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Editorial For reprint orders, please contact: [email protected] Nanogels in the race for drug delivery “Even a moderate increase in the efficacy of present drug delivery systems has proven to be a real challenge.” We are currently witnessing a rapid growth of interest in nanotech applications for medicine, most of them focused on radical improvements of current therapies and diagnostic modalities. After a real boom in the development of novel micro- and nano-sized particulate drug delivery systems (DDS) in academic laboratories and pharmaceutical companies all over the world; however, we have now reached the point when the first ‘reality check’ can be made and the many limits and shortcomings of existing DDS can be evaluated. The major effect of drug administration in loaded DDS can be determined as a principal change in drug pharmacokinetics and bioavailability. Many current DDS have been developed with the aim of reducing biodegradation or in vivo toxicity of drugs. Others have focused on increasing bioavailability, cell-selective accumulation, or activity of encapsulated drugs after administration. Initial generations of DDS were optimized in cell cultures by modifications of the chemical structure or physicochemical properties in order to effectively modulate cellular drug accumulation, release kinetics and overall therapeutic effect. the effect, from kidney ‘drainage’ or retention of DDS in bypassing organs to accumulation of nanocarriers in fatty and muscular tissues. An extremely effective ‘deactivation’ factor for Serguei V Vinogradov administered nanoformulations was the capture Department of Pharmaceutical of nanocarriers by macrophages of the endothe- Sciencess, College of Pharmacy lial reticulum, by alveolar macrophages in lungs, and Center for Drug Delivery and by macrophage populations in the liver and and Nanomedicine, University spleen. An important role in recognition by of Nebraska Medical Center, macrophages was attributed to serum proteins Omaha, NE, USA (opsonins) that had adsorbed on the surface of Tel.: +1 402 559 9362 nanocarriers and made them ‘visible’ to macro- Fax: +1 402 559 9345 phages. Particle size, shape, surface charge and [email protected] polymer brush density of nanocarriers have been determined to be among the main characteristics responsible for premature clearance. All in all, the doses of administered nanocarrier-loaded drugs that reached tumors or targeted organs (except liver, kidney and spleen) rarely exceeded 5–10% of the injected dose. This means an extremely low observed efficacy of nanodelivery. Even a moderate increase in the efficacy of present DDS has proven to be a real challenge. The most promising DDS have been selected for in vivo evaluation. Here, the principal difficulties started to appear. Despite some success stories, a huge gap between the in vitro properties of DDS and the behavior of nanocarriers following injections into a living body was observed in practically every laboratory. The major cause of these differences was the interaction of the surface of DDS with serum components and fast clearance of ‘covered’ nanocarriers from blood circulation. Special conditions added to Per aspera ad astra: fighting deficiencies & limitations of DDS Our initial optimism about rational nanoengineering of DDS and ‘smart’ design is fading fast after multiple failures of drug nanoformulations in clinical trials. The recent history of nonviral gene delivery gives us stunning examples of the slow shift from the initial simplistic designs of nanocarriers to the ‘real-life’ complex structures with virus-like properties that would be able to cross multiple biological barriers on their way to efficient nuclear expression in target cells. It is now evident that the size or shape of virus particles, surface properties, pattern of cellbinding proteins and the ability to hide from the immune system determine the invasive power of infection and virus persistence in the organism. Therefore, a promising approach to improve the properties of human constructs may 10.2217/NNM.09.103 © 2010 Future Medicine Ltd Nanomedicine (2010) 5(2), 165–168 “...a promising approach to improve the properties of human constructs may include applying real viral properties or bionics, mimicking nature.” ISSN 1743-5889 165 Editorial Vinogradov include applying real viral properties or bionics, mimicking nature. In that regard, studies of bloodborne pathogens and infections may shed some light upon the requirements for long-term circulation of nanoparticles in the 10–200 nm range in the blood. Surface decoration of nanosized DDS with targeting ligands recognizing specific cellular receptors in the attempt to mimic endogenous immunoglobulins then became a major approach to systemic delivery of encapsulated drugs. However, in DDS design, factors such as the hydrodynamic shape of nanocarriers were seldom taken in account. The critical cell-binding efficacy of many circulating nanocarriers and their retention in tumors, the blood–brain barrier, and so on, will inversely relate to their size or, more precisely, to the cross-sectional area facing the shearing forces of blood flow. The importance of attaching multiple ligands to the surface of DDS for binding cellular receptors in concert was only recently recognized as an important requirement for efficient systemic targeting; no such restriction was identified for antibody–drug conjugates with a hydrodynamic radius (rh) not exceeding 2 nm. However, the shearing forces of blood flow could ‘tear off’ already-bound larger nanoparticles with an efficacy in direct proportion to their rh 2. Evidently, soft nanocarriers, which are capable of flattening themselves on the vascular surface and simultaneously anchoring in multiple points, have a better chance of specific retention in the targeted site of disease. Ex pluribus unum: nanogels & other nanocarriers Nanogels have been included only recently in the long list of known physical nanocarriers, which have found applications as DDS, from supramolecular dendrimers with a rh of less than 10 nm to biodegradable nanoparticles with a rh of up to 1 µm. The term ‘nanogels’ defines small hydrogel particles formed by physically or chemically crosslinked polymer networks. Dispersed in aqueous media, swollen nanogel networks are soft and can encapsulate a considerable volume of water. Biological agents and drugs can be loaded into nanogels via a spontaneous process including interactions between the agent and the polymer matrix, forming hydrophilic particles with high dispersion stability. Nanogels were able to physically protect biological molecules from degradation in vivo and have been preclinically investigated for many types of active molecules, ranging from small drugs to biomacromolecules. Following the first decade of their development, 166 Nanomedicine (2010) 5(2) nanogels demonstrated excellent potential for systemic drug delivery, design of multifunctional nanocarriers (e.g., theranostics) and triggered drug-release applications [1–5] . Key features of nanogels will be discussed below in comparison with the currently most advanced DDS. Solid nanoparticles (SNPs) composed from biodegradable polymers have found applications in various fields of nanomedicine, including drug delivery. Biodegradable solid polymer nanoparticles demonstrated great promise as drug delivery carriers and have high biocompatibility. The drug is usually released from a SNP because of matrix erosion that can be controlled by the polymer content of the nanocarrier. The storage ability of nanoparticles in lyophilized form has generally been good. In theory, biodegradable SNPs can sustainably release the drug, optimizing its pharmaceutical profile over time and, thus, increasing drug efficacy. Alas, currently, predictions of drug pharmacokinetics are difficult because of the poor understanding of in vivo biodistribution and behavior of nanocarriers. Moreover, some properties of SNPs are not easily compatible with design of nextgeneration smart nanocarriers. Introduction of outlying stabilizing polymer molecules, targeted moieties and imaging capabilities were found to be notoriously difficult for biodegradable SNPs. By contrast, nanogels sharing many useful properties of SNPs, such as lyophilizing ability and biocompatibility, are devoid of these problems and can be easily modified with various ligands on their surface and in the internal volume of their network. Liposomes have been around for 30 years and extensively studied, so that many liposomal drugs have already been moved into the clinic. Despite the evident advantages of liposomes, these pharmaceutical formulations are far from ideal, with a short shelf-life, significant drug leakage, high accumulation in the liver and so on. Since the introduction of polyethylene glycol (PEG)ylated ‘stealth’ liposomes, these carriers have advanced immeasurably. However, as was observed repeatedly in clinical trials, intravenously injected PEGylated stealth liposomes may induce acute pseudoallergic reactions associated with complement activation. PEG chains associated with an anionic phosphate moiety of phospholipids were found to trigger several pathways of the human complement system. Similar effects were also observed with the injection of other PEGylated DDS, such as carbon nanotubes. The major advantage of liposomes is their homology with cellular membranes and future science group Nanogels in the race for drug delivery the ability to fuse with them, releasing the cargo inside the cells. Some cationic and amphiphilic nanogels have also demonstrated prominent membranotropic properties and were able to fuse with cellular membranes, coming very close to liposomes in this capability [6] . Polymeric micelles represent the third major class of DDS, although, in a general sense, they may be considered as excipients, surfactant- stabilizers of poorly soluble drugs. When the size of nanocarriers is concerned, micelles will probably lead the group, because they usually have the smallest diameter and are produced from one amphiphilic polymer component. Major minuses of micelles are low storage stability and problems with lyophilization; a relatively low drug encapsulation is another drawback. Recently, a novel advanced approach, so-called ‘wet milling’ of solid low-soluble drugs, was developed for preparing heavily drug-loaded micelles stabilized by an amphiphilic polymer. Sometimes, the boundary between micelles and nanogels is vague; crosslinked micelles are frequently called nanogels. They have all of the attributes of nanogels, including pore size and environmentally dependent volume change (collapse). The principal advantage of both types of nanocarriers is a high water content, assuring their excellent dispersion stability. Low soluble drugs can be efficiently encapsulated in micelles, while hydrophilic compounds and bioactive macromolecules are the most frequent drug candidates for encapsulation in nanogels. Nanogel-specific properties can be utilized for the design of smart nanocarriers for various types of delivered molecules. The following examples will help to illustrate the extensive potential of nanogel networks for drug delivery. In application to hybrid nanocarriers, formation of hydrogel nanolayers is now considered as one of the best methods for the preparation of stabilized nanocarriers with functionally active metal or mineral cores for imaging or phototherapeutic purposes. Hybrid nanogels containing smaller gold, ferromagnetic, or fluorescent (quantum dot) SNPs can be a useful platform for the development of smart DDS, but the indestructibility of these components gives rise to some potential issues associated with chronic toxicity. Tissue staining is one of the known visible results of metal SNP accumulation. A hydrogel outlayer makes the solid core biocompatible; in view of future ‘nano(ro) bot’ development this type of supramolecular architecture seems most versatile. Nanogels encapsulating gold SNPs or quantum dots may future science group Editorial Nanogel concept Drug molecule Figure 1. Nanogel concept. Figure created as a result of an idea from Alexander Kabanov, University of Nebraska Medical Center, USA. Parts adapted from [9] . serve as recent examples of multifunctional theranostics in the initial stage of preclinical development [6] . In the second example, an easy and efficient encapsulation of therapeutic proteins into a cholesteryl–pullulan nanogel network was achieved by Akiyoshi et al. in Japan [7] . A protein of interest mixed with a cholesteryl–pullulan molecule formed small nanogel particles with the protein in the core protected by hydrophilic polymer chains. Various proteins were shown to become more stable, or active, or be delivered into targeted cells more efficiently. A strong focus of recent research has been the engineering of particles with definite shapes, a pharmaceutical parameter having received little attention in the past. As recently became evident, spherical particles are subjected to stronger phagocytosis than ellipsoid or disc-shaped ones. Therefore, rational shape design may provide an additional advantage in drug delivery, avoiding capture by macrophages. In the third example, uniform nanogels have been fabricated by lithographic PRINT process using master-mold process in various shapes and sizes. This innovative PRINT technology that allowed preparation of drug-loaded, shape- and size-optimized uniform nanocarriers was developed by DeSimone et al. in the USA and recently distinguished by NIH and MIT awards [8] . Crosslinked hydrogel networks usually form smooth and elastic outlayers that generate extremely low friction with various surfaces, including the endothelium of blood vessels. This property may be useful for the design of cell-associated DDS, so that the biological function of cells circulating in blood/lymphatics will not be affected. Other specific features of nanogels, including stimuli-induced drug release via temperature or pH-dependent volume collapse, can also be very useful in designing smart, stimuli-responsive DDS. www.futuremedicine.com 167 Editorial Vinogradov Tempus fugit: time is the best judge The successful clinical translation of therapeutic nanoformulations requires the optimization of many distinct parameters of nanocarriers, including variation in carrier composition, drug loading and surface properties (polymer or ligand density, hydrophobicity and charge). While various high-throughput or combinatorial methods have been suggested for optimization of biomaterials and DDS, unfortunately, in real life, sometimes those modifications intended to increase a specific efficacy of nanodelivery can suppress other useful properties of nanocarriers, and vice versa. Current pharmacology mostly deals with single drugs and tries to avoid drug interactions. The goal of creating computerized models of drug action, similar to the existing ones in current ‘subnano’ pharmacology, is only twinkling as a distant star for drugencapsulated DDS. It is clearly evident that drug nanoencapsulation will not just simplify drug delivery or enhance drug efficacy, but, in its own way will make drug choices and prediction of drug pharmacokinetics more difficult and prone to errors, and influence of many factors associated with DDS. The hype and hope of nanotechnology challenging many previously unimaginable goals are especially high now and many believe in forthcoming breakthroughs in the areas of diagnostic imaging, complementation of diagnostic tools with therapeutic modalities (theranostics), or nanoencapsulation of biotech proteins and novel Bibliography 1 Kabanov AV, Vinogradov SV: Nanogels as pharmaceutical carriers: finite networks of infinite capabilities. Angew. Chem. Intern. Ed. 48, 5418–5429 (2009). 2 Raemdonck K, Demeester J, DeSmedt S: Advanced nanogel engineering for drug delivery. Soft Matter 5, 707–715 (2009). 3 Vinogradov SV: Hydrophilic colloidal networks (micro- and nanogels) in drug delivery and diagnostics. In: Structure and Functional Properties of Colloidal Systems. Hidalgo-Alvarez R (Ed.). CRC Press, Taylor & Francis Group, Boca Raton–London–New York, NY, USA 367–386 (2009). 168 genetically active macromolecules for clinical applications. However, we must be patient and clear-headed to evaluate the pros and cons of existing DDS. Evidently, only a small fraction of the invented DDS will be able to get over multiple obstacles on their way to clinical studies and, eventually, to the pharmaceutical market of approved drug formulations. The major part of these inventions will remain buried in the archives of the US Patent Office. Our times may still be compared with the period of the California Gold Rush when new gold prospector sites were claimed and even fought over, sometimes without clear idea about their gold content or real outputs. Nanogel nanocarriers are now reaching the age of adolescence and have already demonstrated the promise of a ‘wunderkind’ child in comparison with other already advanced DDS. Time will judge whether these promises are going to become a reality. Financial & competing interests disclosure The author is very grateful for support in the development of nanogels from NIH (R01 CA102791, R01 NS050660, R01 CA136921 and R21 NS063879) and from A Kabanov, the director of Center for Drug Delivery and Nanomedicine, UNMC (Omaha, NE, USA). The author has no other relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript apart from those disclosed. No writing assistance was utilized in the production of this manuscript. 4 Yallapu MM, Ready MK, Labhasetwar V: Nanogels: Chemistry to drug delivery. In: Biomedical Applications of Nanotechnology. Labhasetwar V, Leslie-Pelecky DL (Eds). John Wiley & Sons 131–171 (2007). 5 Hamidi M, Azadi A, Rafiei P: Hydrogel nanoparticles in drug delivery. Adv. Drug Deliv. Rev. 60, 1638–1649 (2008). 6 Vinogradov SV: Colloidal microgels in drug delivery applications. Curr. Pharm. Des. 12, 4703–4712 (2006). 7 Morimoto N, Hasegawa U, Sugawara A, Yamane S, Akiyoshi K: Polysaccharide nanogel engineering: Design of n nano- Nanomedicine (2010) 5(2) structured hydrogel materials and application to biotechnology and medicine. In: Nanotechnology in Carbohydrate Chemistry. Yuassa H (Ed.). Transworld Research Network, Trivandrum, India 67–85 (2006). 8 Euliss LE, DuPont JA, Gratton S, DeSimone J: Imparting size, shape, and composition control of materials for nanomedicine. Chem. Soc. Rev. 35, 1095–1104 (2006). 9 Kabanov AV, Batrakova EV. New technologies for drug delivery across the blood brain barrier. Curr. Pharm. Des. 10(12), 1355–1363 (2004). future science group