Magnetic hyperthermia (MH) is an anti-cancer treatment which exploits the heat produced by tumour-targeted magnetic nanoparticles (MNPs) subjected to an alternating magnetic field (AMF). A problem limiting the clinical use of MH, however, is the inability to adequately localise the MNPs at the tumour site. A cellular approach using mesenchymal stem cells (MSCs) as carriers has been proposed as these cells are believed to home to sites of tissue injury and tumour growth, however problems with MNPs uptake and toxicity retard progress and need to be overcome. The aim of this project was to find an alternative approach in MH treatment, creating engineered human MSCs able to biosynthesise MNPs. To achieve this goal, MSCs were transfected with either, or both, M. magneticum AMB-1 mms6 and mmsF genes. M. magneticum AMB-1 is a genus of magnetotactic bacteria, containing magnetosomes, which are lipidic organelles containing single crystals of magnetite. M. magneticum-AMB1 mms6 and mmsF genes are important for final crystal morphology and are known to play a role in crystal synthesis and growth respectively. The originality of this study was in using mms6 and mmsF genes, which were codon-optimized for mammalian expression, alone or in combination, for transfection of human MSCs, which have known tumour homing capacity. The transfected MNPs-bearing MSCs, able to migrate into the tumour tissue, were subjected to AMF in MH experiments in an attempt to induce cancer cell death. mms6 and mmsF gene expression, following transfection, was investigated in the human osteosarcoma cell line MG63 by reverse transcription polymerase chain reaction (RT-PCR). The cellular ultrastructure of transfected MG63 cells was investigated by transmission electron microscopy (TEM), revealing the presence of nanoparticles. The magnetism of transfected MG63 cells was proved by superconducting quantum interference device (SQUID) and supported by in vitro MH experiments. Then, human MSCs were transfected with mms6 and mmsF genes, alone or in combination. The effect of transfection experiments and MNPs synthesis on MSCs markers of stemness, cell proliferation and differentiation ability were investigated. The MTB genes expression in human MSCs was assessed by RT-PCR and cell magnetism was confirmed by SQUID, in vitro MH experiments and by magnetic force microscopy (MFM). Then, in vitro studies of MH were undertaken to establish whether mms6 transfected MSCs expressing MNPs supported a MH effect when exposed to an AMF. Cells were initially exposed to an AMF of 565.3 kHz frequency in monolayers and in 3D arrangements and cell death/viability was assessed. Subsequently, the effect of the same AMF on 3D models of mixed populations of mms6-expressing MSCs and cancer cells was assessed. The results indicate that viability of MNPs-expressing MSCs and adjacent cancer cells is reduced following AMF exposure. In vivo studies of MH were undertaken following intracardiac injection of mms6-expressing MSCs in tumour-bearing mice (epidermoid carcinoma). The expression of mms6-expressing MSCs inside mice organs was confirmed by RT-PCR, fluorescence microscopy and immunohistochemistry. The effect of the application of an AMF of 565.3 kHz on mice tumours was studied with different techniques (tumour size and volume measurement, multiphoton microscopy, haematoxylin and eosin staining, and activated Caspase 3 expression), to understand if MNPs created inside mms6- expressing MSCs, following AMF exposure, could lead to cancer cell death. Results indicate that mice tolerate the treatment well, however no appreciable tumour reduction or necrosis was evident. Overall the results suggest that mms6 transfection alone confers the highest magnetisation to MSCs compared to mmsF alone or mms6+mmsF co-transfected, and that mms6 expression in human MSCs does not have an adverse effect on important cell functions. mms6-expressing MSCs, when exposed to an AMF, show reduced viability and enhanced cell cytotoxicity in vitro. When co-cultured with cancer cells in 3D models in vitro, mms6-expressing MSCs are able to reduce viability of adjacent cancer cells confirming the potential applicability of mms6- expressing MSCs for MH treatment. In vivo proof of concept experiments show that mms6-expressing MSCs can locate to the tumour tissue, and mms6-expressing intracardiac injected MSCs mice exposed to AMF tolerate the treatment well. However, the number of mms6-expressing MSCs able to localize to the tumour tissue in this experiment was too low to give an appreciable tumour reduction, so more experiments are needed to enhance the experimental protocol. A number of improvements are required to progress this novel technique towards clinical application. Gene transfection and MNPs production need to be optimised, the best frequency for MH needs to be established and MSCs delivery to the tumour has to be significantly increased to allow concentration of MNPs. The study has helped to increase our knowledge on the creation of magnetic human MSCs to potentially use these cells in MH cancer treatment.

Cancer prevails as one of the most devastating diseases being at the top of death causes for adults despite continuous development and innovation in cancer therapy. Nanotechnology may be used to achieve therapeutic dosing, establish sustained-release drug profiles, and increase the half-life of drugs. In this context, magnetic nanowires (NWs) have shown a good biocompatibility and cellular internalization with a low cytotoxic effect. In this thesis, I induced cancer cell death by combining the chemotherapeutic effect of iron NWs functionalized with Doxorubicin (DOX) with mechanical disturbance under a low frequency alternating magnetic field. Two different agents, APTES and BSA, were separately used for coating NWs permitting further functionalization with DOX. Internalization was qualitatively and quantitatively assessed for both formulations by confocal reflection microscopy and inductively coupled plasma-mass spectrometry. From confocal reflection analysis, BSA formulations demonstrate to have a higher internalization degree and a broader distribution within the cells in comparison to APTES formulations. Both groups of functionalized NWs generated a comparable cytotoxic effect in MDA-MB-231 breast cancer cells in a DOX concentration-dependent manner, (~60% at the highest concentration tested) that was significantly different from the effect produced by the free DOX (~95% at the same concentration) and non-functionalized NWs formulations (~10% at the same NWs concentration). A synergistic cytotoxic effect is obtained when a low frequency magnetic field (1 mT, 10 Hz) is applied to cells treated with the two formulations that is again comparable (~70% at the highest concentration). Furthermore, the cytotoxic effect of both groups of coated NWs without the drug increased notoriously when the field is applied (~25% at the highest concentration tested). Here, a novel bimodal method for cancer cell destruction was developed by the conjugation of the magneto-mechanical properties of the iron NWs coupled with the chemotoxic effect of an anticancer drug. Moreover, it was demonstrated that iron nanowires possess an outstanding biocompatibility and showed high efficacy as drug delivery agents coupled to a high degree of cell internalization. Finally, the proposed method benefits from the low power fields applied during treatment. This poses much less safety risks and allows using cheaper and simpler equipment.

Layer-by-layer (LBL) polyelectrolyte capsules can be modified to incorporate stimuli such as superparamagnetic nanoparticles which respond to a magnetic field only when it is turned on. Thus, they can act as a switch to load or unload their drug cargo on demand. Specifically, magnetite is incorporated into bilayer capsules made of alternating poly(allylamine hydrochloride) (PAH) and poly(sodium-p-styrenesulfonate) (PSS) which surrounds calcium carbonate core. The core is then dissolved using ethylenediaminetetraacetic acid (EDTA). These capsules are loaded with at FITC-BSA conjugate and examined with fluorescence to show the unloading of the FITC-BSA from capsules as it brightens the entire field of view of the microscope. The results suggest that we can next load and unload an anticancer drug such as doxorubicin using the combination of microcapsule and alternating magnetic field (AMF) to treat the cancer cells. Preliminary data interprets that the low frequency AMF we use has little to no adverse effect cells viability. This coincides with the general thought that low frequency AMF signals are not harmful to humans. Therefore, as an alternative to hyperthermia methods which use heat, it may be possible to deliver the anticancer drugs specifically to the cells when and where it is needed.

Conventional therapeutic techniques treat the patient by delivering a biotherapeutic to the entire body rather than the target tissue. In the case of chemotherapy, the biotherapeutic is a drug that kills healthy and diseased cells indiscriminately which can lead to undesirable side effects. With targeted delivery, biotherapeutics can be delivered directly to the diseased tissue significantly reducing exposure to otherwise healthy tissue. Typical composite delivery devices are minimally composed of a stimuli responsive polymer, such as poly(N-isopropylacrylamide), allowing for triggered release when heated beyond approximately 32 °C, and magnetic nanoparticles which enable targeting as well as provide a mechanism for stimulus upon alternating magnetic field heating. Although more traditional methods, such as emulsion polymerization, have been used to realize these composite devices, the synthesis is problematic. Poisonous surfactants that are necessary to prevent agglomeration must be removed from the finished polymer, increasing the time and cost of the process. This study seeks to further explore non-toxic, biocompatible, non-residual, photochemical methods of creating stimuli responsive nanogels to advance the targeted biotherapeutic delivery field. Ultraviolet photopolymerization promises to be more efficient, while ensuring safety by using only biocompatible substances. The reactants selected for nanogel fabrication were N-isopropylacrylamide as monomer, methylene bisacrylamide as cross-linker, and Irgacure 2959 as ultraviolet photo-initiator. The superparamagnetic nanoparticles for encapsulation were approximately 10 nm in diameter and composed of magnetite to enable remote delivery and enhanced triggered release properties. Early investigations into the interactions of the polymer and nanoparticles employ a pioneering experimental setup, which allows for coincident turbidimetry and alternating magnetic field heating of an aqueous solution containing both materials. Herein, a low-cost, scalable, and rapid, custom ultraviolet photo-reactor with in-situ, spectroscopic monitoring system is used to observe the synthesis as the sample undergoes photopolymerization. This method also allows in-situ encapsulation of the magnetic nanoparticles simplifying the process. Size characterization of the resulting nanogels was performed by Transmission Electron Microscopy revealing size-tunable nanogel spheres between 50 and 800 nm by varying the ratio and concentration of the reactants. Nano-Tracking Analysis indicates that the nanogels exhibit minimal agglomeration as well as provides a temperature-dependent particle size distribution. Optical characterization utilized Fourier Transform Infrared and Ultraviolet Spectroscopy to confirm successful polymerization. When samples of the nanogels encapsulating magnetic nanoparticles were subjected to an alternating magnetic field a temperature increase was observed indicating that triggered release is possible. Furthermore, a model, based on linear response theory that innovatively utilizes size distribution data, is presented to explain alternating magnetic field heating results. The results presented here will advance targeted biotherapeutic delivery and have a wide range of applications in medical sciences like oncology, gene delivery, cardiology and endocrinology.

No description available.

Η Πακλιταξέλη (PTX) αποτελεί ένα ευρέως διαδεδομένο αντινεοπλασματικό φάρμακο και ενδείκνυται σε μεταστατικό καρκίνο του μαστού, καρκίνο ωοθηκών, μη μικροκυτταρικό καρκίνο του πνεύμονα και σε σάρκωμα Kaposi ασθενών με AIDS. Παρ’ όλα αυτά, η σημαντική τοξικότητα που εμφανίζει (μυελοκαταστολή, νευροτοξικότητα, αντιδράσεις υπερευαισθησίας), υπογραμμίζει την αναγκαιότητα για μορφοποίησή της σε Συστήματα Ελεγχόμενης Χορήγησης Φαρμάκων (DDS), με σκοπό τη μείωση των ανεπιθύμητων ενεργειών και την αύξηση της βιοδιαθεσιμότητας του φαρμάκου. Τα πολυμερικά μικκύλια έχουν μελετεθεί εκτενώς τα τελευταία χρόνια ως Συστήματα Ελεγχόμενης Χορήγησης Φαρμάκων. Η ενσωμάτωση υπερπαραμαγνητικών νανοκρυσταλλιτών οξειδίου του σιδήρου (SPIONs) στον πυρήνα των PTX-μικκυλίων, παρέχει τη δυνατότητα μαγνητικής στόχευσης του φαρμάκου στην επιθυμητή περιοχή δράσης, καθώς και τη θεραπεία του καρκίνου μέσω επαγωγής μαγνητικής υπερθερμίας, με την εφαρμογή εναλλασσόμενου μαγνητικού πεδίου. Επιπλεόν, η χρήση των SPIONs ως σκιαγραφικά μέσα (Τ2-contrast enhancement) στη μαγνητική τομογραφία πυρηνικού συντονισμού (MRI), εξασφαλίζει το πλεονέκτημα ταυτόχρονης διάγνωσης και θεραπείας (Theranostics), αποκαλύπτοντας την πολυλειτουργικότητα των συστημάτων αυτών. Οι συγκεκριμένοι νανοφορείς, έχοντας μικρό μέγεθος (100-200nm), θεωρούνται κατάλληλοι για να αποφύγουν την οψωνινοποίηση απο τις λιποπρωτεϊνες του αίματος, την επίθεση απο τα φαγοκύτταρα του Δικτυοενδοθηλιακού συστήματος (RES) καθώς και την ταχεία νεφρική κάθαρση, με αποτέλεσμα την παρατεταμένη κυκλοφορία τους στο αίμα (stealth systems) και την εκλεκτική πρόσληψη τους απο τους συμπαγείς καρκινικούς όγκους, μέσω του φαινομένου της ενισχυμένης διαπερατότητας και κατακράτησης (EPR effect). Οι ιδιότητες αυτές, καθιστούν τα συγκεκριμένα συστήματα πολύτιμα εργαλεία στον τομέα της νανοϊατρικής. Η παρούσα μεταπτυχιακή διατριβή πραγματεύεται τη σύνθεση υδρόφοβων SPIONs μέσω της τεχνικής της θερμικής αποικοδόμησης. Μελετήθηκαν οι συνθετικές παράμετροι (πρόδρομη ένωση, ποσότητα ελαϊκού οξέος, θερμοκρασία και διάρκεια αντίδρασης, ρυθμός αύξησης της θερμοκρασίας κ.α) που επηρεάζουν το μέγεθος, το σχήμα και τη διασπορά του μεγέθους των σχηματιζομένων νανοκρυσταλλιτών (5-13nm, σ: 10-20%), καθώς διαδραματίζουν σημαντικό ρόλο στη μαγνητική συμπεριφορά των υβριδικών νανονοφορέων. Στη συνέχεια, πραγματοποιήθηκε σύνθεση υβριδικών νανοφορέων με εγκλωβισμό των SPIONs σε πολυμερικά μικκύλια. Η παρασκευή των υπερπαραμαγνητικών μικκυλίων επιτελέστηκε με την τεχνικη solvent diffusion and evaporation (nanoprecipitation), με χρήση του αμφίφιλου συμπολυμερούς πολυ(γαλακτικό οξύ)-πολυ(αιθυλενογλυκόλη) (PLA-PEG). Στον υδρόφοβο πυρήνα των μικκυλίων (PLA) δεσμεύονται υδρόφοβες ενώσεις (PTX, SPIONs), ενώ το υδρόφιλο κέλυφος (PEG) προσδίδει κολλοειδή σταθερότητα σε υδατικά μέσα (δομή πυρήνα-κελύφους). Διερευνήθηκαν διάφορες συνθετικές παράμετροι (μοριακό βάρος συμπολυμερούς, ποσότητα SPIONs, ρυθμός προσθήκης οργανικής φάσης κ.α) και προσδιορίστηκαν οι βέλτιστες συνθήκες για την παρασκευή υπερπαραμαγνητικών μικκυλίων μεγέθους <200nm, με αξιοσημείωτη κολλοειδή σταθερότητα (μέχρι και έξι μήνες), σε συνθήκες παρόμοιες με αυτές του ανθρώπινου πλάσματος (pH: 7.4, ιοντική ισχύς: 0.15Μ). Στο επόμενο στάδιο της παρούσας εργασίας, μελετήθηκαν οι παράγοντες που επηρεάζουν τη φόρτωση-ενκαψυλίωση της PTX και των SPIONs στα πολυμερικά μικκύλια (ποσότητα PTX, ποσότητα και μέγεθος SPIONs, μοριακό βάρος PLA-PEG, ρυθμός προσθήκης οργανικής φάσης κ.α), σε φυσιολογικές συνθήκες (pH:7.4, ιοντική ισχύς: 0.15Μ). Αναπτύχθηκε πρωτόκολλο μέσω του οποίου έγινε κατορθωτός ο διαχωρισμός των μαγνητικών νανοφορέων απο τους μη μαγνητικούς, καθώς και ο υπολογισμός της φόρτωσης-ενκαψυλίωσης PTX και SPIONs ξεχωριστά, τόσο στους μαγνητικούς και μη μαγνητικούς νανοφορείς, όσο και στο μέιγμα αυτών. Οι συγκεκριμένοι νανοφορείς χαρακτηρίζονται απο εξαιρετικά υψηλή απόδοση ενκαψυλίωσης φαρμάκου (93 %wt.) και φόρτωση φαρμάκου που ανέρχεται στο 4.8 %wt. Oι αμιγώς μαγνητικοί νανοφορείς επιδεικνύουν υψηλή απόδοση ενκαψυλίωσης νανοκρυσταλλιτών (70 %wt.), ενώ η φόρτωση σε φάρμακο και SPIONs ανέρχεται σε 5.2 και 20 %wt. αντίστοιχα. Σε αμφότερες τις περιπτώσεις οι νανοφορείς, μεγέθους (υδροδυναμική διάμετρος) 170nm, χαρακτηρίζονται απο ικανοποιητική μαγνητική συμπεριφορά. Εξετάστηκε η επίδραση του μεγέθους των νανοκρυσταλλιτών στη μαγνητική συμπεριφορά των νανοφορέων. Οι αμιγώς μαγνητικοί νανοφορείς με μεγαλύτερο μέγεθος SPIONs παρουσιάζουν καλύτερη μαγνητική συμπεριφορά. Τέλος, πραγματοποιήθηκαν μελέτες αποδέσμευσης του φαρμάκου σε PBS (0.14Μ, pH:7.4) στους 37oC και διερευνήθηκε η επίδραση της εφαρμογής εναλλασσόμενου μαγνητικού πεδίου στην αποδέσμευση της PTX απο τους μαγνητικούς νανοφορείς (Triggered Drug Release). Σε κάθε περίπτωση, παρατηρήθηκε ελεγχόμενη αποδέσμευση του φαρμάκου για 24 ώρες, σε συνθήκες που προσομοιάζουν με αυτές του πλάσματος. Ο φυσικοχημικός χαρακτηρισμός των νανοφορέων πραγματοποιήθηκε με HPLC, DLS, TGA, TEM και μαγνητοφόρηση. / Paclitaxel (PTX) is one of the most successful anticancer drugs against a broad range of solid tumors, such as metastatic breast cancer, ovarian cancer, non-small-cell lung cancer and AIDS-related Kaposi sarcoma. However, the serious systematic side effects of PTX (myelosuppression, neurotoxicity, hypersensitivity) underline the need for formulation of PTX in Drug Delivery Systems (DDS), in order to reduce the side effects and increase the bioavailability of the drug. Among DDS, polymeric micelles have drawn much attention due to their great flexibility in tuning drug solubility, micelle size, targeted drug delivery and stability. Incorporation of Superparamagnetic Iron Oxide Nanocrystals (SPIONs) inside the core of drug-loaded polymeric micelles, imparts to the final Drug Delivery System the prospect of physical (magnetic) targeting, intrinsic therapeutic function (hyperthermia-based cancer therapy under alternating external magnetic field), T2-based contrast enhancement in magnetic resonance imaging (MRI) and remotely triggered drug release. These core-shell polymeric micelles having small size (100-200nm), are considered appropriate for avoiding both opsonization, macrophages attack by ReticuloEndothelial System (RES) and rapid renal clearance, thus allowing micelles to be taken up preferably by solid tumors through Enhanced Permeability and Retention (EPR) effect. Therefore, such nanoassemblies encode high potential in nanomedicine, due to their dual nature (Therapeutic+Diagnostic = Theranostics). In particular, we have studied the synthesis of organophilic SPIONs through thermal decomposition. The synthetic parameters (precursor, precursor:oleic acid ratio, reaction temperature and duration, heat rate, etc.) affecting the size, shape and size distribution of the nanocrystals have also been examined thoroughly, since they play a key-role concerning the magnetic behavior of the final hybrid. Nanosized SPIONs with narrow size distribution were synthesized (5-13nm, σ: 10-20%). The preparation of poly(lactic acid)-block-poly(ethyleneglycol) (PLA-PEG) micelles encapsulating hydrophobic SPIONs, by varying the molecular weight of the polymers, the amount of SPIONs and the addition rate during micelle assembly, has also been investigated. The core-shell superparamagnetic micelles were prepared through solvent diffusion and evaporation technique (nanoprecipitation). PTX and SPIONs are being incorporated into the micelle’s hydrophobic core (PLA) through hydrophobic interactions, whereas the hydrophilic shell (PEG) stabilizes the micelles in aqueous dispersions, optimizing their colloidal stability and providing prolonged circulating time. The optimum parameters were determined, conferring to the micelles (Hydrodynamic Diameter < 200nm) high colloidal stability (up to six months) at biorelevant conditions (pH:7.4, ionic strenght: 0.15M). The next phase of the present master thesis focused on studying the factors (amount of PTX and SPIONs, molecular weight of PLA-PEG, addition rate, etc.) affecting the Loading of PTX and SPIONs into the polymeric micelles and how they can be fine-tuned towards high drug loading, while retaining their size at a scale where long circulation would not be precluded. Through protocol establishment, we have managed to separate the magnetic and non magnetic micelles, and to determine individually the loading of PTX and SPIONs for magnetic, non magnetic micelles, as well as for the mixture of them. The micelles’ mixture exhibits very high Drug Encapsulation Efficiency (93 %wt.) and 4.8 %wt. Drug Loading (D.L). Magnetic nanocarriers display high Magnetic Encapsulation Efficiency (70 %wt.), with D.L and Magnetic Loading of 5.2 and 20 %wt. respectively, In both cases, micelles demonstrate adequate magnetic behavior and small sizes (hydrodynamic diameter: 170nm), under conditions which simulate with human plasma (pH:7.4, ionic strenght: 0.15M). The effect of SPIONs’ size on the magnetic behavior of hybrid colloids, was also examined. Magnetic nanocarriers encapsulating SPIONs of greater size exhibit better magnetic behavior. Finally, we have conducted Drug release studies in PBS (0.14M, pH:7.4) at 37oC. The effect of SPIONs presence on the release profile of PTX, including triggered drug-release by application of AC magnetic field, has also been investigated. PTX-magnetic micelles exhibit Controlled Drug release for 24 hours. Several techniques have been used for the characterization of such nanoassemblies, like: HPLC, DLS, TGA, TEM, XRD, Magnetophoresis and Triggered Drug release by application of AC magnetic field.