Nano-molecularly imprinted polymers (nanoMIPs) as a novel approach to targeted drug delivery in nanomedicine

Molecularly imprinted polymers – MIPs – denote synthetic polymeric structures that selectively recognize the molecule of interest against which MIPs are templated. A number of works have demonstrated that MIPs can exceed the affinity and selectivity of natural antibodies, yet operating by the same principle of “lock and key”. In contrast to antibodies, which have certain limitations related to the minimal size of the antigen, nanoMIPs can be fabricated against almost any target molecule irrespective of its size and low immunogenicity. Furthermore, the cost of MIP production is much lower compared to the cost of antibody production. Excitingly, MIPs can be used as nanocontainers for specific delivery of therapeutics both in vitro and in vivo. The adoption of the solid phase synthesis rendered MIPs precise reproducible characteristics and, as a consequence, improved the controlled release of therapeutic payloads. These major breakthroughs paved the way for applicability of MIPs in medicine as a novel class of therapeutics. In this review, we highlight recent advances in the fabrication of MIPs, mechanisms of controlled release from the MIPs, and their applicability in biomedical research.


Introduction
Antibodies play an active role in the immune system through recognition and inactivation of pathogens. With a growing understanding of the benets brought by precision therapy, monoclonal antibodies were successfully exploited for targeted drug delivery. The examples range from antibody-drug conjugates to functionalized nanoparticles. Despite obvious Irina Garkushina is Head of "Laboratory of physicochemical methods for studying nanosystems and biotechnological products" at the Institute of macromolecules compounds of the Russian academy of sciences. She obtained her PhD degree in Biophysics from Peter the Great St.
Petersburg Polytechnic University, Russia in 2010. Her scientic interests include interactions between nanoparticles, biologically active substances, and polymers; synthesis and analysis of molecularly imprinted polymeric nanoparticles. In addition, she leads the development of technological platforms including the application of solid-liquid chromatography.
advantages the antibodies are expensive in development and production which signicantly hinders their availability for the patients. Another limitation of monoclonal antibodies is their general inability to recognize small, denatured, or slightly altered peptide antigens. These shortcomings stimulate the search for the chemical mimics of antibodies that would function by the same "lock and key" principle, but would be inexpensive in production. The recent breakthrough in the development of molecularly imprinted polymers (MIPs) against peptide and protein targets has made them one of the key candidates to replace antibodies. 1 Nano-MIPs may be functionalized with small molecules and uorescent dyes, which makes them a powerful tool for drug delivery (Fig. 1). They are characterized by high drug loading capacity, specicity of a payload delivery and versatility of molecular targets. 2 However, their most important property for potential clinical application is their excellent biocompatibility. 3 The use of MIPs may help to bypass the major aws of nanocarriersthe fast blood clearance and potential toxicity. 4

Fig. 1 Featured areas of nanoMIP applications in biomedicine.
Depending on the composition and nature of imprinted structure(s), MIPs may serve as a powerful platform for biosensing, molecular therapy, and the development of new tools for cellular studies. For instance, MIPs imprinted against particular cell surface markers can distinguish between different types of cells with different expressions of this marker. Furthermore, the use of MIPs against a particular protein allows its quick epitope discovery, whereby MIP-bound regions of the protein are protected against trypsin digest and the unprotected regions are subject to degradation. 5 The MIP-protected peptide sequences are subsequently identified by mass-spectrometry. MIPs fabricated against cell surface receptors can be used for the targeted delivery of drugs. MIPs bound to cell surface markers can label whole cells. MIPs can also prevent the ligand binding to their receptors, thereby affecting the physiology of cells.

Molecular basis for MIP mediated drug delivery
The recent developments of new approaches to the solid-phase synthesis of MIPs have minimized the batch-to-batch variation of nanoMIPs properties. This advancement resulted in a rapid growth of their biomedical applications. Initially, the research in this area was focused on the development of new synthesis methods and the employment of novel polymer classes. The latter aimed to develop new coatings that would be more effective in recognition of the target molecule and more precise in the grade of payload release. One of the most noticeable shis prior to the solid phase synthesis was the transition from the use of covalent bindings to non-covalent bindings between the polymer and the template. Hydrogels based on derivatives of acrylic acidbased monomers (MAA, HEMA, DMAA) became a popular system for imprinting of small molecules, peptides and proteins as they retain the binding specicity even in aqueous solutions (for example, MIPs for sulfosalazine 6 and S-amlodipine 7 ). Cyclodextrin derivatives were another important material for MIPs fabrication, which have been used for the delivery of vancomycin and L-DOPA. [8][9][10] However, a low cross-linker density reduced the stability of MIPs and required a more complex polymer network design. Concurrently, a high degree of water content signicantly increased the biocompatibility of such nanoparticles, by decreasing protein absorption on their surface. Hence it reduced the likelihood of immune response, which is an important issue in the eld of targeted drug delivery. 11,12 The rst report on the potential use of MIPs for the drug delivery was published in 1998. The polymer was built using methacrylic acid (MAA) cross-linked by ethylene glycol dimethacrylate (EGDMA). It was able to recognize and selectively distinguish between the anti-asthmatic drug theophylline and structurally similar caffeine. Importantly, these MIPs were capable of gradual release of theophylline. This study indicated that the selective binding characteristics of imprinted polymers could be used for development of the novel drug dosage forms. 13 It has also set the stage for an in vivo application of MIPs. While MIPs have already been employed as a tool for biosensing and molecular recognition, 14-16 their repurposing was a way to a shi in nanomedicine.
The rst application of MIPs for drug targeting came in 2000 as an anecdotal result of experiments on protection of imprinted acrylic MIPs from excessive hydration in water solutions. This study has led to the development of different strategies for the spatial limiting of drug release, such as multilayer MIPs. They were capable of transdermal delivery of propranolol. The two layers consisted of cross-linked EGDMA-MAA which carried the imprinted compound and a non-polar transdermal adhesive. 17,18 Another approach exploited so contact lenses from polymeric hydrogels for MIP-mediated delivery. In the pioneering paper, testosterone was added to the poly(2hydroxyethyl methacrylate) (pHEMA) mixture during synthesis. Upon polymerization, testosterone gradually released from the polymers into the aqueous solution. 19 Next, the so contact lenses have been extensively used for the delivery of enoroxacin, 20 prednisolone, 21 timolol, 22,23 ciprooxacin, and ketotifen. 24 For life science applications, MIPs should specically and efficiently recognize proteinaceous targets. To this end, polyacrylamide nanoparticles bearing imprints of short hydrophilic peptides were developed. The 28 nm size nanoparticles were synthesized against a peptide derived from the green uorescence protein (GFP) using the microemulsion method whereby the aqueous solution of monomers and the peptide target are added to the mixture of nonpolar solvents. 25 In another study, 37 nm nanoMIPs were synthesized against the short peptide sequence CNCKAPETADCAFVCFLS, which partially corresponded to the immunogenic epitope of the mitochondrial/cell surface p32 protein, which is oen overexpressed in cancer cells. The MIPs remained stable and functionally active even in blood serum. They effectively bound the over-expressed target protein on the surface of 4T1 and BxpC-3 breast cancer cells in vitro. The developed nanoparticles also effectively targeted the BxpC-3 cells in vivo in mouse xenogras and specically accumulated in the p32-positive cells. Finally, when loaded with methylene blue, these MIPs were successfully used for the photodynamic-based therapy of the tumour. This seminal work was one of the rst to demonstrate the effective use of molecular imprinted polymers for targeted tumour therapy. 26 Another frequently overexpressed tumour antigen is EGFR. The EGFR Nterminal nonameric peptide modied with palmitic acid was used as the imprinting template. The core-shell carbon dots functionalized with the developed MIPs specically recognized the EGFR protein on the surface of HeLa cells both in cell culture and in mice as a xenogra model. Although the primary aim of the study was the development of new instruments for tumour sensing and imaging, the obtained data also suggested  the usability of such nanoMIPs in drug delivery. 27 Similar particle design has been used for targeting the C125 antigen by the doxorubicin-loaded MIPs. However, in this case the effective drug delivery has been demonstrated only in vitro. 28 Analogous core-shell nanoparticles with a graphene oxide quantum dot core and a MIP shell were successfully employed for the lightcontrolled delivery of doxorubicin in bacteria. 29-31 Collectively, the documented success of this approach suggests that such peptide-recognizing nano-MIPs with the size below 100 nm may not only substitute cellular receptors but can also be used as specic nano-carriers for the delivery of drugs.

Biocompatibility
One of the critical parameters of precision nanomedicine relies on the biocompatibility of drug delivery systems, i.e., they should have no adverse effects on healthy cells and tissues. The biocompatibility of MIPs primarily depends on the surface chemistry of the nanoparticles and requires their initial evaluation in vitro. New materials are usually tested for biocompatibility in vitro using the standard broblast-like cell line NIH/ 3T3. [32][33][34][35][36] Generally, the analysis of toxic effects is based on whether or not nanoparticles lead to cell death. However, the concept of cytotoxicity should be linked to several other aspects, such as inammatory response, alterations in the natural morphology or functions of the cell, overall effects on the cellular metabolism. Although not much information on the toxicity of MIPs is available, there are several examples indicating that nanoMIPs are usually not toxic. For instance, nano-MIPs fabricated from methacrylic acid and ethylene glycol dimethacrylate for the targeted delivery of olanzapine to the central nervous system showed low cytotoxicity with respect to the NIH/3T3 cell line. 33 Furthermore, nano-MIPs based on trimethylolpropane trimethacrylate (TRIM), EGDMA and MAA copolymers synthesized against melamine did not display cytotoxicity in HaCaT and HT1080 cells (keratinocyte and brosarcoma cell lines, respectively). 37 The nano-MIPs based on poly(lactide-co-glycolide) (PLGA) and acrylic acid demonstrated complete biodegradation in cell medium. 38 Thus, with the correct monomer composition, it is possible to generate biocompatible nano-MIPs that do not elicit cytotoxicity at least in vitro when tested against various cell lines.
Obviously, once MIPs would become more widely used in in vivo applications, more rigorous studies on their long-term in vivo toxicity would be necessary. It is worth mentioning that nanoparticles might not lead to apparent acute in vivo toxicity in the rst instance, however they could potentially accumulate within organs. Thus, extensive studies are needed to understand the long-term effects of nanosystems due to their accumulation in various organs (liver, lungs, spleen, kidneys etc). Once nanoparticles enter the organism, they undergo several biological transformations. Typically, nanoparticles in the bloodstream get coated by opsonins and then sequestered in the reticuloendothelial system (RES), in order to be destroyed. 39 However, if they are not biodegraded, nanoparticles may accumulate within cells and tissues with potential toxic effects. Therefore, long-term biocompatibility studies are required, in order to clarify the potential risk arising from particle accumulation. One approach to reduce their cellular internalization and to increase biocompatibility relies on the modication of the particle surface with neutral hydrophilic polymers. PEG with MW N 2000 Da is a particularly useful modifying agent for increasing the time of blood circulation of nanoparticles, due to its ability to reduce the adsorption of opsonins by means of steric repulsion forces. 40 In conclusion, there is a potential for use of nano-MIPs in vivo, for drug delivery, imaging and diagnostic applications. However, long term evaluation of the toxicology of these materials is required before their practical application commences.

Mechanisms of controlled drug release from MIPs
The applicability of nanoparticles as nanodevices that are able to controllably release drugs in vivo relies on the nature of the release stimulus (Fig. 2). This is usually dened by the method of nanoparticle administration. An important feature of MIPs is their versatility with respect to routes of administration. Initially, studies on the controlled release of drugs from nanoparticles were focused upon their oral administration. The latter is undoubtfully, a more convenient and tolerable way of delivery for patients and could be applied to a variety of dosage forms. NanoMIPs however can do much more than just protect drug cargo from destruction in digestive track.  Multiple imprints of nanoMIPs can extend their functionality. For example, nanoMIPs imprinted against the cell surface receptors (shown as red and blue strings) can also carry the pharmaceutical payload (e.g., doxorubicin, shown as stars) and at the same time be labelled with a fluorescent dye (e.g., Cy5 depicted as green clouds) for subsequent visualisation.

pH sensitivity
The release of an imprinted molecule in response to changes in the acidity of the surrounding medium is one of the key features required for the effective design of therapeutic agents for oral delivery. For example, pH-dependent drug release may be suitable for the treatment of certain cardiovascular pathologies that are associated with changes in the acidity of blood serum. Such an effect can be based on changes in the physical volume of hydrogel due to solvation of its side chains upon changes in acidity. Such a possibility has been explored by using 20-63 micron size MIPs for peroral administration fabricated from EGDMA cross-linked with MAA. These MIPs effectively retained the imprinted doxorubicin in highly acidic (pH 1.0) solution compared to the non-imprinted polymers. When the pH increased to 6.8, which simulated intestinal uid, the drug was released. 41 Another successful application of such approach was exemplied by the use of pH-sensitive hydrogels from frontally polymerized N-isopropylacrylamide. The specic release of the imprinted gatioxacin was observed at pH 7.4 followed by a slowdown in release upon the decrease in pH to 1.0. 42

Light-sensitivity
The light-controlled drug release may be another attractive option for the drug targeting. The use of near-infrared light sources, that may penetrate the tissues, in combination with upconversive uorophores provides a plethora of opportunities for the precise tumour therapy. Inclusion of azobenzene derivatives in the mixture of monomers is a standard routine for synthesis of photosensitive MIPs. Active groups of the compound may exist in two forms: stable cis-isomer and meta-stable transisomer. Upon UV-light irradiation, azobenzene isomerizes and transits from trans-to cis-form. The reverse transition may be launched by visible light or by an increase in temperature. 44 This principle allows develop smart materials with mechanical and optical properties sensitive to light irradiation. 45,46 An example of such a light-sensitive material is the MIP consisting of cross-linked 4-phenylazobenzoic acid (MPABA), which specically recognizes and binds caffeine. Under UVirradiation, the trans-cis isomerization leads to the release of 58.3% of bound caffeine. It may be loaded back when irradiated with 440 nm visible light. 47 The use of multilayer supramolecular structures enables the buildup of MIPs, which would specically release the cargo when irradiated at other wavelengths. 48 Although the development of photosensitive imprinted nanoparticles seems feasible, the possibility of their medical use for drug delivery still has to be explored.

Temperature-sensitivity
Another class of reactive nanomaterials is thermosensitive polymers. The release mechanism of bound molecules upon a temperature shi is similar to that for pH-sensitive polymers. Typically, they are loaded at the minimally low solution temperatures, when imprinted sites collapse and thus seal the payload inside the particle. When the temperature rises, the pores open and the imprinted molecules discharge. Such particles may be synthesized basing on the mixture of N-isopropylacrylamide (NIPAm), MAA and EGDMA. In this case, acrylamide derivatives take the role of the thermo-sensitive element. However, in biological systems the temperature window is narrow, which affects the efficacy of this approach. The MAA based MIPs imprinted with 4-amino pyridine effectively respond to the temperature shi. Augmentation of the temperature results in the release of the 80% of a drug compared to 60% in the control particles. 49 In addition to small molecules, small peptides and proteins may also serve as templates for temperature-controlled release. This possibility was demonstrated for particles fabricated from cross-linked NIPAM and carrying an imprinted enzyme, lysozyme. The conformational changes were launched by the rise of temperature above 33 C, resulting in the reversible release of the enzyme. 50 The composition of the monomeric mixture oen determines the properties of synthesized particles. Different modalities or the combination thereof may be easily obtained by simply adding the necessary compoundtherapeutic, uorescent or thermosensitive moieties. A good example of such multifunctional particles are thermosensitive uorescent particles sized 60-200 nm and fabricated using the MAA, 2,6bisacrylamidopyridine, and N-methylenbisacrylamide (NMBA) monomers imprinted with thalidomide. When the temperature raised above the critical low range temperature of the solution, the particles specically released the R-enantiomer of thalidomide, which restricts the growth of cancer cells in culture. Furthermore, uorescent labels enable easy tracing of the release spots. 51 The versatility of MIPs is based on the wide spectrum of available monomers that can be used to achieve the required properties. A simple and effective approach has been developed for the synthesis of nanoMIPs with reversible and specic thermo-and photosensitive release of target molecules in aqueous solutions. 52 To generate MIPs against the herbicide, 2,4-dichlorophenoxyacetic acid (2,4-D), silicon microspheres were rst coated with a shell of molecularly imprinted polymers based on 4-((4-methacryloyloxy)phenylazo)pyridine and EGDMA. Next, the surface of the produced core-shell particles was additionally functionalized with "brushes" from a thermosensitive mixture of poly(N-isopropylacrylamide)-b-polyhydroxyethylmethacrylate followed by subsequent removal of the silica core. The resulting 500-600 nm size particles specically bound 2,4-D and were stable at 37 C temperature. However, changes in the ambient temperature, or the presence of UV-radiation, triggered the release of the target molecule. This study represented one of the rst attempts to make a multifunctional carrier capable of recognizing several external stimuli. 52 This study also conrmed the possibility of developing MIPbased carriers that specically respond to the temperature shis. It is tempting to speculate that one can fabricate such MIPs with the payload circulating in the bloodstream under physiological conditions but releasing the drug upon a temperature shi (disease state).

Metal-containing MIPs for multimodal sensitivity
The polymeric nature of MIPs enables their use both as free nanoparticles and as a coating agent. The hybrid particles typically consist of a metal core and a polymer shell. The combination of functionalities of these two materials expands the versatility of the resulting MIPs and increases the precision of drug release. Such hybrid particles can also be programmed to respond to a combination of external stimuli. In this mode, a magnetic core can simultaneously act as a reporter for magnetic particle imaging (MPI) or magnetic resonance imaging (MRI), or as actuator that stimulates the release of a therapeutic agent. [53][54][55] A successful use of such hybrid materials is exemplied by superparamagnetic particles coated with a thermosensitive polymer fabricated by the cross-linked NIPAM with imprinted 5-uorouracil (5-FU) 130-150 nm size. They are able to specically bind a therapeutic molecule and release it at temperatures above 42 C (up to 91.17% at 45 C), while retaining all properties of superparamagnetic core. 56 Through rational particle design, the release temperature may be lowered to 25 C. 57 Alternatively, a mixture of NIPAM and cyclodextrins can be used for polymerization. In this case, more structurally complex molecules such as curcumin can be imprinted. 58 Protocols of supramolecular chemistry enable the development of elaborate multilayer structures with complementing properties of different coatings such as a combination of MIPs and metal-organic frameworks (MOF). In this case, the polymer stabilizes MOFs in different media and prevents them from degradation. 59 One of the rst particles of this class were [Cu 3 (BTC) 2 (H 2 O) 3 ] n (HKUST-1) frameworks coated with 4methyl phenyl dicyclohexyl ethylene (MPDE) polymer, carrying the imprinted anticancer drug, capecitabine. This modication stabilized HKUST-1 in aqueous solutions. The drug was controllably released only at moderate pH, which is convenient for oral administration. The produced 2 mm particles had a very low toxicity and a good pharmacokinetic prole, thus prolonging the circulation of capecitabine in the blood stream. 60 The superparamagnetic structures can also be used for tracking via MRI or MPQ in vivo. Simultaneously they can generate heat when exposed to alternating magnetic eld. 61,62 Such possibility has been shown for the delivery of imprinted doxorubicin or olanzapine by core-shell particles fabricated using magnetite coated with MIPs. [63][64][65] Thermal ablation may also be performed by using hybrid particles with a metal plasmon core such as gold nanorods. In this case, MIP coating performs the targeting. The example is the 40 nm by 10 nm rods coated with MIPs imprinted with sialic acid. The particles bound specically to hepatocellular carcinoma HepG-2 cells, but not to normal hepatocytes of the L-02 cell line. Under laser irradiation at the wavelength of the surface plasmon resonance of particles (750 nm), thermal ablation of the target cells occurred. In vitro data was reproduced in vivo using a HepG-2 tumour xenogra in nude mice. Aer the intratumoural injection of particles, followed by irradiation with a far-red laser, the tumour volume reduced aer 14 days in comparison with the unirradiated control. However, the targeting of particles to cells perhaps occurred nonspecically due to the enhanced permeability and retention (EPR) effect. 66 It should be noted that most of the research in this area has been carried out only within the last few years (Table 1). Thus, we can expect many more exciting discoveries in this area in the nearest future.

The next generation MIPsfrom solution to solid phase
Although the transition to the non-covalent binding between polymer and template has enabled the use of MIPs for the recognition of cell surface markers, it had one signicant drawbacklack of generic, versatile, scalable and cost-effective approach for their manufacturing. This issue has been resolved by the introduction of a solid-phase MIPs synthesis, developed by the Piletsky group in 2013. 1 It was the result of rethinking the concept of polymer preparation in line with automated protocols used in synthesis of peptides and oligonucleotides. The target molecules in this case were covalently immobilized on the solid phase, e.g., glass beads. Next, monomers were polymerized around the template, thereby performing imprinting. Aer the removal of the unreacted monomers and nonspecic polymer particles, high affinity polymer particles were subject to a temperature-based affinity separation, being simply eluted from the solid phase template by means of a temperature increase of the solvent. The resulting 100-200 nm size MIPs carried the imprints of target molecules and were able to specically recognize them in different settings. The usability of this strategy was rst demonstrated for melamine, vancomycin and various peptides as targets. 1,67 Furthermore, this method was modied for the imprinting of DNA, proteins, and viruses. 68 The obtained particles were apparently non-toxic, did not change the cellular metabolism, and were efficiently internalized by cells via the endocytosis route. The latter was shown in vitro on various cancer cell lines including HaCaT, MEFs, and HT1080. 69 The key advantages of this method compared to the emulsion-based one include a more homogeneous distribution of binding site affinities (deriving from the orientation of the template on the solid phase), better accessibility of binding sites, and the increased affinity for target molecules even in a complex molecular environment. Additionally, this approach enables the recognition of an extremely wide range of target molecules and the possibility of a complete automation of the synthetic process. The implementation of this synthesis method resulted in a dramatically increased speed of fabrication of MIPs against various cell surface markers. Thus, they became a powerful targeting nanoagents (Fig. 3).

NanoMIPs as carriers for the targeted delivery of drugs in vivo
One of the most prospective therapeutic applications of MIPs resides in the possibility of systemic treatment of various malignancies. MIPs possess all the necessary properties to become the next major platform for the development of cancer therapy due to their versatile nature and ability to mediate specic drug delivery. In addition to the ability of specic recognition of various cell surface markers in complex environments, MIPs are biocompatible and can be programmed to release their therapeutic cargo in response to specic external stimuli. 18 The rst use of MIPs for in vivo cancer targeting was demonstrated by the Cuschieri's group. An oligopeptide corresponding to a fragment of the VEGF protein was used as a template for MIPs fabrication. The obtained MIPs were additionally modied by uorescent quantum dots that were covalently immobilized on their surface. The obtained 171 nm size nanoparticles had a statistically signicant tendency to accumulate near VEGF-positive cells in the WM-266 melanoma cell line xenograed into zebrash embryos. These results conrmed the theoretical possibility of using nanoMIPs for tumour therapy. However, the efficiency of the payload delivery was not demonstrated. 37 In the same year, the use of MIPs as therapeutic agents was shown in a collaborative study by the Barlev and Piletsky groups. Using breast cancer human cell lines MDA-MB-468 and SKBR3 as in vitro models, the authors have shown that the EGFR-imprinted uorescein-labelled nanoMIPs with size 150-200 nm specically recognized MDA-MB-468 EGFR-positive cells, but not SKBR3 EGFR-negative cells. Due to an additional imprinting with doxorubicin in the core of EGFR-specic nano-MIPs, they reduced the survival rate of MDA-MB-468 EGFR-positive cells by arresting their cell cycle and increasing apoptosis. Importantly, no appreciable effect of doxorubicin-loaded EGFR-nanoMIPs was detected in SKBR3 EGFR-negative cells. 70 The in vivo use of nano-MIPs obtained by solid-phase synthesis has been recently demonstrated by Macip's group with the aim to target senescent cells in immune-decient mice. By using double-imprinted 133 nm size nano-MIPs against a b2 microglobulin (B2M) epitope, one of the cell surface markers of premature senescence, 71 selective nano-MIPs were successfully synthesized in the presence of the senolytic tyrosine-kinase inhibitor, dasatinib. Fluorescent tagging showed selective binding of B2M-nanoMIPs to senescent cells, proportional to the amount of B2M protein expressed on their surface. 72 Importantly, the treatment of B2Mpositive EJ bladder cancer cells with these MIPs (B2M-MIPs) signicantly reduced the proliferation of cancer cells.
The demonstrated synthesis of standardized nano-MIPs capable of specic delivery of therapeutic or reporter molecules has stimulated interest for their in vivo application. In addition to these studies, the work of Liu's group also proved the applicability of MIPs as potential therapeutics. The study demonstrated the effective binding of hybrid silica-based nanoparticles coated with N-glycan MIPs to HER2-positive SKBR3 breast cancer cells. Treatment of cells with MIPs blocked the receptor dimerization and hence prevented subsequent triggering of the corresponding signaling pathways. The latter signicantly reduced the proliferation rate of HER2-positive SKBR3 cells in vitro and in mouse xenogras in vivo. 73

Conclusions
In summary, nano-MIPs clearly represent a new promising nanomaterial-based approach for targeted delivery of different payloads. By varying the monomer composition, it is possible to fabricate biocompatible, potentially even biodegradable, or stimulus-sensitive nanoparticles. The specicity of the drug delivery may be enhanced by using template proteins that are unique for target cells or overexpressed on their surface, e.g., EGFR or PDGFR in specic epithelial cancers. Introduction of synthetic linear peptides as templates that reect the structure of target epitopes has simplied the synthesis process, as well as enhanced the reproducibility of the physical properties of the particles being developed (Fig. 4). Fabrication of nano-MIPs by the double imprinting method provides a new technological breakthrough allowing different combinations of drugs while keeping the precision of specic delivery.
There are several features that largely determine the success of a potential drug delivery platform in clinic such as biocompatibility, specicity and compatibility with its potential cargo. The vehicle should demonstrate high safety prole and ideally must be completely cleared off the organism shortly aer performing its function. On the contrary, when systemically injected nanoparticle-carriers should evade the reticuloendothelial system to effectively inltrate the target tissues. The nonselective activity of most drugs when introduced systemically, limits their efficacy due to various adverse effects. This problem may be solved either by exogenous control of the precise release of therapeutic cargo from the vehicle (e.g. application of magnetic elds), or by guiding the nanocarrier to the tissue of interest by immobilizing specic recognition/targeting molecules on its surface. Since most disorders are caused by breakdown in more than one regulatory mechanism, the ideal platform should be able to deliver several therapeutic molecules of different size and nature.
Having said that, the unique biophysical properties of MIPs match all the criteria mentioned above and make them a highly perspective platform for clinical applications. The nanoMIPs carriers exhibit a good biocompatibility prole. The possibility for multiple imprints on their surface makes them a versatile tool for specic and simultaneous delivery of several therapeutics and molecular probes. Furthermore, nanoMIPs can be employed as a platform for the development of smart materials. For instance, the use of light-sensitive or photo-responsive monomers allows for the activation of the drug release via external stimuli. Addition of sensor molecules to the MIP composition would likely help visualize the site of the drug release, or even help measure the kinetics of this process. 41 Importantly, polymer-based materials not only provide a means for the controlled and gradual release of a drug at a particular site, but also augment the specicity of targeting. The surface of nanoparticles can be easily functionalized with the targeting molecules such as antibodies, aptamers, or trap-receptors, that would guide them to the malignant tissue. The insertion of a metal core into MIPs may provide additional features which could be used for in vivo therapeutic applications. E.g., magnetic nanoparticles may be used for local hyperthermia in the body when positioned in an alternating magnetic eld. Furthermore, silver and gold plasmonic particles may generate heat when irradiated by light beams of specic wavelengths. 74 The development of polymeric nanoparticles, which would synergistically combine the advantages of both materials, will likely build a new technological platform for diagnostics and therapy. 14 Evidently, the success of numerous studies made over the past two decades have gradually shied the paradigm of MIPs employability from sheer cargo transporters to smart carriers capable of recognition and specic delivery of therapeutics to the target cells (Table 1).
Currently, the key limitation for the broad application of nanoMIPs in biomedicine instead of conventional antibodies is the necessity of careful selection of the target peptide for imprinting, which should represent a biologically sound epitope in vivo. In this respect, a recent study from the Piletsky group has described an approach how to do an unbiased mapping of the biologically relevant protein epitopes using MIPs. 75 Another obstacle to the wider use of nanoMIPs in diagnostics is the sensitivity of imprints on the surface of nanoMIPs to any chemical modication aer their removal from the solid surface. It signicantly narrows the applicability of the nanoMIP-based delivery platforms by limiting the functionalization of the ready-made particles by uorescent labels or additional polymer coating. Finally, there is very little information on the behaviour of nanoMIPs in vivo, such as their pharmacokinetics, bioavailability, toxicity etc. Despite the obvious importance of such information for the translation aspect of MIPs applicability, this gap started to be patched only recently. In vivo studies on the bioavailability and compatibility of MIPs immediately highlighted several major limitations of the use of synthetic polymers in systemic delivery. One of such limitations is the formation of a protein corona that sterically blocks the active binding sites of target molecules and activates the complement. [76][77][78] However, it is important to note that this problem is intrinsic to nanoparticle-based systems in general. Successful solving this problem is a matter of future research.
Conflicts of interest S. A. P. is the founder and F. C. is the head of chemistry in MIP Diagnostics Ltd, UK.