Abstract
The development of devices for the precise and controlled delivery of therapeutics has grown rapidly over the last few decades. Drug delivery materials must provide a depot with delivery profiles that satisfy pharmacodynamic and pharmacokinetic requirements resulting in clinical benefit. Therapeutic efficacy can be limited due to short half-life and poor stability. Thus, to compensate for this, frequent administration and high doses are often required to achieve therapeutic effect, which in turn increases potential side effects and systemic toxicity. This can potentially be mitigated by using materials that can deliver drugs at controlled rates, and material design principles that allow this are continuously evolving. Affinity-based release strategies incorporate a myriad of reversible interactions into a gel network, that have affinities for the therapeutic of interest. Reversible binding to the gel network impacts the release profile of the drug. Such affinity-based interactions can be modulated to control the release profile to meet pharmacokinetic benchmarks. Much work has been done developing affinity-based control in the context of polymer-based materials. However, this strategy has not been widely implemented in peptide-based hydrogels. Herein, we present recent advances in the use of affinity-controlled peptide gel release systems and their associated mechanisms for applications in drug delivery.
Graphical Abstract
This review explores the potential of self-assembled peptide hydrogels to modulate and control the release of therapeutic cargo via reversible affinity-based interactions, along with their associated mechanisms for drug-delivery applications.
Introduction
The development of hydrogels as functional biomaterials continues to be a rapidly growing area of investigation towards applications in drug-delivery, tissue engineering, immunoengineering, biosensing and wound healing.1–11 Hydrogels are characterized by a water-swollen three-dimensional porous matrix, capable of housing a myriad of cargo including small molecules, peptides, proteins, and nucleic acids for their eventual release and delivery.12 Moreover, many gels have thixotropic properties that render them injectable at a targeted tissue, enabling local delivery of the payload while diminishing off-target toxicity.2 Although much effort has been expended to develop strategies to control the release rates of drugs from gels, it still remains a challenge. Most gels published to date2,13 are characterized by time-dependent logarithmic release with a predominant burst phase with a few reports of systems depicting a nearly linear release profile.14,15
In a classical diffusion-based delivery scheme in the absence of any engineered affinity, the overall time it takes a therapeutic to be released from a material network (trelease) is given by (L2/D), where (L) is the diffusional pathlength of the material and (D) is the diffusivity of the cargo, i.e. [trelease (s) = L2/D (m2/m2s−1)].16,17 The diffusivity characterizing the diffusion of a given therapeutic through a gel network is dependent on several factors such as the size of the molecule and mesh size of the network, Figure 1. Larger molecules diffuse slowly exhibiting long release profiles, whereas small molecules diffuse more rapidly resulting in shorter release durations. Similarly, gel networks having larger pore-sizes facilitate faster molecular diffusion and shorter release profiles, whereas smaller pore-sized networks allow for slower diffusion, accompanied by longer release profiles. Thus, one can tune the release profile by modulating the mesh size of a gel. For polymeric systems, changing the weight % and/or molecular weight of monomer, cross-linking chemistry and reaction conditions can affect changes in mesh size.18 In self-assembled peptide systems, mesh size can be modulated by altering the peptide wt % used to formulate the gel, but it is difficult to achieve a desired pre-determined mesh size using this approach.19 Further, release rates can be further impacted by hydrogel degradation or erosion over time, which often hastens delivery.6,20,21
Affinity-controlled systems incorporate ligands or binding moieties within the gel network that form reversible binding interactions with the cargo and impact its release rate. Network-bound ligands serve as anchors that aid in prolonging the persistence time of a therapeutic within the hydrogel. A slower diffusion profile can potentially minimize early burst release of the therapeutic, facilitating a more sustained release over time and in some cases achieve linear release.16,22 Thus, these systems can provide greater control over release kinetics, which can be tuned depending on the system. Nature employs non-covalent interactions between heparin in the extracellular matrix and a myriad of growth factors (KD = 10−6 to 10−9) and has served as inspiration for the development of some of the earliest examples of affinity-controlled release systems.23,24 Heparin binding proteins can be delivered over timescales ranging from a few days to several weeks using this approach.25–32 Other complementary binding partners such as antibodies with antigens33 or albumin with small molecule therapeutics34 have also served in the design of this class of material. While affinity-controlled hydrogels have been prepared employing hyaluronic acid,25,26 gelatin26,27 and other polymer-based scaffolds,35–37 hydrogels prepared from self-assembling peptides may serve as useful alternatives that have unique attributes. The synthesis of their peptide building blocks is precise with respect to sequence, composition, length, and reproducibility as a result of advances in solid phase peptide methodology, making their self-assembled gels highly amenable to biomedical applications.38–40 In addition, there is ample scope for sequence-specific incorporation of a wide variety of chemical functionalities and non-natural motifs that can influence bulk material properties. Peptide-based gels are typically biocompatible and do not cause adverse immune response unless designed to do so. Further, they are readily biodegraded.
Although they hold promise, there are fewer reports of self-assembled peptide gels that demonstrate affinity-controlled release. This is surprising given their promised utility. However, there are enough examples to begin to formulate design principles and draw comparisons to polymer-based systems. For instance, most peptide-based affinity systems reported to date differ from conventional polymer-based systems with respect to the nature of the binding interaction between drug and material. In polymer-based systems, there are more material designs that utilize molecular recognition events that are specific in nature, for example, an antigen binding to its antibody. Here, molecular recognition/complexation is facilitated by a combination of primary interactions, such as electrostatics, π-effects, van der Waals as well as the hydrophobic effect if complexation is entropically driven. These same non-covalent interactions play a vital role in the formation and cross-linking of peptide gel networks3,41 and thus it is not surprising that they have been utilized in the early designs of affinity-controlled peptide systems to mediate drug-material complexation. However, therapeutic binding to the material network is driven predominantly by a single type of interaction as opposed to a combination which is typical of most of the specific molecular recognition events utilized in polymer-based affinity-controlled materials. As such, the binding events leading to complexation in peptide systems are often not as specific but can be of high affinity. Further, in polymer systems, ligands are typically ligated to the polymer network. In many peptide-based materials, self-assembly leads to fibril networks where the fibrils themselves can host drug binding. With that said, there are examples of peptide materials where ligands are incorporated to the fibril networks and those will also be discussed.
This review briefly outlines basic affinity-controlled release kinetics previously defined using polymer-based systems which are also applicable to peptide-based materials. We go on to explore peptide hydrogels that leverage reversible interactions for the loading and delivery of a variety of therapeutics, the various molecular mechanisms defining their release kinetics and future opportunities for developing next generation affinity-controlled peptide materials.
Affinity-Controlled Release Kinetics
Again, in a classical diffusion-based delivery scheme in the absence of any engineered affinity, the overall time it takes a therapeutic to be released from a material network (trelease) is given by (L2/D), where (L) is the diffusional pathlength of the material and (D) is the diffusivity of the cargo, i.e. [trelease (s) = L2/D (m2/m2s−1)]. In affinity-controlled systems, materials are engineered to reversibly interact with the therapeutic, which impacts the overall release time (L2/D) by a given factor depending on the exact nature of the material. Affinity-based interactions are characterized by the ability of the therapeutic to reversibly interact with its corresponding binding moiety, which is grafted to the gel network.16,42,43 The strength of the association or binding affinity is thermodynamically characterized by the dissociation constant (KD), Scheme 1. The lower the KD, the higher the binding affinity. The most straightforward method of fine-tuning release can be achieved by modulating the binding affinity (KD). However, this would be an oversimplification as there are other factors that play a role in cargo release such as the shape of the material. However, for the discussion here, we will assume a constant diffusional pathlength (L) for all shapes. A mathematical model prescribed by Vulic et al. classifies the binding and release profiles of affinity-based systems into three characteristic regimes.17 For a bimolecular affinity-based gel system, with a single receptor-cargo pair, there are typically two populations of cargo, bound and unbound. The nature of the binding equilibrium between two affinity pairs is dynamic and is kinetically characterized by association (kon) and dissociation rate (koff) constants (Scheme 1).
Assuming the time it takes for the therapeutic to diffuse through the material is slower than the dissociation of the complex, two different regimes of release are possible. In regime 1, a small portion of the binding sites are occupied. As such, the release of all the cargo occurs on a single timescale of (L2/D) attenuated by (1 + [BD]T/KD), where [BD]T is the total concentration of occupied and unoccupied binding domains, Figure 2. The release rate depends on the ratio of the number of binding sites relative to KD and is independent of the amount of cargo in the gel.17
Conversely, regime 2 is established when the binding sites are mostly occupied. In this case, there is an initial release that occurs over a timescale of (L2/D) attenuated by (1 + [BD]T/[unbound]o) until the cargo concentration drops to the value of KD, after which the remainder of the cargo is released over a time-scale of (L2/D) attenuated by (1 + [BD]T/KD), Figure 2. The initial release of regime 2 depends on the concentration of therapeutic in the system. The subsequent release profile of regime 2 follows the same principles outlined in regime 1.17
In regime 3, the therapeutic is released from the material more quickly than the time it takes for the dissociation of the complex. As such, release is biphasic with unbound cargo being released first in a burst mode dependent on (L2/D). This is followed by release that arises from the slower decomplexation of the bound species over a time scale proportional to 1/koff. This biphasic behavior is shown in Figure 2. The amount of cargo released during the first phase is dictated by the amount of unbound species present at equilibrium, which can be controlled by altering the KD or the initial concentrations of the unbound therapeutic and the binding domain.17
In summary, Regime 1 is characterized by a slow and steady release of cargo over a single timescale. Regimes 2 and 3 both display an early fast release followed by a subsequent slower release. For all three regimes, to achieve affinity-based release, it is imperative that the value of KD be smaller than [BD]T. When KD is larger than [BD]T, the binding domain does not appreciably form a complex with the cargo, which results in a classical diffusion-based release system with loss of affinity. The release profiles of affinity systems can thus be modulated and fine-tuned by striking a balance between diffusion and dissociation kinetics, the understanding of which can prove useful in the future design and development of affinity-controlled peptide-gel release systems.
Binding interactions of peptide-based affinity-controlled systems
Many of the peptide-based affinity-controlled systems described to date utilize predominantly one type of fundamental interaction to mediate complexation, for example electrostatics. This is most likely due to the fact that designing bimolecular interactions de novo that are specific is difficult. Further, incorporating naturally-occurring specific affinity interactions, for example hormone-receptor pairs, into a material matrix can be synthetically challenging.
Non-covalent interactions such as ion-ion and ion-dipole can be quite strong (10–90 kcal/mol). H-bonding, cation-π and π-π stacking are reported to be comparatively weaker (1–15 kcal/mol).44,45 Thus, it’s not surprising that many peptide-based affinity systems rely on electrostatics to mediate binding and controlled delivery. The strength of these interactions can be further enhanced by varying the number of interacting domains between the ligand and the therapeutic. As such, the overall affinity can be tuned depending on how this chemistry is implemented. More recently, the use of reversible covalent bonds such as imine and disulfide bonds have been introduced into the affinity moiety arsenal. With respect to peptide materials, Nature offers a range of amino acids, each distinguished by the chemical nature of their side chains, that can participate in a wide range of interactions (Table 1). Thus, for peptide-based drug-delivery systems, the chemistry of amino acids can be harnessed to engineer affinity-binding domains. Appropriate binding partners for select cargo can be identified and characterized via techniques such as isothermal titration calorimetry (ITC), surface plasmon resonance (SPR) and spectroscopic methods. Examples of peptide-based affinity-control materials are discussed and categorized below by the primary type of interaction utilized in their design. See Table 2 for a tabulation of these materials and their associated properties.
Table 1:
Affinity-based interactions | Amino acids with participating side-chains |
---|---|
Non-polar interactions | Ala, Ile, Leu, Met, Phe, Pro, Trp, Val, Tyr |
π-π/cation-π interactions | Phe, Trp, Tyr/Lys, His, Arg |
H-bonding | Cys, Asp, Glu, His, Lys, Asn, Gln, Arg, Ser, Thr, Trp, Tyr |
Electrostatic | Cys, Asp, Glu, His, Lys, Arg, Tyr |
Metal ligand | Asp, Arg, Lys, Tyr, Glu, His, Cys |
Table 2:
Affinity-Based Interaction | Peptide Gel Matrix | Cargo delivered | Release Duration | Ref | Notes |
---|---|---|---|---|---|
Electrostatic: Specific | α–helical peptide amphiphile + Heparin = β sheet nanofiber | Growth factors: FGF-2-rhodamine | 10 days | 46 | |
Peptide-PEG conjugated gels + Heparin | Heparin binding proteins | ~ 10 days | 48 | ||
Electrostatic: Non-specific | Heparin-mimetic peptide amphiphile | Growth factors: VEGF | 7 days | 49 | |
β hairpin: HLT2 (cationic) | Proteins: α-lactalbumin, lactoferrin, myoglobin | 28 days | 58 | ||
β hairpin: VEQ3 (anionic) | Proteins: α-lactalbumin, lactoferrin, myoglobin | 28 days | 58 | ||
β sheet: RADA16 | Growth factors: β-FGF, VEGF, BDNF | > 2 days | 63 | ||
β hairpin: STINGel MDP - K2(SL)6K2 | Cyclic dinucleotide (CDN) | > 24 hours | 64 | ||
β hairpin: SLac MDP- (KSLSLSLRGSLSLSLKGRGDS) | Small molecule drugs: suramin | > 30 days | 66 | ||
β hairpin: AcVES3 | Proteins: EGFP; Cytokines: IFNα | 10 days | 60 | Cargo modified with affinity tags | |
Hydrophobic | β hairpin: MDP - K2(SL)3(SA)(SL)2K2 | Small molecule drugs: SN-38, Diflunisal, Etodolac | > 8 days | 67,68 | |
Single amino acid hydrogel nanoparticles (HNPs) | Small molecule drugs: 5-fluorouracil | t1/2 = 3–9 hrs | 60 | ||
MITCH gel | QK (VEGF-mimetic peptide) | > 21 days | 70 | Cargo modified with affinity tags | |
Combination Systems: Electrostatic & Hydrophobic | Phe-modified RADA | Small molecule drugs: 5-fluorouracil | n/a | 72 | |
Hexapeptide: NH2-WLVFFK-COOH | Small molecule drugs: 5-fluorouracil, ciprofloxacin | 72 hrs | 73 | ||
Composite RADA gel-chitosan system with β-Cyclodextrin carriers | Small molecule drugs: dexamethasone | ~ 9 days (pH 7) > 9 days (pH 6) |
74 | ||
Reversible Covalent: Schiff Base | Peptides with aldehyde functionality: Nap-GDFDFDpY-CHO | Small molecule drugs: Doxorubicin, Gemcitabine | > 12 hours | 80,81 | |
Reversible Covalent: Hydrazone | Peptide amphiphile modified with hydrazine | Small molecule drugs: nabumetone | > 24 days | 82 |
Electrostatic interactions are perhaps the most widely exploited in self-assembled peptide-based gels to initiate binding between different therapeutics and a gel network. The use and application of self-assembling peptides with acidic (glutamic acid and aspartic acid) and basic amino acids (lysine, histidine and arginine) afford fibrils that can host drug binding. The ionic state of residue side chains comprising these peptides are dependent on pH and the strength of any electrostatic interaction they make with a therapeutic is dependent on ionic strength. As such, drug release can be triggered by real-time changes in pH and ionic strength.
While most of the examples discussed herein are non-specific, there are a few reports of naturally occurring affinity-binding pairs incorporated within peptide networks. Heparin-binding peptide amphiphiles, developed by the Stupp lab,46,47 were designed to specifically bind heparin sulfate-like glycosaminoglycans (HSGAG) to recruit and deliver heparin-binding proteins. Here, amphiphiles displaying the peptide LRKKLGKA, a known heparin-binding consensus sequence, forms nanostructures when heparin is added. The negatively charged heparin screens the positive charge of the peptide amphiphiles, driving self-assembly and the formation of cylindrical nanofibers where heparin chains are displayed on their surface (Figure 3A). The comparative release profiles of FGF-2-rhodamine from heparin-nucleated and Na2HPO4-nucleated (control counter-ion) hydrogels revealed a difference of over 40% in the cumulative cargo released after 10 days. The gels prepared via Na2HPO4 also resulted in a burst release of 34% within the first 10 minutes (Figure 3A).46 This demonstrates that the heparin-binding nanofibers display affinity-controlled release of FGF-2 growth factor. In separate work, a similar design was employed where composite peptide-PEG conjugated gels were formed with the addition of heparin.48 The resulting material displayed affinity-controlled release of fluorescently labelled heparin-binding peptides. In these examples, heparin coats the material networks and mediates therapy binding and release.
In contrast, Mammadov et al., eliminated the need for the heparin coating by using a synthetic heparin-mimetic peptide amphiphile (PA), consisting of sulfonate, hydroxyl and carboxylic acid groups (Figure 3B).49 Gel formation was induced by the addition of Lys-terminated PA, which screens the charge of the heparin-mimetic peptide amphiphile allowing assembly leading to gel formation. The strong affinity of the VEGF growth factor with the heparin-mimetic peptide amphiphile is evident from its slow-release profile, with only 5% of the encapsulated growth factor released after 7 days (Figure 3B). Comparatively, control gels made from Asp-terminated PA and Lys-PA containing exogenous heparin, yielded burst releases of VEGF at 2 hours with 33% and 40% of the cargo released at the end of 7 days.49 This work also nicely shows that the heparin coating can be avoided simplifying material preparation without compromising affinity-controlled release.
In our lab, we have developed an extensive array of peptide-based fibrillar gels for numerous applications50–54 including delivery.55–60 These amphiphilic peptides undergo triggered self-assembly forming a fibrillar hydrogel network where fibrils are comprised of peptides that are folded into a β-hairpin secondary structure and assembled into an extended bilayered β-sheet.61 The interior of the bilayered fibrils contains hydrophobic residues and the exterior, solvent-exposed surface of the fibrils displays hydrophilic residues. Appropriately designed peptides can form fibrils displaying charged residue side chains that can be utilized for electrostatic-based affinity-controlled release of molecules. For example, when anionic peptides are used for self-assembly, negatively charged fibril networks are formed.58 Figure 4A shows schematically that when the positively charged protein lactoferrin is encapsulated, it binds avidly to the fibril network and is released slowly. Figure 4B shows the corresponding release data for lactoferrin as well as for negatively charged α-lactalbumin, whose release is governed by diffusion void of affinity control. Conversely, when gels are prepared by a cationic peptide, positively-charged fibril networks are formed that are not able to release lactoferrin in an affinity controlled manner, Figures 4 A,C. However, now α-lactalbumin can be delivered via affinity-controlled release. Neutral myoglobin is released via simple diffusion by both gels.58 A similar approach was adopted with the use of RADA16-I self-assembling peptides, a repetitious and ionic self-complementary set of beta-sheet scaffolds,62 to achieve slow and controlled delivery of differently charged cytokines of similar size – human βFGF (+), VEGF (−) and BDNF (+).63 As was the case with our system, the release of proteins from oppositely charged hydrogels was found to be slower in comparison to that from similarly charged hydrogels.
Similar interactions were employed in the controlled delivery of a cyclic dinucleotide (CDN) from the STINGel, formed from an assembling multidomain peptide (MDP) developed by the Hartgerink lab (Figure 4D).64 This peptide forms fibrillar gels rich in antiparallel beta-sheet structure. The positively-charged network reversibly binds to the negatively charged thiophosphate moieties of CDN and extends its release. In contrast to the release rate of CDN from the STINGel, a neutral collagen gel matrix displayed an 8-fold increase in release rate for the same therapeutic, Figure 4E.64 Similarly, electrostatics was employed to affect affinity-controlled release of pro-apoptotic peptide (SDPP) from a series of peptide gels using poly-glutamate/poly-Arginine/Lysine interactions.65 A parallel study with a similar MDP sequence demonstrated the use of polyvalent drugs as ionic cross-linkers to stabilize the resulting fibril network. Negatively-charged suramin, with six sulfonate groups, allows for hydrogen bonding and electrostatic interactions with the terminal lysines of the MDP peptide. This aids in both the formation of the hydrogel network and subsequent affinity-based release of the drug over time.66
The examples above clearly show the powerful effect electrostatics can play in modulating affinity-controlled release and its utility as a design element. However, for the release of therapeutics whose conformation is important for their function, care must be taken. For example, the folded conformations of many protein therapeutics are marginally stable and binding of a charged protein directly to a material network of opposite charge can result in protein denaturation and/or aggregation. To limit direct contact between a therapeutic protein and the gel network, an interactive domain (ID) tag can be ligated onto the therapeutic protein that acts as a bridging tether between the cargo and material matrix. Such ID tags can be engineered to incorporate a suite of non-covalent interactions depending on the desired release properties. For example, we have designed a family of cationic IDs that can be appended to the N- or C-termini of proteins to facilitate their affinity-controlled release from negatively-charged hydrogel networks, Figure 5A, B.60 Figure 5C shows the effect of ligating different IDs to control the delivery of the protein EGFP. Figure 5D shows that by using combinations of ID-tagged protein, one can further tune delivery. Furthermore, our system also allows for the time-staggered delivery of different proteins, which should be beneficial in drug combination regimens.60
Hydrophobic and π-π interactions have also been used, often in combination, to affect affinity-controlled release from peptide-based gels. Typically, these interactions are used for encapsulating and delivering hydrophobic drugs, which are otherwise difficult to encapsulate within an aqueous gel reservoir. There are numerous amino acid sidechains that can be employed to facilitate hydrophobic drug-material interactions, Table 1. In an interesting case, a molecular cavity was engineered within the MDP beta-sheet scaffold discussed earlier (Figure 4D–ii) to store and subsequently release hydrophobic molecules. This was executed via manipulation of the primary sequence of the multidomain peptides, wherein the truncation of the leucine residues sandwiched within the hydrophobic layer to alanine residues resulted in a cavity suitable for the entrapment of non-polar drugs through the hydrophobic effect, Figure 6A.67 Hydrophobic drugs like diflunisal, etodolac and SN-38 were released more slowly (8 days) relative to more polar molecules such as daunorubicin and norfloxacin (4 hrs), as the latter tend to occupy sites on the exterior of the nanofibers rather than the interior. Thus, the use of the MDP peptide system can not only enable electrostatic-based affinity control, but also be tuned to facilitate hydrophobic interaction-based affinity control.
Tiwari et al., demonstrated affinity-controlled release using a minimalistic gel design where Fmoc-meta-aminobenzoic acid and benzoyloxy carbonyl phenylalanine were used to form hydrogel nanoparticles by self-assembly.68 The self-assembly of both molecules is mainly driven by hydrophobic collapse. The chemotherapeutic 5-fluorouracil can be incorporated into the particles via co-assembly, presumably forming π-π interactions with the self-assembling gelators.68 Subsequent, drug release over about 10 hours was observed for both gels with the Fmoc-meta-aminobenzoic acid displaying slightly longer persistence time. This is consistent with the extended π-system of the Fmoc moiety relative to the benzoyloxy group.
Similar to our discussion above on using Interaction Domain (ID) tags for electrostatic-based delivery of proteins, hydrophobic tags can also be employed. For example, a VEGF-mimetic peptide fused with different proline affinity tags can be delivered from a two-component peptide hydrogel69 demonstrating affinity-controlled release.70 The gel is formed by crosslinking tryptophan and proline-rich polypeptide domains. The VEGF mimetic is encapsulated by co-assembly where it competes for the Trp-rich domains of the gel. This design is inspired by the tryptophan WW domains of some signaling proteins, which bind to proline-rich sequences.71
Other systems use a combination of interactions to individually facilitate the encapsulation and subsequent delivery of drug. Although these following examples are not strictly considered affinity-controlled systems, they warrant mention. For example, the incorporation of phenylalanine into the sequence of self-assembling RADA-based peptides allows the encapsulation of 5-fluorouracil via the formation of π-π interactions during co-assembly.72 The drug loading efficiency was found to be 15% higher for Phe-modified RADA in comparison to a control gel void of the phenylalanine residue. Drug release results from pH-dependent destabilization of the fibers constituting the gel and as such, is not a strict example of affinity-controlled release. Roy et al. developed gels formed from a self-assembling hexapeptide (NH2-WLVFFK-COOH) that demonstrate sustained release of 5-fluorouracil and ciprofloxacin, Figure 6B.73 Efficient loading of the cargo within the gels was achieved primarily by the formation of aromatic π-π interactions between the indole moiety of the peptide’s tryptophan and the aromatic groups of the drug molecules. This system demonstrates a modest pH-dependent control over release whose molecular basis is not known. In another example, cyclodextrin is used to sequester dexamethasone and the resulting complex encapsulated with chitosan to form nanoparticles. These particles are subsequently encapsulated into a gel network formed from the self-assembly of RADA-containing peptide, Figure 6C.74 Here, the cyclodextrin is key in facilitating the loading of the hydrophobic drug. However, in this case the release of cargo was dictated by the stability of the nanoparticles in response to pH. The deprotonation of chitosan at high pH led to particle disassociation from the matrix and subsequent drug release. Although delivery is not strictly affinity-based, it is still controlled by the material’s environment.
Covalent bonds can be highly stable and can be useful for reversible capture and release of both small molecules and proteins. Ligations are a popular strategy used in the conjugation of many drug-material interfaces75 and can be tailored to respond to external stimuli. Many ligations can occur orthogonally in aqueous media under physiological conditions. Commonly employed covalent interactions that can be designed to be reversible include but are not limited to the Schiff’s base and the disulfide linkages.
Schiff’s base (imines) are dynamic covalent bonds formed via the condensation of nucleophilic amines and aldehyde groups. The scope of this reaction can be expanded to other nucleophiles such as hydrazides, acylhydrazides, and aminooxy moieties to form hydrazones, acylhydrazones and oximes,76 respectively, Figure 7A. Each of these linkages are characterized by different pH-dependent rates of hydrolysis and reformation. It is generally appreciated that hydrazones and oximes are intrinsically more stable than imines towards hydrolysis.77 Model studies using small molecules show that the hydrolytic half-life of these linkages at pH 7 range from minutes to nearly a month with the rank order of imines << alkylhydrazones ≤ acylhydrazones <<< oximes.77–79 Figure 7B plots their half-lives as a function of pH. Interestingly, imine linkages are used most frequently in the literature even though they are the most suspectable to hydrolysis at pH 7 and thus may not offer the control that hydrazone or oximes could for long delivery durations.
The most obvious approach to the incorporation of imine linkages within peptide gel scaffolds are via the use of lysine side-chains within peptide hydrogels to release aldehyde containing molecules or vice-versa. Wang et al. reported the use of an aldehyde functionalized self-assembling peptide, Nap-GDFDFDpY-CHO that forms hydrogels capable of delivering the amine-containing chemotherapeutic, doxorubicin (Dox).80 The peptide and drug were mixed at pH 7.0 to induce imine formation (CHO-Dox gel) and induce assembly leading to gel formation, Figure 7C. The CHO-Dox gel system releases Dox more quickly at acidic pH values, correlating with Schiff base hydrolysis under those conditions. A similar strategy was used to deliver gemcitabine,81 with faster release rates realized at more acidic pH conditions. The accumulative release of gemcitabine reported after 12 hours at pH 5.0 and pH 7.4, differed by 25% indicating pH-dependence, Figure 7D. Thus, the Schiff base imine complexes can be harnessed for affinity-controlled drug release in response to acidic tumor environments. Likewise, the incorporation of hydrazides into peptide amphiphiles has been demonstrated to release a small molecule drug, nabumetone, which is tethered to the gels via a hydrazone linkage.82 Due to the higher hydrolytic stability of hydrazones relative to imines, the gels demonstrated relatively slower rates of hydrolysis at physiological pH, with a small burst release followed by a slow sustained release profile with less than 40% of the drug released after 24 days.
The thiol functionality of cysteine represents an opportunity in affinity-controlled release. Disulfide bond formation between cysteines has been extensively used to induce gel formation and modulate the mechanical properties of existing self-assembled peptide networks.83 The presence of free thiols such as glutathione in specific biological niches should permit the subsequent redox-responsive release of the bound proteins. Glutathione/glutathionedisulfide is known to be the most plentiful redox couple in vivo with differing concentration ratios at different biological sites.84,85 One can envision ligating proteins to material networks through disulfide bond formation and controlling their release in a redox-specific manner. Of course, other thiol containing molecules can also be delivered using this strategy. Surprisingly, in our literature search, we did not find examples of its use to mediate affinity-controlled delivery in peptide-based material systems. However, we did find one somewhat related example, although not strictly affinity-based. Here, a disulfide tethering strategy is used to produce prodrug hydrogelators containing pacilataxel (PTX) conjugated to a self-assembling peptide amphiphile.86 However, this system demonstrates the release of the individual peptide-drug monomer units, which occurs as a result of the dissociation of the nanofibers over time and not as a result of an affinity-based interaction. The monomer conjugates released from the gel undergo subsequent disulfide bond cleavage to release free PTX.
Future Outlook & Summary
Hydrogels play a unique role in drug-delivery, with peptide-based systems emerging as a versatile platform towards the development of precision therapeutics. Significant advances can come from unexplored binding pair combinations and other emerging reaction chemistries. For example, while there are numerous reports of the use of metal-ligand interactions in peptide gel formation,87–92 there aren’t many examples where the reversibility of metal-ligand complexation has been harnessed for drug-delivery applications. Metal-ion chelation can be highly specific and stable under a wide range of physiological conditions. Direct metal-peptide interactions with naturally occurring amino acids such as histidine-nickel complexes or other metal-binding ligands can be incorporated within the scaffold of hydrogels. For instance, drug-delivery hydrogels systems can be engineered to release metal-bound proteins fused with histidine tags, in response to biological triggers. Although an exciting possibility, attention should be given to designing systems that limit possible metal-associated toxicity.
Delivering combination therapies56 represents another opportunity. Currently, there is substantial activity in drug discovery to identify new combination therapies from existing FDA-approved drugs. Combination therapy administers multiple drugs having different mechanisms of action that together provide clinical benefit. Given the temporal resolution of biochemical pathways important to a particular disease and the different PK/PD properties of the individual drugs, it is becoming clear that the time-specific administration of combination therapies is an important factor in defining their efficacy. Thus, developing affinity-controlled systems capable of delivering multiple agents with distinct individual release kinetics would be useful.
Designing ligand/drug interactions whose KD values are sensitive to environmental cues is another exciting approach towards programmable materials development. Modulating delivery via changes in pH and ionic strength were discussed throughout the review, but other cues such as temperature, light, enzymatic action and redox potential represent material design space that is ripe for exploration. Peptide gels that are truly responsive will be far more complex than those discussed and may require the integration of multiple affinity interactions in order to respond to the cues and signals in their environment. The avenues for innovation with affinity-based release systems are limitless, allowing ample scope for customized drug-delivery solutions.
Acknowledgment
The preparation of this manuscript was supported by the Center for Cancer Research intramural research program of the National Cancer Institute, National Institutes of Health.
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