Calcium Phosphate Nanocolloids f Bioimaging for Bi i i and d Drug D Delivery D li James H. Adair with E.I. Altinoglu, B. M. Barth, H.S. Muddana, T.T. Morgan, T.J. Russin, M.R. Parette*,, J. Kaiser,, T. Tabouillot,, A. Tabakovic,, C. McGovern,, S. Shanmugavelandy, P.C. Eklund, J.K. Yun, Y. Heakal, A. Sharma, P.J. Butler, G.P. Robertson, V. Ruiz-Velasco, J. Smith and M. Kester Materials Science & Engineering, Bioengineering, Physics, Anesthesiology and Surgery, and Pharmacology, Penn State University, University Park and Hershey, PA *K Keystone t N Nano, B Boalsburg, l b PA Ceramic and Composite Materials Center An NSF Industry/University Cooperative Research Center Cancer Nanotechnology, Going Small for Big Advances- Using Nanotechnology to Advance Cancer Diagnosis, Prevention 1 & Treatment, NIH Publication No. 04-5489 (2004). Overview Background: Calcium Phosphate Calcium Phosphate Nanocomposite Particle (CPNP) in vitro and in vivo Bioimaging and Drug •in Delivery – Breast and Pancreatic Cancers What is Photodynamic Therapy? What is Deep Tissue PDT? Photodynamic Therapy of Human Breast Cancer and Leukemia Summary and Conclusions 2 Features of a Useful Nanoparticle Bi i Bioimaging i and dD Drug D Delivery li Inherently I h tl non-toxic t i materials t i l and d degradation products Biologically Bi l i ll or extrinsically t i i ll controlled t ll d release of therapeutic agents Small S ll particle ti l di diameter: t 20 20-200nm 200 Colloidally stable in physiological conditions diti (pH, ( H ionic i i strength, t th macromolecular interactions, and t temperature t Can be targeted to cell/tissue of choice 3 Calcium Phosphate Nanocomposite Particle O Overview i Calcium phosphosilicate matrix material 20 nm Imaging agents and or drugs contained in matrix ICG CPNPs ICG‐CPNPs PEG, Citrate, Avidin, Anti‐Bodies (e.g., anti‐ on exterior permit targeting 4 Calcium Phosphosilicate Nanocomposite Particle (CPNPs): A Broad Platform for Seeking, Treating and Tracking Human Disease J.H. Adair, P.J. Butler, P.C. Eklund, M. Kester, J. Smith and collaborators , , , , Materials Science & Engr., Bioengineering, Physics, Pharamacology, Surgery Features ¾ Calcium phosphosilicate matrix material: bioresorbable, dissolution on demand within cells, hiigh particle number and encapsulated active agent concentrations ¾ Imaging agents and or drugs contained in non‐porous matrix ¾ Colloidally stable for extended times in physiological fluids: phosphate buffered saline, cell culture media blood culture media, blood ¾ Citrate, PEG, Avidin, Anti‐Bodies (e.g., anti‐CD 71), other molecules (e g Gastrin epitopes) bioconjugated (e.g., Gastrin epitopes) bioconjugated on surface permitting targeted delivery 20 nm ICG‐CPNPs ICG CPNPs Research Opportunities ¾ Bioimaging/bioassays Bi i i /bi b th both in vitro and in vivo of healthy and transformed cells and tissues ¾ Targeted or untargeted (i.e., EPR) delivery of chemo‐ therapeutics to cancer (breast therapeutics to cancer (breast, pancreatic cancer, leukemia) ¾ Potentially, long term monitoring for cancer in general patient populuion ¾ Deep tissue (>6cm) photo Deep tissue (>6cm) photo‐ dynamic therapy of cancer with novel ICG‐CPNPs Coming Soon Fluorescent NanoJackets Fluorescent NanoJackets Dye λex/λem Surface Functionalization Cascade Blue COOH (Citrate), PEG‐OH, PEG‐Maleimide, 4 arm PEG, 400/425 Avidin Fluorescein COOH (Citrate), PEG‐OH, PEG‐Maleimide, 4 arm PEG, ( ), , , , 475/515 Avidin Red (Rh WT) Red (Rh WT) COOH (Citrate), PEG‐OH, PEG‐Maleimide, 4 arm PEG, 530/555 Avidin Indocyanine Green COOH (Citrate), PEG‐OH, PEG‐Maleimide, 4 arm PEG, 760/875 Avidin J.H. Adair and M. Kester are CSO and CMO for Keystone Nano, respectively 6 Resorbable Calcium Phosphate - NanoComposite Particles ACP Tailorable Solubility → Time Release Time Release Tumor de Groot et al., Chemistry of Calcium Phosphate Bioceramics, 1980 7 In‐‐Vitro In Vitro and and in in‐‐Vivo Drug Delivery and Fluorescent Imaging Calcium Phosphate Nanocomposite Colloids 8 H. Muddana, T. Tabouillot, T.M. Morgan, J.H. Adair, P.J. Butler, NanoLetters, 2008 Melanoma Cell Imaging and Apoptosis (a) DAPI Fluorescent 50 μm Rh WT CPNPs Merged Rh WT CPNPs with DAPI Staining (b) DAPI Fluorescent 50 μm Rh WT CPNPs Merged Rh WT CPNPs with Cer10 and DAPI Staining In vitro effect of Cer10‐CPNPs on melanoma cell survival and viability. Representative photomicrographs of cultured melanoma UACC 903 cells exposed to Rh WT‐CPNPs without (a) and with (b) Cer10. Fluorescent Cer10‐CPNPs, unlike control CPNPs, induce melanoma cell death. (c) MTS cytotoxicity assay demonstrating dosage responsive cytotoxic actions of Cer10‐CPNPs. Cer10 CPNPs Control CPNPs exhibit modest cytotoxicity at the highest particle number concentration. concentration Values are mean ± SEM for three independent experiments, each experiment replicated in triplicate. M. Kester and G.P. Robertson et al., NanoLetters, 2008. 9 Light propagation in biological tissue • “Therapeutic Window” – Minimum in absorption • Highly diffuse scatterer! • How does light propagate How does light propagate in a dense scattering medium? medium? • Radiative Transport Equation – Diffusion Approximation Diffusion Approximation 10 T. J. Russin et al., in preparation. CPNPs: BioPhotonics Eklund Russin Altinoglu Adair Eklund, Russin, Altinoglu, Adair • Photodynamic Therapy hν ICG (S (T01 state) Oxygen (T (S10 state) – Need model for depth limits N d d l f d th li it • Fluorescent imaging – Targeting Targeting to breast tissue to breast tissue achieved in nude mice Altinoglu et al., ACS Nano, 2008 –N Need a model to predict d d lt di t imaging capabilities 11 Dissection 10 minutes post‐injection ICG‐CPNP‐PEG Sample Images show exclusive hepatic clearance of PEGylated CPNPs No significant sequestering or uptake by other tissues or membranes 12 13 B.M. Barth, C. McGovern, R. Sharma, E.I. Altinoglu, J.H. Adair, M. Kester, J. Smith 14 What is Photodynamic Therapy? • Photodynamic therapy (PDT) is a non‐invasive cancer treatment option with minimal side effects • Involves activation of a non‐ toxic photosensitizer by an appropriate light source in the presence of molecular oxygen f l l http://www.easternsuburbsderm.com.au/pdt.htm Current Limitations •Penetration Depth: ~50μm with red light •Systemic Patient PhotoSensitivity 15 http://sterileeye.com/ What is PDT? What is PDT? 5 3 S12 1 0 No on-radiative de ecay 5 3 S02 1 0 Fluorescence e Vibrationa l relaxation s Absorption Energy • Upon irradiation (absorption p ( p of photons), the photosensitizer is excited to a higher energy state and a higher energy state and upon return to its ground state, transfers this energy to oxygen Intersyste 5m 3 T21crossing 1 0 (Singlet Oxygen) Energy transfer (Molecular Oxygen) Photosensitizer (ICG) Oxygen • Both unstable radicals and highly reactive singlet oxygen p , , are produced, which cause localized, lethal cellular damage in milliseconds 16 Photosensitizer: Indocyanine Green (ICG) Photosensitizer: Indocyanine Green (ICG) • Near IR emitting fluorophore – Excitation: 785 nm Emission: 820 nm Excitation: 785 nm Emission: 820 nm • FDA approved, non‐toxic • First proposed for PDT by Fickweiler First proposed for PDT by Fickweiler et al. (1997) – Showed Showed ICG more effective than ICG more effective than Photofrin – Fickweiler et al., Indocyanine green: Intracellular uptake and phototherapeutic effects in vitro, J Photochem Photobiol B 38 (1997) 178‐183 • NIR allows deeper penetration depths – Biological transmission window in NIR Biological transmission window in NIR Fig.: Hamblin MR, Demidova TN. In: Mechanisms for low low-light light therapy. therapy Hamblin, Hamblin MR, Waynant, RW, Anders, J (Eds.) (SPIE, Bellingham, WA, 2006) 614001-614013 17 Experimental Layout for Penetration Depth & Bioimaging h Porcine tissue in hanging clamp Photodiode power meter 25° 785 nm laser diode Infrared Camera 785 nm laser on variable angle mount 20 cm Emitted light solid angle Ω 53.6 mm Optical table Porcine tissue Optical table CPNP sample in 50 μL well 18 T. J. Russin et al., in preparation. Penetration Depth for Photodynamic Therapy h d h • Indocyanine Green PDT – Radiation dose of 48 J/cm2 – μeff (pork)= 1.44 – μeff (breast)= 0.739 S. Fickweiler et al., J. Photochem. Photobiol. BBiol., 38 (1997). 19 T. J. Russin et al., in preparation. Deep Tissue Photodynamic Therapy Deep Tissue Photodynamic Therapy (DTPDT) with ICG‐CPNPs B. Barth, S. Shanmugavelandy, E.I. Altinoglu, S. Knupp, J.H. Adair, l l d M. Kester 20 Initial Animal Trials Initial Animal Trials • MDA‐MB‐231 human breast adenocarcinoma 3 u a b east ade oca c o a • Nude mouse model; 5 groups (n=4) 1. ICG-CPNP-PEG 1 2. ICG-CPNP-COOH 3. Ghost-CPNP-PEG 4. Free ICG Control 4 5. PBS Blank Control • 100 uL 100 uL tail vein injection tail vein injection – 2.5e‐7 M ICG absorption value • Single Single ~0.002 0.002 and 50 J/cm and 50 J/cm2 (3 minutes) (3 minutes) irradiation 24 hrs post injection – 70 mW, 785 nm laser diode 21 Initial In Vivo Photodynamic Therapy of Breast Cancer Tumors ~0.002 J/cm2 ICG-CPNP Photodynamic Therapy MDA-MB-231 Breast Cancer Xenografts g in Nude Mouse Model 3000 Rela ative Tumor Size 2500 Ghost 2000 COOH PEG 1500 1000 500 0 0 5 10 15 20 25 30 35 40 45 Days • Kodak In Vivo FX Imager used to deliver light to tumors • About 1/25000 About 1/25000th of reported photodynamic therapy light doses of reported photodynamic therapy light doses • Light given 24 hours post‐injection 22 Second Trial In Vivo Photodynamic Therapy of 50 / 2 Breast Cancer Tumors 50 J/cm 45 40 PBS Relative Tumo R or Size 35 Ghost-CPNP-PEG Free-ICG 30 ICG CPNP COOH ICG-CPNP-COOH 25 ICG-CPNP-PEG 20 15 10 5 0 0 5 10 15 20 25 30 35 40 45 50 55 Days 23 Non Solid Tumors ‐ Leukemia PDT Targeted to Spleen PDT of KG-1 Xenografted Nude Mice 70 Ghost CPNP PEG Ghost-CPNP-PEG X1 1,000 WBC per ul 60 ICG-CPNP-PEG 50 C6-CPNP-PEG 40 ICG- + C6-CPNP-PEG 30 20 10 0 0 5 10 15 Days 20 25 24 Summary CPNPs encapsulate imaging agents, therapeutics or both, permitting both in vitro and in vivo simultaneous detecting, delivery, and monitoring for cellular uptake delivery, and monitoring for cellular uptake Drug delivery of both hydrophobic and hydrophilic drugs is improved by the intercellular protection afforded by the calcium phosphate during transport to the cell combined with the on‐ demand dissolution of the CP and intracellular drug delivery Enhanced permeability and retention (EPR) in solid human Enhanced permeability and retention (EPR) in solid human breast cancer tumors and pancreatic tumors is observed in vivo for a pegylated and targeted near infra‐red – CPNP with the promise of deep tissue imaging of lesions i fd ti i i fl i Photodynamic therapy with deep soft tissue penetration holds p much promise in the treatment of cancer 25 The End Thank You for Your Patience Questions? C Courtesy t C C. Si Siedlecki dl ki 26