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Biomedical applications of mesoporous silica nanoparticles (MSNs) as efficient drug delivery carriers have attracted great attention in the last decade. The structure, morphology, size, and surface properties of MSNs have been found to be facilely tunable for the purposes of drug loading, controlled drug release and delivery. Biosafety and in vivo drug efficiency of MSN-based nano drug delivery systems (nano-DDSs) are also drawing increasing attention
Biomedical applications of mesoporous silica nanoparticles (MSNs) as efficient drug delivery carriers have attracted great attention in the last decade. The structure, morphology, size, and surface properties of MSNs have been found to be facilely tunable for the purposes of drug loading, controlled drug release and delivery. Biosafety and in vivo drug efficiency of MSN-based nano drug delivery systems (nano-DDSs) are also drawing increasing attention
Biomedical applications of mesoporous silica nanoparticles (MSNs) as efficient drug delivery carriers have attracted great attention in the last decade. The structure, morphology, size, and surface properties of MSNs have been found to be facilely tunable for the purposes of drug loading, controlled drug release and delivery. Biosafety and in vivo drug efficiency of MSN-based nano drug delivery systems (nano-DDSs) are also drawing increasing attention
Mesoporous silica nanoparticle based nano drug delivery systems: synthesis,
controlled drug release and delivery, pharmacokinetics and biocompatibility
Qianjun He and Jianlin Shi * Received 9th November 2010, Accepted 11th January 2011 DOI: 10.1039/c0jm03851b The biomedical applications of mesoporous silica nanoparticles (MSNs) as efcient drug delivery carriers have attracted great attention in the last decade. The structure, morphology, size, and surface properties of MSNs have been found to be facilely tunable for the purposes of drug loading, controlled drug release and delivery, and multifuctionalization. Meanwhile, the biosafety and in vivo drug efciency of MSN-based nano drug delivery systems (nano-DDSs), involving biocompatibility (including cytotoxicity, blood and tissue compatibility) and pharmacokinetics (including biodistribution, biodegradation, retention, excretion, blood circulation) are also drawing increasing attention because of their clinical application prospects. Herein, we review the most recent research progresses on the synthesis, controlled drug release and delivery, pharmacokinetics and biocompatibility of MSNs. 1. Introduction Since the discovery of MCM-41-type ordered mesoporous silica (MS) by Mobil corporation scientists in 1992, there has been large amount of research conducted on the controlled syntheses and applications of MS. 1 Great endeavors have been made in the control of particle size, pore diameter, morphology, structure, surface properties and functionalization of MS to develop their applications in the elds of biomedicine, catalysis, environmental protection, optics, etc. 25 In particular, biomedical application research on mesoporous silica nanoparticles (MSNs) has received great attention in the last few years. MSNs have been intensively suggested for use in controlled drug/gene release and as delivery carriers, 615 biosensors, 14,15 bio-markers, 1620 enzyme supporters, 21,22 etc. Meanwhile, the biological effects of MSNs at different levels from molecule, cell, blood to organ/tissue, State Key Laboratory of High Performance Ceramics and Superne Microstructure, Shanghai Institute of Ceramics, Chinese Academy of Sciences, 1295 Ding-Xi Road, Shanghai, 200050, China. E-mail: jlshi@ sunm.shcnc.ac.cn; Fax: +86 21 52413122; Tel: +86 21 52412714 Qianjun He Qianjun He received his BSc (2004) and MSc (2007) respectively in Polymer and Inorganic Material Sciences under the supervision of Prof. Zhiliang Huang at the Wuhan Institute of Technology, and obtained his PhD (2010) in Materials Physics and Chem- istry under the supervision of Prof. Jianlin Shi at the Shanghai Institute of Ceramics, Chinese Academy of Sciences. Currently, his research focuses on the controlled synthesis, biomedical applications and biological effects of porous nanomaterials and drug scaffolds. He is the co-author of more than 30 scientic papers and 7 patents (2011). Jianlin Shi Jianlin Shi received his BSc (1983) and PhD (1989) at the Nanjing Institute of Technology and the Shanghai Institute of Ceramics, respectively. He is a professor of the Shanghai Institute of Ceramics and the director of the State Key Lab of High Performance Ceramics and Superne Microstructure in the Shanghai Institute of Ceramics, Chinese Academy of Sciences. Currently, his research areas include mesopore-based nano-composites and their cata- lytic, biomedical and optical applications. He has published over 200 scientic papers which have been cited more than 3000 times by other scientists with an h-index of 31 (2011). This journal is The Royal Society of Chemistry 2011 J. Mater. Chem., 2011, 21, 58455855 | 5845 Dynamic Article Links C < Journal of Materials Chemistry Cite this: J. Mater. Chem., 2011, 21, 5845 www.rsc.org/materials FEATURE ARTICLE D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online / Journal Homepage / Table of Contents for this issue involving cytotoxicity, 2325 biodegradability, 2628 blood compati- bility, 2932 biodistribution and excretion, 3337 are also drawing increasing attention and have become current hot topics in MSN biosafety research. This feature article summarizes the recent progress made by different research groups on the development of MSNs for controlled drug release and delivery and on the investigations of their pharmacokinetics and biocompatibility, including biodistribution, degradation, excretion, blood-circu- lation lifetime, cellular uptake and cytotoxicity, blood compati- bility, tissue compatibility, acute toxicity, etc. 2. Controlled synthesis of MSNs carriers The control of the structure, morphology, size, and surface properties of synthesized MSNs is important for their biomedical applications. MSNs are generally prepared under basic, acidic or neutral conditions. Under basic conditions, both the mophology and nano-scaled particle size of MSNs, such as MCM-41-type MSNs, are easily controllable. 38 However, the pore size tuning on MSNs synthesized under basic conditions encountered great difculties, which restricted their bio-application for the loading and delivery of nanocrystals, quantum dots and large molecules such as DNA, siRNA, proteins and enzymes. In this case, MSNs possessing both nano-scaled particle size and large pore diameter are highly desired. Under acidic conditions, in contrast, the pore size of nonionic surfactant-templated MS, e.g. SBA-15 series MS, is controllable in a wide range, and MS of various shapes and surface patterns could be facilely synthesized but its particle size can mostly be controlled only in the micrometre scale, 39 and not so easily in the nano scale, mainly because of the difculties in regulating the dimensions of micelles. Recently, we have proposed a bottom-up tailoring methodology to successfully regulate the morphologies and sizes of composite micellar bunches with liquid crystal mesophases self-assembled from multivalent metal ions (Zr IV ) and nonionic surfactants (P123), and subsequently the morphologies and dimensions of liquid crystal-templated MSNs can also be controlled. 4 By virtue of introducing multivalent metal salts ZrOCl 2 , novel LLC meso- phases of metal ionP123 composite micelles were assembled and their morphologies and dimensions could be easily controlled through varying the concentrations of the added multivalent metal salts, and subsequently the morphologies and dimensions of SBA-15-type MS were correspondingly tailored from long nanorods of 645 245 nm to short nanorods of 360 210 nm, even to nanoplates of 310 740 nm and subspheroidal nano- particles of 230 nmin diameter (Fig. 1). Furthermore, rhodamine B-co-condensed spherical SBA-15 MSNs (RhB-Cc-SBA-15NPs) were synthesized based on the proposed bottom-up tailoring methodology and a facile co-condensation approach. 5 With this approach, not only could RhB-Cc-SBA-15NPs be easily controlled to form uniform spherical nanoparticles, but also the RhB molecules were found to be monodispersed and covalently bonded within the pore channels. Therefore, RhB-Cc-SBA- 15NPs possessed high RhB grafting amounts (0.088 0.123 nm 2 ), and exhibited high uorescence quantum yields (up to 88.1%) and uorescence detection, and excellent photo- stability, and presented great potential for applications in drug delivery and uorescence probing application for use in medical diagnosis and synchronous therapy. On the other hand, the synthesis of MSNs under neutral conditions is also worth noting, because some organicinorganic hybrid MSNs, which are synthesized from organically esteried or amidated silica precursors or have monomolecular inclusion compounds within the pore channels, will easily hydrolyze under either basic or acidic conditions. Under neutral conditions, mesoporous silica can also be easily controlled in the micrometre scale, but not in the nano scale. 40 Recently, we chose a phosphate buffer solution (PBS) of pH 7 as the reaction medium and nonioniccationic composite surfactants of CTAB and Brij-56 as the composite structure-directing agent to synthesize MSNs. 3 Monodispersed MSNs with regular spherical morphology and controllable size within a wide nano-scale range (401220 nm) have been successfully synthesized by adding propanetriol (PT) as co-surfactant/co-solvent, changing the reaction temperature, or introducing a multistep silica source addition mode (Fig. 2). Hollow MSNs (HMSNs) with a large cavity in the core have attracted special attention for nano-medical applications because of their unique properties such as low density, large specic surface areas, high loading capacities and the potentially reduced amount of carriers used. The general synthetic strategy for these special HMSNs is the typical soft/hard templating method, which includes the formation of uniform soft/hard templates and their surface functionalization followed by the deposition of the desired shell. The soft templates could be emulsion drops, 41 PVP aggregates 42 or micellar aggregates, 43 while the hard templates could be Fe 3 O 4 nanocrystals, 44 Au nanoparticles, 45 polystyrene spheres 46 or carbon spheres 47 etc. Although great success for fabricating HMSNs by various templates has been achieved, their actual use as nano drug delivery systems (nano-DDSs) in vivo has not been realized. The current obstacle for in vivo applications of HMSNs is the difculty of obtaining HMSNs with high dispersivity, controlled particle/pore sizes and shell thickness. Recently, a novel but simple synthetic strategy, namely the structure difference-based selective etching process, has been developed to prepare HMSNs by using a compositionally homogeneous core/shell structure, 48 hopefully to satisfy Fig. 1 Schematic illustration of the bottom-up morphological and dimensional tailoring of SBA-15-type MSNs assembled from control- lable LLC composite micellar bunches. Reprinted with permission from ref. 4. Copyright 2009, Royal Society of Chemistry Publishing Company. 5846 | J. Mater. Chem., 2011, 21, 58455855 This journal is The Royal Society of Chemistry 2011 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online nano-medical applications (Fig. 3A). The templating route can be classied into two categories, the heterogeneous and the homogenous templating routes. The general process to remove the core part of a core/shell structure is based on the heteroge- neous templating route, i.e., the compositional difference between core and shell makes the selective removal of the core possible. 49 Another process is the homogeneous templating route, i.e., where the composition between core and shell is the same, or almost the same, while the structures are different which leads to different dissolution behaviors of the core and shell. 48 By making use of the difference in condensation/densication degrees between the St ober-based solid silica core and the surfactant-directed mesoporous silica shell, the core part was selectively removed and highly monodisperse HMSNs with tunable particle/pore sizes and wall thicknesses were then obtained (Fig. 3B). Interestingly, based on this strategy, a kind of homogeneous rattle-type MSNs (RMSNs) with dimension- controlled cavities between the solid silica core and the mesoporous silica shell could also be created (Fig. 3C). The intentionally created cavities could efciently enhance the drug loading capacity (1222 mg doxorubicin per gram silica) and efciency (98% for doxorubicin), which shows great advantages for drug loading and delivery. On the other hand, the HMSNs can be easily multi-function- alized to create multi-purpose nano-medical platforms for simultaneous imaging diagnosis and drug therapy. The general strategy for the multifunctionalization mainly focused on embedding functional inorganic nanocrystals into the core part of HMSNs. The functional nanocrystals could be magnetic Fe 3 O 4 nanoparticles because of their potential to act as the contrast agents of T 2 -weight magnetic resonance imaging (MRI), and Au nanocrystals due to their unique optical properties such as the surface plasma resonance enhanced light scattering and the absorption for live cell dark-eld imaging and photothermic therapy for cancer. The structure difference-based selective etching process was also extended to fabricate multifunctional heterogeneous rattle-type Fe 3 O 4 @mSiO 2 and Au@mSiO 2 nanoparticles in virtue of the easy formation of solid/meso- porous silica layers onto the surface of inorganic nanocrystals. 50 The obtained Fe 3 O 4 @mSiO 2 nano-rattles (Fig. 4) showed the enhanced anticancer drug loading capacity (20%) and high ef- ciency (up to 100%) for doxorubicin, and high in vivo MRI effectiveness. 3. Drug loading, controlled release and delivery MSNs have been intensively suggested as drug delivery carriers since they came to light, because they possess many unique Fig. 2 TEM images of monodispersed MSNs with various particle sizes of 54 nm (A), 72 nm (B), 88 nm (C), 104 nm (D) and 188 nm (E), and particle size distributions (F) measured by the DLS method. Reprinted with permission from ref. 3. Copyright 2009, Elsevier Ltd. Fig. 3 (A) Schematic illustration of the formation of hollow/rattle-type MSNs, which includes the preparation of solid core/mesoporous silica shell nanoparticles and subsequent complete or partial removal of the silica core; TEM images of hollow MSNs (B) and homogeneous rattle- type MSNs (C). Reprinted with permission from ref. 48. Copyright 2009, American Chemical Society. This journal is The Royal Society of Chemistry 2011 J. Mater. Chem., 2011, 21, 58455855 | 5847 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online properties such as tunable particle size and morphology, uniform and tunable pore size, high surface area and pore volume, facile surface functionalization and stable physicochemical properties. Compared to the most general organic carriers such as lipo- somes, micelles, viruses, capsules, etc., MSNs have the signicant advantage of being free from various biochemical attacks and bioerosions. In addition, MSNs have high drug loading capacity, sustained release prole, good thermal stability, etc. Therefore, MSNs have attracted a great deal of research attention for various controlled release and delivery. 3.1. Effect of pore structure and pore surface modication on drug loading and release As a drug carrier, high drug-loading capacity is being pursued. According to the dimensions of drug molecules, the pore size of MSNs can be easily controlled to be just suitable to lodge as many drug molecules as possible, the surface potential and hydrophilicity can also be altered for attracting drug molecules to enter the pores of MSNs by surface modication. 30,5154 A series of hollow core/mesoporous shell structures and rattle-type mesoporous structures have been designed to encapsulate large amounts of drug molecules into the hollow core by several research groups, which have extraordinarily high drug loading capacities of more than 1 g drugs per gramMSNs. 41,42,48,5557 Very recently, a signicant hierarchical mesoporous and hollow structure has been obtained in our research group to simulta- neously load two kinds of drugs of different molecular sizes and hydrophilicity/hydrophobicity (Fig. 5A). A novel kind of core shell dual-mesoporous structure with smaller mesopores in the shells and ordered larger mesopores in the core has been con- structed by a simple dual-templating method, which shows a three-step release prole controlled by tuning the shell thick- ness from 5 nm to 60 nm (Fig. 5B). These core/shell hierarchical structures may provide a useful platform for multidrug- combined therapy. 58 In addition to heightening the drug loading capacity, the release prole of MSNs can also be controlled via adjusting their structures and modifying their surface properties. 30,4,5 Approxi- mately the same size between pore diameter and drug molecule favors sustained release owing to the size connement effect, however the loaded drug can be released at a relatively high rate when the pore size of MSNs is much larger than that of drug molecules used. MSNs have diversiform mesopore structures including MCM-41, MCM-48, SBA-15, etc., and the diffusion rate and route of drug molecules loaded in MSNs depends highly on the mesoporous structure type of the MSNs. MCM-41-type MSNs have short two-dimension hexagonal pore channels that allow loaded drug molecules to directly diffuse outwards, however drug molecules loaded in the MCM-48-type MSNs which have a three-dimension cubic pore structure have to travel a longer distance along the zigzagged pore channels until release. Moreover, both the opposite potential and the similar hydro- philicity between MSNs and drug molecules also favor the sus- tained release of drugs (Fig. 6). Recently, Mou 59 and our group 30,5 changed the surface potentials of MSNs with quater- nary ammonium groups from being negatively to being posi- tively charged, and loaded negatively charged drugs (sulfasalazine and salvianolic acid B used for anti-inammatory and anti-hepatic brosis applications, respectively). Compared to the negatively charged MSNs, the positive-charge modied MSNs exhibited remarkably sustained release proles. 3.2. Functionalization for controlled release and targeted delivery of drugs To be a perfect drug carrier, MSNs are highly desired to exhibit zero release before reaching the targeted focal zones and the stimuli-responsive drug release character at specic sites for Fig. 4 TEM image (A) and backscattered electron SEM image (B) of heterogeneous rattle-type Fe 3 O 4 @mSiO 2 nanoparticles (inset of B: purposely selected back scattered electron image of a broken nano-rattle to reveal the hollow structure). Reprinted with permission from ref. 50. Copyright 2010, American Chemical Society. Fig. 5 Hollow MSNs with hierarchical mesoporous shells for loading drugs of different molecular sizes and hydrophilicity/hydrophobicity (A), and the coreshell dual-mesoporous MSNs with smaller mesopores in the shells and ordered larger mesopores in the cores for a three-step release prole controlled by the shell thickness (B). Reprinted with permission from ref. 58. Copyright 2010, American Chemical Society. Fig. 6 Counterpart charge modication of MSNs for negative-charge/ positive-charge drug loading and sustained release. 5848 | J. Mater. Chem., 2011, 21, 58455855 This journal is The Royal Society of Chemistry 2011 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online reducing the toxic side effects of drugs. To reach this goal, great efforts have been made worldwide to install various triggers including temperature, 6062 redox, 6368 pH value, 6875 light, 7683 magnetism, 8486 enzyme, 87,88 ultrasound, 89 etc. Because tumor and inammatory tissues are more acidic than normal tissues and blood, the pH-responsive nano-DDSs based on MSNs have been designed to achieve a site-selective controlled release. As early as in 2005, we 69 reported a pH- responsive nano-DDS by coating polyelectrolyte (PAH/PSS) multilayers on hollow MSNs. In addition, MSNs can also be functionalized with carboxylic acid/polycations, hydroxypropyl methylcellulose phthalate, amine/poly(acrylic acid), polyethyleneimine/cyclodextrin (PEI/CD) polypseudoroxotane, polyethyleneimine/cyclodextrin, amine/sulfonate, poly(2-(diethy- lamino)ethyl methacrylate), aromatic amines/b-cyclodextrin nanovalves, diethylenetriamine, poly-(dimethyldiallylammo- nium chloride (PDDA), etc. for pH-responsive release. Lin 6466 and Zink 86 reported a series of nano-caps as gatekeepers for MSNs, such as CdS, Au, Fe 3 O 4 and PAMAM nanoparticles, which were uncovered under external stimulation by redox, light or magnetism leading to the release of loaded drugs (Fig. 7). Zink 67,72,74,75 and Fujiwara 76 designed various nanomachines, such as smart supramolecular nano-valves ([2]-pseudorotaxane and [2]-rotaxane) and nano-impellers (azobenzene and coumarin), to realize the pH-/light-responsive drug release (Fig. 8). Recently, Bein 87 covered a kind of biotinavidin cap on MSNs to realize the protease-responsive release. A kind of general temperature sensitive polymer poly(N-iso- propylacrylamide) (PNIPAM) was also coated on MSNs for temperature-responsive release. 6062 In contrast to the common drug loading in surfactant-extracted MSNs for nano-DDSs, it was reported 9 very recently that the as-synthesized MSNs without the surfactant being removed (surfactant@MSNs) demonstrated the sustained release of surfactants inaqueous solution, whichdependedonthe surfactant used. These surfactant@MSNs could kill cancer cells at a much higher efciency by the release of surfactant molecules than a common anti-cancer drugcamptothecine-post-loaded- MSNs, especially at low MSNs concentrations in the long term. Based on such a surfactant@MSNs system, hydrophobic drugs, such as camptothecine, paclitexal and doxorubicin, can be successfully loaded into the hydrophobic core part of the surfac- tant micelle, and subsequently loaded into MSNs together with the surfactant micelles. Such a drug@surfactant@MSNs nano- DDS has been discovered with a signicant pH-responsive release mechanism based on the electrostatic attraction between surfac- tant micelles and MSNs. Cationic surfactant micelles containing drugs are exchangeable with protons in acidic conditions but inexchangeable in pH 7.4 normal physiological conditions, therefore surfactant and drugs are released together at the tumor rather than in normal tissues or the blood. The well-chosen surfactant CTAB (cetyltrimethyl ammonium bromide) is utilized as a sensitizer for anticancer drugs doxorubicin and camptothe- cine to enhance the membrane penetrability and prevent the drug efux of P-gp by an ATP-inhibiting effect in favor of the intra- cellular continuous accumulation of released drugs within the multi-drug resistance cells, and thus overcome the multidrug resistance of the tumor together with anticancer drugs by a synergistic cell cycle arrest/apoptosis-inducing effect, as depic- ted in Fig. 9. In addition to the controlled release of drugs, the targeted delivery is also vitally important to reduce toxic side effects of drugs and enhance the drug efcacy. The passive targeting of MSN-based nano-DDSs can be partially achieved by a so-called enhanced permeability and retention (EPR) effect, as demon- strated by Zink and Tamanoi, 34 and the EPR effectiveness can be mediated by the particle size, surface potential and hydrophilicity of MSNs. The passive targeting by external magnetic eld based on magnetically functionalized nano-DDSs can also be consid- ered. The active targeting can be achieved by the surface modi- cation with targeting molecules. As to chemotherapy against cancer, well-known targeting molecules grafted on MSNs include folate, HER2/neu receptor antibody, arginineglycineaspartic acid (RGD), anti-CD20 antibody, anti-EGFR antibody, etc. 9093 Fig. 7 Mesoporous silica nanoparticles have been engineered with nanoparticles that work as gatekeepers. These nanoparticles are attached to MSNs through stimuli-responsive linkers. This combination affords drug delivery vehicles that release their cargo in a space- and time- controlled fashion without premature release. Reprinted with permis- sion from ref. 13. Copyright 2010, Wiley Publishing Company. Fig. 8 Graphical representations of operating supramolecular nano- valves from DB24C8/dialkylammonium-tethered porous silica particles MCM-41 (with cross section). The nanovalves can be opened by either (a) pH stimulation with bases or (b) competitive binding with metal/uo- rodialkylammonium cations, to trigger the controlled release of the luminescent probe molecules, coumarin 460 or IR 140. Reprinted with permission from ref. 74. Copyright 2006, American Chemical Society. This journal is The Royal Society of Chemistry 2011 J. Mater. Chem., 2011, 21, 58455855 | 5849 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online 3.3. Effect of particle size, morphology and modication on transmembrane transport The transmembrane transport ability of MSNs is the prerequisite to delivery drugs into targeted cells. The understanding of the endocytosis, exocytosis and intracellular transport processes of MSNs is necessary and important to manipulate the controlled delivery and release of drugs. For an ideal state-of-the-art MSN- based nano-DDS it is highly desirable to have the capabilities of transmembrane transport and escape or degradation after the completion of the drug release. These features of MSN-based nano-DDSs can be exploited via modication/functionalization and tuning to the particle size and morphology of MSNs. Lin and co-workers 94 observed the entire endocytosis process of MSNs into A549 human lung cancer cells by a differential interference contrast (DIC) microscopy (Fig. 10A). They conrmed that the motion of MSNs was greatly slowed down after the MSNs were endocytosed into cells owing to the resis- tance from the viscous cytoplasm and the cellular cytoskeleton networks. They further demonstrated unique endocytosis of MSNs, which was both MSNs morphology and cell line depen- dent. The size and aggregation tendencies were identied to be determining factors in the endocytosis efciency and kinetics. Furthermore, Tang et al. 95 found that the MSNs with different aspect ratios (ARs 1, 2 and 4) could be readily internalized into A375 human melanoma cells by nonspecic cellular uptake, however the MSNs with higher ARs could be taken up in larger amounts and at faster internalization rates (Fig. 10C). Lin and co-workers 96 reported the effect of surface modica- tion/functionalization on the transmembrane transport and escape abilities of MSNs. They found that more negatively charged MSNs would escape more easily from the endosomes of HeLa cells owing to their high buffering capacity by the proton sponge effect, however the MSNs with the higher positive x- potentials were more easily trapped within the endosomes of HeLa cells via the caveolae-mediated mechanism, and above a certain threshold of surface charge, a new unrevealed charge- dependent mechanism started to be effective for HMSC. 97 Additionally, some intact lipid bilayers (DOPC, POPC, DMPA/DMPC) were coated on the surface of MSNs to enhance the transmembrane transport ability of MSNs and synchro- nously prevent the leakage of the encapsulated drugs before the MSNs were endocytosed. 80,98 The particle size of MSNs can be modulated in a broad range of 301000 nm and the morphology of MSNs can also be well tailored into nanorods, nanoplates and nanospheres, allowing the facile transmembrane delivery and the long-termintracellular retention by virtue of the EPR effect. 35,99,100 Recently, we have found that the endocytosis efciency was dependent on the particle size and surface property of spherical MSNs. The MSNs of smaller particle sizes (e.g., 190 nm, as compared to larger ones of 1220 nm) were more easily endocytosed by MDA-MB-468 cells and consequently located within their lysosomes (Fig. 10B), however MSNs were less endocytosed after calcination owing to the increase of their surface hydrophobicity. 101 Mou also conrmed the particle size dependence of the cellular uptake of MSNs by HeLa cells, and further found that the MSNs of 50 nm in diameter had the maximum cellular uptake efciency. 99 This size effect in the cellular uptake was also widely present in other nanomaterials. 102 In addition, Tamanoi and co-workers also ratiocinated that the internalized MSNs could fast escape from endo-lysosomal vesicles into the cytoplasm and resist the lyso- somal degradation, and therefore protect the loaded drugs from bioerosion. 103 4. Pharmacokinetics of MSNs The pharmacokinetics of nanomaterials is closely related to the in vivo toxicity, biocompatibility and delivery efciency, and therefore is vitally essential for the understanding, interpretation and assessment of safety and drug efciency. There is an urgent Fig. 9 Comparison of drug loading and release between conventional and novel surfactant-mediated nano-DDSs respectively constructed by the post-loading and in situ-loading routes. The novel nano-DDSs can responsively deliver water-insoluble anticancer drugs and surfactant as a sensitizer together into tumor cells, even into their nuclei, where the surfactant can enhance the membrane permeability and prevent the drug efux of P-gp by an ATP-inhibiting effect in favor of the intracellular continuous accumulation of released drugs within the multi-drug resis- tance cells. Fig. 10 (A) Endocytosis process of a MSN into an A549 living human lung cancer cell, the MSN had gone inside the cell after 27 min; (B) the intracellular localizations of spherical MSNs (red RhB label) with different particle sizes within lysosomes (green label) of MDA-MB-468 cells; and (C) MSNs (green FITC label) with different shapes and aspect ratios: ARs 1 (NS100), ARs 2 (NSR240), ARs 4 (NLR450). Reprinted with permission from: ref. 94. Copyright 2008, Springer-Ver- lag; ref. 101. Copyright 2009, Wiley Publishing Company; ref. 95. Copyright 2010, Elsevier Ltd. 5850 | J. Mater. Chem., 2011, 21, 58455855 This journal is The Royal Society of Chemistry 2011 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online necessity to investigate the pharmacokinetics, toxicity and biocompatibility of MSNs before use as nano-DDSs. Recently, the pharmacokinetics studies on MSNs, involving bio- distribution, biodegradation, retention, excretion and blood circulation, are drawing great attention. 4.1. Biodegradation Very recently, we 26 investigated the in vitro degradation behavior of MSNs in simulated body uid (SBF), and discovered a three-stage degradation behavior of surfactant-extracted MSNs on two time- scales, including an extraordinarily fast bulk degradation stage on the hour-scale and a decelerated degradation stage blocked by the formation of a calcium/magnesium silicate layer followed by a maintained slow diffusion stage on the day-scale, which was distinctly different from the poor degradation behavior of calcined MSNs and amorphous non-mesoporous silica (Fig. 11), most probably owing to the enhanced completion of the OSiO network after calcination and the low surface area, respectively. Bothlowspecic surface areaandhighinitial concentrationresulted in the reduction of the MSNs degradation percentage and the prolonging of the MSNs degradation process, which could be well understood by kinetic simulation and calculation in combination withexperimental data. Noticeably, the surfactant-extractedMSNs can degrade almost completely after a 15-day immersion at 0.1 mg mL 1 in SBF. Bein 27 has also conrmed the degradability of MSNs and the blocking effect of apatite precipitates, and found the faster and slower degradation kinetics of the phenyl-functionalized MSNs and the PEGylated MSNs, respectively, as compared to the unfunctionalized MSNs. On the other hand, the degradation of nanostructured mesoporous silica can be inhibited by the incorpo- ration of a phosphorus component into the silica network for bone regeneration applications. 28 4.2. Biodistribution, retention and excretion Further, the in vivo biodistribution and urinary excretion of spherical MSNs have been evaluated very recently in normal ICR mice via tail vein injection, and the effects of the particle size and PEGylation have been investigated. 33 The results indicated that both MSNs and PEGylated MSNs of different particle sizes (80360 nm) were distributed mainly in the liver and spleen, with a minority in the lungs and very few in the kidneys and heart. 33,36 The PEGylated MSNs of smaller particle size escaped more easily from capture by liver, spleen and lung tissues, possessed longer blood-circulation lifetime, and were more slowly bio- degraded and correspondingly had lower excreted amounts of degradation products in the urine, as compared with MSNs of smaller particle size without PEGylation. Similarly, it was also reported very recently that great numbers of MSNs (100 130 nm) injected through tail vein were captured by liver and spleen of nude mice bearing subcutaneous tumors, however surprisingly there was a greater amount of MSNs distributed in tumors and the slightly enhanced accumulation in tumors occurred after targeting conjugation with folate. The 95% degradation products could be safely excreted out of body through urine and faeces 4 days after the tail vein injection of MSNs. 34 Furthermore, the surface potential of MSNs could remarkably impact their pharmacokinetics. Mou and co-workers 37 indicated that amine-functionalized MSNs with a highly positive charge (+34.4 mV at pH 7.4) surprisingly underwent rapid transport from the liver into the gastrointestinal tract and subsequent hep- atobiliary elimination into faeces, without detectable renal excretion, within 30 min of tail-vein injection to male nude mice; however the MSNs with a highly negative charge (17.6 mVat pH 7.4) remained sequestered withinthe liver for more than3 months. 5. Biocompatibility of MSNs 5.1. Interaction with cells and cytotoxicity Present studies indicate that MSNs can easily be internalized into most normal and cancer cells without apparent deleterious effects on cellular growth, proliferation and differentiation, although the proliferation and cycle progression of MSN-treated A375 human malignant melanoma cells could be accelerated in vitro and the in vivo tumor growth was surprisingly stimulated due to the decreased level of endogenous reactive oxygen species (ROS). 104 Souid and co-workers 25 conrmed that the cellular respiration inhibition to HL-60 (myeloid) and Jurkat (lymphoid) cells was both concentration- and time-dependent, and the SBA- 15-type MSNs inhibited cellular respiration at 25500 mg mL 1 , however MCM-41-type MSNs had no noticeable effect on respiration rate due to the limited access to cellular mitochon- dria. In spite of the negligible cytotoxicity of MSNs, we 23 noticed that MSNs with residual toxic surfactants such as CTAB which remained in the pore channels would exhibit remarkably magnied cytotoxicity. MSNs used as nano-DDSs would be always desired to be non-cytotoxic, therefore it is necessary to completely remove toxic surfactants from the pore channels of MSNs prior to the drug loading. 5.2. Blood compatibility Vein injection is an important administration approach, by which drugs can efciently be delivered to targeted cells and tissues. In this case, good blood compatibility is the prerequisite for drug Fig. 11 Degradation behaviors of surfactant-extracted MSNs (solid dotted lines), surfactant-calcined MSNs (B) and amorphous non-mes- oporous silica (P) in SBF. Reprinted with permission from ref. 26. Copyright 2010, Elsevier Ltd. This journal is The Royal Society of Chemistry 2011 J. Mater. Chem., 2011, 21, 58455855 | 5851 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online loaded MSNs to be administrated through the vein injection, including hemolysis, coagulation, nonspecic protein binding, phagocytosis, blood platelet number and function, blood corpuscle number, leucocytic function, enzymatic activity, immunoreaction, etc. Recently, we 29,30 evaluated the blood compatibility of MSNs by investigating their hemolysis, coagula- tion, nonspecic protein binding and phagocytosis. The levels of prothrombin time (PT), activated partial thromboplastin time (APTT) and brinogen (Fib) were measured to evaluate the coag- ulationbehavior of MSNs. The results indicatedthat neither APTT, PTnor Fib values of the SBA-15-type MSNs exceeded their normal ranges in a broad concentration range of 50500 mg mL 1 , suggesting that the SBA-15-type MSNs could not activate the intrinsic, extrinsic and common coagulation pathways. At low MSN concentrations of less than 100 mg mL 1 , the hemolysis activity of the MSNs was conrmed to be almost invisible by Lin. 31 However, we have found that at a high MSNconcentrations of 500 mgmL 1 , MSNs hadremarkableHRBCs hemolysis (14.2%), THP-1 phagocytosis (8.6%) and nonspecic HSA adsorbance (18.7%). Fortunately, the PEGylation to MSNs with the optimal PEG molecular weight of 10 k and the corresponding optimal PEGchain density of 0.75 wt% could signicantly decrease these values to as low as 0.9%, 0.1% and 2.5%, respectively. 29 5.3. Tissue compatibility Since they were designed for the sustained release of drugs, MSNs are expected to stay at the targeted sites for a considerably long term. Therefore, the tissue compatibility of MSNs needs to be considered for biosafety. Recently, the tissue compatibility of MSNs was investigated by histopathological evaluation. 33 No pathological abnormality could be observed in both gross and microscopic histological examinations of various tissues including heart, liver, spleen, lung and kidney in one month after vein injection into mice, suggesting that the MSNs had not caused signicant tissue toxicity and inammation though they had not completely degraded. Through intraperitoneal injection with MSNs twice a week for two months, Zink and Tamanoi 34 also conrmed that neither gross nor histopathological abnor- maliteis could be observed in the major organs of mice, such as in the liver, spleen, kidneys, heart, intestines, stomach, muscles or lungs. Furthermore, at a high vein-injection dose of 50 mg kg 1 per day (total of ve doses with twice per week for 14 days), the acute toxicity of MSNs was almost negligible compared with the blank control according to the monitoring of the body-weight change, the visible and/or palpable dermal infection, the presence of ascites, the grooming or the impaired mobility. At an extremely high dose of 1200 mg kg 1 , no mouse survived after intraperitoneal or intravenous injection of MCM-41-type or SBA-15-type MSNs, however the subcutaneous injection did not cause death at an equally high administration dose and doses of up to 200 mg kg 1 , which was high enough for drug loading and delivery owing to their high drug loading capacities, was always safe by both intraperitoneal and intravenous injection. 35 6. Outlook This review highlights some recent exciting progresses in the synthesis, controlled release and delivery of drugs, pharmacokinetics and biocompatibility of MSNs. The advanced synthetic strategies have been developed to control the particle size, pore structure, hollow and hierarchical mesoporous struc- ture, morphology, and surface properties of MSNs. Many intelligent nano-DDSs based on MSNs for controlled drug release and delivery properties have been constructed. These smart nano-DDSs can be delivered into targeted organs or cells and release drugs in some controlled fashion by virtue of various internal and external triggers, such as pH, specic antibodies, external ultrasonic/electric/magnetic/light irradiation, etc., which is encouraging and shows great promise in biomedical applica- tions. However, there are still a great many challenges, especially the in vivo-applicable stimuli-responsive mechanisms, which need to be understood and investigated more comprehensively and thoroughly, such as the in vivo target specicity, the in vivo stimuli-responsive manoeuvrability, the real-time monitoring of the in vivo responsive release process, etc. We conceive that, the precise pH-response mechanism, i.e., the near zero-release in blood or body uid at pH7.27.5, but the sustained/controlled release at local focuses, such as tumors where pH values are weakly acidic, should receive much attention. Besides, some new intelligent nano-DDSs based on near infrared and ultrasound triggers should be paid special attention in view of their efcient tissue penetrability. The multifunctionalization of MSNs by integrating the imaging diagnostic function with the drug delivery is currently under extensive investigation, which is desired to realize synchronous diagnosis and therapy. 105,106 In addition to the controlled release at specic sites, the passive or active targeting of nano-DDSs, respectively by EPR effect, external eld guidance or recognition of the focuses, is equally important. The passive targeting of MSNs based on the EPR effect 34 has been found to be effective to a certain extent, and more passive targeting methods such as external magnetic elds were proposed several years ago as demonstrated by the manu- facture of a magnetic core/mesporous shell structure, 107,108 however, the practical application in animals did not prove the effectiveness of this approach as expected. More importantly, the active targeting by specic chemical bonding or other kinds of conjunction between specially designed molecules or enzymes has been suggested for decades, unfortunately, the effective tar- geting of MSN-based nano-DDSs has not been well explored to date, although some preliminary approaches such as folic acid grafting have been proposed. MSNs were even PEGylated and grafted with different kinds of antibodies 90 targeting specic antigens, however, the capture by organs such as liver and spleen, was still inevitably present, 33 which would do harm to these organs and shorten the blood circulation time as well, and would nally affect the targeting efciency. Therefore, more efforts should be made to nd more effective ways to prolong the blood- circulation time and render the nano-DDSs able to nd the in vivo targeted locations. Gene therapy is drawing increasing attention from both biol- ogists and materials chemists. In recent years, MSNs have been used to load plasmid RNA (1 kbp1000 kbp, a straight length of 340 nm340 mm) and siRNA(21 bp25 bp, a straight length of 7 8.5 nm), but both plasmid RNA and siRNA were loaded only on the external surface of MSNs which were generally pre-modied with a polycation such as PEI. 5254,66 Therefore, there are two main disadvantages: that PEI is highly cytotoxic creating 5852 | J. Mater. Chem., 2011, 21, 58455855 This journal is The Royal Society of Chemistry 2011 D o w n l o a d e d
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d o i : 1 0 . 1 0 3 9 / C 0 J M 0 3 8 5 1 B View Online a potential safety issue, and that RNA cannot be adequately protected from enzymatic cleavage by MSNs which would effect the gene transfection efciency. One of the most probable solu- tions is to synthesize MSNs with large enough pore channels to contain siRNA within the pore system, followed by reversing the negative charge on the internal surface via the grafting of a large number of positively charged groups, which needs further research. The pharmacokinetics and biocompatibility of MSNs are the prerequisite factors for future practical applications, and have attracted great attention in recent years and some primary data have been obtained. However, there are still many unsettled questions which need to be answered, such as the pharmacoki- netics and pharmacodynamics of drug loaded MSNs, the acute and chronic toxicities, the genotoxicity, the reproductive toxicity, the long-term in vivo degradation and tissue compatibility of MSNs, etc. Up to now, however, these questions are still unan- swered in the absence of extensive and systematic preclinical study and only limited data are available as references for clinical research on MSN-based nano-DDSs. Therefore, more efforts should be made to this eld, and we are among those endeav- oring to make progress on this subject. We expect that primary clinical research will be done in the near future. Meanwhile, the drug encapsulation efciency of MSNs and the bioaccessibility of loaded drugs also have to be considered. Different administration routes such as intravenous injection, intraperitoneal injection and oral administration are options to improve the bioaccessibility for specic diseases. The advanced technologies of biofunctionalized lipid coating and the synchronal in situ multidrug loading will open up a the possibility for MSN-based nano-DDSs to inhibit tumor metastasis and diminish the multidrug resistance of cancer cells. Finally, the scaled production of the MSN carriers and the MSN-based nano-DDSs will also become important for the nal possible biomedical applications. A simple research and development road-map for the biomedicine applications of MSN-based nano-DDSs can be portrayed as shown in Fig. 12, expecting a vital breakthrough to be achieved in the future in the clinic applications of MSN-based nano-DDSs for the diagnosis and threatment of cancers. Acknowledgements We gratefully acknowledge nancial support from the National Nature Science Foundation of China (Grant Nos. 50823007 and 50972154), the Science and Technology Commission of Shanghai (Grant No. 10430712800), the CASKJCX Project (Grant No. KJCX2-YW-210) and the Science Foundation for Youth Scholar of State Key Laboratory of High Performance Ceramics and Superne Microstructures (Grant No. SKL201001). Notes and references 1 C. T. Kresge, M. E. Leonowicz, W. J. Roth, J. C. Vartuli and J. S. Beck, Nature, 1992, 359, 710712. 2 J. L. Shi, Z. L. Hua and L. X. Zhang, J. Mater. Chem., 2004, 14, 795 806. 3 Q. J. He, X. Z. Cui, F. M. Cui, L. M. Guo and J. L. Shi, Microporous Mesoporous Mater., 2009, 117, 609616. 4 Q. J. He, J. L. Shi, J. J. Zhao, Y. Chen and F. Chen, J. Mater. Chem., 2009, 19, 64986503. 5 Q. J. He, J. L. Shi, X. Z. Cui, J. J. Zhao, Y. Chen and J. Zhou, J. Mater. Chem., 2009, 19, 33953403. 6 M. Vallet-Regi, A. Ramila, R. P. del Real and J. Perez-Pariente, Chem. 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