Yuguo Li1,2, Lye Lin Lock3, Renyuan Bai4, Xinpei Mao3, Verena Staedtke5, Peter C.M Van Zijl1,2, Honggang Cui3,6, and Guanshu Liu1,2
1The Russell H. Morgan Department of Radiology and Radiological Science, Division of MR Research, Johns Hopkins University School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Chemical and Biomolecular Engineering, Johns Hopkins University, Baltimore, MD, United States, 4Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, MD, United States, 5Department of Neurology, Johns Hopkins School of Medicine, Baltimore, MD, United States, 6Institute for NanoBioTechnology, Johns Hopkins University, Baltimore, MD, United States
Synopsis
A new
injectable and CEST MRI-detectable nanofiber hydrogel has been developed for
image-guided drug delivery of anticancer drug Pemetrexed (Pem). Such a drug
delivery system is composed of only drug (Pem) and peptide (FFEE) and the MRI
detectability stems on the inherent CEST signal of Pem. In the present study, PemFE nanofiber hydrogel was first constructed
and characterized. Then, the CEST MRI detection of the constructed hydrogel in vivo was demonstrated in an
orthotopic brain tumor mouse model. Our study clearly demonstrated the
ability of using CEST MRI to monitor drug delivery of PemFE hydrogel. Introduction
Recently a novel supramolecular strategy has been developed to directly
assemble small molecular anticancer drugs into discrete, stable, well-defined
nanostructures with a high and quantitative drug loading
1,2. In this study, we used a similar
strategy to construct a novel injectable nanofiber hydrogel that is composed of
only anticancer drug Pemetrexed (Pem) and a short peptide. Most importantly,
the inherent CEST MRI signal of Pem allowed the label-free monitoring the location
and status of injected drug-peptide hydrogel, making such a drug delivery system
inherently image-guided.
Methods
The design of PemFE is illustrated in Figure 1. In brief, Pem was chemically
conjugated to a hydrophilic peptide (FE) to generate an amphiphilic prodrug
molecule (Figure 1a) that can self-assemble into nanostructure (Figure 1b).
1,2 Two glutamic acid (EE) residues were chosen for their negative charge; two
phenylalanine (FF) residues were chosen to promote the self-assembly
3,4. A C12-hydrocarbon-conjugated FFEE peptide (C12FE) was used as control. The self-assembly of PemFE and C12FE were prepared and characterized as previously reported.
1,2 A GL261 orthotopic brain tumor model was used for in vivo demonstration. In brief, C57BL6 mice (female, 5-6 weeks,
n=4) were stereotactically injected with 2x10
4 GL261 cells. Twenty-five
days after the inoculation of tumor cells, hydrogel was injected into the
tumors using the same stereotactic settings and in vivo MRI was performed before and 2 and 96 hours after the
injection. CEST MRI acquisition and data
processed were performed as previously reported (B1= 3.6 µT and Tsat=
3 sec)
5. CEST contrast was quantified by MTRasym=(SΔω –
S+Δω)/ S0.
Results and discussion
As shown in the cryogenic
Transmission Electron Microscopy (TEM) images (Figures 2a,b), PemFE and C12FE molecules self-assemble into cylindrical-shaped nanofibers under
physiological condition, with a diameter of 9.1 ± 1.4 nm and 8.5 ± 0.9 nm
respectively. The length of these nanofibers was in the range of micrometer,
resulting in the entanglement of nanofibers at high concentration and subsequently,
the formation of hydrogel (Figure 2c). The intrinsic shear-thinning property of
self-assembling PemFE and C12FE hydrogel enables fluidic
injectable delivery under shear stress and recovers back to hydrogel state
after injection, making them suitable for intratumoral drug delivery.
The CEST MRI signals of Pem, PemFE and C12FE (10 mM per peptide or drug unit, pH 7.4, and 37
oC)
PBS solutions were examined. As shown in
Figure 2d,e,f, Pem and PemFE exhibited strong CEST effects at both 5.4 ppm and
2.0 ppm, likely attributed to aromatic amines and secondary amines.
Then we performed experiment
to investigate whether the CEST MRI signal can be used to monitor the drug
delivery of hydrogel that was intratumorally injected to treat brain tumors. Figure
3 shows the T2w anatomical images and CEST images (at 5.4 ppm) of a representative
mouse brain acquired before injection, 2 hours and 4 days after the injection. The
results clearly show a conspicuous hyper-CEST signal on the injection side
(right hemisphere) as compared to that in left hemisphere or that of pre-injection.
Compared to that at 2-hour post injection, the area of the region showing hyper-CEST
signal was noticeable larger, but the intensity of CEST signal became weaker on
the 4th day, likely due to the slow release of drug from hydrogel to
its nearby tissues. This study clearly demonstrated the ability of using CEST
MRI to monitor drug delivery of PemFE hydrogel in vivo.
Conclusion
In
summary, we successfully developed a novel CEST MRI detectable drug-peptide
nanofiber hydrogel system. With the inherent CEST MRI signal carried by Pem at
5.4 ppm, the location, distribution and drug release of the injected PemFE hydrogel could be easily monitored
by CEST MRI in a label-free manner.
Acknowledgements
This work was supported by NIH grants R21EB015609, R01EB015032 and R01EB012590 References
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