CHAPTER
Quantum dots: dynamic tools in cancer nanomedicine
3
Surya Kant Tripathi1, Rajneet Kaur Khurana2, Gurvir Kaur1,3, Teenu2 and Bhupinder Singh2,4 1
Department of Physics, Center of Advanced Study in Physics, Panjab University, Chandigarh, India 2University Institute of Pharmaceutical Sciences, UGC Centre of Advanced Studies, Panjab University, Chandigarh, India 3Department of Physics, Sant Longowal Institute of Engineering and Technology, Longowal, India 4UGC-Centre of Excellence in Applications of Nanomaterials, Nanoparticles & Nanocomposites (Biomedical Sciences), Panjab University, Chandigarh, India
3.1 INTRODUCTION Nanotechnology has revolutionized the development of multifunctional translational nano-tools for tracking cancerous cells and delivering therapeutic molecules. Magnetic resonance imaging (MRI) (Lee et al., 2006), positron emission tomography (PET) (Rege et al., 1994), single photon emission computed tomography (SPECT) (Kao et al., 2000), computed tomography (CT) (Sozzi et al., 2013), and optical imaging are some of the imaging aids being employed for the determination of cancer stage and its precise location. However, optical imaging offers unique benefits in molecular level visualization of cancer cells. As the fluorescent probes employed for optical imaging can be designed to be “switched on” under certain conditions, advancements in cancer imaging have taken a considerable leap due to the applications of nanomolecular imaging probes, popularly known as quantum dots (QDs). QDs perform multidimensional functions to accurately diagnose, manage, and treat malignant cancer. These probes are generally engineered to emit signals only after binding to a target tissue, which significantly increases sensitivity and specificity in the detection of a disease or disorder (Rao et al., 2007). Of the imaging methods, the conventional techniques such as angiography, CT, MRI, and radionuclide imaging, rely on contrast agents like iodine, gadolinium, and radioisotopes. This chapter not only endeavors to provide an updated version in an illustrative manner about the engineering and designing of the QDs for theranostics, but also highlights its
Nanobiomaterials in Medical Imaging. DOI: http://dx.doi.org/10.1016/B978-0-323-41736-5.00003-0 © 2016 Elsevier Inc. All rights reserved.
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superlative qualities in molecular imaging and cancer diagnosis. It also furnishes the advanced applications of QD in theranostics through selected literature examples, primarily focusing on their efficiency as carriers/vehicles for therapeutic compounds as well as for genes, either to kill or alter malignancies.
3.2 CHARACTERISTIC FEATURES OF QUANTUM DOTS QDs are nearly spherical nanocrystals (NCs) composed of semiconductor materials that bridge the gap between individual atoms and bulk semiconductor solids (Murphy and Coeffer, 2002). Due to their intermediate size, typically between 2 8 nm in diameter, that is, 100 1000 atoms, these probes acquire unique properties matching neither individual atoms nor bulk materials. They have discrete electronic energies because of the quantum confinement of exciton (electron hole) pair, which raises exclusive optical properties (Jaiswal and Simon, 2004; Baskoutas and Terzis, 2006). The word, “confinement” refers to confining the motion of a randomly moving electron to restrict its motion in specific energy levels, while the word, “quantum” reflects the atomic realm of particles. This has been the most striking property of semiconductor QDs, that is, the massive change in optical properties as a function of size, typically with diameter less than 8 nm. Therefore, as the size of a particle is decreased to the nanoscale, any reduction in confining dimension makes the energy levels discrete. This increases or widens the band gap, and ultimately the energy gap too (http://nanoawesomeworld.blogspot.in). Along with unique optical properties, QDs have a rich surface chemistry that makes them useful as probes or carriers for traceable targeted delivery and therapy applications (Cassette et al., 2013; Yong et al., 2012). QDs can be functionalized to target specific cells or tissues by conjugating them with targeting ligands which has resulted in their rapid emergence as fluorescent probes for biomolecular and cellular imaging. An important advantage of QDs, that offers opportunities to integrate nanotechnology with biology at molecular and cellular levels, is their dimensional similarity to biological molecules (Niemeyer, 2001). Moreover, the spectral properties of QDs endow them with increased sensitivity and render them suitable for multicolored quantitative imaging, making them better as compared to several organic fluorophores (Figure 3.1; True and Gao, 2007). QDs overcome the limitations of conventional fluorophores (including organic dye and protein) including the pH dependence, quenching effects, propensity to photobleaching, lack of aqueous stability, and short-lived excited states (Ferrari and Bergquist, 2007).
3.3 COMPOSITION OF QUANTUM DOTS As already stated, QDs are NCs of semiconductors. The semiconductors are primarily made up from elements, where s and p are valence electrons and include elements
3.4 Architecture of Multifunctional Quantum Dots
FIGURE 3.1 A sketch of quantum dots exhibiting hues of colors in the visible range at different wavelengths.
from groups IV, II VI, III V, or IV VI of the periodic table. All semiconductors exist in either cubic or hexagonal crystal structure. Semiconductors with cubic structure have either diamond (C, Si, Ge, α-Sn) or zinc blende, also called sphalerite phase (ZnS, GaAs), while semiconductors with hexagonal crystal structure have wurtzite phase (such as ZnO, GaN) (Shahid, 2012). Out of all the groups of the periodic tables, the most interesting groups are II VI, that is, materials such as cadmium selenide (CdSe), cadmium sulfide (CdS), cadmium telluride (CdTe), zinc oxide (ZnO), zinc sulfide (ZnS), zinc selenide (ZnSe), and zinc telluride (ZnTe) and group IV VI compounds, such as lead selenide (PbSe) and lead sulphide (PbS), as they possess unique optical and electronic properties (Fuhrhop and Wang, 2009). These groups share large-scale utility for the production of photovoltaic devices. On the other hand, the group IV materials, such as carbon (C), silicon (Si), and germanium (Ge), are nontoxic in their bulk form and have higher crystallization temperature. These groups carry vital potential to tag biological molecules. While III V compound semiconductors are obtained by combining group III elements (essentially aluminum (Al), gallium (Ga), and indium (In)) with group V elements (essentially, nitride (N), phosphide (P), arsenic (As), and antimony (Sb)). This provides possible combinations; the most important are probably GaAs, InP, GaP, and GaN. Various permutations and combinations are constantly being tried to form quaternary and ternary compounds, from all these elements, in order to impart characteristic optical and biologically active features (Adachi, 2009).
3.4 ARCHITECTURE OF MULTIFUNCTIONAL QUANTUM DOTS Cancer treatment generally involves the sequential use of diagnostic tools as well as therapeutic modalities. QDs not only serve as contrasting agents but also assist
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FIGURE 3.2 A model of a classical quantum dot as a theranostic carrier featuring all the plausible attachments.
in shielding the therapeutic moieties, both hydrophilic and hydrophobic. Lipophilic drugs can be embedded between the inorganic core and the amphiphilic polymer coating layer, whereas the lyophilic agents can be immobilized onto the hydrophilic side of the amphiphilic polymer, through covalent or non-covalent bonds. Another approach is to either embed these QDs in this amphiphilic polymer or attach with the help of linkers (Mudshinge et al., 2011; Yong et al., 2012). Some basic requirements for preparing theragnostic carrier formulations for targeted in vivo therapy are: (i) functionalization of the NC surface with targeting ligands for site-specific delivery to tumor cells; (ii) decreasing the size of the NCs for easy excretion from the body; (iii) the release of drug at tumor cells by triggering it externally or by local environmental factors; and (iv) the passivation of the NC surface with longlasting biocompatible polymers to prevent degradation or breakdown of the QDs (Singh and Lillard, 2009). An attempt has been made to conceptualize the functional modalities usually attached to QDs in Figure 3.2.
3.4.1 DETECTION COMPONENT (NONINVASIVE IMAGING) QDs serve as one of the extremely popular optical probes to label different components within a cell, and are capable of providing molecular information for detection purposes (Jaiswal and Simon, 2004). Conventional fluorophores (including organic dye and fluorescent protein) suffer from serious chemical and photophysical liabilities, such as pH dependence, self-quenching at high concentrations, and susceptibility to photobleaching (Ferrari and Bergquist, 2007). QDs have some key spectral properties that make these the best fluorophores for sensitive, multicolor, and quantitative imaging of histopathological sections (True
3.4 Architecture of Multifunctional Quantum Dots
and Gao, 2007). Broad absorption profiles of QDs allow simultaneous excitation of multiple colors, where the emission wavelengths can be continuously tuned by varying particle size and chemical composition (Kaur and Tripathi, 2014a,b). There are examples in the literature in which QDs (Michalet et al., 2005) have been associated with iron oxide nanoparticles (Tassa et al., 2011), carbon nanotubes (Liu et al., 2009), gold nanoparticles (Daniel and Astruc, 2004), and silica nanoparticles (Slowing et al., 2008) for detection purposes. Dual, as well as ternary, combinations of these agents can be used for multimodal imaging and are currently being employed for various applications (Song et al., 2011).
3.4.2 TARGETING LIGANDS Two targeting strategies have primarily been investigated to target drugs and imaging agents to tumors: passive and active targeting. Fluorescent NPs in a certain size range could passively target macromolecules and NP carriers to solid tumors (Maeda et al., 2000). In active targeting, the large surface area of NPs and their usual core-shell structure offer a platform to encapsulate diverse drugs or imaging agents, for site-specific targeting to the receptors, which are over expressed on the surface of solid tumors vis-a`-vis the healthy tissue. For instance, several monoclonal antibodies or antibody fragments such as scFv, folic acid, growth factors, carbohydrates, peptides, glycoproteins, or receptor ligands, that are selectively overexpressed on cancer cells, serve as active targeting moieties (Peer et al., 2007). Cellpenetrating peptides are another potential class of molecule that have been exploited for passive targeting due to their nonspecific mechanism of cellular uptake that are applicable to a variety of cell types and tumor classes (MacEwan and Chilkoti, 2013). A study probed therapeutic effectiveness of motifs like Arg-Gly-Asp (RGD) and leucine-aspartic acid-valine (LDV). These were investigated to functionalize QDs, so that the QD peptide complexes selectively bind to integrins on HER-2positive cancer cells (Shi et al., 2006). In another promising study, Lieleg and associates highlighted the potential of a wide class of cyclic Arg-Gly-Asp (RGD) peptides and a biotin streptavidin linkage, coupled with QDs to treat and diagnose osteoblast cells (Lieleg et al., 2007).
3.4.3 THERAPEUTIC COMPONENTS Owing to unique surface properties and ability to track cells in vivo, these nanoprobes hold tremendous potential in nanomedicine, obliterating the need to sacrifice animals. Several approaches have been adapted to either associate or modify the surfaces of QDs by polymers, biomolecules, antibodies, and therapeutic agents to improve the biocompatibility and properties for biological applications (Adeli et al., 2011). The cytotoxic agents have been effectively loaded on QDs that allow their specific and traceable delivery to the intended cancer cell(s). QDs act as nanovehicles for different cytotoxic drugs, such as daunorubicin, doxrubicin, temozolomide, etc. (Li et al., 2006; Bagalkot et al., 2007; Wu et al., 2010). Also, QDs have served
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as a cart for genetic silencers (oligonucleotides) to visualize the action on the target site (Qi and Gao, 2008; Bonoiu et al., 2009). CdTe QD/methylene blue hybrid system has been successfully investigated for inhibition of HepG2 and HeLa cancerous cells (Rakovich et al., 2010).
3.4.4 POLYMER ENCAPSULATION/DRUG-LOADING CAPABILITY Polymers are widely employed to coat QDs; an approach that not only tackles biocompatibility and water-solubility issues, but also provides a linker for bioconjugation. The amphiphilic nature of the coating allows solubility in aqueous solutions and rapid transfer across cell membranes, and low concentrations of the QDs for overall toxicity reduction. Additionally, the polymers can carry ionic or reactive functional groups facilitating receptor targeting and cell attachment for successful applications in the fields of bioimaging and biosensing. The derivatives of polymers, such as polyethylene glycol (PEG), poly(ethylene oxide)-containing block copolymers, chitosan, etc., usually carry ionic or reactive functional groups for incorporation of various targeting and therapeutic components (Zhang and Clapp, 2011). Hu et al. (2012) encapsulated PEG-grafted phospholipid micelles associated with near-infrared-emitting ultra-small PbS QDs, whereas, Rizvi et al. (2012) demonstrated the potential of stabilizing agents, such as polyhedral oligomeric silsesquioxane (POSS)-coated CdTe-cored QDs, with mercaptosuccinic acid and D-cysteine. The polymeric structure decides the drug-loading capabilities of the QDs (Zhang and Clapp, 2011; Hu et al., 2012). With change in the biological stimuli, like pH, light, temperature, ultrasound, enzymes, the drug molecules which earlier were conjugated to the QD surface are released (Schmaljohann, 2006). The QD drug-conjugated system reaches the desired organ or tissue, and releases the drug molecules either upon degradation of polymer particles at low pH or upon diffusion from polymer (Hoffman, 2013; Wang et al., 2007; Luo et al., 2012). The polymer coating significantly improved the optical properties of the QDs, which enhanced the photoluminescence quantum yield by about 50%. In situ immobilization of ZnSe/ZnS QDs in β-cyclodextrin and chitosan polymer loaded with suberoylanilide hydroxamic acid (SAHA) expressed long-term optical properties with anticancer effect (Chang et al., 2013).
3.5 SYNTHESIS AND FUNCTIONALIZATION OF QDs Colloidal QDs can be prepared with different emissions, varying from the ultraviolet to the infrared; though QDs need to be water-soluble for biological and theranostic purposes (Gatsouli et al., 2007). Along with stability in water, QDs need to have functional groups for bioconjugation, as it helps to attain native properties and adds biocompatibility and non-immunogenicity in living systems (Jamieson et al., 2007;
3.5 Synthesis and Functionalization of QDs
FIGURE 3.3 Schematic representation of four common approaches to hydrophilic surface modification of TOPO or TOP stabilized quantum dots. (i) TOPO replacement with heterobifunctional linker consisting of a thiol end group, a spacer, and a hydrophilic end group such as carboxylic acid (Akerman et al., 2002); (ii) TOPO replacement with a linker consisting of two thiol groups on one end and a hydrophilic end group on the other end (Mattoussi et al., 2000); (iii) TOPO replacement with a silane forming a stable shell via crosslinking (Zhu et al., 2007); (iv) stabilization of TOPO layer using amphiphilic molecules, such as PEG lipopolymers of amphiphilic diblock copolymers, that are held on the surface by hydrophobic interaction with the octyl chains of TOPO (Kang et al., 2004).
Sperling and Parak, 2010). Properties of QDs are completely dependent on the route of synthesis. Generally, chemical synthesis, wherein the growth can be controlled at atomic level, meets the required quality of QDs. Synthesis of highly luminescent QDs is possible in organic as well as aqueous medium. Conventionally, high-quality NCs are prepared in organic solvents using tri-n-octylphosphine oxide (TOPO) and trioctylphospine (TOP) by pyrolysis of organometallic precursors such as Cd and Se to generate CdSe NCs (Murray et al., 1993). These compounds provide the most controlled growth conditions, while addition of other appropriate groups (such as hexadecylamine, HDA) permits tailoring of particle morphology and emission efficiency (Talapin et al., 2001; Peng et al., 2000), and is the most popular method for obtaining good-quality QDs (Figure 3.3).
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FIGURE 3.4 Schematic representation of the biological labeling by QDs through (i) solubilization and (ii) bioconjugation of QDs. For solubilization, the surfactant layer is replaced or coated by an additional layer introducing either electric charge or hydrophilic polymers for mediating solubility in water (iii) after coating there could be site-specific binding for the same (Mattoussi et al., 2000).
NCs of CdSe, CdS, CdTe, ZnS, and ZnSe have been widely used for biological labeling, but are not considered very efficient due to low emission efficiency. The surface of these bare NCs has dangling bonds which may act as charge carrier trap sites, and can decrease the semiconductor QD emission efficiency (Spanhel et al., 1987). The enhancement of emission efficiency requires passivation of surface defects by inorganic or organic capping. Inorganic layer passivates both anionic and cationic surface sites simultaneously which, otherwise, is hard to achieve with organic ligands (Peng et al., 1997; Figure 3.4). These NC systems show characteristic features of the core and shell materials, where the relative energy band alignment of the composite decides the nature of band transitions in composite material. The shell also acts as an insulating medium that limits electronic communication with surface ligands or the environment and enhances the photostability (Kaur and Tripathi, 2014). Colloidal core shell, QDs such as CdSe/ZnS, CdTe/ CdS, CdSe/CdS/ZnS, and InP/ZnS, are some of the materials with high emission efficiency and are of immense interest for molecular imaging and cancer therapy. Ligand exchange involves the exchange of surface ligands with a thiol group of thio-acids or polysilanes (Zhu et al., 2007). Thio-acids and silica achieve water solubility through the presence of carboxyl groups, and hydroxyl groups on its surface, respectively (Kim and Bawendi, 2003). The use of disulfide linkers leads to more stable nanoparticle capping corresponding to the ligand exchange than
3.5 Synthesis and Functionalization of QDs
FIGURE 3.5 Transmission electron micrographs of CdSe/ZnS core shell quantum dots of (a) size B4 nm dispersed in water (b) at high resolution.
the reagents which contain a single thiol group and the cyclic disulfide linkers have the maximum stability. The greater stability is likely a result of anchoring of the ligands to the nanoparticles through two sulfur atoms. Figure 3.5 shows transmission electron micrographs of CdSe/ZnS QDs, where the CdSe is the core material and ZnS is the shell material (a) at low and (b) high magnification. These QDs are synthesized directly in water using thioglycolic acid as capping reagent. In another way, one can encapsulate the hydrophobic QDs with amphiphilic macromolecules. This involves the hydrophobic interactions between TOPO/ TOP and the hydrophobic ends of the amphiphilic polymer, and its hydrophilic end providing aqueous solubility (Kang et al., 2004). A number of natural polymers, for example, chitosan, organic dendron, oligomeric ligands, poly(maleic anhydride-alt-1-tetradecene), and the phospholipid micelles, provides a second layer to the surface of QDs for aqueous solubility (Bakalova et al., 2011). Surface coating with polymer and lipids can preserve the quantum yield of QD fluorescence, but tends to increase the size of the initial QDs (Kirchner et al., 2005). The colloidal properties of solubilized QDs, such as charge and hydrodynamic status, change with the method of encapsulation and need to be tailored according to the biological system being used. The surface charge and other surface properties of thiol-capped NPs can be controlled by the choice of stabilizing agent with appropriate free functional groups (Sharma and Tripathi, 2013; Bao et al., 2012). Conjugation of inorganic NPs to biomolecules (called bioconjugation) is possible by physical adsorption, electrostatic interactions, covalent coupling, specific binding, or through crosslinkers. It is a vital requirement for
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immobilizing the targeting and therapeutic components for cancer diagnostics and therapeutics (Mazumder et al., 2009). QDs are usually stabilized by anionic ligands, such as carboxylic acid derivatives (citrate, tartrate, lipoic acid), so the positively charged proteins or their domains have a tendency to adsorb on the surface through electrostatic interactions. However, such interactions are sensitive toward pH of the medium and charge screening and are inherently nonspecific. It is possible to modify the QD surface chemistry by changing the charge on the end of the NP ligand and the ligand hydrophobicity for regio-specific interactions with the proteins (Kaur and Tripathi, 2015). Chemisorption of thiol derivatives of biomolecules on the QD surface is a relatively straightforward covalent bioconjugation approach (Figure 3.5). This strategy has been used to attach oligonucleotides, DNA (Mitchell et al., 1999), and bovine serum albumin (BSA) (Willard et al., 2001) to QDs. However, the linkage is dynamic due to a weak bond between Zn and thiol (Chan and Nie, 1998). A better approach could be to covalently link the water-soluble QDs with carboxylic acid, amino or thiol groups, to biological molecules through bifunctional linkers. This method is most commonly used for making biofunctionalized QDs for in vitro cell labeling and in vivo imaging purposes. EDC, (1ethyl-3-(3-dimethylaminopropyl)) is a commonly used crosslinker to link aNH2 and aCOOH groups, whereas 4-(N-maleimidomethyl)-cyclohexanecarboxylic acid N-hydroxysuccinimideester (SMCC) can be used to crosslink aSH and aNH2 groups (Aslam and Dent, 1998). The linkers have been used to associate several biomolecules including oligonucleotides, biotin, peptides, and proteins such as avidin/streptavidin, albumin, adaptor proteins (e.g., protein A and G) and antibodies (Goldman et al., 2002), with that of QDs. Also, the native functional groups (aCOOH, aNH2, or aSH) on a water-soluble QD surface can be converted to other functional groups that allow more flexible conjugation of QDs to biomolecules through site-specific conjugation. For instance, the carboxylic acids on QDs can be converted to hydrazides for the attachment of biomolecules containing sugar groups. Another strategy based on specific interaction utilizes protein tag (HaloTag) to functionalize QDs for biological imaging. The HaloTag is a modified haloalkane dehalogenase designed to covalently bind synthetic ligands that comprise a chloroalkane linker attached to a variety of useful molecules, such as fluorescent dyes, affinity handles, or solid surfaces (Tripathi et al., 2015; Zhang et al., 2006; Figure 3.6). Besides, all these approaches, affinity-based systems found in nature have attracted significant attention during recent years, where the avidin-biotin system is the most well-known. The reactive biotin/avidin are covalently linked to either surface sulfhydryl or amine functionalities, thus allowing for the biotinylation of the QD surface and subsequent binding to streptavidin (Wilchek and Bayer, 1990). The biomolecules, such as DNA oligomers, peptides, antibodies, and fluorescent dyes, readily modified with biotin or avidin (or its derivatives), are commercially available (Figure 3.7).
3.5 Synthesis and Functionalization of QDs
FIGURE 3.6 Schematic presentation of steps involved in the bioconjugation of QDs.
FIGURE 3.7 Targeted delivery of drugs to cancer cells by using quantum dots.
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3.6 QUANTUM DOTS IN CANCER THERAPY Despite being an alternative to imaging, these engineered probes serve as excellent carriers for delivering chemotherapeutic drugs and genes for altering tumor cells (Qi and Gao, 2008). QDs hold massive potential to detect several cancer markers for sorting out the complex gene expression profiles of cancers and thereby for accurate clinical diagnosis (Smith et al., 2006). Undoubtedly, QDs have become an indispensible tool today for targeting, imaging, and performing specific therapeutic functions.
3.6.1 QUANTUM-DOT-BASED ANTICANCER DRUG DELIVERY QDs provide a versatile platform for engineering traceable drug-delivery systems with potential for improving pharmacological treatment of cancers. QDs conjugated to anticancer drugs followed by delivery of drug/QD conjugates to specific sites and successive release of the drug molecules from the QD surface in response to local biological conditions, such as pH or the presence of enzymes, is a powerful technology (Luo et al., 2012). Li et al. (2006) reported an approach to enhance the concentration of daunorubicin in leukemia K562 cells through CdS QDs. Tada et al. (2007) injected the monoclonal anti-HER2 antibody (trastuzumab) labeled with QDs into HER2-overexpressing breast cancer rodent models to analyze the key effects of its targeted delivery to the tumor. However, conjugating full-length monoclonal antibodies directly to QDs is a relatively difficult process. In contrast, single-chain antibody fragments (scFv) with relatively small size are generally amenable to be genetically and structurally manipulated and are advantageous over monoclonal antibodies as carriers of radionuclei, drugs, and nanobeads (Nelson, 2010). Tian et al. (2011) reported the drug-loaded liposome-QD-Dox (L-QD) hybrid vesicles encapsulated with TOPO into two types of lipid bilayers, namely, the “rigid” disteroylphosphatidyl-choline and a fluid-phase bilayer of egg PC (EPC:Chol:DSPEPEG 2000) with better encapsulation efficiency of hydrophilic small molecules like carboxyfluorescein. Chakravarthy et al. (2011) reported the ability of nanoconjugates of CdSe/CdS/ZnS QD and Dox to successfully target alveolar macrophages during inflammatory lung injuries. Also, Wang et al. (2012) reported a new method of screening micrometastases of lung cancer in peripheral blood by magnetic nanoparticles and QDs to achieve early diagnosis and recurrence prevention. Listed in Table 3.1 are some of the recent approaches of QDs in cancer diagnosis and treatment.
3.6.2 QUANTUM-DOT-BASED GENE DELIVERY Extracellular nucleases within the body rapidly break down oligonucleotides in the circulation and these tend to accumulate in the liver and kidneys before their eventual clearance from the body. Therefore, endeavor has been made by several researchers to
Table 3.1 Selected Literature Reports on Applications of Quantum Dots in Targeted Delivery Targeted Receptor
Cell Culture and Tumor Model for Bioimaging
Targeting Ligands
QDs
Linkage
Folate
Diethylene-triaminepenta-acetic acid gadolinium and folic acid
Graphene QDs
EDC
In vitro HeLa and HepG2 cells lines in vivo evaluation of toxicity to the embryonic development of zebrafish
Thrombin and trypsin
Cysteine, glutathione, dihydrolipoic acid, or 3-mercapto propionic acid
QD peptide complex
DHLA and MPA coatings
Protease using Förster resonance energy transfer (FRET)-based assays
Bone marrow cancer cells
Polyimidazole ligands
QD Ab conjugates
Tetrazinenorbornene cycloaddition
Cytometric imaging in mice
Study Inference
Reference
Multifunctional nanocarriers could be used as promising targeted drug-delivery vehicles for the diagnosis and image-guided chemotherapy of various cancers Clearly demonstrates the adsorption of QDs over nanoparticle interface in mediating substrate turnover and act as the strongest support The intravital imaging studies using a chronic calvarial bone window showed that QD-Ab conjugates diffuse into the entire bone marrow and efficiently label single cells belonging to rare populations of hematopoietic and progenitor cells
Huang et al. (2015)
Wu and Algar (2015)
Han et al. (2015)
(Continued)
Table 3.1 Selected Literature Reports on Applications of Quantum Dots in Targeted Delivery Continued Cell Culture and Tumor Model for Bioimaging
Targeted Receptor
Targeting Ligands
QDs
Linkage
Cancerous cell lines
Polymer coating
CdSe/ZnS
Carboxyl or amine polymer
Integrin αvβ3
cRGDfC-peptide
Polymer coated CdSe/ZnS
SMCC
Folate receptor
Folic acid
CdTe/CdS
EDC/NHS
Nude mouse, xenografted with A549 tumor in the left thigh and HepG2 tumor in the right thigh
VEGFR2
VEGF2 antibody
QD655
Streptavidin/ biotin
Colons of AOMtreated mice, salinetreated control mice
Epithelial (BEAS-2B), fibroblast (HFF-1), and lymphoblastoid (TK6) cell line Human oral squamous carcinoma cell line (BcaCD885)/ Male nude mice (BALA/c-nu/nu)
Study Inference
Reference
The system could very well diagnose cancer cells.
Manshian et al. (2015)
Greatest amount of QD800-RGD was found in liver spleen, followed by tumor and lung. No detectable signal of QD800-RGD was found in brain, heart, kidney, testis, stomach, or intestine indicating broad range applications of QDs in personalized treatment. Oligomeric/inorganic hybrid NPs provided a new type of biomaterials for tumor-targeted imaging with high selectivity. Colorectal cancer was successfully labeled in vivo.
Huang et al. (2013)
Yuan et al. (2014)
Carbary-Ganz et al. (2014)
VEGF receptor
VEGF antibody
CdSe/ZnS coated with oleylamine poly (aspartate) graft poly (ethylene glycol) dodecylamine (PASP Na g PEG DDA)
EDC HCl
Human liver cancer (HepG2) cells
Matrix metalloproteinase-2
MMP-2 specific peptide substrate (GPLGVRGKGG)
CdTe QD
_
MCF-7 cells, nude mice bearing MDAMB-231
QDs were found to have satisfactory stability, strong targeting and intracellular fluorescence, together with low cytotoxicity. Successful examination of MMP2 in live cells and tumor on nude mouse which promised a wide range of applications such as the detection of different biomarkers and early diagnosis of disease.
Sun et al. (2014)
Li et al. (2014)
QDs, quantum dots; EDC, (1-Ethyl-3-(3-dimethylaminopropyl)-carbodiimide); HepG2, liver hepatocellular cells; QD-Ab, quantum dot-antibody; CdSe/ZnS, cadmium selenide/zinc sulfide core shell; (cRGDfC) peptide, cyclo(arginine-glycine-aspartic-acid-D-phenylalanine-cysteine) peptide; U87MG cell, human glioblastoma-astrocytoma cells; SMCC, succinimidyl-4-(N-maleimidomethyl)cyclohexane-1-carboxylate; VEGF, vascular endothelial growth factor; EDC.HCl, 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride; EDC/NHS, 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide/N-hydroxysuccinimide; HER2/neu, human epidermal growth factor receptor/neu; MCF-7 cells, human breast cancer cell line.
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employ semiconductors as nucleic-acid cargo and also integrated additional functionalities to enhance gene or protein delivery to specific targets (de Aberasturi et al., 2012). Gene therapy uses DNA as a pharmaceutical agent to treat disease and was first conceptualized in 1972 (Friedmann and Roblin, 1972). The most common form involves DNA that encodes a functional, therapeutic gene to replace a mutated gene. Other forms involve direct correction of a mutation, or use DNA that encodes a therapeutic protein drug to provide treatment. The rising field of gene therapy requires multifunctional delivery platforms in order to overcome the cellular barriers. QDs provide an optically fluorescent and biocompatible surface to act as a multifunctional delivery platform for gene therapy (Walther et al., 2008). A promising strategy for in vivo delivery of siRNAs (short interfering RNA) associated with QDs allows the tracking of transfection and allocation of QD siRNA complexes in the cytoplasm. Chen et al. (2005) demonstrated that luminescent QDs could conjugate to a membrane-translocating protein, transferrin responsible for endocytosis of QDs by living cancer cells in culture. Li et al. (2012) reported CdSe/ZnS fluorescent QDs delivering small siRNAs targeting β-secretase (BACE1) for better transfection efficiency of siRNAs (Hardy and Selkoe, 2002). Several other studies revealed that siRNA targeting β-secretase (BACE1) could significantly inhibit the expression of specific BACE1 messenger RNA and could reduce the generation and accumulation of β-amyloid (Gonzalez-Alegre, 2007; Laird et al., 2005), but the problem was of the blood brain barrier (BBB). QDs can freely cross cell membranes and the BBB and can become siRNA carriers upon modification. The CdSe/ZnS QDs with the conjugation of amino-PEG were synthesized. Negatively charged siRNAs were electrostatically adsorbed onto the surface of QDs to develop QD-PEG/siRNA nanoplexes, therefore, promoting the transfection efficiency of siRNA. The biodegradable PEG polymer coating could protect QDs from being exposed to the intracellular environment and restrained the release of toxic Cd21. Therefore, the QD-PEG/siRNA nanoplexes might serve as ideal carriers for siRNAs (Harris et al., 2010). Table 3.2 furnishes the applications of QDs in nucleic-acid drug delivery.
3.7 QUANTUM-DOT-BASED PHOTODYNAMIC THERAPY (PDT) QDs, as photosensitizers (PSs) themselves or as carriers of the same, have exhibited potential in photodynamic therapy (PDT). QDs, like other PSs, can be activated by certain light and can transfer the energy to nearby oxygen molecules which damages cancer cells (Bakalova et al., 2004; Biju et al., 2010; Xie et al., 2010). Tsay et al. (2007) modified QDs with streptavidin and conjugated biotinylated pDNA with it. They found the generation of reactive oxygen intermediates (ROI) through nitroblue tetrazolium (NBT) assay and subsequent damage to purine and pyrimidine bases through assays with base excision repair enzymes.
Table 3.2 Select Literature Instances of Widely Used Chemotherapeutic Agents Delivered Through Quantum Dots Cell Line(s)/ Animal Model
Carrier
QDs
Drug
Targeting Mode
Targeting Model/ Ligand
Multifunctional nanoparticles
Horseradish peroxidise antibodyconjugated QD605
Nutlin-3a
Active
Aptamer
Poly(D, L-lactide-coglycolide)
EpCAM receptor
Liposomes
Silicacoated
Mycotoxins zearalenone and aflatoxin B1
Passive
_
Proteins
_
MCF-7, SKOV3, and ZR751. HEK293 In vitro
Quantum dots
Graphene
DA
Passive
_
Polyindole Polymers
_
In vitro
Polymeric nanoparticle
QDs
Dox
Active
Chitosan
PEG
Cellular uptake
In vitro cell lines
Linker
Targeted Receptor
Therapeutic Outcome
Reference
This multifunctional nanosystem would act as a treatment option for cancer
Das et al. (2015)
Application of silicacoated liposomes-loaded with QDs as a label in FLISA resulted in a fourfold increase in the assay sensitivity for zearalenone and a sixfold increase in the sensitivity for aflatoxin B1 determination The prepared sensor can rebind DA in dual-type with both low and high affinity The system is used to observe the surface properties effect of other polymers such as chitosan and poly (ethylene) glycol on the cellular interaction and uptake. Moreover, quantum dots can be used to study microparticle theranostic delivery
Beloglazova et al. (2015)
Zhou et al. (2015)
Win et al. (2014)
(Continued)
Table 3.2 Select Literature Instances of Widely Used Chemotherapeutic Agents Delivered Through Quantum Dots Continued Cell Line(s)/ Animal Model
Carrier
QDs
Drug
Targeting Mode
Targeting Model/ Ligand
Albumin nanoparticles
Graphene
Gemcitabine
Active
HA
Human serum albumin
CD44
Panc-1 cell lines
PEGylated QDs
GSH-CdTe
Dox
Active
Folic acid
PEG
Folate receptor
HeLa cells
PGA encapsulated QDs
CuInS2
Dox
Passive
Linker
L-cysteine
Targeted Receptor
PC3M cells and HepG2 cells
Therapeutic Outcome
Reference
The graphene QDs enhanced the efficacy of system as a drug-delivery vehicle as well as the bioimaging Multifunctional DOX-QDPEG-FA system showed great potential for tumor imaging, targeting, and therapy QDs/PGA Dox nanoparticles delivered Dox to targeted cancer cells and monitored its release based on the fluorescence “turn-on” signal of CuInS2 QDs, which could simultaneously image the cancer cells
Nigam et al. (2014)
Chen et al. (2015a,b)
Gao et al. (2014)
QDs, quantum dots; MCF-7 cells, Michigan Cancer Foundation-7 breast cancer cells; SKOV3 (human ovarian cancer; ZR751 (human breast cancer); HEK-293 (human embryonic kidney); FLISA, fluorescent labeled immunoassay; DA, dopamine; PEG, poly(ethylene glycol); HA, hyaluronic acid; CD44 antigen, cell-surface glycoprotein; GSH-CdTe, glutathione conjugated cadmium telluride; Dox, doxorubicin; PC3M cells, prostate cancer cells; PGA, poly(L-glutamic acid); HepG2, liver hepatocellular cells; CuInS2, copper indium sulfide.
3.7 Quantum-Dot-Based Photodynamic Therapy (PDT)
As compared to small-molecule chemical PSs, QDs are more chemically stable, water-soluble, and (for near-infrared fluorescent QDs) less susceptible to optical interference with biological tissues. However, the QDs are often limited by the low yield of quantum singlet oxygen (typically less than 5%), which is vastly inferior to that of classic PSs (40 60%). QDs possess important characteristics that make them potentially good PSs for PDT. This is the energy transfer process from QDs to PS drugs and further to oxygen in QD PS conjugates, and are quite efficient for ROI production. QD PS conjugates are fairly advantageous over conventional PS drugs; for example, indirect photoactivation of PS drugs by photostable QDs offers prolonged imaging and PDT without photobleaching. The large surface area of QDs allows space for conjugating multiple PS and cancer markers for efficient and targeted cancer imaging, PDT, and broad absorption band, with large twophoton absorption cross-section of QDs being advantageous for unrestricted and NIR photoactivation (Daniel and Astruc, 2004; Willard et al., 2001). Peptide-coated QD PS conjugates (PSs-rose bengal and chlorine) have been synthesized by covalent conjugation strategies on peptides that overcoat CdSe/CdS/ZnS NCs. Singlet oxygen production from the conjugate could be achieved through indirect excitation through FRET from the NCs to PSs, or by direct excitation of the PSs (Shi et al., 2006). The system can be used simultaneously for fluorescence imaging and singlet oxygen generation. Rakovich et al. (2010) have studied the photodynamic properties of a novel CdTe QD methylene blue hybrid PS. The use of methylene blue augmented the production of singlet oxygen as determined by near-infrared photoluminescence measurements. In vitro growth studies revealed that the increased efficiency of singlet oxygen production subsequently improved the efficiency of the methylene blue semiconductor NCs hybrid system in killing HepG2 and HeLa cancer cells (Rakovich et al., 2010). Tsay et al. (2007) demonstrated energy transfer from the QDs to phthalocyanines (Pc) upon photoexcitation of the QDs and observed that the nature of the carboxylic thiol stabilizer enhanced the efficiency of energy transfer. As a result of the nanoparticle and Pc mixing, the photoluminescence efficiency of the Pc moieties in the mixtures does not strictly follow the quantum yield of the bare Pcs and exhibits high singlet oxygen quantum yield. Another type of QD conjugate that is made luminescent through bioluminescence resonance energy transfer (BRET) has been reported (Hsu et al., 2010). The external excitation light source is a problem for clinical application because of the limitation of tissue-penetrating properties. During a BRET process, QDs accept energy from luciferase (Luc) catalyzed coelenterazine through nonradiation energy transfer (So et al., 2006). Bioluminescent Luc-QDs can exhibit self-illumination at 655 nm for PS activation after adding coelenterazine. Thus, HeLa cells were co-treated with QD-Luc and a clinical PS called Foscan, which can be excited at 652 nm for PDT. The results portrayed that the QD-Luc can stimulate the Foscan and significant cytotoxicity can be observed after coelenterzine addition, with no apparent cytotoxicity of PS. Table 3.3 highlights the applications of PDT in the domain of drug delivery.
89
Table 3.3 Select Literature Instances on Applications of Quantum Dots as Gene Carrier Carrier
Composition
Gene
Linker
Targeted Receptor
Cell-derived microparticles (MPs)
QDs
siRNA
VEGF
Fluorescence encoding microfluidic platform
Graphene QDs
HIV gene and variola virus
QDs
Carbon
Survivin siRNA
Assay
Therapeutic Outcome
Reference
Biotin
Human umbilical vein endothelial cells
Chen et al. (2015a,b)
Poly(dimethylsiloxane) (PDMS)
_
In vitro
Polyethylenimine
MGC-803
Human gastric cancer cell line
QD-labeled MPs had inherent cell-targeting and biomolecule conveying ability and were successfully employed for combined bioimaging and tumortargeted therapy. This study provides the first reliable and biofriendly strategy for transforming biogenic MPs into functionalized nanovectors This method achieves simultaneous multiplexed DNA measurements with a significantly time-saving way and without different dyelabeled probes or complex operation procedures The Cdot-based and PEIadsorbed complexes both as imaging agents and siRNA nanocarriers have been developed for Survivin siRNA delivery. The results indicate that Cdot-based nanocarriers could be utilized in a broad range of siRNA delivery systems for cancer therapy
Chen et al. (2015a,b)
Wang et al. (2014)
QDs
QD 800
Herpes simplex virus thymidine kinase gene (HSV-TK)
EDC/NHS
Human hepatocellular carcinoma cell lines (HepG2)
In vitro (HepG2 cells)/in vivo (BALB/c nu/ nu mice)
Silica QDs
QDs with a programmable DNA hybrid
DNA
PEG
MicroRNAs (miR-21)
In vitro (HeLa cells)
Real-time tracing of hepatocellular carcinoma treated with HSV-TK/GCV suicide gene system in vivo was performed by QD-based NIR fluorescence imaging, which provided useful insight toward QD-based theranostics in future cancer therapy miRNA-responsive drugdelivery model paved the way for combining chemotherapy and gene therapy to obtain an optimized therapeutic efficacy in cancer treatment
Shao et al. (2014)
Zhang et al. (2014)
QDs, quantum dots; VEGF, vascular endothelial growth factor; HIV, human immunodeficiency virus; DNA, deoxyribonucleotide; MGC-803, human gastric cancer cell growth; siRNA, short-interfering ribonucleoside; EDC/NHS, (1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide)/N-hydroxysuccinimide; HSV-TK, herpes simplex virus thymidine kinase; HepG2, liver hepatocellular cells; HeLa cells, human epithelial cells.
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CHAPTER 3 Quantum dots: dynamic tools in cancer nanomedicine
3.8 TOXICITY CONCERNS Although the applications of QDs in biology have emerged to be the most useful and successful application of nanotechnology in cancer detection and treatment (Hsu et al., 2010), most of these NCs, unfortunately, contain elements that are often thought to be detrimental to health and the environment (Bottrill and Green, 2011). The major components employed are Cd, Se, and Te, which are known to be highly toxic when administered in the human body. The Cd ion is a potent carcinogen that can cross the BBB, placenta, and deposit in other body tissues (Valizadeh et al., 2012; Alam and Yadav, 2013). Even low levels of Cd ions (100 400 μM) are known to reduce the viability of hepatocytes in vitro and prolonged exposure to Cd is detrimental and results in acute injury to the liver. Furthermore, at least 25% of the Cd administered to rats accumulates in the liver, which is the primary site of Cd-induced injury (Santone et al., 1982). Also, the cell culture studies indicated that CdSe QDs are highly toxic to cultured cells under UV light as it may break the chemical bond and dissolve the QDs by photolysis, ultimately leading to cellular damage. However, the chemical composition and surface modifications of the QDs determine the amount of Cd21 released inside the cell. Primarily, the oxidative imbalance of the cell causes oxidative stress, leading to generation of reactive oxygen species (ROS), such as superoxide (O22), hydroxyl radicals (HO•), peroxide radicals (ROO•), hydrogen peroxide (H2O2), and singlet oxygen, can adversely affect cellular functions (Yong et al., 2009; Hardman, 2006). The nonspecific accumulation of QDs due to RES, including in the liver, spleen, and lymphatic system, should also be considered. Several studies have shown that QDs less than 5 nm in size could be removed by the kidneys (Pelley et al., 2009). Immunogenicity or biocompatibility is the other major issue related to the QD complexes. QD complexes, including the capping materials, can be immunogenic, and result in dangerous immune reactions in subjects, or could make the QDs ineffective as a result of antibody binding (Derfus et al., 2007). Thus, considering biosafety for in vivo applications, long-term toxicological and pharmacokinetic investigations involving degradation, excretion, persistence, and generation of immune response and genotoxic effects of QDs should be systematically assessed.
3.9 FUTURE PROSPECTS Currently, continuous progression and advancement in the synthesis, biofunctionalization, and various encapsulation techniques of QDs have created tremendous interest among scientists working in the field of cancer biology and medicine to explore these probes. The immense popularity of these systems is due to their well-established optical properties and high photostability for monitoring cellular, molecular and physiological events in live cells and animals (Tino et al., 2011).
References
Furthermore, numerous surface functionalizations enable simultaneous detection, multiple imaging, and targeting. Some of the current exciting applications for which QDs are currently being researched and explored are in the field of dual-mode nanosensor(s) for detection of hormonal level within biological samples in clinical applications (Shi et al., 2014). Nonetheless, a few toxicological and pharmacological issues are still pending which need to be addressed before making any judgment on their future prospects in the clinical spectrum (Bukowski and Simmons, 2002). The need of the hour is to search for better coating materials which can limit toxicity, as well new materials like InP, SiC, CuInS2, AgInS2, and group IV (silicon or graphene) QDs need to be brought into consideration. Amongst all other materials, graphene and its derivatives seem to be the most promising materials for the future due to their properties including broad (visible to the NIR) absorption, deep-red emission, high dispersibility in aqueous solutions, superior photo- and pH stability, and biocompatibility (Ge et al., 2014; Feito et al., 2014). Therefore, explicit studies should be conducted before establishing their human uses.
3.10 CONCLUSIONS The unique properties of QDs promise innumerable applications in nanomedicine, particularly for multiplexed theranostics. Beyond the well-known optical properties of QDs, exploration for non-cadmium-based agents is yielding new advancements, such as the development of carbon dots and III V group semiconductor QDs, etc. QD nanomedicine aspires to optimize and individualize dose administration. Therefore, a large number of endeavors have been made to enhance their water solubility and polymer encapsulation. To enable QDs to be successfully used in clinics, the prime focus would be to improve their stability in the biological environment, improve drug loading, tissue targeting, transport and release, and overcome their toxicity concerns by understanding their interaction(s) with biological barriers. Only then, will it be truly possible to harness the advantageous properties of these QDs to tackle the most threatening challenges in cancer medicine.
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