and TUNEL assay kit with the protocol provided by the manufacturer. The organ sections were stained by a H&E staining kit. The stained sections were observed by a brightness field microscope (BZ-X; Keyence Corporation, USA). To quantify the TUNEL assay results, microscopy pictures were analysed by Image J software with an IHC profiler plugin to specify the apoptotic/necrotic area and calculate the area percentage of the apoptotic/necrotic part in each picture.51 For each treatment group, four independent pictures were analysed. Blood samples (150 μL) were collected from all mice on day 12 by capillary tubes via the orbital vein. The samples were coagulated by placing under 25 °C for 20 min, then centrifuged (10
000g × 10 min) to collect the serum. Toxicity markers (total protein, TP; alanine transaminase, ALT; blood urea nitrogen, BUN; creatinine, CRE) in the serum samples were measured by a blood chemistry analyser (DRI-CHEM NX700; Fujifilm, Japan).
Footnote |
| † Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d3nh00584d |
| This journal is © The Royal Society of Chemistry 2024 |