Open Access Article
Steven J. P.
McInnes
a,
Chris T.
Turner
b,
Sameer A.
Al-Bataineh
b,
Marta J. I.
Airaghi Leccardi
a,
Yazad
Irani
c,
Keryn A.
Williams
c,
Allison J.
Cowin
b and
Nicolas H.
Voelcker
*a
aARC Centre of Excellence in Convergent Bio-Nano Science and Technology, Mawson Institute, University of South Australia, Adelaide, South Australia 5001, Australia. E-mail: nico.voelcker@unisa.edu.au; Fax: +61 8 8302 5613; Tel: +61 8 8302 5508
bMawson Institute, University of South Australia, Adelaide, South Australia 5001, Australia
cDepartment of Ophthalmology, Flinders University, Bedford Park, South Australia, Australia
First published on 5th May 2015
The proinflammatory cytokine, tumor necrosis factor-α (TNF-α), is elevated in several diseases such as uveitis, rheumatoid arthritis and non-healing chronic wounds. Adding Infliximab, a chimeric IgG1 monoclonal antibody raised against TNF-α, to chronic wound fluid can neutralise human TNF-α, thereby providing a potential therapeutic option for chronic wound healing. However, to avoid the need for repeated application in a clinical setting, and to protect the therapeutic antibody from the hostile environment of the wound, suitable delivery vehicles are required. Porous silicon (pSi) is a biodegradable high surface area material commonly employed for drug delivery applications. In this study, the use of pSi microparticles (pSi MPs) for the controlled release of Infliximab to disease environments, such as chronic wounds, is demonstrated. Surface chemistry and pore parameters for Infliximab loading are first optimised in pSi films and loading conditions are transferred to pSi MPs. Loading regimens exceeding 60 μg of Infliximab per mg of pSi are achieved. Infliximab is released with zero-order release kinetics over the course of 8 days. Critically, the released antibody remains functional and is able to sequester TNF-α over a weeklong timeframe; suitable for a clinical application in chronic wound therapy.
Porous silicon (pSi) is a biomaterial that is now under intense focus as it has several unique properties that make it very attractive for use in a wide variety of in vivo and ex vivo applications.4,5 Bulk crystalline silicon is converted into the high surface area and biocompatible pSi by means of anodisation in hydrofluoric acid (HF) solution. A broad range of porous structures can be generated by altering the wafer resistivity, HF concentrations and the applied current densities. The pore size can be tuned in diameter from a few nanometers to a few microns achieving surface areas of up to 800 m2 g−1.3,6 pSi degradation is tunable, from days to months,3,7,8 depending on the pore size and chemistry and produces non-toxic silicic acid.6,9–11 pSi has demonstrated in vivo biocompatibility in the subconjuctival space of rats12 and when injected into the vitreous of rabbit eyes.13 Bimbo et al. have also demonstrated the biodistribution of pSi nanoparticles (NPs) administered via oral, subcutaneous and intravenous administration and shown that the pSi NPs do not induce toxicity or inflammatory responses whilst displaying excellent in vivo stability in rats.14Ex vivo applications include optical biosensors that capitalise on the unique optical and photonic properties of the material and have been exploited in the fields of immunology,15 cancer diagnostics,16 chronic wound healing17,18 and infectious diseases.19 The ability of pSi to store and release various payloads of small molecular, oligonucleotide or even protein therapeutics has also been demonstrated.20–22
Immediately after fabrication, pSi is hydride-terminated and degrades within minutes when immersed in neutral aqueous medium. However, the surface chemistry of pSi can be easily modified by techniques such as oxidation, silanisation, hydrosilylation, hydrocarbonisation and electrografting in order to impart varying degrees of stability to the material in addition to introducing functional groups.23–26 Certain surface modifications including thermal hydrocarbonisation render pSi stable even in harsh conditions such as exposure to strong aqueous bases.27 The ability of pSi to degrade into non-toxic silicic acid upon exposure to physiological conditions is a key advantage over other biomaterials.28 The choice of surface chemistry also plays an important role in the ability to load different drugs and must therefore be chosen carefully.20,29 A range of in vivo and in vitro studies have demonstrated the biocompatibility of surface-modified pSi.11,28,30,31 We recently demonstrated composite pSi and poly(ε-caprolactone) (PCL) membranes can be implanted into the subconjunctival space of rats.32 These membranes did not erode or cause inflammatory responses in the tissue surrounding the implant and there was also no evidence of vascularisation.
pSi is being exploited for applications in drug delivery including in several preclinical and clinical settings.12,33,34 A particularly suitable format of pSi for drug delivery are pSi microparticles (pSi MPs) that are fabricated to the desired size from “free-standing” membranes of pSi by sonication35–38 or other mechanical forces, such as ball milling.39 Given their fabrication from pSi films, those MPs have a characteristic plate shape. The Sailor laboratory has developed pSi MPs suitable for injection into the vitreous humor,13 has shown intravitreal drug release for up to 6 months33,40 and the ability to tune drug release by varying the pore size41 or polymer encapsulation of the pSi MPs.42 They have also extensively studied how the pSi dissolution by-products are cleared from the vitreous humor after injection of pSi MPs.43
Receptor proteins, including antibodies, can be both electrostatically bound or conjugated to pSi MPs or NPs for targeting44,45 or biosensing15,46 applications employing various chemistries such as thermal oxidation,46 amino-terminated silanes,47 or using semicarbazide,44 EDC/NHS48 or click49 chemistries. But very few examples exist in the literature describing the release of therapeutic proteins from pSi. One early example was performed by Foraker et al.50 who used micromachined pSi particles to deliver insulin across intestinal Caco-2 cell monolayers. They found that the flux of insulin from the pSi particles was nearly 10 times higher than from insulin in solution and 100 times higher when permeation-enhancing chemicals were omitted in that solution. Likewise, Wu and Sailor have used a polymeric chitosan-based hydrogel to cap the top of pSi films and demonstrate controlled release of insulin from the underlying porous structure in a switchable pH dependent fashion.51 In 2007, Prestidge et al.52 used pSi powders to load and release papain, a model hydrophilic protein. It was observed that the powders, anodised and stain-etched, used in this study varied in surface chemistry, which subsequently affected the loading and burst release of the enzyme from the material. More recently, Andrew et al.21 loaded a thermally oxidised pSi film with Avastin, a monoclonal antibody, and demonstrated a sustained release of 98% of active antibody after 1 month, but the authors did not translate this system to a fully degradable pSi MP format. The retention of the active form of the protein released from pSi MPs and NPs has also been demonstrated by other groups53 emphasising the careful choice of surface chemistry to minimise possible denaturation.54
Infliximab is a chimeric IgG1 monoclonal antibody raised against tumor necrosis factor-α (TNF-α). This antibody is clinically approved to treat Crohn's disease55 and rheumatoid arthritis.56 Infliximab functions by neutralising the function of TNF-α. Infliximab has also been studied for the treatment of psoriasis,57,58 ulcerative colitis,59,60 pyoderma gangrenosum,61 chronic venous ulcers62 and uveitis.63 Non-healing chronic wounds including venous leg ulcers affect 1–2% of the population in developed countries and place a significant burden on the community, estimated to cost $15 billion dollars per year worldwide.64 TNF-α has been demonstrated to be elevated in venous leg ulcers and Infliximab has proven successful in reducing TNF-α levels.62 Uveitis, also an inflammatory condition, occurs in the uveal tract and is responsible for 10% of visual loss in developing nations.65 Typical treatment is with topical and oral glucocorticosteroids and often patients receiving this treatment display significant side effects and insufficient therapeutic responses. Topically applied Infliximab has performed well in the reduction of scarring on the ocular surface in a mouse ocular surface scarring model.63
However, side effects of the systemic delivery of high-dose anti-TNF-α agents, including Infliximab and Etanercept, include drug-induced lupus66 and treatment must be discontinued in these cases. Hence, the development of better delivery systems for anti-TNF-α, particularly those that can sustain low-dose release over a prolonged timespan, could prove beneficial for patient well-being and continual treatment. Indeed, previous studies have shown that the topical application of 10 mg mL−1 Infliximab as a solution or gel and covered with an adhesive bandage could reduce ulcer healing time to 8 weeks in approximately 30% of cases, while the other 70% of ulcers treated had healed significantly, showing a 75% reduction in size.67 Similarly, the one off implantation or injection of a sustained drug delivery for Infliximab to the cornea and anterior segment may prove a safe and effective way to reduce the number of treatments required for anterior uveitis, hence improving patient care.
The current study aims to demonstrate the versatility of pSi as a reservoir for Infliximab delivery in both in vivo and ex vivo applications. pSi films with different pore size were prepared by electrochemical etching and thermally oxidised at a range of temperatures. The optimal etching conditions found for the films were then transferred to pSi MPs, which are fully degradable and, in contrast to pSi films, can be used for implantation or injection. pSi MPs were immersed in the antibody solution, allowing the positively charged protein to penetrate into the pores by electrostatic attraction with the negatively charged surface. Antibody loading was quantified using interferometric reflectance spectroscopy and UV-Vis spectroscopy. Infliximab released from pSi MPs remained active and was able to neutralise TNF-α (Scheme 1), potentially providing an improved therapeutic delivery system for the treatment of chronic wounds and ocular conditions such as uveitis.
Infliximab (Remicade®) powder was purchased from Janssen, Australia. Each vial contains 100 mg of Infliximab, 6.1 mg of sodium phosphate dibasic dehydrate, 2.2 mg of sodium phosphate monobasic monohydrate, 500 mg of sucrose and 0.5 mg of polysorbate 80. The undiluted Infliximab powder was stored at 4 °C. Before use the Infliximab powder was diluted to 1 mg mL−1 with MilliQ water (10 mL).
:
1 HF
:
ethanol (v/v) solution. One sacrificial etching step was carried out at 200 mA (113 mA cm−2) for 15 s and the freshly etched surface was washed with ethanol before treatment with 1 N sodium hydroxide for 1 min. The silicon surface was washed again with MilliQ water and ethanol and dried under nitrogen gas. The second etching process was performed with etching current densities ranging from 150 to 233 mA cm−2 and etching times of 15 to 291 s. After etching, washes were performed with ethanol and dichloromethane and dried with nitrogen gas.
:
1 HF
:
ethanol (v/v) solution with a current density of 222 mA cm−2 for 4 min, and then electropolished for 30 s at 500 mA cm−2. Then, 20 min of sonication was performed (S30H Elmasonic, 280 W, Elma) to fracture the pSi membrane into MPs. The pSi MP suspension was filtered, washed with ethanol and dichloromethane before drying to completeness.
| Porosity (%) = (m1 − m2)/(m1 − m3) | (1) |
000 MWCO spin tube (Sartorius Stedim) according to the manufacturer's instructions. This FITC labeled protein was then added to unlabeled Infliximab at a ratio of 1
:
5.85 and this stock was used to load pSi MPs as outlined above. Release was then monitored on an Agilent Technologies Cary Eclipse fluorimeter fitted with a Peltier temperature control system with a PMT of 650 V and excitation and emission slit widths of 5 nm. The emission was monitored at 525 nm and the excitation was performed at 490 nm. Data was recorded in an automated kinetic mode every 8 h for 7 d. The FITC signal was calibrated against a calibration curve constructed from dilutions of the FITC labeled Infliximab stock solution.
Scanning electron microscopy (SEM) images of the pSi surfaces etched using the optimal conditions of 233 mA cm−2 for 20 s and oxidised at 400 °C (Fig. 1) revealed pore sizes are approximately 22.2 ± 4.4 nm. The thickness of the porous layer, measured via SEM, was 1.39 μm and the porosity, determined by means of IRS, was 76 ± 5%.
![]() | ||
| Fig. 1 Scanning electron microscopy (SEM) images of (A) cross-sectional view and (B) top down view of the oxidised (400 °C) pSi film. | ||
The temperature at which the pSi film surface is oxidised controls both the extent of antibody loading (assuming that a larger difference in net charge between the pSi surface and antibody encourages more protein binding), and the rate at which the pSi will degrade in aqueous buffers. It is known from previous work that pSi functionalised at 600 °C or above will not readily degrade in aqueous solutions either in vitro or in vivo.12 For this reason, we chose to investigate oxidation temperatures of 300, 400 and 500 °C with freshly etched pSi as a control. Fig. 2 shows the average degradation curves for each oxidation temperature over a 2 h period. Combining this analysis with the pre-determined film thickness, we can estimate the expected degradation time. As anticipated, the fastest surface to degrade was the freshly etched pSi surface at a rate of 18.13% EOT per h, resulting in complete degradation of the film in just 2.5 h (0.10 d). The time for degradation of the films oxidised at 300 °C extended to 73.8 h (3.1 d at a rate of 0.61% EOT per h). This degradation time increased further to 201.3 h (8.4 d at 0.22% EOT per h) for the film oxidised at 400 °C and to 790.0 h (32.91 d at 0.06% EOT per h) for the sample after 500 °C oxidation.
The optimal etching conditions were then used to produce pSi MPs that were thicker in nature than the pSi films (Fig. 3) and could be suitable for either implantation or injection. pSi MPs were etched using the conditions adapted from those optimised for the pSi films, with an etching time of 4 min and a subsequent 30 s electropolish at 500 mA cm−2 to lift off the film, which was then subsequently sonicated to generate particles. SEM revealed that the pSi MPs had a thickness of 23.4 ± 1.3 μm (Fig. 3A). Higher resolution SEM analysis showed an average pore diameter of 19.5 ± 8.2 nm (Fig. 3B), very similar to that of the pSi films (22.2 ± 4.4 nm, Fig. 1B). Typical particle sizes were in the range of 66.5 ± 20.9 μm. Gravimetric analysis determined the porosity of the pSi MPs to be 84.2 ± 2.0%, again very close to that of the pSi film preparations (76 ± 5%).
![]() | ||
| Fig. 3 (A) SEM micrograph showing the size distribution of the pSi MPs and (B) higher resolution SEM micrograph showing mesopores of the pSi MPs. | ||
Zeta potential investigations into the pSi MPs prepared with various oxidation conditions at pH 7.4 revealed that the surface was negatively charged at about −20 mV for all oxidation temperatures (Table 1).
| pSi oxidation temperature (°C) | Zeta potential (mV) |
|---|---|
| 300 | −20.3 ± 0.9 |
| 400 | −19.4 ± 1.5 |
| 500 | −20.3 ± 1.7 |
This is in line with the literature and is attributed to the presence of Si–OH on the surface.53 Next, Infliximab binding was analysed overnight at room temperature by observing the change in zeta potential of the pSi MPs before and after the injection of Infliximab at 266 μg mL−1 (Fig. 4A).
It was observed that the zeta potential of the MPs after overnight incubation decreased significantly for all oxidation conditions, due to the adsorption of protein. Loading of the Infliximab into the pSi MPs during the zeta measurements was also confirmed by the UV-Vis spectroscopy of the supernatant before and after the loading experiment. The supernatant after loading showed complete removal of the protein peak at 280 nm (Fig. 4B), suggesting that the protein was completely sequestered by the pSi MPs.
Considering the degradation and zeta potential data, we chose to use 400 °C oxidised pSi MPs to perform binding Infliximab experiments since this sample was stable over several days (the desired timeframe of drug release) and was negatively charged where Infliximab at pH 7.4 is positively charged.73
Antibody loading experiments performed at pH 6.5 and 5.5 showed a similar trend in both zeta potential measurements and UV-Vis analysis (see Fig. S3, ESI†), suggesting no advantage of loading at more acidic pH values. Subsequently, our typical loadings of the pSi MPs were performed with approximately 15 mg of pSi and 1 mg (at 1 mg mL−1) Infliximab in PBS at 7.4. Loading values were individually assessed by UV-Vis spectrophotometry of the supernatant before and after for each particle preparation used, and were typically in the range of 0.063 ± 0.010 mg mg−1 similar to literature values.52 Loadings could be further improved by the use of higher concentrations of Infliximab (see Table S1, ESI†).
Successful loading of Infliximab was also confirmed by infrared (IR) spectroscopy. The IR in attenuated total reflection (ATR) spectra of oxidised pSi (Fig. 5, 400 °C oxidised pSi) showed a broad, intense peak centered at 1047 cm−1 attributed to the asymmetric stretching of Si–O–Si groups75 and at 887 cm−1 due to Si–O bending in O–Si–O.76 The shoulder located at approximately 1182 cm−1 was attributed to the stretching of surface oxide species including O–Si–O.77–79 After loading of Infliximab, into the oxidised pSi (Fig. 5, 400 °C oxidised pSi with Infliximab), the spectra still showed surface peaks characteristic of oxidised pSi in addition to new peaks at 1465 cm−1 from the asymmetric CH3 deformation and dual peaks at 2850–3000 cm−1 for the C–H stretching vibrations of the protein. Two prominent peaks at 1542 cm−1 and 1639 cm−1 were attributed to C–N–H bending vibrations (amide II) and C
O stretching vibrations (amide I) of the peptide bonds, respectively.80 The 1247 cm−1 peak could also be ascribed to amide III of the protein,81 while the secondary amine (N–H) stretching appeared at 3290 cm−1.80 The IR results therefore confirm the presence of Infliximab on the pSi surface. X-ray photoelectron spectroscopy (XPS) further corroborated those results (Table S2, ESI†).
To verify that Infliximab diffused completely through the oxidised pSi layer, the cross-sections of pSi films before and after Infliximab loading were imaged by time-of-flight secondary ion mass spectrometry (ToF-SIMS) to detect characteristic positive ion fragments, appearing in the mass spectra after loading Infliximab into pSi. Fig. 6 shows ToF-SIMS images of the total positive ions and the total intensity of the selected positive ion fragments C4H10N+ (m/z 72.081) and C5H12N+ (m/z 86.096) characteristic of the amino acids valine and leucine/isoleucine, respectively82 (see Fig. S4, ESI† for ToF-SIMS mass spectra and Table S3, ESI† for mass peak assignments). As expected, no signal was detected for the C4H10N+ & C5H12N+ positive fragments within the oxidised porous layer of the unloaded sample In contrast, both positive ion fragments were observed after Infliximab loading. The ToF-SIMS imaging also showed that the protein was present throughout the porous layer although signal intensity decreased with increasing depth. It should be noted that in order to facilitate the ToF-SIMS imaging, a very thick pSi film (80 μm) was used, much thicker than what was used for pSi MPs (23.4 μm). Indeed, ToF-SIMS imaging of oxidised pSi MPs after loading with Infliximab showed representative positive ion fragments, C4H10N+ (m/z 72.081) and C5H12N+ (m/z 86.096) over across the MPs (Fig. 7). As expected, however, mapping these fragments on the unloaded oxidised pSi MPs showed a very weak intensity. While it was impractical to cross-section the oxidised pSi MPs, we expected MPs with open pores on both sides would allow antibody loading easier than pSi films.
To obtain the antibody release kinetics from the 400 °C pSi MPs, we followed the emission of FITC-labeled Infliximab releasing into solution via fluorimetry (Fig. 8A). The release kinetics appeared initially to show a small burst release (approx. 5.3% at 8 h) followed by a near linear release profile (R2 = 0.976) release profile. This is desirable to maximise the therapeutic benefits of a localised drug delivery platform.83 It was observed that the optimally loaded pSi MPs released the Infliximab at a rate of 22.56 μg of Infliximab per day. These results show that the release of Infliximab should continue for approximately 14 d (47.34% release observed at 7 d).
To test the functionality of the Infliximab released from the pSi MPs oxidised at 400 °C, we carried out a TNF-α neutralisation ELISA periodically over 14 d. Infliximab released from pSi was functional with >90% TNF-α neutralisation observed for the day 1 and 2 samples (Fig. 8B, black bars). However, the activity of the released Infliximab diminished over time, with no effect observed past the day 7 time-point. Infliximab functionality when incubated in the absence of pSi (Fig. 8B, grey bars) (at an equivalent concentration to the amount released from pSi) was less than observed for antibody released from pSi, with no activity detected after the 2 day time-point. This indicated that the incubation of low concentrations of Infliximab in PBS at 25 °C leads to degradation, providing a limitation for the assay, but importantly provided evidence that pSi protected Infliximab from degradation prior to release.
To confirm that Infliximab released from pSi MPs neutralises TNF-α, whilst showing efficacy in a cellular environment, a L929 cell bioassay was used.71,84 Recovery of TNF-α treated L929 cells was assessed after 7, 14, 21 and 28 d of release. Recombinant TNF-α was cytotoxic to L929 cells in a dose dependent manner (p < 0.005) (Fig. S5, ESI†) and this cytotoxicity could subsequently be inhibited by Infliximab at ≥5 μg mL−1 (Fig. S6, ESI†). The addition of supernatant from Infliximab-loaded pSi MPs was demonstrated to increase L929 cell viability for up to 21 d (Fig. 9A). It should be noted that the MTT assay (Fig. 9A) showed the presence of functional Infliximab in samples up to day 28, longer than could be detected by ELISA (Fig. 8B). The discrepancy may be caused by differences in the sensitivity of these two assays and variations in the strength of TNF-α–Infliximab binding due to the different buffers, pH values and incubation times required. Together, the ELISA and L929 cell bioassay was able to confirm that Infliximab released from pSi MPs remained both stable and active.
The applicability of this system with conditions closer to a wound environment was demonstrated via the neutralisation of TNF-α spiked into acute wound fluid (AWF) from 3 different patients (Fig. 9B). Time points of 1, 2, 7 and 14 d were analysed with the L929 cell bioassay. L929 cells could recover >25% when exposed to supernatant incubated for 1 and 2 d. This result suggests that the pSi MPs loaded with Infliximab were able to neutralise the TNF-α in actual wound fluid samples. Additionally, the range of conditions in which Infliximab remained active was tested via the L929 assay. We observed that the L929 cells were able to respond to Infliximab treatment when high concentrations (1 mg mL−1) of Infliximab were held at pH values ranging from 4.5–8.5 and temperatures ranging from 4 °C to 37 °C for up to 7 d (see Fig. S7, ESI†). It was observed that even at the extreme pH values and temperatures approximately 70% cell recovery was observed.
The data presented here demonstrates that Infliximab is able to bind to TNF-α in a wound environment and subsequently reduces its activity. These results suggest the wide range and applicability of the delivery of Infliximab for applications ranging from wound healing to uveitis.
Footnote |
| † Electronic supplementary information (ESI) available: Infliximab loading optimisation results, XPS analysis of Infliximab loaded pSi, L929 bioassay experimental details, ToF-SIMS data, microporous pSi layer characterisation, EOT optimisation for pSi films, zeta potential measurements and UV-Vis loadings at pH 6.5 and 5.5, ToF-SIMS mass spectra, L929 cell assay optimisation and L929 assay results for incubations of Infliximab at different pH and temperature. See DOI: 10.1039/c5tb00397k |
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