Aspects of the invention relate to compositions, systems and methods for delivering a drug to a subject via the use of a plurality of self-assembled supramolecular nanoparticles (SMNPs).
Onychomycosis is a progressive, contagious, and recurring fungal infection of the nail apparatus, which has been considered a “clinically stubborn disease” with high prevalence (approximately 10-12% of the general U.S. population) and low cure rates.1-4 Aside from mere cosmetic concerns, fungal nail infections can also cause severe health problems, such as high risk of contamination with other nails in a same patient or other susceptible individuals; serious complications in diabetic or elderly people;5,6 recurrent cellulitis and thrombophlebitis;7 and significantly reduced quality of life.8
A large variety of therapeutic approaches8-12, including oral administration, topical creams, laser-based treatment, and combined treatments have been developed to treat onychomycosis. Oral administration based on approved anti-fungal drugs, e.g., allylamines, azoles, morpholines, benzoxaboroles, and hydroxypyridinones, have been widely used.2, 13 Since the oral administration only achieve temporary effective drug concentration at the fungal infection sites,14 a prolonged high-dose treatment is required in order to sustain therapeutic efficacy at the sites of fungal infection. As a result, systemic side effects such as liver toxicity, potential drug reactions, and bioavailability problems9,14 have limited clinical utility of oral drugs. Although topical creams exhibit minimum systemic toxicity and off-target effects, this approach has especially low cure rates15-17 due to the nail plate acting as a barrier to the infected site. In contrast to the oral and topical methods, laser-based treatments use direct heat treatment to thermally eradicate nail fungus.18,19 Due to technical challenge to precisely deliver laser pulses to the fungal infected sites, most laser systems employ nonspecific bulk heating, presenting possibility of damage to the surrounding healthy tissue. The ineffectiveness and complexity of the existing therapeutic approaches9 highlight an unmet need for a new anti-fungal therapeutic approach, capable of sustainably eradicating nail fungus. An ideal therapeutic approach for onychomycosis would have the advantages of (i) ability to introduce anti-fungal drugs directly to the infected site; (ii) finite intradermal sustainable release to maintain effective drug levels over prolonged time; (iii) a reporter system for monitoring maintenance of drug level; and (iv) minimum level of inflammatory responses at or around the fungal infection sites.
All publications and patent applications identified herein are incorporated by reference in their entirety and to the same extent as if each individual publication or patent application was specifically and individually indicated to be incorporated by reference.
An embodiment of the invention relates to a composition for delivering a drug to a subject having: a plurality of self-assembled supramolecular nanoparticles (SMNPs), each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) having: a plurality of binding components, each having a plurality of binding regions; a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex; the drug; and a reporter agent. In such an embodiment, the plurality of binding components and the plurality of cores self-assemble when brought into contact to form the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of terminating components act to occupy the remaining binding regions of the plurality of binding components, and the plurality of terminating components are present in a sufficient quantity relative to the plurality of binding regions of the plurality of binding components to terminate further binding, thereby forming a discrete particle, the drug is encapsulated within each of the plurality of self-assembled supramolecular nanoparticles (SMNPs), the reporter agent is encapsulated within each of the plurality of supramolecular nanoparticles (SMNPs), the plurality of cores and the plurality of binding components are present in a percent mass (w/w) ratio of between 0.25:1 and 2.5:1, and each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) has a diameter of between 240 nanometers and 730 nanometers.
An embodiment of the invention relates to a method for making a composition comprising a plurality of self-assembled supramolecular nanoparticles (SMNPs) for delivering a drug to a subject including: providing a first solution comprising a plurality of binding components, each having a plurality of binding regions; providing a second solution comprising a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; providing a third solution comprising a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex; providing a fourth solution comprising the drug; providing a fifth solution comprising a reporter agent; and mixing the first solution, the second solution, the third solution, the fourth solution, and the fifth solution. In such an embodiment, the mixing brings into contact the plurality of binding components and the plurality of cores such that the plurality of binding components and the plurality of cores self-assemble to form the plurality of self-assembled supramolecular nanoparticles (SMNPs), and such that the drug and the reporter agent are encapsulated within each of the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of terminating components act to occupy the remaining binding regions of the plurality of binding components, and the plurality of terminating components are present in a sufficient quantity relative to the plurality of binding regions of the plurality of binding components to terminate further binding, thereby forming a discrete particle, the plurality of cores and the plurality of binding components are present in a percent mass (w/w) ratio of between 0.25:1 and 2.5:1, and each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) has a diameter of between 240 nanometers and 730 nanometers.
An embodiment of the invention relates to a method for delivering a drug to a subject including: penetrating an epidermis tissue layer of the subject such that an accession point to an underlying dermis layer in the subject is created; and delivering a plurality of self-assembled supramolecular nanoparticles (SMNPs) to the underlying dermis layer in the subject through the accession point. In such an embodiment, each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) have: a plurality of binding components, each having a plurality of binding regions; a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex; the drug; and a reporter agent. In such an embodiment, the plurality of binding components and the plurality of cores self-assemble when brought into contact to form the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of terminating components act to occupy the remaining binding regions of the plurality of binding components, and the plurality of terminating components are present in a sufficient quantity relative to the plurality of binding regions of the plurality of binding components to terminate further binding, thereby forming a discrete particle, the drug is encapsulated within each of the plurality of self-assembled supramolecular nanoparticles (SMNPs), the reporter agent is encapsulated within each of the plurality of supramolecular nanoparticles (SMNPs), the wherein the plurality of cores and the plurality of binding components are present in a percent mass (w/w) ratio of between 0.25:1 and 2.5:1, and each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) has a diameter of between 240 nanometers and 730 nanometers.
Existing approaches for treating onychomycosis demonstrate limited success since the commonly used oral administration and topical cream only achieve temporary effective drug concentration at the fungal infection sites. An ideal therapeutic approach for onychomycosis should have (i) the ability to introduce antifungal drugs directly to the infected sites; (ii) finite intradermal sustainable release to maintain effective drug levels over prolonged time; (iii) a reporter system for monitoring maintenance of drug level; and (iv) minimum level of inflammatory responses at or around the fungal infection sites. Embodiments disclosed herein include and accomplish all four of these points. An embodiment comprises ketoconazole-encapsulated cross-linked fluorescent supramolecular nanoparticles (KTZ⊂c-FSMNPs) as an intradermal controlled release solution for treating onychomycosis. An embodiment comprises a two-step synthetic approach adopted to prepare a variety of KTZ⊂c-FSMNPs. In some embodiments, 4800 nm KTZ⊂c-FSMNPs exhibited high KTZ encapsulation efficiency/capacity, optimal fluorescent property, and sustained KTZ release profile.
An embodiment of the invention relates to a composition for delivering a drug to a subject having: a plurality of self-assembled supramolecular nanoparticles (SMNPs), each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) having: a plurality of binding components, each having a plurality of binding regions; a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex; the drug; and a reporter agent. In such an embodiment, the plurality of binding components and the plurality of cores self-assemble when brought into contact to form the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of terminating components act to occupy the remaining binding regions of the plurality of binding components, and the plurality of terminating components are present in a sufficient quantity relative to the plurality of binding regions of the plurality of binding components to terminate further binding, thereby forming a discrete particle, the drug is encapsulated within each of the plurality of self-assembled supramolecular nanoparticles (SMNPs), the reporter agent is encapsulated within each of the plurality of supramolecular nanoparticles (SMNPs), the plurality of cores and the plurality of binding components are present in a percent mass (w/w) ratio of between 0.25:1 and 2.5:1, and each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) has a diameter of between 240 nanometers and 730 nanometers.
An embodiment of the invention relates to the composition above, where the plurality of binding components comprises polythylenimine, poly(L-lysine), or poly(β-amino ester).
An embodiment of the invention relates to the composition above, where the plurality of binding regions comprises beta-cyclodextrin, alpha-cyclodextrin, gamma-cyclodextrin, cucurbituril or calixarene.
An embodiment of the invention relates to the composition above, where the plurality of cores comprises polyamidoamine dendrimers, poly(prophylenimine) (PPI) dendrimer, triazine dendrimer, carbosilane dendrimer, poly(ether imine) (PETIM) dendrimer or phosphorus dendrimer.
An embodiment of the invention relates to the composition above, where the at least one core binding element comprises adamantanamine, azobenzene, ferrocene or anthracene.
An embodiment of the invention relates to the composition above, where the plurality of terminating components comprises polyethylene glycol (PEG) or poly(propylene glycol) (PGG).
An embodiment of the invention relates to the composition above, where the single terminating binding element comprises adamantanamine, azobenzene, ferrocene or anthracene.
An embodiment of the invention relates to the composition above, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the drug into the subject over a period of time.
An embodiment of the invention relates to the composition above, where the period of time is at least 14 days in length.
An embodiment of the invention relates to the composition above, where each of the plurality of SMNPs are cross-linked to one or more of the plurality of SMNPs such that a cross-linked network of SMNPs is formed.
An embodiment of the invention relates to the composition above, where the cross-linked network of SMNPs has a maximum spatial dimension of between 2020 nanometers and 5030 nanometers.
An embodiment of the invention relates to the composition above, where the drug is selected from the group consisting of an anti-viral drug, an anti-bacterial drug, and an anti-fungal drug.
An embodiment of the invention relates to the composition above, where the reporter agent is a fluorescent probe.
An embodiment of the invention relates to the composition above, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the drug at a first rate of release, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the reporter agent at a second rate of release, and where the second rate of release is correlated with first rate of release.
An embodiment of the invention relates to a method for making a composition comprising a plurality of self-assembled supramolecular nanoparticles (SMNPs) for delivering a drug to a subject including: providing a first solution comprising a plurality of binding components, each having a plurality of binding regions; providing a second solution comprising a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; providing a third solution comprising a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex; providing a fourth solution comprising the drug; providing a fifth solution comprising a reporter agent; and mixing the first solution, the second solution, the third solution, the fourth solution, and the fifth solution. In such an embodiment, the mixing brings into contact the plurality of binding components and the plurality of cores such that the plurality of binding components and the plurality of cores self-assemble to form the plurality of self-assembled supramolecular nanoparticles (SMNPs), and such that the drug and the reporter agent are encapsulated within each of the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of terminating components act to occupy the remaining binding regions of the plurality of binding components, and the plurality of terminating components are present in a sufficient quantity relative to the plurality of binding regions of the plurality of binding components to terminate further binding, thereby forming a discrete particle, the plurality of cores and the plurality of binding components are present in a percent mass (w/w) ratio of between 0.25:1 and 2.5:1, and each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) has a diameter of between 240 nanometers and 730 nanometers.
An embodiment of the invention relates to the method above, where the plurality of binding components comprises polythylenimine, poly(L-lysine), or poly(-amino ester).
An embodiment of the invention relates to the method above, where the plurality of binding regions comprises beta-cyclodextrin, alpha-cyclodextrin, gamma-cyclodextrin, cucurbituril or calixarene.
An embodiment of the invention relates to the method above, where the plurality of cores comprises polyamidoamine dendrimers, poly(prophylenimine) (PPI) dendrimer, triazine dendrimer, carbosilane dendrimer, poly(ether imine) (PETIM) dendrimer or phosphorus dendrimer.
An embodiment of the invention relates to the method above, where the at least one core binding element comprises adamantanamine, azobenzene, ferrocene or anthracene.
An embodiment of the invention relates to the method above, where the plurality of terminating components comprises polyethylene glycol (PEG) or poly(propylene glycol) (PGG).
An embodiment of the invention relates to the method above, where the single terminating binding element comprises adamantanamine, azobenzene, ferrocene or anthracene.
An embodiment of the invention relates to the method above, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the drug into the subject over a period of time.
An embodiment of the invention relates to the method above, where the period of time is at least 14 days in length.
An embodiment of the invention relates to the method above, further including cross-linking the each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) to one or more of the plurality of self-assembled supramolecular nanoparticles (SMNPs) such that a cross-linked network of self-assembled supramolecular nanoparticles (SMNPs) is formed.
An embodiment of the invention relates to the method above, where the cross-linked network of self-assembled supramolecular nanoparticles (SMNPs) has a maximum spatial dimension of between 2020 nanometers and 5030 nanometers.
An embodiment of the invention relates to the method above, where the drug is selected from the group consisting of an anti-viral drug, an anti-bacterial drug, and an anti-fungal drug.
An embodiment of the invention relates to the method above, where the reporter agent is a fluorescent probe.
An embodiment of the invention relates to the method above, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the drug at a first rate of release, the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the reporter agent at a second rate of release, and the second rate of release is correlated with first rate of release.
An embodiment of the invention relates to a method for delivering a drug to a subject including: penetrating an epidermis tissue layer of the subject such that an accession point to an underlying dermis layer in the subject is created; and delivering a plurality of self-assembled supramolecular nanoparticles (SMNPs) to the underlying dermis layer in the subject through the accession point. In such an embodiment, each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) have: a plurality of binding components, each having a plurality of binding regions; a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex; the drug; and a reporter agent. In such an embodiment, the plurality of binding components and the plurality of cores self-assemble when brought into contact to form the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of terminating components act to occupy the remaining binding regions of the plurality of binding components, and the plurality of terminating components are present in a sufficient quantity relative to the plurality of binding regions of the plurality of binding components to terminate further binding, thereby forming a discrete particle, the drug is encapsulated within each of the plurality of self-assembled supramolecular nanoparticles (SMNPs), the reporter agent is encapsulated within each of the plurality of supramolecular nanoparticles (SMNPs), the wherein the plurality of cores and the plurality of binding components are present in a percent mass (w/w) ratio of between 0.25:1 and 2.5:1, and each of the plurality of self-assembled supramolecular nanoparticles (SMNPs) has a diameter of between 240 nanometers and 730 nanometers.
An embodiment of the invention relates to the method above, where the plurality of binding components comprises polythylenimine, poly(L-lysine), or poly(β-amino ester).
An embodiment of the invention relates to the method above, where the plurality of binding regions comprises beta-cyclodextrin, alpha-cyclodextrin, gamma-cyclodextrin, cucurbituril or calixarene.
An embodiment of the invention relates to the method above, where the plurality of cores comprises polyamidoamine dendrimers, poly(prophylenimine) (PPI) dendrimer, triazine dendrimer, carbosilane dendrimer, poly(ether imine) (PETIM) dendrimer or phosphorus dendrimer.
An embodiment of the invention relates to the method above, where the at least one core binding element comprises adamantanamine, azobenzene, ferrocene or anthracene.
An embodiment of the invention relates to the method above, where the plurality of terminating components comprises polyethylene glycol (PEG) or poly(propylene glycol) (PGG).
An embodiment of the invention relates to the method above, where the single terminating binding element comprises adamantanamine, azobenzene, ferrocene or anthracene.
An embodiment of the invention relates to the method above, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the drug into the subject over a period of time.
An embodiment of the invention relates to the method above, where the period of time is at least 14 days in length.
An embodiment of the invention relates to the method above, where each of the plurality of self-assembled SMNPs are cross-linked to one or more of the plurality of self-assembled SMNPs such that a cross-linked network of SMNPs is formed.
An embodiment of the invention relates to the method above, where the cross-linked network of SMNPs has a maximum spatial dimension of between 2020 nanometers and 5030 nanometers.
An embodiment of the invention relates to the method above, where the drug is selected from the group consisting of an anti-viral drug, an anti-bacterial drug, and an anti-fungal drug.
An embodiment of the invention relates to the method above, where the reporter agent is a fluorescent probe.
An embodiment of the invention relates to the method above, where the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the drug at a first rate of release, the plurality of self-assembled supramolecular nanoparticles (SMNPs) are configured to release the reporter agent at a second rate of release, and the second rate of release is correlated with first rate of release.
Some aspects of the invention include supramolecular nanoparticles (SMNPs), having a plurality of binding components, each having a plurality of binding regions; a plurality of cores that are suitable to at least provide some mechanical structure to the plurality of self-assembled supramolecular nanoparticles (SMNPs), the plurality of cores comprising at least one core binding element adapted to bind to the binding regions to form a first inclusion complex; and a plurality of terminating components, each having a single terminating binding element that binds to remaining binding regions of one of said plurality of binding components by forming a second inclusion complex. SMNPs are described in in U.S. Pat. No. 9,845,237 and U.S. Patent Application Publication No. 2016/0000918, each of which is herein incorporated in its entirety by reference. The plurality of binding components, plurality of cores, and the plurality of terminating components self-assemble when brought into contact to form the supramolecular magnetic nanoparticle (SMNP).
The plurality of binding components, plurality a cores, and the plurality of terminating components bind to each other by one or more intermolecular forces. Examples of intermolecular forces include hydrophobic interactions, biomolecular interactions, hydrogen bonding interactions, π-π interactions, electrostatic interactions, dipole-dipole interactions, or van der Waals forces. Examples of biomolecular interactions include DNA hybridization, a protein-small molecule interaction (e.g. protein-substrate interaction (e.g. a streptavidin-biotin interaction) or protein-inhibitor interaction), an antibody-antigen interaction or a protein-protein interaction. Examples of other interactions include inclusion complexes or inclusion compounds, e.g. adamantane-β-cyclodextrin complexes or diazobenzene-α-cyclodextrin complexes. Generally, the intermolecular forces binding the components of the SMNP structure are not covalent bonds.
Some embodiments of the invention comprise a “reporter agent.” As used throughout, the term “reporter agent” refers to a molecule, compound, protein, etc. that is used to assess and/or monitor the delivery and/or release of a drug to a tissue. A reporter agent can be a naturally occurring agent, a synthetic agent, or a combination thereof. In some embodiments the reporter agent emits a fluorescent signal. In some embodiments, the rate of release of the reporter agent from a nanoparticle correlates with the rate of release of a drug from a nanoparticle.
Some embodiments of the invention include a method for delivering a nanoparticle carrying a drug and/or reporter agent to a tissue and include a step of penetrating the epidermis layer of the tissue. Methods of penetrating the epidermis layer of the tissue are apparent to one of ordinary skill in the art. In some embodiments, the nanoparticles are delivered using the same tool used to penetrate the epidermis layer of the tissue. In some embodiments, the epidermis layer is penetrated using a first tool to create an incision site, and the nanoparticles are delivered into the incision site using a separate tool.
The following describes some embodiments of the current invention more specifically. The general concepts of this invention are not limited to these particular embodiments.
Previously, a convenient, flexible, and modular self-assembled synthetic approach20,21 for the preparation of supra-molecular nanoparticle (SMNP) vectors from a collection of molecular building blocks (i.e., Ad-PEG, Ad-PAMAM, and CD-PEI) through a multivalent molecular recognition between adamantane (Ad) and β-cyclodextrin (CD) motifs was demonstrated. Such a self-assembled synthetic strategy enables control over the sizes, surface chemistry, and payloads of SMNP vectors for both diagnostic and therapeutic applications.22-29 Using this technique, encapsulation of hydrophobic drug molecules (e.g., doxorubicin) into the SMNP vectors for in vivo cancer treatment was demonstrated.30 Successful preparation of cross-linked fluorescent supramolecular nanoparticles (c-FSMNPs) by encapsulating a fluorescent conjugated polymer, that is, poly[5-methoxy-2-(3-propyloxysulfonate)-1,4-phenylenevinylene] potassium salt (MPS-PPV) into the SMNP vectors, followed by a cross-linking reaction was also demonstrated.31 It was shown that these c-FSMNPs exhibit enhanced photophysical properties, a finite intradermal retention, and bio-compatibility, making them a promising candidate as an ideal tattoo pigment. On the basis of past studies with SMNP vectors, the possible utility of c-FSMNPs as an ideal controlled release strategy to deliver a commonly used azole-based antifungal drug, ketoconazole (KTZ), intradermally, paving the way for implementing an onychomycosis treatment solution was explored. Ketoconazole is one of the most commonly used drugs for onychomycosis treatment through oral administration and topical application. As mentioned above, KTZ's treatment efficacy has been limited due to its insufficient local drug concentration at the disease sites.32 Ketoconazole-encapsulated cross-linked fluorescent supramolecular nanoparticles (KTZ⊂c-FSMNPs) can be prepared with the desired optical properties so as to enable in vivo controlled release performance by using a two-step synthetic approach (
Here, it is disclosed that that KTZ⊂FSMNPs and KTZ⊂c-FSMNPs exhibited controllable sizes, high KTZ encapsulation efficiency and capacity, enhanced fluorescent properties, and KTZ controlled release profile. Using female nude mice as an animal model (Athymic Nude-Foxn1nu purchased from Envigo), KTZ⊂c-FSMNPs were introduced into intradermal spaces of the mice via a skin tattoo method (
The supramolecular synthetic strategy20,31 was used to prepare size-controllable KTZ⊂FSMNPs by performing ratiometric mixing of KTZ, MPS-PPV, and the three SMNP molecular building blocks (i.e., Ad-PEG, Ad-PAMAM, and CD-PEI). KTZ and MPS-PPV were encapsulated into the intraparticular spaces of SMNP vectors according to the mechanisms observed for doxorubicincFSMNPs30 and FSMNPs31 By keeping the concentrations of KTZ (0.16 mg/mL), MPS-PPV (0.12 mg/mL), Ad-PEG (1.84 mg/mL), and CD-PEI (0.04 mg/mL) constant, the weight ratios between Ad-PAMAM and CD-PEI (Ad-PAMAM/CD-PEI, w/w; 0.25:1, 0.5:1, 1.0:1, 1.5:1, 2.0:1 and 2.5:1) were altered to control the sizes of the resulting KTZCFSMNPs. Subsequently, dynamic light scattering (DLS) measurements were utilized to analyze hydrodynamic sizes of the freshly prepared KTZCFSMNPs. As shown in
It was previously shown that, in the presence of a covalent amine-reactive cross-linker bis(sulfosuccinimidyl)suberate (BS3), FSMNP can be cross-linked to generate micrometer-sized c-FSMNPs with improved intradermal retention.31 On the basis of a similar synthetic procedure,31 a cross-linking reaction (
Knowing that 670 nm FSMNPs exhibit31 optimal fluorescent performance with 10-fold enhancement compared to that observed for free MPS-PPV, the photophysical properties of 4800 nm KTZCc-FSMNPs in comparison with the 680 nm KTZCFSMNPs and free MPS-PPV were examined. The 4800 nm KTZCc-FSMNPs showed enhanced absorption and fluorescence intensity, with 4.8-fold enhancement of 680 nm KTZCFSMNPs and 17-fold enhancement of free MPS-PPV (
To study the in vivo properties of 4800 nm KTZCc-FSMNPs, the correlation between the fluorescent signals and residual KTZ concentrations of the 4800 nm KTZCc-FSMNPs in the mouse skin after tattoo deposition was studied. Three different amounts of KTZCc-FSMNPs (i.e., 0.2, 1.0, and 2.0 mg) were deposited at three adjacent locations on the skins of nu/nu mice (n=3) (
Since the fluorescence intensity and the residual KTZ correlate consistently, the presence of KTZCc-FSMNPs in the tattooed sites can be noninvasively monitored by their fluorescent signals. Time-dependent intradermal retention properties of 4800 nm KTZCc-FSMNPs were studied over a period of 14 days after their tattoo depositions, in which 2.0 mg of KTZCc-FSMNPs (equivalent to 200 μg of KTZ) were tattoo deposited at three adjacent locations (5 mm×5 mm) on the skins of nu/nu mice (n=6). An in vivo optical imaging system offers a great sensitivity for monitoring the fluorescent signals (excitation/emission: 570/620 nm;
To illustrate the advantage of utilizing 4800 nm KTZCc-FSMNPs for intradermal delivery, tattoo deposition of 4800 nm KTZCc-FSMNPs, 680 nm KTZCFSMNPs, and topical treatment of KTZ cream (2%) on nu/nu mice skin, both equivalent to 200 μg of KTZ at each of the same area was carried out. After administration, the time-dependent KTZ decay in mouse skins was quantified using HPLC. As shown in
In summary, successful preparation of KTZ⊂c-FSMNPs via a two-step synthetic approach, starting from supramolecular assembly of KTZ⊂c-FSMNPs from ratiometric mixing of antifungal drug (KTZ), a fluorescent reporter (MPS-PPV), and the three SMNP molecular building blocks, followed by cross-linking of KTZ⊂c-FSMNPs was shown. The sizes, encapsulation efficiency/capacity, photophysical properties, and KTZ controlled release profiles of the resulting KTZ⊂c-FSMNPs and KTZ⊂c-FSMNPs was characterized. Consequently, the 4800 nm KTZ⊂c-FSMNPs were chosen for in vivo studies using a mouse model, wherein the KTZ⊂c-FSMNPs were deposited intradermally via tattoo. Then, (i) in vivo fluorescence imaging was used to monitor the time-dependent fluorescence decay, (ii) HPLC was used to quantify residual KTZ in skin tissues, (iii) MALDI-MSI was used to map KTZ distribution in intradermal regions around the tattoo site, and (iv) histology was used to assess of local inflammatory responses and biocompatibility, to examine intradermal retention properties of 4800 nm KTZ⊂c-FSMNPs over a period of 14 days. The results presented herein constitute a proof-of-concept demonstration of 4800 nm KTZ⊂c-FSMNPs as an intradermal controlled release solution. This will allow minimally invasive, localized, and sustained delivery of therapeutic agents directly to the disease sites, maximizing the treatment efficacy of the drugs and avoiding the issues of systemic toxicity and insufficient local drug concentration. Further, it is conceivable that these c-FSMNP delivery vectors can be applied to treat a wide spectrum of clinically stubborn skin diseases that are in need of more efficient local drug concentration.
Reagents and solvents were purchased from Sigma Aldrich (St. Louis, Mo.) and used as received without further purification unless otherwise mentioned. Branched polyethylenimine (PEI, MW=10 kD) was purchased from Polysciences, Inc. (Washington, Pa.). The polymers contain primary, secondary, and tertiary amine groups in approximately 25/50/25 ratio. First-generation polyamidoamine dendrimer (PAMAM) with 1,4-diaminobutane core and amine terminals in 20 wt % methanol solution was purchased from Andrews ChemServices, Inc (Berrien Springs, Mich.). 1-Adamantanamine (Ad) hydrochloride and β-cyclodextrin (β-CD) were purchased from TCI America (San Francisco, Calif.). N-hydroxysuccinimide (NETS) functionalized methoxyl polyethylene glycol (mPEG-NHS, MW=5 kD) was obtained from Creative PEGWorks, Inc (Chapel Hill, N.C.). 6-Mono-tosyl-β-cyclodextrin (6-OTs-β-CD) was prepared according to the literature reported method.40 Octa-Ad-grafted polyamidoamine dendrimer (Ad-PAMAM), CD-grafted branched polyethylenimine (CD-PEI) and Ad-grafted polyethylene glycol (Ad-PEG) were synthesized by the method we previously reported.15 Poly[5-methoxy-2-(3-sulfopropoxy)-1,4-phenylenevinylene] potassium salt (MPS-PPV), ketoconazole, and diethylamine were purchased from Sigma-Aldrich (St. Louis, Mo.).
A self-assembly procedure was employed to achieve the ketoconazole-encapsulated fluorescent supramolecular nanoparticles (KTZ⊂c-FSMNPs). To a solution of Ad-PEG (1.84 mg/mL) in 485-μL of PBS buffer, CD-PEI (0.8 mg/mL) was slowly added under vigorous stirring at RT. MPS-PPV (0.12 mg/mL) was then added sequentially and the mixture solution was stirred vigorously for 2 min. Then, a 5-μL aliquot of DMSO containing Ad-PAMAM (0.4-2.0 mg/mL) and KTZ (0.04-0.4 mg/mL) was added into the mixture solution under vigorous stirring to obtain KTZ⊂c-FSMNPs.
The 680-nm sized KTZ⊂c-FSMNPs (10 mg/mL) were mixed with various concentrations of BS3 (20, 40, 60, 80, and 100 μg/mL) at RT with vigorous stirring. After 15 min, Tris buffer (1×) was added to the reaction solution in order to stop the cross-linking reaction of BS3.
Prior to tattoo deposition, the skin of a nu/nu mouse was first wiped by alcohol prep pads twice. A 10 μL of KTZ⊂c-FSMNPs solution (containing 200 μg of pure KTZ) was introduced onto a unit area (5 mm×5 mm) of a nu/nu mouse skin (n=6). Immediately, a tattoo machine (Stingray Authentic X2 Rotary Tattoo Machine, InkMachines) was utilized to puncture (600 times per minute) over the designated area (5 mm×5 mm) in an average puncture depth of 0.2 mm. At 60 s after tattooing, the mouse skin was cleaned by alcohol prep pads twice to remove any residual KTZ⊂c-FSMNPs on the skin.
Correlation between Fluorescence Intensity and Residual KTZ Concentration after Tattoo Deposition of 4800 nm KTZ⊂c-FSMNPs
All animal manipulations were performed with sterile technique and were approved by the Institutional Animal Care and Use Committee of University of Southern California. Female athymic nude mice (about 6-8 weeks old, with a body weight of 20-25 g) were purchased from Envigo (Livermore, Calif., USA). After the mice were anesthetized with 2% isoflurane in a heated (37° C.) induction chamber, mouse skin was poked with a commercial tattoo device to make wounds to the dermal layer. After tattoo depositions, the signals of KTZ⊂c-FSMNPs were measured with the in vivo optical imaging system (IVIS-200, PerkinElmer, Waltham, Mass., USA). The mice were sacrificed, and their tattooed skin tissues were harvested. After tissue homogenization and extraction by methanol, the extracts were vortexed twice for 15 s and centrifuged at 10000 rpm for 10 min. The KTZ-containing supernatants were filtrated through 0.22 μm filters for HPLC analysis at a flow rate of 1 mL/min. The statistical analysis of the correlation between the fluorescent intensity and residual KTZ concentration was performed using a correlation analysis (GraphPad Prism 6.0).
A collection of 683-nm sized KTZ⊂FSMNPs or 4806-nm sized KTZ⊂c-FSMNPs with various loading concentration of KTZ (0.04-0.4 mg/mL) was obtained according to the above protocol. Typically, non-encapsulated KTZ was removed from KTZ⊂c-FSMNPs by centrifugation of KTZ⊂c-FSMNPs solution at 1300 rpm for 30 min using centrifugal filter devices (3000 NMWL). After recovering the filtrate containing non-encapsulated KTZ, the KTZ concentration was analyzed by high-performance liquid chromatography (HPLC) in a system equipped with a Knauer Smartline pneumatic pump, C18 column, K-2600 spectrophotometer, and Gina data acquisition software. A mixture of acetonitrile and water (containing 0.05% diethylamine) at a volume ratio of 7:3 was used as the mobile phase. The flow rate was set at 1 mL/min. 25 μL of KTZ-containing sample was injected to measure the drug absorption at 227 nm, typically eluted in 4.3 min. The measurements were performed in triplicate. The amount of the KTZ encapsulated into KTZ⊂c-FSMNPs was then calculated by subtracting the free KTZ in the filtrate from the total loading amount of KTZ. Drug loading efficiency (DLE) of the resulting KTZ⊂c-FSMNPs was obtained as the amount of the KTZ encapsulated in the KTZ⊂c-FSMNPs vector divided by the total loading amount of KTZ.
Drug Release from KTZ⊂FSMNPs or KTZ⊂c-FSMNPs
The 683-nm sized KTZ⊂FSMNPs (10 mg) or 4806-nm sized KTZ⊂c-FSMNPs (10 mg) was dispersed in 10 mL of 50% human serum (human serum: 1×PBS=1:1, v/v), the dispersion was divided into five equal aliquots. Each of the aliquot sample was then transferred into a dialysis tubing (molecular weight cut off 14,000), which was dialyzed against 18 mL of the 50% human serum, and then incubated at 37° C. under continuous and gentle shaking for 14 days. At selected time intervals, 1 mL of the solution was obtained periodically from the reservoir, and the amount of released KTZ was analyzed by HPLC equipped with an analytical C18 column. The area of the HPLC peak of the released KTZ was intergraded for the quantification of KTZ as compared to a calibration curve of free KTZ prepared separately.
Similarly, 2.0 mg of KTZ⊂c-FSMNPs (equivalent to 200 μg of KTZ) were tattoo deposited at three adjacent locations (5 mm×5 mm) on the skins of nu/nu mice (n=6). After tattoo depositions, the signals of KTZ⊂c-FSMNPs were measured with the in vivo optical imaging system (IVIS-200, PerkinElmer, Waltham, Mass., USA) at selected time intervals prolonged for 14 days. The tissue samples on tattoo sites were also collected and homogenized on ice, followed by the extraction of tissue homogenate in 0.5 mL of methanol and quantification of the residual KTZ in mouse skin through HPLC analysis to evaluate the drug decay in 14 days. To compare the intradermal retention time with non-cross-linked KTZ⊂FSMNPs and KTZ cream (2%), the tattoo-guided treatment of 680 nm KTZcFSMNPs and topical treatment of KTZ cream (2%) were conducted by applying an equivalent to 200 μg of KTZ at each of the same areas and then quantifying the extracted drug concentrations of application sites.
Pathological Studies of Skin Tissues Tattooed with KTZ⊂c-FSMNPs
Skin tissues were taken from another group of mice, treated the same as described above in the in vivo study, 14 days after tattooing for pathological studies. Skin tissues were fixed with 10% formalin and blocked with paraffin, following conventional laboratory methods. Slices of skin tissue were stained with H&E (Hematoxylin and eosin) solution for pathological study. Tissues were then examined using an Aperio ScanScope AT microscope (Leica biosystem, USA). Each H&E stained tissue slide was evaluated by two independent pathologists.
The embodiments illustrated and discussed in this specification are intended only to teach those skilled in the art how to make and use the invention. In describing embodiments of the invention, specific terminology is employed for the sake of clarity. However, the invention is not intended to be limited to the specific terminology so selected. The above-described embodiments of the invention may be modified or varied, without departing from the invention, as appreciated by those skilled in the art in light of the above teachings. Moreover, features described in connection with one embodiment of the invention may be used in conjunction with other embodiments, even if not explicitly stated above. It is therefore to be understood that, within the scope of the claims and their equivalents, the invention may be practiced otherwise than as specifically described.
This application claims priority to U.S. Provisional Application No. 62/754,657 filed Nov. 2, 2018; the entire contents of which are hereby incorporated by reference.
This invention was made with government support under Grant Number EB016270, awarded by the National Institutes of Health. The government has certain rights in the invention.
Filing Document | Filing Date | Country | Kind |
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PCT/US2019/059367 | 11/1/2019 | WO | 00 |
Number | Date | Country | |
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62754657 | Nov 2018 | US |