Responsive Polymeric Nanotherapeutics

Responsive Polymeric Nanotherapeutics

CHAPTER RESPONSIVE POLYMERIC NANOTHERAPEUTICS 2 Daniela Pamfil and Cornelia Vasile Physical Chemistry of Polymers Department, Romanian Academy, “Pe...

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CHAPTER

RESPONSIVE POLYMERIC NANOTHERAPEUTICS

2 Daniela Pamfil and Cornelia Vasile

Physical Chemistry of Polymers Department, Romanian Academy, “Petru Poni” Institute of Macromolecular Chemistry, Iasi, Romania

2.1 INTRODUCTION The stimuli-responsive nanobiomaterials constitute a highly active area of current research located at the interface between materials science, biotechnology, and medicine. The presence of different characteristics between unhealthy and normal cells has inspired researchers to synthesize nanomaterials with actions at a specific site which show great potential in the pharmaceutical and biomedical fields (Prasad et al., 2018). Although the applicability of stimuli-responsive polymeric nanosystems in the biomedical field is no longer a novelty, it is essential, and new research seeks to utilize the design and problem to address the challenges in biomedical practice, such as carriers for targeted drugs and gene delivery, cell culture, tissue engineering, bioseparation, biosensing, regenerative medicine, diagnostics, and therapy (e.g., neurological and cancer diseases) (Lale and Koul, 2018). Because of the controllable interactions with the surroundings, nanoparticles (NPs) are able to achieve the responsiveness of the systems, which usually is not possible at a macroscopic scale (Liu et al., 2017). When used in drug delivery, stimuli-responsive nanosystems can achieve better control over drug release, leading to not only better therapeutic effects but also reduced or no adverse effects (Torchilin, 2014). Intelligent polymers have emerged as strong candidates in biomedical applications and are not just limited to natural polymers but also a wide range of synthetic polymers (Hosseini et al., 2016). Stimuli-responsive polymeric nanosystems capable of altering physical or chemical properties (volume, color, and shape) can be actuated by an appropriate stimulus, whether endogenous or exogenous stimuli (Fig. 2.1). The exogenous stimuli, also called external or artificial stimuli, are represented by the electric and magnetic fields, light [ultraviolet (UV), visible, and near-infrared (NIR)], heat, and ultrasound (US). The physiological stimuli include temperature, pH, redox potential, or biological stimuli, such as enzymes, adenosine triphosphate (ATP), reactive oxygen species (ROS), glutathione (GTH), and glucose. Stimuli-responsive polymeric systems can be obtained in most types of known nanostructures, as NPs, nanogels (NGs), micelles, nanocapsules, and nanovesicles, nanoliposomes modified with polymers (Blanco-Fernandez et al., 2014), etc. Smart materials can also be precursors for the fabrication of “smart nanofibers,” a type of fiber that can respond to stimuli and one that can be fabricated by conventional methods such as electrospinning (Bou et al., 2016). High surface-to-volume ratio and the capability to recapitulate the native ECM architecture make electro-conductive Polymeric Nanomaterials in Nanotherapeutics. DOI: https://doi.org/10.1016/B978-0-12-813932-5.00002-9 © 2019 Elsevier Inc. All rights reserved.

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FIGURE 2.1 Types of stimuli for responsive polymeric nanosystems. Adapted from Jiang, T., Jin, K., Liu, X., Pang, Z., 2017b. Chapter 8: Nanoparticles for tumor targeting. In: Sougata, J., Sabyasach, I. M., Subrata, J. (Eds.), Biopolymer-Based Composites, Drug Delivery and Biomedical Applications. Elesevier, pp. 221267; Cheng, R., Meng, F., Deng, C., Zhong, Z., 2015. Bioresponsive polymeric nanotherapeutics for targeted cancer chemotherapy. Nano Today 10 (5), 656670.

nanofibers an ideal platform for cell culture, tissue engineering, drug delivery, and biosensor applications (Jalili-Firoozinezhad et al., 2017). Different types of stimuli (i.e., pH, temperature, light, or redox reactions) can be used to stimulate these structures and induce permeability changes, disintegration, aggregation, swelling, and/or adsorption in a reversible or irreversible manner (Stuart et al., 2010).

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2.2 EXTERNAL STIMULI-SENSITIVE NANOSYSTEMS The exogenous stimuli are completely dissociated from the patient’s physiology and can be precisely controlled externally in magnitude, in space, and in time (Li et al., 2017c). The advantages of the external stimuli-responsive nanosystems include: • • •

Used for applications in areas that can be inaccessible to conventional drug delivery systems (e.g., in the brain) or where it is impractical to use endogenous stimuli; Minimal invasiveness, fewer side effects, and rapid recovery; Flexible equipment that allows precise control and accurate remote control.

Stimulation is a critical technique in treating diseases and investigating tissue functions. Traditional electrical stimulation uses electrodes to directly create intervening electric fields in the immediate vicinity of the tissues. Second generation stimulation techniques directly use light, magnetic fields, or US in a non-contact manner (Wang and Guo, 2016).

2.2.1 ELECTRICAL-RESPONSIVE POLYMERIC NANOSYSTEMS One stimulus which has long attracted attention is the application of an electric potential, and most electro-responsive systems reported to date have been based on intrinsically conducting polymers (CPs; Zhao et al., 2016). Among the advantages of using this stimulus are: low cost, simplicity, and portability of the control equipment. Electrically responsive nanosystems can be obtained from organic and/or inorganic materials. The organic material can be divided in two categories, respectively: (1) ionic (in which the electro-responsiveness is a result of an electric field-driven mobility of free ions to create a change in the local concentration of the ions in solution or within the material) and (2) dielectric electro-active polymers [the deformation is induced by electrostatic (Coulombic) forces developed between two electrodes], which comprises dielectric elastomers and electrostrictive polymers (Manouras and Vamvakaki, 2017). Ionic polymers require low actuation voltages but suffer low deformations and response rates, while they also normally operate in wet conditions, whereas dielectric polymers exhibit a fast response and high deformations and operate in dry conditions, but require high activation fields (Romasanta et al., 2015). The ionic electro-active polymers include: CPs, ionic polymers, and polymer gels. CPs are organic polymers which show a semiconducting nature with the electrical conductivity of conductors (Kondawar and Agrawal, 2013). Examples of such polymers are: polyacetylene, poly(pyrrole) (PPy), polyaniline, polythiophene, poly(phenylene vinylene), polyparaphenylene, polyparaphenylenevinylene, poly(3,4-ethylenedioxy-thiophene), and polyphenylacetylene. Polyelectrolytes include synthetic and natural polymers which contain a relatively high concentration of ionizable groups along the backbone —which are similar to the pH-responsive polymers: hyaluronic acid (HA), chondroitin sulfate, agarose, carbomer, xanthan gum, and calcium alginate, acrylate and methacrylate derivatives, and poly(sodium 4-vinylbenzene sulfonate) (PSS). Stimuli-responsive nanocapsules (100400 nm) have been obtained by self-assembly of the noncovalent interactions of cyclodextrin (CD)-grafted dextran (Dex) polymers (host) and complementary ferrocene or azobenzene carriers (guest) (Wajs et al., 2016). The encapsulation and release

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FIGURE 2.2 Drug loading into and release from the GO/PPy nanocomposite. Reprinted from Weaver, C., LaRosa, J., Luo, X., Cui, X., 2014. Electrically controlled drug delivery from graphene oxide nanocomposite films. ACS Nano 8 (2), 18341843, with permission from American Chemical Society; all rights reserved.

properties of the nanocapsules by applying electrochemical or light stimulus were reversible and could be repeated several times, indicating that the prepared nano-assemblies are very stable. These nano-sized carriers have great potential in stimuli-responsive drug-delivery carriers, cosmetics, or other biomedical applications. Electro-responsive drug release can be performed with various platforms including electroresponsive nanostructures, electro-responsive compound-loaded nanostructures, and the combination of electro-responsive materials with other stimuli-responsive vehicles, such as temperature or magnetic (Karimi et al., 2016a). In addition, nano-sized reservoirs can act as depots for increasing drug loading, without compromising responsiveness. Weaver et al. (2014) described an electrically controlled drug-delivery nanocomposite based on graphene oxide (GO) nanosheets incorporated into a CP (PPy) film. The nanocomposite is loaded with an anti-inflammatory molecule, dexamethasone, and exhibits favorable electrical properties. In response to voltage stimulation, the nanocomposite releases drug with a linear release profile and a dosage that can be adjusted by altering the magnitude of stimulation (Fig. 2.2). Ying et al. (2014) developed electro-responsive hydrogel NPs for targeted delivery of an antiseizure drug (phenytoin sodium). An increased degree of ionization in the structure was achieved under the influence of an electric field due to the presence of the polyelectrolyte PSS. The swelling ratio and the particle size could be tuned via the external electric field. In this study in vitro triggering and increased drug release with potential application in epilepsy treatment was shown. Two years later, they verified the electro-responsive characteristics directly in epileptic mice (Wang et al., 2016c). The antiepileptic drug-delivery nanocarriers (electro-responsive NPs) can penetrate the bloodbrain barrier and subsequently release drugs and rapidly suppress neuronal discharges in a timely manner. Yuan’s group prepared redox-responsive polymer micelles based on hostguest interactions between β-CD functionalized PEG and ferrocene functionalized polylactide (PLA) or PCL. The application of an electric field led to the oxidation of ferrocene to ferrocenium and the dethreatening of the two polymers causing the micelle disassembly. The process is fully reversible upon the application of an opposite reductive voltage which leads to the reassembly of the micelles enabling the redox-controlled release of a model anticancer drug, paclitaxel (Feng et al., 2014; Peng et al., 2014).

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The electrical stimulation is widely used in drug-delivery systems but not so often in the gene transfection field. Therefore, remote-controlled gene delivery using electrical stimuli remain one of the most promising applications in biomedical and pharmaceutical applications.

2.2.2 MAGNETIC-RESPONSIVE POLYMERIC NANOSYSTEMS Magnetic nanoparticles (MNPs) have been intensively investigated for biomedical applications, such as drug/gene delivery, MRI for diagnosis, and magnetic fluid hyperthermia upon exposure to an alternating magnetic field (AMF) (Lee et al., 2011) (see Chapter 10). The use of MNPs incorporated into/on the surface of a nanosystem/nanomaterial is the way by which it can induce a change in the polymeric material morphology within an AMF. Moreover, MNP stability during storage and operation is improved and a proper surface coating of MNPs minimizes the nonspecific binding between MNPs and nontargets. The most common compounds, including organic cationic polymers and inorganic metals, which can be grafted onto the surface of MNPs to coat them through either ligand addition or ligand exchange, are 2,3-dimercaptosuccinic acids, catechol derivatives, polysaccharides (CS and N-acylated CS, cellulose, polyarabic acid), PEG, PNIPAm, PEI, poly(vinylpyrrolidinone), poly(L-Lys), cationic dendrimers, polymethacrylate derivatives, cationic liposomes, gold, silica, and carbon (Han et al., 2017; Li et al., 2017c). For biomedical applications, the surface modification of MNPs is applied to obtain magnetic nanomaterials with a sufficient degree of solubility and stability in the water phase. An external magnetic field is applied to guide the photosensitizer-loaded magnetic nanocarriers to the tumor site for improved treatment efficiency and reduced side effects (Ling and Hyeon, 2017). In particular, PNIPAm was used due to its tunable low critical solution temperature (LCST) temperature response. The hydroxyl-methylacrylamide component was used to crosslink and tune the LCST of the poly(NIPAm-co-HMAAm) to an appropriate working range for hyperthermia treatment (Kim et al., 2013). The combination of cancer drugs and the obtained smart hyperthermia nanofiber systems were shown to have a greater impact on cell apoptosis, with the advantage of controlled release using the AMF effect. Kurzhals et al. (2015) designed thermally and magnetically actuated coreshell NPs. NPs of 10 nm have been obtained by the encapsulation of superparamagnetic iron oxide (SPIO) cores in thermo-responsive PNIPAm polymer shells. It was demonstrated that local heating by magnetic fields can be used to efficiently and reversibly aggregate, magnetically extract NPs from solution, and spontaneously redisperse them. Temperature, US, and light external stimuli-responsive polymeric nanosystems are summarized in Table 2.1.

2.2.3 TEMPERATURE-RESPONSIVE POLYMERIC NANOSYSTEMS An externally applied temperature is effective due to the differences between the external environment and internal human body. Also, this stimulus is useful for producing local hyperthermia or hypothermia through physical means. The thermo-responsive nanosystems can be divided into two groups depending upon their critical temperature: positively [shrinkage occurs under upper critical solution temperature (UCST)] or negatively (shrinkage occurs above LCST) temperature responsive.

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Table 2.1 Some Examples of External Stimuli-Responsive Polymeric Nanosystems Stimulus

Composition

Effects

References

Temperature

Micelle/PNIPAm-co-N,N dimethylacrylamide)-b-PDLLA

Intracellular uptake promoted by heating target area above micellar LCST of 39.4 C. Uptake above micellar LCST caused by enhanced interactions between micelles and cell membranes through dehydration of P(NIPAm-DMAAm) chains Irreversible sol-nanogel transition at body temperature (above LCST), deformation of micelle structure and drug release. DOX-loaded micelles effectively inhibited growth of tumor cells in vitro Possible shrinkage of the micellar aggregates with increasing temperature generated contraction stress for squeezing out dye molecules from the hydrophobic compartment. Decreasing micelle diameter with an increase in temperature, significantly enhanced release of Nile Red from micelles at 37 C vs that at 25 C under different pH conditions Temperature-dependent solgel transition which is a freeflowing solution at low temperatures and nonflowing; indometacin-loaded micelles exhibited controlled release in vitro, and significantly improved the anti-inflammatory effect of indometacin in rat arthritis models Polymeric micelles gradually dissolve due to hydrolysis of the lactic acid side groups. PTX-loaded micelles released B70% in 20 h at 37 C and at pH 7.4

Akimoto et al. (2010)

PEG, 1,3-bis(carboxyphenoxy) propane and sebacic acid

Y-shaped amphiphilic copolymers with two hydrophobic poly(solketal acrylate) branches and one mPEG2000 block

β-CD modified PCL-PEG-PCL copolymer

Copolymer of poly(N-(2hydroxypropyl) methacrylamide lactate) (PHPMA) and PEG

Zhao et al. (2010)

Yang et al. (2010)

Wei et al. (2013)

Rijcken et al. (2007a) and Soga et al. (2005)

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Table 2.1 Some Examples of External Stimuli-Responsive Polymeric Nanosystems Continued Stimulus

Composition PEG-b-poly(HPMA) diblock copolymers

Core-crosslinked HEMAm block copolymers derivatized with various monodispersed oligolactates and DOX derivative; actively targeted via conjugation of an antiepidermal growth factor receptor nanobody on the micellar surface Chitosan-g-PNIPAM NGs

Elastin-b-collagen-like peptide bioconjugate nanovesicles (average diameter of 100200 nm)

Ultrasound Low frequency, 70 kHz

Pluronic 105

High frequency, 4 MHz

Methoxy PEG-b-PLDA

Effects Tunable biodegradability due to hydrolysis of the lactic acid side chains under physiological conditions. Crosslinking enables controlled release of the entrapped drug Excellent physical stability and a superior circulation profile compared to noncrosslinked micelles Increased tumor accumulation; increased cellular binding and uptake

NGs showed controlled delivery of curcumin into tested cells and dose-dependent cytotoxicity against cancer cells Targeted drug-delivery applications A thermo-responsive burst release was observed by dissociating the vesicles above the unfolding temperature of the collagen-like peptide domain, indicating the potential of using hyperthermia treatment for triggering the release of encapsulated drug Release of DOX from folatetargeted micelles increased as power intensity of ultrasound increased, maximum drug release (14%) at 5.4 W/cm2, drug release triggered by cavitation Twofold increase in intracellular PTX, decreased drug efflux, and greater cytotoxicity for ultrasoundtreated drug-sensitive as well as drug-resistant cell lines compared with no ultrasound treatment

References Talelli et al. (2010a) and Rijcken et al. (2005)

Rijcken et al. (2007b) and Talelli et al. (2010b, 2011)

Luckanagul et al. (2018)

Luo et al. (2017)

Husseini et al. (2013)

Sawant et al. (2011)

(Continued)

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Table 2.1 Some Examples of External Stimuli-Responsive Polymeric Nanosystems Continued Stimulus

Composition

Effects

References

Low frequency, 20 kHz

Pluronic105-PEG2000-DSPE

Ugarenko et al. (2009)

30 s ultrasonic irradiation with 1 or 3 MHz ultrasound 1.1 MHz

mPEG2000-DSPE combined in a 1:1 ratio with Pluronic P105

High-power ultrasound release (710%) of DOX from mixed micelles, potential to form cytotoxic DNA adducts at tumor sites with coadministered formaldehyde-releasing drugs. Significant decrease in tumor volumes Enhanced accumulation; high frequency ultrasound (1 MHz)—better focusing on the tumor site and less damage to healthy tissues THPMA groups hydrolyzed, and caused the conversion of hydrophobic THPMA comonomer units into hydrophilic methacrylic acid

Enhanced gene transfer efficacy; increased the transfection rates up to 30% at concentrations 0.005%0.1% Significant tumor regression related to enhancement of drug uptake by tumor cells; strong and long-lasting contrast under the effect of ultrasound for imaging Significant concentrationdependent US imaging contrast

Chen et al. (2006)

Azobenzene moieties inserted in the main chain. Micelle core formed by azobenzene undergoes reversible cistrans isomerism due to polarity change UV irradiation converts linear trans-stilbene to bent cis form and this change of polarity reduces the hydrophobicity of the polymer causing micellar disruption to release encapsulated curcumin

Boissiere et al. (2011)

20 s at a power density of 1 W/cm2 Ultrasounds

Light

Water-soluble PEO block and a block of poly(2-(2methoxyethoxy)ethyl methacrylate) with incorporated labile 2-tetra hydropyranyl methacrylate (THPMA) comonomer units Pluronics F127, L61, and P85

DOX-loaded polymeric micelles (PEG-PLLA) and nanoemulsion droplets formed by perfluoropentane

SPIO NPs self-assembled with an amphiphilic CS derivative, carboxymethyl hexanoyl chitosan (CHC), to form CHC/ SPIO micelles, loaded with camptothecin, conjugated with albumin-based microbubbles PNIPAm-azobenzene-based micelles

Dialkoxycyanostilbene polymethacrylate-b-PEO

Gao et al. (2004) and Rapoport et al. (2004)

Xuan et al. (2012)

Rapoport et al. (2007)

Liu et al. (2013a)

Menon et al. (2011)

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Table 2.1 Some Examples of External Stimuli-Responsive Polymeric Nanosystems Continued Stimulus

NIR light

Composition

Effects

PEO-b-poly(4,5-dimethoxy-2nitrobenzyl methacrylate) with NaYF4. TmYb upconverting NPs (UCNPs) encapsulated in micelles. Nitrobenzyl groups on the micelle-core forming block undergo photocleavage Poly(2-ethyl-2-oxazoline)-bpoly(D,L-lactide) (PEOz-bPDLLA); photosensitizer: metatetra (hydroxyphenyl) chlorin (m-THPC)

Exposure to 980 nm (NIR) light caused UCNPs to emit photons in the UV region, which are absorbed by onitrobenzyl groups, activating photocleavage and dissociation of micelles to release coloaded Nile Red In vitro light exposure: 60 s (0.96 J/cm2), in vivo: single dose of 10 J/cm2 (652 nm light source), light spot diameter: 1 cm. m-THPC released under acidic conditions due to pHsensitivity of PEOz-b-PDLLA micelles. Phototoxicity in vitro and in vivo, with significantly reduced skin photosensitivity due to micelle encapsulation of photosensitizer UV light, photosolvolysis of the pyrenyl methyl esters caused cleavage of the ester bond 2-Nitrobenzyl esters lead to photo-controlled release from micelles

Amphiphilic diblock copolymer with PEO as hydrophilic block, linked to a hydrophobic polymethacrylate block bearing a pyrene moiety in the side group (PPy) via an ester linkage. Nile Red was incorporated into the PEO-bPPy micelles Dex-graft-DNQ amphiphilic copolymers

Poly(amido amine) dendron (D3) was used to form D3PCL-DNQ, and the propargyl was conjugated with sugartargeting groups (glucose and Lac) using click chemistry. Glucose/Lac-D3-PCL-DNQ amphiphiles formed micelles PEO and poly(L-glutamic acid) bearing a number of 6-bromo-7hydroxycoumarin-4-ylmethyl groups

References Yan et al. (2011)

Shieh et al. (2010)

Jiang et al. (2006) and Babin et al. (2009)

Azobenzenes can undergo transcis photoisomerization of (N 5 N) bond; intracellular delivery of DOX. Wolff inhibition of HepG2 cancer cells DOX occurred in a controlled manner; trigger release of rifampicin and paclitaxel from biocompatible

Boissiere et al. (2011), Liu et al. (2012), Jochum and Theato (2010)

NIR-induced removal of coumarin groups

Kumar et al. (2012)

Sun et al. (2010)

(Continued)

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Table 2.1 Some Examples of External Stimuli-Responsive Polymeric Nanosystems Continued Stimulus

Composition

Effects

References

UV light (254 nm)

Block copolymers PEO-b-poly (n-butylmethacrylate-co-4methyl-[7-(methacryloyl) oxyethyloxy] coumarin); micelle-drug (5-FU) conjugates by covalent bonding

Biocompatible, photoresponsive, controlled release of 5-FU

Jin et al. (2011a,b)

Polymers showing an UCST in water are rare. Hence, it is hard to find any nanostructures made-up of polymers that exhibit UCST-type thermoresponsiveness in aqueous solution, however the most popular polymers are poly(N-acryloyl glycinamide), poly(acrylamide-co-acrylonitrile), poly(acrylic acid), and polymers with ureido groups (Biswas et al., 2017). The temperature-responsive polymers exhibiting LCSTs in the physiological range (3040 C) attract a great deal of attention due to their potential biomedical applications, such as drug-delivery systems. The temperature in which the nanosystem is triggered should be kept at a maximum of 42 C, because at higher temperatures protein denaturation or function disruption occurs. Thermo-responsive nanofibers were prepared by electrospinning poly(hydroxylethylacrylate-cocoumaryl acrylate-co-ethylmethacrylate) (P(HEACAEMA)) dissolved in methanol (Guo et al., 2016). The nanofibers were subjected to UV irradiation to crosslink the constituent copolymer chains. The release of a hydrophilic dye from UV-treated P(HEACAEMA) nanofibers was suppressed below LCST (when the copolymer chains are hydrophilic and hydrated) and promoted above LCST due to the high thermodynamic activity of hydrophilic dye in nanofibers (when the copolymer chains are hydrophobic and dehydrated). The LCST varied from 20 C to 40 C, depending on the HEA/CA/EMA molar ratio. The electrospun thermo-sensitive nanofiber could be used as a drug carrier which can control the release of their hydrophilic payload in a temperaturedependent manner. There are different forms of thermo-sensitive nanotherapeutics like micelles, NGs, or NPs, dendrimers which possess specific characteristics of thermo-sensitive behavior. These forms will be further discussed and exemplified.

2.2.3.1 Thermo-sensitive micelles There are many types of block copolymers which are capable of micellization in response to stimuli. During these conformational changes, the therapeutic agents which could be entrapped in these structures would be released in response to stimuli (Mohamed et al., 2014). Due to the different triggered parts of amphiphilic block copolymers, thermo-sensitive polymeric micelles can be classified into two types: polymeric micelles with a thermo-sensitive outer shell and polymeric micelles with a thermo-sensitive inner core (Shao et al., 2011). For the first class, when the temperature is above the phase transition temperature, the structure of polymeric micelles becomes unstable caused by the shrinkage and hydrophobicity of the thermo-sensitive outer shell. The second class of micelles consists of hydrophobic blocks as the

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core played thermo-sensitivity. Once the temperature is above the LCST, the thermo-sensitive polymeric micelles are gradually destabilized due to hydrolysis of hydrophobic blocks. Thermo-sensitive micelles are prepared using blocks of thermo-sensitive polymers such as poly (N-isopropylacrylamide) (PNIPAm) and Pluronics. PNIPAm has a reversible and sharp phase transition at around 32 C below body temperature and the micelles with PNIPAm as a shell are expected to rapidly aggregate upon injection. Thus, it is not suitable for in vivo applications. The PNIPAm block copolymers also are not degradable and local hypothermia or hyperthermia is necessary for micellar destabilization and subsequent release of the encapsulated drug. To overcome these drawbacks the NIPAm was copolymerized with hydrophilic/biodegradable monomers to yield copolymers with an LCST above 37 C and/or that were biodegradable. P(NIPAm-co-acrylamide)b-(D,L-lactide) with an LCST of 41 C was used for the design of thermo-sensitive polymeric micelles for the triggered release of docetaxel by hyperthermia resulting in enhanced in vitro and in vivo effects (Yang et al., 2007). Another approach to develop thermo-sensitive polymeric micelles consists of polymerization of temperature-responsive hydrogels inside micelle cores forming NGs (Soga et al., 2005). As an example, the poly(propylene oxide) blocks of Pluronic P-105 and poly(N-alkylacrylamide) in Pluronic micelle cores were prepared. They exhibit a sharp reversible transition with a volume decrease (Husseini et al., 2002). In another approach, thermo-responsive Pluronic micelles were produced by crosslinking shells with gold NPs; the micelles exhibited reversible swelling/shrinking behavior during temperature cycling between 15 C and 37 C (Bae et al., 2006).

2.2.3.2 Thermo-sensitive nanogels Generally, stimuli-responsive NGs can be obtained by incorporating stimuli-responsive polymers or stimuli-sensitive units into their composition/structures (Pamfil and Vasile, 2018). The most important NG systems, from a biomedical point of view, are those sensitive to temperature and/or pH (Neamtu et al., 2017). Temperature can induce changes in a polymeric NG size by conversion from the swollen form (polymeric solution) to the collapsed form or vice versa. The swelling and collapse capacity of NGs is distinctive and provides multiple benefits for designing optimal drug loading and release of drugs. Thus, the NG networks allow the stimuli-controlled release of encapsulated biologically active compounds including drugs and other biopolymers. Temperature-responsive NGs can be prepared via different methods (Pamfil and Vasile, 2018; Karimi et al., 2016b). The techniques of reverse microemulsion combined with thermally induced gelation were used to prepare crosslinked κ-carrageenan hydrogel NPs (i.e., NGs). They were prepared via water-in-oil microemulsions with average diameters smaller than 100 nm. In a temperature range that was tolerable for living cells (3745 C) the NGs were found to be thermo-sensitive with temperature-responsive reversible volume transitions (Daniel-da-Silva et al., 2011). Thermo-responsive CS-grafted-PNIPAm NGs were prepared by a sonication method, in which curcumin was encapsulated (Luckanagul et al., 2017). The OH and NH functionalities in chitosan (CS) NGs are prone to hydrogen bonding with curcumin as they have OH as their terminal groups. NGs can deliver curcumin into tested cells and showed dose-dependent cytotoxicity against cancer cell lines. Recombinant silk-elastin-like protein polymers were used by Isaacson et al. (2017) for the first time in the synthesis of thermo-responsive NGs. The NGs respond to temperature stimuli via size changes and aggregation. The ratio and sequence of silk to elastin in the polymer backbone were

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modified in order to obtain alterations in critical gel formation concentration, stability, aggregation, size contraction temperature, and thermal reversibility. The NGs sequester hydrophobic compounds and show promise in the delivery of bioactive agents. Positive thermo-sensitive NGs expand at elevated temperatures and collapse at reduced temperatures. A new class of polyelectrolytes, the so-called polymeric ionic liquids (ILs) or poly(ionic liquids) (PILs), was used for thermo-responsive NGs preparation. The thermo-responsive phase behavior of ILs/PILs was inherently derived from the noncovalent (hydrogen bonding) interactions between IL and solvents. In a recent study, IL-based monomers with hydroxyl- and carboxyl-groups, namely 1-vinyl-3-hydroxyethylimidazolium bromide and 1-vinyl-3-carboxyl methylimidazolium chloride, were prepared and copolymerized with crosslinkers (ethylene glycol dimethacrylate and azobisisobutyronitrile) in methanol to obtain NGs with sizes of less than 200 nm (Zuo et al., 2016). Owing to the H-bonding interaction between hydroxyl (carboxyl) groups, the as-prepared NGs are capable of reversible thermo-responsive performance. Their UCSTs could be tuned from 21 C to 40 C via the feed ratio of IL-based monomers and crosslinker. In addition, thermo-responsive NGs have been utilized in multi stimuli-responsive delivery systems, where thermo-responsive polymers were combined with other types of stimuli-responsive polymers or units, like pH-, glucose-, photo-responsive components (see Section 2.5).

2.2.3.3 Thermo-sensitive nanoparticles Thermo-sensitive polymeric NPs—nanospheres or nanocapsules (coreshell type)—have drawn attention as smart materials for biomedical applications due to their phase transition behavior in response to changes in temperature (Crucho, 2015). Novel thermo-sensitive folic acid-targeted succinylated poly(ethylene-co-vinyl alcohol) NPs were synthesized for the specific delivery of epirubicin to MCF-7 breast cancer cell line (Hassanzadeh et al., 2016). The optimized NPs had a particle size of 214 6 8.5 nm and a high encapsulation efficiency that released the drug efficiently within 450 h at a temperature of 40 C compared to 37 C. Thermo-responsive Pluronic/PEI nanocapsules were successfully synthesized by Park’s research group and exhibited a swelling/deswelling behavior over a temperature range of 2433 C (Choi et al., 2006). The size of the nanocapsules decreased from 330 to 100 nm due to a temperature increase from 20 C to 37 C, and the volume transition was fully reversible. By applying a short cold-shock treatment, the Pluronic/PEI nanocapsules were able to break the endosome compartments within HeLa (human epithelial carcinoma) cells, delivering the siRNA cargo into the cytosol effectively (Lee et al., 2008). In a different manner, to release drugs in a site-specifically manner upon local heating (within a physiologically safe interval of 37 C and 42 C), Li et al. (2009) prepared novel thermo-sensitive polymeric NPs that were tailored to have an LCST suitable for localized hyperthermia. Polymeric NPs were self-assembled from poly(N,N-diethyl acrylamide-co-acrylamide)-block-poly(g-benzyl l-glutamate) as a carrier for PTX. PNIPAm grafting onto another polymer, such as a polysaccharide, is of greater interest than the copolymerization of NIPAm with other synthetic polymers, since the continuous stream of the PNIPAm chain can be broken, reducing the interaction between isopropyl groups above the LCST (Fundueanu et al., 2008, 2010). In this respect, thermo-responsive NPs of cashew gum grafted with

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NIPAm, with sizes ranged from 12 to 21 nm, have been synthetized (Abreu et al., 2016). In another study, a thermo-responsive graft copolymer was prepared by conjugation of amine-terminated PNIPAm with O-carboxymethyl chitosan through the grafting-onto method (Antoniraj et al., 2015). DOX-loaded polymeric NPs were fabricated using this copolymer.

2.2.3.4 Thermo-sensitive polymer-modified nanoliposomes To obtain excellent drug release kinetics and various thermo-sensitive functionalities, a strategy for preparing thermo-sensitive liposomes is conjugating thermo-sensitive polymers, as triggered parts of thermo-sensitive liposomes, in liposomal membranes (Hayashi et al., 1999). Thermo-sensitive polymers are fixed on liposomal membranes by anchors, which have hydrophobic side groups or amino groups at the end of the chain. The anchors can be connected randomly to the polymer backbone or specifically to the end of the polymer chain. Chountoulesi et al. (2015) focused on chimeric advanced drug-delivery systems based on thermo-sensitive liposomes, combining lipids and thermo-responsive polymers. In this investigation, 1,2-dipalmitoyl-sn-glycero-3-phosphocholine chimeric liposomal systems were prepared, incorporating the homopolymer C12H25-PNIPAm-COOH and the block copolymer poly(n-butylacrylate-b-NIPAm), at six different molar ratios. A mucoadhesive-thermo-sensitive PEGylated-liposome was developed and proved to be able to protect the drug (opiorphin) and significantly enhance the extent and duration of its analgesic effect after intravenous administration to rats (Mennini et al., 2015). The mucoadhesive thermo-sensitive polymeric systems are fluid-like before nasal administration, and can be administered as drops, allowing high accuracy of drug dosage and ease of administration; however, they undergo a fast solgel transition at the temperature of the deposition site, so that the increased viscosity of the resulting gel system gives rise to an extended in situ residence time. A series of combinations of different mucoadhesive polymers (CS, hydroxypropylmethylcellulose, Poloxamer, Carbopol) in forming solutions able to rapidly form gel at the temperature of the nasal cavity were investigated (Mura et al., 2017). The optimized hydrogel formulation was based on a P407 (26.5%)Carbopol (1%) combination, which presented the best compromise in terms of properly short gelation time at 34 C, i.e., the nasal cavity temperature (10 s), suitable gelation temperature (33.7 C), right gel strength, good mucoadhesive properties, and long mucoadhesion duration.

2.2.4 ULTRASOUND-SENSITIVE SYSTEMS The application of US offers the following advantages: noninvasiveness, deep penetration into tissues, ability to control and focus ultrasonic waves at tissues or tumor sites, enhanced drug absorption, and membrane permeability of drugs or genes (Husseini and Pitt, 2009). US-sensitive drug-delivery based on applying the local ultrasonic field is expected to be a more reliable method compared with the magnetic-sensitive drug delivery that is uncontrollable in drug release when triggered by magnetic fields. A noninvasive and external stimulus-driven local drug-delivery system based on titania nanotube (NT) arrays loaded with drug-encapsulated polymeric micelles as drug carriers and US generator was described by Aw and Losic (2013). The biological effects developed consist of the generation of thermal energy (hyperthermia), perturbation of cell membranes due to formation of oscillating or cavitating bubbles, and enhanced

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permeability of blood capillaries. Responsive US micelles are obtained firstly based on Pluronic (Rapoport, 1999), which enhanced DOX release and lowered its IC50 by 12 times (Munshi et al., 1997). Non-Pluronic micelles such as PEG-co-poly(β-benzyl-laspartate) (Gao et al., 2005) and PLA-bPEG copolymer micelles (Zhang et al., 2009) have also been obtained for US-mediated drug release. The factors affecting US-triggered release of drugs from polymeric micelles are: time of application, frequency of the US, application of pulsed- versus continuous-wave US, power density, drug lipophilicity, and the concentration of drug and polymer (Marin et al., 2001; Husseini et al., 2000). Low-frequency US is more effective at drug release from micelles than high-frequency US (Marin et al., 2002). Low-frequency (20100 kHz) US can penetrate deeper into tissue than high-frequency US (13 MHz), and is more appropriate for larger and deep-seated tumors, although it may damage healthy tissues owing to a strong cavitation effect, which may limit its use in the clinic. Highfrequency US is useful for small, superficial tumors (Marin et al., 2002; Rapoport, 2012). At high dilutions, the micelles disintegrated. To stabilize them highly hydrophobic cores or solid-like cores are created by crosslinking. Pluronic P105 micelles (PEG-diacyl phoshospholipids as mPEG2000-DSPE) have been crosslinked with N,N-diethylacrylamide (NNDEA) forming Plurogels (Gao et al., 2005). Polymer NNDEA is a thermo-responsive one with an LCST of 28 C. Below the LCST, in an expanded hydrophilic state, drug is loaded, while above the LCST, the interpenetrating network collapses into a tight hydrophobic core where the drug is entrapped (Pruitt et al., 2000). These stabilized Pluronic micelles released DOX in response to 70 kHz. The combination of polymeric micelles, ultrasonic tumor imaging, and chemotherapy has been studied (Liu et al., 2013a,b).

2.2.5 LIGHT-RESPONSIVE POLYMERIC NANOSYSTEMS As a highly orthogonal external stimulus, light enjoys wide usage in materials science, chemistry, biology, and drug-delivery systems because it possesses the unique ability to manipulate cellsignaling systems precisely. UV, visible, or NIR (Saneja et al., 2018) light can be used as external stimuli to spatially and temporally control and trigger drug release by disruption or local destabilization of micelles in the body. While the UV light is absorbed by the skin and does not penetrate deeply into the body, the NIR light penetrates more deeply through tissues (up to 10 cm) and water, has less harmful effects on healthy cells, and is therefore more suitable for tumor targeting (Alatorre-Meda et al., 2013). Some light-responsive drug-loaded nanosystems are single use, where light triggers an irreversible structural change with the aim of releasing the entire payload dose. Others are able to undergo reversible structural changes by applying light/dark cycles, behaving as multiswitchable carriers (the drug is released in a pulsatile manner) (Alvarez-Lorenzo et al., 2009). Light-responsive nanosystems are usually prepared by using inorganic NPs or by incorporating photochromic groups such as o-nitrobenzyl, SP, spirooxazine, azobenzene, pyrenylmethyl, DNQ, and coumarin into polymer backbone or side chain. Some light-responsive nanosystems are exemplified in Table 2.1.

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2.2.5.1 Light-sensitive micelles Light-responsive micelles designs suppose different chromophore or photo-responsive groups within the micelles as micellar core, shell, or at the coreshell interface (Gohy and Zhao, 2013). Micelle dissociation occurs due to the change in hydrophilic/hydrophobic balance as a result of photoreaction of the chromophore by reversibly changing the polarity of the hydrophobic polymer or the photoreaction leads to a structural change by irreversible cleavage of the chromophore from the hydrophobic block causing micelle destabilization. Micellar disruption occurs upon: (1) photoinduced cleavage at the junction of the hydrophilic and hydrophobic blocks; (2) photo-cleavable units by photoinduced degradation of the micelles; and (3) reversible photo-crosslinking reaction (Zhao, 2012). Polymeric micelles using spiropyran, dithienylethene, stilbene, and cinnamoyl derivatives dialkoxyanthracene (DN) have also been reported (Sawant and Jhaveri, 2014). Photodynamic therapy (PDT) combines the action of a photosensitizer (porphyrins, chlorins, and phthalocyanines) and a specific light source for the treatment of cancer. When a photosensitizer in excited state returns to the ground state, it releases energy, generating ROS-like singlet oxygen and free radicals that cause cellular toxicity. The mechanisms by which PDT can destroy tumors include (1) direct tumor cell killing; (2) ROS-induced damage to the vascular system and deprivation of nutrients and oxygen to tumors; and (3) immunosuppressive effects on the tumor.

2.2.5.2 Light-sensitive nanogels Hang et al. (2017) designed and developed NIR- and UV-responsive degradable HA NGs from HA-(7-N,N-diethylamino-4-hydroxymethyl coumarin) (HA-CM) conjugates for targeted and triggered intracellular DOX delivery. Both NIR and UV irradiation significantly enhanced DOX release by NG swelling and light-triggered cleavage of urethane bonds that connect CM to HA. These small-sized, negatively charged, and stable NGs, which have an average size of 4080 nm in dry state and 147.2165.4 nm in aqueous solution, have great potential for cancer chemotherapy. Self-assembled NGs in aqueous solution were designed as light-sensitive cholesteryl pullulan (Ls-CHP) substituted with photo-labile ortho-nitrobenzyl units (Nishimura et al., 2016) (Fig. 2.3). The NG-based film was obtained by evaporation of Ls-CHP solution. After light exposure, the light-sensitive units are cleaved, leading to decreasing of the physical crosslinking of the NG by decomposition with the formation of patterned film that can encapsulate insulin.

2.2.5.3 Light-sensitive nanoparticles Cui et al. (2011) reported the synthesis of polymeric NPs consisting of chitosan hydrochloride and photosensitive 4-oxo-4-(pyren-4-ylmethoxy)butanoic acid through ionic self-assembly. Due to the introduction of a photolabile chromophore group, these PNPs can disassemble under UV light or NIR and release guest molecules such as Nile Red. In recent work by Lv et al. (2012), a family of photodegradable polyurethanes was synthesized and self-assembled into NPs using an oil/water emulsion technique. The marine drug candidate

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FIGURE 2.3 Chemical structure and illustration of a light-sensitive cholesteryl pullulan nanogel. Reproduced from Nishimura, T., Takara, M., Mukai, S., Sawada, S., Sasaki, Y., Akiyoshi, K., 2016. A light sensitive self-assembled nanogel as a tecton for protein patterning materials. Chem. Commun. 52 (6), 12221225, with permission of The Royal Society of Chemistry.

tagalsin G was successfully encapsulated, and photo-activation triggered the burst release of the bioactive compound to RAW 264.7 cells. Usually, polymeric NPs with diameter above 30 nm are easily prepared using several approaches. However, the preparation of smaller NPs is more challenging. A star-shaped azo-polymer has been obtained using olefin metathesis-based step-growth polymerization, called acyclic diene metathesis polymerization, that took place between acrylates and terminal olefins in the presence of multifunctional acrylates as the selective chain transfer agent. The obtained reactive star azo-polymers bearing terminal acrylate groups were converted into polymeric NPs with very small dimensions ranging between 17 and 32 nm and with interesting photoinduced reversible behavior transformations due to the presence of azo chromophore which underwent transcistrans or cistranscis isomerization cycles (Ding et al., 2016).

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2.2.5.4 Near-infrared responsiveness In contrast to visible light, the NIR range (B70021000 nm) has less tissue scattering and blood absorption and less photo-damage for living organisms, and most importantly, it has much deeper tissue penetration than visible light (Zhang et al., 2016c). This can be accomplished using optical NPs exhibiting NIR absorbance. PPy, polyaniline, and poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate), which absorb NIR light, have acquired wide attention in recent times for their lower toxicity and better biocompatibility. A biocompatible zwitterionic block polymer—poly(2-methacryloyloxyethyl phosphorylcholine)b-poly(lipoic methacrylate)—has been involved in the preparation of gold NRs through a ligand exchange process in order to obtain a new nanomaterial for advanced biomedical applications which have low toxicity and high photothermal efficacy both in vitro and in vivo (Jiang et al., 2017a). The use of polymeric components in the synthesis of gold NR-based nanomaterials is very important when they are used as drug-delivery systems. To achieve sufficient drug-loading efficiency, gold NRs are chemically modified with drug carriers, including porous polymers and liposomes to deliver the cargo drugs (Kim et al., 2015). Data regarding the combining of NIR light stimuli with other stimuli such as pH in order to obtain dual stimuli-responsive nanosystems have been reported. PEG was involved in the nanomedicine design with pH- and NIR-light dual-stimuli responsiveness (Zhang et al., 2016b).

2.2.6 RADIATION NPs containing atoms of high atomic number (Z) are very sensitive to radiation and such nanosystems are useful for diagnostic purposes.

2.3 INTERNAL STIMULI-SENSITIVE NANOSYSTEMS: BIORESPONSIVE NANOTHERAPEUTICS Bioresponsive polymeric nanotherapeutics are mainly developed for targeted cancer chemotherapy. They do not require any external device, therefore their use will reduce the treatment cost and also improve patient compliance. Because the biosignals are unique to tumor or cancer cells, bioresponsive polymeric nanotherapeutics offer precision control over site, rate, and time of response. The bioresponsive polymeric nanotherapeutics offers superior therapeutic efficacy with decreased side effects. Some drawbacks include: (1) their development based on novel polymers, therefore the potential safety issues should be carefully tested; (2) bioresponsive polymeric nanotherapeutics show a slow response to the biosignals in the target site, leading to gradual and incomplete drug release and thereby reduced treatment efficacy. Nanostructures significantly impede the accessibility of biosignals including acid, enzyme, and GTH, showing lower bioresponsivity than expected; (3) some of the bioresponsive polymeric nanotherapeutics exhibit low stability and premature drug release in the circulation, which causes not only decreased therapeutic efficacy but also increased side effects in vivo; (4) if delivered to the wrong spot (e.g., healthy organs and cells) they might cause more significant detrimental effect than their nonresponsive counterparts. It is of critical importance that bioresponsive polymeric nanotherapeutics are selectively delivered to the target

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FIGURE 2.4 Illustration of biosignals existing in the tumor extracellular microenvironments and cancerous cells. Reprinted from Cheng, R., Meng, F., Deng, C., Zhong, Z., 2015. Bioresponsive polymeric nanotherapeutics for targeted cancer chemotherapy. Nano Today 10 (5), 656670, with permission from Elsevier.

tumor cells. In order to be applied in clinics, bioresponsive polymeric nanotherapeutics must be obtained from simple and well-established biocompatible and nonimmunogenic materials, such as natural polysaccharides, polyesters, polycarbonates, polypeptides, PEG, albumin, and small natural compounds (e.g., amino acids, lactic acid, cholesterol, vitamin C, etc.) with as little modification as possible. pH-responsive polymeric nanotherapeutics represent a valuable platform to realize triggered intracellular drug release (Meng et al., 2014b; Liu et al., 2014). Effective delivery of nanomedicines to tumor tissues depends on both the tumor microenvironment and nanomedicine properties. Tumor microenvironment modification or advanced design of nanomedicine should be taken into consideration to improve nanomedicine delivery to tumors (Zhang et al., 2016a). Bioresponsive polymeric nanotherapeutics facilitates tumor cell uptake and triggers drug release at the target site, which is safe and efficient in cancer therapy. In this case, the naturally occurring environment is characterized by tumor acidity (pH 6.57.2), tumor extracellular enzymes like MMP, endo (pH 5.56.8)/lysosomal pH lysosome (pH 4.55.5), elevated GTH levels in the cytoplasm and cell nucleus, lysosomal enzymes, as well as ROS in the mitochondria (Fig. 2.4). These act as potential internal stimuli to achieve active drug and protein release in the tumor tissue or cancer cells. The bioresponsive nanosystems do not need an external device, precision control over site of response led to the accumulation in the tumor via both passive and active targeting, and

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spontaneous activation in the tumor site or inside the tumor cells (Cheng et al., 2015). For cancer therapy, nanotherapeutics confer prolonged circulation time, enhanced accumulation in the tumor sites via the enhanced permeability and retention effect, reduced drug side effects, improved drug tolerance, and better drug bioavailability. Although acidic endo/lysosomes elevated intracellular reducing potential, lysosomal enzymes and ROS are also present in healthy cells, the bioresponsive nanotherapeutics are able to specifically deliver drugs to the tumor cells, being superior to their non-responsive counterparts and could reverse multidrug resistance (Edinger and Wagner, 2010; Aili and Stevens, 2010).

2.3.1 TUMOR PH-RESPONSIVE POLYMERIC NANOTHERAPEUTICS pH is often used as the stimulus to invoke expansion because it can alter the protonation state of basic/acidic functionalities such as tertiary amino or carboxyl groups. Polymeric micelles, polymersomes, nanohydrogels, or other scaffolds loaded with these moieties can act as pH sensors whose hydrophobicity, conformation, or electrostatics are altered based on their protonation state (Blum et al., 2015). pH-sensitive micelles are obtained by using either pH-sensitive polymers bearing “titratable” groups such as amines or methacrylic acid, which display reversible protonationdeprotonation or pH-sensitive linkage cleavable bonds (hydrazine linkage) between the chemotherapeutic agents and the micelle-forming copolymers. The acid-sensitive bonds investigated inserted into the main chain, side chain, or at the terminal of the core-forming blocks or for the synthesis of the polymerdrug conjugates, are Schiff’s base, hydrazone, acetal, ortho ester, and oxime (Sawant and Jhaveri, 2014). Poly(L-His) with a pKa of around 6.5 is the most commonly used. Its imidazole ring provides pH-dependent amphoteric properties. It is ionized at the lower pH of the tumors or acidic intracellular vesicles such as endosomes and lysosomes. Poly(L-His) is able to induce an endosomal membrane disruption and interact with negatively charged membrane phospholipids. In order to achieve prolonged circulation time and enhanced tumor accumulation, nanotherapeutics are usually decorated by a nonfouling polymer like PEG or Dex. The pH-sensitive shielding/deshielding nanotherapeutics, which lose or change their charge at tumor pH, have been developed in order to enhance tumor cell uptake and cell internalization was achieved by using various polymer systems (Table 2.2). Tumor pH-activable fluorescent NPs are able to light up a broad range of tumors. pH-sensitive NGs based on poly(aspartic acid-g-imidazole)-poly(ethylene glycol) were obtained using linear PEG with different molecular weights (2000 and 4000 Da) as crosslinkers. The pHsensitive NGs showed reversible size changes during continuously alternating pH changes. The anticancer treatment potential of pH-sensitive NGs was studied using a model drug, irinotecan (IRI) (Sim et al., 2018). pH degradable polymeric NGs have been synthesized by self-assembly of amphiphilic block copolymers composed of a hydrophilic, PEG-like polymer block based on methoxy triethylene glycol methacrylate and a hydrophobic polymer block based on pentafluorophenyl methacrylate (PFPMA) (Nuhn et al., 2016). The PFPMA block allows for self-assembly into NPs in polar aprotic solvents followed by 1-(4-(aminomethyl) benzyl)-2-butyl-1H-imidazo [4,5-c] quinolin-4-amine (IMDQ) ligation and crosslinking of the PFP esters with bisamines. TLR7/8 agonists (agonists of toll-like receptors), used as activators of the innate immune system for anticancer immunotherapy,

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Table 2.2 Examples of the pH-Sensitive Polymeric Nanotherapeutics pH-Sensitive Polymeric Nanotherapeutics Poly(L-His)-b-PEI and mPEG-bpolysulfadimethoxine Coreshellcorona polyion complex NPs ("NP/Pt@PPC-DA) from positively charged Pt(IV)-conjugated NPs ("NP/Pt) and tumor acidity-responsive negatively charged PPC-DA copolymer (PPC: PEG-bpoly(allyl ethylene phosphate) modified with cysteamine; DA: 2,3-dimethylmaleic anhydride)) Decorated PEG-b-PCL micelles with a tumor-pH activable TAT (transactivator of transcription) peptide by succinyl amidization of the primary amines Negatively charged poly(L-leucine)-poly(LLys)(DMA)-TAT(SA) micelles (DMA: 2,3dimethylmaleic anhydride; SA: succinyl chloride) PTX-loaded H7K(R2)2-PEG-PLGA micelles Poly(carboxybetaine) shell and sulfo groups near a DOX-loaded core mPEG-poly(Lys-3-diethylaminopropyl)2 miktoarm block copolymer loaded with chlorine6-tumor short-worm like PEG-b-poly(2-(diisopropylamino)ethyl methacrylate) copolymer

Methyl ether PEG-PAE block copolymer

PEG-poly(aspartate hydrazide) block copolymer. Hydrazide groups on side chains used as pH-sensitive binding linkers for drugs with ketone groups Micelles of asymmetric diblock and triblock copolymers of (methoxy)poly(ethylene oxide) and poly(acrylic acid)

Effects

References Hu et al. (2013) Yang et al. (2013)

Inhibited nonspecific interactions in the circulation; superior antitumor activity; very high tumoral DOX concentration and low cardiotoxicity comparatively with pHinsensitive TAT-PEG-PCL micelles Switched to positively charged NPs via hydrolysis of DMA amide in a narrow pH range increasing cellular uptake

Jin et al. (2013) and Han et al. (2015b)

Significant antitumor and antiangiogenic activity NPs for DOX delivery

Zhao et al. (2012) Wang et al. (2015b) Lee et al. (2014)

Super pH-responsive polymeric nanotherapeutics; improved phototoxicity

Han et al. (2015b)

Ultra pH-sensitive fluorescent NPs; showed a quenched fluorescence in the circulation; strongly activated in the tumor site due to fast dissolution and dissociation of NPs in response to tumor extracellular pH Sharp pH-dependent micellization/ demicellization at acidic tumor pH 6.4. Efficient release of drug/dye in acidic pH, 11-fold higher therapeutic efficacy in mice with pH-sensitive micelles compared to free drug or drug-loaded, non-pH-sensitive micelles Successful combination chemotherapy with DOX and 17-hydroxyethylamino-17demethoxygeldanamycin

Wang et al. (2013c)

The micelle formation/destruction in the copolymer solutions at pH alternation (micellar structures arising at pH , 5) is an important task in terms of their use as nanocarriers for drugs (α-tocopheryl acetate)

Permyakova et al. (2018)

Min et al. (2010)

Bae et al. (2010)

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Table 2.2 Examples of the pH-Sensitive Polymeric Nanotherapeutics Continued pH-Sensitive Polymeric Nanotherapeutics

Effects

References

Mixed PLLA/PEG block copolymer with poly(L-His)-b-PEG and next they used folate or biotin specific ligands

Triggered release of adriamycin; pHdependent DOX release at tumor sites, inhibiting cancer cells growth and even metastasis Accelerated DOX release at acidic pH of 5.0, efficient internalization and high anticancer efficacy of micelles Cellular uptake of micelles enhanced under acidic conditions due to cleavage of PEG, greater accumulation and antitumor activity Increased cytotoxicity and efficacy of pHsensitive DOX micelles in HeLa cells

Lee et al. (2005) and Gao et al. (2011b)

Anticancer DOX was conjugated to glycopolymers by a pH-sensitive hydrazone linkage. The slow drug release at neutral pH and increased drug release in acidic environments demonstrated AuNPDOX bioconjugates as promising drug carriers to improve intracellular drug release in the acidic environment of tumors

Yilmaz et al. (2018)

PEG-oxime tethered PCL-PEG oxime bonds imparted pH-sensitivity Stearic acid-g-CS modified with PEG via cis-aconityl linkage PEO-hyperbranched polyglycerolDOX. DOX conjugated to PEO-hb-PG via an acidlabile hydrazone linkage Glycopolymer-coated gold nanoparticles

Jin et al. (2011a,b)

Hu et al. (2012)

Lee et al. (2012)

Sawant, R., Jhaveri, A., 2014. Chapter 3: Micellar nanopreparations for medicine. In: Torchilin, V. (Ed.), Handbook of Nanobiomedical Research: Fundamentals, Applications and Recent Developments. Northeastern University, Boston, MA, pp. 87139.

were covalently ligated to the core of the NPs through amide bond formation between the primary amine of IMDQ and the activated PFP esters in the NP core. Conversion of residual pentafluorophenyl ester with 2-ethanolamine yielded fully hydrated NGs after transfer to the aqueous phase.

2.3.2 TUMOR EXTRACELLULAR ENZYME-RESPONSIVE NANOTHERAPEUTICS Specific enzymes, e.g., proteases [metalloproteinases (MMP)], glycosidases, and phospholipases are often involved in cancer invasion, progression, and metastasis, being present in high concentrations in the tumor tissue while they are absent or at very low concentrations in healthy tissues. These enzymes also influence the activity of nanocarriers. MMP-2-responsive nanocarriers such as micelles based on PEG-peptide-PEI-1,2-dioleoyl-sn-glycero-3-phosphoethanolamine copolymers were found to be effective in tumor targeting, cellular penetration, and enhanced cellinternalization (Zhu et al., 2013, 2014a). siRNA and paclitaxel (PTX) when dual drug-loaded were 2.4-fold higher for cell internalization than for an MMP-2 insensitive counterpart, showing enhanced in vitro and in vivo anticancer activity. The MMP-2/9 activatable low-molecular-weight protamine (ALMWP, E10-PLGLAG-VSRRRRRRGGRRRR) for enhanced glioblastoma therapy was used to modify biodegradable PEG-b-PCL NPs (Gu et al., 2013a). This modification reduced

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by three to four times the half-maximal IC50 of PTX-loaded ALMWP NPs. By reversible addition fragmentation chain transfer (RAFT) copolymerization was obtained MMP-responsive N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer-CXCR4 antagonist (BKT140) conjugate (P-BKT140) (Peng and Kopeˇcek, 2014) tested with good results for human prostate carcinoma cells. The hyaluronidase-responsive nanocarriers have been reported as PTX-loaded degradable cationic NGs (DpNG-PTX) based on acetylated pullulan and low-molecular-weight PEI (1.8 kDa) coated with HA, which exhibit deep tumor penetration and high antitumor effect (Yim et al., 2013). A self-assembled complex based on DOX, DNA, cationic gelatin, and human serum albumin, which removes its shell in response to the action of the gelatinase and Dnase I in the tumor microenvironment, was prepared (Zhu et al., 2014b). This complex assures an increased DOX accumulation in the tumor. G4 PAMAM dendrimer molecules were modified via covalently conjugating RGDC (Fmoc-arggly-asp-cys-SH), RAADyC (Ac-arg-ala-ala-asp-D-tyr-cys-NH2), and PEG chains on the periphery (Mac-1), by which an NG (with uniform size of 50 nm) drug carrier with enzyme sensitivity (NG-1) was constructed through an oxidation reaction by using NaIO4 to initiate the chemical crosslink of the functional groups on the periphery of dendrimers (Wang et al., 2016e). It was found that the obtained nanocarrier showed increased drug-loading capacity, sustained drug (e.g., DOX) release triggered by enzymes, and cytotoxicity to C6 cells.

2.3.3 ENDO/LYSOSOMAL PH-RESPONSIVE NANOTHERAPEUTICS Some pH-responsive polymeric nanotherapeutics can be internalized by tumor cells through endocytosis occurring at a low pH of 4.56.8. Because this pH is common for both tumor cells and normal cells, high selectivity is necessary to avoid the potential side effects. This can be achieved by using three strategies as presented in Table 2.3. The pH-sensitive polyelectrolytes can rapidly change their ionization under endo/lysosomal pH accompanied by modification in the molecular state and hydrodynamic diameter of the polymer chains. As a result, the nanotherapeutics is destabilized or dissociated and a fast intracellular drug release will occur. Such pH-responsive nanotherapeutics are prepared based on polyanions containing carboxylic acid or sulfonamide groups, as well as polycations containing imidazole pendant groups and PAE with tertiary amine groups (Gao et al., 2013). The second strategy consists of incorporation of acid-labile linkages such as hydrazone, acetal, ketal, cis-acotinyl, oxime, and orthoester in the main chains or side chains. Orthoester linkages are more sensitive towards acid-catalyzed hydrolysis than acetal and ketal linkages. The third strategy involves chemically conjugating drugs to polymer backbone via an acidlabile linkage. The acid-activatable prodrugs have the advantages of high stability and minimal drug leakage.

2.3.4 GLUTATHIONE-RESPONSIVE NANOTHERAPEUTICS Inside the cancer cells the reducing potential is about 1001000 times higher than that in the extracellular spaces, which results in a reducing environment within the cell and an oxidizing environment in the extracellular space. This change in redox potential is attributed to the difference in

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Table 2.3 Examples of the Endo/Lysosomal pH-Sensitive Polymeric Nanotherapeutic Endo/Lysosomal pH-Sensitive Polymeric Nanotherapeutic Micelles of PAE-based poly[(1,4butanediol)-diacrylate-b-5-PEI]-block-poly [(1,4-butanediol)-diacrylate-b-5-hydroxy amylamine] (PDP-PDHA) copolymer loaded with DOX Micelles of poly(2-ethyl-2-oxazoline)-poly (D,L-lactide) (PEOz-PDLLA) and cRGDyK-PEOz-PDLLA DOX-loaded cisplatin crosslinked Dexsuccinic acid conjugate PEG-poly(γ-propargyl L-glutamate) copolymers with pendant tertiary amine groups (PEG-PPLG-diisopropylamine/ diethylamine) Herceptin-conjugated pH-sensitive NPs from poly(D,L-lactide-co-glycolide)-poly(LHis)-PEG triblock copolymer Micelles obtained from PEG-b-poly(mono2,4,6-trimethoxybenzylidenepentaerythritol carbonate-co-acryloyl carbonate) (PEG-b-P(TMBPEC-co-AC)) and Gal-PEG-b-PCL copolymers and loaded with PTX

Acetalated α-CD PEG-poly(acetal urethane)-PEG triblock copolymer with multiple acetal bonds in the main chain Micelles-based ketal-containing poly (ketaladipate)-PEG block copolymer Acid degradable NGs based on poly (vinylcaprolactam), HPMA, and ketalcontaining 2,2-dimethacroyloxy-1ethoxypropane as a crosslinker DOX-loaded pH-sensitive amphiphilic sugar poly(orthoesters)-b-PEG NPs DOX-loaded pH-responsive micelles selfassembled from amphiphilic PEG-bpolymethacrylate diblock copolymer bearing acid-labile ortho ester side chains

Effects

References

Tumor inhibiting rate of 95.9%

Tang et al. (2014)

Enhanced cytotoxicity to prostate cancer cells

Gao et al. (2015)

Li et al. (2014d) Stable at pH 7.4; spontaneous destruction at pH 5, effectively suppressed tumor growth

Quadir et al. (2014)

80% and 60% of DOX were released in 8 h at pH 5.2 and 6.4, respectively; better in vitro cytotoxicity pH-sensitive degradable micelles; active targeting chemotherapy of hepatocellular carcinoma PTX release was inhibited at physiological pH and accelerated at pH 5.0 due to the hydrolysis of acetals in the core; significantly enhanced drug accumulation in the tumors; little damage to normal liver and kidney Decreased PTX resistance 96%, 73%, and 30% of drug were released within 48 h at pH 4.0, 5.0, and 7.4, respectively Rapidly dissociated at pH 5.4 leading to triggered release of CPT effective endosomal disruption Rapid and nearly complete DOX release at pH 5.0 while only about 13% of DOX was released at pH 7.4

Zhou et al. (2015b)

72% of DOX was released in 1 h and nearly 100% in 4 h, cytotoxicity is pHdependent High rate of DOX released

Li et al. (2015)

Zou et al. (2014)

He et al. (2013) Huang et al. (2015)

Lee et al. (2013a)

Wang et al. (2015a)

Tang et al. (2011)

(Continued)

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Table 2.3 Examples of the Endo/Lysosomal pH-Sensitive Polymeric Nanotherapeutic Continued Endo/Lysosomal pH-Sensitive Polymeric Nanotherapeutic Acid-activatable prodrugs poly(styrene-comaleic anhydride)-hydrazone-DOX conjugates

pH-sensitive polymeric micelles based on PEG-b-poly(hydrazinyl-aspartamideMG132) conjugates containing hydrazone linkage between polyaspartate backbone and MG132 Dendronized heparine-Hyd-DOX conjugate NPs Folic acidfunctionalized PEG-PCL-DOX micelles

Conjugation of PTX onto water-soluble PEG-b-poly(acrylic acid) (PEG-PAA) block copolymers via an acetal bond to the PAA block-micellar NPs PEO-block-polyphosphoester-graft-PTX (PEO-b-PPE-g-PTX), in which PTX was conjugated to PPE via the thiopropionate linkage Thin layer (10.3 6 1.4 nm) of PCL bioresponsive polymer coating was deposited on the surface of CPT anticancer-coated drug NRs

Effects

References

pH-responsive disulfiram and DOX prodrug-loaded micelles; DOX was released in a sustained and pH-dependent manner; effective combination therapy of DOX and disulfiram for drug-resistant MCF-7/ADR breast tumor xenografts Reduced side effects; increased therapeutic window by delivery of proteasome inhibitor MG132 into cancer cells

Duan et al. (2013)

80% of DOX released at pH 5.0; high antitumor activity in 4T1 breast tumor model Good stability at pH 7.4 and quick drug release at pH 5.0; prolonged the blood circulation time of DOX and enriched DOX into the tumors The release of PTX was found to be highly pH-dependent

She et al. (2013)

Five- to eightfold enhancement in the in vitro antitumor activity against OVCAR-3 and RAW 264.7 cells

Zou et al. (2013)

PCL on the surface of drug NPs protects drugs from degradation, allows the release of drugs at the target site because of biodegradation at acidic pH 6. Trastuzumab was conjugated to the NR surface for breast cancer cell targeting

Laemthong et al. (2016)

Quader et al. (2014)

Guo et al. (2013)

Gu et al. (2013b)

concentration of GTH in the cytoplasm (111 mM) from that in the plasma (about 10 μM), the concentration in tumor cells is elevated and is several times higher than in normal cells. GTH is a tripeptide of γ-glutamyl-cysteinyl-glycine acting as a biological reducing agent. The reductionbioresponsive NPs are systems developed to achieve targeted cytosolic drug and gene release (Sufi et al., 2018). They also assure high stability against hydrolytic degradation and a fast response to the intracellular reducing environment (Sawant and Jhaveri, 2014). The simplest approach for reduction-responsive nanocarriers is shell-sheddable micelles containing a disulfide bond between hydrophilic (like PEG and Dex) and hydrophobic blocks of

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polypeptides (Ding et al., 2013), polyanhydride (Wang et al., 2014), polyesters (Ko and Oh, 2014), hexadecyl (Cui et al., 2013), and small hydrophobic molecules (Xu et al., 2014). The drug/DNA encapsulated in the nanocarrier is held together by disulfide (SS) bonds under normal conditions. Once disulfide bonds (SS) are reduced to thiols due to the high GSH within cells the carrier is destabilized and can release the entrapped cargo (Torchilin, 2009; Ganta et al., 2008). The second approach consists of incorporation of multiple disulfide bonds in the main chain of the hydrophobic polymer or conjugation of drugs to the side chain of the polymer via multiple disulfide linkers. The third approach is a reversible crosslinking strategy able to construct reduction-responsive nanotherapeutics by crosslinking of the polymeric NPs with disulfide bonds, which renders nanotherapeutics particularly stable during circulation, while being prone to quick decrosslinking in the cytosol. Redox-sensitive micelles utilizing the crosslinking approach have been extensively investigated for delivery of small molecules and nucleic acids using core-crosslinked, shell-crosslinked, or micelles crosslinked at the coreshell interface (Li et al., 2011; Koo et al., 2012). Different possibilities to obtain reduction-responsive polymeric nanotherapeutics are presented in Table 2.4.

Table 2.4 Some Examples of Reduction-Responsive Polymeric Nanotherapeutics Reduction-Responsive Nanotherapeutics Atorvastatin calcium loaded mPEG-SSvitamin E succinate

Gal-decorated shell-sheddable micelles based on PEG-SS-PCL and Gal-PEGPCL block copolymers

Folic acidfunctionalized shell-sheddable micelles based on 4-armPEG-SS-PCL copolymer Gal-PEG-PCL, PEG-PCL-poly(2(diethylamino)ethylmethacrylate) and PEG-SS-PCL Disulfide-linked glycol NPs (SS-GNs) with sheddable saccharide shells PCLgraft-SS-lactobionic acid copolymer DOX-loaded pullulan-SS-cholesterol NPs PEG-poly(Lys)-SS-CPT as reductionsensitive micelles α-Amino acid-based poly(ester amide)

PEG-b-poly(disulfide urethane)-b-PEG triblock copolymer micelles

Effects

References

Encapsulation efficiency of 99.09%; shell-sheddable micelles completely block the lung and liver metastasis of breast cancer with minimal toxicity; enhanced Ator accumulation in tumor and lung Release more than 75% of DOX in 12 h; cellular DOX level was much greater than that with reduction-insensitive PEGPCL/Gal20 and nontargeting PEG-SSPCL controls Better specificity and therapeutic efficiency

Xu et al. (2014)

Facile loading and triggered intracellular delivery of proteins

Wang et al. (2013b)

DOX-loaded SS-GNs exhibited high antitumor activity toward HepG2 cells; 18-fold higher nontoxicity Better antitumor effect and biosafety for hepatocellular carcinoma Prolonged blood circulation and high accumulation in urothelial carcinoma DOX-loaded enzymatically and reductively degradable NPs showed 10 times higher in vitro antitumor activity Efficiently transport and release DOX

Chen et al. (2014a)

Zhong et al. (2013)

Shi et al. (2014)

Li et al. (2014b,) Yen et al. (2014) Sun et al. (2015)

Lu et al. (2015) (Continued)

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Table 2.4 Some Examples of Reduction-Responsive Polymeric Nanotherapeutics Continued Reduction-Responsive Nanotherapeutics Shell-crosslinked biodegradable micelles based on methoxy PEG-(cysteine)4PDLLA copolymer Bioreducible shell-crosslinked HA NPs based on HA-b-PCL block copolymers via disulfide linkages HA-Lys methyl ester-lipoic acid conjugates reversibly crosslinked HA NPs Disulfide-crosslinked NGs from watersoluble PEG-b-poly(HEMA-co-acryloyl carbonate) block copolymers Bioreducible NGs obtained by copolymerization of heparinmethacrylate derivative and cystamine bisacrylamide Disulfide-containing prodrug of CPT covalently linked to a polymer (CPT-SSPEG-SS-CPT)

HAdeoxycholic acid conjugates

Reversible disulfide-crosslinked micellar system, cysteine containing telodendrimers (a linear dendritic polymer composed of PEG and dendritic clusters of cholic acids) PEG-b-poly(L-Lys)-b-poly(L-phenyl alanine). Shell crosslinking by disulfide bonds (SS) Micelles based on green fluorescent protein-targeted siRNA reversibly modified with phosphothioethanol via a reducible disulfide bond; electrostatic association of siRNA with cationic carriers

Effects

References

Delivered sevenfold higher DOX drug to the tumor almost completely inhibited M109 tumor growth Effective in suppressing tumor growth among all the treatments

Lee et al. (2013b)

Prolonged circulation time and markably high accumulation in the tumor; effective inhibition of MCF-7/ADR tumor growth and increase of survival rate Loading efficiencies (up to 98.2%) of cytochrome C

Zhong et al. (2015)

High DOX loading content of 30% and a high loading efficiency of 90%

Wu et al. (2015)

PEG provided the hydrophilic component and CPT formed the hydrophobic portion disulfide linker and ester bond were incorporated between PEG and CPT which, when cleaved, generated native CPT due to ester degradation; pharmacological efficacy of CPT released Rapid drug release, increased uptake in breast cancer cells via HA-receptormediated endocytosis under reducing conditions in vitro; higher tumor-targeting capacity Targeted PTX delivery more efficacious for ovarian cancer; improved stability, prolonged circulation, preferential tumor targeting, and controlled release

Boissiere et al. (2011)

DTX for cancer therapy, enhanced efficacy after crosslinking

Koo et al. (2012)

50-fold effective, nontoxic, redoxsensitive micellar system, stable delivery of genes and siRNA. siRNA protected against degradation

Musacchio et al. (2010)

Han et al. (2015a)

Chen et al. (2013)

Liu et al. (2012)

Li et al. (2011)

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Table 2.4 Some Examples of Reduction-Responsive Polymeric Nanotherapeutics Continued Reduction-Responsive Nanotherapeutics Antisense oligonucleotide conjugated to PEG with a disulfide linkage and assembled into polyion complex (PIC) micelles through complexation with branched PEI Disulfide-crosslinked PIC micelles from iminothiolane-modified PEG-block-poly (L-Lys) and siRNA Poly(ethylene glycol)-block-poly{N-[N(2-aminoethyl)-2-aminoethyl] aspartamide}; (PEG-SS-P[Asp(DET)]) with plasmid DNA, disulfide-crosslinked Supramolecular nanosystem based on PEG-β-cyclodextrin and a disulfidecontaining adamantine-terminated DOX prodrug

Effects

References

Plasmid DNA, antisense oligonucleotides, and siRNA delivery; active antisense oligonucleotide molecules released in cell interior

Takae et al. (2008)

Effective siRNA delivery; 100-fold higher transfection efficacy

Matsumoto et al. (2009)

Gene carriers by forming PEG-detachable

Kumagai et al. (2012)

Efficient codelivery of doxorubicin and sorafenib for treating hepatocellular carcinoma

Xiong et al. (2018)

2.3.5 LYSOSOMAL ENZYME-RESPONSIVE NANOTHERAPEUTICS Several lysosomal enzymes are known as glycosidases, proteases, and sulfatases. Lysosomal enzyme-responsive nanotherapeutics are constituted from copolymeranticancer drug conjugates (Table 2.5). They are stable during circulation and are able to release drugs under the action of specific enzymes.

2.3.6 REACTIVE OXYGEN SPECIESRESPONSIVE NANOTHERAPEUTICS ROS involved in physiological and pathological (atherosclerosis, aging, and cancer) processes are produced in the mitochondria from an incomplete reduction of oxygen and NADPH (nicotinamide adenine dinucleotide phosphate) oxidase (NOX) in the plasma membrane. Excessive amounts of ROS cause oxidative stress and damage to DNA, proteins, and lipids by oxidation. ROS-responsive nanocarriers (Table 2.6) have the ability of triggered hydrophilic/hydrophobic switch or cleavage of the ROS-sensitive bonds in the polymer chain destruction of the nanocarriers and facilitate drug release in tumor cells. ROS-responsive units, such as arylboronic ester, ferrocenyl, selenium, and thioether groups, are usually integrated into polymer for stimuli-responsive drug release.

2.3.7 ADENOSINE TRIPHOSPHATERESPONSIVE NANOTHERAPEUTICS It is well known that ATP, as the most abundant ribonucleotide in cells, exists in all living organisms, and the concentration of ATP changes in many key physiological and pathological processes (Gorman et al., 2007). ATP-responsive nanocarriers for codelivering drugs and genes have been

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Table 2.5 Examples of Polymeric Lysosomal Enzyme-Responsive Nanotherapeutics Lysosomal Enzyme-Responsive Nanotherapeutics PHPMA copolymeranticancer drug conjugates with lysosomally cleavable peptide spacers like GFLG (Gly-Phe-LeuGly tetra-peptide) Dual enzyme-responsive HPMA copolymer-DOX conjugates (P-DOXPLGLAG-iRGD), via GFLG linker mPEGylated dendron-GFLG-DOX conjugate NPs

Effects

References

Susceptible to cathepsin B

Kopeˇcek and Kopeˇckov´a, 2010

Enhanced tumor accumulation, penetration, and cytotoxicity in 2D and 3D prostate cancer cells Much faster drug release in the presence of papain; 80% vs 30% drug release in 15 h; improved proliferation inhibition against 4T1 murine breast cancer

Peng and Kopeˇcek, 2015 Li et al. (2014e) and Zhang et al. (2014c)

Table 2.6 Examples of ROS-Responsive Polymeric Nanotherapeutics ROS-Responsive Nanotherapeutics

Effects

References

Amphiphilic hyperbranched polyphosphates of alternative hydrophobic selenide groups and hydrophilic phosphate segments in the dendritic backbone 4-Phenylboronic acid pinacolester (PBAP) conjugated β-cyclodextrin (Ox-β-CD)

Fast intracellular DOX release under exclusive oxidative microenvironment within cancer cells

Liu et al. (2013b)

Antitumor potential of DTX was greatly enhanced with Ox-β-CD NPs in the presence of H2O2 Promptly release cisplatin; enhanced efficiency of cancer chemotherapy

Zhang et al. (2014a)

Hydrogen peroxide (H2O2) concentrationdependent drug release Antitumor effect by enhancing the cell apoptosis

Liu et al. (2015)

Micelles readily cleaved into free copolymers under reducing environment. Higher anticancer efficacy and faster DOX release from redox-sensitive micelles vs nonsensitive controls High stability and rapid destabilization of micelles in reducing conditions, GSHdependent cytotoxicity of DOX-loaded formulations in vitro Micellar rearrangement due to reductive cleavage of disulfide-linked PEG causes rapid release of encapsulated DOX. DOX release from micelles accelerated under increasing GSH concentrations

Sun et al. (2011)

H2O2-responsive nanocarriers constituted from PLGA NPs, catalase, and platinum anticancer agents SN38 was conjugated onto hydrophilic hyperbranched polyglycerol (HPG) via a H2O2-responsive thioether linkage resulting in HPG-2S-SN38 nanomicelles, which were encapsulated with cinnamaldehyde PEO-b-poly(N-methacryloyl-N0 (tbutyloxycarbonyl) cystamine) (PEO-bPMABC). Intermediate disulfide linkages in the core of micelles (formed by PMABC units) Hexa-arm star-shaped (6sPCL-SS-PEG). Intermediate disulfide linkages between the core and shell result in shedding of PEG shell under reductive conditions mPEG-SS-poly(ε-benzyloxycarbonyl-L-Lys)

Chen et al. (2014c)

Ren et al. (2011)

Wen et al. (2011)

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95

Table 2.6 Examples of ROS-Responsive Polymeric Nanotherapeutics Continued ROS-Responsive Nanotherapeutics

Effects

References

Monomethoxy-poly(ethylene glycol)-SShexadecyl (mPEG-SS-C16). Disulfide bridge linkage between mPEG and C16 imparts redox sensitivity in reducing environment

Faster DOX release, significantly enhanced cytotoxicity and efficient internalization into HeLa cells along with DOX release in the cytoplasm and entry into nuclei for the redox-sensitive micelles compared to the nonredox-sensitive counterparts As arylboronic ester in the nanoprodrug was susceptible to H2O2, selective drug release could be realized at the tumor site and rearrangement of HPBA into quinone methide (QM) was supposed to attenuate the detoxication system in cancer cells via scavenging GSH, thus synergistically improving the therapeutic efficiency of CHL

Cui et al. (2013)

Nanoprodrug (120 nm) of antitumor agent, chlorambucil (CHL), by integrating CHL into a diols-containing polymer (PEG-gpoly (acrylic acid)) via self-immolative linker 4-(hydroxymethyl) phenylboronic acid (HPBA)

Luo et al. (2018)

successfully developed, based on the higher ATP concentration in the intracellular fluids (110 mM) than in the extracellular environment (,0.4 mM) (Gribble et al., 2000). ATP binding aptamers have been screened for gene delivery and sensing platform (Meng et al., 2014a). According to previous studies, the doxorubicin (DOX)aptamer complex could effectively inhibit DOX release, while in the presence of ATP, the complex formation causes the dissociation of aggregates, which promotes the release of DOX in the environment with a high ATP concentration compared with that in ATP-deficient extracellular fluid (Mo et al., 2015). Cationic polymers, like polyethylenimine (PEI) (Wang et al., 2016a), have been involved in the preparation of stable complexes with ATP-responsive aptamer duplex (ARAD). The obtained nanocarrier displayed ATP-responsive controlled release of the anticancer drug (DOX) and high gene transfection efficiency. This preparation method, based only on electronic interactions and no chemical reactions or complex modifications, can be further applied to the design of analogous responsive nanocarriers, such as cytidine triphosphate (CTP), guanosine triphosphate (GTP), and uridine triphosphate (UTP) (Zuo et al., 2007; Huizenga and Szostak, 1995). Hybridized aptamer was found to enable the self-assembly of drug-conjugated polymer by forming a drugconjugatesaptamer complex. Thus, in a recent study (Zhang et al., 2016d), ATP and pH dual-responsive active targeting NPs of 70 nm were formed through the intercalation effect between PEG-poly(aspartic acid)-DOX conjugates and hybridized aptamer in addition to the mere hydrophobic interaction among drug molecules like micelles.

2.3.8 GLUCOSE-RESPONSIVE NANOTHERAPEUTICS In glucose-responsive nanomaterials, the system responds to a change in the glucose concentration of the surroundings. This has a promising future in the application of diabetes treatment.

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Recently, work on glucose sensitivity in physiological conditions has been widely reported and includes concanavalin (Chang et al., 2018), glucose oxide, and phenylboronic acid (PBA), but concanavalin and glucose oxide are both based on proteins and so exhibit certain defects, such as antigenicity, instability, and high cost. PBA-containing materials have been most widely studied and used in the construction of a glucose-responsive system. However, because the pKa of PBA is much higher than the pH of physiological conditions, most PBA are modified with other polymers. Biodegradable and biocompatible PNIPAm-based NGs were synthesized with nitrilo-triacetic acid and PBA as functional groups and ethylene glycol dimethacrylate (EGDMA) as crosslinker (Li et al., 2017a). The role of nitrilotriacetic acid groups was to specifically bind imidazolecontaining protein drugs such as insulin via chelated zinc ions, leading to an efficient loading of insulin. Glucose-triggered insulin release was achieved based on the glucose-responsiveness of PBA groups that caused the swelling of NGs. In another study, shell-crosslinked NPs were fabricated by the complexation of poly(3-methacrylamido phenylboronic acid) (PMAPBA) and thiolated chitosan via boronic acid-related reactions (Wang et al., 2016d). Owing to the crosslinking of the NP shell, insulin was encapsulated in the NPs, with a loading capacity of up to 18%. The release of insulin from the NPs slowed down because of the presence of disulfide bonds and increased with increasing glucose level in the medium.

2.3.9 INTERNAL THERMO-RESPONSIVE NANOTHERAPEUTICS The idea of internal thermo-sensitive systems came from the temperature difference between diseased and healthy tissues. Gota et al. (2009) reported polymer NGs obtained by emulsion copolymerization of NIPAm with a fluorescent methacrylamide derivative in the presence of a crosslinker, that can be used as intracellular thermometers. In this way, the intracellular temperature variations associated with biological processes can be monitored with a temperature resolution .0.5 C.

2.4 RESPONSIVE DENDRIMERS Smart dendrimers are more effective, more convenient, and much safer, showing constant release profiles for specific therapies. They respond either to endogenous (acid, enzyme, and redox potentials) or exogenous (light, US, and temperature change) stimuli, mainly because of assembly/disassembly into micelles by change in the balance between hydrophilic and hydrophobic units, driven by protonation/deprotonation, possess labile groups at the stimuli action, or can be conjugated with stimuli-activable ligands (acid labile, reduction-labile bonds) (Wang et al., 2016b). Responsive dendrimers proved to be more efficient in cancer drug or protein delivery, showing an interesting pH-responsive gene expression. Dendrimerdrug conjugates via acid-labile bonds such as hydrazone linkage, boronate ester bond, acid-labile amides, thiol-disulfide, enzyme-labile as specific peptide linkers and collagen, light-labile bonds (e.g., ortho-nitrobenzyl or visible light cleavable perylen-3-yl methanol group), which can be introduced in core, shell, or as a spacer between dendrimer and shielding ligands. pH-responsive dendrimeric nanosystems are stable against hydrolysis at physiological pH but are cleavable at extracellular acidity (pH 6.56.8), and the cancer drug release rate is accelerated

2.4 RESPONSIVE DENDRIMERS

97

after endocytosis of the prodrug by cancer cells (pH 5.06.0). The “offon” drug release behavior improves the therapeutic efficacy and minimizes the adverse effects. PAMAM dendrimers were conjugated with different polymeric compounds, like PEG (Hu et al., 2016) or heparin (Nguyen et al., 2017), to obtain pH and redox dual-responsive drug nanocarriers (see Table 2.7) in order to achieve a long circulation time and effective intracellular drug release. pH-responsive dendrimers with embedded acetal repeating units and POSS core were obtained (Huang et al., 2016). The alkene-terminated dendrimer was produced by azo-Michael addition of octaamine polyhedral oligomeric silsequioxanes (POSS-[NH2]8) and acetal monomer N-(2-(1-(allyloxy)ethoxy)ethyl)acrylamide (AEEAA). Subsequently, the peripheral alkenes selectively reacted with the thiol in cysteamine hydrochloride to obtain amine-terminated dendrimers. Then, the second and third generations of dendrimers were prepared by alternately adding AEEAA and cysteamine hydrochloride accordingly. Their rich surface functionalities could be conveniently modified by PEG or zwitterion, producing acid-labile amphiphiles that could assemble into micelles and nanofibers. Zhang et al. (2017) obtained PEGylated lysine peptide dendrimerhydrophilic gemcitabine (GEM) conjugates with enzyme-responsiveness. The small drug GEM was conjugated to the PEGylated peptide dendritic polymeric scaffold owing to the GFLG, an enzyme-cleavable linker. The prepared NPs (80110 nm) were able to release GEM significantly faster in the tumor cellular environments, which specifically contains secreted Cathepsin B, quantifiably more than 80% GEM was released with Cathepsin B compared to the condition without Cathepsin B at 24 h. In another study, similar PEGylated peptide dendrimers were involved in the conjugation with hydrophobic drugs, like PTX, via the same enzyme-responsive linker (GFLG) (Li et al., 2017b). Hence, dendrimers are capable of carrying and releasing both hydrophilic and hydrophobic drugs. When a drug molecule is conjugated to the dendrimer via a disulfide-containing linker, its release can be triggered by abundant intracellular GSH. Prodrugs like valproic acid (Mishra et al., 2014), doxorubicin, paclitaxel (Lee et al., 2013c), and N-acetyl cysteine (Nance et al., 2015) were used for this purpose. Reduction-responsive dendrimers can also be designed by introducing disulfide bonds into a dendrimers core (Feng et al., 2011), into a dendrimer shell (Beloor et al., 2014), or as a spacer between dendrimer and shielding ligands, such as PEG (Hu et al., 2014), and crosslinking ligands among dendrimers (Li et al., 2014a). Dendrimers can also be involved in the preparation of external stimuli-responsive nanocarriers. For example, light-responsive dendrimeric nanotherapeutics can be obtained by conjugation with a light cleavable group, such as ortho-nitrobenzyl (Choi et al., 2012a,b). The strategies for providing thermo-sensitive properties to dendrimers with coreshell nanostructure consist of the modification of the outer dendrimer surface with thermo-sensitive polymers as PNIPAm (Shao et al., 2011), conjugation with small compounds such as isobutyl amide, NIPAm, oligo-ethylene glycol (OEG), phenylalanine, and peptides to the dendrimer surface, and constructing dendrimers or dendrons using amphiphilic components such as OEG and β-aminoester (Shao et al., 2011). Various LCSTs of thermo-sensitive dendrimers are ensured by the different ratios of hydrophilic and hydrophobic units in their backbone (Amirova et al., 2017). The first and second generation of well-defined thermo-responsive amphiphilic lineardendritic diblock copolymers based on hydrophilic linear poly(N-vinylcaprolactam) and hydrophobic dendritic aromatic polyamide have been synthesized via RAFT polymerization of N-vinylcaprolactam by employing dendritic chain-transfer agents possessing a single dithiocarbamate moiety at the focal point (Bi et al., 2013). The thermo-sensitive dendrimers exhibit poor solubility above LCST and difficult control during the phase transition process, which may generate safety concerns for in vivo applications.

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2.5 DUAL-RESPONSIVE NANOTHERAPEUTICS In dual-responsive nanocarriers, two different stimuli are combined, such as pH and redox stimuli, to enhance the response rate and achieve fast and complete drug release into the cancer cells. At the same time, enhanced tumor targetability and therapeutic efficacy are achieved by improving in vivo stability, tumor cell uptake, tumor penetration, and intracellular drug release (Cheng et al., 2013). Some examples of dual-responsive nanotherapeutics are presented in Table 2.7.

Table 2.7 Examples of Dual-Responsive Nanotherapeutics Stimuli pH and redox

Dual-Responsive Nanotherapeutics Polyplex micelles from PEGpoly[(N-dimethylmaleoyl-2aminoethyl) aspartamide] (PEGPAsp(EDA-DM)) and platinum (IV)-conjugated cationic poly (amidoamine) (PAMAM—Pt (IV)) dendrimer prodrugs

Polymer-modified nanoliposomes (100200 nm) prepared by conjugating a eudragit E100/cystamine dihydrochloride polymer with a phospholipid bilayer

NGs (80115 nm) based on a random copolymer that contains OEG and pyridyldisulfide (PDS) units as side-chain functionalities

Effects

References

At tumor pH (B6.8), polyplex micelles were disassembled by conversion of negatively charged PEG-PAsp(EDA-DM) copolymer into positively charged PEG-PAspEDA; efficient penetration into the dense tumor tissue; PAMAM— Pt(IV) prodrugs released at tumor pH; high cellular uptake; IC50 value was 88 times lower than cisplatin against drugresistant A549R cells; potent inhibition on the growth of MCTS at pH 6.8 Treatment of chronic inflammation When the nanoliposomes penetrate the inflamed cells, they will first encounter a low pH in the ECM where they will undergo an initial degradation (swelling). Upon reaching the ICM cytosol, the nanoliposomes will fully degrade due to an increase in GTH concentration during inflammation and release the therapeutic agent to the cell nucleus (site of action) High DOX encapsulation efficiency (70%, w/w) and pH and redox-controlled drug release

Li et al. (2014c)

Mavuso et al. (2016)

Asadi and Khoee, 2016

2.5 DUAL-RESPONSIVE NANOTHERAPEUTICS

99

Table 2.7 Examples of Dual-Responsive Nanotherapeutics Continued Stimuli

Dual-Responsive Nanotherapeutics PTX prodrug NPs from polypeptide-PTX conjugate, PTX was linked to EG-b-poly(LLys) via 3,3-dithiodipropionic acid; 15.6% drug loading content Disulfide-crosslinked polymersomes (B35 nm) from water-soluble PEG-poly(acrylic acid)-poly(2-(diethylamino)ethyl methacrylate) triblock copolymer thiol derivative Core-crosslinked polypeptide micelles from lipoic acid and cis-1,2-cyclohexanedicarboxylic acid decorated PEG-b-poly(LLys) block copolymers Reversibly core-crosslinked micelles (58 nm) from PEGpoly(TMBPEC-co-PDSC) copolymers DOX-loaded PEGylated dualresponsive poly(methacrylic acid-co-PEG methyl ether methacrylate-co-N,N-bis (acryloyl) cystamine) NGs Supramolecular NGs crosslinked by disulfide bonds and hostguest interaction between Dex-graft-benzimidazole and thiol-β-CD DOX prodrug NGs based on biocompatible hyperbranched polyglycerol; DOX conjugated to the polymer via an acid-labile hydrazone linker Heparin (Hep) conjugated to PAMAM dendrimer G3.5 via redox-sensitive disulfide bond

Disulfide linkage between PAMAM dendrimers and PEG. DOX was loaded into the hydrophobic core of the conjugates to prepare PAMAMSS-PEG/DOX complexes (PSSP/DOX)

Effects

References

Accelerated drug release at pH 5.0; superior tumor inhibition effect

Lv et al. (2014)

Excellent colloidal stability; potent cancer cell apoptosis

Sun et al. (2014)

DOX release amount was doubled under endosomal pH of 5.0 than at pH 7.4

Wu et al. (2013)

DOX-loaded crosslinked micelles showed high antitumor activity and biodegradability

Chen et al. (2015b)

DOX released was more than 85% within 30 h at pH 5.0

Zhou et al. (2015a)

Enhanced DOX release under acidic conditions and intracellular reduction environment

Chen et al. (2014b)

Efficient drug release at pH 5.0; very low drug leaching at physiological condition

Zhang et al. (2014b)

Diameter of 11 nm; loaded with more than 20% letrozole; enhances the effectiveness of cancer therapy after removing Hep from the surface Redox and acid-triggered DOX release, which increased with the PEGylation degree

Nguyen et al. (2017)

Hu et al. (2016)

(Continued)

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CHAPTER 2 RESPONSIVE POLYMERIC NANOTHERAPEUTICS

Table 2.7 Examples of Dual-Responsive Nanotherapeutics Continued Stimuli

Dual-Responsive Nanotherapeutics

GSH and ROS

SN38 prodrug nanocapsules OEG-2S-SN38

GSH and enzyme

NG prepared from human hair keratin and alginate

Redox and thermo

Micelles obtained by the triblock copolymer mPEG2k-b400DTPA-b-mPEG2 selfassembly in aqueous media and encapsulated with Nile Red

pH and thermo

NGs based on PNIPAm, HEAA, and tert-butyl 2-acrylamidoethyl carbamate (2AAECM)

Spherical NGs with poly(N,N(diethylamino ethyl methacrylate) (DEAEM) core and PEG shell, was achieved by a simple “surfactant free” emulsion polymerization method with the aid of PEG methylether methacrylates (PEGMA) as polymerizable stabilizers

Nanohydrogels (140190 nm) consisting of CS and the monomers acrylic acid (AA), methyl methacrylate (MMA), and NIPAm

Effects

References

Decompose and quickly release in the presence of GSH or H2O2; high in vitro cytotoxicity in human cancer cell lines— breast tumor Promising vectors for DOX hydrochlorin with super-high drug-loading rate of 52.9% (w/ w) and dual-stimuli responsive behavior to GSH and trypsin • Exhibit thermo-responsive size variations (due to the thermo-caused collapse of the 400DTPA segment in the micellar core), as manifested by the decrease of size from 108.8 nm at 10 C to 55.6 nm at 37 C • Can release drugs by reduction triggering Passive targeting of PTX; faster drug release at acid pH (pH 5), similar to those observed at lysosome compartment; rapid penetration and intracellular accumulation of NGs in MCF7, HeLa, and T47D cells after 48 h incubation NGs with more DEAEM show larger shrinkages as a function of pH, however their dispersability in water is limited to the use of high acid concentration The swelling of the NGs at a pH value lower than 7.4, comparable to the extracellular pH of tumors, is a promising behavior precluding its application in loading and release of anticancer drugs Uniform spherical morphology and carried obvious positive surface charges. 5-FU-loaded nanohydrogels showed loading efficiencies of 5-FU

Wang et al. (2013a)

Sun et al. (2017)

Song et al. (2018)

P´erez et al. (2014)

Manzanares-Guevara et al. (2017)

Liu et al. (2016)

2.5 DUAL-RESPONSIVE NANOTHERAPEUTICS

101

Table 2.7 Examples of Dual-Responsive Nanotherapeutics Continued Stimuli pH and GSH

Dual-Responsive Nanotherapeutics NGs of NIPAm, HEAA, and 2acrylamidoethyl carbamate, and crosslinked with N,N-cystamine bisacrylamide or N-methylene bisacrylamide

PVA-based NGs from PVA-(SSalkynyl)-COOH and PVA-azide obtained by inverse nanoprecipitation and click reaction

pH and magnetic

Citric-coated Fe3O4 functionalized with poly (ethylene glycol) bis (carboxymethyl ether) and conjugated with DOX

Effects

References

No modifications of fibrinogen concentration; increased antithrombin III; histology showed no tissue damage, inflammation, or morphological change in liver, kidney, and spleen 95% of DOX was released in 10 h at pH 5.5 because of a decrease of electrostatic interaction between COOH and DOX and cleavage of the intervening disulfide bonds; low IC50 values of 0.32 and 0.45 μg DOX equiv./mL Cancer chemotherapy

P´erez et al. (2015)

Chen et al. (2015a)

Ji et al. (2018)

Other multifunctional micelles have also integrated multiple functions, including the ability to codeliver siRNA and DOX, passive and active cancer targeting, cell membrane translocation, and pH-triggered drug release simultaneous imaging and gene delivery applications, or as “theranostics” (Sawant and Jhaveri, 2014). Dual pH- and redox-responsive NGs were prepared by crosslinking of polymer chains through both imine and disulfide bonds. If only one stimulus (low pH or presence of reducing agent) acts on the NGs, they do not disaggregate and a minor increase in the drug release rate is observed because there is still sufficient crosslinking density. By contrast, when both stimuli are present, the particles disassemble (Jackson and Fulton, 2012). Glucose- and temperature-sensitive polymeric NPs were prepared by the self-assembly of poly N-vinylcaprolactam-co-acrylamidophenylboronic acid p(NVCL-co-AAPBA) (Wu et al., 2016). The normal range of blood glucose is 3.96.0 mmol/L compared to that of diabetes patients with 9.018.0 mmol/L. The prepared copolymers responded to a high concentration of glucose by significantly increasing particle sizes, thus they have great potential in the application of drug-delivery systems with glucose sensitivity. Also, the diameters of NPs decrease with an increase in temperature. The NPs have a good insulin-loading capacity of approximately 15% due to hydrophilichydrophobic interactions, do not affect the conformation of the insulin, and show low toxicity to cells and animals. A photo/thermo-responsive NG was recently reported (Lee et al., 2017). The thermoresponsiveness was provided by PNIPAm and photo-responsiveness was provided by the

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photochromic SP and nitrobenzoxadiazole (NBD) derivatives. SP undergoes a reversible structural interconversion between the nonfluorescent ring-closed SP and fluorescent ring-opened merocyanine states. SP was used as FRET (Fo¨rster resonance energy transfer) acceptors and physically incorporated into the thermo-responsive PNIPAm-based NGs containing green-emissive NBD derivatives as FRET donors. Therefore, the NG emits green fluorescence corresponding to the fluorescence of the NBD derivatives; however, when irradiated with UV light, the CO spiro bond in the SP form is broken and the molecule adopts the merocyanine form, resulting in a light-pink coloremitting NG. Notably, the selective fluorescence intensity of the NGs in water was modulated by thermo-responsive FRET processes between the NBD and SP dyes. Multistimuli-responsive systems. Multistimuli-responsive delivery systems are more interesting for drug delivery because of the coexistence of acidity, hypoxia microenvironment, and enzymes in tumors (Chen et al., 2015a,b,c). Examples include PAMAM dendrimers conjugated to macrophages via acid-responsive hydrazone linkages (Holden et al., 2010) or collagen-modified dendrimer conjugated with doxorubicin via hydrazone linkages showing both acid- and enzyme-responsive behaviors (Kojima et al., 2013). Also, the internal triggers are combined with external ones to design multistimuli-responsive dendrimers. Thermo- and light-responsive dendrimers are produced from encapsulated gold NPs into elastin-mimetic dendrimers (Fukushima et al., 2015).

2.6 FUNCTIONALIZATION OF NANOPARTICLES TO CREATE STIMULI RESPONSIVENESS NPs can be functionalized either in bulk or by modifying their surfaces.

2.6.1 BULK MODIFICATIONS The introduction of the stimuli-responsive elements into homogeneous spherical NPs results in particular morphologies such as simple spherical, coreshell, hollow, concentric, or more complex as Janus, gibbous/inverse gibbous, and cocklebur morphologies with variable properties for each phase within one particle (Liu et al., 2017). Spherical shapes can be synthesized by emulsion or controlled reversible-deactivation radical polymerization methods. Functionalization is achieved by copolymerization with stimuli-responsive monomers into them. The photochromic moieties, such as azobenzene, spiropyrans, diaryethenes, or fulgides can be used because they offer volume and reversible color changes. For example, azobenzene moieties undergo reversible isomerization from cis- to trans-conformations in response to pH changes and/or UV/vis radiation. Their incorporation into poly(2-(N,N-dimethylamino) ethyl methacrylate-co-butylacrylate-co-N,N-(dimethylamino) azobenzene acrylamide) (P(DMAEMA/nBA/DMAAZOAm) leads to pH-responsiveness, shifting from red at pH , 4 to yellow at higher pHs. Other polymers/copolymers utilized in the synthesis of the responsive NPs are poly(dimethylaminoethyl methacrylate), PNIPAm, polyacrylic acid (PAA) for pH-responsive, PHEMA, poly(glycidyl methacrylate), poly(4-vinylpyridine), poly(methacrylic acid), PCL, polythioether ketal, β-CD, PAMAM, for dual magnetic-responsive NPs, PEGylated phospholipids (PEG phospholipids), PLGA, SP for electric field-responsive NPs. If a small drug

2.6 FUNCTIONALIZATION OF NANOPARTICLES

103

molecule is entrapped inside the interior core of the coreshell NP, upon external stimuli, its release is controlled by volume and diffusivity changes, or disassembly of the shell. Hollow NPs can be obtained from coreshell ones with different solubility and thermal properties by applying the solvation, etching, calcination, or spatially controlled polymerization (Liu et al., 2017; Men et al., 2013; Shi et al., 2016). The amphiphilic Janus NPs are from polymers with different physical and/or chemical properties by sequential “living” ring-opening metathesis polymerization emulsion polymerization, seeding polymerization, and self-assembly. Multifunctional nanomaterials with phase-separated morphologies result. The cocklebur and urchin NPs, obtained using a nanoextruder, exhibit a spiky surface morphology with very high surface area. These features enable the attachment of localized stimuliresponsive components, and the incorporation of molecular entities into spikes acting as receptors or molecular recognition sites (Lestage and Urban, 2005).

2.6.2 SURFACE MODIFICATION The responsive surfaces change their properties upon the application of an external stimulus. Moreover, the multiresponsive surfaces allow mimicking of the cooperativity encountered in systems, and are very attractive for drug delivery (Pasparakis and Vamvakaki, 2011). Surface modification is one of the fundamental approaches used to increase the time NPs remain in the circulation to ensure accumulation at the tumor. The aim is to make NPs “invisible” to the reticulo-endothelial system (RES), to avoid rapid clearance. Surface functionalization with hydrophilic polymers is one of the most used strategies, especially with PEG and their derivatives (Meng et al., 2011; Karakoti et al., 2011). PEG not only reduces RES uptake but also improves the stability of the NPs in biological fluids (Cauda et al., 2010). The basis of active targeting relies on “decorating” the periphery of the nanocarriers with targeting ligands, which are specifically selected for a given receptor overexpressed in the surface of cancer cells or vasculature and poorly expressed in healthy cells or vessels. Selected surface reactions can be applied to decorate NPs with stimuli-responsive polymers. The grafting to, grafting from, and “grafting through” (copolymerization) are the most applied approaches (Radhakrishnan et al., 2006). The “grafting-to” approach involves a chemical reaction between (end-) functionalized polymers and complementary reactive groups on the functionalized substrate surface. In the grafting-from method, the macromolecular backbone is chemically modified in order to introduce active sites capable of initiating functionality. The initiating sites can be incorporated by copolymerization, can be incorporated in a post-polymerization reaction, or can already be a part of the polymer. Different conjugation strategies have been developed to graft targeting ligands to NPs, such as carbodiimide-mediated COOH/NH2 coupling, maleimide/SH coupling, click chemistry, pyridyldithiol and thiol reactions, avidinbiotin interactions capable of attaching proteins or nucleic acids, etc. Modified NPs surfaces with stimuli-responsive polymer shells can undergo reversible processes controlled by stimuli as collapsing/swelling, assembly/disassembly of NPs, binding selectivity, which is critical for precise targeting (hydrogen bonding, van der Waals interactions, and spatial geometry of the ligands play a critical role in these processes), labile linkages cleavage (such as

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disulfides, orthoesters, boroesters, o-nitrobenzyl esters, reversible macromolecular interactions in DNA double helix interactions), etc. (Liu et al., 2017). By grafting a PNIPAmpoly(acrylamido phenylboronic acid) copolymer onto a rough silicon substrate, Xia et al. (2007) obtained a surface with wettability variations changing between superhydrophilicity and super-hydrophobicity in response to three different stimuli: pH, temperature, and glucose concentration. Such coatings are promising in diagnostics, drug delivery, or cell culture applications. A combination of organic and inorganic (metal, metal oxides, or ceramic) phases is also of great interest because it combines the unique properties of inorganic NPs with functional and stimuliresponsive polymeric shells. Bioresponsive polymer-coated drug NRs as a thin layer (10.3 6 1.4 nm) of PCL polymer coating of 500.9 6 91.3 nm length 3 122.7 6 10.1 nm width was deposited on the surface of camptothecin (CPT) (Laemthong et al., 2016). The PCL polymer coating was biodegradable at acidic pH 6. Trastuzumab, a humanized IgG monoclonal antibody, was conjugated to the NR surface for breast cancer cell targeting and it was found to decrease breast cancer cell growth by 66.9 6 5.3% in vitro. In mesoporous silica NPs, smart nanosystems with a honeycomb-like porous structure, the drug is enclosed within the mesopores and its output is blocked by using capping agents or gatekeepers that prevent any premature cargo departure. Drug release takes place once the system has been exposed to a given stimulus, which provokes the gatekeeper removal and triggers the release of the entrapped cargo. The release is triggered only upon exposure to stimuli, which induce the removal of gatekeepers and then the release of the entrapped drug molecules. As an example, in Table 2.8 are summaries of representative stimuli-responsive drug-delivery NPs, polymeric or modified with polymer systems, which have been classified into two groups depending on the stimulus that acts as a release trigger, namely internal and external stimuli (Blanco-Fernandez et al., 2014).

Table 2.8 Stimuli-Responsive Strategies for Smart Drug Delivery Using Mesoporous Silica as the Core NP Stimuli

Responsive Linker

Capping Agent

References

Octadecyl (C18) chains PNIPAm DNA strands

Paraffins PNIPAm Biotin

Coiled-coil peptide motifs

Coiled-coil peptide motifs

4(3-cyanophenyl)butylene dipolar molecule



Aznar et al. (2011) Jadhav et al. (2015) Schlossbauer et al. (2010) Martelli et al. (2013) Zhu et al. (2010)

External stimuli Temperature

Electric field

2.6 FUNCTIONALIZATION OF NANOPARTICLES

105

Table 2.8 Stimuli-Responsive Strategies for Smart Drug Delivery Using Mesoporous Silica as the Core NP Continued Stimuli

Responsive Linker

Capping Agent

References

Magnetic field

Hybridization of 2 ssDNA

γ-Fe2O3 NPs

Alkylammonium chains (NH3 1 (CH2)NH21R) PEI/PNIPAm polymer Azo bonds (N 5 N)

Cucurbituril

Ruiz-Hernández et al. (2011) Thomas et al. (2010) Baeza et al. (2012) Saint-Cricq et al. (2015) Martı´nez-Carmona et al. (2015)

Light

PEI/PNIPAm chains 1 catalase PEG

4-[4-(1-(Fmoc)methyl)-2-methoxy-5nitrophenoxy] butanoic acid photolinker DNA aptamer Azobenzene/coumarin dimer

Protein shell (avidin estreptavidin-biotin-transferrin) DNA aptamer Coumarin dimer

Azobenzene derivatives

β-CDs

Yang et al. (2012) Zhu and Fujiwara (2007) Ferris et al. (2009)

Internal stimuli pH

Redox potential

Enzymes

Small molecules

Ferrocenyl moieties PAH-PSS PEM Aromatic amines Benzoic-imine bonds SS SS

β-CD-modified CeO2 NPs PAH-PSS PEM CDs Polypseudorotaxanes ssDNA PEG

SS

Poly(propylene imine) dendrimer

β-Galactosidase-cleavable oligosaccharide MMP9-sensitive peptide sequence (RSWMGLP) Protease-sensitive peptide sequences (CGPQGIWGQGCR) α-Amylase and lipase cleavable stalks HRP-polymer nanocapsule Ionizable benzimidazole group

β-Galacto-oligosaccharide

PNIPAm-PEGDA shell

Xu et al. (2013) Feng et al. (2013) Meng et al. (2010) Gao et al. (2011a) Ma et al. (2012) Zhang et al. (2014d) Nadrah et al. (2013) Agostini et al. (2012) van Rijt et al. (2015) Singh et al. (2011)

CDs

Park et al. (2009)

 CD-modified glucose oxidase

Baeza et al. (2014) Aznar et al. (2013)

Avidin

PAH, poly(allylamine hydrochloride); PEM, polyelectrolyte multilayers; HRP, enzyme horseradish peroxidase.

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2.7 CONCLUSION In this chapter, we have summarized and discussed the use of stimuli-responsive nanotherapeutics in different biomedical fields, especially as nanocarriers for drug and gene delivery for cancer therapy or other diseases. The introduction of biocompatible stimuli-responsive polymeric materials, that can be designed to make smart drug nanocarriers, has motivated many investigations. Many recent researches have presented the importance of using stimuli response nanosystems in this area. Special attention was accorded to micelle and NG nanotherapeutics due to their unique and excellent characteristics and special behavior in response to an appropriate stimulus, which can be internal or external. Also, other types of responsive nanosystems, such as nanofibers, NPs, dendrimers, polymeric nanoliposomes, nanovehicles, etc., have been presented. The smart nanosystems, mainly multiresponsive ones allow delivery of a payload in spatial-, temporal-, and dosage-controlled ways is very efficient for specific therapies. Many different stimuli have been developed, such as pH, redox, thermo-, light-, and so on, but how to integrate these different stimuli together well to ensure a synergistic effect is still a big challenge. However, numerous multifunctionalized nanosystems with high sensitivity and specificity have been designed for diagnostic applications.

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