Open Access Article
Alexander B.
Cook‡
*,
Annalisa
Palange
,
Michele
Schlich
,
Elena
Bellotti
,
Sayanti
Brahmachari
,
Martina
di Francesco
and
Paolo
Decuzzi
Laboratory of Nanotechnology for Precision Medicine, Istituto Italiano di Tecnologia, Via Morego, 16163 Genova, Italy. E-mail: a.b.cook@tue.nl
First published on 14th August 2023
Interactive materials are an emerging class of systems that can offer control over response and adaptivity in polymer structures towards the meso- and macroscale. Here, we use enzyme regulated cleavage of peptide crosslinkers in polymer hydrogels to release a cytotoxic therapeutic nanoparticle with an adaptable mechanism. Hydrogel microplates were formed through polyethylene glycol/peptide photoinitiated thiol–ene chemistry in a soft-lithography process to give square plates of 20 by 20 μm with a height of 10 μm. The peptide was chosen to be degradable in the presence of matrix metalloproteinase 2/9 (MMP-2/9). The hydrogel material's mechanical properties, swelling, and protease degradation were characterised. The microfabricated hydrogels were loaded with docetaxel (DTXL) containing poly(DL-lactide-co-glycolide) (PLGA) nanoparticles, and characterised for enzyme responsivity, and toxicity to MMP-2/9 overexpressing brain cancer cell line U87-MG. A 5-fold decrease in EC50 was seen compared to free DTXL, and a 20-fold decrease was seen for the MMP responsive microplates versus a non-degradable control microplate. Potential applications of this system in post-resection glioblastoma treatment are envisioned.
000 people per year, its poor prognosis makes it a critical public health concern.3 Currently, recommended treatment involves surgical resection, and then oral chemotherapeutic temozolomide (TMZ), often combined with radiotherapy.4 This combination has been shown to be the most effective current option, with 6 weeks of radiotherapy (60 Gy), together with concomitant chemotherapy with TMZ (75 mg m−2 daily), followed by six months of TMZ treatment (150–200 mg m−2 for 5 days every 28 days), now being standard.5
Complete resection via surgical methods is not possible due to the diffuse nature of the disease, and desire to leave unaffected brain cells untouched. In addition, oral and/or systemic therapies are severely limited by the blood brain barrier.6 Typically, the tumour recurrence occurs within 2 cm of the original margins. This has led to the development of implantable devices for local and sustained drug delivery in the post operative tumour bed.7,8 While these systems have led to improvements in patient survival, it has also been noted that polymer embedding can have disadvantages. The most widely used implantable system for GBM treatment are the clinically accepted Gliadel wafers, which are 1 cm polymer disks of poly((1,3-bis(carboxyphenoxy)propane)-co-sebacic acid), containing Carmustine chemotherapeutic. A systematic review from Komotar et al. of 19 studies and 795 patients receiving Gliadel treatments, showed 25% of patients experiencing seizures due to implant complications, and 12% of patients experiencing cerebral edema.9 Patients receiving treatment with Gliadel wafers also had increased risk of intracranial infection and cyst formation associated with the non-natural biomaterials surface.10 The large size and flat surfaces of Gliadel implants limit contact with residual tumour cells as they metastasise, while the polymer rigidity is not matched to the mechanical properties of the surrounding tissue.
Hydrogels are soft materials formed from the crosslinking of hydrophilic polymer chains, have water contents of typically >90%, and storage moduli higher than their corresponding loss moduli.11,12 Advances in engineering of hydrogels with controlled size, shape, stiffness, and chemical functionality, has allowed for increased application of these materials in areas such as tissue engineering, drug delivery, neural interfacing materials, and soft robotics.13–15 The use of hydrogels as injectable or implantable local drug depots is becoming more widespread. Compared to in situ formed gels, pre-injection engineering of hydrogel materials allows more precise control over crosslinking, stiffness, and drug or nanoparticle loading.16 This pre-administration materials engineering strategy has recently been used to great effect to produce drug delivery systems that can conform and adapt to the tumour resection cavity.17 In addition, this strategy does not require UV irradiation directly on the brain which can damage healthy cells.18
Here, we have designed hydrogel microplates with tunable size and stiffness, formed through thiol–ene photoadditions of norbornene functional polyethylene glycol (PEG) and peptide crosslinkers, utilizing incorporated cysteine residues. The peptide linkers are cleavable by metalloproteases (MMP-9 and MMP-2) which are overexpressed in the infiltrating tumour microenvironment.19 Incorporation of this enzyme responsiveness should limit toxicity to healthy cells and achieve higher dose to invasive tumour margins and metastases. Chemotherapeutic docetaxel (DTXL) has been encapsulated in poly(lactic-co-glycolic acid) (PLGA) nanoparticles, which are entrapped in the hydrogel network, and released on exposure to MMPs. Physiochemical characterization of the engineered microplates was carried out with microscopy techniques and profilometry, while in vitro enzyme response was confirmed with both imaging and a drug release assay. Toxicity studies on U87-MG brain cancer cells were carried out in vitro, and the drug loaded microplates effect on cell viability investigated. The enzyme responsive docetxel-loaded microplates have been compared to their non-degradable equivalents, free docetaxel-containing nanoparticles, and free docetaxel. We propose these microplates as a protective layer over resected tumour site, which have minimal degradation and drug release without the specific enzymatic triggers excreted by infiltrating tumour cells, able to deliver dosages to glioblastoma tumour cells while leaving healthy cells less affected.
000 g mol−1), 2-hydroxy-40-(2-hydroxyethoxy)-2-methylpropiophenone (Photoinitiator), poly(D,L-lactide-coglycolide) acid (PLGA, lactide
:
glycolide 50
:
50, Mw 38
000–54
000 g mol−1), poly(vinyl alcohol) (PVA, Mw 31
000–50
000 g mol−1), and dithiothreitol (DTT), were purchased from Sigma-Aldrich. MMP-2/9 cleavable peptide (CVPLS↓LYSGC) was purchased from Genscript. Collagenase type IV (MMP-2/9) was purchased from Gibco Life technologies. Docetaxel (DTXL) was purchased from Alfa Aesar. Polydimethylsiloxane (PDMS) (Sylgard 184) was purchased from Dow Corning Corp. 1,2-Distearoyl-sn-glycero-3-phosphoethanolamine-N-[carboxy(polyethylene glycol)-2000] (sodium salt) (DSPE–PEG2k–COOH), and 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC) were purchased from Avanti Polar Lipids. MTT reagent 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide was purchased from Sigma-Aldrich. InnoZyme™ MMP-2/9 activity assay kit was purchased from Merck Millipore and used following the manufacturer's instructions. All other reagents were purchased from Sigma-Aldrich/Merck unless specified.
:
1, thiol
:
ene molar ratio) at varying weight percentages, in deionized water with 0.05 wt% photoinitiator. The prepolymer solution was added to square (1 cm by 1 cm) templates and crosslinked with UV light (365 nm, 10 mW cm−2) for 5 minutes. Equilibrium swelling ratio was determined, to give information about network structure, degree of cross-linking, as well as hydrophilicity. The gels were placed in vials with deionized (DI) water for 24 h. The hydrogel dimensions were measured, and the gels were weighed after excess buffer was removed using paper. The hydrogels were then lyophilized to obtain the dry weight of the gels. The swelling ratio based on hydrogel mass (QM) was calculated. QM = MS/MD. Where MS is the hydrogel mass after swelling and MD is the dry hydrogel mass. QM was further used to calculate the volume swelling ratio (QV). QV = 1 + ρD/ρS (QM − 1). Where ρD is the density of the dry hydrogel (1.12 g cm−3 for PEG) and ρS is the density of the solvent (1 g cm−3 for water).20 For mechanical testing, hydrogels swollen in deionized water for 24 hours were measured for their dimensions prior to mechanical testing. Uniaxial compression testing was performed on an 3365 Instron dynamometer, equipped with a 10 N load cell. Load was applied with 1 mm min−1 rate until approximately 30% deformation. Compression modulus was calculated from the linear region of the stress strain curve and is the average of 5 repetitions. The porous structures of the lyophilized hydrogels were observed using a JEOL JSM-6490LA scanning electron microscope (SEM).
:
1, volume ratio), the air bubbles were removed under vacuum, and the PDMS is cured at 80 °C for 3 hours. After removing the PDMS from the silicon, a PVA solution (10 wt% in DI water) is added on top of the pattern and placed in an oven at 60 °C for 2 hours. The resulting PVA film is a replica of the silicon master template, after removal from the PDMS. Solutions of 4 arm PEG-norbornene and thiol functional peptide (10 wt%, and 1
:
1 thiol
:
ene molar ratio) in ethanol with 0.05 wt% photoinitiator, were spread over the wells of the PVA film and then crosslinked with UV light (365 nm, 10 mW cm−2) for 5 minutes. In the case of non-degradable microplates, the dithiol DTT was used in place of the peptide. The templates are then dissolved in DI water, and the released microplates collected by centrifugation at 1717g for 5 minutes, resuspending in DI water and centrifuging again. Microplate profile on a flat surface was measured with an optical profilometer (Zeta-20 from KLA-tencor). Average size and size distribution were obtained with a Multisizer 4 Coulter counter (Beckman Coulter) with a 100 μm capillary, and following guidance on particle measurement from the manufacturer's documentation. Scanning electron microscopy was performed from an air dried drop of microplates on silica, after uniform gold sputter coating, with a JEOL JSM-6490LA SEM Analytical (low-vacuum) scanning electron microscope (5–15 keV). Swelling volume change of the hydrogel microplates was estimated using optical microscopy. The microplates were allowed to swell in DI water for 24 hours, then imaged in solution (Leica 6000). A size distribution was determined using image-J analysis on approximately 100 particles, and the average microplate volume was calculated, and compared to the initial template dimensions to give an estimated volume swelling ratio of the microplates (fold change volume = Vf/Vi).
104g. Dynamic light scattering was used to characterize the size and zeta (ζ) potential of nanoparticles under aqueous conditions at pH 7.0 (Nano ZS, Malvern). DTXL loading and release kinetics were characterized with high-performance liquid chromatography (HPLC), in triplicate with equal amounts nanoparticles in separate Eppendorf microtubes for each time point. SPNs were separated from free drug by centrifugation at 18
104g. Acetonitrile and water were added to achieve 50
:
50 water
:
acetonitrile (to either the SPN pellet for loading calculation, or supernatant for release studies), in which the particles are dissolved and the DTXL can be resolved. Release studies were carried out with gentle shaking at 37 °C in 1 mL PBS, in order to have same volume and thus be comparable to microplate release assays. HPLC details: Agilent 1260 Infinity, equipped with a 100 μL sample loop injector, and C18 column (4.6 × 250 mm, 5 μm particle size, Agilent). DTXL is eluted under isocratic conditions using a binary solvent system [H2O + 0.1% (v/v) TFA/AcN + 0.1% (v/v) TFA, 50
:
50 v/v] pumped at a flow rate of 1.0 mL min−1. The UV detection is set at 230 nm and the retention time of DTXL is 3.09 min. An external standard curve in a linear concentration ranging from 1 to 200 μg mL−1 is used for the quantification of DTXL. Loading efficiency (weight percentage of the drug over the SPN weight) and encapsulation efficiency (ratio between the DTXL entrapped inside SPNs over the initial feeding amount) were determined.
:
1, w
:
w, overall weight ratio of nanoparticles to microplates. Loading efficiency (weight percentage of the drug entrapped inside μPLs over the lyophilised μPL weight) and encapsulation efficiency (weight percentage of the DTXL entrapped inside μPLs over the initial feeding amount in SPNs) were determined. Loading and encapsulation efficiency was calculated in triplicate, by completely degrading the microplates in 500 nM collagenase at 37 °C for 24 hours, then measuring concentration of DTXL with HPLC (acetonitrile added, 50
:
50, v
:
v, to dissolve released PLGA SPNs). To assess the release profile of DTXL from the SPN-loaded microplates, microplates were added to PBS, or various concentrations of collagenase type IV (MMP-2/9) in buffer solution (50 mM HEPES, 10 mM CaCl2), (1 mL; pH 7.4) and gently shaken at 37 °C. Equal amounts particles were added in separate Eppendorf microtubes, for each time point, in triplicate. After the appropriate amount of time the samples were centrifuged to pellet the SPN-containing microplates (1717g for 5 minutes) supernatant was removed, acetonitrile added to the supernatant (50
:
50, v
:
v, to dissolve released PLGA SPNs) and DTXL measured with HPLC. HPLC conditions were identical to the conditions described above for DTXL-SPN characterisation.
In order to transfer this thiol–ene hydrogel crosslinking reaction to a process able to engineer the size and shape of the materials, we employed an established soft lithography templating technique (Fig. 1a).28 This allows for the formation of polymer nanoconstructs with a size and shape depending on the design of the silicon master template which is etched with a direct laser writing device, as previously reported.21,29–33 Further details of the templating process can be found in the ESI (Fig. S3).† Investigation of these size, shape, and stiffness properties has led to a number of key insights into particle interaction with the innate immune system,29 biodistribution,34 and flow properties.35 Although, the PEG-peptide thiol–ene hydrogel system has been established for a number of years by the Anseth group,23 it has yet to be employed to form anisotropic hydrogel particles with controlled size and shape to the best of our knowledge.
While the silicon master template has square features of 20 μm by 20 μm with a depth of 10 μm, by employing optical profilometry we can obtain information about the particles obtained after fabrication and collection from the sacrificial PVA template (Fig. 1c and d). The obtain sizes from profilometry match well with the expected sizes, confirming microplate formation. Use of the multisizer instrument allows analysis of the particle size distribution, which can be seen in Fig. 1b. The peak at around 15–20 μm is unimodal, indicating a single species. This is smaller than the longest edge of the microplates due to the non-spherical nature of the microplates being analysed as an average size. In addition, the size of hydrogel microparticles is typically underestimated by multisizer due to the particle absorbing a quantity of electrolyte and thus affecting the volume of electrolyte displaced through the instrument measurement capillary.36 Microplate production yielding was determined as the number of collected μPLs over the total number of available wells in the template, as a percentage. This was calculated with both multisizer coulter counter and optical microscopy image analysis. Under the conditions described here, about 4 × 105 μPLs were fabricated out of 4 templates, with a yield of around 30%.
The mechanical stiffness of the hydrogels was evaluated on the macroscale formulations with compression testing. Varying the initial prepolymer solution from 2.5–25 wt% concentration led to an increase in uniaxial compression modulus from 6.5 (n = 5, SD 0.49) to 19.0 kPa (n = 5, SD 2.41), Fig. 2a and b. The equilibrium hydrogel mass swelling ratio was found to be inversely proportional to the mechanical stiffness of the hydrogels (Fig. S4†). The 2.5 wt% hydrogel had an equilibrium mass swelling ratio, QM, of 43.8 (n = 3, SD 4.89), the 10 wt% hydrogel 27.9 (n = 3, SD 2.61), and the most stiff 25 wt% hydrogel had an equilibrium mass swelling ratio of 16.4 (n = 3, SD 1.24). From the observed decrease in swelling, with increasing solids content in the precursor mixture, we can also infer higher crosslinking density.37 Similarly to the macroscopic hydrogels, the microplate polymer networks were also expected to swell when immersed in an aqueous environment. This was confirmed with optical microscopy, as seen in Fig. S5,† which gave values for fold-swelling increase, of 26.37 for the 10 wt% microplates, which is similar to the 10 wt% hydrogel value of mass swelling ratio, QM = 27.9, and volume swelling ratio, QV = 31.1. Based on these data, we decided to continue with just the one stiffness microplate made from 10 wt% precursers, as it seemed to be the best compromise between softness and swelling.
The mass degradation of the synthesized macroscale hydrogels was monitored in the presence of collagenase type IV at 37 °C (Fig. 3a and b). Collagenase type IV is a mixture of MMP-2 and MMP-9, and is representative of the highly invasive MMP rich microenvironment of tumours, which overexpress these proteases to degrade the collagen-based extracellular matrix. MMPs are known to be upregulated at all stages of expression in many cancers. Patients with head and neck squamous cell carcinoma,38 lung cancer,39 and colorectal cancer40 among others, are known to have higher than normal concentrations of serum MMP-9. Concentrations for the in vitro analysis of hydrogel degradation were chosen based on levels of MMP-2 in the extracellular tumour microenvironment being previously estimated to be approximately 1 mM.41 Synthesized macroscale hydrogels degrade over the course of weeks in solutions of 10 nM and 50 nM collagenase, with around 60% and 40% mass remaining respectively, after seven days. In a solution of 500 nM collagenase, the hydrogel squares degrade in approximately one day, while the gels showed negligible degradation after one week incubation in PBS only. In theory, protease degradation of hydrogels can follow either a bulk degradation mechanism or surface erosion.42 The distinction depends on both the molecular weight and size of the enzyme, and also the crosslinking density of the hydrogel. When diffusion of the exogenously added enzyme into the hydrogel is faster than peptide cleavage there will be bulk degradation, and when the cleavage is faster than protein diffusion, the degradation will follow a surface erosion mechanism. Due to the molecular weights and sizes of most proteases being in the order of 10 s–100 s of kilodaltons and 2–20 nm, surface erosion is usually the most likely mode of gel degradation.24,43,44 In Fig. 3a, we can see the mass degradation reaches a linear rate, after an initial non-linear region, indicating enzyme based surface erosion. In addition, the different stiffness hydrogels were characterized for their enzyme degradability in 50 nM collagenase (Fig. S6†), with the crosslinking density also playing a role in degradation kinetics.
In order to compare the mass degradation of the microplates with that of the macroscopic hydrogels, a degradation assay was carried out in different concentrations of enzyme solution (Fig. 3c and d). The rates of degradation are faster in the case of microplates in the same concentrations of enzyme. This is expected as the degradation will occur via surface erosion, therefore the effect of increased surface area on degradation rate can be seen at the investigated concentrations. Additional qualitative visual confirmation of the microplate degradation in response to MMP enzymes was carried out with optical microscopy (Fig. S7†).
With the hydrogel microparticle fabrication protocol established and particles characterised, we progressed to incorporate the small chemotherapeutic molecule docetaxel (Fig. 4). Hydrogels have been established to be versatile materials for the controlled release of water soluble compounds.13 When it comes to hydrophobic compounds, like much of the chemotherapeutics and imaging agents currently available, typically researchers introduce a nanoparticle to encapsulate the desired compounds and provide solubility and retention in the hydrophilic polymer matrix.45 Drug release from these hierarchical systems have two main routes, the slow release of drug-loaded particles from the hydrogel and subsequent release of the therapeutic from the nanoparticles, or alternatively, there could be release of the drug from the nanoparticles inside the gel and then diffusion of the drug molecules through the hydrogel network. There is also a third case, in which the drug is released via a combination of these mechanisms.46,47 Which mechanism dominates can be due to various factors such as particle size, nature of the incorporated drug molecule, hydrogel network size, and chemical composition of the hydrogel and particle.
Poly(DL-lactic-co-glycolic acid) (PLGA) spherical nanoparticles (SPNs) were formed via an oil in water solvent evaporation method, and encapsulated docetaxel. The physiochemical properties of the SPNs were measured by dynamic light scattering, and the intensity averaged diameter was found to be around 200 nm and the zeta potential −45 mV (Fig. S8a and S8b†). Encapsulation efficiency of DTXL in SPNs was 28.2% (n = 3, SD 7.2), and loading efficiency was 5.6% (n = 3, SD 0.9). Loading of the nanoparticles into the formed hydrogel microplates was achieved following a similar protocol to that previously reported by Mooney and colleagues,48 and also the group of Zhang.49 Briefly, microplates were lyophilized, allowed to reswell in a small volume of concentrated SPNs for 2 hours, and the unloaded SPNs removed by addition of water and centrifugation to collect the SPN-loaded microplates. Size and morphology of the microplates were observed with SEM. Fig. 4b shows a SEM image of the loaded microplates with visible SPNs and a size of approximately 20 μm by 20 μm. After lyophilization, the microplates have a rougher surface, with features similar to the macroscopic hydrogel although not as porous. It is expected that while there are some surface adsorbed SPNs, there will also be a significant amount that will penetrate into the hydrogel during the rehydration of the lyophilized microplates. DTXL-SPN loading was confirmed quantitatively with HPLC, which gave values for encapsulation efficiency of SPNs into microplates of EE = 35%, (n = 3, SD 6.1) and overall DTXL loading efficiency into microplates of LE = 2.0% (n = 3, SD 0.4).
The kinetics of docetaxel release from MMP responsive microplates was monitored with HPLC under various representative physiological conditions at 37 °C, and is shown in Fig. 4c. In PBS, the release of docetaxel reaches 20% after 6 hours, and then the release rate enters a second slower phase, with approximately 30–35% drug release after 6 days. When incubated in simulated tumour environments, with different concentrations of MMPs at 37 °C, the drug release is faster. With an enzyme concentration of 10 nM, a 50% docetaxel release is achieved after one day, which then slows to reach 60% after 6 days. In the presence of 50 nM collagenase IV, the drug release is 55–60% after 1 day, and 70% after 6 days. In the 500 nM enzyme concentration case, most representative of the high concentrations of MMPs expected in the microenvironment of infiltrating tumours, there is approximately 75% drug release after one day reaching 90% after 3 days. This release profile overlaps with the release profile of DTXL from free SPNs (not embedded in the μPL), indicating that the hydrogel matrix is being degraded faster than the drug is being released from the PLGA SPNs. In the conditions with less than 500 nM collagenase, the release of DTXL from the μPL is slower than the release from free SPNs, suggesting that the presence of the hydrogel network (and potentially the interactions with the peptides) slow down the release. In addition, the nonlinear shape of the release profiles is likely due to a combination of modes of release. The initial faster release is likely due to release of particles from the microplates which then release drug as free SPNs, while the remaining encapsulated SPNs could be releasing drug inside the microplates, which then diffuses out at a slower rate.
The performance of MMP-μPL carrying DTXL-SPN (DTXL-MMP-μPL) in vitro was studied with the aggressive and rapidly proliferating U87-MG glioma cells, which are known to overexpress matrix metalloproteinases (Fig. 5). Expression of MMPs by U87-MG cells was confirmed by a commercial FRET-based quantification kit and was found to be approximately 10 nM in the cell media. Both MMP responsive and nonresponsive empty μPLs were found to be nontoxic to U87-MG cells even at a high concentration, indicating good biocompatibility of these materials as nanoparticle or drug depots (Fig. 5b). When loaded with drug containing nanoparticles, DTXL-MMP-μPL, reduced the viability of U87-MG cells to 40% at an overall DTXL concentration of 50 nM (EC50 = 1.88 nM), indicating a potent anti-tumor effect. Without the MMP degradable crosslinker, i.e. non-responsive to the tumour microenvironment, the DTXL-μPL, triggered a significantly lower cytotoxicity, quantifiable by an over 20-fold increase in EC50 compared to the MMP degradable system. The effect of MMP degradable linkers can also be seen qualitatively with optical microscopy when DTXL-MMP-μPL and DTXL-μPL, were imaged following 48 h incubation with U87-MG cells (Fig. 5e). When equal numbers of microplates are incubated with cells, the peptide crosslinked microplates are reduced in number compared to non-degradable dithiothreitol (DTT) crosslinked microplates. Accordingly, more marked signs of cell morphology alterations and cell death could be observed upon the treatment with DTXL-MMP-μPL due to the selective release of DTXL. This confirms the greater efficacy of DTXL-MMP-μPL is likely due to the MMP degradable hydrogel microplates, and that targeting the tumour microenvironment is an effective strategy to increase therapeutic efficacy. Taken together, these results show that DTXL-MMP-μPL gives a safe, tumour microenvironment specific, and highly effective antitumor treatment in this invasive cell-line model. Future studies could look to further validate these results in vivo, in a relevant tumour model, either glioblastoma derived or otherwise. Another interesting avenue for research would be the variation of hydrogel microplate size, which could lead to different rates of nanoparticle release for different size microgels based on relative surface area differences.
Footnotes |
| † Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d3lp00057e |
| ‡ Present address: Bio-organic chemistry group, Department of Chemical Engineering and Chemistry, 5600 MB Eindhoven, Netherlands. |
| This journal is © The Royal Society of Chemistry 2023 |