Sarah Glass,
Tom Rüdiger,
Jan Griebel,
Bernd Abel and
Agnes Schulze*
Leibniz Institute of Surface Engineering (IOM), Germany. E-mail: agnes.schulze@iom-leipzig.de
First published on 12th December 2018
In this study a hydrogel is presented that can be used as a carrier and release system for photosensitizers. Because of the high structural variety of photosensitizers, four different substances were analysed. Two porphyrins, 5,10,15,20-tetrakis(1-methyl-4-pyridinio)porphyrin tetra(p-toluene-sulfonate) and sodium meso-tetraphenylporphine-4,4′,4′′,4′′′-tetrasulfonat, eosin y and methylene blue were selected. Uptake and release of these photosensitizers were studied. All photosensitizers were taken up by the hydrogel not depending significantly on the structure of the photosensitizer, and it was possible to load the hydrogels in the μmol g−1 range. Nevertheless, size and pKa value were shown to influence the release behaviour. Finally, the singlet oxygen generation of the photosensitizer after release was demonstrated. The photosensitizer was still highly active and produced a sufficient amount of singlet oxygen.
In the 1950's hematoporphyrin (a powerful photosensitizer) was found to be tumour localizing and accumulates in cancerous tissue.3 This unique combination offered the possibility to treat cancer by using a photosensitizer and light. Starting with this, the field of PDT became more and more important and in 1999 the first photosensitizer was approved.1 Since then, lots of further second and third generation photosensitizers have been developed that treat not only cancer but microorganisms (e.g., bacteria, fungi, viruses), too.4 Additionally, inorganic photosensitizers like TiO2 and ZnO have been investigated in the last years.5,6
A well-known type of second generation photosensitizer is porphyrins,7 like 5,10,15,20-tetrakis(1-methyl-4-pyridinio)porphyrin tetra(p-toluene-sulfonate) (TMPyP) and sodium meso-tetraphenylporphine-4,4′,4′′,4′′′-tetrasulfonat (TPPS4). Porphyrins are known to be highly efficient. They generate a high amount of reactive species (especially singlet oxygen)8–10 and have high absorption coefficients. Therefore, they are widely used in cancer therapy,11 dentistry12 and as treatment for bacteria.13 Furthermore xanthene dyes are important photosensitizers.14 Eosin y, a typical xanthene photosensitizer, is reported to be highly effective in treating Gram-positive and Gram-negative bacteria.15,16 The last family of substances mentioned here are phenothiazine dyes. The most prominent representative is methylene blue.17 It is a widely used drug (not only in photomedicine), e.g. in dentistry or antimicrobial applications.18 Methylene blue is known to generate a high amount of singlet oxygen and ROS.17 Furthermore, it is known that methylene blue is effective against bacteria while it is not damaging white blood cells.19
Today, PDT is a widely used therapy not only against cancer. Additionally, photosensitizers are used in dentistry12 and in wound treatment.20 As well as cancer cells, microorganisms like bacteria or fungi can also be attacked by photosensitizers.1
Therefore, nowadays challenges (e.g. wound healing) can be faced by using PDT. It was already demonstrated that photosensitizers can improve wound healing in acute wounds as well as in chronic ones.21 One challenge in using PDT for wound management is the lack of a comfortable carrier system that releases compounds and that is transparent for activating light. One possibility is the use of hydrogels that are already well-known in wound therapy.22,23
Generally, there are further carrier systems. Especially, nanoparticle-based systems have been discussed in the past.5,24 Nevertheless, hydrogels can be used as bandage material and drug delivery system simultaneously.25,26
Hydrogels are three-dimensional polymeric networks synthesised of highly hydrophilic monomers.27 There is a great variety of monomers used in hydrogel synthesis, such as polyamides,28 poly (ethylene oxide),29 polyacryl acid derivates,30–32 gelatin33 and many more. Features vary with monomer structure and chain length. The number of applications is as high as the number of monomers. Typical fields of application are cell immobilization,34 tissue engineering,35 wound care22 and drug delivery.36
Hydrogels can protect wounds and keep them moist, which is beneficial in wound management.37 At the same time they can be used as a carrier system for drugs like photosensitizers. In this case the hydrogel has to be transparent to ensure the excitation of the photosensitizer by light. Therefore, the bandage would not have to be changed. This prevents the patient from additional pain.
In a recent study a transparent, noncytotoxic, low-molecular weight and inexpensive hydrogel was introduced and optimized.6,38 The present study investigates this hydrogel as a transparent carrier system for molecular photosensitizers. For this purpose, a high variety of different photosensitizers was evaluated regarding adsorption and release dynamics. The photosensitizers were selected regarding their different structures, sizes and charges. Additionally, the photosensitizer activity (generation of singlet oxygen) was investigated to demonstrate the suitability of the hydrogel system in PDT.
The photoinitiator 1-[4-(2-hydroxyethoxy)-phenyl]-2-hydroxy-2-methyl-1-propane-1-one (α-HAP) was purchased from IGM Resins B.V. (Waalwijk, the Netherlands). A Merck ultrapure water system was used to purify water. All chemicals were used without further purification.
(1) |
Concentration c [mol l−1] | |
---|---|
Methylene blue | 1.1 × 10−5 |
Eosin y | 1.0 × 10−5 |
TMPyP | 2.7 × 10−6 |
TPPS4 | 2.4 × 10−6 |
The dry loaded gels were completely dissolved in 10 ml 2 N NaOH per gel for 120 h. The concentration of dye in this solution was determined photometrically using an infinite M200 reader from Tecan (Maennedorf, Switzerland). As reference, a defined concentration (1.0 × 10−3 mol l−1 for methylene blue and eosin y, and 1.0 × 10−4 mol l−1 for TMPyP and TPPS4, respectively) of each dye in 2 N NaOH was used.
From these concentrations the absolute amount of substance (n) was calculated. The theoretical amounts were calculated using:
n = cV | (2) |
The relative uptake of the hydrogels was calculated for the lowest concentration of each photosensitizer. Extinction coefficients were determined using the calculated absolute amounts of photosensitizer and the transmittance of the hydrogels. Eqn (1) was used. The amount of the photosensitizer was calculated from the transmittance spectra at different times using the extinction coefficient. The relative amount of photosensitizer in the gels was calculated at all observed times and compared with the theoretical amount. The extinction coefficients of the photosensitizers in hydrogels differ slightly from the extinction coefficients in water and therefore, they had to be determined, additionally.
The mesh sizes of the hydrogels were calculated from the rheological data using:40,41
(3) |
In preparation of AFM thin sections (∼150 nm) of the hydrogel were cut with a cryo-ultramicrotome (PT-CRX LN Ultra with CR-X cryo unit, RMC, USA) at cryo temperature of −60 °C using diamond knives.
(4) |
The average mesh size ξ was calculated using eqn (3). It was 32.3 Å. Thus, most photosensitizers (and molecules in general) are much smaller than the meshes of the hydrogel. Therefore, this publication focused on the impact of the properties of the photosensitizers on the transport dynamics.
Additionally, AFM images of the hydrogel were recorded (see Fig. 1). The hydrogel had a smooth and homogeneous surface. Cavities of about 30 to 50 Å were visible. Therefore, the AFM images were in good correlation with the calculated mesh size.
Structure family | Charge | Λmax [nm] | ε [104 l (mol cm)−1] | RH [Å] | pKa;1 | |
---|---|---|---|---|---|---|
Methylene blue | Phenothiazine | Positive | 665.0 | 6.3 | 6.5 | 4.0 |
Eosin y | Xanthene | Negative | 514.5 | 7.0 | 7.1 | 4.5 |
TMPyP | Porphyrin | Positive | 421.0 | 28.2 | 7.7 | 4.8 |
TPPS4 | Porphyrin | Negative | 413.5 | 29.0 | 8.9 | 4.2 |
Besides charge and structure, the size could possibly affect the uptake and release behaviour. Therefore, the Stokes radii were determined using eqn (4). Accordingly, the diffusion coefficients were measured using DOSY-NMR. Phosphate buffered D2O was used. While the solvent influences the Stokes radii, the values may differ slightly from the radii in water. Nevertheless, the trend is most probably the same in water as in heavy water. The full DOSY spectra are displayed in ESI Fig. 1–4.† TPPS4 is the photosensitizer with the largest Stokes radius of 8.9 Å. There were two photosensitizers with medium Stokes radii, namely TMPyP and eosin Y, which were calculated to be 7.7 Å and 7.1 Å in size, respectively. Methylene blue has the smallest radius of 6.5 Å.
Extinction coefficients in water were calculated at the maximal absorption wavelength using eqn (1). The porphyrin photosensitizers had four to six times higher extinction coefficients than the other substances (2.9 and 2.8 × 105 l mol−1 cm−1, respectively for TMPyP and TPPS4 compared to 7.0 and 6.3 8 × 104 l mol−1 cm−1, respectively for eosin y and methylene blue). The extinction coefficient is the main property that influences how much a photosensitizer can be immersed and yields a still transparent hydrogel.
High transmittance has to be possessed by the hydrogel to make sure the light can penetrate the hydrogel. Thereby, the photosensitizer can be excited after release to the infected tissue and produce singlet oxygen or other reactive oxygen species. The transmittance of the hydrogel is about 75% down to a wavelength of 350 nm (Fig. 3). Therefore, it is an ideal carrier for the photosensitizers investigated here because their absorption maxima were between 413 nm and 665 nm.
However, expect methylene blue none of the photosensitizers is approved today. Nevertheless, all of them are used in clinical tests or in vivo/in vitro studies.7 Furthermore, they are adequate model substances for several other photosensitizers that are approved today.
Clearly, all photosensitizer were taken up. Furthermore, the hydrogels were darker coloured when immersed in a solution with a higher concentration. This indicates that more photosensitizer was incorporated in the hydrogels when a larger concentration is offered. Further, there seemed to be no saturation within the observed concentration range.
The transmittance of the dried gels after immersion was determined to support the previous findings. The transmittance spectra of the hydrogel loaded for 48 h are displayed in Fig. 5. (In ESI Fig. 9† the transmittance spectra of all hydrogels are presented.) Here, the fact was confirmed that higher immersion concentrations lead to darker coloured hydrogels. Gels immersed in highly concentrated solutions were not even translucent any more. This cut-off concentration was different for every photosensitizer depending on the extinction coefficient. Hydrogels loaded with TPPS4 (the photosensitizer with the highest extinction coefficient) were translucent up to a concentration of 5 × 10−6 M and TMPyP loaded gels up to a concentration of 1 × 10−5 M. As expected the hydrogels loaded with eosin y and methylene blue were transparent up to higher concentrations (5 × 10−5 M and 1 × 10−4 M, respectively).
Fig. 5 Transmittance of the hydrogels loaded for 48 h (a) methylene blue (b) eosin y, (c) TPPS4 and (d) TMPyP. |
Further, the absolute amounts of the photosensitizers in the hydrogels were determined. Gels with an immersion time of 48 h were chosen. The gels were diluted in concentrated sodium hydroxide solution. Following, the amount of substance in these solutions was observed using eqn (2). The results are displayed in Fig. 6. Obviously, there is no significant difference within the investigated photosensitizers. This confirmed the results of the former measurements. Additionally, the linear slope indicates that there is no saturation within the observed range of concentrations. This could be quite important for a future application because also high amounts of photosensitizers can be carried within the hydrogels. Finally, the amount of substance in the hydrogels was about 2 times higher than the expected amount. This result can be explained with surface adsorption interactions at the hydrogel.
Fig. 6 Absolute uptake of the amount of the photosensitizers in the hydrogels compared to the relative concentration in the immersion solutions. |
To enable the kinetic analysis and comparison of the uptake of different photosensitizers, the relative uptake was determined at different times (for the lowest concentration of each photosensitizer). The results are displayed in Fig. 6. No significant differences were found for the uptake of eosin y, TPPS and TMPyP. These compounds reached a plateau after 48 h with about 250% amount of substance. However, methylene blue was taken up with 350% after 48 h and the uptake amount still increased to 550% after 120 h (Fig. 7).
The positively charged methylene blue was taken up to a moderate higher extent compared with the other photosensitizers. This can be explained with the surface charge of PEGDA hydrogels which is almost non-charged (∼−1.2 mV).45 Since the other positively charged photosensitizer TMPyP showed similar uptake characteristics as the two negatively charged compounds, we assume that the charge of the photosensitizers influenced the uptake behaviour of the hydrogels only slightly. Since methylene blue is the smallest and TMPyP is one of the largest investigated photosensitizers (6.5 Å vs. 7.7 Å), this could be one explanation for the uptake differences of both positively charged compounds. However, within the here investigated range one single property like charge, size or structure seems not to dictate the uptake behaviour.
Additionally, the mechanical properties of the hydrogels were observed before and after loading with the photosensitizers. Neither the moduli nor the loss factor changed (see Table S1†). Therefore, the photosensitizer did not influence the mechanical properties of the hydrogel.
All release studies were performed using gels immersed in 1 × 10−4 M photosensitizer solution. The amount of released photosensitizer was compared with the absolute amount of substance in the hydrogel (as shown in Fig. 6). The results are displayed in Fig. 8. Except of TPPS4 all photosensitizers were released to the buffer. In the case of the positively charged methylene blue and TMPyP most of the release took place within the first 8 h and a maximum plateau was reached after 48 h. The slopes and plateau evolution showed a parallel trend. However, the total amount of released methylene blue (25%) was about half of the amount of TMPyP (46%). In the case of the negatively charged eosin y the overall release was the highest (54%). Furthermore, the released amount didn't reach a plateau within the investigated time range (72 h). As mentioned before the negatively charged TPPS4 was hardly released at all from the hydrogel.
Fig. 8 Release of methylene blue (blue dot), eosin y (pink square), TMPyP (orange bottom-up triangle) and TPPS4 (green triangle). |
Obviously, the photosensitizers with the highest pKa value showed the best release behaviour in terms of released amount. Additionally, TPPS4 which was the largest investigated compound was not released at all. We therefore assume that also the release behaviour is influenced by the interplay of several structural parameters. The size and pKa value showed the main impact, while the charge was not affecting the release behaviour noteworthy.
The amount of ABDA was about 10 times higher than the amount of photosensitizer in this test (3 × 10−6 M compared to 3.6 × 10−7 M). The results of the degradation of ABDA are displayed in Fig. 9. ABDA was completely degraded after 90 min. That means methylene blue is still active and produces a high amount of singlet oxygen. The degradation was slower within the first 30 min (about 25% degradation) because the photosensitizer was released slowly to the surrounding liquid. Afterwards, the singlet oxygen production was much faster and 95% ABDA was degraded within 60 min. In conclusion, methylene blue is still highly effective after the release from the hydrogel. This is a very important aspect regarding the future medical application.
Fig. 9 Degradation of ABDA by singlet oxygen produced by the methylene blue released from a hydrogel with time. |
Furthermore, the release behaviour of the photosensitizers from the hydrogels was studied. The release behaviour was influenced by size and pKa mainly. Because of the interplay of these properties no distinct trend was observed for the different investigated compounds. Therefore, it will be necessary to consider the release behaviour for every additional photosensitizer independently. Understanding the influencing structural properties, an individualized medical treatment regarding release time (=treatment time) and/or photosensitizer concentration (=singlet oxygen generation) is possible. Therefore, further approved photosensitizers shall be observed in the future.
Finally, the singlet oxygen generation of the photosensitizer (one representative case) was demonstrated after release from the hydrogel by degradation of ABDA. The fluorescent test molecule was degraded within 60 min. This confirmed the high activity of the photosensitizer after release. Consequently, hydrogels and in particular the hydrogel employed in this study are well suited to support a broad variation of photosensitizers applied in photodynamic therapy.
Footnote |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/c8ra08093c |
This journal is © The Royal Society of Chemistry 2018 |