Self-assembled pharmaceutical composition for photodynamic therapy
09827313 · 2017-11-28
Assignee
- Snu R&Db Foundation (KR)
- THE CATHOLIC UNIVERSITY OF KOREA INDUSTRY-ACADEMIC (KR)
- INSTITUTE FOR BASIC SCIENCE (KR)
Inventors
- Taeghwan Hyeon (Seoul, KR)
- Kun Na (Gyeonggi-do, KR)
- Daishun Ling (Seoul, KR)
- Wooram Park (Gyeonggi-do, KR)
- Sin-jung Park (Seoul, KR)
- Yang Lu (Hefei, KR)
- Kyoung Sub Kim (Incheon, KR)
- Michael J. Hackett (West Chester, OH, US)
- Byung Hyo Kim (Seoul, KR)
- Hyeona Yim (Gyeonggi-do, KR)
- Yong Sun Jeon (Incheon, KR)
Cpc classification
A61K49/0054
HUMAN NECESSITIES
A61K41/0071
HUMAN NECESSITIES
A61K49/1857
HUMAN NECESSITIES
International classification
A61K49/18
HUMAN NECESSITIES
Abstract
The present invention relates to a nanoformulated self-assembled pharmaceutical composition for photodynamic therapy. More particularly, the present invention is directed to a self-assembled pharmaceutical composition for photodynamic therapy comprising a photosensitizer, a ligand A which is separated at a specific pH range, and a ligand B of which surface charge changes at a specific pH range and a method for manufacturing the same.
Claims
1. A self-assembled pharmaceutical composition for photodynamic therapy comprising a photosensitizer, a ligand A which is separated at a specific pH range of 4-7.2, and a ligand B of which surface charge changes at a specific pH range, wherein ligand A is a compound of formula (I): ##STR00001## wherein n and m is independently 5-500, and wherein ligand B is a compound of formula (II): ##STR00002## wherein n and m is independently 5-500.
2. The self-assembled pharmaceutical composition of claim 1, wherein said photosensitizer is chlorin E6 (Ce6).
3. The self-assembled pharmaceutical composition of claim 1, wherein said photosensitizer is bonded to said ligand A and said ligand B.
4. The self-assembled pharmaceutical composition of claim 1, further comprising an MRI contrasting nanoparticle.
5. The self-assembled pharmaceutical composition of claim 4, wherein said MRI contrasting nanoparticle is an iron oxide nanoparticle.
6. The self-assembled pharmaceutical composition of claim 5, wherein the size of said iron oxide nanoparticle is 1 nm-100 nm.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1) The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawing(s) will be provided by the Office upon request and payment of the necessary fee.
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DETAILED DESCRIPTION OF THE INVENTION
(51) Hereinafter, the present invention will be described in greater detail with reference to the following examples. The examples are given only for illustration of the present invention and not to be limiting the present invention.
Example 1. Synthesis of Ligands
(52) As shown in
(53) In order to prepare PEG-PBLA, β-Benzyl-L-aspartate N-carboxy anhydride (BLA-NCA) (3 g, 12 mmol) was polymerized in a mixture of DMF (20 mL) and CH.sub.2Cl.sub.2 (50 mL) at 40° C. by initiation from the terminal primary amino group of α-methoxy-ω-amino-poly(ethylene glycol) (MW=2,000 Da, 240 mg, 120 μmol). PEG-PBLA was purified by precipitation in ether (3 L) three times. In order to synthesize PEG-PBLA-Ce6 (platform ligand), Ce6 was attached to the amine groups of PEG-PBLA via the conventional carbodiimide reaction. The PEG-PBLA (0.5 g, 32.5 μmol,) and a mixture of Ce6 (23.4 mg, 39.0 μmol), dicyclohexylcarbodiimide (9.6 mg, 46.8 μmol), and N-hydroxysuccinimide (5.4 mg, 46.8 μmol) were dissolved separately in DMSO (5 mL) and the solutions were stirred thoroughly for 3 h prior to the condensation reaction. The two reactant solutions were then mixed and stirred at room temperature. After 24 h, the reaction mixture was filtered to remove the insoluble by-products (e.g., dicyclohexylurea) and dialyzed against deionized water for 2 days (Spectra/Por; molecular weight cutoff size, MWCO: 1,000 Da). The final solution was lyophilized to obtain the platform ligand. The hydrogen nuclear resonance spectroscopy (“H-NMR”) analysis of the platform ligand (PEG-PBLA-Ce6) at 300 MHz with DMSO-d.sub.6 is illustrated in
(54) Ligand A was synthesized via aminolysis of the platform ligand with 1-(3-aminopropyl)imidazole (API) and dopamine. PEG-PBLA-Ce6 (0.5 g, 18.5 μmol) was dissolved in DMSO (5 mL), followed by the reaction with dopamine (0.1 g, 0.7 mmol) under nitrogen atmosphere at 25° C. for 1 h. Then, API (0.5 g, 3.9 mmol) was added under nitrogen at 25° C. and stirred for 4 h. The reaction mixture was added dropwise into a cooled aqueous solution of 0.1 N HCl (20 mL) and dialyzed against a 0.01 N HCl solution three times (Spectra/Por; MWCO: 1,000 Da). The final solution was lyophilized to obtain ligand A. The H-NMR analysis of ligand A (PEG-p(API & DOPA-
(55) Ligand B was synthesized via aminolysis of the platform ligand with API and 3-phenyl-1-propylamine (PPA). PEG-PBLA-Ce6 (0.5 g, 18.5 μmol) was dissolved in DMSO (5 mL), followed by reacting with PPA (0.1 g, 0.9 mmol) under nitrogen at 25° C. for 1 h. Then, API (0.5 g, 3.9 mmol) was added under nitrogen at 25° C. and stirred for 4 h. After the reaction, the mixture was added dropwise into a cooled 0.1 N HCl solution (20 mL) and dialyzed against an aqueous solution of 0.01 N HCl three times (MWCO: 1,000 Da). The final solution was lyophilized to obtain ligand B. The H-NMR analysis of ligand B (PEG-p(API & PPA-
(56) In the GPC measurements (
(57) TABLE-US-00001 TABLE 1 Structural characteristics of platform ligand, ligand A and ligand B. DP DS DS DS DS Code Copolymer (BLA).sup.a (API).sup.b (PPA).sup.c (Dopa).sup.d (Ce6).sup.e PDI.sup.f M.sub.n.sup.g Platform PEG.sub.1-PBLA.sub.60-Ce6.sub.1 60 — — — 1 1.11 16,000 Ligand Ligand A PEG.sub.1-p(API.sub.55 & 60 55 — 5 1 1.14 17,200 Dopa.sub.5-L-Asp).sub.60-Ce6.sub.1 Ligand B PEG.sub.1-p(API.sub.50 & 60 50 10 — 1 1.09 16,100 PPA.sub.10-L-Asp).sub.60-Ce6.sub.1 .sup.aDegree of polymerization of BLA on the basis of the .sup.1H-NMR results. .sup.bDegree of substitution of API on the basis of the .sup.1H-NMR results. .sup.cDegree of substitution of PPA on the basis of the .sup.1H-NMR results. .sup.dDegree of substitution of Dopa on the basis of the .sup.1H-NMR results. .sup.eDegree of substitution of Ce6 on the basis of the fluorescence spectroscopy. .sup.fNumber-averaged (M.sub.n), weight-averaged molecular weight (M.sub.w) and polydispersity index (PDI = M.sub.w/M.sub.n) were determined by GPC .sup.gAs determined by .sup.1H-NMR.
Example 2. Synthesis of ESIONs
(58) ESIONs were synthesized via thermal decomposition of iron-oleate complex in the presence of oleyl alcohol using the previously reported method (Kim, B. H.; Lee, N.; Kim, H.; An, K.; Park, Y. I.; Choi, Y.; Shin, K.; Lee, Y.; Kwon, S. G.; Na, H. B.; Park, J. G.; Ahn, T. Y.; Kim, Y. W.; Moon, W. K.; Choi, S. H.; Hyeon, T. J. Am. Chem. Soc. 2011, 133, 12624). Briefly, 1.8 g of iron-oleate complex (2 mmol), 0.57 g of oleic acid (2 mmol), and 1.61 g of oleyl alcohol (6 mmol) were dissolved in 10 g of diphenyl ether at room temperature. The mixture was heated to 250° C. at a constant heating rate of 10° C./min and then kept at this temperature for 30 min under inert atmosphere. As the reaction proceeded, the initial brown transparent solution turned black. After the reaction, the mixture containing nanoparticles was removed from the heater and allowed to cool to room temperature and, then, 50 mL of acetone was added to precipitate the nanoparticles. The nanoparticles were pelleted by centrifuging at 40,000 rpm for 4 hours, the supernatant decanted and the nanoparticles redispersed in n-hexane or chloroform.
Example 3. Fabrication of PMNs
(59) For self-assembly, a solution prepared by mixing 15 mg of Ligand A and 15 mg of Ligand B in 3 mL of DMSO was added slowly to 5 mL of colloidal ESIONs (0.4 mg Fe/mL) in chloroform. The mixture was incubated on a shaker at room temperature for 30 min. Chloroform was then completely removed by evaporation under vacuum and deionized water was added to the colloidal suspension in DMSO to reach a total volume of 5 mL. The DMSO was completely substituted with deionized water using a dialysis membrane (Spectra/Por; MWCO: 12,000 Da). Excess ligands were removed by centrifugation and washed 3-5 times with spin filter (Millipore, MWCO: 100,000 Da, 10,000×g, for 10 min) The resulting nanoparticles were re-dispersed in water.
Example 4. Fabrication of Self-Assembled Ligands
(60) A mixed solution of 15 mg of Ligand A and 15 mg of Ligand B in 3 mL of DMSO was added slowly to 5 mL of chloroform. The mixture was incubated on a shaker at room temperature for 30 min. Then, chloroform was removed completely by evaporation under vacuum. Thereafter, deionized water was added to the colloidal solution in DMSO to reach a total volume of 5 mL. DMSO was completely substituted with deionized water using a dialysis membrane (Spectra/Por; MWCO, 12,000 Da). Excess ligands were removed by centrifugation or washed with spin filter (Millipore, MWCO: 100,000 Da, 10,000×g, for 10 min) 3-5 times. The resulting nanoparticles were re-dispersed in water.
Example 5. Fabrication of pH-Insensitive Nanoparticle Assembles (InS-NPs)
(61) A solution prepared by mixing 30 mg of platform ligand in 3 mL DMSO was added slowly to 5 mL of a colloidal ESIONs (0.4 mg Fe/mL) suspension in chloroform. The mixture was incubated on a shaker at room temperature for 30 min. Then, chloroform was removed completely by evaporation under vacuum. Thereafter, deionized water was added to the colloidal solution in DMSO to reach a total volume of 5 mL. DMSO was completely substituted with deionized water using a dialysis membrane (Spectra/Por; MWCO, 12,000 Da). Excess ligands were removed by centrifugation or washed with spin filter (Millipore, MW, 100,000 Da, 10000×g, for 10 min) 3-5 times. The resulting nanoparticles were re-dispersed in water.
Example 6. Characterizations of Materials
(62) TEM measurements were performed on a JEOL EM-2010 microscope operated at 200 kV. The powder X-ray diffraction patterns were obtained with a Rigaku D/Max-3C diffractometer equipped with a rotating anode and a Cu Kα radiation source (λ=0.15418 nm). The present inventors performed elemental analysis by inductively coupled plasma atomic emission spectroscopy (ICP-AES) using an ICPS-7500 spectrometer (Shimadzu) and inductively coupled plasma-optical emission spectrometer (ICP-OES) (Perkin-Elmer Optima 4300 DV). UV/visible absorption spectra were collected on UV-2450 spectrophotometer (Shimadzu, Japan). Particle size and zeta potential were measured with Zetasizer Nano ZS (Malvern Instruments, Malvern, UK). For the analysis of size, the following parameters, material refractive index (2.42), material absorbance (0.2), dispersant refractive index (1.33), and dispersant viscosity (0.8872) were used. The magnetic properties were investigated using a superconducting quantum interface device (SQUID) magnetometer (Quantum Design MPMS XL). Hydrodynamic sizes were obtained using dynamic light scattering (DLS) (Zetasizer Nano ZS (Malvern Instruments, Malvern, UK)) instrument at 25° C.
Example 7. Measurements of Critical Aggregation Concentration (CAC)
(63) A stock solution of Hoechst 33342 (1.4×10.sup.−3 M) in double-distilled water was prepared and stored at 4° C. The Hoechst 33342 solution was mixed with solutions containing the samples at the concentrations of 1.0×10.sup.−3 mg/mL to 1.0 mg/mL. The final concentration of Hoechst 33342 in each sample solution was 7.0×10.sup.−4 M. The resultant fluorescence was measured on a RF-5301PC (Shimadzu, Japan) with λ.sub.ex=355 nm and λ.sub.em=457 nm and the slit widths were ex=3 nm and em=3 nm, respectively.
Example 8. Transmittance Measurement of PMNs at Different pH
(64) The light transmittance measurements of PMN solutions (2 mg/mL, without Ce6 attachment) were obtained using a UV-Visible spectrophotometer at 500 nm while the pH value of solution was gradually decreased from 7.5 to 4.0 by adding 0.1 N HCl, and increased from 4.0 to 7.5 by adding 0.1 N NaOH solution.
Example 9. pH-Dependent Fluorescence Intensity Measurement
(65) The fluorescence intensity of PMNs or self-assembled ligands (2 mg/mL, 650 nm excitation and 675 nm emission) was measured using a fluorescence plate reader (Tecan Genios, Durham, N.C.), while the pH of the solution was gradually decreased from 7.5 to 4.0 by adding 0.1 N HCl solution.
Example 10. pH-Dependent Singlet Oxygen Generation (SOG) Measurement
(66) In order to evaluate the SOG, samples (2 mg/mL, 100 μL) at different pH were mixed with singlet oxygen sensor green (SOSG, 2.0 μM, 100 μL). SOG was induced by irradiation with a 670 nm laser source (Institute of Electronics) at 5 mW/cm.sup.2 intensity for 4 min. SOSG fluorescence was detected (λ.sub.ex=494 nm and λ.sub.em=534 nm) after irradiation to determine the SOG of the samples. SOG was evaluated by SOSG fluorescence enhancement compared to the background.
Example 11. Cell Culture
(67) HCT116 (human colon cancer, KCLB No. 10247) cells, CT26 (murine colorectal carcinoma cell, KCLB No. 80009) and M2-10B4 (murine bone marrow stromal cell, KCLB No. 21972) were obtained from the Korean Cell Line Bank. HCT116 cells were cultured in 10 mL of Roswell Park Memorial Institute (RPMI-1640) medium supplemented with 10% fetal bovine serum (FBS) and 1% penicillin/streptomycin. CT26 cells were cultured in Dulbecco's Modified Eagle Medium (DMEM) supplemented with 10% FBS and 1% penicillin/streptomycin. M2-10B4 was cultured in RPMI-1640 medium supplemented with 10% FBS and 1% penicillin/streptomycin. Culturing conditions for all cells were 37° C. in 100% humidity and 5% CO.sub.2. Drug resistant CT26 cells (CT26/MDR) were developed by exposing CT26 cells to increasing doses (1, 5, 10, 25, 50, 100, 500, 1,000, and 5,000 ng/mL) of DOX for 24 h followed by 3-4 days of recovery before exposing to the next dose. CT26/MDR was then frozen and stored in liquid nitrogen. Fresh aliquots of CT26/MDR were used in all experiments to ensure that they did not revert to a drug sensitive phenotype.
Example 12. pH-Dependent Cell Uptake
(68) HCT116 cells were exposed to PMNs, InS-NPs and Ce6 at different pHs to verify their cellular uptake respectively. The cells were incubated for 2 h, washed, harvested, and re-suspended with DPBS. In vitro cellular uptake was quantified using a flow cytometer (Beckman, San Jose, Calif., USA). For each sample 10,000 cells (gated events) were counted, and free Ce6 fluorescence was detected with logarithmic settings (FL4; λ.sub.em=670 nm). Cells were counted as positive if their fluorescence (FL4) was higher than that of cells from an untreated cell suspension. Each experiment was analyzed statistically using the CXP Analysis Program.
Example 13. Confocal Laser Scanning Microscope
(69) Confocal laser scanning microscope (LSM 510 Meta; Zeiss, Germany) was used to carry out fluorescence imaging. An optimal pinhole size of 120 μm was selected to exclude fluorescent light emitted from out-of-focus planes above and below the focusing plane. The excitation/emission wavelengths were 340/488 nm for DAPI, 490/520 nm for FITC, 555/578 nm for RITC, and 650/670 nm for Ce6. Fluorescence images were analyzed using LSM Image Browser software (Zeiss).
Example 14. Cell MR Imaging
(70) In order to label the cells with PMNs, HCT116 cells were seeded onto culture dishes in 10 mL of media and grown overnight. Subsequently, PMNs of 0, 12.5, 25, and 50 μg/mL were added. After 4 h, the cells were washed twice with PBS and detached by adding 1 mL of trypsin/EDTA. After centrifugation, cells were dispersed in culture media and transferred to a 1.5 mL test tube. Cell pellets were prepared by centrifugation at 1,000 rpm for 5 min. T.sub.1-weighted MR images were acquired with a head coil on a 1.5 T MR scanner (Signa Excite, GE Healthcare).
Example 15. Pharmacokinetic Analysis
(71) For the plasma concentration-time experiment, the mice were injected with PMNs and InS-NPs respectively (2 mg Fe/kg) via the tail vein. Blood was collected at 1 min, 30 min, 1 h, 3 h, 8 h and 20 h after the injection. Plasma was isolated from red blood cells by centrifugation at 1,000 rpm for 10 min. The plasma (100 μL) for each blood sample was subsequently mixed with 70% nitric acid (1 mL) at room temperature for 12 h followed by centrifugation (10,000 rpm for 5 min), and the supernatant was used for inductively coupled plasma optical emission spectrometer analysis (ICP-OES, Optima 4300 DV, Perkin-Elmer) after 5-fold dilution with 2% nitric acid. Fe uptake in the tumor was measured 12 h after PMNs or InS-NPs injection (2 mg Fe/kg). Dissected tumor tissues were weighed, homogenized, and treated with scintillation mixtures. A volume of 60% nitric acid was added to each sample and tissue was incubated for 24 h at 60° C. after which the solutions were centrifuged at 13,000 rpm for 30 min and the supernatant was diluted 10-fold with 2% nitric acid. Determination of Fe uptake content in tumor was performed by ICP-OES, and the nanoparticle uptake in tumor was calculated as gram of Fe content per gram of tissue (g Fe/g Tissue).
Example 16. Immunohistochemistry
(72) Tumor tissues were fixed in 10% neutral buffered formalin and frozen sectioned into 5 micron thick slices. SDF-1 and P-gp were immunolabeled with anti-SDF-1 antibody (abcam) and anti-P-glycoprotein antibody (abeam), then the samples were incubated for 60 min at ambient temperature with RITC (λ.sub.ex/λ.sub.em, 555/578 nm) or FITC (λ.sub.ex/λ.sub.em, 490/520 nm) conjugated secondary antibody for further confocal laser scanning microscope analysis.
Example 17. Tumor Histology
(73) For histology analysis, tumor tissues from control and treated mice were fixed in 10% neutral buffered formalin and frozen sectioned into 5 micron thick slices, stained with hematoxylin & eosin (H&E) and terminal deoxynucleotidyl transferase dUTP nick-end labeling (TUNEL), and were examined by a digital microscope (Leica QWin) and a confocal laser scanning microscope (LSM 510 Meta; Zeiss, Germany).
Example 18. In Vivo Toxicity Evaluation of PMNs
(74) Healthy nude mice were intravenously injected with a suspension of PMNs or normal saline (control group). After 2 weeks, the mice were sacrificed and major viscera collected. The heart, liver, spleen, kidney, and lung were stained with H&E. Reagent kits of ALT, AST, ALP and D-LDH were employed to analyze the serum which was isolated from blood sampled by eyeball extirpation.
Example 19. In Vitro Cellular Uptake
(75) The tumor cellular uptake of PMNs was monitored at different pH conditions (pH 7.4 and 6.8) using a KODAK In vivo Image Station (Image Station 4000 MM; Kodak, New Haven, Conn., USA) and a flow cytometer (Beckman, San Jose, Calif., USA). HCT116 cells (1×10.sup.5 cells/mL) were incubated with each sample for 2 h in RPMI-1640 medium (pH 7.4 or 6.8, with 1% penicillin-streptomycin) at 37° C. and then analyzed. To ameliorate photobleaching during microscope observation, a drop of anti-fade mounting solution (5% N-propyl gallate, 47.5% glycerol, and 47.5% Tris-HCl, pH 8.4) was added to the cells.
Example 20. In Vivo Studies
(76) All in vivo studies conformed to the Guide for the Care and Use of Laboratory Animals published by the National Institutes of Health, USA (NIH publication no. 85-23, 1985, revised 1996), and mice were maintained under the guidelines of an approved protocol from the Institutional Animal Care and Use Committee (IACUC) of the Catholic University of Korea (Republic of Korea).
Example 21. Characterization of pH-Sensitive Magnetic Nanogrenades (PMNs)
(77) Ce6 grafted poly(ethylene glycol)-poly(β-benzyl-L-aspartate) (PEG-PBLA-Ce6) was synthesized to provide a platform ligand in which the flanking benzyl ester groups readily react with primary amines via nucleophilic attack. Imidazole (pKa, ˜6.8) was then easily incorporated as an ionizable group to impart pH sensitivity to the tumor microenvironment. On the basis of this platform, the present inventors further engineered two ligand derivatives: ligands A and B. For ligand A, catechol groups were added to facilitate self-assembly as they can act as high-affinity anchors for iron oxide nanoparticles. In contrast, the hydrophobicity of ligand B was tuned using 3-phenyl-1-propylamine to produce a critical phase transition of PMNs that is activatable by tumor endo/lysosomal pH of ˜5.5. The PMNs were fabricated by coassembly of ESIONs, ligand A and ligand B (Scheme 2) (
(78) Since ESIONs (about 3 nm) were much smaller than the hydrodynamic dimensions of the peptide block of the ligands (about 60 residues; length of about 20 nm), the catechol-anchored ligand A could wrap around the periphery of the ESIONs. These functionalized ESIONs can thus be considered polymer-metal analogues of conventional amphiphilic diblock copolymers since the functionalization permitted directed selfassembly of ESIONs into colloidal magneto-core shell structures (Scheme 3) (
(79) Transmission electron microscopy (TEM) (
(80) New ligand design of the present invention enabled a two-stage pH activation leading to surface charge reversal in the tumor periphery for increased cell adsorption and permeation as well as endo/lysosomal pH dependent theranostic activity of PMNs. This pH-dependent structural transformation is schematically presented in
(81) The X-ray diffraction (XRD) pattern of PMNs was similar to that of ESIONs (
Example 22. In Vitro and In Vivo MRI
(82) MRI investigations were conducted using a 1.5 T MR scanner (Signa Excite; GE Healthcare) by using a Litz Coil (diameter, 100 mm; length, 85 mm; DOTY Scientific Inc., NC, USA). Spin-lattice and spin-spin relaxation times (T.sub.1 and T.sub.2) were measured using fast spin echo (FSE) sequence for different concentrations of PMNs in media with different pH values at room temperature. For T.sub.1 measurements, the Field of View (FOV) was set to 75×75 mm, slice thickness (SL)=3 mm, Echo time (TE)=9.3 ms and Repetition Time (TR)=505.2, 525.0, 545.0, 565.0, 585.0, 605.0, 625.0, 645.0, 665.0, 685.0, 705.0, 730.0, 755.0, 805.0, 855.0, 905.0, 955.0, 1005.0, 1055.0, 1105.0 ms. For T.sub.2 measurements, the following parameters were used: FOV=100 mm*100 mm, SL=3 mm, TR=4,000 ms, TE=10.9, 21.7, 43.5, 54.4, 65.2, 87.0, 119.6, 141.3, 163.1, 174.0 ms. The longitudinal (r1) and transverse (r2) relaxivities were calculated from r.sub.i=(1/T.sub.i−1/T.sub.i0)/c, where c is the Fe concentration of PMNs in mM, T.sub.i is the relaxation time at concentration c, T.sub.i0 is the relaxation time of water, and i=1 and 2 for T.sub.1 and T.sub.2. The cellular MR images were acquired using FSE sequence (FOV=100 mm*100 mm, SL=3 mm) For T.sub.1 measurement, TR=400 ms and TE=10 ms were used, whereas for T.sub.2 measurement, TR=4,000 ms and TE=86.72 ms were used. For the MR diagnosis of tumor in vivo, PMNs were injected through the tail vein at a dose of 2 mg Fe/kg body weight. Mice were then placed in a 1.5 T MR scanner (Signa Excite, GE Healthcare), and FSE sequence was used with the followed parameters: FOV=90 mm×90 mm, SL=2 mm, Flip angle (FA)=90°, for T.sub.1 MR imaging, TR=400 ms, TE=10 ms, and for T.sub.2 MR imaging, TR=3,000 ms, TE=101 ms. The transverse section images were obtained and analyzed using Onis Dicom Viewer (DigitalCore, Tokyo, Japan).
(83) PMNs showed higher cellular uptake at pH 6.8 than at pH 7.4 as evidenced by both fluorescence and flow cytometry results (
(84) The present inventors performed in vivo early stage tumor diagnosis with PMNs. Without conjugation of any tumor-targeting moiety and in contrast to InS-NP injection, PMN injection resulted in significant T.sub.1 enhancement of ultrasmall HCT116 tumors of ˜3 mm in diameter (
Example 23. In Vitro and In Vivo PDT
(85) For in vitro PDT, HCT116 cells (5×10.sup.4/well) were incubated with the materials described above. Photosensitization experiments were then performed by irradiating the cells with a 670-nm laser source (Institute of Electronics) for 2 min. The power at the level of the cells was fixed at 5 mW/cm.sup.2. Cell viability was assessed using the MTT assay. Absorbance intensity was measured at 595 nm using a microplate reader (Bio-Tek, VT, USA). A parallel set of control cells was also used in which cells incubated with the respective materials were not exposed to laser irradiation. For in vivo PDT, HCT116 tumors were developed in the flanks of 6-week-old male BALB/c nude mice by subcutaneously implanting HCT116 cells in 100 μL of a 1:1 mixture of Matrigel (BD Biosciences, Franklin Lakes, N.J.) and serum-free medium. Heterogeneous CT26 tumors were developed in the flanks of 6-week-old male BALB/c nude mice by subcutaneously implanting a mixture of CT26 (1×10.sup.5 cells), CT26/MDR (1×10.sup.5 cells), and M2-10B4 cells (1×10.sup.5 cells) in 100 μL of serum-free medium. Ten days after inoculating the tumor cells, PDT treatment was performed as follows: group 1, saline only; group 2, free Ce6 only; group 3, InS-NPs; and group 4, PMNs (equivalent to 2 mg/kg body of Ce6). NIR images were obtained using KODAK image station (Image Station 4000 MM; Kodak, New Haven, Conn.) at 2 h post-injection. Laser treatment was performed in groups 1 through 4 by irradiating the tumor region with a 670-nm laser (250 mW/cm.sup.2, for 20 min) at 12 h post-injection. The PDT treatment described above was repeated 5 days later. The tumor size was measured 3 times a week after the first PDT treatment by using a Vernier caliper, and tumor volumes were calculated from width (a) and length (b) measurements (V=a.sup.2×b/2, where a≦b). All mice were killed when the tumor measured 1,000 mm.sup.3, at the first sign of suffering, or between 15 and 21 day post-transplantation.
(86) In order to explore the therapeutic effect of PMNs, in vivo photodynamic therapy (PDT) was performed (
(87) In order to be a better match to clinical cancer treatment, the present inventors further demonstrated the therapeutic effect of PMNs in tumors of more heterogeneous and drug-resistant nature. The present inventors hypothesized the pH-targeting approach of PMNs would not be influenced by tumor heterogeneity, and since PDT kills by a nonspecific mechanism, drug-resistant cells are equally as susceptible as their naive counterparts. To test this hypothesis, the present inventors developed highly heterogeneous and drug-resistant CT26 tumors in mice. The heterogeneous CT26 tumors overexpress P-glycoprotein (P-gp), which is involved in the active efflux of anti-cancer agents, and stromal cell-derived factor-1 (SDF-1), which induces angiogenesis (CD31) (