Abstract
Bioorthogonal chemistry, recognized as a highly efficient tool in chemical biology, has shown significant value in cancer treatment. The primary objective is to develop efficient delivery strategies to achieve enhanced bioorthogonal drug treatment for tumors. Here, Janus microparticles (JMs) loaded with cyclooctene‐modified doxorubicin prodrug (TCO‐DOX) and tetrazine‐modified indocyanine green (Tz‐ICG) triggers are reported. Besides activating TCO‐DOX, Tz‐ICG is also a photothermal agent used in photothermal therapy (PTT), enabling the simultaneous use of biorthogonal chemotherapy and PTT. Additionally, the DOX could be significantly reduced in systemic toxicity with the modification of cyclooctene. Thus, the developed drug‐carrying JMs system exhibits effective tumor cell killing in vitro and effectively inhibits tumor local progress and distant lung metastasis after postoperative treatment with good safety. These results demonstrate that the prepared JMs provide a paradigm for bioorthogonal prodrug activation and localized delivery, and hold great promise for cancer therapy as well as other related applications.
Keywords: bioorthogonal, janus microparticle, microfluidics, photothermal therapy, prodrug
Janus microparticles were fabricated from microfluidics for bioorthogonal activatable prodrug loading and activation as well as combination therapy. The designed system demonstrated satisfactory efficiency in killing tumor cells in vitro and suppressing tumor growth in vivo through bioorthogonal chemotherapy and photothermal therapy.
Key points.
Biorthogonal Janus microparticles (JMs) were fabricated from microfluidics as ideal platforms for biorthogonal prodrug delivery.
Bioorthogonal prodrugs and activators were efficiently loaded into each side of the JMs.
The JMs display effective anti‐tumor efficacy via the combination of bioorthogonal chemotherapy and photothermal therapy.
1. INTRODUCTION
Bioorthogonal chemistry involves reactions that can occur within living systems without affecting their intrinsic biochemistry. 1 , 2 , 3 Bioorthogonal chemistry has revolutionized interdisciplinary research and opened new avenues for understanding, exploring, and manipulating biological systems with high precision and selectivity. 4 , 5 , 6 Its applications in biomedicine, including imaging, diagnostics, and disease treatment, make bioorthogonal chemistry a potent tool in chemical biology. 7 , 8 In particular, bioorthogonal reactions can be used to develop precise biomolecular labeling, antibody‐drug conjugates, and prodrugs that are active against cancer. 9 , 10 , 11 However, the limited bioavailability of small molecule prodrugs, coupled with their susceptibility to the method of administration, leads to inadequate drug concentration at the tumor site, consequently diminishing therapeutic effectiveness. 12 , 13 , 14 , 15 Besides, certain substrates engaged in bioorthogonal reactions, including transition metals, might unexpectedly manifest toxicity or immunogenicity within the biological system, imposing constraints on their clinical viability. 16 , 17 In addition, the complexity and challenges associated with designing and synthesizing bioorthogonal prodrugs and delivery systems have impeded their broad clinical applicability. 18 , 19 , 20 Thus, there remains an anticipation for the advancement of a sophisticated system that integrates efficient drug loading with bioorthogonal activatable alongside convenient drug administration.
In this paper, we fabricated biorthogonal Janus microparticles (JMs) from microfluidics for tumor treatment by synchronously realizing efficient drug loading, local administration, and bioorthogonal activation (Figure 1). Due to its high controllability, microfluidics allows the preparation of structurally tunable microparticles, which are widely used for disease treatment and drug delivery. 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 Nevertheless, the application of microfluidic technology for developing carriers for bioorthogonal drug loading and activation is still in its infancy. Here, Janus microparticles (JMICG/DOX) were designed to separately encapsulate cyclooctene‐modified doxorubicin (TCO‐DOX) prodrug and tetrazine‐modified indocyanine green (Tz‐ICG) activator in one platform. The implementation of prodrug modification strategies has the potential to significantly mitigate the systemic toxicity associated with DOX. It is important to note that the prodrug and activator are slowly released from JMICG/DOX during application at the tumor site, thereby facilitating a specific inverse electron‐demand Diels–Alder (IEDDA) reaction for DOX activation. The IEDDA reaction is generally classified as a bioorthogonal reaction that proceeds without the necessity of metal catalysis. 30 By employing tetrazine structural components in Diels‐Alder cycloadditions with highly strained cycloalkenes, this reaction exhibits significant potential across a range of applications. Besides, because Tz‐ICG has intrinsic photothermal properties, the JMICG/DOX demonstrated efficient photothermal therapy (PTT) ability. Based on these features, the JMICG/DOX efficiently eliminated tumor cells in vitro and substantially suppressed post‐surgical tumors' local growth and distant metastases by combining bioorthogonal chemotherapy and PTT, with good safety. These findings highlighted the JMs as an ideal candidate for bioorthogonal drug delivery, also offering an effective and universal treatment system for various biomedical applications.
2. RESULTS AND DISCUSSION
By using a glass capillary microfluidic installation, JMs were typically prepared through microfluidic electrospray, as shown in Figures 2A and S1. Two pregel solutions consisting of sodium alginate (SA), methacrylate gelatin (GelMA), and different drugs were pumped into each channel of the θ‐shaped capillary to generate Janus droplets under the electrical force. Thereafter, the droplets were gelated in a collection solution of CaCl2 and further crosslinked under ultraviolet light. By mixing with red and green fluorescent particles in the two pregel solutions, respectively, the two components of the JMs could be clearly distinguished through fluorescence microscopy (Figure 2B). Based on this, TCO‐DOX and Tz‐ICG molecules were loaded on each side of the JMs, denoted as JMICG/DOX. Meanwhile, JMs containing only TCO‐DOX or Tz‐ICG were prepared and denoted as JMDOX or JMICG (Figure 2C–F). As a control, JMs without drug loading were designated as JMB. Because of the distinctive colors of TCO‐DOX and Tz‐ICG, the JMDOX and JMICG displayed red and green colors on the corresponding sides of the particles, respectively. In contrast, the drug‐free JMB appeared colorless, whereas JMICG/DOX presented both colors. These characteristic colors were also reflected in tubes collected with various microparticles (Figure S2). Of note, according to previous reports, TCO‐DOX was synthesized by reacting DOX with (2E)‐TCO‐PNB (Figures S3–S6). 12
ICG, an established organic dye approved by the Food and Drug Administration, has found extensive use in the field of PTT. 31 , 32 As a derivative of ICG, we reasoned that Tz‐ICG could also display photothermal performance. Thus, the photothermal property of the Tz‐ICG‐encysted microparticles was detected in detail. As displayed in Figure 3A, near‐infrared (NIR) laser irradiation caused a significant heating effect on JMICG and JMICG/DOX (both encapsulating Tz‐ICG), and after 5 min, a considerable temperature elevation was observed (Δ53.6°C for JMICG and Δ54.7°C for JMICG/DOX). In contrast, negligible temperature changes were observed for JMB and JMDOX (without loading Tz‐ICG) under the same condition. Besides, increases in the power density of the laser were evidently associated with increased changes in the photothermal temperature of JMICG/DOX (Figure 3B). Using thermal images, the process of the photothermal heating process could be observed directly (Figures 3C,D and S7). Moreover, after undergoing five repetitive NIR‐On/Off cycles, JMICG/DOX demonstrated no significant temperature degradation (Figure 3E), underscoring the stability of the photothermal effect exhibited by these microparticles. These findings collectively substantiate the exceptional photothermal efficacy of the Tz‐ICG‐loaded microparticles, thereby establishing a foundational basis for future PTT research. Additionally, the drug‐release behaviors of JMs were investigated. The UV–vis–NIR spectrometer analysis revealed loading contents of 0.88 mg/g for TCO‐DOX and 1.29 mg/g for Tz‐ICG of JMs. Over an 8‐h period, 92.5% of Tz‐ICG and 82.1% of TCO‐DOX were released from JMICG/DOX, with cumulative release amounts reaching 94.6% for Tz‐ICG and 91.0% for TCO‐DOX after 36 h (Figure 3F).
Afterward, the anti‐cancer activity of JMICG/DOX was performed. Firstly, Tz‐ICG was used to activate synthesized TCO‐DOX, and its cytotoxicity was examined before and after activation. As shown in Figure 4A, free DOX displayed strong cell‐killing effects and the half‐maximal inhibitory concentration (IC50) were 0.398 μM. By contrast, the efficacy of TCO‐DOX was evidently decreased with an IC50 of 12.6 μM due to the anticancer active site of amino in the DOX bonding with cyclooctene. 33 , 34 As expected, an inverse electron‐demand Diels‐Alder reaction (IEDDA) between TCO‐DOX and Tz‐ICG enhanced TCO‐DOX's therapeutic efficacy, and the IC50 value significantly decreased to 0.762 μM. It should be indicated that the Tz‐ICG had little cytotoxicity (Figure S8). Based on these findings, we demonstrated that the biorthogonal activation reaction is feasible and effective. Subsequently, the treatment effect of JMICG/DOX was evaluated in a 24‐well transwell plate system. After 5‐min irradiation, the JMICG/DOX was co‐incubated with 4T1 cells for another 4 h before removal (Figure 4B). After an additional 20‐h incubation period, the cell counting kit‐8 (CCK8) assay was used to assess the cell viability. As a result, neither JMB nor JMICG affected cell proliferation, whereas JMDOX exhibited a modest inhibitory effect on cancer cells (Figure 4C). However, JMICG/DOX, when administered without irradiation, has shown significantly greater cytotoxicity than JMDOX when it comes to cancer cells. Furthermore, the performance of JMICG with photothermal effects (+) was superior to that of its counterpart without irradiation. Notably, the JMICG/DOX (+)‐treated group demonstrated the highest inhibitory efficacy against 4T1 cells attributable to the combined effects of biorthogonal chemotherapy and PTT. Consistent results were observed through live/dead staining as illustrated in Figure 4D. The results demonstrate the superior anti‐cancer efficacy of JMICG/DOX in vitro due to the integration of PTT and biorthogonal‐activated chemotherapy.
Having confirmed the effective anti‐cancer ability of JMICG/DOX in vitro, the in vivo post‐surgical tumor eradication capacity of the JMs was further investigated. As shown in Figure 5A, we established an orthotopic breast tumor mice model with incomplete resection. Briefly, when the tumors grew up to approximately 240 mm3, Approximately 90% of tumor tissues were resected from each of the seven groups of mice (Figure S9). The image, size, and weight of the resected tumors were then measured, revealing evenly grouped mice in each group (Figures 5B–D). After the surgery, different types of JMs were injected into the excision site, and the in vivo photothermal effects of the corresponding treatment groups were investigated. Following a 3‐min exposure to NIR radiation, the temperature increase at the excision site injected with PBS and JMDOX was merely ∼2.4°C, while the JMICG and JMICG/DOX groups achieved temperature elevation over 19°C (Figure 5E). Because the mice experienced the surgical operation, their body weight slightly decreased in the first 2 days (Figure 5F). Except for the group that received intravenous injections of DOX, the body weight of all the other treatment groups gradually recovered after surgery. Besides, during the 16‐day experiment, no significant pathological damage was found in the organs (Figure S10), implying the good safety of the JMs.
The tumor inhibition and anti‐metastasis ability of JMICG/DOX were evaluated. Because of the uncontrolled tumor growth in both the control and JMICG groups, the tumor size and weight reached approximately 1300 mm3 and 1.0 g, respectively (Figure 6A–C). One mouse died in each of these two groups during the experiment due to the large tumor burden. Although the free DOX and JMDOX treatments slightly retarded the tumor growth, the volume and weight of tumors were still large. In contrast, the JMICG/DOX group released Tz‐ICG and TCO‐DOX, and could further retard the growth of tumors through sustained bioorthogonal chemotherapy activation. Notably, the combined treatment of JMICG/DOX resulted in the most pronounced tumor inhibition, displaying the smallest tumor volume (approximately 180 mm³) and tumor weight (around 0.19 g), attributed to the synergistic effects of PTT and bioorthogonal chemotherapy. As anticipated, the JMICG/DOX (+)‐treated group displayed the most significant histological damage and the highest tumor tissue apoptosis as evidenced by hematoxylin and eosin (H&E) and terminal‐deoxynucleotidyl transferase‐mediated nick end labeling (TUNEL) analyses, respectively (Figure 6D,E). Moreover, tumor metastases to the lungs were identified through photographs and H&E staining (Figure 6F,G). The findings indicated that the group receiving JMICG/DOX (+) treatment exhibited the fewest metastatic tumor nodules (approximately 5 per lung) in comparison to the other groups (Figure S11), signifying the notable anti‐metastatic efficacy of JMICG/DOX (+). All these results revealed that the prepared JMs could efficiently suppress the growth of tumors and inhibit metastases via the synergistic action of PTT and bioorthogonal chemotherapy.
3. CONCLUSION
In summary, we have developed a formulation, JMICG/DOX, which incorporates Tz‐ICG and TCO‐DOX by using droplet microfluidics to achieve synergistic effects in tumor PTT and chemotherapy. After application to the tumor resection site, the released TCO‐DOX can be activated by Tz‐ICG via IEDDA bioorthogonal reaction. This activation restores the cytotoxicity of DOX thereby facilitating effective chemotherapy. Besides, a PTT capability was demonstrated under laser irradiation of 808 nm for Tz‐ICG embedded in microcarriers. Thus, JMICG/DOX demonstrated synergistic effects of PTT and chemotherapy on tumor cells and inhibited tumor growth and distant metastases while displaying negligible systemic toxicity. These findings indicate that the JMs constitute an efficacious and universally applicable delivery platform for bioorthogonal chemotherapy, thereby exhibiting effective tumor therapy ability.
4. METHODS
Materials: Me‐tetrazine‐ICG (Tz‐ICG) and (E)‐Cyclooct‐2‐en‐1‐yl (4‐nitrophenyl) carbonate ((2E)‐TCO‐PNB) were obtained from Confluore Biotechnology Co. Ltd. Diisopropylethylamine (DIPEA), doxorubicin hydrochloride (DOX·HCl), and SA were bought from Macklin. The calcein‐AM/propidium iodide (PI) staining assay kit was bought from Meilunbio, Co., Ltd. Cell counting kit‐8 (CCK8) assay kit was brought from Beyotime Biotechnology Co. Ltd.
Synthesis of TCO‐DOX: Briefly, a mixture of 2E‐TCO‐PNB (15 mg, 0.05 mmol), DIPEA (64.5 mg, 0.50 mmol), and DOX·HCl (35 mg, 0.06 mmol) was stirred in the dark for 3 days at 30°C. 10 mL of water was added to the mixture and EtOAc (4 × 50 mL) was added afterward. After washing the combined organic phase with saturated NaHCO3, distilled water, and saturated NaCl solution, the organic phase was dried over anhydrous Na2SO4 for 2 hours. Finally, under reduced pressure, the solvent was evaporated leaving a residue that was purified using a dichloromethane‐methanol mixture (98:2) as the eluent yielding TCO‐DOX (20 mg, 57.5%).
Preparation of JMs: A glass microfluidic device was first fabricated, which contained two syringe needles, two round capillaries, an θ‐shaped capillary, and a glass slide. Each side of the θ‐shaped capillary was nested with one round capillary and then plated on the glass slide, followed by sealing with epoxy adhesives. The junction between the two round capillaries and needles was also sealed. A solution containing SA (2.0 wt%), GelMA (5.0 wt%), and TCO‐DOX (0.1 wt%) or red fluorescent particles (0.5 wt%) was prepared as pregel A. A solution containing SA (1.0 wt%), GelMA (2.0 wt%), and Tz‐ICG (0.2 wt%) or green fluorescent particles (0.5 wt%) was prepared as pregel B. Each of the pregel solutions was separately injected into each channel of the θ‐shaped capillary by syringe pumps to generate the Janus droplets (flow rate of 0.2 mL h−1, an electric field of 4 kV). The droplets were then solidified in a CaCl2 solution (2.0 wt%) and further crosslinked under ultraviolet light irradiation for 30 s to obtain the JMs. The morphology and size of the JMs were observed under a stereomicroscope and a SEM.
Photothermal effect: Various JMs (JMB, JMDOX, JMICG, and JMICG/DOX) underwent irradiation using a NIR light for 300 s, and temperature variations were monitored through a thermal imager (FLIR E5‐XT). Besides, we examined the temperature increase of JMICG/DOX under NIR light irradiation using different intensities (0, 0.3, 0.6, and 1.0 W cm−2). To assess photothermal stability, JMICG/DOX was exposed to NIR light (1.0 W cm−2) for 100 s (laser On) and allowed to cool naturally for 420 s (laser Off) for five cycles.
Drug release study: The JMICG/DOX microparticles were incubated in 10 mL of PBS at 37°C for 36 h in an oscillating incubator. 1 mL of the release medium was sampled and supplemented with the same volume of PBS solution at predetermined time points. In the collected medium, UV‐Vis‐NIR spectrophotometers were used to determine the concentrations of Tz‐ICG or TCO‐DOX.
In vitro antitumor study: 5 × 10^4 cells were placed into a 24‐well transwell plate and allowed to adhere for 12 h. Subsequently, various JMs were placed into the upper compartment plate. The concentration of TCO‐DOX in the JMDOX or JMICG/DOX treatment groups was maintained at 30 μg. Thereafter, the JMICG or JMICG/DOX treatment groups were subjected to partial light irradiation for 5 min and incubated for another 4 h. The microparticles were subsequently removed, and the cells were incubated for an additional 20 h. Concurrently, the remaining groups were maintained in darkness for a total duration of 24 h. For live/dead staining, fluorescence microscopy was used to examine the status of these cells after they were treated with Calcein‐AM/PI. For the cell viability test, we measured the absorbance at 450 nm after the cells were incubated with the CCK8 reagent for 2 h.
In vivo antitumor study: In this study, we established tumors by subcutaneous inoculation of 1 × 106 4T1 cells into the right mammary region of mice, allowing the tumors to grow to approximately 240 mm3 in size. Subsequently, 90% of the tumor tissue in each mouse was surgically removed. To evaluate the photothermal performance of microparticles, mice received intratumor injections of PBS, JMDOX, JMICG, or JMICG/DOX after surgery. Following the injections, the tumor sites were irradiated with a NIR light for 5 min and temperature variations were monitored using a thermal imager. Each group had six mice (n = 6).
To comprehensively evaluate the anti‐tumor effect of the developed JMs, the mice after surgery were randomly allocated into seven groups (n = 6): Saline, DOX·HCl (without irradiation), JMDOX (containing 60 μg TCO‐DOX, without irradiation), JMICG (without irradiation), JMICG/DOX (containing 60 μg TCO‐DOX, without irradiation), JMICG (with irradiation, 0.6 W cm−2), and JMICG/DOX (containing 60 μg TCO‐DOX, with irradiation, 0.6 W cm−2). The mice received intravenous injections of DOX·HCl (3 mg kg−1), while in the other treatment groups, the JMs were injected into the tumor site after surgery.
Throughout the study, the mice were monitored every 2 days for their body weights and tumor volumes. After 16 days, we euthanized the mice, collected their primary organs and tumors, and preserved them by fixation in 4% (v/v) paraformaldehyde. For subsequent H&E and TUNEL staining, these specimens were sectioned into slices of 5 m thickness.
Statistical analysis: All statistical data are expressed as the mean ± SD. Statistical significance was calculated via unpaired Student's t‐tests. *p < 0.05, **p < 0.01, ***p < 0.001.
AUTHOR CONTRIBUTIONS
Luoran Shang conceived the conceptualization and designed the experiment. Qingfei Zhang carried out the experiments and analyzed the data. Qingfei Zhang and Luoran Shang wrote the paper. Gaizhen Kuang, Kai Chen, and Miaoqing Zhao contributed to the scientific discussion of the article.
CONFLICT OF INTEREST STATEMENT
Luoran Shang is an executive editor for Smart Medicine and was not involved in the editorial review or the decision to publish this article. All authors declare that there are no competing interests.
ETHICS STATEMENT
The animal experiments were approved by the Animal Ethics Committee of the Wenzhou Institute, University of Chinese Academy of Sciences (approval WIUCAS23100401) and complied with the recommendations of the academy's animal research guidelines.
Supporting information
ACKNOWLEDGMENTS
Q.F.Z. and G.Z.K. contributed equally to this work. This work was supported by the National Key Research and Development Program of China (2022YFA1105304), the National Natural Science Foundation of China (52103196, 32201118), the Wenzhou Institute UCAS startup fund (WIUCASQD2023010), and the Wenzhou Municipal Basic Scientific Research Project (Y20240114).
Zhang Q., Kuang G., Chen K., Zhao M., Shang L., Smart Med. 2024, 3(4), e20240038. 10.1002/SMMD.20240038
Qingfei Zhang and Gaizhen Kuang contributed equally to this work.
Contributor Information
Kai Chen, Email: ch_kai@163.com.
Miaoqing Zhao, Email: zhaomqsd@163.com.
Luoran Shang, Email: luoranshang@fudan.edu.cn.
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
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Associated Data
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Supplementary Materials
Data Availability Statement
The data that support the findings of this study are available from the corresponding author upon reasonable request.