The technical field generally relates to the field of biocompatible sensing materials that can measure and monitor analytes, drugs, or drug metabolites using microgel particles and scaffolds formed using the microgel particles.
Materials that can seamlessly integrate with surrounding tissue at the microscale and are easily injected subcutaneously or to fill a wound, without a foreign body response, can be broadly useful in acute hemostasis, long-term regeneration of functional tissue, development of continuous implanted sensors, and sustained drug delivery. One new type of scaffold material has been developed that can accelerate wound healing. For example, Griffin et al. describe microporous annealed particle (MAP) gels that are delivered to a wound to form a MAP scaffold to accelerate wound healing. See Griffin et al., Accelerated wound healing by injectable microporous gel scaffolds assembled from annealed building blocks, Nature Materials, 14, 737-744 (2015).
This tissue scaffold material begins as an aqueous slurry of microfluidically fabricated microgel (μgel) building blocks that can be delivered to the desired site with a syringe applicator. Once applied to a wound, or injected subcutaneously, these spherical building blocks (˜100 microns in diameter) are triggered to anneal to surrounding μgel surfaces and the surrounding tissue, using clotting cascade enzymes or about 30 seconds of white light, to form an imperfect lattice-like structure with pores consisting of the interconnected void spaces between packed spherical particles. The engineered porosity of the scaffold accelerates infiltration of blood vessels and decreases fibrosis within the scaffold, instead supporting a natural-looking tissue. Microscale porosity also acts to prevent a foreign body response to the scaffold, which further reduces the fibrotic programs in the wound or encapsulation of the material. For example, once serum proteins decorate foreign materials, macrophages that are frustrated in a process of phagocytosis can assemble to form multinucleated giant cells that wall off and attempt to digest the implanted material. Over time, if this is unsuccessful, the sustained inflammatory response leads to formation of a fibrous capsule around the implant. This encapsulation by giant cells and a fibrotic capsule, however, reduces transport to the material from the surrounding circulation and tissue, and represents a key challenge that hinders regenerative healing, the long-term sensing of blood analytes, or effective delivery of drugs or analgesics.
In one embodiment, a biocompatible analyte sensing material for intradermal or subcutaneous application includes a collection of microgel particles comprising one or more network crosslinker components, wherein the microgel particles are spherical in shape and have diameters within the range from about 30 micrometers to about 150 micrometers. The material includes an endogenous or exogenous annealing agent that links the microgel particles together at points of physical contact in situ to form a covalently-stabilized scaffold of microgel particles having interstitial spaces therein. A plurality of analyte-specific fluorophores are conjugated to the microgel particles, wherein the analyte-specific fluorophores, in the presence of the analyte and subject to excitation radiation, emit fluorescent light.
In another embodiment, a system for sensing analyte concentrations in live tissue of a subject includes an analyte sensing material for intradermal or subcutaneous application comprising biocompatible microgel particles conjugated to analyte-specific fluorophores, wherein the analyte-specific fluorophores, in the presence of the analyte and when subject to excitation radiation, emit fluorescent light; and an optical readout device configured to illuminate the analyte sensing material with excitation radiation and read the intensity of emitted fluorescent light.
In still another embodiment, a method of sensing an analyte in a subject includes the operations of applying an analyte sensing material into an excision formed in the skin of a subject, the analyte sensing material comprising biocompatible microgel particles annealed or annealable to one another and conjugated to analyte-specific fluorophores, wherein the analyte-specific fluorophores, in the presence of the analyte and when subject to excitation radiation, emit fluorescent light; and exciting the analyte sensing material with excitation radiation and reading the emitted fluorescent light with an optical readout device.
In another embodiment, a method of sensing an analyte in a subject includes injecting an analyte sensing material into or under the skin of the subject, the analyte sensing material comprising biocompatible microgel particles annealed or annealable to one another and conjugated to analyte-specific fluorophores, wherein the analyte-specific fluorophores, in the presence of the analyte and when subject to excitation radiation, emit fluorescent light; and exciting the analyte sensing material with excitation radiation and reading the emitted fluorescent light with an optical readout device.
According to one or more embodiments described herein, the analyte-specific fluorophores 16, in the presence of the analyte and subject to excitation radiation, emit fluorescent light. This fluorescent light is then captured or read using, for example, a reader device as described herein. The fluorescent light may include visible light as well as light in the non-visible spectrum (e.g., infrared light). In some embodiments, the intensity of the read fluorescent light is then used to calculate a concentration of the analyte based on the intensity. In other embodiments, a fluorescent pattern may be produced by the emitted fluorescent light and the pattern is used to determine the concentration of the analyte. Alternatively, in some embodiments, the reader device may not be needed as the fluorescent light or pattern may be visualized manually.
In one aspect of the subject matter described herein, the microporous gel system uses microgel particles 12 having diameter dimensions within the range from about 5 μm to about 1,000 μm. In one particular preferred aspect of the invention, the microgel particles 12 are substantially spherical in shape and having diameters within the range from about 30 micrometers to about 150 micrometers. The microgel particles 12 may be made from a hydrophilic polymer, amphiphilic polymer, synthetic or natural polymer (e.g., poly(ethylene glycol) (PEG), poly(propylene glycol), poly(hydroxyethylmethacrylate), hyaluronic acid (HA), gelatin, fibrin, chitosan, heparin, heparan, and synthetic versions of HA, gelatin, fibrin, chitosan, heparin, or heparan). In one embodiment, the microgel particles 12 are made from any natural (e.g., modified HA) or synthetic polymer (e.g., PEG) capable of forming a hydrogel. In one or more embodiments, a polymeric network and/or any other support network capable of forming a solid hydrogel construct may be used. Suitable support materials for most tissue engineering/regenerative medicine applications are generally biocompatible and preferably biodegradable. Examples of suitable biocompatible and biodegradable supports include: natural polymeric carbohydrates and their synthetically modified, crosslinked, or substituted derivatives, such as gelatin, agar, agarose, crosslinked alginic acid, chitin, substituted and cross-linked guar gums, cellulose esters, especially with nitrous acids and carboxylic acids, mixed cellulose esters, and cellulose ethers; natural polymers containing nitrogen, such as proteins and derivatives, including cross-linked or modified gelatins, and keratins; vinyl polymers such as poly(ethyleneglycol)acrylate/methacrylate/vinyl sulfone/maleimide/norbornene/allyl, polyacrylamides, polymethacrylates, copolymers and terpolymers of the above polycondensates, such as polyesters, polyamides, and other polymers, such as polyurethanes; and mixtures or copolymers of the above classes, such as graft copolymers obtained by initializing polymerization of synthetic polymers on a preexisting natural polymer. A variety of biocompatible and biodegradable polymers are available for use in therapeutic applications; examples include: polycaprolactone, polyglycolide, polylactide, poly(lactic-co-glycolic acid) (PLGA), and poly-3-hydroxybutyrate. Methods for making networks from such materials are well-known.
In one or more embodiments, the microgel particles 12 further include covalently attached chemicals or molecules that act as signaling modifications that are formed during microgel particle 12 formation. Signaling modifications includes the addition of, for example, adhesive peptides, extracellular matrix (ECM) proteins, and the like. Functional groups and/or linkers can also be added to the microgel particles 12 following their formation through either covalent methods or non-covalent interactions (e.g., electrostatic charge-charge interactions or diffusion limited sequestration). Crosslinkers are selected depending on the desired degradation characteristic. For example, crosslinkers for the microgel particles 12 may be degraded hydrolytically, enzymatically, photolytically, or the like. In one particular preferred embodiment, the crosslinker is a matrix metalloprotease (MMP)-degradable crosslinker.
Examples of these crosslinkers are synthetically manufactured or naturally isolated peptides with sequences corresponding to MMP-1 target substrate, MMP-2 target substrate, MMP-9 target substrate, random sequences, Omi target sequences, Heat-Shock Protein target sequences, and any of these listed sequences with all or some amino acids being D chirality or L chirality. In another embodiment, the crosslinker sequences are hydrolytically degradable natural and synthetic polymers consisting of the same backbones listed above (e.g., heparin, alginate, poly(ethyleneglycol), polyacrylamides, polymethacrylates, copolymers and terpolymers of the listed polycondensates, such as polyesters, polyamides, and other polymers, such as polyurethanes).
In another embodiment, the crosslinkers are synthetically manufactured or naturally isolated DNA oligos with sequences corresponding to: restriction enzyme recognition sequences, CpG motifs, Zinc finger motifs, CRISPR or Cas-9 sequences, Talon recognition sequences, and transcription factor-binding domains. Any of the crosslinkers from the listed embodiments are activated on each end by a reactive group, defined as a chemical group allowing the crosslinker to participate in the crosslinking reaction to form a polymer network or gel, where these functionalities can include: cysteine amino acids, synthetic and naturally occurring thiol-containing molecules, carbene-containing groups, activated esters, acrylates, norborenes, primary amines, hydrazides, phosphenes, azides, epoxy-containing groups, SANPAH containing groups, and diazirine containing groups.
In an alternative embodiment, the microgel crosslinker is non-biodegradable. For example, PEG dithiol, to allow for a long lasting sensing scaffold. Alternatively, the scaffold can be made to be degradable over time by incorporating MMP-degradable crosslinkers to allow resorbability of the sensor over time, or combinations of degradable and non-degradable microgels can be incorporated at varying stoichiometries (e.g. 1:1, 1:10, 1:20, 1:5) to maintain sufficient sensor material while allowing tissue to also regenerate surrounding the sensors. In still another embodiment, the microgel crosslinker may be specifically designed to photolytically degrade in response to an applied light (e.g., ultra violet light). In this regard, the microgel scaffold 10 that is formed may be used over a long lifetime at the site of application (e.g., months). As noted herein, it has been found experimentally that microgel scaffolds 10 that are not biodegradable tend to have better tissue ingrowth properties. Should the need arise to remove the microgel scaffold 10, the subject area may be illuminated with light for a period of time to accelerate and/or promote the breakdown of the microgel scaffold 10. Examples of crosslinkers that may be degraded with the application of light include macromers incorporating o-nitrobenzyl groups such as those disclosed in Griffin et al., Photodegradable macromers and hydrogels for live cell encapsulation and release, J. Am Chem Soc., 134(31), pp. 13103-7 (2012) as well as light degradable functionalities disclosed in Yanagawa et al., Partially photodegradable hybrid hydrogels with elasticity tunable by light irradiation, Colloids Surf B Biointerfaces, 126, pp. 575-9 (2015); and Shin et al., Photodegradable hydrogels for capture, detection, and release of live cells, Angew Chem Int Ed. Engl., 53(31), pp. 8221-4 (2014), all of which are incorporated herein by reference.
Although it is not expected that the PEG backbone is immunogenic, for long-term intradermal monitoring adaptive immune response to glucose sensing or other sensing moieties could develop, leading to signal decrease and drift. Covalent immobilization partially addresses this issue by preventing uptake by dendritic or other antigen presenting cells. In addition microgel precursors with embedded sensor moieties can be coated with additional hydrogel material that does not include these moieties and is more bio-inert, forming a core-shell structure. For example, in this embodiment, the microgel particles 12 would have an inner core that contains analyte-specific fluorophores that is surrounded by an outer shell of hydrogel material that has no analyte-specific fluorophores contained thereon. The hydrogel material of the outer shell may also consist of a different material such as that disclosed in Robitaille et al., Studies on small (<350 micron) alginate-poly-L-lysine microcapsules. V. Determination of carbohydrate and protein permeation through microcapsules by reverse-size exclusion chromatography, J Biomed Mater Res., 5; 50(3):420-7 (2000), which is incorporated by reference herein. The hydrogel material of the outer shell may also have increased cross-linking density (see Weber et al., Effects of PEG hydrogel crosslinking density on protein diffusion and encapsulated islet survival and function, J Biomed Mater Res A., 90(3): 720-729 (2009), which is incorporated by reference herein) to have a smaller pore size to prevent the diffusion of proteins or enzymes through the shell (e.g. oxidases or other enzymes that could degrade the fluorophores) while still allowing the free transit of small molecule analytes (e.g., glucose). This outer shell would also prevent antigen presenting cells from uptaking the potentially immunogenic fluorophore compounds. A core-shell structure can be created by reflowing the microgel precursors with sensor moieties into a microfluidic channel containing pre-polymer and forming a new droplet with embedded microgel that then fully polymerizes. Alternatively, polymerization or linkage (e.g. to form PEG) off of the surface can be conducted in a solution of microgel precursors, as long as the annealing linker is still present at the interface of this new core-shell microgel.
In one embodiment, the chemistry used to generate microgel particles 12 allows for subsequent annealing and scaffold formation through radically-initiated polymerization. This includes chemical-initiators such as ammonium persulfate combined with Tetramethylethylenediamine. Alternatively, photoinitators such as Irgacure® 2959 or Eosin Y together with a free radical transfer agent such as a free thiol group (used at a concentration within the range of 10 μM to 1 mM) may be used in combination with a light source that is used to initiate the reaction as described herein. One example of a free thiol group may include, for example, the amino acid cysteine, as described herein. Of course, peptides including a free cysteine or small molecules including a free thiol may also be used. Another example of a free radical transfer agent includes small molecules presenting vinyl moieties, such as N-Vinylpyrrolidone (NVP).
Alternatively, Michael and pseudo-Michael addition reactions, including α,β-unsaturated carbonyl groups (e.g., acrylates, vinyl sulfones, maleimides, and the like) to a nucleophilic group (e.g., thiol, amine, aminoxy) may be used to anneal microgel particles 12 to form the scaffold. In another alternative embodiment, microgel particle formation chemistry allows for network formation through initiated sol-gel transitions including fibrinogen to fibrin (via addition of the catalytic enzyme thrombin).
Functionalities that allow for particle-particle annealing are included either during or after the formation of the microgel particles 12. In one or more embodiments, these functionalities include α,β-unsaturated carbonyl groups that can be activated for annealing through either radical initiated reaction with α,β-unsaturated carbonyl groups on adjacent particles or Michael and pseudo-Michael addition reactions with nucleophilic functionalities that are either presented exogenously as a multifunctional linker between particles or as functional groups present on adjacent particles. This method can use multiple microgel particle 12 population types that when mixed form a scaffold 10. For example, microgel particle of type X presenting, for example, nucleophilic surface groups can be used with microgel particle type Y presenting, for example, α,β-unsaturated carbonyl groups. In another embodiment, functionalities that participate in Click chemistry can be included allowing for attachment either directly to adjacent microgel particles 12 that present complimentary Click functionalities or via an exogenously presented multifunctional molecule that participates or initiates (e.g., copper) Click reactions.
The annealing functionality can include any previously discussed functionality used for microgel crosslinking that is either orthogonal or similar (if potential reactive groups remain) in terms of its initiation conditions (e.g., temperature, light, pH) compared to the initial crosslinking reaction. For example if the initial crosslinking reaction consists of a Michael-addition reaction that is temperature dependent, the subsequent annealing functionality can be initiated through temperature or photoinitiation (e.g., Eosin Y, Irgacure®). As another example, the initial microgels may be photopolymerized at one wavelength of light (e.g., ultraviolent with Irgacure®), and annealing of the microgel particles 12 occurs at the same or another wavelength of light (e.g., visible with Eosin Y) or vice versa. Besides annealing with covalent coupling reactions, annealing moieties can include non-covalent hydrophobic, guest/host interactions (e.g., cyclodextrin), hybridization between complementary nucleic acid sequences or nucleic acid mimics (e.g., protein nucleic acid) on adjoining microgel particles 12 or ionic interactions. An example of an ionic interaction would consist of alginate functionality on the microgel particle surfaces that are annealed with Ca2+. So-called “A+B” reactions can be used to anneal microgel particles 12 as well. In this embodiment, two separate microgel types (type A and type B) are mixed in various ratios (between 0.01:1 and 1:100 A:B) and the surface functionalities of type A react with type B (and vice versa) to initiate annealing. These reaction types may fall under any of the mechanisms listed herein.
A variety of sensing modalities can be incorporated into the microgel particles 12, including fluorescence intensity measurements, fluorescent pattern, or fluorescence lifetime-based sensor that relates to the time-course of fluorescent emission from the sensor. In one particular embodiment, Concanavalin A (Con A)-based fluorophores 16, or glucose-sensitive fluorophores 16 based on diboronic or arylboronic acids which are known glucose sensor moieties can be incorporated into or onto the microgel particles 12. Concanavalin A (Con A) is a plant-sugar-binding protein that binds to mannose and glucose. Con A has four receptor sites that allow reversible glucose binding. Glucose competes with fluorescently labeled dextran for binding to Con A. When fluorescein-labeled dextran binds to Con A, the charge transfer quenches (i.e., reduces) fluorescence intensity. Glucose, however, preferentially binds to Con A and displaces fluorescein-dextran. Because of this, in the presence of glucose, the emitted light from the free dextran molecules increases. Another sensing modality that may be used is glucose oxidase and an oxygen-sensitive fluorophore 16. The boronic acid moiety may also be used for detection of sugars due to the high sensitivity and reversible binding in aqueous conditions. Separate UV-excited fluorophores Mellitus Blue™ glucose probes and Mellitus Violet™ glucose probes (Ursa Biosciences LLC, Bel Air, MD) also are sensitive to glucose concentrations and decrease in intensity with higher concentrations. A variety of different sensing modalities known to those skilled in the art may be used with this invention. These include the sensing schemes discussed in Heo et al., Towards Smart Tattoos: Implantable Biosensors for Continuous Glucose Monitoring, Adv. Healthcare Mater., 2, 43-56 (2013), which is incorporated by reference herein.
Traditionally, fluorophores that are excited in near infrared are used because of the relative transparency of tissue in this regime, however, for one preferred embodiment of the device described herein in which sensors are placed “intradermally,” tissue transparency is less of a concern and a broader range of fluorophores may be used for sensing, including fluorophores excited by UV and blue light. Alternatively, glucose-binding engineered fluorescent proteins or glucose sensing aptamers linked to fluorescent aptamer structures such as Spinach aptamer could be incorporated.
Linkages of fluorophores 16 within the PEG hydrogel polymer structure of the microgel particles 12 can be performed through a variety of chemistries to, for example, free vinylsulfone (VS) groups on the PEG-VS backbone, or through photo-caging techniques to sequester small molecules. Spacer arms linking the sensor moiety to the microgel PEG matrix, consisting of a water soluble polymer chain (e.g., MW 3400 PEG) to allow mobility of the moiety can also increase the signal. Reference fluorophores known in the art that are not sensitive to glucose (but may be sensitive to temperature, oxygen concentration, or pH) can allow for calibration of pH and other effects on the glucose sensing moiety to get improved accuracy measurements and calibration. Ideally, such an approach can reduce the calibration interval to less than twice daily.
In one embodiment, the optical readout device 30 measures the overall or average intensity of the emitted fluorescent radiation. In another embodiment, the optical readout device 30 captures a pattern of fluorescent light that is used to determine the concentration of the analyte (explained in more detail below). The measured intensity value (or pattern) is then correlated to a concentration of the analyte as seen in operation 420. For example, a calibration curve or calibration function can be created and optionally stored in the optical readout device 30 and used to correlate measured intensity to analyte concentration. In some embodiments, increased concentration of the analyte will result in increased fluorescence. In other embodiments, increased concentration of an analyte will result in decreased fluorescence. In another embodiment, the scaffold is made with a pattern or gradient containing a varied concentration of fluorophores. The detected pattern image may be detected by the optical readout device 30 and the resulting pattern used to correlate to a specific analyte concentration. In this particular embodiment where a pattern is used that changes pattern shape or size based on the concentration of analyte present the optical readout device 30 may, in some embodiments, be omitted entirely as the pattern may be able to be viewed with the naked eye after illumination with excitation light.
Still referring to
In some embodiments, the concentration of the analyte may be communicated to a drug delivery device 500 that is used to deliver a drug, medicament, or pharmaceutical to the patient as is illustrated in operation 440. This communication may be a signal or data that is communicated wirelessly to the drug delivery device 500 which is used for feedback purposes. The transmission of the analyte concentration to the drug delivery device 500 may be an alternative to, or in addition to, the reporting or display of the analyte concentration. For example, the concentration of the analyte may be input to a drug delivery device in the form of a pump that is worn or implanted in the subject. The concentration of the analyte is then used as a feedback input in the drug delivery device 500 to control the delivery of the drug to the patient. For example, the drug delivery device 500 may be an insulin pump that is used for diabetic patients. The reported concentration of glucose can be sent to the insulin pump or control circuitry controlling the same which can then be used to control the timing and amount of insulin that is delivered to the subject.
The excitation light source 40 may be located in a separate device from the optical readout device 30. In some embodiments, there may be multiple different light sources 40, with each source designed for a particular fluorophore 16. Alternatively, the optical readout device 30 may also include the excitation light source(s) 40. The optical readout device 30 may optionally also include one or more filters that are placed snugly over the sensing region to block out ambient light or excitation light. The optical readout device 30 may also include a hand-held device e.g., a gun as illustrated in
The optical readout device 30 may also take a number of different forms as seen in
The optical readout device 30 could also be a watch as illustrated in
One of the challenges with fluorophore-based sensors is the bleaching of fluorophores over time which leads to drift in signal and reduction in sensitivity. This can be partially addressed with the design and engineering of the optical readout device 30, for example using techniques such as pulsed excitation for approximately 1 ms and rapid readout with sensitive photodetectors to prevent bleaching induced drift. In certain embodiments, the optical readout device 30 may seal over the site of an intradermally-placed scaffold 10 of analyte sensing material and blocks out ambient light.
In the embodiment of
In another embodiment, the analyte sensing scaffolds 10 (e.g., 1-3 mm in diameter) with and without sensor moieties (e.g., fluorophores 16) can be placed adjacent to each other and the signal from the analyte sensing scaffold without the sensor moieties can be used to normalize the signal from the analyte sensing sensor scaffold 10 containing the sensor moieties. Alternatively, a mixture of microgel particles 12 with and without sensor moieties (e.g., fluorophores 16) are poorly mixed to yield a mosaic pattern of sensor/non-sensor microgel regions (e.g. not evenly mixed) that have a unique spatial distribution, fingerprint, or pattern which is imaged and used for normalization/analysis by the optical readout device 30.
It should be noted, that although some of the descriptions above refer to analyte sensing scaffolds 10 and optical readout devices 30 for glucose sensing, that the analyte sensing scaffold 10 and readout devices/systems can be combined with other sensing moieties embedded in microgel particles 12 to readout any blood metabolite one at a time or in a multiplexed manner. The properties of the sensing moiety should preferably be stable at body temperature, refreshable (i.e., binding to the metabolite is reversible), and water soluble or able to be made soluble in water when linking to hydrophilic linkers. An example of a general-purpose sensing moiety with these properties are the Spinach aptamer fusions such as those disclosed in Strack et al., Using Spinach-based sensors for fluorescence imaging of intracellular metabolites and proteins in living bacteria, Nature Protocols, 9(1), 146-155 (December, 2013), which is incorporated by reference herein. These fusions have been made sensitive to the small molecules adenosine, ADP, S-adenosylmethionine (SAM), guanine and GTP, and the proteins streptavidin, thrombin and MS2 coat protein (MCP). Spinach-based sensors for the second messengers cyclic di-GMP and cyclic AMP-GMP have also been reported. In addition to fluorescence intensity, fluorescence lifetime, fluorescence resonance energy transfer, and phosphorescence can also be used as sensing modalities, with specific dyes and fluorophores known in the art.
Oxygen, for example, is an important blood analyte that can report on peripheral artery disease, status of chronic wounds (diabetic ulcers, pressure sores), and reconstructive surgery. Oxygen generally quenches fluorescence from a broad range of fluorophores 16, however sensing fluorophores 16 that are particularly suited to this application include e.g. tris (4,7-diphenyl-1,10-phenanthroline) ruthenium (II) dichloride (GFS Chemicals, Powell, Ohio), Pt(II) meso-tetra(pentafluorophenyl) porphine (PtTFPP) (Frontier Scientific, Logan, Utah). Oxygen sensitive fluorophores are conjugated during the initial microgel cross-linking reaction to a fraction of the reactive groups on the 4-arm PEG (e.g. to vinylsulfone groups) using similar approaches as described in Griffin et al. Nat Materials 2015, which is incorporated by reference herein. This approach leads to a very high density of fluorophores available for reaction throughout the hydrogel matrix. Since the size of each microgel particle 12 in the linked scaffold of a plurality of microgel particles 12 is small compared to molecular diffusion length scales, analytes can easily reach and interact with the sensing fluorophores. The ratios of fluorophore per 4-arm PEG may be 1:4 to 1:100 while still maintaining sufficient vinylsulfone groups to enable microgel cross-linking and incorporation of cell adhesive peptides. Alternatively, smaller polymer microgel particles (e.g. co-polymer of styrene and pentafluorostyrene linked to these fluorophores through Click chemistry can be suspended and fixed in place in the larger microgel particles 12 following cross-linking. An example of such Click chemistry may be found in Koren et al., Stable optical oxygen sensing materials based on click-coupling of fluorinated platinum(II) and palladium(II) porphyrins—A convenient way to eliminate dye migration and leaching, Sens Actuators B. Chem, 169(5), pp. 173-81 (2012), which is incorporated by reference herein. Oxygen insensitive fluorophores 16 such as Nile blue can be incorporated alongside these oxygen sensing fluorophores 16 to calibrate for the optical system, scattering and absorbance of light by the tissue, etc. One exemplary embodiment includes degradable or non-degradable microgel particles 12 that are linked with an oxygen sensitive fluorophore and a reference fluorophore that are flowed into and annealed to fill a diabetic ulcer in order to provide tissue support and regenerative healing and simultaneously monitor regrowth of blood vessels and level of ischemia in the ulcer through the sensed level of oxygen.
In some embodiments described herein, the stiffness of the microgel scaffold 10 may be tuned or adjusted. In addition, the nature of the crosslinker that is used can determine whether the microgel scaffold 10 is biodegradable or non-biodegradable. In still other embodiments, which the microgel scaffold 10 may not be biodegradable it may still nonetheless be degradable through the application of light to the site of application. Moreover, it has been discovered that microgel scaffolds with increasing stiffness with non-biodegradable crosslinkers have better tissue intrusion properties.
In this experiment, microgel particles 12 were formed using 4-arm poly(ethylene glycol) vinyl sulfone (PEG-VS) backbone (20 kDa) that has been pre-modified with oligopeptides for cell adhesive properties (e.g., RGD) and surface/tissue annealing functionalities (e.g., K and Q peptides) along with a crosslinker. Microgel particles 12 were formed using a multi-inlet droplet generation device such as that disclosed in U.S. Patent Application Publication No. 2016/0279283, which is incorporated by reference herein. Generally, a first inlet is used to deliver the PEG-VS backbone that is functionalized while a second inlet is used to deliver the crosslinker while a third inlet delivers unmodified PEG-VS to prevent upstream mixing of the reagents relative to the droplet generation region.
The PEG-VS backbone may be prefunctionalized with 0.25 mM K-peptide (Ac-FKGGERCG-NH2 [SEQ ID NO: 1]) (Genscript), 0.25 mM Q-peptide (Ac-NQEQVSPLGGERCG-NH2 [SEQ ID NO: 2]), and various concentration (0.5 mM and 2.5 mM) of RGD (Ac-RGDSPGERCG-NH2 [SEQ ID NO: 3]) (Genscript). The solution input to the first inlet may contain about 5% (on a weight basis) modified PEG-VS contained in a buffer of 0.3 M triethanolamine (Sigma), pH 8.25. The second inlet is coupled to a solution containing the crosslinker, which in one embodiment, is an 12 mM di-cysteine modified Matrix Metallo-protease (MMP) (Ac-GCRDGPQGIWGQDRCG-NH2 [SEQ ID NO: 4] substrate (Genscript). In another embodiment, where the crosslinker is non-biodegradable the crosslinker that was used was PEG dithiol (MW 1,000). The third inlet is coupled to an aqueous solution containing 5% by weight of PEG-VS (unmodified by K, Q, or RGD peptides). A fourth inlet is used to deliver an oil phase that contains a surfactant (e.g., 1% SPAN® 80 by volume although other surfactants can be used). The contents of the droplets undergo mixing and will form the microgel particles 12 upon gelation, which in this embodiment is a function of the ambient temperature and the passage of time.
As used herein, K-peptides refer to those peptides that contain therein a Factor XIIIa recognized lysine group. As used herein, Q-peptides refer to those peptides that contain therein a Factor XIIIa recognized glutamine group. Thus, peptide sequences beyond those specifically mentioned above may be used. The same applies to the RGD peptide sequence that is listed above. All solutions can be sterile filtered through a 0.2 μm Polyethersulfone (PES) membrane in a Luer-lock syringe filter.
The microgel particles 12 that were generated were then extracted from the oil phase using either centrifugation through an aqueous phase or filtration through a solid membrane. The microgel particles 12 are then mixed with an annealing agent to anneal the microgel particles 12 to one another to form the three dimensional scaffold 10. In the experiments described herein, the microgel particles 12 were mixed with thrombin (2 U/mL) and FXIII (10 U/mL). Upon mixing, the thrombin activates the FXIII to form FXIIIa and the resulting FXIIIa is then responsible for annealing and linking of the K and Q peptides on adjacent microgel particles 12.
In experiments, the microgel particles 12 were spiked with Mesenchymal Stem Cells (MSCs) that were derived from the bone marrow of C57BL/6 mice and transfected with a lentiviral construct containing a Green Fluorescent Protein (GFP) expression motif. The microgel particles doped with FXIII and thrombin enzymes were spiked with MSCs at a concentration of 5,000 cells/μL. The spiked gels were then injected subcutaneously into mice using syringes. The mice were sacrificed at a scheduled point of time (56 days) and tissue samples were collected and in OCT medium for further analysis. Table 1 below illustrates the various scaffold materials 10 that were formed. As seen in Table 1, the stiffness of the scaffold 10 was adjusted as well as the type of crosslinker that was used (biodegradable or non-biodegradable).
As seen above, microgel particles 12 with different degradability, stiffness, and RGD peptide (cell adhesion motif) concentration were subcutaneously injected. Preliminary data shows that non-degradable stiff gels (2.6 kPa) with moderate RGD concentration (0.5 mM) have the highest tissue ingrowth rate over longer periods of time important for implantable sensing (e.g., two months). Advantageously, the microgel scaffold 10 described herein permits cell and tissue ingrowth and avoids a sustained inflammatory response that would otherwise lead to the formation of a fibrous capsule around the implanted material. This microgel scaffold 10 incorporates one or more analyte sensing fluorophores 16 which are then able to be read by an optical readout device 30 as explained herein.
While embodiments of the present invention have been shown and described, various modifications may be made without departing from the scope of the present invention. The invention, therefore, should not be limited, except to the following claims, and their equivalents.
This Application claims priority to U.S. Provisional Patent Application No. 62/281,660 filed on Jan. 21, 2016, which is hereby incorporated by reference in its entirety. Priority is claimed pursuant to 35 U.S.C. § 119 and any other applicable statute.
Filing Document | Filing Date | Country | Kind |
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PCT/US2017/014390 | 1/20/2017 | WO | 00 |
Number | Date | Country | |
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62281660 | Jan 2016 | US |