We have molecularly engineered an aptamer photosensitizer using cell specific aptamers and a photosensitizer reagent, Ce6, for highly selective phototherapy targeting tumor cells. Photodynamic therapy (PDT) cleverly exploits the ability of a photosensitizer (PS) to generate reactive oxygen species upon irradiation with an appropriate wavelength of light.[1
] Unlike typical drugs, the toxicity of a PS results from the interaction of excited photosensitizer with neighboring oxygen that produces cytotoxic reactive oxygen species (ROS).[2
] Recently, PDT based therapeutic approaches have garnered much attention; however, one of the biggest challenges in using PS is the effective localization of the PS at the diseased site. By improving the co-localization, it is feasible to increase efficiency of PDT. Also, the hydrophobic nature of most photosensitizers makes it difficult to dissolve them in typically aqueous, biological fluids. The key in addressing these issues is the generation of water soluble, tumor selective probes coupled with PS prior to treatment. To address this problem, several strategies such as immuno-conjugates, peptide or protein conjugates, as well as photo-sensitizer encapsulated nano-carriers have been used.[3
] However, these methods have drawbacks as conjugation with antibodies or proteins is tedious and the shelf life of protein conjugates in general is short. Also, cross-reactivity of the cargo can significantly lower the selectivity.
One way of generating effective molecular probes to differentiate target cells is to use aptamers, by which molecular level differences between a healthy cell and a diseased cell can be explored.[9
] This strategy will generate a panel of molecular probes capable of differentiating various types of cells and make PDT specifically targeted. Owing to their many significant advantages (including small size, easy chemical synthesis with high reproducibility, easy chemical manipulation, and low immunogenity), aptamers can be applicable in cancer therapy. Aptamers, which are designer DNA/RNA probes,[10
] are considered to be one of the most effective molecular probes in selective identification of one specific type of cancer cells. Furthermore several reports have shown that the selectivity of aptamers can be effectively used as a way to therapeutically target cancer cells.[12
] These methods mainly focus on inducing cell toxicity by internalized aptamer-toxin conjugates which needed to be co-localized in a specific cellular compartment.
Recently, we have developed an effective method to generate aptamer based molecular probes for the specific recognition and targeting of cancer cells.[9
] Using this new strategy, referred to as cell-SELEX (cell based Systematic Evolution of Ligands by EXponential enrichment), we have selected a panel of aptamers that can uniquely identify a given set of cancer cells in complex biological mixtures and even in patient samples.[15
] The selectivity of these probes originates from the aptamer selection process where positive and negative selection processes are coupled to produce the most specific aptamers for targeting tumor cells. These probes can be optimized to have better binding properties.[17
] They can also be used to identify different expression patterns of the membrane proteins in a variety of cell types. These unique recognition patterns will assist in developing effective therapeutic and diagnostic tools.
Using cell-SELEX, we have identified an aptamer TD05.[15
] Through this work, we demonstrate that highly specific aptamers can be selected for targeting one particular cell line with high affinity. Interestingly, among a significant number of selected aptamers, TD05 was unique in that it specifically recognizes target Ramos cells, a Burkitt’s lymphoma cell line ().[15
Selectivity and affinity comparison of TD05 before and after Ce6 conjugation
Compared to Ramos cells, TD05 binding with control cells such as K-562 cells, NB-4 cells, HL60 cells and CEM cell is low.[15
] We hypothesized that this excellent specificity of TD05 could be used to selectively target Ramos cells by effectively localizing a photosensitizer on the cell membrane prior to light illumination. Advantages of the conjugation of a photosensitizer with a negatively charged aptamer are two-fold: (1) Effective co-localization of the photosensitizer will increase the efficiency and specificity of PDT; (2) Coupling of negatively charged DNA increases the aqueous solubility of a photosensitizer. Thus, we have combined the high selectivity of TD05 with easy chemical manipulation of DNA to develop a highly selective aptamer photosensitizer (APS) which can effectively destroy aptamer bound cancer cells.
The chemical conjugation of TD05 with chlorin e6 (Ce6), a porphyrin based photosensitizer, was achieved using an amine modified TD05 (Supplementary Figure 1). The confirmation of conjugation of TD05 with Ce6 was done by observing the absorbance at 260 nm for DNA, and 404 nm for Ce6 (Supplementary Figure 2). The effect of conjugation of TD05 aptamer with Ce6 on generation of reactive oxygen species (ROS) was evaluated according to the manufacture’s protocol using a commercially available singlet oxygen sensor green reagent. Compared with free ce6, TD05-ce6 conjugate did not show any loss in the generation of ROS (Supp. Figure 3).
Next, we evaluated whether this conjugation had affected the selective binding of TD05 aptamer with target Ramos cells. We performed an in vitro binding study using flow cytometry (FACS) with FITC labeled TD05 and Ce6 labeled TD05 (). By observing the fluorescence shift resulting from competition between the original TD05-FITC probes in the presence of TD05-Ce6 conjugate, it was found that the binding of TD05-FITC does shift about 50% lower in fluorescence, suggesting that the TD05-Ce6 still recognize Ramos cells with selectivity similar to that of FITC-TD05. In addition, binding of TD05-Ce6 conjugates were analyzed with control cells using FACS counting 10,000 events at 404 nm excitation (supp. Figure 4). The observed binding pattern of TD05-ce6 was similar to that of TD05-FITC confirming that the specificity of TD05 retained. After confirming the binding affinity of TD05-Ce6 conjugate, we next evaluated whether TD05-Ce6 can selectively target Ramos cells upon illumination of light. We used CEM, a T-cell acute lymphoblastic cell line and three myeloid leukemia cell lines K562, HL-60, NB-4 as the control. The cells were incubated with 250 nM of TD05-Ce6 conjugate in the dark for 30 min. The Kd
for TD05 was evaluated to be 75 nM;[15
] we thus used a TD05-Ce6 in excess of its Kd to ensure that the cells are properly stained with TD05-Ce6 conjugate. Then the unbound and non-specifically attached probes were washed away prior to illumination of light. Due to the long absorbance range of Ce6, we illuminated the samples using a white fluorescent light (fluence rate=2.88 J cm2
) for 4 h. Cell viability was determined 36 h after illumination by measuring propidium iodide incorporation using flow cytometry (FACS, 10,000 cell events) to gauge the cytotoxicity of the treatments. Separate control experiments were carried out using unmodified TD05 and free Ce6. The free aptamer without Ce6, free Ce6 without aptamer and cells exposed to light did not show any significant toxicity.
Based on the initial selectivity studies with TD05 probe with control cell lines (), we expected to observe similar toxicity patterns with the TD05-Ce6 conjugate. We observed TD05-Ce6 toxicity had induced cell death in Ramos cells (71.3% ± 6.9) which strongly correlated with our initial binding patterns. The toxicity observed in control CEM cells (35.8% ± 7.4), K562 (30% ± 3. 37), NB4 (36.4±7.09) and HL60 (<1%) cell lines are over 50% less than the targeted cell lines. This suggests that the specific interaction of TD05-Ce6 on the cell membrane could induce selective cell death by phototoxicity. The calculated P value for the TD05-Ce6 induced cell toxicity is 0.02 suggesting the statistical significance of the TD05-ce6 induced cell death. The slight toxicity of aptamer PS conjugate toward the CEM, K-562, and NB-4 could be due to non-specific interactions with the cell membrane. While un-conjugated Ce6 is insoluble in aqueous media and is washed away; the conjugation of the DNA aptamer with Ce6 dramatically increases its aqueous solubility, resulting in an increased interaction of the hydrophobic portion of Ce6 with cell membrane.
We next investigated whether the demonstrated toxicity induced from APS conjugate by interaction of aptamer-with its target protein or due to toxicity induced by light. The un-irradiated samples did not show any significant toxicity towards targeting Ramos cells, suggesting that the APS conjugate is not toxic in the absence of light (Supplementary Figure 5). Also, we further confirmed specific toxicity using a random DNA sequence attached to the PS followed by treatment of respective cell lines (Supplementary Figure 6). Random DNA labeled with Ce6 did not show any toxicity towards Ramos cells; however, 26% ± 2.15% decrease in cell viability was observed for CEM cells. This could be due to non-specific interaction of DNA attached to Ce6 with the CEM cell membrane. Taken all these together, our observed results suggest that TD05-Ce6 conjugates could selectively induce cell death towards targeting Ramos cells. Also, the incubation of the aptamers at 4°C and washing away the free probe prevent endocytosis of the aptamer or free drug conjugates. The observed poor therapeutic efficacy can be addressed by conjugating multiple ce6 molecules using a multiple amino linker linked to the DNA aptamer. Despite the poor therapeutic efficacy, this study has demonstrated the feasibility of this approach in targeted cell treatment in a therapeutical setting. Photo-active therapeutic approaches have great potential for cancer therapy. However, due to limited therapeutic windows, the long-term administration of photo-active drugs is usually not possible. For this reason, conjugation of a photosenstizer with a targeting molecular probe that can be localized at the tumor site will enhance the therapeutic effectiveness. Here, we have exploited the specific recognition capability of DNA aptamers evolved from live cells to effectively target one type of cancer cells. Since the photosensitizer is covalently attached, it also can provide stability in the cellular environment. The observed selectivity of evolved aptamers can be further utilized to selectively kill target cells.
In conclusion, we have shown that aptamers selected using cell-SELEX strategy can selectively target one specific cell line. The binding affinity and selectivity of the aptamer after conjugation with a PS did not alter significantly. This suggests that the versatility of the aptamer TD05 for detection and selective targeting. Pronounced toxicity of TD05-Ce6 conjugate with target cells strongly correlates with observed initial binding patterns of TD05. Thus, by harnessing the advantages of cell-SELEX in generating multiple effective aptamers for diseased cell recognition, we will be able to develop highly efficient photosensitizer based therapeutic reagents for clinical applications. In the next phase of our studies, we will be using a few liver and/or lung cancer specific APS conjugates to target solid tumors.