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Tumor-penetrating peptide functionalization enhances the anti-glioblastoma effect of

doxorubicin liposomes

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2013 Nanotechnology 24 405101

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IOP PUBLISHING NANOTECHNOLOGY
Nanotechnology 24 (2013) 405101 (8pp) doi:10.1088/0957-4484/24/40/405101

Tumor-penetrating peptide
functionalization enhances the
anti-glioblastoma effect of
doxorubicin liposomes
Yiyi Yang1,2,5 , Zhiqiang Yan2,5 , Daixu Wei2 , Jian Zhong2 , Lu Liu2 ,
Lin Zhang3 , Fei Wang4 , Xiaoli Wei4 , Cao Xie4 , Weiyue Lu4 and
Dannong He1,2
1
School of Materials Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240,
People’s Republic of China
2
National Engineering Research Center for Nanotechnology, Shanghai 200241,
People’s Republic of China
3
Department of Pharmacy, Shaoxing People’s Hospital, Shaoxing Hospital of ZheJiang University,
Shaoxing 312000, People’s Republic of China
4
Key Laboratory of Smart Drug Delivery, Ministry of Education and PLA, Department of
Pharmaceutics, School of Pharmacy, Fudan University, Shanghai 201203, People’s Republic of China

E-mail: yanzhiqiang2009@gmail.com, wylu@shmu.edu.cn and hdnbill@sh163.net

Received 20 June 2013, in final form 5 August 2013


Published 12 September 2013
Online at stacks.iop.org/Nano/24/405101
Abstract
The targeted therapeutic effect of nano drug delivery system for glioblastoma has been hampered by the
weak enhanced permeability and retention (EPR) effect of glioblastoma and the low delivering efficiency
of NDDS in glioblastoma tissue. In this study, a tumor-penetrating peptide (RGERPPR), the specific
ligand of neuropilin-1 overexpressed on glioblastoma and endothelial cells, was used as a targeting
moiety to enhance the anti-glioblastoma effect of doxorubicin liposomes. Firstly, RGERPPR-PEG-DSPE
was synthesized and used to prepare the RGERPPR peptide-functionalized liposomes (RGE-LS), which
showed vesicle sizes of around 90 nm and narrow size distributions. The cellular uptake and in vivo
near-infrared fluorescence imaging test displayed that RGE-LS exhibited increased uptake by
glioblastoma cells and intracranial glioblastoma tissues. The cytotoxicity assay and anti-glioblastoma
study proved that RGERPPR functionalization significantly enhanced the in vitro inhibitory effect of
doxorubicin liposomes on glioblastoma cells and prolonged the median survival time of nude mice
bearing intracranial glioblastoma. Finally, the immunofluorescence analysis evidenced that RGE-LS
were able to penetrate through tumor vessels and stroma and deep into the whole tumor tissue. The
results indicated that tumor-penetrating peptide functionalization is an effective strategy for enhancing
the anti-glioblastoma effect of doxorubicin liposomes.
(Some figures may appear in colour only in the online journal)

1. Introduction regions for brain function makes it highly risky to be treated


by surgery and radiotherapy [2]. Conventional chemotherapy
Glioblastoma is the most aggressive and frequent primary often leads to serious systemic toxicity [3]. Thus, it is urgent
malignant brain tumor in humans, and the life times of patients to develop an efficient treatment for glioblastoma.
are quite short [1]. The proximity of glioblastoma to critical The blood–brain barrier (BBB) precludes access for
most compounds to the brain tissue [4]. However, when
5 These authors contributed equally to this work. glioblastoma is clinically diagnosed, the BBB has usually

0957-4484/13/405101+08$33.00 1 c 2013 IOP Publishing Ltd Printed in the UK & the USA

Nanotechnology 24 (2013) 405101 Y Yang et al

been damaged by the invasion of tumor cells, and to glioblastoma in vivo. Then the growth inhibitory
endothelial gaps have formed on the microvessels of brain effect of RGERPPR-functionalized doxorubicin liposomes
tumors [5]. Then the enhanced permeability and retention (RGE-LS/DOX) to glioblastoma was investigated. Finally,
(EPR) effect comes into action, leading to the tendency of we studied the tumor-penetrating ability of RGE-LS by
nanoscale particles (for example, nanoparticles, liposomes immunofluorescence analysis.
and macromolecular drugs) to accumulate in tumor tissue
much more than they do in normal tissues [6]. However, 2. Materials and methods
the EPR effect of intracranial tumors is relatively weak
compared with that of peripheral tumors, as the critical pore 2.1. Materials
size for solute passage of intracranial tumors is smaller than
peripheral tumors [7, 6]. For example, the critical pore size Mal-PEG-DSPE was obtained from Laysan Bio Co. (USA).
for intracranial human primary glioblastoma cell line U87MG Fetal bovine serum (FBS) and DMEM medium were from
is as low as 7–100 nm [7]. The weak EPR effect decreases Gibco Co. (USA). PEG2000-DSPE and HSPC were supplied
the extravasation of nano drug delivery system (NDDS) from by Shanghai AVT Pharmaceutical (China). DiR was from
blood vessel to the glioblastoma tissue, thereby resulting in Invitrogen (USA). Cholesterol was supplied by Sinopharm
the low delivering efficiency to the targets [6]. Chemical Reagent Co. (China). Sephadex G50 was from GE
Another problem affecting the efficient delivery of NDDS Healthcare (UK). Rat anti-mouse CD31 was from Abcam
in glioblastoma is the difficulty of permeation from the tumor (UK). Goat anti-rat IgG-R was from SantaCruz (USA). DAPI
vessel vicinity deep into tumor tissue. This results from was purchased from Molecular Probes (USA). All chemicals
several delivering barriers, including the rapidly increased were analytic reagent grade. U87MG cell line was provided
IFP in the periphery of tumor tissue, dense stromal cells by Shanghai Institute of Cell Biology, which was cultured
and ECM between tumor vessels and cancer cells [8]. These according to Zhan et al [20]. Male Balb/c Nu/Nu mice
barriers prevent the transport of NDDS sufficiently deep to (four weeks old) of 20–25 g body weight were supplied
reach as many glioblastoma cells as possible. Several reports by Shanghai SLAC laboratory animal company (China) and
have proved that the NDDS can penetrate only a few cell maintained under SPF conditions. All manipulations were
diameters into the extravascular tumor tissue, leaving most performed in accordance with procedures approved by the
cancer cells in deep tumor tissue unable to be exposed to ethics committee (Shanghai Jiao Tong University).
antitumor drugs [9–11]. This problem has resulted in the
incomplete inhibition of tumor growth, arousing extensive 2.2. Synthesis of RGERPPR-PEG-DSPE
concern among researchers [12, 11].
Neuropilin-1 (NRP-1) is a receptor overexpressed on Firstly, the thiolated RGERPPR (C-RGERPPR) with was
both glioblastoma cells and tumor endothelium [13]. As synthesized via Boc-protected solid-phase peptide synthesis
the co-receptor of VEGF165, NRP-1 plays an essential strategy, followed by reaction with Mal-PEG-DSPE as
role in tumor angiogenesis, metastasis and regulation of described previously [21]. The reaction solution was purified
vascular permeability [13, 14]. The expressing level of NRP-1 by dialysis (MWCO 3.5 kDa cut off, Millipore) against
increases with the increase in the degree of glioblastoma distilled water, followed by lyophilization. The purity was
malignancy [15]. RGERPPR peptide, derived from phage verified by 1 H-NMR and FTIR.
display screens, is the specific ligand of NRP-1 [16, 17]. It
was proved to be a ‘tumor-penetrating peptide’ (TPP), able 2.3. Preparation of liposomes
to penetrate through tumor vessels and tumor stroma [18, 16].
Several reports demonstrated that TPP functionalization could The thin-film hydration and extrusion method was used
promote the transport of NDDS through blood vessel to to prepare the liposomes loaded with DOX, FAM or DiR
tumor tissue and the penetration through tumor stroma as previously [22, 23]. HSPC, cholesterol, mPEG-DSPE
and deep into the whole tumor tissue, which had been and RGERPPR-PEG-DSPE were used with the molar ratio
evidenced in pancreatic, breast, prostatic and liver cancer of 55:40:5:1 (for RGERPAR-modified liposomes, including
[18, 16, 19]. Therefore, TPP makes it possible to solve the RGE-LS/FAM, RGE-LS/DiR and RGE-LS/DOX) or 0 (for
two above-mentioned problems of NDDS in the targeting unmodified liposomes, including LS/FAM, LS/DiR and
therapy of glioblastoma. On the one hand, the tumor LS/DOX). DOX was loaded into liposomes by the ammonium
vessel-penetrating ability of TPP-functionalized NDDS may sulfate gradient method according to the procedure described
compensate for the weak EPR effect of glioblastoma; on the previously [24].
other, the tumor stroma-penetrating ability may compensate
for the low delivering efficiency of NDDS in glioblastoma. 2.4. Characterization of liposomes
In this study, we prepared RGERPPR-functionalized
liposomes (RGE-LS) to enable them to penetrate through The vesicle size of liposomes was measured by dynamic
tumor vessel and tumor stroma, thereby enhancing the light scattering method (Zetasizer Nano-ZS, Malvern Instru-
inhibitory effect to glioblastoma. Firstly, we conjugated ments, Westborough, MA). Transmission electron microscopy
RGERPPR to the surface of liposomes and tested their (TEM) (JEM-2010FEF, JEOL, Japan) was used to evaluate the
targetability to U87MG glioblastoma cells in vitro and morphology of liposomes.

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Nanotechnology 24 (2013) 405101 Y Yang et al

The in vitro stability of liposomes loaded with DiR or


FAM was investigated according to the procedure reported
previously [25]. A FL Spectrophotometer (F-1000, Hitachi,
Japan) was used to determine the concentrations of DiR or
FAM at Ex/Em 741/776 nm and 493/520 nm, respectively.

2.5. Cellular uptake and flow cytometry tests


The cellular uptake test was performed according to previous
reports with minor modification [26, 27]. The U87MG cells
with 80% confluence were treated with RGE-LS/FAM for 2 h
in DMEM supplemented with 10% FBS, and LS/FAM and
FAM were as control. At the end of incubation, the cells were
washed thrice with PBS, fixed in 0.5% paraformaldehyde
for 15 min, treated by DAPI for 10 min and imaged
using a laser scanning confocal microscope (DMI4000 B,
Leica, Germany). For the flow cytometry test, following the
incubation, the U87MG cells were trypsinized, centrifuged,
resuspended in PBS and analyzed by flow cytometer equipped
with a 488 nm Ar ion laser (FACSAria, BD, USA).

2.6. In vivo fluorescence imaging study


The targeting ability of RGE-LS to glioblastoma was
investigated by using near-infrared in vivo imaging study.
The nude mice model of glioblastoma was first established
according to a previously reported procedure with slight
modifications [28]. The U87MG cells (5 × 105 ) were
inoculated into the right striatum by using a stereotactic
fixation device with mouse adaptor. The coordinates were
determined based on the Paxinos mouse brain atlas as
follows: 0.6 mm anterior, 1.8 mm lateral to the bregma and
3 mm deep [29, 30]. On the 24th day post-inoculation, the
intracranial glioblastoma-bearing mice were i.v. injected with Figure 1. The molecular structure (A), NMR spectra (B) and FTIR
spectra (C) of Mal-PEG-DSPE and RGERPPR-PEG-DSPE; the
100 µl of RGE-LS/DiR via the tail vein, and LS/DiR were as characteristic peak of maleimide group can be found in the NMR
the control. After 2, 4, 8 and 24 h, the mice were anesthetized, spectrum of Mal-PEG-DSPE, but disappears in that of
and the fluorescent images were detected using an in vivo RGERPPR-PEG-DSPE; the intensity of both N–H and C=O band
imaging system (CRi, MA, USA) equipped with a DiR filter significantly enhanced in the FTIR spectrum of
sets (excitation/emission, 730/790 nm). RGERPPR-PEG-DSPE compared with that of Mal-PEG-DSPE.

2.7. Tumor-penetrating ability study


2.9. Anti-glioblastoma study of RGE-LS/DOX
Immunofluorescence method was used to investigate the
tumor-penetrating ability of RGE-LS. RGE-LS/FAM were The nude mice models of glioblastoma were established
i.v. injected to glioblastoma-bearing nude mice 24 days as mentioned in section 2.6. Four groups (n = 7) of mice
after implantation. The mice were sacrificed 4 h later, were i.v. injected of normal saline (NS), DOX, LS/DOX and
and glioblastoma-bearing brains were collected, fixed, RGE-LS/DOX at the 20th, 23th and 26th day post-inoculation,
dehydrated, and sectioned. The sections (10 µm) were stained respectively. The total doxorubicin dose was 22.5 mg kg−1 .
with rat anti-mouse CD31 (1:10, Abcam) followed rhodamine The survival times of mice in each group were recorded.
labeled goat anti-rat IgG (1:100, SantaCruz) and DAPI.

2.8. Cytotoxicity assay 2.10. Statistical analysis

The MTT assay was used to determine the cytotoxicity Statistical differences were evaluated with two-tailed cor-
of RGE-LS/DOX according to the procedure reported rected student’s t-test with p < 0.05 as significant.
previously [31]. U87MG cells were cultured in 96 well plate
for 24 h (2000/well), and treated by serial concentrations of 3. Results
LS/DOX or RGE-LS/DOX for 72 h. The MTT assay was
performed and the percentage of cell viability was determined 3.1. Characterization of RGERPPR-PEG-DSPE
by using an enzyme-labeling instrument (PowerWave XS,
Bio-TEK, USA). The IC 50 values were determined by curve Figure 1 shows the molecular structure, NMR and FTIR
analysis software (GraphPad Prism 5.02). spectra of Mal-PEG-DSPE and RGERPPR-PEG-DSPE. Both

3
Nanotechnology 24 (2013) 405101 Y Yang et al

Figure 2. LS, RGE-LS, LS/DOX and RGE-LS/DOX all exhibited uniform spherical morphology as displayed in the TEM images (scale
bar = 100 nm).

Table 1. The vesicle sizes and drug leakage rates of DOX, FAM or DiR loaded liposomes with or without RGERPAR modification.
Formulation Vesicle size (nm) Polydispersity index Drug leakage (%)
LS/DOX 88.5 ± 8.0 0.022 ± 0.004 —
RGE-LS/DOX 87.7 ± 9.1 0.026 ± 0.007 —
LS/FAM 93.1 ± 6.7 0.029 ± 0.005 1.89 ± 0.32
RGE-LS/FAM 92.3 ± 5.4 0.030 ± 0.010 1.97 ± 0.55
LS/DiR 86.6 ± 7.8 0.024 ± 0.007 N.D.
RGE-LS/DiR 88.1 ± 6.9 0.025 ± 0.008 N.D.
Data are represented with mean ± SD (n = 3); N.D. = not detectable.

NMR spectra contain the solvent peak of CDCl3 at 7.26 ppm, no obvious influence on the vesicle size and morphology
the methylene protons peaks of DSPE at 1.26 ppm and the of liposomes. The leakage of FAM from liposomes was
repeat units of PEG at 3.7–3.8 ppm. The NMR spectrum about 2% within 4 h and no leakage of DiR was
of Mal-PEG-DSPE indicates the presence of the maleimide detected from liposomes within 72 h (table 1), suggesting
group by its characteristic peak at 6.7 ppm, which disappears that the prepared fluorescein-loaded liposomes satisfied the
in that of RGERPPR-PEG-DSPE. The results suggested the requirement of the cellular uptake, in vivo targeting ability and
successful reaction of the thiol group of RGERPPR with immunofluorescence study [32].
maleimide group.
In the FTIR spectrum of Mal-PEG-DSPE, a weak C=O 3.3. Targeting property of RGE-LS
stretch band at 1666.8 cm−1 and a N–H stretch band at
3200–3600 cm−1 are found, which may be responsible for 3.3.1. In vitro cellular uptake of RGE-LS. The images of
the amide groups in Mal-PEG-DSPE. The intensity of the two cellular uptake and flow cytometry for FAM, LS/FAM and
bands in the spectrum of RGERPPR-PEG-DSPE remarkably RGE-LS/FAM were shown in figure 3. The percentages of
enhance, which should be due to the increased number of FAM-positive cells for FAM, LS/FAM and RGE-LS/FAM
were 2.99%, 14.8% and 94.1%, and the mean fluorescent
amide groups compared with Mal-PEG-DSPE. The results
intensities for them were 18.3, 18.7 and 361, respectively.
suggested that the RGERPPR peptide had been conjugated to
These data indicated that the cellular uptake of liposomes was
Mal-PEG-DSPE.
remarkably enhanced by RGERPPR modification.

3.2. Characterization of liposomes 3.3.2. In vivo targeting property of RGE-LS to glioblastoma.


RGE-LS/DiR were i.v. injected into glioblastoma-bearing
As determined by dynamic light scattering method, the nude mice to investigate the in vivo targeting property
liposomes loaded with DOX, FAM or DiR all exhibited of RGE-LS to glioblastoma. As shown in figure 4, from
vesicle sizes of around 90 nm and narrow size distributions 4 h post-injection, significantly more RGE-LS/DiR were
(table 1). As displayed in TEM images (figure 2), LS, localized in glioblastoma than LS/DiR, indicating that
RGE-LS, LS/DOX, and RGE-LS/DOX all exhibited uniform RGERPPR functionalization could increase the liposome
spherical morphology. The modification of RGERPAR had delivery to glioblastoma in vivo.

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Nanotechnology 24 (2013) 405101 Y Yang et al

Figure 3. The representative images of cellular uptake and flow cytometry for FAM (A), LS/FAM (B) and RGE-LS/FAM (C). The cellular
uptake of liposomes by U87MG cells was remarkably enhanced by RGERPPR modification.

Figure 4. Representative in vivo fluorescent images of glioblastoma-bearing nude mice following i.v. administration of LS/DiR (A) and
RGE-LS/DiR (B). RGERPPR functionalization increased the liposome delivery to glioblastoma in vivo.

3.4. The tumor-penetrating ability of RGE-LS the IC50 values were 1.445 µM for LS/DOX and 0.468 µM
for RGE-LS/DOX (figure 6), indicating that RGE-LS/DOX
The tumor-penetrating ability of RGE-LS in glioblastoma was exhibited significantly higher growth inhibitory effect to
investigated by performing the immunofluorescence analysis U87MG cells than LS/DOX.
of frozen glioblastoma sections. The immunofluorescence
images showed that LS/FAM were mainly located adjacent
to blood vessels, whereas RGE-LS/FAM were located in 3.5.2. In vivo inhibitory effect of RGE-LS/DOX to
the whole tumor tissue (figure 5). The results suggested glioblastoma. The anti-glioblastoma effect of RGE-
that RGERPPR modification enabled liposomes to penetrate LS/DOX was evaluated by the Kaplan–Meier survival curve
through tumor vessels and tumor stroma and deep into the of intracranial U87MG glioblastoma-bearing nude mice. The
whole tumor tissue. results (figure 7) showed that the median survival times of
mice injected with normal saline (NS), DOX, LS/DOX and
3.5. Growth inhibitory effect of RGE-LS/DOX to RGE-LS/DOX were 38, 39, 42 and 48 days, respectively. The
glioblastoma survival times of LS/DOX group (p < 0.05, log-rank analysis)
and RGE-LS/DOX group (p < 0.001) were significantly
3.5.1. Cytotoxicity of RGE-LS/DOX. The in vitro longer than that of NS, but there was no significant difference
cytotoxicity of RGE-LS/DOX was measured by MTT assay, between free DOX group and the NS group (p > 0.05).
compared with that of LS/DOX. After incubation for 72 h, Such superiority of LS/DOX and RGE-LS/DOX over DOX

5
Nanotechnology 24 (2013) 405101 Y Yang et al

Figure 5. Representative immunofluorescence images of frozen glioblastoma of nude mice following injection of LS/FAM and
RGE-LS/FAM. LS/FAM were mainly located adjacent to blood vessels (shown for CD31, red), whereas RGE-LS/FAM penetrated through
tumor vessels and tumor stroma and deep into the whole tumor tissue.

Figure 6. The cytotoxicity of LS/DOX and RGE-LS/DOX on


U87MG glioblastoma cells as measured by MTT assay. Figure 7. The Kaplan–Meier survival curve of intracranial U87MG
RGE-LS/DOX showed significantly higher growth inhibitory effect glioblastoma-bearing nude mice. The median survival time of
than LS/DOX. RGE-LS/DOX group was significantly longer than that of LS/DOX
group (p < 0.05, log-rank analysis).

should be attributed to the prolonged blood circulation


time and passive targeting delivery to tumor caused by effect of DOX liposomes to glioblastoma, and that the
liposomes. In addition, the results showed that the survival RGE-modified liposomes exhibited tumor-penetrating ability
time of RGE-LS/DOX group was significantly longer than in glioblastoma.
LS/DOX group (p < 0.05), suggesting that the growth Peptide-modified NDDSs for tumor targeting have been
inhibitory effect of DOX liposomes to glioblastoma could extensively studied due to their good therapeutic effect to
be enhanced by RGERPPR modification. The enhancement glioblastoma [6]. Many peptides, such as RGD peptides
of anti-glioblastoma effect should be attributed to the [30, 33], NGR peptides [34] and Angiopep-2 [35], have
tumor-penetrating ability of RGE-LS as evidenced above. been widely used as the targeting moieties for glioblastoma.
However, the therapeutic effect of peptide-modified NDDS
4. Discussion and conclusion for glioblastoma is limited by several factors, for instance,
the weak EPR effect of glioblastoma and the lack of
In this work, RGERPPR was modified to the surface of tumor-penetrating ability of delivery system. In fact, these
liposomes to improve the transport of liposomes through factors can further result in the incomplete inhibition, drug
the tumor vessel into glioblastoma tissue and further resistance and recurrence of the tumor [36]. These problems
penetration of liposomes from tumor vessel vicinity through have seriously hindered the development of tumor-targeted
the tumor stroma into deep glioblastoma tissue. The results NDDS. The tumor-penetrating peptide modification of NDDS
indicated that RGE functionalization significantly increased provided an effective solution for the problem of delivery of
the uptake of liposome by glioblastoma and the inhibiting nanocarriers in tumor tissue. As evidenced by our results,

6
Nanotechnology 24 (2013) 405101 Y Yang et al

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This work was supported by the National Basic Research
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