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(Figure 3, VM-nanogel, B-0). After co-incubation of the
primary VM-nanogel “infected” cells and untreated cells for
20 h, the red DOX fluorescence appears in the untreated cell
group, even in the cell nucleus (Figure 3, VM-nanogel, B-1).
This may be because DOX action on the cells induces
apoptosis and the VM-nanogels are released from the dead
cells for subsequent infection in neighboring cells (see the
Supporting Information).
The infection procedure was repeated and another
infection cycle occurred (Figure 3, VM-nanogel, B-2, B-3).
In addition, the weakened “infection signal” (that is, fluores-
cence) over repeated cycles is most probably caused by the
loss of VM-nanogel by medium replacement, DOX depletion
from the VM-nanogel, and less release of DOX during each
cell cycle, which eventually falls below the drug concentration
required to induce cell death.
Three control experiments support the unique repeated
infection capabilities of the VM-nanogels (Figure 3). Control
nanoparticles (NPs; ꢁ 70 nm in diameter),[13] which comprise
a pH-insensitive central core (poly(l-lactic acid) and DOX)
and a hydrophilic shell (PEG–folate), have no capability for
endosomal escape, thus resulting in cytosolically trapped
DOX[13] and limited cell death. The control NPs were only
able to produce secondary infection very weakly in the first
cycle after 20 h.[13] Experiments with free DOX produced
limited fractions of DOX diffusing into cells in the primary
infection cycle because of the drug-resistant, active P-
Figure 4. Antitumor activity of DOX-loaded VM-nanogels (white),
DOX-loaded control NPs (gray), and free DOX (black). The DOX
equivalent content of each sample is 5 mgmLꢀ1. a) A2780 or resistant
A2780/AD tumor cells were treated with each sample for 48 h in
culture media of pH 7.4 or 6.8. b) A549 cells were treated with each
sample for 48 h in culture medium (pH 6.8). Each data point in (a)
and (b) represents an average standard deviation (n=9); ** indicates
p<0.05 for free DOX.
glycoprotein DOX efflux pumps in A2780/AD cells.[12]
A
third control utilized VM-nanogels without DOX (Figure 3,
blank VM-nanogels). After entry into the primary infected
cells, the blank VM-nanogel with FITC (green color)
distributed evenly within the cells.[13] No noticeable secondary
infection was detected because of a lack of cell death[13] and
lytic release of VM-nanogels.
Recently, Nagasaki et al. reported pH-sensitive PEGy-
lated nanogels with a sharp volume transition at pH values
around 7.0, as a result of the protonation of cross-linked
poly[2-(N,N-(diethylamino)ethyl methacrylate)] in the
core.[14,15] These nanogels facilitated triggered DOX release
at endo/lysosomal pH for effective chemotherapy.[15] How-
ever, these nanogels did not show cell specificity and recycled
infection.
Importantly, when a drug carrier completely releases its
payload upon cell internalization to achieve high drug
concentrations within the cells,[9,13] this often results in
excessive drug over the threshold of its cytotoxicity. The
excess drug could be ineffective against neighboring cells if
these cells are drug resistant.[12] However, the VM-nanogel
system may be able to maximize the effect of the drug by
pulsatile drug release modulated by pH and repeated entry
into cancerous cells. Once the VM-nanogel escapes the
endosomes, the DOX release rate is minimized. This indicates
that the amount of DOX released while the VM-nanogels are
entrapped in the endosomes for approximately 1–1.5 h
(Figure 2c) before endosomal disruption should be high
enough to provide a drug concentration sufficient to kill
cancer cells. The amount of DOX released for 1 h at pH 6.4 in
each cycle is expressed in the Supporting Information.
Figure 4a presents an impressive contrast for cell killing in
the various cases. The viability of both drug-sensitive A2780
cells and drug-resistant analogues was below 20% when
treated at a DOX equivalent concentration of 5 mgmLꢀ1
carried by the VM-nanogels. However, DOX carried by the
control NPs was not effective in cell killing. Free DOX at the
same concentration showed a viability of 30% for sensitive
cells but 80% for resistant cells. Similar results with free DOX
were obtained when the same experiments were conducted at
pH 6.8, which is close to the tumor extracellular pH.[4,9,13] The
results suggest that the VM-nanogels do not distinguish
between sensitive and resistant cells in tumor-cell killing
capability, by preserving a sufficient cytosolic dose of DOX.[9]
More significantly, the VM-nanogels do not infect (see the
Supporting Information) or kill A549 human nonsmall lung
carcinoma cells[16] which do not express the FR (Figure 4b).
In conclusion, the VM-nanogels infected cells in a
receptor-dependent manner, effectively killed the tumor
cells, and migrated to neighboring cells as a virus does.
When coupled with other specific targeting moieties or gene
vectors, this VM-nanogel nanotechnology could have great
potential for treating solid tumors, inflamed tissues, and other
diseases in an effective manner. To confirm and realize this
ꢀ 2008 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim
Angew. Chem. Int. Ed. 2008, 47, 2418 –2421