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Intra-articular delivery of therapeutics to modulate osteoarthritis (OA) is challenging. Delivery of interleukin-1 receptor antagonist (IL-1Ra), the natural protein inhibitor of IL-1, to modulate IL-1-based inflammation through gene therapy or bolus protein injections has emerged as a promising therapy for OA. However, these approaches suffer from rapid clearance and reduced potency over time. Nano/microparticles represent a promising strategy for overcoming the shortcomings of intra-articular drug delivery. However, these delivery vehicles are limited for delivery of protein therapeutics due to their hydrophobic character, low drug loading efficiency, and harsh chemical conditions during particle processing. We designed a new block copolymer that assembles into submicron-scale particles and provides for covalently tethering proteins to the particle surface for controlled intra-articular protein delivery. This block copolymer self-assembles into 300 nm-diameter particles with a protein-tethering moiety for surface covalent conjugation of IL-1Ra protein. This copolymer particle system efficiently bound IL-1Ra and maintained protein bioactivity in vitro. Furthermore, particle-tethered IL-1Ra bound specifically to target synoviocyte cells via surface IL-1 receptors. Importantly, IL-1Ra-nanoparticles inhibited IL-1-mediated signaling to equivalent levels as soluble IL-1Ra. Finally, the ability of nanoparticles to retain IL-1Ra in the rat stifle joint was evaluated by in vivo imaging over 14 days. IL-1Ra-tethered nanoparticles significantly increased the retention time of IL-1Ra in the rat stifle joint over 14 days with enhanced IL-1Ra half-life (3.01 days) compared to that of soluble IL-1Ra (0.96 days) and without inducing degenerative changes in cartilage structure or composition.
Osteoarthritis (OA) is a highly prevalent and debilitating condition with staggering socioeconomic costs. Arthritis and related conditions are estimated to cost the U.S. economy $128 billion per year in medical care and indirect expenses . OA is the most common form of arthritis, affecting nearly 27 million Americans . Epidemiological studies indicate that some evidence of OA can be found in 60% of the population over age 35, with radiographic evidence of cartilage thinning in more than 50% of adults over age 65 .
OA is characterized by progressive degradation of articular cartilage, typically in load-bearing areas of one or more joints. Current pharmacological treatments for OA mostly focus on pain relief . OA symptoms can be alleviated by oral analgesics, systemic non-steroidal anti-inflammatory drugs, and intra-articular injection of glucocorticosteroids [3–6]. Inflammatory mediators such as cytokines interleukin-1 (IL-1), IL-6, IL-8, IL-13, reactive oxygen species (ROS), and proteases including multiple matrix metalloproteinases and ADAMTS enzymes play central roles in the progression of OA [7–10]. Consequently, anti-inflammatory drugs are being explored for treating arthritis through intra-articular injections. For instance, IL-1Ra has been delivered using gene therapy approaches or bolus protein injections [11–17]. However, these anti-inflammatory therapies have not been effective and are limited by currently available drug delivery materials. In particular, a major challenge is rapid clearance of the injected agent from the joint, which significantly decreases the therapeutic effect and reduces the benefits of local administration.
Effective delivery of therapeutic proteins is a major goal of current biomaterial-based strategies. Current delivery strategies can efficiently encapsulate hydrophobic drugs without losing their effectiveness or bioactivity [18–20]. However, these systems have critical disadvantages for protein delivery. The hydrophobicity of many drug-delivering polymers (e.g., PLGA) severely reduces or destroys the bioactivity of encapsulated proteins [21–23]. Liposomes provide a hydrophilic encapsulation environment, but are limited by their instability in vivo [24, 25]. Other strategies for extending a protein’s half-life include PEGylating native proteins for systemic injection [26–28], creating drug depots [29, 30], and encapsulating proteins in polymer particles for local protein delivery [31–33]. Although these technologies have increased protein half-life, their overall efficacy is limited by the associated loss of protein bioactivity and low protein loading capacity.
The goal of this study was to (1) develop a new block copolymer that assembles into nanoparticles that efficiently tether IL-1Ra protein onto their surface, (2) characterize this system for biological activity and target specificity, and (3) evaluate intra-articular retention of therapeutic protein in the rat stifle joint space.
All reagents were obtained from Sigma-Aldrich (St. Louis, MO, USA) and used as is, unless otherwise specified.
N,N′-dicyclohexylcarbodiimide (DCC) (619.0 mg, 3.0 mmol) was dissolved in 5 mL dichloromethane (DCM) and added drop-wise to a stirred solution of (benzothioylsulfanyl)acetic acid (500 mg, 2.36 mmol), hexaethylene glycol (1.41 g, 5.0 mmol), and a catalytic amount of 4-dimethylaminopyridine (DMAP) in 50 mL DCM at 0°C. After adding DCC, the solution was allowed to reach room temperature. After 2 additional hours of stirring, the solutions were filtered, and the organic solution was concentrated via rotary evaporation, resuspended in ethyl acetate, and finally evaporated onto silica gel. The desired product was isolated by flash silica gel chromatography on silica gel, using a mixture of ethyl acetate and hexanes (6:4).
A solution of 4-nitrophenyl chloroformate (201 mg, 1.0 mmol) in 1 mL of DCM was added drop-wise to a stirred solution of intermediate-1 (476 mg) and pyridine (95 mg, 1.5 mmol) maintained at 0°C. After 1 hour of stirring, the solutions were filtered, and the organic solution was concentrated via rotary evaporation, resuspended in ethyl acetate, and finally evaporated onto silica gel. The desired product was isolated via flash silica gel chromatography on silica gel using a mixture of ethyl acetate and hexanes (4:6).
Tetraethylene glycol (5.0 g, 25.7 mmol) (#110175, Aldrich), and pyridine (2.0 g, 25.3 mmol) (#PX20202-5, EMD, Gibbstown, NJ, USA) were added to anhydrous dichloromethane (DCM) (100 ml) in a 250 ml flask and stirred for 30 min at 0°C. Methacryloyl chloride (2.6 g, 25 mmol) (#64120, Sigma-Aldrich) was added drop-wise to the stirred solution. The reaction was allowed to stir at 0°C for 2 h, and then at room temperature for an additional 2 h. The product was then concentrated via rotary evaporation, resuspended in ethyl acetate, and evaporated onto silica gel. The monomethacrylate product was separated from the di-methacrylate byproduct and any remaining starting materials via flash silica gel chromatography on silica gel, using a mixture of ethyl acetate and hexanes (7:3).
The block copolymer was synthesized by RAFT polymerization, in which the nitrophenyl-functionalized μ-RAFT initiator was used to initiate the polymerization of the hydrophilic monomer TEGM and then the hydrophobic monomer cyclohexyl methacrylate. The polymers were characterized using GPC and NMR (Fig. 1).
TEGM (0.9 g, 3.43 mmol), μ-RAFT agent (22.0 mg, 0.034 mmol), and AIBN (0.5 mg, 0.003 mmol) were combined in DMF (1.5 ml). The reaction flask was degassed by five freeze-pump-thaw cycles, and was then immersed in an oil bath and stirred at 65°C. After 20 h, the reaction was terminated by flash freezing in liquid nitrogen. The reaction product was added to DCM (5 mL) and then was precipitated from methanol (25 mL). The supernatant was decanted and the precipitated polymer was subjected to three more rounds of resuspension (DCM) and precipitation (MeOH) before being concentrated under reduced pressure. The purified polymer was analyzed for weight by gel permeation chromatography (THF) and the structure and purity of the resulting polymer were verified by 1H-NMR.
Polymerized TEGM (0.5 g, 1.90 mmol), cyclohexyl methacrylate (213.65 mg, 1.27 mmol) (Tokyo Chemical Industry Co, Ltd., Tokyo, Japan) and AIBN (0.25 mg, 0.0015 mmol) were combined in DMF (1.5 mL). The reaction flask was degassed by five freeze-pump-thaw cycles and was then immersed in an oil bath and stirred at 65°C. After 20 h, the reaction was terminated by flash freezing in liquid nitrogen. The reaction product was added to DCM (5 mL) and was precipitated using methanol (25 mL). The supernatant was decanted and the precipitated polymer was subjected to three more rounds of resuspension (DCM) and precipitation (MeOH) before being concentrated under reduced pressure. The purified polymer was analyzed for molecular weight by gel permeation chromatography (THF) and the structure and purity were verified by 1H-NMR.
Samples of the modified components (μ-RAFT, TEGM) and the 2 steps in the copolymer synthesis were dried under vacuum to remove excess solvent. The samples were resuspended in CDCl3 for NMR analysis. All analyses were run on a 400 MHz low-field NMR (Oxford Instruments, Oxfordshire, England).
Copolymer was dissolved in THF at a concentration of 40 mg/mL. The copolymer requires at least 48 hours to fully resolubilize after resuspending it in solvent. To make particles, 50 mL of 0.01 M phosphate-buffered saline (PBS) was added to a 150 mL beaker and was set on a stir plate at 400 rpm. The polymer (20 mg) was dissolved in 2.5 mL THF/DMF (9:1) and was added to the aqueous phase at 20 mL/h using a syringe pump (10 mL syringe, 18 gauge needle). Once the polymer was added, the solution was transferred to a 250 mL round-bottom flask and the solvent was evaporated under reduced pressure for 30 min to remove THF. The particle solution was concentrated by centrifugation using 100 kDa centrifugal filters Amicon Ultra-4 Centrifugal Filters with Ultracel-100 kDa membranes ( Millipore, Billerica, MA USA) for 3 min at 2,750 rpm, and was then sonicated for 30 sec to resuspend any clumped particles.
IL-1Ra or bovine serum albumin (BSA) protein was added to the particle solution and the pH was raised to 8.0 using 0.01 M NaOH. The particle/protein solution was allowed to react overnight at 4°C. Ten mg/mL glycine in PBS was added to quench any remaining reactive groups and was allowed to react for 30 min at 4°C. The particle solutions were transferred to 10 kDa dialysis cassettes and were dialyzed overnight against PBS with at least 3 buffer changes. The particles were transferred to sterile microcentrifuge tubes and stored at 4°C until further use.
Particle size was analyzed by dynamic light scattering using a 90 Plus Particle Size Analyzer (Brookhaven Instruments Corporation, Holtsville, NY).
IL-1Ra or bovine serum albumin was labeled prior to coupling to particles using commercial labeling fluorescent reagents according the manufacturer’s instructions. Proteins were labeled with Alexa Fluor 488 to visualize the particles during in vitro experiments. Protein (IL-1Ra or bovine serum albumin) was reacted with Alexa Fluor 488 maleimide (Invitrogen, Carlsbad, CA) according to the manufacturer’s instructions. There are 3 free solvent-accessible cysteines on IL-1Ra that can be fluorescently tagged . The resulting fluorescently tagged proteins are denoted AF-488-IL-1Ra and AF-488-BSA. For the confocal study, AF-594 was used to fluorescently label IL-1Ra (AF-594-IL-1Ra). Labeled proteins were stored in PBS at 4°C until use.
For in vivo imaging experiments, IL-1Ra was labeled with near IR-dye. IL-1Ra was reacted with Alexa Fluor 750 maleimide (Invitrogen, Carlsbad, CA, USA) or DyLight 650 maleimide (#62295, Pierce, Rockford, IL, USA). By fluorescently labeling the cysteines on IL-1Ra, we avoided using the more prevalent amines, thereby allowing the protein to be fluorescently labeled before tethering it to particles, as well as reducing the chance of altering the protein’s bioactivity . AF-650-labeled IL-1Ra-tethered particles were used to evaluate particle targeting and localization within the intra-articular joint space.
RAW 264.7 macrophage cells (TIB-71, ATCC, Manassas, VA) were cultured in Dulbecco’s Minimum Essential Media (DMEM) supplemented with 10% fetal bovine serum (FBS) at 37°C, 5% CO2. RAW macrophages were seeded on a tissue culture treated plastic surface and allowed to adhere for 4 h. Supernatant was removed and replaced with serum-free DMEM overnight to quiesce the cells. The next morning, 0.5 mL of phenol-red-free DMEM + particles was added at particle concentrations of 0.1, 1, and 10 mg/mL. The cells were incubated with the particles in serum-free media for 6 h before analysis using the MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. The MTT assay measures the oxidation of MTT dye by cellular reductase enzymes. It measures cellular metabolic activity and is used as an indirect measure of cell viability and proliferation. MTT substrate (50 μL) was added to each well and was incubated for 2 h at 37°C. HCl (0.5 mL, 0.1 M) was added to each well to develop the substrate. Each well content was pipetted to mix and then transferred to a 96-well plate for colorimetric detection using a plate reader at 570 nm (HTS 7000 Plus, Perkin Elmer, Waltham, MA, USA).
The HIG-82 synoviocyte cell line (CRL-1832, ATCC, Manassas, VA, USA) was originally derived from a female rabbit whose synoviocytes were harvested and immortalized [35, 36]. Cells were cultured in Ham’s F-12 supplemented with 10% heat-denatured FBS at 37°C 5% CO2. Cells were removed from culture using 0.25% trypsin+0.5 mM EDTA. Cells were counted and plated at 2.1×104 cells/cm2. After 6 h of incubation, the medium was replaced with serum-free medium and the cells cultured overnight. The next day, approximately 3,000 particles (equivalent to 0.1 μg IL-1Ra/mL) IL-1Ra- or BSA-functionalized particles were added to the cells and incubated for 2 h at 37° and 5% CO2. Some samples were incubated with 50 μg/mL IL-1β for 2 h to block the available IL-1 receptors prior to adding the particles. Cells were analyzed for particle binding by confocal microscopy and flow cytometry.
For confocal microscopy analysis, HIG-82 cells were plated overnight on glass covers with 8-well divisions Lab-Tek™ Chambered Coverglass, Thermo Scientific, Rochester, NY, USA). The next morning, 30 μL of either AF-594-IL-1Ra-tethered particles or AF-488-BSA-tethered particles (~30,000 particles each) were added to serum-free Ham’s F12 media for a total volume of 3.2 mL. Each well received 200 μL of media ± particles and was incubated for 2 h at 37°C/5% CO2. After rinsing with PBS three times to remove unbound particles, cell nuclei were stained with Hoechst for 15 min and samples were imaged using a Nikon TE300 microscope equipped with a C1-Plus LU-4A AOTF Confocal System (particles: IL-1Ra: AF594/red; BSA: AF488/green; cell nuclei: Hoechst/blue).
For flow cytometry analysis, HIG-82 cells were plated on 12-well plates and serum starved overnight. The next morning, particles (IL-1Ra or BSA) in fresh serum-free Ham’s F12 medium were added to each well for 2 h. After washing three times with PBS, the cells were detached from the culture plates using trypsin-EDTA and were resuspended in serum-containing media. The cell suspensions were analyzed on an Accuri C6 Flow Cytometer (BD Accuri Cytometers, Ann Arbor, MI, USA).
NIH 3T3 cells stably transfected with an NF-κB-luciferase reporter construct were a gift from Dr. van de Loo (Radboud University, Nijmegen, Netherlands), and produced luciferase under control of an NF-κB-responsive promoter. NIH 3T3 NF-κB-luc cells were plated in 96-well plates at a density of 1×105 cells/mL (100 μL/well) in DMEM with 10% FBS. Cells were allowed to adhere for 6 h before replacing the media with serum-free DMEM+1 mM sodium pyruvate and incubation overnight. Thereafter, IL-1Ra-tethered particles, BSA-tethered particles, or soluble IL-1Ra was added to each well (1 μg/mL IL-1Ra or equivalent amount of polymer for protein-tethered particles) and was incubated for 1 h. Then, 10 pg IL-1β was added to each well to stimulate NF-κB activation (final concentration of 0.1 ng/mL IL-1 β). Cells were incubated with IL-1β for 6 h before washing 3 times with PBS. Cells were then lysed with 20 μL of Passive Lysis Buffer (Promega, Madison, WI) for 20 min on a gentle vortexer. Lysate (20 μL) was added to 100 μL of luciferase substrate in an opaque white 96-well plate. Luminescence was read using a plate reader (HTS 7000 Plus, Perkin Elmer, Waltham, MA).
Male Lewis rats (10–12 week old) received 50 μL of either particles or soluble IL-1Ra protein (5 μg IL-1Ra) via intra-articular injection to the right stifle joint space, while the left stifle received the equivalent volume of saline and served as a contralateral control. Rats were deeply anesthetized with isofluorane. The hair was removed from the hind limb surgical sites and the skin was cleaned with alcohol. Rats were positioned on their back, and the leg was flexed to 90° at the stifle joint. Particles were injected into the intra-articular space by palpating the patellar ligament below the patella and injecting the particle solution through the infrapatellar ligament using a sterile 27-gage 0.5″ needle. Rats were fully ambulatory following recovery and all injections were well tolerated. At the end point of the study, rats were euthanized using CO2 asphyxiation. All procedures were approved by Georgia Tech’s Institutional Animal Care and Use Committee.
Rats were anesthetized using isofluorane. Animals receiving IR-750- IL-1Ra-tethered particles or soluble IR 750-labelled IL-1Ra were scanned in an IVIS imaging system (700 Series, Caliper Xenogen IVIS Lumina, Caliper Life Sciences, Hopkinton, MA, USA). The excitation and emission detectors were set at 745 nm and 780 nm, respectively. Both hind limbs were scanned to control for background tissue fluorescence. The total photons within a fixed region centered on the stifle were measured and were analyzed with non-linear regression models. The data from each animal were normalized to their individual day 0 values. The normalized data were fitted using a one-phase exponential decay with the characteristic equation of:
where F is the fluorescence photon counts, Fo is the intersection of the best-fit line with the Y-axis, NS is the non-specific binding value (i.e., the asymptotic y-value), t is time, and K is inversely proportional to the half-life. Data was analyzed using GraphPad Prism 5.0 (GraphPad Software, La Jolla, CA, USA).
To determine retention of IL-1Ra-nanoparticles in knee joints, animals were injected with Dylight-IR-650- IL-1Ra-tethered particles or soluble Dylight-IR-650-IL-1Ra protein. After 3 days, animals were sacrificed and stifle joints were harvested, fixed in 10% neutral buffered formalin for 48 hr and decalcified using Cal-Ex II for 14 days. Samples were cut down the longitudinal axis, creating two cylindrical halves, and each half was sectioned using a cryosectioner (10 μm thick sections). Sections were counterstained with DAPI and imaged using confocal microscopy.
μCT has been established as an effective, non-destructive technique for imaging cartilage [38–40]. EPIC-μCT employs interactions between a charged contrast agent and the sulfated glycosaminoglycans (sGAGs) in the cartilage to render the tissue radiopaque and allow quantification of cartilage morphology and sGAG distrubition. Negatively charged agents are excluded from healthy cartilage tissue due to the presence of negatively charged sGAG, and degenerative cartilage exhibits increased contrast agent concentration due to reduced sGAG concentration. Rat stifle joints were evaluated by μCT for cartilage integrity and thickness. Briefly, each explanted rat joint was immersed in 2 mL of 30% Hexabrix 320 (Mallinckrodt, Hazelwood, MO, USA) in PBS at 37°C for 30 min. The stifle joint was patted dry on a paper towel to remove excess Hexabrix and then was placed in a 16 mm diameter CT tube and was inserted into the CT machine (μCT 40, Scanco Medical, Bassersdorf, Switzerland). The attenuation was thresholded to isolate the cartilage layer, and trabecular thickness and volume algorithms were used to quantify the morphology of the thresholded cartilage. The following settings were used: 45 kVp, 176 μA, 200 ms integration time, a 1024×1024 pixel matrix, and a 16 μm voxel size. Each joint scan was first re-formatted to vertical slices, contoured by hand and then evaluated for cartilage thickness and attenuation. Reconstructions were done using sigma = 1, support = 1, lower = 75, upper = 220, and unit = 6.
Rat distal femora were fixed in 10% neutral buffered formalin for 48 hr and decalcified using Cal-Ex II for 14 days. Femora were cut down the longitudinal axis, creating two cylindrical halves. All samples were processed and embedded in glycol methacrylate (GMA) following the manufacturer’s protocol (Polysciences, Warrington, PA, USA). After GMA embedding, 2 μm-thick sections through the entire explant thickness were removed using a tungsten-carbide blade on a rotary microtome. Sections were stained with hematoxylin and eosin or with an aqueous solution of 0.l% safranin-O with 0.2% Fast Green as a counterstain to detect sGAGs.
Non-linear regression analysis was performed using GraphPad Prism. Analysis of variance (ANOVA) statistical analyses were performed using SYSTAT 11 software with Tukey’s test for pairwise comparisons. A p-value of 0.05 was considered significant.
We sought to engineer an amphiphilic block copolymer with a stable protein tethering moiety that assembles into submicron-scale particles and allows for protein tethering to the particle surface.
Figure 1A shows a schematic for the proposed block copolymer. We used a modified RAFT compound, referred herein as the μ-RAFT agent, as the foundation for our block copolymer. RAFT agents have been used to form a large library of low-polydispersity living polymers, including block copolymers . We modified a commercial μ-RAFT agent with a paranitrophenol (pNP) group to allow the polymer’s subsequent functionalization with peptides (Figure 1A). The modification of the μ-RAFT agent was confirmed by 1H-NMR, 13C-NMR, and FTIR. The μ-RAFT agent was used to polymerize the tetraethylene glycol methacrylate (TEGM) monomer to create the hydrophilic block A polymer (Figure 1B). Polymerization was reinitiated in the presence of the hydrophobic monomer cyclohexyl methacrylate to add the hydrophobic block B to the existing block A polymer in order to create an amphiphilic block copolymer. We confirmed this polymerization by 1H-NMR for block A (Figure 1C) and block A+B (Figure 1D). The molecular weight of block A was 2,700 Da and block B was 13,000 Da, for a total MW of 15,700 Da estimated by gel permeation chromatography.
The polymer spontaneously assembled into particles with an average diameter of 270 ± 5 nm when dropped into stirred PBS, as indicated by scanning electron microscopy (Figure 2A) and dynamic light scattering (Figure 2B). Furthermore, the nanoparticles retained their size upon overnight incubation with protein at slightly basic conditions (pH > 7.4) (Figure 2B).
RAW macrophages were incubated with polymer particles (no tethered protein) at a range of concentrations (0, 0.1, 1.0, 10 mg/mL) to determine the cytotoxicity of these particles. The metabolic activity of the cells was assayed by the MTT assay and used as a measure of cytotoxicity. The cells maintained their metabolic activity at doses up to 1 mg/mL. However, metabolic activity was significantly reduced at the 10 mg/mL dose compared to untreated cultures (Figure 2C), suggesting cytotoxicity at these high concentration.
We next evaluated protein tethering onto the particle surface. The polymer design incorporates a 4-nitrophenol group (pNP), which is displaced by primary amines to form a peptide bond at slightly basic pH. To demonstrate that protein is tethered to the nanoparticles, we made particles as described above, raised the pH using sterile NaOH and added 1 mg of IL-1Ra. The nanoparticles were lyophilized and analyzed for protein attachment by dot blot. Figure 3A shows that the nanoparticles presented strong IL-1Ra antibody staining, demonstrating that IL-1Ra was successfully tethered to the particles. Dot blot analysis with an antibody against IL-1Ra showed high tethering efficiency with 250 ng IL-1Ra/100 μg particles, corresponding to 6–8 IL-1Ra molecules/nanoparticle.
The bioactivity and target specificity of IL-1Ra-tethered nanoparticles were evaluated by assessing the ability of IL-1Ra-tethered particles to bind to HIG-82 synoviocytes. Synoviocytes were incubated with IL-1Ra- or BSA-tethered nanoparticles and analyzed by flow cytometry. Synoviocytes incubated with IL-1Ra-tethered particles exhibited higher fluorescence intensity compared to untreated cells or cells incubated with control BSA-tethered particles (Figure 3B), demonstrating binding of IL-1Ra-particles to cells. Furthermore, cells that were incubated with high levels of IL-1β to saturate IL-1 receptors prior to particle exposure showed reduced binding of IL-1Ra-tethered particles compared to control levels, indicating that IL1-Ra binds to IL-1 receptors. We also verified particle binding to cells of interest by confocal microscopy. Synoviocytes were incubated with IL-1Ra-particles or BSA-particles and imaged by confocal microscopy. The samples incubated with IL-1Ra-particles had a significantly higher co-localization of particles (green) and cell nuclei (blue) than the BSA-particles samples (Figure 3C).
To test whether IL-1Ra-tethered particles could inhibit IL-1β-mediated signaling, we used an IL-1-responsive cell line stably expressing a luciferase construct driven by an NF-κB-responsive promoter. Binding of IL-1β to cellular receptors activates NF-κB as part of its signaling pathway . We measured the effectiveness of IL-1Ra-tethered particles towards blocking IL-1β-induced activation of NF-κB by pre-incubating these cells for 1 hr with soluble IL-1Ra, IL-1Ra-tethered particles, or BSA-tethered particles. When stimulated with IL-1β, only IL-1Ra-particles and soluble IL-1Ra (positive control) effectively inhibited NF-κB activation to baseline levels (Figure 4). BSA-particles showed no inhibitory effects on NF-κB activity. Remarkably, the IL-1Ra-particles inhibited NF-κB activation to the same levels as an equal amount of soluble IL-1Ra, indicating that the tethered protein retains high bioactivity.
We have previously demonstrated the use of near-IR dyes to track and quantify protein retention or release in vivo [43, 44]. These dyes allow for the non-invasive, repeated imaging of animals without the expense and hazards of radiolabelling. We labeled IL-1Ra with a near-IR dye to track in vivo retention for IL-1Ra-tethered particles and soluble protein. Rats received either 5 μg of soluble IL-1Ra or the equivalent amount of IL-1Ra-particles in the stifle joint via intra-articular injection. Rats that received IL-1Ra-particles showed significant fluorescent signal for up to 14 days, while those receiving soluble protein exhibited rapid loss of fluorescent signal (Figure 5A). Rats treated with IL-1Ra-particles retained 20% signal even at day 10, whereas the soluble IL-1Ra had less than 20% retention at day 3. The IL-1Ra-particles exhibited a significantly longer half-life in the joint compared to the soluble protein (3.01 ± 0.09 days for IL-1Ra-Particles vs. 0.96 ± 0.08 days for soluble IL-1Ra, p<0.0001) (Figure 5B). We further confirmed retention and distribution of IL-1Ra-tethered nanoparticles in stifle joints using confocal microscopy. Injected Dylight-IR650-tagged IL-1Ra nanoparticles were retained in the joint tissues at large numbers compared to those animals that received soluble Dylight-IR650-tagged IL-1Ra protein (Figure 6). Nanoparticles were thoroughly distributed throughout intra-articular space and cartilage, while soluble protein was rapidly lost from the knee joints. These results demonstrate that delivery of IL-1Ra via tethering onto nanoparticles significantly enhances in vivo protein retention and distribution compared to the soluble protein.
We have developed a technique to quantify microstructural changes in the articular cartilage using contrast enhanced μCT known as equilibrium partitioning of an ionic contrast agent via μCT (EPIC-μCT) . Monosodium iodoacetate (MIA) induces an arthritic phenotype and was used as a positive control for cartilage degeneration. Rats treated with 1 μg MIA demonstrated significant degeneration of articular cartilage in the medial and lateral plateau, compared to control stifle joints (Figure 7). On the other hand, rat joints treated with IL-1Ra nanoparticles or the soluble protein did not exhibit detectable changes in cartilage microstructure (Figure 7).
The stifle joints were also stained histologically to evaluate the effects of the particles on cartilage morphology. No gross differences were observed between joints receiving IL-1Ra-tethered particles and controls (Figure 8). Histological staining showed dense, uniform distribution of sulfated glycosaminoglycans. Collectively, these results indicate that the IL-1Ra-tethered particles have no gross negative effects on cartilage.
Intra-articular drug delivery is the most direct route for administering drugs and proteins for arthritis and other joint disorders and conditions. Localized delivery can avoid problems such as systemic toxicity, biological degradation, and biodistribution issues, and can also reduce the total amount of drug used in each treatment. The synovial membrane surrounding the intra-articular joint space creates a compartment that can retain biomolecules larger than 100 kDa . However, most small molecule drugs and proteins are under this cut-off value and are thus cleared quickly from the joint space.
We synthesized an amphiphilic block copolymer that forms self-assembled nanoparticles and allows protein to be tethered to its surface post-nanoparticle formation. Compared to solid polymeric particles, such as PLGA, our nanoparticles provide a hydrophilic environment for presenting an anti-inflammatory protein, IL-1Ra. This hydrophilic environment is expected to maintain protein structure and bioactivity compared to hydrophobic surfaces. Additionally, most current polymer particles do not incorporate a protein tethering moiety on the surface and would require re-engineering the material to add surface-bound targeting ligands . Furthermore, reaction of pNP tethering moiety can be confirmed by release of this group. The pNP tethering moiety is stable at neutral to slightly acidic pH and has a relatively slow decay rate (around 2 hr) compared to unstable intermediates of other protein tethering chemistries such as those formed in conventional EDC/NHS reactions. The stability of the pNP moiety allows for a longer reaction time and can increase the efficiency of reaction. These particles are non-cytotoxic up to a concentration of 1 mg/mL in cell culture, which is equivalent to the cytotoxicity of other particles [46, 47]. Although the present study focused on 300 nm diameter particles, we expect that this polymer system can be easily modified to create larger or smaller particles by altering the molecular weight of the block segments. Furthermore, this technology has the potential to incorporate a hydrophobic small molecule drug in the particle core to create a dual therapeutic strategy. The modularity of this copolymer has broad potential to create targeted therapeutic delivery vehicles for a wide range of applications.
The IL-1Ra-tethered polymeric nanoparticles not only retained IL-1Ra bioactivity and its ability to target synoviocytes, but also modulated NF-κB activation after IL-1β stimulation, clearly indicating that IL-1Ra maintains its ability to block the IL-1 signaling pathway. We hypothesize that exploiting IL-1-mediated particle binding to synoviocytes could improve the effectiveness of drug delivery particles for OA by localizing them to inflammatory mediator cells via surface-tethered IL-1Ra. Targeting methods have the potential to increase a particle’s residence in the joint. The present work adds to promising targeting strategies, such as phage-panned peptide-targeted nanoparticles , hyaluronic acid-coated PLGA particles , and chondroitin sulfate-coated gelatin particles .
Our results show improved performance to a previously described elastin-like polypeptide-IL-1Ra conjugate “depots” (ELP-IL-1Ra) [30, 50]. Although the retention rate of the IL-1Ra-conjugated ELP in vivo was similar to that observed for IL-1Ra-tethered particles in the present study, the ELP-IL-1Ra showed a 90% reduction in in vitro bioactivity whereas the IL-1Ra tethered to our nanoparticles retained high bioactivity. By presenting IL-1Ra on the particle surface, we provide cells with easy access to the protein and increase the potency of our particle system. Although effective protein delivery from particles is still a challenge, this work adds to promising strategies, such as the phage-panned peptide-targeted nanoparticles , hyaluronic acid-coated PLGA particles , and chondroitin sulfate-coated gelatin particles .
We demonstrated improved IL-1Ra retention rate by delivering this protein via a nanoparticle compared to direct injection of the soluble protein. Additionally, we showed no deleterious effects in cartilage morphology and structure. These results suggest that these particles may a robust vehicle for intra-articular delivery of therapeutic particles to the joint. Future studies will focus on IL-1Ra delivery to the OA joint and evaluation of therapeutic effectiveness in mitigating cartilage destruction.
We synthesized a new block copolymer that assembles into 300 nm-diameter particles with a protein-tethering moiety for surface covalent conjugation of IL-1Ra protein. This copolymer particle system efficiently bound IL-1Ra and maintained protein bioactivity in vitro. The target specificity of these IL-1Ra-tethered nanoparticles was verified by binding of particle-tethered IL-1Ra to cell surface IL-1 receptors. Importantly, IL-1Ra-nanoparticles inhibited IL-1-mediated signaling to equivalent levels as soluble IL-1Ra. Finally, we evaluated the ability of nanoparticles to retain IL-1Ra in the rat stifle joint over 14 days. The IL-1Ra-tethered nanoparticles significantly increased the retention time of IL1Ra in the rat stifle joint over 14 days and maintained cartilage structure and composition.
This work was supported by the Arthritis Foundation, the Georgia Tech/Emory Center (GTEC) for the Engineering of Living Tissues, and the Atlanta Clinical and Translational Science Institute (ACTSI). It was also supported in part by PHS Grant UL1 RR025008 from the Clinical and Translational Science Award program and a National Science Foundation Graduate Fellowship to R.E.W. The authors acknowledge Kellie Templeman for technical support, and Dr. Nick Willett, Tanushree Thote, and Prof. Robert E. Guldberg for training of intra-articular delivery and helpful discussions, and Dr. Angela Lin for technical assistance with EPIC-μCT analyses. We also thank Dr. van de Loo for providing the NF-κB-luciferase NIH 3T3 cells.
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