3C 3. A 411.. . . 1 Jo it: AWWWQ? 3%... .. _ . ‘. “a; . 1x. .3 WW , . . ,Anrwm‘fl 1 5 4?} .Jflxwhr, m . . :r .. 1.485.. 3...... , 3h...- :buvu..uuh , .5 ”9.1 .. rm Q2 «5 Cl 0» A i ‘ NE as ' ‘._?._. This is to certify that the thesis entitled DEVELOPMENT AND SYNTHESIS OF NOVEL POLY(B-AMINO ACID) DRUG DELIVERY SYSTEMS presented by PING CAO has been accepted towards fulfillment of the requirements for the Master degree in Chemis n I 2 ‘2 AA A 2 <2 A Maéor professor’s'fSViignatulle UY/vl/odf Date .UBRARY Michigan State University PLACE IN RETURN BOX to remove this checkout from your record. To AVOID FINES return on or before date due. MAY BE RECALLED with earlier due date if requested. DATE DUE DATE DUE DATE DUE I 585.35. 20 2am; 6/01 c:/CIRC/DateDue.p65-p.15 DEVELOPMENT AND SYNTHESIS OF NOVEL POLY(B-AMINO ACID) DRUG DELIVERY SYSTEMS By PING CAO A THESIS Submitted to Michigan State University in partial firlfillment of the requirements for the degree of MASTER OF SCIENCE Department of Chemistry 2004 ABSTRACT DEVELOPMENT AND SYNTHESIS OF NOVEL POLY([3-AMINO ACID) DRUG DELIVERY SYSTEMS By Ping Cao A new drug delivery system based on a poly(B-amino acid) has been synthesized from 2(5H)—furanone and N, N—dimethylethylene diamine by a simple, one step polymerization. The resulting polymer was purified by Bio Gelp-P6O size exclusion chromatography and auto separated into high, medium and low molecular weight fractions. The molecular weight distribution was controlled by adjusting the reaction temperate and reaction time. The drug delivery properties of the polymers were evaluated by studying the transfer of the anticancer drug doxorubicin to mouse embryonic fibroblasts cells and the transfer of telomerase antisense RNA (with sequence GCG CGG GGA AAA GCA) and a 4.2 kb plasmid containing the green fluorescent protein gene into the same cells. Best results were obtained using the high molecular weight polymer fraction. This result proves that this polymer is a very promising delivery system which can be used for those anticancer drugs with serious side effects and also successfully bring gene or plasmid which is hardly enter the cells by themselves before. ACKNOWLEDGMENT I would like to express my sincere gratitude to my academic advisor Dr. Howllingsworth in the first place. It is Dr. Howllingsworth who taught me how to enjoy the research process no matter failure or success. Also I am very grateful to my committee members: Dr. Baker and Dr. Watson for their constant encouragement and understanding for me. I am thankful to all my colleagues fi'om the laboratory of Dr.Hollingsworth. They are not only my lab-mates but also good fiiends of mine. I can hardly find words to describe my gratefulness to their consideration, help, and support. They are: Besy, Carol, Chang, Changyou, Felicia, Gia, Li, Kun, Linjuan, Hanmi, Xuezheng, Xiaoyu, Zhen, Zhiyuan, and Yuqing. It is my good luck to become a member of this lab during the past two and half years. Working in such nice and worm environment helps me build a good sense of team cooperation, which are invaluable for my future career. Thanks to all my friends both in USA and in China, you always make my life so exciting. Last but not least, I want to say thanks to my family for their love always makes me full of confidence and strength. iii TABLE OF CONTENTS LIST OF FIGURES ................................................................................. v CHAPTER 1 LITERATURE REVIEW .......................................................................... 1 Introduction ....................................................................................... 1 Administration methods ......................................................................... 6 Vehicles of drug elivery ....................................................................... 12 Inorganic vehicles ........................................................................... 12 Organic vehicles ............................................................................ 14 Liposome ................................................................................. l4 Polymer vehicles ....................................................................... 19 Gene therapy .................................................................................. 38 Introduction ............................................................................... 38 Antisense human telomerase RNA .................................................... 39 Bibliography ................................................................................. 43 CHAPTER 2 DESIGN OF CATIONIC POLY B-AMINO ACID DDS .................................... 50 Introduction .................................................................................. 50 Two main elements of design ............................................................. 51 Molecular weight control .............................................................. 51 Ability to traverse membranes ........................................................ 53 The construction of poly B-amino acid DDS ........................................................ 56 Bibliography ................................................................................. 58 CHAPTER 3 EXPERIMENTAL ......................... , ........................................................ 6 0 Synthesis of poly B-amino ................................................................. 6O Purification and separation ............................................................... 61 Measurement of drug delivery properties ............................................. 62 CHAPTER 4 RESULTS AND DISCUSSION ................................................................. 64 Synthesis and MW control of poly B-amino acids .................................... 64 Separation and MW estimation of polymer fractions ................................ 76 Characterization of high MW fraction of the poly B-amino acids ................. 82 Drug delivery properties of poly B-amino acids ....................................... 85 Anticancer drug delivery (doxorubicin) ........................................... 85 Delivery of antisense human telomerase RNA ................................... 89 iv Plasmid GFP gene delivery by the poly B-amino acids ........................... 93 Bibliography ................................................................................... 99 CHAPTER 5 PREPARATION OF CATIONIC POLYELECTROLYTES ........................... 100 Introduction ................................................................................. l 00 Experimental section ...................................................................... 105 Results and discussion .................................................................... 108 Bibliography ................................................................................ l 12 LIST OF TABLES CHAPTER] Table 1.1 Common routes of drug administration .............................................. 6 Table 1.2 Methods for Hormones Delivery ........................................................ 11 Table 1.3 A summary of the main properties of applications of natural polymers in DDSs ........................................................................... 20 CHAPTER 2 Table 2.1: Amino acid sequence of characterized protein- transduction domains .............................................................................. 53 Table 2.2: intracellular delivery of various molecules using PTDs. . . . . . . . . . . . . . . . . ..........54 CHAPTER 4 Table 4.1 Data of standard curve (1 gMW v.s Kay) ............................................. 77 Table 4.2 Relative yield of each fraction (percentage of recovered materials) ........... 78 CHAPTER 5 Table 5.1 stimuli-responsive hydrogels in drug delivery ................................... 103 vi LIST OF FIGURES CHAPTER 1 Figure 1.1 drug levels in blood with ......................................................... 4 (a) Traditional drug dosing (b)controlled-de1ivery dosing Figure1.2 Drug Delivery Methods ............................................................ 9 Figure 1.3 Plasma IgG following different administration routes in humans ......... 10 Figure 1.4 MicroCHIPS Technology ....................................................... 13 Figure 1.5 Classifications of Liposomes ................................................... 14 Figure 1.7 Drug delivery from typical matrix delivery systems ........................ 35 Figure 1.8 Drug delivery from typical reservoir devices ................................. 35 a. Implantable or oral systems b. Transdermal systems Figure 1.9 Drug delivery from ............................................................... 37 a) Bulk degradation controlled system. b) Surface degradation controlled system Figure 1.10 Drug delivery from swelling—controlled release system .................. 37 a) Reservoir polymeric DDS b) Matrix polymeric DDS Figure1.11 Gene addition technique ...................................................... 38 Figure 1.12 Antisense Technology ......................................................... 38 Figure 1.13 A Comparison of Mitosis of Normal Somatic Cells with Cancer Somatic cells ........................................................................... 42 Figure 1.14 Cancer Cell Treatment with Antisense Drug ............................... 42 CHAPTER 4 Figure 4.1(a) 1H-NMR spectrum of reaction mixture at 00C after 2 hrs ............... 67 Figure 4.1(b) l3C-NMR spectrum of reaction mixture at 00C afier 2 hours ......... 68 Figure 4.2 lH-NMR spectrum of reaction mixture at 70°C after 1 hour (a) and after 4 hours (b) ........................................................................... 69 Figure 4.2(c) 1H-NMR spectrum of reaction mixture at 70°C after 8 hours ........... 70 Figure 4.3 IH-NMR spectrum of reaction mixture at 80°C afier 4 hours (a) and after 10 hours(b) ........................................................................ 71 Figure 4.4 1H—NMR spectrum of reaction mixture at 90°C after 2 hours (a) and after 4 hours ........................................................................ 72 Figure 4.4 (c) lH-NMR spectrum of reaction mixture at 90°C after 8 hours ......... 73 Figure 4.5 1H-NMR spectrum of reaction mixture at 120°C after 3.5 hours (a), 6.5 hours (b), and 9.5 hours (c) ............................................................. 74 Figure 4.6 (a) IH-NMR spectrum of reaction mixture at 140°C afier 0.5 hour(a), vii 1 hour (b) 2 hours (0), and 4 hours(d) ...................................................... 75 Figure 4.7 Plot of fraction number vs absorbance ........................................ 76 Figure 4.8 MW v.s. Km, calibration ......................................................... 77 Figure 4.9 (a) GPC results for the high MW fraction isolated by Bio GelP-60 chromatography ............................................................... 79 Figure 4.9 (b) Mass spectrum of the high MW fraction isolated by Bio GelP-60 chromatography ........................................................... 79 Figure 4.10 (a) GPC results of the medium MW fraction isolated by Bio GelP-60 chromatography ............................................................ 80 Figure 4.10 (b) Mass spectrum of the medium MW fraction isolated by Bio GelP-6O chromatography ............................................................ 80 Figure 4.11 GPC result of high MW fraction isolated by acetone precipitation method .......................................................................... 81 Figure 4.12 1H-NMR spectrum of the high MW fraction isolated by Bio GelP-60 chromatography ........................................................... 83 Figure 4.13 FTIR spectrum of the high MW fi'action isolated by Bio GelP-60 chromatography ............................................................ 84 Figure 4.14 Structure of doxorubicin ....................................................... 86 Figure 4.15 (A-F) Light micrographs showing of doxorubicin sequestration and delivery to MEF Cells ................................................... 88 Figure 4.16 (AD) The light micrographs of antisense delivery ........................ 89 Figure 4.17 Subcellular drug delivery by poly(B-amino acid)polymers ............... 92 Figure 4. 18 (A—L) fluorescence and transmission light micrographs of MEF cells illustrating transfection of plasmid DNA encoding GFP mediated by the drug delivery vehicles described here and a commercial transfection agent .......... 93 CHAPTER 5 Figure 5.1 Scheme of hydrogel formation ................................................ 104 Figure 5.2 1H-NMR spectrum of methylated polymer product before ion change with chloride anion (a) and after ion change with chloride anion (b) ...................................................................................... 107 viii Chapter 1 Literature review 1.1 Introduction Beginning with the botanical phase of early human civilizations, through the synthetic chemistry age in the middle of 20th century, and finally to the biotechnology era at the dawn of the 21 st century, drug research has evolved and matured" 2' 3. In spite of this progress, it is still common to find someone who has suffered the pain of losing a friend or relative because of an incurable infection or cancer. Thus, scientists still search for better therapeutics for human beings. Some may think better medical treatment means stronger medicine; however the effectiveness of drugs strongly depends on how drugs are introduced into the human body. For example, many anti-cancer drugs effectively kill cancer cells, but without an appropriate carrier to sequester them before they are released to the cancer site, the drugs can be very toxic to human beings. The term “drug delivery system” (DDS) refers to both the methods of administration and the delivery vehicles, which are as significant as the pharmacological activities of the drug itself. Drug delivery is becoming an increasingly important field in the pharmaceutical industry. It strongly affects patient compliance, cost efficiency and the development of new drugs. Patient compliance When people fail to comply with medication regimen, they mainly complain about the inconvenience of taking drugs and their concern about adverse long-term effects“. DDSs address three critical issues; the desire of patients to take the lowest number of drug administrations, the patients’ favorite administration route, and minimizing side effects (by preventing the exposure of drugs to entire untargeted tissues) with the same efficiency. These techniques drive the drug delivery market in the most beneficial way, which is estimated to be more than $50 billion worldwides. Cost efficiency The average development cost of a new drug remains $400-650 million and a time consuming 10-15 yearsz. Facing this risky process, pharmaceutical companies are under constant pressure to maximize the full potential of a drug candidate at an early stage of its life cycle. Fortunately, this aim can be accomplished by incorporating the drug into different kinds of drug delivery systems, which lead to extended drug patent life and more convenient dosage forms that overcome the administration problems. Specifically, a new DDS only costs around $80-130 million and requires less than 5 years of development allowing pharmaceutical companies to make the best use of their investment. DDSs give old drugs a second life with increased efficiency and patient satisfaction. For example, Cardizem DDS °, a simple once-daily form of deltiazem had $4 billion in sales after the native composition of matter patent expired. Development of new drugs Developments in genetics, immunology, biochemistry, molecular biology, and information technology have made it possible to decipher the whole human genome. Meanwhile, the focus of therapeutics has moved from mainly symptomatic treatment to curing and preventing the cause of disease. Therefore, gene delivery has become a promising therapeutic method, as well as a new challenge, since larger molecules such as antisense DNA/RNA or plasmids pose greater problems in drug absorption and distribution. What are ideal DDSs? 1. Target function Optimal DDSs sequester and carry drugs efficiently to the appropriate part of the body (some times even to particular cells and/or a special organelle in the cell). Without the protection afforded by a DDS, the immune system, the reticuloendothelial system (RES) and a variety of enzymes can easily break, degrade, and clear drugs when they circulate within the human body. Even if the drugs are not functional during blood circulation, they still should be enveloped to prevent harmful side effects to normal tissues. The required DDS must be sufficiently inert, biocompatible, and mechanically strong. Afier being modified by a specific antibody or biochemical agent, the ideal DDS will only release drugs at the specific site. 2. Intelligent release Some polymer materials are called ‘smart’ DDSs because they are self-regulated. They keep the drug sequestered and release it only when triggered by abnormal /disease signals (stimuli) from the human body. 3. Programmable release One kind of DDS carries several different chemical reagents into the human body at one time and when prompted by either physician or the patient releases them selectively in a controllable manner. 4. Simple to administer The methods of administration should be comfortable and convenient for patients. 5. Sustainable and constant release Both patients and physicians wish medicine could be given the minimum number of times. Ideal DDSs not only are capable of high drug loadings, but also release the drug at a controlled and constant rate to maintain the concentration in the blood within a desired range for an extended period of time. (See figure 1.1) Depending on the formulation and the application, this time may be anywhere from 24 hours (Procardia XL) to one month (Lupron Depot) to five years (Norplant) 7. ~-- .. _...~—- . . .. --._ ..~_- __..--. .~ ......_ . .‘...._-..\- -~—-—-—.‘uw~-fi—O“—Qra ._ - “I- -.._.,..‘..‘_1 Maximum desired level (a) l A x”? 1 [’1 x1 (UK/l l/ \l \l \ — Minumum desired level Drug level Time ———‘> '2 Maximum desired level 1 2 2 \ i i f Minumum desired level (b) a l / Drug level Time ———§ Figure 1.1 Drug levels in the blood with (a) Traditional drug dosing (b) Controlled-delivery dosing Figure is adapted from Rct‘l7] L..—-.>.-—.—-.___v.__.... - L. _.....--_.._ av... . h.-._._ -sw..._._.~..- . . . h we... -_ - _.._h _._.- _....._..._...--_...._..~- .4 6. Biodegradability After their delivery, DDSs are broken down into biologically acceptable molecules that can be absorbed or removed via normal metabolic pathways without adverse effects to human body. 7. Easy to fabricate and sterilize In addition to having all these desirable properties, DDSs should be easy to produce and process. Therefore, if we find a simple platform for DDS synthesis that effortlessly produces a series of DDSs for different drugs, the goal will be accomplished. Those issues are not trivial and they are as complex as drug discovery. In summary, drug delivery is becoming a core technology that always operates alongside earlier aspects of drug development. 1.2 Administration methods As early as four thousands years ago pills, ointments, and salves were employed by Egyptian physicians. In 1665, intravenous injections were first performed in humans. Wood introduced subcutaneous injections in 1853. Luer developed the modem hypodermic syringe in 1884. Since then, a large variety of administration methods have evolved '. Saltzman reviewed the current administration methods shown in Table 1.1'. Table 1.1 Common routes of drugadministration Route of Example Advantages Disadvantages Administration Intravenous Antibiotics for 100% bioavailability Discomfort to patient injection (i.v.) sepsis Requires health care- provider Risk of overdose or toxicity Risk of infection Intravenous Heparin for anti- 100% bioavailability Requires infusion coagulation Continuous control hospitalization over plasma levels Risk of infection Subcutaneous Usually high bio- Discomfort to patient injection (s.c.) availability Intramuscular Insulin for Usually high Discomfort to patient injection diabetes bio- availability (i.m.) Oral (p.o.) Many Convenient Drug degradation Self-administered before absorption Limited absorption of many drugs Sublingual or Nitroglycerin Avoids first-pass Limited to lipophilic, buccal for angina metabolism in liver highly potent Ophthalmic Pilocarpine for Local delivery Discomfort to some glaucoma Self-administered patients for frequent administration Topical Antibiotic Local delivery Limited to agents that ointments Self-administered are locally active Intra-arterial Control of vascular High Risk injection delivery to specific regions Intra-arterial Direct delivery to Limited drug injection brain penetration into brain tissue Rectal Avoids first-pass Discomfort leads to metabolism in liver; poor compliance in Self-administered some patients Transdermal Nitroglycerin Continuous, constant Skin irritation patches for delivery Limited to lipophilic, angina Self-administered highly potent agents Vaginal Spermicides Self-administered Discomfort leads to poor compliance in some patients Controlled- Norplant for Long-term release Requires surgical release contraception procedure implants "' Table is taken from Ref [1] The aim of any drug administration methods is always to combine the tissue absorption and distribution of the drug with patients’ compliance in a maximum beneficial way. Among them, oral dosage forms are always preferred since they are painless, uncomplicated and self —administered. However, DDSs intended for oral administration require more consideration of gastrointestinal physiology. Otherwise, most drugs will be easily degraded within the gastrointestinal tract (GIT) or cleared by macrophage (Kupffer cells) of the liver and spleen, and not absorbed in sufficient quantity to be effective. Therefore, protein pharmaceuticals are mostly administered by parenteral delivery in order to quickly achieve the efficient concentration in the blood, while avoiding the “first pass elimination”. This occurs when drug molecules enter the circulation through a mucosal surface, and then circulate through the liver, where they can be metabolized, before distribution throughout the rest of the body’. However, frequent parenteral injections are poorly accepted by the elderly and children, plus they are not well supplied to some undeveloped countries and urban areas. Besides parenteral and oral delivery methods, there are other modes of administration, such as transderrnal delivery, inhalation delivery, sublingual delivery, rectal delivery, topical delivery, etc. Each delivery scheme has special attributes. See figure 2.18. Inhalation delivery is fit for treating diseases of the lungs and respiration system, and it requires that the DDS be dispersed as well as the drugs. Sublingual delivery is usually used for acute cardiac dysfunction because it is faster than oral delivery, convenient for patients, and it requires the DDS to protect drugs from degradation by saliva enzymes. Topical delivery is more efficient than systemic delivery since a drug can be administered directly to the target organ or tissue. In all of the various regional deliveries, the design of the DDS always needs to take into consideration the environmental situations where the drugs will be released, such as pH, enzymes, and different barriers for further absorption and distribution in the body. The drug concentrations in the blood realized by these administrations are different over time because all need to be absorbed (except in the case of intravenous injections) before entering the blood. It is therefore useful to know that the rate of absorption by these administration methods from the fastest to slowest is: inhalation, sublingual, rectal, intramuscular, subcutaneous, oral, and transdermal. Thus, delivery of identical amounts of drug to tissue sites with different administration routes l iv A: °'|_ F A“ - 23‘ . r t . . ' ' / b h J‘ ‘ A Sublingual . Inhalation Delivery Oral ' Delivery Intra- arterial injectin LII- ‘ . 'F E 9 3 2 a _. r E a 5' fl = :a c- a '< _' ' Rectal . ’T' delivery I ‘50" i-' Figure1.2 Drug Delivery Methods *Figure is adapted from Ref [8] can result in measurable differences in the drug concentration in the blood within the same period of time. In addition, the route of drug administration will influence the kinetics of biodistribution and elimination and thus the effectiveness of the therapy. For example, human immunoglobulin G (IgG) were administered orally, subcutaneously, intramuscularly, and intravenously to human patients (without delivery systems) (Figure 1.3)9. These different methods led to different patterns of IgG concentrations in the plasma over time. '100 90% sea a 1 Intramuscular °\° 7°} '3 Subcutaneous a 60-1 o Intravenous g j 0 Oral a 50-: .E 3 3. 4°? sol. 201 i 101 i o e e :7 a r'r"r"*r' 'r *“t*** I Y I o 5 1o 15 20 25 so hrs Figure 1.3 Plasma IgG following different administration routes in humans * Figure 1.3 was taken from Ref [1] Figure 1.3 shows that without the protection of a DDS, the IgG cannot be delivered orally. Although the intravenous injections give the highest initial drug concentration in the blood, the concentration decreases sharply during the first 5 hours. With an ideal DDS the 10 delivery could be accomplished in a controlled manner; the initial drug concentration is not too high (nontoxic), and also the rate of drug release is kept constant. Subcutaneous and intramuscular injections show smoother changes in drug concentration in the blood, which is more like controlled delivery. However, DDSs are still needed to help improve the rate at which the drug concentration in the blood reaches the efficient level. Table 1.2 Methods for Hormones Delivery (*Adapted from Ref [10]) Advantages Disadvantages Less liver stress Less steady hormone level. Pain and slight Injection than oral delivery. infection risk from hypodermic needle Inexpensive usage. Convenience. Possrbly more Increased stress on the liver since it has to beneficral for . . Oral process the hormones multiple times, blood cholesterol levels than other methods. resulting in an increase in clotting factors. Transdermal film Less liver stress than oral delivery. Hormone level more steady than injections. Inconvenience and skin irritation. Multiple simultaneous patches required for pre-op dosage. Expensive. Uncoated tablets can be placed under the tongue Sublingual/ or between the Some is also dissolved in the saliva and Buccal cheek and gum. swallowed. The taste is not good. Less liver stress than oral delivery. Absorption through a mucosal membrane Cream, Le . is best; absorption through scrotal skin is . ss liver stress Supposrtories, and than oral delivery not as good as mucosal, but better than Pessaries ' through other skin (need more data about typical doses and absorption). A medicine commonly has a number of delivery methods, which provides patients more opportunities to get the most suitable administration method, such as the delivery of hormones (see table 1.2). Therefore, it becomes more critical for scientists to develop DDSs that can be used for different administration routes with the lowest side effects and the same therapeutic efficiency. 11 1.3 Vehicles of drug delivery 1.3.1 Inorganic vehicles In the beginning of drug delivery development, inorganic materials were unnoticed because of their lower biocompatibility. However, the excellent adsorption properties of calcium hydroxyapatite, Ca.o(PO4)6(OH)2' ”2 and activated charcoal'3’” have made them successful carriers of antitumor agents for the local treatment of metastatic lesions of lymph nodes afier surgical removal of the main tumor, and for the treatment of solid tumors by inhibiting cancer sell growth (Dunn osteosarcoma cells). Another exciting development of inorganic materials for DDSs is the use of microchips,” as controlled drug—delivery devices. (See figure 1.4) This patented technology is based on tiny silicon chips containing hundreds of micro—reservoirs capped by noble metal membranes that open when electronically activated. Each reservoir can be filled with any combination of bioactive agents and hermetically sealed to protect the contents. Complex biochemical delivery can be achieved by opening the reservoir caps on demand in response to a preprogrammed clock, biosensor feedback, or a wireless signal from a physician or patient. This product is still waiting for the evaluation in vivo. However, the versatility of the technology offers tremendous potential for future development. 12 Drug releasing Drug reservoir Gold caps Figure 1.4: MicroCHIPS Technology (taken from Ref [15]) FeRx Corporation 1° is developing magnetically targeted systems, which make use of elemental iron magnets with drug adsorbed to the surface of carriers. Carriers that localize within tumors because of the applied magnetic field are undergoing trials for the treatment of metastatic liver cancer. Although research on DDSs still focus mainly on organic material carriers, in the future, it is believed that inorganic materials will get greater attention from drug developers. 1. 3. 2 Organic vehicles 1.3.2.1 Liposome Introduction Liposomes are colloidal, vascular structures based on (phospho) lipid bilayers which can be unilamellar or multilamellar oriented around an aqueous core. Since Gregoriadis, Ryrnan, and Bangham invented the liposome drug delivery systems (LDDS) in the early l970s'7'20, liposomes have been under extensive investigation as DDS for a broad spectrum of agents including drugs, antibodies & antigens, genetic materials, etc. Figure 1.5 Classifications of Liposomes (adopted from Ref [21]) 14 As drug delivery materials, liposomes may solubilize lipophilic drugs that would otherwise be difficult to administer intravenously. Through interaction with cells in various ways, liposomes can be successfully used for passive and active target delivery with additional surface modifications. Liposomes not only protect encapsulated drugs from degradation by metabolizing enzymes, but also prevent the non-targeted part of the body from being exposed to the full dose of drugs. Classification of Liposomes There are four major liposome types that can be broadly distinguished on the basis of composition and in vivo application (2" (See Figure 1.5). These four classes include: conventional liposomes, long-circulating liposomes, immunoliposomes, and cationic liposomes which will be described below. Conventional liposomes refer to the liposomes composed of only phospholipids (neutral and/or negatively charged) and/or cholesterol. Such non-surface modified liposomes are characterized by a relatively short blood circulation time because they either disintegrate in the blood stream or circulate and then are picked up predominately by macrophages (Kupffer cells) in the spleen and liver. According to this behavior, conventional liposomes are good candidates for the delivery of antimicrobial agents to infected macrophages. Long-circulating liposomes or stealth liposomes are produced by covalently attaching a hydrophilic polymer, polyethylene-glycol (PEG), to the outer surface. PEG-modified lipids prevent plasma protein adsorption to the liposome surface and thus the subsequent recognition and uptake by RES”. It also reduces the opportunities for attack of multiple reactive groups by shielding the membrane surface of lipid323'29. This protection leads to a 15 longer circulation time, which consequently enhances the opportunity for liposomes to take advantage of “the leaky endothelium effect” attributed to the tumor site and inflammatory sites and leave the vascular system. Immunoliposomes have specific antibodies or antibody fragments covalently attached to their surfaces to enhance target site binding. With the help of PEG coating, immunoliposomes are given a greater chance to reach targets other than macrophages. In addition to antibodies, glycolipids, proteins and vitamins have also been used to target specific cells via cell surface receptors. Moreover, immunoliposomes can be used for antibody-directed enzyme pro-drug therapy (ADEPT) designed to generate a high concentration of anticancer molecules only in close proximity to tumor cell membranes. Cationic liposomes represent the pioneering form of liposome drug delivery systems. The cationic lipid components interact with, and neutralize, the negatively-charged DNA, thereby condensing it into a more compact structure. The resulting lipid-DNA complex, rather than DNA encapsulated within liposomes, offers the protection and improves cellular internalization and expression of the condensed plasmid. Requirements of liposome gene delivery system in vivo 3° 1. Liposomes should be targeted to endocytic receptors to increase the rate of endocytosis. 2. Fusion processes should be optimized to enable efficient escape from the endosome and entry into the cytoplasm. 3. Cytoplasmic stability and nuclear targeting of the plasmids should be ensured. l6 Mechanism Liposome encapsulation can alter the spatial and temporal distribution of drugs in the body, which may significantly reduce unwanted toxic side effects and increase the efficacy of the treatment. These exciting drug delivery applications result from the physicochemical and colloidal characteristics as well as their biological interactions with the cells. Liposomes resemble cell membranes in their structure and composition and have four major interactions with cells”. 1. Lipid exchange involves the exchange of liposome lipids for the lipids of various cell membranes and depends on the mechanical stability of the bilayer. 2. Adsorption onto cells occurs when the attractive forces exceed the repulsive forces. 3. Endocytosis delivers the liposome and its contents into the cytoplasm indirectly via a lysosomal vacuole in which low pH and enzymes may inactivate the encapsulated agent. 4. Fusion is the process in which the liposomes’ contents are delivered directly into cells as the liposomal lipids merge into the plasma membrane. Problems of liposomal DDSs There are still some difficulties 2" 3' in the development of liposome drug delivery systems (LDDS). First of all, the qualities of the raw material (phospholipids) such as phosphatidylcholine (PC), phosphatidyl glycerol (PG), and phosphatidylethanolamine (PE) are poor. They all have a source-dependent composition of acyl chains. Ester hydrolysis and peroxidation also make their quality vary considerably. Because liposome behavior in vivo strongly depends on size, bilayer rigidity, charge and morphology, poor 17 characterization of the physicochemical properties of the liposomes becomes a more serious problem. Further, low drug-loading capacities and leakage, which leads to poor stability, are serious problems for DDSs. 18 1.3.2.2 Polymer vehicles The combination of polymer science with pharmaceutical science has led to a quantum leap in design and development of novel drug-delivery systems. Bioadhesive polymers were first used to improve the residence time and efficacy of the DDS through their intimate contact with the epithelial cell layer. Biodegradable polymers were also recognized as capable of accomplishing drug delivery functions without surgical removal of delivery materials. Now ‘smart’ hydrogel break-throughs have launched a promising field of self —regulated drug delivery in response to an environmental stimulus. Compared with other materials used for DDSs, polymers have great advantages for achieving either temporal or spatial control of dmg delivery32'3°. Polymeric materials used in DDSs can be naturally occurring, synthetic or a combination of both. The main classes of natural polymeric materials used in DDSs are summarized in Table 1.3 33 according to their origin, properties and principal applications. Although naturally derived polymers are abundant and usually biodegradable, their structural complexity often makes modification and purification difficult. In addition, significant batch-to-batch variations occur because of their bio ‘preparation’ in living organisms (plants, crustaceans). l9 Table 1.3 A summary of the main properties of applications of natural polymers in DDSs. Polymer Main applications and comments Refs Proteins and Absorbable, biocompatible, nontoxic, naturally protein-based available. polymers: Collagen Used as drug delivery micro-spheres. 37 Albumin Used in cell and drug micro-encapsulation. 38 Poly (amino Nontoxic, nonantigenic and biocompatible. 39 acids): POIY (a, L-lysine) Used as oligomeric drug carriers. 40,41 Poly (0t, L-glutamic acid) Poly (aspartic acid) Polysaccharides and derivatives: Carboxymethyl From vegetable sources, pH responsive and water- 39.42 cellulose soluble. Sodium Widely used in oral and topical pharmaceutical 43,44, Carboxymethyl formulations because of its viscosity—increasing 45 0611111056 properties. Also used as a tablet binder and to stabilize emulsions. Al . From marine sources, algae, excellent gel-formation grnate . . . . . . . properties; relative brocompatrbrlrty; microstructure and viscosity are dependent on the chemical composition 46,47 (batch to batch) variations. Used for controlled release of bioactive substances, injectable microcapsules for treating neurodegenerative and hormone-deficiency diseases. Carrageenan Excellent thermoreversible properties. Used for 48 microencapsulatio‘n. Dextran From human and animal sources. Excellent rheological properties. Widely used as sustainable DDSs, particularly for injectable and colon—specific DDSs. 49.50 Chitosan Biocompatible, nontoxic, excellent gel-and film- forrning ability, good absorption-enhancing, natural polycation, pH-responsive, controlled release as well as 5152 bioadhesive properties. The degree of deacetylation and derivation with various side chains can be a source of manipulation for specific drug-delivery applications (e.g., gels, membranes, micro-spheres). Table is from Ref. [33] 20 Synthetic polymers overcome many of the limitations of natural polymers. They are available in a wide variety of compositions with readily adjusted properties. Additionally, processing, copolymerization and blending provide a simultaneous means of optimizing a polymer’s delivery properties. The following is a representative list of synthetic polymers used in DDSs. It is mainly divided by biodegradable polymers and non-biodegradable polymers 33’ 35’ 3° 53. Non-biodegradable polymers Silicones Silicones, mostly referred to as polysiloxanes, are a unique class of non-deformable polymers possessing good low-temperature flexibility, remarkable biocompatibility, excellent electrical properties and water repellency features that are not common with hydrocarbon polymers. They are usually synthesized by hydrolysis of alkylsilicon or arylsilicon halidess3 . Chemical modification commonly involves introducing constituents in place of one or both of the pendent methyl groups in the structure shown below: '3‘ H20 51 F31 Cl-Si-CI -_.-. HO-Si-OH . 4 H‘fO-Si-lBOH + H20 92 HQ 5'32 ' Because of their case of fabrication and high permeability, polydimethyl siloxanes (PDMSs) are used for water-soluble drugs and for the delivery of steroids through long- acting DDSs such as subdermal implants and intravaginal systems. In addition, dimethylsilicones can be copolymerized with methyl methacrylate and ethylene oxide to create a series of polymers with controlled permeability to hydrophilic or hydrophobic steroids, enhanced mechanical properties, and improved adhesion to tissuesS4'5°. Poly [ethylene-co-(vinyl acetate)] (EVAc) 21 The most commonly used copolymer contains 40% vinyl acetate and has the general structure: . . ‘ -«'- CH2 “CH2 9: CH2 "CHv-r ‘X‘ 0 Y 1' -‘0 CH3 The copolymer is synthesized by free—radical polymerization of vinyl acetate and ethylene. Since EVAc is one of the most biocompatible polymers that has been tested as implant materials 57, it has been widely used as a matrix for controlled drug delivery.” 59 As stimuli-responsive hydrogels, EVAc can be used to deliver drugs using different environmental stimuli such as magnetic fields, ultrasonic radiation and changes in glucose concentration °°‘°2. Poly(ethylene terephthalate) Commonly used linear polyester is poly(ethylene terephthalate) (PETE), which is synthesized by condensation of ethylene glycol and terephthalic acid: 9 l? f, 9 O 1 Ho-c—Q—c-OH + HO'-H20-CH2-'OH——'> -.—c o-CH2—0H2~o+— 0 Acrylic polymers: Poly(methyl methacrylate) (PMMA) is the one of the most popular acrylic polymers, and is prepared in large quantities commercially using free-radical polymerization. PMMA has exceptional transparency and physical strength (structure as follows). . CH3 : ._. CH2‘C _ 4 . 0' n 0 CH3 22 Biodegradable synthetic polymers Aliphatic polyesters Polylactide (PLA) Lactic acid exists as two optical isomers, D and L. L-lactide is the cyclic dimmer of naturally occuning isomer, and DL-lactide or meso lactide is the synthetic blend of D- lactide and L-lactide. The homopolymer of L-lactide (LPLA) is a semicrystalline polymer with high tensile strength and slow degradation time. Poly(DL-lactide) (DLPLA) is an amorphous polymer exhibiting a random distribution of both isomeric forms of lactic acid, and accordingly low tensile strength and more rapid degradation time3°' 53 . 0' 0 Me, C r Me O / 0 t 1 t 'A . v 2 ‘ C‘, ,' -———°~§-°y§---—» 'iO‘“CH- c-o ~CH c» ‘C/ 2, heat 1 g .2 Me Me . n l o Monomer; O T Me\/C~ ' so Me 0' 0 catalyst ; w ; E O '\ —~— —--—— -- OCH—C-O-CH-“C: 0 D-Lactide Poly(D—Iactide) Poly(lactide-co-glycolide) (PLGA) Copolymers of glycolide with both L-lactide and DL-lactide have been developed for biodegradable drug delivery systems. Adjusting the percentage of monomers can be used to regulate the degradation time of copolyrners (PLGA). Although PLGA represents the ‘gold standard’ of biodegradable polymers (exemplified by more than 500 patents), the disadvantage of PLGA is that increased local acidity due to degradation can lead to irritation at the site of polymer application“. Moreover, the increased local acidity may be detrimental to the stability of protein drugs”. 23 j 0 Me 0. .j 0 Me ,1 1H2° H20 _ 40 -CH c 0 CH cmoa CHv-C 0 CH ci 9:0 c o c c-o-« Poly(L-Iactide) Poly(D-Iactide) Poly(Glycolide) Poly(e-caprolactone) The ring opening polymerization of e-caprolactone yields a semicrystalline polymer with a melting point of 59-64 °C. The polymer has been regarded as a tissue compatible and biodegradable DDS. Copolymers of e-caprolactone and DL-lactide have yielded materials with more rapid degradation rates. 0 ,C ~ .\ mtalyst 2. -» AWA \ ,— v Poly(hydroxybutyrate-co-hydroxyvalerate) The poly(hydroxy butyrate) is crystalline and brittle, whereas the copolymers of poly (hydroxybutyrate-co-hydroxyvalerate) are less crystalline, more flexible, and easier to process. These polymers typically require the presence of enzymes for biodegradation but can degrade in a range of environments and are under consideration for several biomedical applications”. . o, , o, ‘TO‘CH- CH2-:C~l-—iO-CH--CH2 -cj- Me x E! y PoIy(hydroxybutyrate-eo-hydroxyvalerate) Poly(dioxanone) (a polyether-ester) Poly(dioxanone) is synthesized by the ring-opening polymerization ofp-dioxanone. This material is approximately 55% crystalline, with a glass transition temperature of —10 to 0 24 °C. The polymer should be processed at the lowest possible temperature to prevent depolymerization back to the monomer. Poly(dioxanone) has demonstrated no acute or toxic effects on implantation and it is re-absorbable after being broken down by hydrolysis“. (0:0 catalyst .’ O; ., j --—-- > +o~CH2-Hzco--CH2--c-— ‘02 heat _ «n p-dioxanone Poly(dioxanone) Polyurethanes Polyurethanes have excellent mechanical properties, making them suitable for many different biomedical applications. The biocompatibility of polyurethanes appears to be determined by their purity, i.e., the effectiveness of removing catalyst residues and low molecular weight oligomers from the polymer“. Polyurethanes can be formed by reacting a bis-chloroformate with a diamine”, CI-COO-(CH2)2-O-COCI +H2N'(CH2)6‘NH2 -_-_.. -—4—COO-(CH2)2-OCGNH-(CH2)5NH+— n or by reacting a diisocyanate with a dihydroxy compound. For example, ethylene glycol and hexanediisocyanate react as shown53. HO '(CH2)2 -OH + O=C=N-(CH2)6-N=C=O ‘ ~ ._ - > fCO‘NH-(CHQ)5-NH-COO-(CH2)2'O":1“ . I As DDSs, the surfaces of polyurethanes can be surface modified to produce materials that are resistant to thrombosis or that interact with cells and tissues in specific ways”‘ °"'°9. Polyorthoester 25 Polyorthoesters have been synthesized by the addition of diols to diketene acetals. The mechanical properties of polyorthoesters can be readily varied by choosing appropriate diols or a mixture of diols in their synthesis”. 0 ,_ Q ./ °-\ lO-\ ~~O\ /“" \‘ 2’ "MI \ l ‘ Y 1 HO R . OH // _-_~-.4. ‘ ’(r:7.~\\ ---~ —-’ 3 J ‘~ ‘\.\ .‘ + o -./-..-O ‘ “‘1‘0‘ 0'“ “ 0 so mn— 010' Diketene acetal Polyorthoester The degradation mechanism of polyorthoester is shown below. I," "\>(IO' ‘-,/’MO.\//“ \1 H20 El"i"‘0 “0“:“El 4.0, *0 Ai-ofl‘ 'g " “"’”"‘" \ ’ + HO-Fl-OH Form" 140"" \-~70H Polyorthoester l I l H20 V HO—'\ ""OH X + CH3CH2COOH H0 " \“OH Degradation rates of polyorthoesters can be controlled by incorporating of esters of short-chain alpha-hydroxy acids such as esters of glycolic acid, lactic acid or glycolic- co-lactic acid copolymer into the polymer chain and by variation of the amount of these esters relative to the polymer as a whole”‘ 53. At room temperature, polyorthoesters can be made as an ointment, which is appropriate for a variety of t0pical and periodontal applications. Polyorthoesters can also be obtained as a viscous liquid at room temperature. Proteins and other labile molecules can be mixed into the polymer, as well, without using solvents or increasing temperature”. Phosphorous-based polymers Polyphosphazenes have the general structure Polymers with a variety of physical, chemical, and biological properties can be produced by performing substitution reactions on the base polymer, poly(dichlorophosphazene)”: R F? PM I {—N=P-}- ___> -+N=P—l- I n l n R Cl R NH-R l RNH2 l l—N=T+n —'—" +N-T+n a HN—R I? RONa Q‘R Jr~=t+. —> +~=A+A n o-n This basic structure provides for considerable flexibility in the design of biomaterials, by selection of the side groups on the polymer chain". The resulting polymers can be hydrophilic, hydrophobic or amphiphilic. In addition, a variety of bioactive compounds can be linked to the backbone to make multifunctional DDS. Polyanhydrides Polyanhydrides are characterized by their excellent biocompatibility and fast degradation through hydrolysis. They can be synthesized via the dehydration of diacid molecules through melt polycondensation as is the case with poly(sebacic acid)”. By selecting appropriate monomers with different degrees of hydrophobicity, the rate of drug release can be controlled from days to weeks. For example, copolymers of sebacic acid, a hydrophilic monomer, with carboxyphenoxypropane, a hydrophobic monomer can be made into a controlled drug delivery system. By adjusting the monomer ratio during copolymerization, the degradation of the resulting polymer can be modulated in a controlled manner“ 72' 73. l /:.\ Ho‘y/\~V/A“-./\/’\\/H\OH + HO'C'NE [>— O/\/\O“‘\/§ -o D. 6:0 0 I O O -1 Sebacic acid Carboxyphenoxypropane l i V , O . 5 /~ .':\ r11: 0 '] —+C ‘(CHzle‘C‘Or -.~c .4 X o cum- 0»./,\ /-—c oi- l. . l ' i> // \.‘_ _' l O x O ' “ Y 1, 3-Bis (p-carboxyphenoxy) propane 27 Copolymers of methyl vinyl ether and maleic anhydride Most materials such as biodegradable polyesters erode in a disorderly pattern: defects, cracks, and holes that initially appear grow in size with time throughout the material. To provide better control of polymer matrix erosion, materials that erode homogeneously have been designed. In particular, for materials that erode from the surface only, the kinetics of dissolution and the release of incorporated drugs can be precisely controlled. A copolymer of maleic anhydride and methyl vinyl ether was synthesized for this goal. The following is obtained after partial esterification”: 9 CH3 ,0, o coon “2‘C “*0 CH3 + :1 ,0 ' ‘ --> 'i--*CH2~CH'~CHCH-l c , 2 . O l HOOC ‘n When the copolymer was placed in an aqueous environment, the carboxylic acid groups on the polymer-water interface become ionized, thus the erosion of polymer is limited to the polymer surface, and the rate of erosion strongly depends on pH. (The rate increases when pH drops). The disadvantage of this DDS is the erosion products are macromolecules and not easily metabolized or excreted by the body”. Polyamides A common strategy in the design of biodegradable polymers for medical applications is to use naturally occurring monomers, with the hope that these polymers will degrade into non-toxic components. For example, poly(lactide-co-glycolide) degrades into lactic and glycolic acid, normally occuning metabolites. Thus, amino acids are an obvious choice as monomers for the production of polymeric biomaterials. Three conventional synthetic methods are shown below, 28 HzN-R-NHz + H02C-R'-C02H ——> Ho-g-NH-n-Nnco-Rucoéon + H20 'n HzN-R-NHz + cuco-nucocr *-—> HO'lNH-R-NHCO-R'COL OH + H20 l'l HzN'R'CozH —<——> HO l—NH-a-col 60H + H20 Poly(amino acid) have good biocompatibility for the delivery of low molecular weight compounds. Unfortunately, amino acids polymerized by conventional methods usually yield materials that are extremely antigenic and exhibit poor mechanical properties which make them difficult to process". Because of their high crystallinity, the degradation of pure poly(aminoacids) is relatively slow” 4‘. To circumvent these problems, several approaches have been developed. A few amino acids, like glutamic acid and lysine, can be modified through their side chains to produce polymers with different mechanical properties. Copolymers of L-glutamic acid and y-ethyl L-glutamate have been used to release a variety of drugs, and the variation of the ratio of monomers in the polypeptide influences the rate of degradation of the resulting polymers". Due to the stability of the peptide bond in water, the biodegradation of these implants occurs by dissolution of intact polymer chains and subsequent enzymatic hydrolysis in the liver. Alternatively, amino acids can be polymerized by linkages other than the conventional peptide bond, yielding pseudopoly(amino acids)”. For example, the amino acid serine can be used to produce poly(serine ester), poly(serine imine), orconventional polyserine”: NH2 {O-CHz-C-C-f Poly(sen‘ne ester) H 11 /////’r O n 9 HgN-C'H-C-OH _——’ CH2 {HN‘9H'CH2‘]—' Poly(sen’ne imine) OH O=C n \ OH O {HN-C'SH‘C-f Polyserine n 29 Dendrimers (PAMAM) Relative newcomers to the collection of biodegradable materials used for DDSs are dendrimers, a type of highly branched macromolecule. The name "dendrimer" is derived from the ancient Greek word "dendron" (tree), and from the Greek suffix "-mer" (segment). Dendrimers consist of a series of chemical shells built on a small core molecule. The synthesis begins with a simple seed molecule such as ethylene diamine and ammonia, which normally has two or three reaction sites. With an excess of the first monomer molecule reacting with all of the reaction sites of the seed molecule, the first branches are raised. This first monomer molecule has two distinct reactive groups, one at each end. After one end reacts, the other end will provide reaction sites for the next layer of the shell 7°79. For example, polyamidoamine (PAMAM) dendrimers are synthesized from an ethylenediamine core with branching units containing tertiary amine and amide functionality. This core is reacted with the double bond in acrylic acid to produce a tertiary-acid molecule. This tertiary-acid is reacted with ethylene diamine to produce a tertiary-amine (G0). This tertiary-amine is reacted with acrylic acid to produce an Oct- acid, doubling the number of acids in this half-generation (G0.5). Next, another round of ethylene diamine is reacted with the G05 to give a G1 molecule with Oct-amines, twice the number at G0. This alternation of acrylic acid with ethylene diamine continues until the desired generation is reached. (See figure 1.6) Dendrimers are like ordinary organic molecules for the first three generations. By G4 they are beginning to have a preference of three-dimensional structure and to become spherical. By G5 they have a consistent and specific three-dimensional structure. Then they are highly structured spheres“. The spherical surface of a dendrimer acts like a microsc0pic form of Velcro, and a variety of bioactive agents can bind to the surface. 30 Dendrimers have a high drug-carrying capacity because of their multivalency7°'79. The consistency of structure makes dendrimers ideal building blocks for creating biologically active nano-materials, which can target structures less than 5 nm in diameter. This provides an excellent drug delivery system that can get through vascular pores and into tissue more efficiently than larger carriers". Another advantage of dendrimers is that their synthesis results in a single molecular weight rather than a distribution of sizes, which is critical for controlled DDSs77. So far, all the excellent properties of dendrimers make them promising materials for controlled drug delivery systems”. Seed molecule: H2N_\‘—NH2 0 first step 1 HzcletCOH P A.-. N .. HO- N xNN g \AC-OH 11 second step 1 H2N—\_ NH2 HZN _\ '0 jNHZ tl‘dvx 9 N NC'NH HN'qN —\‘—N I _ /~—/ 0 9 NH__\ HZN O NH; 0 1 third step 1 Heep-con H N fourth step 1 2 xNHz Figure 1.6 Synthesis of PAMAM Dendrimer (I) 31 O c—OH C\ HO’CXNJ K ftp \-- O JN“ ‘OH \N-ll / \/\ " H N'\_ N 'N“ ”fl-(EN N ,r" "J O E'NH N~. \ ,OH "l/ \\ ’N,/"\‘ v’ C\\ HO c ’ c OH <\ o O 0 C/ HO “O i l V 1 Repeat the first step and second step I l o . S ,NH . C HN ,0 \/ \ . \ H N O, 2 7 2 \4/AxN/‘C/\/N O «N /\ ,9 H ”\ n O _ / \ C“N/\, NHZ H‘Cm .. f" A N NC'NH N —\—N HN'SE \/\ H [-4 I O n N\ H N, O \\ H NA /N‘,C--/ ‘ ,AN-fi 2 0' i 2 \_ \C HN" OJ C I NC CS NH ./ b O \\ '\ H NF “”2 2 Figure 1.6 Synthesis of PAMAM Dendrimer (ll) 32 Factors which affect degradation of polymers A great deal of attention and research effort is being concentrated on biodegradable polymers because biodegradable polymers provide a better opportunity for controlled drug delivery without the concerns of removal of the extraneous delivery system. However, measuring the degradability of polymers is not a simple question since there are so many factors to be considered“. These factors include Chemical composition and structure 1. 2. 3. 4. Distribution of repeat units in multimers. Presence of ionic groups. Presence of unexpected units or chain defects. Configuration structure. Physical factors 1. 2. Molecular weight. Molecular weight distribution. Shape and size changes. Variations of diffusion coefficients. Mechanical stress, stress- and solvent-induced cracking, etc. Morphology (amorphous/semicrystalline, microstructures, residue stressed). Physicochemical factors (ion exchange, ionic strength, pH). Sites of implantation Absorbed compounds (water, lipids, ions, etc.). Mechanism of hydrolysis (enzymes versus water). As well as the factors mentioned above, the processing conditions (annealing, sterilization, etc.) and storage history also affect the degradation properties of polymers. 33 Thus, designing controlled—release drug delivery system using biodegradable polymers is still time-consuming. Mechanisms of drug release from polymeric DDSs There are four primary mechanisms by which active agents can be released from polymeric drug delivery systems: diffusion, solvent-activated release, degradation, and swelling followed by diffusion. Any or all of these mechanisms may occur in a given release system“ 8°. Diffusion Diffusion occurs when a drug or other active agent passes through the polymer. There are two diffusion-controlled release systems, matrix and reservoir, which are shown in Figure 1.7 and Figure 1.8. In a matrix system (See Fi gure1.7) a polymer and active agent are mixed to form a homogeneous system. Diffusion occurs when the drug passes from the polymer matrix into the external environment. With this type of system, the rate of drug release normally decreases, since the active agent has a progressively longer distance to travel and therefore requires a longer diffusion time to release. In a reservoir systems (See Figures 1.8 a and 1.8 b) the drugs (pure or in a dilute or highly concentrated solution) are surrounded by a polymer film or membrane that controls the diffusion rate. Since this polymer coating is essentially uniform and of a nonchanging thickness, the diffusion rate of the active agent can be kept fairly stable throughout the lifetime of the delivery system. When talking about diffusion-controlled systems, the drug delivery device is understood to be fundamentally stable in the biological environment and does not change its size either through swelling or degradation. In these systems, the combinations of polymer matrices and bioactive agents chosen must allow for the drug to diffuse through the pores or macromolecular structure of the polymer upon introduction of the delivery system into the biological environment without inducing any change in the polymer itself. é‘j/ , \‘if. fall, ’I I " ll? Time .. :“7,2'*”’"""\~;; “\g ,,./31- 1 _' /"'~'"‘\ ' I ./ .,.',‘ \l : \\"- J’f/ ' l. ' Figure 1.7: Figure 1.8: Drug delivery from typical matrix Drug delivery from typical reservoir delivery systems. devices: a. Implantable or oral systems b. Transdermal systems *Figure adapted from Ref [34] *Figure adapted fiom Ref [34] 35 Solvent-activated Solvent-activated systems usually employ a semi-permeable membrane containing a small, laser-drilled hole. Within the membrane there is a high concentration of an osmotic agent, either the drug itself or a salt, which causes water to enter through the membrane. The drug is then forced out through the hole because of the increased pressure. Drug release could be kept at a constant rate in solvent-activated systems. Degradation There are three types of degradation mechanisms. A) Water—soluble polymers are made insoluble by cross-linking. When the cross-links are broken at some point in the body, the polymer will dissolve. B) Water-insoluble polymers are made soluble by hydrolysis or ionization of side groups. C) Insoluble polymers are broken into smaller soluble molecules with an environmental stimulus. One or all of these mechanisms can be used in degradation of controlled release systems. There are two forms of degradation, bulk degradation and surface degradation. (See Figure 1.9 a and 1.9 b) Bulk degradation occurs throughout the polymer structure in a rather random fashion”. The rate of release is unpredictable, and entire dose dumping can often occur“. Surface degradation delivery systems eliminate the problems of bulk degradation systems by using hydrophobic polymers, which contain water-labile linkages. Thus, diffusion of water into the matrix and internal degradation are minimized.8| Examples include polyanhydrides and polyorthoesters. The degradation occurs only at the surface of the polymer, resulting in a release rate that is proportional to the surface area of the drug delivery system. With proper surface geometry design, zero order degradation kinetics is possible“. 36 Figure 1-9= Figure 1.10: Drug delivery from: Drug delivery from swelling- a) Bulk degradation controlled system. controlled release system: b) Surface degradation controlled system. a) RCSGWOII' polymeric DDS b) Matrix polymeric DDS *Figure adapted from Ref [341 *F- d3 d fr R f[34] igurea pte om e Swelling-controlled release systems Swelling-controlled release systems are initially dry and, when placed in the body, will absorb water or other bodily fluids and swell. The swelling increases the aqueous solvent content within the formulation as well as the polymer mesh size, enabling the drug to diffuse through the swollen network into the external environment”. Examples of these types of devices are shown in Figures 1.10 a and 1.10 b for reservoir and matrix systems, respectively. 37 1.4 Gene therapy 1.4.1 Introduction Gene therapy is a technique for correcting defective genes responsible for disease development. There are two main approaches for correcting faulty genes, gene addition and antisense delivery techniques. Gene Addition: A normal gene which is lacking or dysfunctional in patients is inserted into the human body (see figure 1.11). Therapeutic Protein DNA Cell chromosome Therapeutic Protein Figurel.ll Gene addition technique (taken from Ref [82]) Images in this thesis are presented in color. DNA mRN A No protein _ produced (3)4 ' ' :x I“ ‘4'!” .0 translation \‘;."/ '3»: r. {5‘ 3; i /T‘ w =- v 41—1, A'TTV' V\~A . Q . . Antisense ' 1 Drug Figure 1.12 Antisense Technology (taken from Ref [82]) 38 Antisense technique: A technology of interrupting rnRNA translation by using an antisense strand to hybridize with a specific messenger to block the expression of disease-related genetic code (see figure 1.12). Actually, gene delivery is the introduction of specific polynucleotides into human cells with the aim of altering the production of a specific protein. The changes in protein expression result in the reduction or elimination of disease”. In the future, all diseases including cancer“, infectious disease”, vascular disease“, inflammatory disease”, neurological disorders 88as well as inheritable genetic abnormalities”90 have the potential to be cured by this promising strategy. From the beginning of gene therapy (1990), researchers have mostly used viruses as the gene delivery system“. In this method, disease-causing genes are removed and therapeutic genes are inserted into a virus. The virus vector carries and unloads the therapeutic human gene into the target cell to accomplish therapy. However, in 1999, the death of lS-year-old Jesse Gelsinger who was participating in a gene therapy trial for omithine transcarboxylase deficiency (OTCD) caused gene therapy to suffer its first big setback'o". Since it is believed that the boy’s death was triggered by a severe immune response to the adenovirus carrier, researchers began to notice the high risk of virus delivery methods. Viruses present a variety of potential problems to the patient: toxicity, immune and inflammatory responses, and gene control and targeting issues. Further, there is unavoidable concern that the viral vector, once inside the patient, may recover its ability to cause disease. Achieving success in gene therapy is not easy. It not only depends on the accurate expression of the therapeutic agent, but also strongly depends on efficient delivery 39 into target cells, successfully overcoming the subcelluar barriers such as crossing membranes of cells, drugs escaping from lysosomes, and targeting and entering the nucleus°3' 92’ 93. Now it is crucial to develop an improved delivery system for gene therapy since compared with conventional small molecules, polynucleotides exhibit different chemical and physical properties that are not well suited to cell delivery. 40 1.4.2 Antisense human telomerase RNA (GCG CGG GGA AAA GCA) An average human chromosome contains a single molecule of DNA of about 150 million nucleotide pairs. The DNA molecules in eukaryotic chromosomes are linear with two ends, which are called telomeres. Telomeres are crucial to the life of the cell“. They keep the ends of the various chromosomes in the cell from becoming entangled and sticking to each other, and also assist in the pairing of homologous chromosomes and crossing over during prophase of m_eio_s§_ 1. Human telomeres lose about 100 base pairs from their telomeric DNA at each mitosis. With this rate, after 125 mitotic divisions, the telomeres would be completely gone. Therefore, the steady shrinking of telomeres imposes a finite life span on cells. Most cancers arise from somatic cells, but one of the specific features is their ability to divide indefinitely”. It turns out that cancer cells have the ability to synthesize telomeres and, thus, to compensate the shortening of their telomeres. The reason cancer cells can be distinguished from normal somatic cells is that they have telomerase, an enzyme that can add telomere repeat sequences to the end of DNA strands during the DNA - - - 9 ,97 replication to make cancer cells immortal ° . Telomerase is a ribonucleoprotein. Its single RNA molecule provides an AAUCCC template to guide the insertion of TTAGGG. Thus telomerase is a reverse transcriptasegg, synthesizing DNA from an RNA template. The sequence GCG CGG GGA AAA GCA is complementary to the sequence between residues 76 and 94 of human telomerase RNA. Using this antisense telomerase RNA (GCG CGG GGA AAA GCA) can interrupt the telomerase production with the aim to shorten the life span of cancer cells”. 41 DNA Molecules ////\ Telomors } ’ } Without T elomerase A Mitosis of Normal somatic cells / With T elomerase 'l'olomPb._.pbp—L|P~_~.-.~n—rb.._p...—...»_._.~._[b._-p..F.p_.—prp._..?b_....—h».. t hllllll rulerbbllb -II P p 1.) RIP? Fill): .lirht Dr. P Dial-r bnnb .ulblln DFPM Dbl Lan' B in! E bl’hlrp LII I’lbulllr IL 1:01:33 4. . 111 141 «44111111 111 4 4 111 11 11 4 . :11 11 11 «4 141. 1411. 11 .111 I #111 . 11111 ~.— .N m 68 (a) (b) 11 1 ,9 _ for MLWLJ...) “wk. Icl‘E—rl 11W T] ' IjfirTrrrvjrrr‘ann]!rrq‘rrrjrrrrl '|r ”WT 'j ”1 h} 4.4 4.2 4.0 3.8 3.6 3.4 3.2 3.0 2.8 2.6 2.4 2.2 ppm Figure 4.2 1H-NMR spectrum of reaction mixture at 70°C after 1 hour (a) and after 4 hours (b). 69 Ema N.~ .3 Enos m 5cm Doom 8 8262:. cocoa“: be 828on 522-3. onmé 2:3... TN 9N w.~ o.m Nd Ym 9m m.m FL.__.P».r.rpp_.._h_ph».—rCF—thu_.L»._r_.b—pb.__.rPr—r_p._-._._...._-P»F—_pru.._p...PFPL-—1ELIF_L1.LL 331...... 3333.111 70 1 -11-11.1 1...... JUL/1b 1 . 1 1 Jwblhfwli MM. 111 -313 MW 1 11 ‘1... YVTV—T—FTFYYTYITYIrIVrVV' TY’Yl‘thYIVr'T—I'firriv‘ ‘T'YU'TfrT‘ I 3.8 3.6 3.4 3.2 3.0 2.8 2.6 2.4 . V T‘r‘rtfi PPm Figure 4.3 lH-NMR spectrum of reaction mixture at 80°C after 4 hours (a) and after 10 hours (b). 71 (b) 1Y1‘TYTTITI'IU’IUTY'VITI‘IIII‘IIITIY'U'IIF-TI‘YITUITIYI‘VUIIII rTn'IrrIrrrrrrlnrryrnVIIrnrrVTrPur;nrqrrrIIIHVI'IHIHHI”‘W'Ir'l' 4.6 4.4 4.2 4.0 3.8 3.6 3.4 3.2 3.0 2.8 2.6 2.4 2.2 ppm Figure 4.4 lH-NMR spectrum of reaction mixture at 90°C after 2 hours (a) and after 4 hours (b). 72 .950: w comm Uooo .m 8.83: :28on «o 8.50on éZi. G. we 65mm.» Ea as. am em .3 3 3 an an an o... N... v... —.PP.P::—_:pFC.._:.._::__:.—..E—Pr:_prprrr?pr.pb.—..FP:.pr—r...—rr:_ptp—:_p—brp:::_:r:pbbp—:_.P:.r—.~:_.:LI 73 .on Enos md 93 .3. fine: no A3 9:5: Wm coca Docs E 83.28 concave mo 838on 522-3. We 8%...“ can N.N v.N ate-N wN QM Ntm Wm 9m w.m [Lieu-pp? HH.P_.W.P..1LL1-p—.1blrbbF»-_.."brLLr.>bl ..-»>y_1>1 .r-p._...r ._~»-rr1[- . _1. \ll‘illl In \ 74 A3 550: v can .3 55: N .3. 5o: . A3 50: md Sam Doc: 3 8855 canoe“: .5 .550on $22-3. ed 655“. 3 3. 3 a. 6%. 2 am 3 3 9m 3 am em 3 Fp_rr_pkprr.b_._.1~_.—~p_p_|ru.p—LLIPPP.__p_...L.FCT—_bhphbr..___.__._r.—p_.p—pR+.—pb.r_».F»—.p.rphbhp -11/f ?%%1 I’ 51 111/ . / ’1 17C.) . 1 75 4.2 Separation and estimation of molecular weight (MW) of the polymer fractions: 4.2.1 Biogel P-60 Size exclusion chromatography of the poly(B-amino acid) During biogel P-60 Size exclusion chromatography, fractions of the poly(B-amino acid) were collected and monitored at 220 nm. In Figure 4.7, a plot of the fraction number vs UV absorption is shown. Bio-Gel p-60 Size exclusion chromatography Absobance at 220 nm 0 ‘t‘trrflr'r "t‘rrr’m‘fmarrrrrtrr—r'rt"~r'.r‘r:—rrrr "r:':rr’*"r".'r*“:r'arm'"firtTV‘r‘rrrf'r*r'*-7"ra 16111621263136414651566166717681869196 Tubes number Figure 4.7 Plot of fraction number vs absorbance Based on the plot, the polymer distribution was preliminarily assigned to a high molecular weight fraction (tubes 19-47), a medium molecular weight fraction (tubes 48-73) and a low molecular weight fraction (tubes 74-98). 76 4.2.2 Determination of the MW of poly(B-amino acid) fractions by Waters 1525 HPLC The molecular weights of three polymer fractions after Biogel P-60 Size exclusion chromatography were estimated by means of gel permeation chromatography (GPC) using a column with an exclusion limit of 40,000 Daltons. The retention times (Te) were obtained of Dextrans standards (MW 5200, 11600, 23800). Table 4.1 shows the data from the standards. Figure 4.8 shows the curve of log MW v.s. K... [K..,= (Te-Toy (T.-To)]. To (the exclusion limit, 7.05 minutes) was the retention time of Dextran with MW 686,000. T. (12.54 minutes) was the retention time of glucose (MW=180). Table 4.1 Data of standard curve (IgMW v.s. K") ‘ 2 a amirmmnnnmmmg ‘mnm Hm aamam Esau M1 «snags annex is“ any 1.15:“ a: mu man e am .3; a § a yuan as a a w . anus an a: ammo a s Mflnfiwwmnnanw «mxzva mm um “waumaaaarna amen: « gnu .gfim .an nummwmauwummcnwamn m man“ : wmxs mummxnammauun‘mxowum 17maw unusuaaunnaunwuauummamna nanuuaaanunau yum an aaummuaumnunmcnnnuau aaauu.anmaammuu mm-unanam uumsnmmwmxauammmma a» gagnnuauwuaugwuauamwm n-uu3mn nmmgmnmmaammaw nwmnma=mumumnaan-annanuwwmmmmuamuaas MI«unusfiuamuuamflIlamwmwmamswumlmsfiinnmwflnunmmfimaufi 3.. "S“‘R-JHQI-l llflflflwflflflflflfifl “SC sumatuaanmcuwwnflnunnnmammary-warn: 0 0.05 0.1 0.15 02 026 0.3 0.35 0.4 0.45 0.5 Figure 4.8 MW v.s. KIv calibration 77 The linear line fit to the data from the dextran standards is log MW= -2.72K.v + 4.91 The high MW fraction’s retention time was 8.565 minutes (Fig 4.9 a) corresponding to a molecular weight of 15,000 Da. The medium MW fraction’s retention time was 9.532 minutes (Fig 4.10 a) indicating that its molecular weight should be 5000 D. The MALDI Voyager-DETM STR spectrometer was used to obtain more accurate values of 16,986 Da and 5383 Da for the molecular weights at the peaks of the distributions (Figure 4.9 b and Figure 4.10 b). The relative yield for each MW fraction (high, medium, and low) is shown in Table 4.2. Table 4.2 Relative yield of each fraction (percentage of recovered materials) Fractions MW Yield % High molecular weight l6,000-17,000 53.9% Medium molecular weight 5,000-6,000 31.4% Low molecular weight <1000 14.7% 78 100.00 \ 8 565 0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 45.00 50.00 55.00 60.00 Mnutes Figure 4.9 (a) GPC results for the high MW fraction isolated by Bio GelP-60 chromatography 16986.58 ‘1 11111111111 1 r v r ‘v o 15099.4 17550.2 20001.0 Figure 4.9 (b) Mass spectrum of the high MW fraction isolated by Bio GelP-60 chromatography 79 K 9.532 100.00 MV 0.00 0.00 5.00 10.00 15.“) 20.00 25.0) 30.00 35.00 40.“) 45.00 MIN!” Figure 4.10 (a) GPC results of the medium MW fraction isolated by Bio GelP-60 chromatography 5383.40 115,0 ' l [J 1 “am m... “MAW J _- "W‘llhll‘W‘ilf/WWW 0 541 2 5521 _-_._... ,, 'T Figure 4.10 (b) Mass spectrum of the medium MW fraction isolated by Bio GelP- 60 chromatography 8O 16.“) 14.00 12m 8.769 10.00 MV 8.00 6.00 10.799 4.00 2.00 “ ”If fir T 5 fl __ / 2.00 4.00 6% 3.00 10.00 12.00 woo 16.00 18.00 20.00 22.00 2am 28.“) 28.00 Minutes Figure 4.11 GPC result of high MW fraction isolated by acetone precipitation method 4.2.3 GPC result of high MW fraction isolated by acetone precipitation method (Figure 4.11) From figure 4.11, we can see the high MW fraction from acetone precipitation was noticeably impure. The peak width is broad and the low MW product accounts for more than 20% of the sample. Compared with the precipitation method of fractionation, gel filtration using size exclusion chromatography gave a much better separation. However, the acetone precipitation method allowed the processing of a much larger amount of material and could be used as an efficient initial fractionation method before final purification and sizing. 81 4.3. Characterization of high MW fractions of the poly(B-amino acid) The high MW fractions of the poly(B-amino acid) were characterized by proton NMR and FT-IR spectroscopy. (Figure 4.12 and Figure 4.13). From the proton NMR spectrum, the apparently broad envelope indicated high molecular weight poly(B—amino acid). In the FTIR spectrum, the signal at 3297 cm" indicated the presence of —OH, signals at 2943 cm", 2858 cm" and 2768 cm" indicated the structures of —CH2, —CH;, —CH respectively, the signal at 1660 cm'I indicated ~C=O, and the signal at 1042 cm'l indicated —C-0. 82 Eafiwofiaofio oci—oO 2m wfim: corona 32 Ami mo 82.58% 522-2. S6 ocsmi Ema cg M: ON N.N TN 9N w.~ o.m NA.“ v6 9m w.m o...» NV CELL”LCFLZZ~ELI:fir—LFECFZaPEITS;CCTCLCCCZL_ZL.ILCZTCLETILPCLICPC:CCLCCCCErlrE f a {i . 83 anafimofifiofio ochO 2m .3 BEBE conga. >22 .33 23 mo 85.58% E: m _ .v PEME one? some ooom comm coon comm ooov .. mm -“r-" -1 . O . m . .. .7 .l : I Z Z Z 1 .. . 6 av “ . 9 L 8 6 I a _ O S H _ 9 9 S .V 1 ... _ _ . _. 1 m ._ . . . - .. .V .. _ .. ._.. __ mm 7v , .5... L. . . . u 4 w a it ; 1 . _. . .. . ‘.__ .... w a _..__ _ a: ...._ we. 3 1” M., .77 :fm 6 . : .. 2. . _ ._ _ “ n _ .. _ .. .._ h _ . . . mv ._ ... ._ _. _ ., . _ _ . _. . H_ H., a . _. 1 __ “_ _ w . _ _ . _ _ , 1 L. .. J ._. ..J. . ~ _ _ . . T _. H. _....:_ _ _ w ‘ . l on “M . T ._.: .. . n _, . - _ .. : ..._ ._ ._ H a _n ._ B _.. m n W _ fl _. _ W J ..... . . .. H. . 1mm. ... 9.... w ..,. _ .. .r .. ........_.. . WT _ _.. _. 18 .. _ . _ .. .. i. _. ._ - t .. _ . .. r. . lmw ... _ .. _. . h _. ,. E ._ “J., .... .).. r m 2..-... . . 2 . x 1 1 . .) x .1. .. Elk 1. . \\. \l\a\ rr\ I. .. 3.. 8 84 4.4 Drug delivery properties of poly(B-amino acid) 4.4.1 Anticancer drug delivery (doxorubicin) There are countless drugs that are effective in killing cancer cells in the laboratory, but act differently in a living system because they do not affect only the tumor, and cause extremely harmful side-effects. Doxorubicin is one of the most widely used anticancer drugs (see figure 4.14). It is effective in the treatment of many solid tumors such as lymphomas, tumors of the breasts, lungs, ovaries, testes, prostate, cervix, head and neck. It is also a therapy for osteogenic sarcomas, Ewing’s sarcoma, AIDS related Kaposi’s sarcoma etc."2 Doxorubicin is an anthracycline antineoplastic agent produced by the fungus streptomyces peucetius3. Doxorubicin damages DNA by intercalation of the anthracycline portion of the molecule, metal ion chelation, or by generation of free radicals. It also inhibits DNA topoisomerase 11, an enzyme that is critical to DNA function by making the reproduction of DNA effective." 3 Doxorubicin also is called “red death" because of its physical appearance (red color) and its extremely inherent toxicity. From the name, we could imagine how dangerous its side effects could be. Since doxorubicin is water soluble and diffuses into cells quickly and freely, it has been associated with a number of toxicities such as hair loss, nausea, vomiting, diarrhea, allopecia, stomatitis, esophagitis, cardiotoxicity and bone marrow depression which lead to anemia, greater risk of bleeding, infection etc" 3. Among them, cardiotoxicity is a major concern during doxorubicin therapy. The heart contains excessive enzymes that convert doxorubicin to free radicals“, however, unlike most 85 tissues, the heart has poor defense mechanisms against free radicals. The risk of cardiotoxicity is proportional to the cumulative dose of doxorubicin received'. 0 OH O OH \\ CJ CH3 0 0H ’ w l5""511-12 0 \w‘ Olu H Figure 4.14 Structure of doxorubicin Liposome delivery systems have been used to deliver doxrubicins, however the side effects are large" 3. Developing an efficient polymeric drug delivery system with good drug binding ability is the key to solving this problem6’ 7. The polymeric delivery system we prepared and tested was very effective at sequestering doxorubicin and releasing it inside mouse embryonic fibroblasts (MEF) cells. This is illustrated in Figure 4.15 A to F. Figure A shows a florescence micrograph of a solution of doxorubicin in phosphate buffer saline (PBS) solution. The entire field is evenly covered showing that the drug is soluble and completely diffused throughout the solution. Figure 4.153 shows a florescence micrograph of a PBS solution of doxorubicin with the high molecular weight fraction of poly (IS-amino acid) as the carrier. Figure 4.15 C shows a florescence micrograph of a solution of doxorubicin with the medium molecular weight fraction of poly (B-amino acid) as the carrier in phosphate buffered saline solution. These two figures (B &C) show that for the two different polymers, the brightness of colloidal gel particles of polymers in PBS solution were different, the higher MW polymers have better binding ability to doxorubicin. Figure 4.15 D shows the high MW polymer without 86 doxorubicin inside of one cell which is undergoing division. The green color corresponds to the green fluorescence of poly(B-amino acids). Figure E shows that with the carrier, doxorubicin molecules were inside the nucleus of one cell. The orange color is due to the green fluorescence of the polymer plus red fluorescence of doxorubicin. Figure F shows that with the carrier, doxorubicin molecules inside several cells were trapped in a polymer colloidal gel particle (green plus red). With such good sequestering properties by the polymers, the doxorubicin can be delivered to the target in a controllable manner. As a result, the serious side effects of doxorubicin can be decreased by a large degree. 87 (A) (B) (C) ( D) (E) (F) Figure 4.15 (A-F) Light micrographs showing of doxorubicin sequestration and delivery to MEF Cells. (A) Doxrubicin buffer solution without polymer binding (B) Doxorubicin buffer solution with polymer (MW=16978) (C) Doxorubicin buffer solution with polymer (MW=5383) (D) Polymer inside MEF cells without doxorubicin (E) Polymer in one MEF cell with doxorubicin (F) Polymer gel particle with doxorubicin inside MEF cells * Doxorubicin was red fluorescence, polymer was green fluorescence (labeled by FT IC) Orange is due to red plus green when polymer exists with doxorubicin. 88 4.4.2. Delivery of antisense human telomerase RNA (GCG CGG GGA AAA GCA) The light micrographs of the poly(B-amino acid)polymers delivery system with the antisense drug (GCG CGG GGA AAA GCA) are shown as follows: (See Figure 4.16 A- D) (D) Figure 4.16 The light micrographs of antisense delivery (A) MEF cells with Cy5 labeled antisense without polymers (blue fluorescence image) (B) MEF cells with Cy5 labeled antisense with polymers (green + blue fluorescence image) (C) MEF cells with Cy5 labeled antisense and polymers (transmission image) (D) MEF cells with Cy5 labeled antisense and polymers (green + blue fluorescence image) One of the barriers of antisense delivery is that unlike most small molecule drugs, antisense oligonuleotides have very high densities of negative charge which inhibit penetration of cell membranes. Hence in Figure 4.16 (A), the labeled antisense molecules are not taken up by cells in the absence of carrier. Figure 4.16 (B) shows the efficient antisense translocation by the carrier. Two channels (blue + green) were monitored. The antisense molecule fluoresces blue with Cy5 labeled and the carrier was labeled with fluorescent fluorescein isothiocyanate (FTIC) to green fluorescence. Figure 4.16 (C) is a bright field image of a cell that was treated with the carrier and antisense oligonucleotides. The cell is still intact. Figure 4.16 (D) shows that in the presence of carrier, no lysis of cells was observed and the Cy5 labeled antisense oligonuleotides (blue) were delivered into the cells and mainly localized in the nucleus. Barriers to antisense treatment of cancer 1. Target to cancer site-«by passive targeting mechanisms. Tumors always require a large blood supply and demand highly vascularized tissue to maintain their rapid rate of growth8 .The vasculature of tumors is extremely‘different from normal tissues. Unlike normal tissue, tumors have leaky capillaries, high vascular density 9'10. Another characteristic is the dysfunction of the and permeability—enhanced factors lymphatic system that is responsible for the drainage of macromolecules from normal tissues.”' '2 Because of the enhanced permeability and retention effect, polymers can enter tumor tissues and remain there for a prolonged time, while small molecules are not retained because of their ability to return to the circulation by diffusion. Rapidly dividing cancer cells constantly ingest nutrients from their surroundings by macropinocytosis or 90 random gulping of extracellular fluid”. Because of this, the DDS can be efficiently internalized without modification with some special targeting of cell-surface receptors in certain types of cancers”. 11. Subcellar barrier—lysosome escape The major barrier to the subcellular level of drug delivery is whether the drug can successfully escape from the lysosomes. The lysosomes contain a number of degradation enzymes and also have a harsh environment that renders drugs ineffective too soon after the drug delivery system enters the cell. Figure 4.16 (D) proves that the antisense drug is able to successfully escape from the lysosome and reach the final target—the nucleus. The following Figure 4.17 is the strategy for subcelluar drug delivery by the cationic poly(B-amino acid). In the delivery mechanism outlined in Figure 4.17, the positive charge of the carrier binds the drugs tightly and facilitates their interaction with the cell membrane which has an overall negative charge. The drugs are taken up into cells by the process of endocytosis within structures called endosomes. A family of enzymes called lysosomal thiol-dependent proteases catalyze the cleavage of the polymer-backbone to set the drug free. Protonation of the carrier also leads to unfolding and this also facilitates drug release. The drug /carrier complex also passes through the nuclear membrane, which is the ultimate target for drug processing. 91 % e + % % Drug binding a 0 q, Drug molecules Polyamide Enter cells Figure 4.17 Subcellular drug delivery by poly(ll-amino acid)polymers 92 4.4.3 Plasmid GFP gene delivery by the poly(p-amino acid)polymers The delivery of an entire plasmid into a cell is the biggest challege in the gene therapy field. There are a few commercial products for this “transfection” process, but their efficiency is usually very low. In some cases, a large proportion of cells is damaged. Super Fect is one of these commercial products. We compared the efficiency of our carriers to Super Fect (SF) in the delivery of plasmids containing a gene for green fluorescent protein (GFP) into mouse embryonic fibroblast (MEF) cells. Light micrographs describing the results of these experiments are shown below in figure 4.18 (A-L): (A) (C) (D) 94 Figure 4. l8 (A—L) fluorescence and transmission light micrographs of MEF cells illustrating transfection of plasmid DNA encoding GFP mediated by the drug delivery vehicles described here and a commercial transfection agent (Super F ect Tm) (A) MEF cells 12 hours in incubation (transmission image) (B) MEF cells 12 hours in incubation (green fluorescent image) (C) MEF cells with GFP gene plasmid 12 hours in incubation (transmission image) (D) MEF cells with GFP gene plasmid 12 hours in incubation (green fluorescent imge) (E) MEF cells with SF and GF P gene plasmid 12 hours in incubation (transmission image) (F) MEF cells with SF and GF P gene plasmid 12 hours in incubation (green fluorescent image) (G) MEF cells with polymer and OF P gene plasmid 12 hours in incubation (transmission image) (H) MEF cells with polymer and GFP gene plasmid 12 hours in incubation (green fluorescent imge) (I) MEF cells with polymer and GFP gene plasmid 18 hours in incubation (green fluorescent image) . (J) MEF cells with polymer and GFP gene plasmid 33 hours in incubation (green fluorescent image) (K) MEF cells with SF and GFP gene plasmid 17 hours in incubation (transmission image) (L) MEF cells with SF and GFP gene plasmid 17 hours in incubation (transmission image) 95 Figure 4.18 A is a transmission light micrograph of mouse embryonic fibroblast (MEF) cells after 12 hours of incubation without the carrier or the plasmid. Figure 4.18 B shows the same microscope field but this time only monitoring the green channel for the green fluorescent protein (GFP). From the images, it is known that the cells have no intrinsic green fluorescence. Figure 4.18 C is a transmission light micrograph of mouse embryonic fibroblasts (MEF) cells after they were incubated with a GFP encoding plasmid and no carrier for 12 hours. Figure 4.18 D shows the same microscope field, but only monitoring the green channel for GFP. The results show no evidence for transfection. Figure 4.18 E is a transmission light micrograph of mouse embryonic fibroblast (MEF) cells after incubation with a plasmid encoding for the OF P gene and the commercial transfection agent Super F ectT’“ for 12 hours. Figure 4.18 F shows the same microsc0pe field monitoring the green channel for GFP. The results indicate that most cells show lysis. The cells were destroyed by Super Fect during the transfection. Figure 4.18 G is the transmission light micrograph of mouse embryonic fibroblast (MEF) cells after they were incubated with the GFP encoding plasmid and the carrier—Poly(B- amino acid) polymers for 12 hours. Figure 4.18 H shows the same microscope field monitoring the green channel for GFP. The carrier not only efficiently mediates transfection, but also does not affect the structure of the cells. Figure 4.18 I is a green fluorescent light micrograph of mouse embryonic fibroblast (MEF) cells after they were incubated with the GF P encoding plasmid and the carrier— Poly(B-amino acid) polymers for 18 hours. From the image, a larger number of cells show 96 green fluorescence after 18 hours treated with the polymer. All of the cells are intact. None of cells were destroyed by the carrier. Figure 4.18 J is a green fluoresce light micrograph of mouse embryonic fibroblast (MEF) cells after they were incubated with the GFP encoding plasmid and the carrier—poly(B- amino acid) polymers for 33 hours. Many more cells show green fluorescence after 33 hours with the carrier and still the cells are intact (none of them showed lysis). After 33 hours, the delivery ability of the poly(B-amino acid) is still very good, which gives a strong indication that this polymer has the potential to be used as a long term controlled release delivery system. Figure 4.18 K and L are two images of transmission light micrographs of mouse embryonic fibroblast (MEF) cells after they were incubated with the GFP encoding plasmid and the commercial transfection agent Super F ectTm for 17 hours. The images show that the cells were destroyed more seriously by Super Feet after 17 hours. 97 Conclusion: The experimental results show that the poly(B-amino acid) polymers are a promising drug delivery system. They successfiilly sequester and mediate the delivery of the anticancer drug doxorubicin into mouse embryonic fibroblast (MEF) cells. This carrier might be useful in reducing or eliminating the serious side effects of this drug. The delivery of RNA, gene or gene sequences into cells is an especially challenging task. Poly(B-amino acid) carriers described here efficiently delivered the RNA antisense (GCG CGG GGA GCA AAA GCA) drug into MEF cells without any cell lysis occurring. Thus, they provided another exciting prospect for curing cancer. Poly(B- amino acid) carriers also showed excellent suitability for the transfection of plasmids. Compared with the commercial transfection agent Super FectTm , they also showed superb non-cell lysis properties, which will be the most significant property as a drug delivery system. 98 10. ll. 12. 13. Bibliography Joshua Mecham, Preston Maxwell and Will Davids, Doxil liposomal delivery system of doxorubicin. Pharmaceuticals III. Hardman JG, Limbird LE, Molinoff PB, Ruddon RW, Gilman AG., The Pharmacological Basis of Therapeutics, Goodman & Gilman 's, 9thEd. 1264- 1266. Http: www. aegis.com/factshts/network/access/drugs/doxo.html Martee L. Hensley, The cost and efliciency of liposomal Doxorubicin in Platinum -Refractory Ovarian Cancer in Heavily Pretreated Patients. Igor V. Zhigaltsev, Triggered release of doxorubicin following mixing of cationic and anionic liposomes. Biochimica et biophysica Acta 2002, 1 5 65 , 129-135. B. Rihova, Doxorubicin bound to a HPMA copolymer carrier through hydrazone bond is effective also in a cancer cell line with a limited content of lysosomes. Journal of Controlled Release 2001 , 74, 225-232. T. Nakanishi, Development of the polymer micelle carrier system for doxorubicin. Journal of Controlled Release 2001, 74, 295-302. Dean K. Pettit and Wayne R. Gombotz, The development of site —specific drug-delivery systems for protein and peptide biopharmaceuticals. Tibtech August 1998 16. D. F. Bahan, L.W. Seymore, Control of tumor vascular permeability, Adv. Drug Deliv. Rev. 1998, 34, 109-119. H. Maeda, Tumor vascular permeability and the EPR effect in macromolecular therapeutics: a review. J. Control. Release 2000, 65, 271-278. Vladimir P. Torchilin and Anatoly N. Lukyanov, Peptide and protein drug delivery to and into tumors: challenges and solutions. DDT 2003, 8(6). Maeda, H. Mechanism of tumor—targeted delivery of macromolecular drugs, including the EPR effect in solid tumor and clinical overview f the prototype polymeric drugs SMANCS. J. Control. Release 2001, 74, 47-61. Maeda. H. SMANCS and polymer—conjugated macromolecular drugs: advantages in cancer chemotherapy. Adv. Drug Deliv. Rev.2001, 46, 169-185. 99 Chapter 5.0 preparation of cationic polyelectrolytes Introduction Polyelectrolytes are polymers containing charged groups at regular intervals along the length of the chain. The preparation of such materials is another important application for the poly(B-amino acid) we described in the earlier chapter 3. At low pH, protonation of the dimethylaminoethyl side chain would result in the formation of a polyelectrolyte. A permanent charge can be obtained by alkylation leading to quaternization of the side chain nitrogen and the formation of a cationic polyelectrolyte. Polyelectrolytes can be used to stabilize or destabilize interactions between charged particles in numerous applications. There are several examples showing when polyelectrolytes can be used to inhibit the aggregation of particles. For instance, printing inks are suspensions of colloidal particles and the aggregation of these particles leads to loss of resolution and blockage of the ink dispenser. This can be reversed or inhibited by coating the pigment (color) particles with a polyelectrolyte so they do not associate with each other. Further, bacteria and other microorganisms are invariably negatively charged and tend to disperse in aqueous media. Polyelectrolytes are often used as flocculants"3 to produce aggregates from these dispersions in wastewater treatment. Polyeletrolytes are also frequently applied directly to soil as conditioning agents to maintain soil structural conditions by stabilizing the colloidal nature of the soil particles. They are also used as carrier gels for fluid drilling in the placement of pre-germinated seeds in agricultural and horticultural practice‘. Besides other uses as thickeners, detergents5 and coagulants, one important and exciting use of polyelectrolyte gels is in the fabrication of solid electrolyte batteries that have greater safety because they are less likely to leak toxic liquidsG. Last, but not least, 100 as a biosensor, polyelectrolytes can be used for the controlled drug delivery7'9 triggered by different bio-stimuli such as change in pH, the concentrations of enzymes, sugars, antigens, etc. In this study, cationic polyelectrolytes were prepared by protonation and by methylation of poly(B-arnino acid) with dimethylaminoethyl side chains. Polyelectrolytes often form hydrogels, which make them significant materials for use in controlled drug delivery systems. Smart polymer material—Hydrogels Hydrogels are polymers that will absorb at least 10-20% amount of fluid and swell when placed in water or other biological liquids to form a gel. Water absorbance of hydrogels, depending on hydrophilic structure of polymers, can vary from 20% to many times their dry weight. One of the most remarkable properties of hydrogels is that the swelling or shrinking can be triggered by a change in the environment surrounding the delivery system. The swelling or shrinking of a hydrogel is reversible and repeatable after additional changes from the external environment. Depending on the different compositions of hydro gels, the environmental change can involve pH, temperature, ionic strength etc. A number of these environmentally sensitive or "intelligent" hydrogel materials are listed in Table 5.1”). Because variations of pH are known at several body sitesl 1, the pH sensitive hydrogel drug delivery system has received more attention by scientists. Hydrogels are elastic in nature because of the presence of a memorized reference configuration to which they return even afier being deformed for a very long time. In addition, they consist of polymers combined with water and as such have dual characteristics. Hydrogels show a solid character due to the polymer, which make them available in a variety of structures for different drug delivery functions. They also display certain water—like properties, such as 101 permeability, for many water-soluble substances. When hydro gels are loaded with drugs, they can be implanted into the human body and establish the controlled drug release at specific pH values. Through further modifications, hydrogels can release drugs under different stimulations as we mentioned in table 5.1: such as different pHs, temperatures, magnetic fields, ultrasonic pulses, electric fields, etc. 102 Table 5.1 stimuli-responsive hydrogels in drug delivery Stimuli Magnetic field Ultrasonic radiation Electric field Glucose Urea Morphine Antibody pH Temperature pH and temperature Polymer Ethylene-co-vinyl acetate (EVAC) (EVAC); Ethylene-co-vinyl alcohol Poly(2-hydroxyethyl methacrylate) EVAC Methyl vinyl ether-co-maleic anhydride Methyl vinyl ether-co-maleic anhydride Poly(ethylene-co-vinyl acetate) Chitosan-Poly(ethylene oxide) Poly(acrylic acid) : PEO Gelatin-PEO Poly(Z-hydroxyethyl methacrylate) Poly(acrylamide-co-maleic acid) N-vinyl pyrrolidone, polyethylene glycol diacrylate, chitosan Poly(N-isopropyl acrylamide) Poly(N-isopropyl acrylamide-co- butyl methacrylate-co-acrylic acid) *Table is adapted from Ref [10] 103 Drug Insulin Zinc bovine insulin Insulin Propranolol Hydrochloride Insulin Hydrocortisone Naltrexone Naltrexone Ethinyl estradiol Amoxicillin Metronidazole Salicylamide Nicotiamide Clonidine Hydrochloride Prednisolone Riboflavin Salicylic acid Terbinafine Hydrochloride Theophylline S-fluorouracil Heparin Calcitonin Refs 12 14 15 16 17 18 19 20 21 22 23 24 25 26 H(‘l , H30 . _ ( Drugsa. )‘ Figure 5.1 Scheme of hydrogel formation Preparation of polyelectrolytes hydrogles by protonation We prepared polyelectrolytes by protonating the dimethylaminoethyl side chain. A scheme illustrating hydrogel formation by the poly(B-amino acid) polymer leading to capture of drugs is shown in Figure 5.1. (* Means drug could be added into hydrogel.) The hydrogels are formed because protonated poly(B-amino acid) molecules repelled each other and then water molecules inserted into the space between the charged groups to form the hydrogels. 104 Experimental section 1. Polyelectrolytes by protonation The high, medium, and low fraction polymers (0.01 g) were each added to a preweighed watch glass. One drop of concentrated HCl followed by a few drops of water were added to each watch glass. The watch glass was turned over to cover the top of a 50-mL flask containing 10 mL concentrated HCl for 24 hours. (The amount of water added was controlled to prevent the polymer solution from dripping when the watch glass was turned over.) After 24 hours, each watch glass was weighed and then the three gels were dried in a vacuum oven for 4 hours to determine the amount of water absorbed by the polymer gels. (* Diameter of watch glass = 2.5 cm.) In addition, one drop of hexane and one drop of iodine were added to the gels as a stain to aid visualization, and then photographs of gels were taken. 105 2. Polyelectrolyte hydrogels by methylation Materials and characterization All chemical materials used were obtained from the Aldrich Company and were analytical grade unless otherwise noted. NMR measurements were made on a Varian VXR 500 MHZ Spectrometer. Synthesis Na2C03 (0.030 g) dissolved in 2 ml H20 and 0.030 g of the poly(B-amino acid) dissolved in lml of methanol, were mixed in a 50 ml vial. Dimethly Sulfate (3011.1) was then quickly added to the vial at room temperature. The reaction mixture was heated at 60 °C degree for 1 hour. The solvents were then removed by rotary evaporator. The crude polymer (0.01 g) was dissolved in 1 ml of H20 and the polymer solution was passed over an anion exchange resin (chloride form) to remove the methyl sulfate anion. The solvent (H20) was removed again by rotary evaporator. The final polymer solutions were lyophilized for 72 hours. OH O OH ’1 k n 1.1120 ' H 2.N82CO3 N n N M 3. CH ) SO ( a 2 4 5 e H I \ Hac-O— '0 eNMe 6 Me Me’ Me Scheme of methylation of the poly(B-amino acid) 106 Walks -. Amy/L #71 I I-I.I. ‘,_I I, I 1" I .I 1 1' r_ r ' Y.Tfr I "f 5.0 4.5 4.0 3.5 3.0 2.5 ppm 0)) 5.0 4.5 4.0 3.5 3,0 2.5 ppm Figure 5.2 lH-NMR spectrum of methylated polymer product before ion change with chloride anion (a) and after ion change with chloride anion (b). * Solvent: D20 107 Results and discussion: NMR spectra Figure 5.2 A is the NMR spectrum of the polymer product before ion exchange and Figure 5.2 B is the NMR spectrum of the polymer product after ion exchange with chloride anion. In Figure 5.2 A, the sharp peak at 3.65 ppm is the signal for the H3C0803' anion. In Figure B, disappearance of the peak indicated that the CH30803' anion was exchanged successfully. Photographs of hydrogels of poly([l amino acid) polymer: Iodine-stained hydrogel formed from 0.01g poly(fl-amino acid) and 82% (w) water. Figure 5.4 The hydrogel of the high MW fraction Iodine-stained hydrogel formed from 0.01g poly(fl-amino acid) and 50% (w) water. Figure 5.5 The hydrogel of the medium MW fraction. 108 Table 5.2 Water absorbance of different molecular weight polymer fractions Fractions Water Absorbance % High molecular weight 82%, Medium molecular weight 50% Low molecular weight 33% Table 5.2 shows water absorbance for the different molecular weight fractions of poly(B- amino acid) polymers. Figure 4.15 and Figure 4.16 are the photographs of hydrogels of high MW and medium MW polymer. The photographs show that the hydrogel volume from the high MW polymer is noticeably larger than that from the medium MW polymer. Experimental results demonstrate that the water absorbance is increased with the molecular weight of the poly(B-amino acid) polymers. Cationic hydrogels are relatively rare compared to anionic and neutral hydrogels. Cationic polyelectrolytes with amide backbone are uncommon. Polylysine is one example of a cationic polyelectrolyte with a polyamide backbone, but its gel-forming ability is not well documented. The materials we described here are therefore important new contributions. Polyethyleneimine is another example of a cationic polyelectrolyte. It can be prepared from ethyleneimine as shown below”. It cannot be readily degraded in biological systems. H2?\NH CH2 N ~CH2 CH2 NH— CH2 fie» ’ l H2C ' CH2 NH‘ CH2 CH2 NH’r‘ H2O n Chitosan (poly B-l ,4-D-glucosamine) is the only biogenic cationic polyelectrolyte. Unlike polyethyleneimines, chitosan has good water-absorbing properties. Chitosan forms gels at high pH (>6.3)28. These contain as much as 98% water”. In contrast to the systems developed here, gel structure is maintained by a hydrogen-bonding network and not by 109 charge. At low pH (pH < 6), chitosan is protonated and soluble. When the pH is raised above about 6.3, the amino groups become deprotonated and this polysaccharide can form an insoluble hydrogel network 29‘ 30. OH O 15% “w 0 O HO QNH; OH n Sdume OH HO NH 1 O . 2 + 2nH“ H NH2 OH 11 Insoluble Materials that can form hydrogels under all pH conditions are desirable. This can be facilitated by converting groups that are charged in a fashion depending on pH into permanently charged groups. This was successfully accomplished in this study by methylation of the poly(B-amino acid). Since they were first synthesized in 1960, pHEMA (poly-hydroxyethyl methacrylate) gels have been utilized for biomedical applications. Extensive studies have been carried out on the structural, chemical properties, and applications of pHEMA. pHEMA is one of the most popular neutral hydrogels with water content of approximately 40%3 '. The water content can be regulated by copolymerization with hydrophobic or hydrophilic monomers. Currently, much research is being carried out on biomedical applications for pHEMA. This cannot be degraded enzymatically or hydrolyzed by acids or bases. One approach is to copolymerize pHEMA with maleic acid and maleic anhydride to improve their degradation, but this results in poorer 110 water absorption compared to pure pHEMA32. Compare with pHEMA hydrogels, the polymer we described here has much better water absorption properties. In addition, this polymer is biodegradable, and its poly B-peptide backbone makes it a potentially excellent biocompatible drug delivery system. 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