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Ph.D.Thesis Defense by Nikhil Dhoot Department of Chemical Engineering Drexel University, Philadelphia PA 19104 Advisor: Prof. Margaret Wheatley March 19, 2002
Outline
Microencapsulation Alginate Liposomes Microencapsulated liposomes for protein delivery Spinal cord injury Encapsulation of genetically engineered fibroblasts for treatment of spinal cord injuries Modification of microcapsule surface Conclusions Recommendations
Microencapsulation
First studied in the food industry and in the development of carbonless paper Use in drug delivery pioneered almost 40 years ago Several systems developed for the encapsulation of different therapeutic agents as well as for encapsulation of cells Variety of polymers used: Alginate, agarose, gellan gum, gelatin, chitosan, PLGA, polyvinyl alcohol, collagen, polyacrylamide Various methods used: Emulsification, ionotropic gelation, thermal gelation, in situ polymerization, interfacial polymerization
Kinetics of drug release can be altered Duration of release can varied over great periods of time Surface modification can enable targeting to specific sites Most methods of preparation utilize organic solvents Aggregation of proteins and loss of protein activity has been reported Sterilization of microcapsules also poses a problem Water soluble polymers such as alginate present an attractive choice for protein delivery
The microencapsulation method should be mild and should not involve the use of
Alginate
Naturally occurring linear polysaccharide 1,4 linked -L-guluronic acid and -D-mannuronic acid Non-toxic reactants and mild conditions for encapsulation Crosslinks in the presence of multivalent cations Easy control of physico-chemical properties of capsules Easy surface modification with proteins Established use for encapsulation of flavors, enzymes and cells
Mannuronic Acid
Guluronic Acid
Carboxylate groups on the surface are available to react with other cations Coating of the gel with a polycation such as poly-L-lysine and poly-L-ornithine can act as a size exclusion membrane The coating can serve as a barrier to exclude immunogenic substances Coating can also provide strength to the capsule Characteristics of the coating can be altered by varying the conditions of the coating process
Liposomes
Artificial vesicles made from phospholipids; bilayered in structure Used as a model for biological membranes Widely studied for drug delivery Taken up by the RES
Classification
Semipermeable membrane
Previous Studies
Encapsulation of liposomes in collagen, nylon, acaciagelatin (Weiner et al, 1985; Nixon et al, 1989; Dong et al, 1993) Encapsulation of liposomes in alginate for protein delivery (Wheatley et al, 1987; Kibat et al, 1990; Cohen et al, 1991) Liposomes encapsulated in alginate have been shown to elicit higher immune responses (Cohen et al, 1991) Encapsulation of liposomes in alginate results in an initial burst of protein release Also, the possibility of obtaining pulsatile release has been demonstrated
Objectives
To encapsulate liposomes in alginate microcapsules and to optimize the encapsulation procedure To determine the effect of different crosslinking ions on protein release To determine the effect of different types and compositions of liposomes on the release profile To investigate the possibility of interaction between the liposomes and alginate and to determine the mechanism of any such interaction
Methodology
Liposomes of different types (LUVs and MLVs) and compositions were prepared Liposomes were encapsulated in 1.5% (w/v) alginate crosslinked with different cations (Ca2+, Al3+, Ba2+) Microcapsules were coated with a 0.5 mg/ml poly-Lornithine solution followed by coating with 0.12% (w/v) alginate Release of protein (FITC-BSA) from microencapsulated liposomes and from non-encapsulated liposomes was monitored
80 70 60 50 40 30 20 10 0 0 5 10 15 Time (days) 20 25 30
encapsulated in Ca-alginate encapsulated in Al-alginate encapsulated in Ba-alginate non-encapsulated
Al3+ expected to give three dimensional binding structure Small size of Al3+ ion 0.5 Less compact structure compared to Ba-Alginate
PC/Chol (7:3) liposomes encapsulated in Ca2+ crosslinked alginate; a. Freshly prepared b. After 2 days c. After 10 days
PC/Chol (7:3) liposomes encapsulated in alginate after 10 days; a. Crosslinked with Al3+ b. Crosslinked with Ba2+ Similar behavior was observed in the case of PC/PG/Chol liposomes
Scale Bar = 500 m
80 70 60 50 40 30 20 10 0 0 5 10 15 Time (days) 20 25 30
encapsulated in Ca-alginate non-encapsulated liposomes
80 70 60 50 40 30 20 10 0 0 5 10 15 Time (days) 20 25 30
DOPC encapsulated in Ca-alginate DOPC/Chol encapsulated in Ca-alginate non-encapsulated DOPC non-encapsulated DOPC/Chol
80 70 60 50 40 30 20 10 0 0 5 10 15 Time (days) 20 25 30
Encapsulated PC/Chol MLV's Encapsulated PC/PG/Chol MLV's non-encapsulated PC/Chol MLV's non-encapsulated PC/PG/Chol MLV's
0 -0.2 -0.4 -0.6 -0.8 -30 -25 -20 -15 Temp (C)
-10
-5
Without alginate
Tm= -16.73C, H= 420.7 J/g Tm= -20.5C, H= 14.50.5 J/g
Conclusions
Release of protein is faster from liposomes encapsulated in alginate than from non-encapsulated liposomes Crosslinking ions have a significant effect on the release of protein from microencapsulated liposomes The initial burst of protein release can be prevented by
Crosslinking alginate with Ba2+ ions Encapsulation of LUVs without cholesterol Encapsulation of MLVs
DOPC and DOPC/Chol liposomes exhibit a delayed pulse of protein release after encapsulation in alginate Alginate is inserted in to the lipid bilayer leading to an increase in permeability
Approximately 10,000 people sustain new spinal cord injuries every year in the United States alone Majority of injuries occur in young people, less than 30 years of age Lack of effective treatment leads to a need for life long care and rehabilitation The devastating effects of spinal cord injury are due to
Death of neurons that cannot be replaced Failure of surviving neurons to regenerate their axons Inhospitable environment produced by the injury
Approaches to Treatment
Transplants of peripheral nerves (Richardson et al, 1980) Transplants of Schwann cells (Li et al. 1994) Transplants of fetal cells (Jakeman et al, 1991) Application of neurotrophic factors (Tezlaff et al, 1994; Diener et al, 1994) Transplants of genetically engineered cells
Neuronal cells (Snyder et al, 1997) Stem cells (Liu et al, 1999) Fibroblasts (Liu et al, 1999) Collagen (Grill et al, 1997) Matrigel (Xu et al, 1997) Polyethersulfone hollow fibers (Hoffmann et al, 1993)
Neurotrophic Factors
Neurotrophic factors like NT3 and BDNF can promote regeneration and recovery of function These factors should be delivered effectively to the site of the injury Transplantation of genetically engineered cells that produce the neurotrophic factors is one of the most promising approaches These approaches are expected to lead to development of protocols for clinical trials in the near future
Retrovirus constructs of BDNF have been prepared and used to genetically engineer primary skin fibroblasts When grafted into the injured spinal cord of rats, these cells
survive in vivo rescue axotomized neurons and promote regeneration contribute to recovery of locomotor function
Grafting of these allografts in animal models requires strict immunosuppression protocols to prevent rejection These problems can be overcome by encapsulating the cells in a semipermeable polymer matrix
Protein
Waste
Cells
Alginate Matrix
Semipermeable membrane
Objectives
To encapsulate BDNF-producing fibroblasts (Fb/BDNF) in alginate and examine survival of and transgene expression in the encapsulated cells in vitro. To test the in vivo efficacy of the encapsulated cells when transplanted into an injured spinal cord without immunesuppression To evaluate functional recovery in animals receiving transplants of encapsulated cells To develop a microcapsule surface that is permissive for the for the growth of neurons
a
Immediately after encapsulation
b
3 days
7 days
12 days
After 2 days
After 7 days
After 4 weeks
A
2 days after thawing
B
3 weeks after thawing
A. Unconditioned media B. Media containing human recombinant BDNF Conditioned media from cultures of C. Empty capsules D. Encapsulated Fb/BDNF E. Unencapsulated Fb/BDNF
White matter
Lesion site
Grey matter
Encapsulated Fb/BDNF were transplanted into the lesion area in the absence of immunesuppression
A
Scale bar = 500 m
A
Capsule harvested at 4 weeks
B
Scale bar = 100 m
B
After 1 week in culture
GFAP staining for presence of astrocytes at the injury site 4 weeks after transplantation of encapsulated Fb/BDNF (b) or empty capsules (a) Scale bar = 200 m
ED-1 staining for presence of glial cells and macrophages at the injury site 4 weeks after transplantation of encapsulated Fb/BDNF (b) or empty capsules (a) Scale bar = 200 m
RT-97 staining for axonal growth in the lesion area after transplantation of encapsulated Fb/BDNF at 2 weeks (a) and 4 weeks (b). The total amount of staining increased from 244 m at 2 weeks to 2000 m at 4 weeks. Scale bar = 200 m.
At 4 weeks post-transplantation, axons immunoreactive for MAP-1B (a) and dendrites immunoreactive for MAP-2 were observed closely associated with the outer wall of the capsules. Staining for these markers was not observed at 2 weeks after transplantation. Scale
bar = 100 m.
Behavioral Analysis
a
Healthy Rat
Functional recovery was evaluated using the cylinder test Surgery caused the right forelimb to be impaired Total movements of the right forelimb were recorded at different times after surgery Four groups of animals were studied:
b
Injured Rat
Encapsulated Fb/BDNF Empty capsules Fb/BDNF in gelfoam with CSA Fb/BDNF in gelfoam without CSA
90 80 70
Total use of right forelimb (%)
60 50 40 30 20
Fb/BDNF in gelfoam + CSA
Week 4
Week 5
Functional recovery of right (impaired) forelimb use after transplantation of encapsulated Fb/BDNF. The difference in recovery between groups receiving Fb/BDNF capsules and empty capsules is statistically significant (p<0.05) at weeks 3 and 5 and that between Fb/BDNF capsules and Fb/BDNF without immunesuppression is statistically significant (p<0.05) week 3 onwards.
Laminin is an extracellular matrix glycoprotein Laminin is known to enhance neurite outgrowth in vitro Several domains believed to promote neurite extension have been isolated Carboxylate groups on the alginate provide the possibility of creating a growth permissive surface YIGSR peptide was covalently conjugated on to the alginate via a water soluble carbodiimide Gels prepared from alginate-YIGSR conjugate were studied for their ability to support neurite outgrowth from NB2a neuroblastoma cells in vitro
Neurite outgrowth of NB2a neuroblastoma cells on YIGSR-alginate gels with 2 mg peptide/g alginate. Cells were allowed to attach on the modified alginate surface for 24 hours (A) and then were treated with 10 M dibutyryl cyclic AMP to induce differentiation. After 7 days, a large number of cells demonstrated extensive neurite outgrowth (B-D). Scale Bar = 100 m
Conclusions
Genetically engineered fibroblasts grow and secrete BDNF in an active form in vitro after encapsulation in alginate Encapsulated cells survived and continued to express the transgene in vivo without immune suppression Transplants of encapsulated cells induced axonal regeneration at the injury site which appeared to increase with time while eliciting a non-specific immune response Significant functional recovery was observed in animals receiving transplants of encapsulated cells YIGSR-alginate conjugate can be used to provide a surface that is permissive for axonal growth.
Acknowledgements
Dr. Wheatley Dr. Fischer, Dr. Murray and Chris Tobias at MCP Chemical Engineering Faculty and Committee Members Graduate students in my lab and in Chemical Engineering Dan Luu and George Carenzo My wife, Arati
Advantages
Disadvantages
Both hydrophobic and hydrophilic drugs can be entrapped Reduction in toxic effects Prolonged drug retention Versatility due to the wide spectrum of available phospholipids and the different types of liposomes Generally, do not interact with the drug or alter it in any form
Tend to aggregate or lose entrapped drug during storage Cannot be sterilized by heat or radiation Lack of consistency between preparations makes clinical use difficult Small lab scale preparations are very difficult to scale-up
80 70 60 50 40 30 20 10 0 0 5 10 15 Time (days) 20 25 30
encapsulated in Ca-alginate encapsulated in Al-alginate encapsulated in Ba-alginate non-encapsulated liposomes
Recommendations
Co-encapsulation of liposomes of different compositions Determine activity of protein released Encapsulation of liposomes in hydrogels that do not require cations for crosslinking In vivo evaluation of the microencapsulated liposome system Determine the source of axons in the transplant area Investigate the in vivo downregulation of the transgene Examine long term effects of the encapsulated cells in the spinal cord Further studies on creating a growth permissive surface Combination delivery of different neurotrophic factors or antibodies to inhibitors of neuronal growth