Research Progress on Mesoporous Silica for Oral Delivery of Peptide and Protein Drugs

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介孔二氧化硅用于口服递送肽类和蛋白质药物的研究进展

期刊 介孔二氧化硅用于口服递送多肽和蛋白药物的研究进展 DOI 10.3389/fchem.2019.00290/full 类型 原创研究 (Original Research)

📄 英文摘要 English Abstract

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Due to uniquely ordered nanoporous structure and high surface area as well as large pore volume, mesoporous materials have exhibited excellent performance in both controlled drug delivery with sustained release profiles and formulation of poorly aqueoussoluble drugs with enhanced bioavailability. Compared with other bulk excipients, mesoporous materials could achieve a higher loading of active ingredients and a tunable drug release profile, as the high surface density of surface hydroxyl groups offered versatility to be functionalized. With drug molecules stored in nano sized channels, the pore openings could be modified using functional polymers or nano-valves performing as stimuli-responsive release devices and the drug release could be triggered by environmental changes or other external effects. In particular, mesoporous silica nanoparticles (MSN) have attracted much attention for application in functional target drug delivery to the cancer cell. The smart nano-vehicles for drug delivery have showed obvious improvements in the therapeutic efficacy for tumor suppression as compared with conventional sustained release systems, although further progress is still needed for eventual clinical applications. Alternatively, unmodified mesoporous silica also exhibited feasible application for direct formulation of poorly water-soluble drugs to enhance dissolution rate, solubility and thus increase the bioavailability after administration. In summary, mesoporous materials offer great versatility that can be used both for on-demand oral and local drug delivery, and scientists are making great efforts to design and fabricate innovative drug delivery systems based on mesoporous drug carriers.

📄 中文摘要 Chinese Abstract

中文
治疗性蛋白质广泛应用于癌症治疗、免疫治疗、糖尿病管理和传染病控制等多种疗法。然而,其稳定性低、分子量大等问题影响了治疗效果,且以可控方式将活性蛋白质递送至靶向部位仍面临挑战。基于纳米颗粒的递送系统,特别是介孔二氧化硅纳米颗粒(MSNs),因其优异的生物相容性、高稳定性、刚性骨架、明确的孔结构、可控的形貌和可调节的表面化学性质,提供了有前景的解决方案。蛋白质治疗药物发展迅速:截至2008年,已有130种蛋白质治疗药物获FDA批准,2017年增至239种,2018年,全球销量前十的人用药物中有7种为蛋白质类药物。尽管蛋白质药物具有特异性功能和较少的副作用,但其稳定性低和细胞内递送的困难仍是制约因素。

📋 英文结构化总结 English Structured Summary

全文整理

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Background Therapeutic proteins are widely used for numerous therapies such as cancer therapy, immune therapy, diabetes management and infectious diseases control. However, their low stability and large size compromise therapeutic effects, and delivering active proteins to targeted places in a controlled manner remains a challenge. Nanoparticle-based delivery systems, particularly mesoporous silica nanoparticles (MSNs), offer a promising solution due to their excellent biocompatibility, high stability, rigid framework, well-defined pore structure, controllable morphology, and tunable surface chemistry. Protein therapeutics have grown rapidly: by 2008, 130 protein-based therapeutics were FDA-approved, rising to 239 in 2017, and in 2018, 7 of the top 10 best-selling human drugs were protein-based. Despite their specific functions and fewer side effects, protein drugs are hindered by low stability and the difficulty of intracellular delivery.

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Methods N/A - Review article

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Results This review systematically examines how structural parameters of MSNs—such as pore size, surface functionalization, pore structure, pore volume, and surface area—affect protein loading, protection, and delivery performance. Recent progress using MSNs for intracellular delivery, extracellular delivery, antibacterial protein delivery, enzyme mobilization, and catalysis is highlighted. MSNs with large pores and novel pore structures greatly expand their applications for protein therapeutics. Additionally, abundant surface modifications enable various responsive release systems, improving efficacy and reducing toxicity.

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Data Summary Quantitative data from the review include: 130 protein-based therapeutics approved by the FDA by 2008, increasing to 239 by 2017. In 2018, 7 out of the top 10 best-selling human drugs were protein-based. These figures underscore the growing clinical importance of protein therapeutics and the need for effective delivery systems like MSNs.

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Conclusions MSNs represent a promising platform for protein protection and delivery, achieving enhanced stability, improved activity, responsive release, and intracellular delivery. The design of MSNs—including pore size, surface functionalization, and pore structure—is critical for optimizing protein loading and protection. The review concludes that MSN-based protein therapy has progressed significantly for various applications, including intracellular and extracellular delivery, antibacterial protein delivery, and enzyme mobilization.

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Practical Significance MSN-based delivery systems have real-world applications in cancer therapy, immune therapy, diabetes management, and infectious disease control. By protecting therapeutic proteins from denaturation and enabling controlled release, MSNs improve drug efficacy and reduce side effects, potentially advancing personalized medicine and clinical protein therapeutics.

📋 中文结构化总结 Chinese Structured Summary

中文

背景:

治疗性蛋白质广泛应用于癌症治疗、免疫治疗、糖尿病管理和传染病控制等多种疗法。然而,其稳定性低、分子量大等问题影响了治疗效果,且以可控方式将活性蛋白质递送至靶向部位仍面临挑战。基于纳米颗粒的递送系统,特别是介孔二氧化硅纳米颗粒(MSNs),因其优异的生物相容性、高稳定性、刚性骨架、明确的孔结构、可控的形貌和可调节的表面化学性质,提供了有前景的解决方案。蛋白质治疗药物发展迅速:截至2008年,已有130种蛋白质治疗药物获FDA批准,2017年增至239种,2018年,全球销量前十的人用药物中有7种为蛋白质类药物。尽管蛋白质药物具有特异性功能和较少的副作用,但其稳定性低和细胞内递送的困难仍是制约因素。

方法:

不适用——综述文章

结果:

本综述系统考察了MSNs的结构参数(如孔径、表面功能化、孔结构、孔体积和表面积)如何影响蛋白质的负载、保护和递送性能。重点介绍了利用MSNs进行细胞内递送、细胞外递送、抗菌蛋白质递送、酶固定化和催化等方面的最新进展。具有大孔径和新型孔结构的MSNs极大地拓展了其在蛋白质治疗中的应用。此外,丰富的表面修饰可实现多种响应性释放系统,提高疗效并降低毒性。

数据摘要:

综述中的定量数据包括:截至2008年,FDA批准的蛋白质治疗药物为130种,2017年增至239种。2018年,全球销量前十的人用药物中有7种为蛋白质类药物。这些数据凸显了蛋白质治疗药物日益增长的临床重要性以及对MSNs等有效递送系统的需求。

结论:

MSNs代表了蛋白质保护和递送的有前景的平台,可实现增强的稳定性、改善的活性、响应性释放和细胞内递送。MSNs的设计(包括孔径、表面功能化和孔结构)对于优化蛋白质负载和保护至关重要。综述得出结论,基于MSNs的蛋白质治疗在多种应用中取得了显著进展,包括细胞内和细胞外递送、抗菌蛋白质递送和酶固定化。

实际意义:

基于MSNs的递送系统在癌症治疗、免疫治疗、糖尿病管理和传染病控制方面具有实际应用价值。通过保护治疗性蛋白质免于变性并实现可控释放,MSNs提高了药物疗效并减少副作用,有望推动个性化医疗和临床蛋白质治疗药物的发展。

📖 英文全文 English Full Text

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REVIEW published: 01 May 2019 doi: 10.3389/fchem.2019.00290

Mesoporous Silica Nanoparticles for Protein Protection and Delivery Chun Xu 1*, Chang Lei 2 and Chengzhong Yu 2* 1 School of Dentistry, The University of Queensland, Brisbane, QLD, Australia, 2 Australian Institute for Bioengineering and Nanotechnology, The University of Queensland, Brisbane, QLD, Australia

Edited by: Fan Zhang, Fudan University, China Reviewed by: Jianping Yang, Donghua University, China Paolo Saccardo, Autonomous University of Barcelona, Spain *Correspondence: Chun Xu chun.xu@uq.edu.au Chengzhong Yu c.yu@uq.edu.au Specialty section: This article was submitted to Nanoscience, a section of the journal Frontiers in Chemistry Received: 31 January 2019 Accepted: 09 April 2019 Published: 01 May 2019 Citation: Xu C, Lei C and Yu C (2019) Mesoporous Silica Nanoparticles for Protein Protection and Delivery. Front. Chem. 7:290. doi: 10.3389/fchem.2019.00290

Therapeutic proteins are widely used in clinic for numerous therapies such as cancer therapy, immune therapy, diabetes management and infectious diseases control. The low stability and large size of proteins generally compromise their therapeutic effects. Thus, it is a big challenge to deliver active forms of proteins into targeted place in a controlled manner. Nanoparticle based delivery systems offer a promising method to address the challenges. In particular, mesoporous silica nanoparticles (MSNs) are of special interest for protein delivery due to their excellent biocompatibility, high stability, rigid framework, well-defined pore structure, easily controllable morphology and tuneable surface chemistry. Therefore, enhanced stability, improved activity, responsive release, and intracellular delivery of proteins have been achieved using MSNs as delivery vehicles. Here, we systematically review the effects of various structural parameters of MSNs on protein loading, protection, and delivery performance. We also highlight the status of the most recent progress using MSNs for intracellular delivery, extracellular delivery, antibacterial proteins delivery, enzyme mobilization, and catalysis. Keywords: mesoporous silica nanoparticles, mesostructure, surface modification, protein therapeutics, drug delivery

INTRODUCTION OF PROTEIN THERAPEUTICS AND MSNs In 1922 the pancreatic insulin was successfully purified and applied for Leonard Thompson, a 14 years old boy suffering type 1 diabetes, which ushered in the era of protein therapeutics (Banting et al., 1991). Since then numerous protein drugs have been developed and used in various clinical applications. By 2008, 130 protein based therapeutics had been approved by the US Food and Drug Administration (FDA) and the number of approved protein drugs soared to 239 in 2017 (Leader et al., 2008; Usmani et al., 2017). In 2018, 7 of top 10 best-selling human drugs are proteins based ones (Urquhart, 2018). Those protein therapeutics comprise enzymes, monoclonal antibodies, vaccines, hormones, growth factors, tumor necrosis factors, etc., (Usmani et al., 2017). Protein based drugs are receiving growing interest due to their specific functions, less side effects, which are also considered safer than gene therapy as no genetic change happens (Gu et al., 2011). However, the wide applications of protein drugs are hindered due to their intrinsic drawbacks especially low stability. The folded characteristic 3 dimensional structures of proteins are essential for their biological functions, but the conformation is only slightly more stable than unfolded one. From an entropic point of view proteins are easy to be denatured (Villegas et al., 2018). In addition, some therapeutic proteins need to act inside cells, thus intracellular delivery of active forms of proteins into specific cells remains the main challenge of such proteins drugs (Ghosh et al., 2010; Gu et al., 2011).

large number of MSNs with different structures, morphology, and surface functionalization have already been designed and applied for drug delivery (Carino et al., 2007; Vallet-Regi et al., 2007; Angelos et al., 2008; Wang, 2009; Manzano and Vallet-Regi, 2010; Yang et al., 2012; Chen et al., 2013; Shen et al., 2013; Siefker et al., 2014; Dai et al., 2017). In the following part, the effects of pore size, surface functionalization, pore structure, pore volume and surface area on the protein loading and protection ability are reviewed.

The rapid development of nanotechnology provides a revolutionary way in the design of nanoparticle based drug delivery systems to protect proteins and deliver them to desired places. New formulations based on nanoparticles or nanostructures have already been used in the clinical setting (Peer et al., 2007; Davis et al., 2008) and have demonstrated enhanced efficacy and reduced side effects, due to the properties brought on by nanoscale effects (Muller et al., 2002; Torchilin, 2005; Naseri et al., 2015). Nowadays, the clinically available delivery systems are mainly organic materials such as liposomes and other lipid formulations and polymers (Gradishar et al., 2005; Sparreboom et al., 2005; Duncan, 2006; Greco and Vicent, 2009). However, the intrinsic instability and limited drug-loading capacity inhibit their applications for protein delivery (Elsabahy and Wooley, 2012; Chen et al., 2013). Recently, the development of inorganic materials such as MSNs, quantum dots (Gao et al., 2004; Michalet et al., 2005), carbon-based nanomaterials (Liu et al., 2011; Robinson et al., 2011), layered double hydroxides (Bao et al., 2011; Yan et al., 2013; Kura et al., 2014) and magnetic nanoparticles (Arruebo et al., 2007; Sun et al., 2008) have attracted great attention due to their remarkably high chemical stability. Among this group of carriers, MSNs are of special interest because of their excellent biocompatibility, high drug loading capacity, rigid framework, well-defined pore structure, easily controllable morphology, and tuneable surface chemistry (Lind et al., 2003; Meng et al., 2011; Chen et al., 2013; Xu et al., 2014). The delivery of proteins using traditional MSNs is usually limited by the small pores. Recent development of MSNs with large pores and novel pore structures greatly expand their applications for protein therapeutics delivery (Shen et al., 2014; Knezevic and Durand, 2015; Xiong et al., 2015; Xu et al., 2015; Yang J. P. et al., 2015). In addition, with abundant surface modification, various responsive release systems based on MSNs have been developed with numerous advantages such as improved efficacy and reduced toxicity (Zhu et al., 2017). In this review, how to design MSNs for achieving effective protein loading, protection and delivery will be comprehensively reviewed. The progress of MSNs based protein therapy for various applications including intracellular delivery, extracellular delivery, antibacterial proteins delivery, enzyme mobilization and catalysis will be highlighted.

Pore Size In order to load proteins into the mesopores, the pore sizes of MSNs usually need to be larger than the protein molecule dimensions. MSNs with larger pore sizes usually have higher drug loading amounts and faster release rates compared to the ones with small pores, which may be due to a steric hindrance effect (Vallet-Regi et al., 2008; Cirujano et al., 2017). In one study when the pore sizes of SBA-15 were varied from 8.2 to 11.4 nm, the bovine serum albumin loading ability was increased from 15 to 27% (Vallet-Regi et al., 2008). Zhang et al. (2014) prepared a series of hydrophobic silica vesicles with different entrance sizes ranging from <3.9 to 34 nm (<3.9, 6, 8, 13, 16, 24, 33, 34 nm) and tested the loading capacity of RNase A (with dimension of 2.2∗ 2.8∗ 3.8 nm). Silica vesicles with pore size of 6 nm exhibited the highest RNase loading amount (563 mg/g), which was almost double of that achieved by silica vesicles with small pores (<3.9 nm) or large pores (>13 nm). This effect was also observed in other mesoporous structures such as MCM-48 with a 3D cubic pore structure. MCM-48 with a pore size of 5.7 nm exhibited a higher loading capacity of ibuprofen (IBU) compared to the one with 3.6 nm pores, and a faster release rate (Izquierdo-Barba et al., 2005). The enhanced activity and stability of proteins, once loaded inside the pores of MSNs, have been well-documented. Kao et al. (2014) studied the activity and stability of lysozyme immobilized in MSNs of various pore sizes by testing the proteins’ secondary and tertiary structures with methods such as circular dichroism and activity assay. The activity of the lysozyme when immobilized in the pores of MSNs (pore size close to protein dimensions) was higher than that of native one. In addition, the enzymatic activity was also improved by MSNs from thermal denaturation (Figure 1, Kao et al., 2014). Kalantari also reported the immobilization of another enzyme, lipase, into MSNs with tunable pore size (from 1.6 to 13 nm). They concluded that suitable pore size (slightly larger than the size of lipase) is responsible for the loading and the performance of lipase. The MSNs with optimized pore size exhibited a high loading capacity of 711 mg g−1 , and an 5.23 times specific activity higher than that of the native enzyme (Kalantari et al., 2017). Since the pore size of MSNs plays a critical role for the loading and release of protein, methods to control the pore size distribution should be briefly reviewed. Traditionally two ways have been developed to expand the pore size, utilizing polymers/surfactants with longer carbon chains/co-surfactants as template or adding suitable organic agents (swelling agents) to increase the sizes of surfactant templates (Knezevic and Durand,

ENGINEERING MSNs FOR PROTEIN LOADING, PROTECTION, AND DELIVERY Encapsulation of proteins within nanocarriers can overcome the shortcomings of proteins such as poor solubility, poor stability, difficulty in crossing the cell membranes and lack of specificity. In addition, nanocarriers enable the delivery of unique drug combinations which are important for personalized medicine (Mura and Couvreur, 2012; Kim et al., 2013). Compared to current clinically used organic nanocarriers such as liposomes, MSNs can achieve higher protein loading capacity due to their large pore size, high surface area and large pore volume. In addition, it is reported that the solid frame of MSNs would protect the proteins from denaturation (Kao et al., 2014). A

FIGURE 1 | Enhanced stability and activity of lysozyme after loaded inside the mesopores of MSNs. Schematic illustration (A) showed the relative activity of lysozyme loaded into MSNs was 4.4-folds higher than that loaded on the outer surface of solid silica nanoparticles (SSN). (B,C) showed the pore structure of MSNs and (D) showed the circular dichroism (CD) spectrum of free lysozyme and the one loaded inside MSNs. Reproduced with permission from Kao et al. (2014), The American Chemical Society.

FIGURE 2 | MSNs with radial pore structure and their application for large protein (β-Gal) delivery. (A–C) showed the structure of MSN-CC and (D) shows the intracellular delivery of β-Gal. (E–G) showed the structure of amino group modified hollow MSNs with radial pores. (H) showed the highest β-Gal delivery efficacy ** p < 0.01. Reproduced with permission from Xu et al. (2015), The Wiley-VCH and Meka et al. (2016), The Wiley-VCH.

2015). For the first strategy, the most typical example is the synthesis of SBA-15 using amphiphilic block copolymers as templates, and the pore size can achieve up to 10 nm (Zhao et al., 1998). For the second strategy, 1,3,5-trimethylbenzene (TMB) is the most common pore-expanding agent (Huo et al., 1996; Feng et al., 2000) and the pore size of MSNs can be enlarged in a large range with addition of TMB. It is noted that excessive addition of swelling agents may result in the loss of structure (Knezevic and Durand, 2015). Very recently, MSNs with radial pore structures

(Polshettiwar et al., 2010; Shen et al., 2014; Du and Qiao, 2015; Wang et al., 2019) provide another strategy in the synthesis of MSNs with large pores. The pore size can be expanded to 50 nm or even larger (Xu et al., 2015; Wang et al., 2019).

Surface Functionalization The loading of drug into MSNs are usually achieved by the interaction between the protein molecules and surface of pore channels through non-covalent bindings such as 3 May 2019 | Volume 7 | Article 290

Xu et al. MSNs for Protein Delivery vesicles (-C8 and -C18 groups) enhanced the insulin enrichment ability from PBS or artificial urine. They also found that the insulin which loaded inside alkyl modified silica vesicles showed less secondary structure’s conformation change than that of hydrophilic ones.

electrostatic interaction, hydrogen bonding, pi-pi stacking etc, (Yang et al., 2012). Chemical modification of MSNs with appropriate functional groups can provide specific interactions with proteins thus provide effective control over protein loading and release. The high density of silanol groups on the surfaces of MSNs and the large library of available organic silanes make the functionalization of MSNs quite easy through a simple postgrafting or co-condensation method (Manzano et al., 2008; Yang et al., 2008; Chang et al., 2010; Li et al., 2013; Bouchoucha et al., 2014; Jambhrunkar et al., 2014). With suitable surface functionalization, strong interaction between proteins and the pore channels by electrostatic force can be achieved, and protein loading amount can be increased while release rates are slowed. In pioneering studies, positively charged amino modified MCM41 and SBA-15 showed a much higher loading capacity to IBU (a drug with carboxy groups, negative charged) compared to unmodified negative charged ones (Vallet-Regi, 2006). A slower release rate of IBU was also observed from the amino modified MSNs (Babonneau et al., 2003, 2004; Ramila et al., 2003; Song et al., 2005; Vallet-Regi, 2006). Tu et al. (2016) tested the encapsulation ability of negatively and positively charged MSNs with big pores (10 nm) toward a series of proteins with different molecular weights (from 12 to 250 kDa) and surface charges. It is concluded that the surface chemistry within the channels plays a dominant role in the loading of proteins. It is also notable that the protein loading process was quick, MSNs achieved 95% of maximum proteins loading ability within 20 min (Tu et al., 2016). Another strategy of surface functionalization to control the protein loading and delivery behaviors is modification of MSNs with hydrophobic groups. Proteins are composed of many amino acids with different hydrophobic properties, a hydrophobic surface modification usually increases the protein loading and enhance the stability. Doadrio et al. (2006) modified SBA-15 with octyl (-C8) and octadecyl (-C18) groups and tested the drug release behaviors after loading with an antibiotic drug erythromycin. They found the MSNs modified with hydrophobic groups showed a slower release rate, the octadecyl-modified SBA-15 exhibited a one order of magnitude lower release rate compared to unmodified SBA-15. The observation was explained as the hydrophobic groups impeded the penetration of aqueous solution and prevented the fast release of the loaded drugs (Vallet-Regi et al., 2007). Bale et al. (2010) utilized n-octadecyltrimethoxysilane modified silica nanoparticles to deliver green fluorescent protein and RNase A into mammal cells. Results indicated that hydrophobic modification helped to preserve the biological activity of proteins and, more importantly, to achieve endosomal escape. Niu et al. (2016) studied the effects of hydrophobic modification (octadecylgroup) as well as surface roughness of silica nanoparticles on the loading capacity, release profile, cellular uptake and endosomal escape of RNase A. They concluded that the hydrophobic modification enhanced the protein loading capacity, achieved sustained release and improved the cellular uptake performance. Octadecyl-functionalized silica nanoparticles with rough surface showed the best performance in RNase A delivery which caused significant cancer cell inhibition. In addition, Zhang et al. (2018) reported that hydrophobic modification of silica

Pore Structure Various pore structures, in terms of pore geometry, are also reported to affect the protein loading and release properties. Xu et al. (2015) synthesized MSNs with cone shaped pores (MSNCC, Figures 2A–D), which has a large pore size (45 nm) and a high pore volume (2.59 cm3 g−1 ). They demonstrated that MSNCC can achieve a high loading capacity of large proteins and successfully deliver active beta-galactosidase (β-Gal, 8∗ 13∗ 18 nm) into cells. Based on this work, Meka et al. (2016) designed an amine-functionalized hollow MSNs with cone shaped pores using one step synthesis. With the cationic groups, this hollow MSNs (Figures 2E–H) showed higher loading capacity toward negative proteins such as β-Gal and better cellular uptake performance by up to 40-fold and 5-fold compared to free protein or protein loaded in unmodified MSNs. In addition, β-Gal delivered by amine-modified MSNs retains its activity and catalytic functions. Andersson et al. (2004) also showed MSNs with cage-like pores provided a higher drug loading amount compared to those with cylindrical pores. The pore structure also influences the drug release behavior. Vallet-Regi et al. (2007) found that MCM-48 with a 3D cubic pore structure released loaded IBU faster than MCM-41 with 2D hexagonal pores (Izquierdo-Barba et al., 2009).

Surface Area Usually the drug loading process was carried out by immersing MSNs in drug solutions with high concentration followed with separation. Vallet-Regi et al. (2007) compared the maximum loading amount of alendronate in MSNs with similar structure but different surface area. Results showed that under the same loading condition MCM-41 with surface area of 1,157 m2 g−1 had a higher loading amount than SBA-15 with surface area of 719 m2 g−1 (139 vs. 83 mg g−1 ) (Vallet-Regi et al., 2007; Izquierdo-Barba et al., 2009). The pore surface provides the sites for the physical or chemical adsorption of the drugs, thus is an important factor for evaluating the drug loading capacity of MSNs. This conclusion is based on the studies of small molecular drugs. For proteins, large pore negative charged MSNs with different structures (with a core inside vs. hollow) but similar surface area have similar proteins loading capacity (Xu et al., 2015; Meka et al., 2016). More studies with rationale design are suggested to further test the effects the surface area on protein loading. It is noted that the contribution of different (e.g., micropore) surface area need to be considered corresponding influence on protein loading and release.

Pore Volume Though the drug loading process is considered to be mainly happened on the surface of mesopores, the drug-drug interactions can happen under some conditions such as very high drug loading concentration, which could fulfill the pores. In those cases the pore volume is an important factor which affects the drug loading capacity. For example mesocellular

4 May 2019 | Volume 7 | Article 290 Xu et al. MSNs for Protein Delivery silica foams with a pore volume of 1.9 cm3 g−1 showed a higher bovine serum albumin loading amount than SBA-15 with a pore volume of 1.1 cm3 g−1 (Schmidt-Winkel et al., 1999). Yang and co-authors coated mesoporous silica foam (pore size > 10 nm) on the outside of solid magnetic oxide composites for protein adsorption. With the addition of several mesoporous silica layers, the pore volume increased to ∼0.49 cm3 g−1 and high loading capacity toward BSA (113 mg g−1 ) and cytochrome C (142–175 mg g−1 ) were achieved without compromising the magnetic property (Yang et al., 2014). Xu et al. (2015) synthesized MSNs with cone shaped pores and the pore volume reached as high as 2.69 cm3 g−1 , a ultra-high loading capacity toward large proteins (560 mg g−1 toward IgG and 190 mg g−1 toward β-Gal) was achieved (Xu et al., 2015; Meka et al., 2016). In general, MSNs with high pore volume can load more amount of proteins under the condition that the pore size is larger than the dimension of proteins. The effect of pore volume toward protein release has not been reported yet to our knowledge.

intracellular release. For example, organic MSNs with disulfide bond can achieve glutathione (GSH) responsive release to selectively release proteins in cancer cells. Yang et al. (2016) designed disulfidebond-bridged and large-pored MSNs for intracellular RNase A delivery. This disulfide bond-bridged MSNs demonstrated a GSH responsive degradation behavior, which showed a higher degradation rate in cancer cells but a low rate in normal cells. Very recently, oxidative and redox dual-responsiveness organosilica nanoparticles were further developed to selectively deliver and release RNase A in cancer cells and the anticancer performance was evaluated in vivo (Figure 3, Shao et al., 2018). These diselenide-bridged MSNs with 10 nm pores can load RNase A inside the pore channels with electrostatic interaction and degrade upon exposure to redox or oxidative conditions to release the payload. The anticancer performance was also evaluated on nude mice bearing tumors. With surface medication with fragments from the cancer cell membrane, those MSNs showed longer blood circulation time, low toxicity and enhanced tumor inhabitation ability, suggesting dual responsive degradable MSNs with proper surface modification provides a promising strategy for the delivery of protein therapeutics into tumors (Shao et al., 2018). MSNs are also widely used for immune therapy and to deliver vaccine into antigen presenting cells (Mody et al., 2013). Yang and collaborators reported the delivery of protein antigens using multi-shell dendritic mesoporous organosilica nanoparticles for cancer immunotherapy. The organosilica nanoparticles successfully loaded ovalbumin (OVA) and mediated endo/lysosome escape to macrophages. They evaluated the in vivo antitumor performance of organosilica nanoparticles to deliver B16F10 tumor cell fragments in a therapeutic vaccination model, showing better immunity for cancer therapy than pure silica nanoparticles. Their work provided us new insights for the design of MSNs for adjuvants delivery and vaccine developments (Yang Y. et al., 2017). MSNs are also used for oral vaccine delivery. Wang et al. (2012) loaded bovine serum albumin into MSNs with different particle size (130 nm, 450 nm, and 1–2 µm) and administrated orally to mice. They observed the immune response and found MSNs with small size triggered higher IgG antibody concentration in plasma (Wang et al., 2012). In addition to cancer and immune therapy, MSNs are also used to for other protein therapies such as deliver proteasomes for the treatment of Azhamen’s syndrome. Han et al. (2014) utilized MSNs to load and deliver therapeutic proteasomes to degrade tau aggregates for the management of Alzheimer’s disease. MSNs were internalized and distributed in the cytosol after endosomes escaping. In vitro tests showed proteasomes loaded MSNs degraded the overexpressed tau in the cells more efficiently compared to the native proteasomes, and decreased the levels of the truncated tau which is considered as pathological hallmark of this disease (Figure 4).

APPLICATION MSNs FOR INTRACELLULAR PROTEINS DELIVERY Protein therapeutics are promising drugs to intervene cell functions more precisely due to their high target specificity. They are also considered to be safer compared to gene therapies as no genetic alteration happens. In many applications such as cancer therapy and immune therapy, protein therapeutics need to work inside the cells however bare protein cannot cross the cell membranes by themselves. In 2007, Slowing et al. (2007) first demonstrated the intracellular delivery of a small protein, native cytochrome c (with a size of 2.6∗ 3.2∗ 3.3 nm), into human cervical cancer cells (Hela cells) by MCM-41 type MSNs with 5.4 nm pore size. In this pioneer work, though the intracellular delivery of cytochrome c was proved, the function of the protein after deliver into cells was not tested. Later, Davis et al. (2008) employed PEI modified MSNs to delivery cytochrome c and induced programmed cell death of Hela cells (Huang et al., 2013). In addition to cytochrome c, ribonuclease A (RNase A, with the size of 2.2∗ 2.8∗ 3.8 nm) is also widely used as a protein drug model to test the delivery efficacy and the intracellular functions. RNase A degraded RNA in the cytosol, after loaded into MSNs and delivered into cancer cells, they can inhabit protein production and cause cell death. Zhang et al. (2014) reported hollow silica vesicles for the intracellular delivery of RNase A. Results show a high protein loading capacity and high potency for cancer cell inhibition. Niu et al. (2016) demonstrated hydrophobic modification (C18-functionalization) of MSNs is an effective strategy for the intracellular delivery of RNase A. Benzenebridged MSNs (with hydrophobic groups in the framework or silica) were also fabricated and applied for RNase A delivery (Yang Y. N. et al., 2015). In addition to small proteins, protein therapeutics with large molecular weight are also delivered into cells benefiting from the development of MSNs with large pores (Xu et al., 2015; Meka et al., 2016). In addition to just delivery of proteins into cells, there were more designs on MSNs to achieve “on-demand” responsive

APPLICATION OF MSNs FOR EXTRACELLULAR PROTEIN DELIVERY For those protein therapeutics that works outside of cells, MSNs also provide a platform to protect their activity and achieve 5 May 2019 | Volume 7 | Article 290

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FIGURE 3 | Responsive MSNs based protein delivery system for cancer therapy. Schematic drawing (A) showed the synthesis of biodegradable diselenide-bridged MSNs [TEM images in (B)] with dual-responsive and cancer cell membrane mimetic surface modification was used to deliver RNase A into cancer cells (C) and inhibit tumor growth in vivo (D). Reproduced with permission from Shao et al. (2018), The Wiley-VCH.

FIGURE 4 | MSNs delivered proteasome to degrade tau aggregates, a pathological hallmark of Alzheimer’s disease. Panel (A) was the schematic illustration and (B,C) showed the SDS-polyacrylamide gel electrophoresis (PAGE) staining of MSNs- proteasome interaction. Panel (D) showed the TEM images of MSNs and proteasome loaded MSNs. Hydrolysis assay (E) and western blots studies (F) demonstrated the degradation of tau aggregates, indicating the delivery of active form of proteasomes by MSNs. Reproduced with permission from Han et al. (2014), The Nature Publishing Group.

responsive release. For example, insulin is widely used for the management of diabetes. However, the daily multiple insulin injections are quite painful, this discomfort can become a barrier to the use the insulin injections for many patients (Hunt et al., 1997; Zambanini et al., 1999). In addition, direct injection manner may cause hypoglycemia and result in serious problems such as unconsciousness or even death (Veiseh et al., 2015). Glucose responsive systems that release insulin automatically in a way that mimics physiological insulin secretion provide a better way and have the potential to change the way in which type 1 diabetes is managed.

Various MSN-based glucose responsive insulin release systems have been developed which take advantage of the high drug loading capacity, good biocompatibility and easy surface modification offered by MSNs (He and Shi, 2011; Zhao et al., 2011; Chen et al., 2013; Xu et al., 2017). In 2009, Zhao et al. (2009) reported boronic acid (one type of phenylboronic acid, PBA, which can form reversible covalent complexes with diol units of glucose) functionalized MSNs for glucose-responsive controlled release of insulin and cyclic adenosine monophosphate. The gluconic acid-modified insulin was immobilized on the exterior surface of MSNs, which also served as caps to encapsulate cAMP

molecules inside the mesopores. The release of both insulin and cAMP was triggered by the introduction of glucose, which competitively bounds to boronic-acid on the surface of MSNs, resulting in the loosening of insulin and the release of cAMP. However, in this work the insulin was modified by gluconic acid which may affect the biological function of this component. Sun et al. (2013) introduced another two PBA derivatives, 3acrylamidophenylboronic acid and N-isopropylacrylamide for use as capping agents for insulin loaded MSNs. These PBA derivatives formed a dense layer which prevented the release of insulin and underwent swelling upon exposure to glucose to trigger insulin release. In this design unmodified insulin was used which eliminated the concern of denaturation of insulin. Another design based on GOD mechanism was reported in 2011. Zhao et al. (2011) used MSNs with large pores (approx. 20 nm) for insulin loading, while the pore capping was achieved via a coating of GOD and catalase (CAT), an enzyme capable of catalyzing H2 O2 into H2 O and oxygen to prevent the accumulation of H2 O2 , using layer-by-layer (LbL) method to control the insulin release. Up to 377 mg/g loading capacity of insulin was achieved using this method. The glucose responsive layers (enzyme layers) were coated onto the insulin loaded MSNs by Schiff base bond formation and functioned as “gates” to preventing insulin release in the absence of glucose. The enzymes (GOD and CAT) converted glucose into gluconic acid with oxygen and the production of gluconic acid decreased the local pH value. In the presence of glucose, the Schiff base bond was partially protonated and the enzyme layers were “loosened” which increased the permeability and triggered insulin release (Qi et al., 2009; Chen et al., 2011, 2012). With this design the insulin was released in response to glucose spontaneously and could achieve repeated on/off releases of insulin under the condition with/without glucose (Zhao et al., 2011).

It is noted that most of current glucose responsive insulin release systems (primarily GOD based systems) release more than half their loaded insulin at a glucose concentration either below 7 mM (De Geest et al., 2006; Ding et al., 2009; Qi et al., 2009; Wang et al., 2009; Zhao et al., 2009, 2011, 2012, 2013; Chen et al., 2011, 2012; Sato et al., 2011; Sun et al., 2013; Chou et al., 2015) or above 20 mM (Gu et al., 2013; Yu et al., 2015). However, the blood glucose levels are adjusted in the range of 3.9 ∼ 6.1 mM under normal physiological conditions, which means most of the glucose responsive systems are too sensitive, releasing more than half the loaded insulin content even under normal blood glucose concentrations. Recently, Xu et al. (2017) reported a glucose-responsive insulin release system based silica vesicles loaded with insulin with a layer-by-layer enzyme polymer coating (Figure 5). The insulin-release threshold can be adjusted by changing the polymer amount in the coating layers and the insulin release was switched “ON” in response to hyperglycemia and “OFF” to normal glucose levels. In vivo experiments in type I diabetes mice showed this MSNs based system regulated the glycemia levels in a normal range up to 84 h with a single administration while not affected the blood glucose concentration of normal mice. Those MSNs based systems have the potential to be developed as convenient and safe insulin delivery carriers for diabetes management. For monoclonal antibodies generally working on the surface of cells, loading inside MSNs also enhanced their activity by providing protein and controlling release. For example, cytotoxic T-lymphocyte associated antigen 4 antibody (CTLA-4 Ab) can inhibit checkpoint receptor and has been used in patients with melanoma. Functionalized silica foam with a pore size of 30 nm was used to loaded CTLA-4 Ab and showed an ultra-high loading capacity (up to 800 mg g−1 ). In vivo tests with tumor bearing mice (melanomas) model showed that CTLA-4 Ab loaded silica foam significantly enhanced antitumor activity compared to free

FIGURE 5 | MSNs based glucose responsive insulin delivery system (A–C). Hollow MSNs (D) was used to loaded insulin and functionalized with glucose responsive layers through enzyme-polymer layer-by-layer coating strategy (E). In vivo studies showed MSNs based nanosystem enables a fast glucose response insulin release and regulates the glycemia levels in a normal range up to 84 h with a single administration (F). Reproduced with permission from Xu et al. (2017), The American Chemical Society.

Frontiers in Chemistry | www.frontiersin.org 7 May 2019 | Volume 7 | Article 290 Xu et al. MSNs for Protein Delivery

dendritic mesoporous silica nanoparticles with pore sizes ranging from 2.7 to 22.4 nm for lysozyme loading. They found MSNs with large pores had a high lysozyme loading ability (244.5 mg g−1 ) and showed a sustained release profile. Lysozyme loaded inside MSNs showed better antibacterial effect toward E. coli, reducing the minimum inhibitory concentration (MIC) from 2,500 mg mL−1 of free lysozyme to 500 µg mL−1 . Very recently, Xu et al. (2018) reported that MSNs could penetrate inside the biofilms (Biofilms are groups of microbial cells embedded in extracellular polymeric substances and bacteria in biofilms had higher resistance to antimicrobial drugs) and deliver lysozyme into biofilm to kill deeper bacteria (Figure 6A). Those hollow mesoporous silica nanoparticles with large cone-shaped pores (Figure 6B) had ability to loaded lysozyme inside and penetrated into biofilms (Figure 6C). Enhanced therapeutic activity toward E. coli biofilms was demonstrated with rational design of MSNs (Figure 6D).

APPLICATION OF MSNs FOR ENZYME MOBILIZATION AND CATALYSIS MSNs are also of great significance for enzyme immobilization and catalysis by addressing the intrinsic issues of the native enzymes (Wang and Caruso, 2005; Popat et al., 2011; Yang T. et al., 2017). Wang and Caruso (2005) used a series of MSNs with pore sizes from 2 to 40 nm for the immobilization of various enzymes including lysozyme, peroxidase, catalase and cytochrome C. After loading inside MSNs, the enzymatic activity was retained in a wide range of pH and even after exposure to enzyme-degrading substances such as proteases. It is noted that MSNs-enzyme kept 70% of the initial activity after 25 batch of successive reactions. Very recently, Kalantari et al. (2018) also reported the application of dendritic mesoporous organosilica nanoparticles with benzene groups in the framework for an enzyme, lipase, and immobilization. It is interesting to note that after loaded into organosilica nanoparticles, lipase showed enhanced pH and thermal stability and also higher activity than free lipase. In addition, after 5 cycles lipase loaded in MSNs retained 94% catalytic activity, showing the advantage for reusability (Kalantari et al., 2018).

FIGURE 6 | Mesoporous silica nanoparticles for the delivery of antimicrobial protein into biofilm. MSNs for lysosome delivery. (A) the schematic drawing of MSNs delivery for biofilm. Panel (B) showed the TEM image of MSNs and (C) the penetration of MSNs into biofilm. The antibacterial performance was tested towards E. coli biofilm (D). Reproduced from Xu et al. (2018) and by permission of The Royal Society of Chemistry.

antibodies, attributed to the prolonged release and protection of antibodies at tumor sites (Lei et al., 2010). APPLICATION OF MSNs FOR ANTIBACTERIAL PROTEINS DELIVERY SUMMARY AND OUTLOOK

The use of nanoparticles as delivery vehicles for antimicrobial proteins shows great potential for the treatment of bacterial infections. For example, lysozyme, a nature protein than can catalyze the hydrolysis of bacterial wall, was coated on the surface of MSN-41 which enhanced the interact with Escherichia coli (E. coli, one typical Gram-negative bacterium) and raised the local concentrations of lysozyme. The minimal inhibition concentration was 5-folds lower after conjugated with MSNs compared to free lysozyme (Li and Wang, 2013). To tackle the problem of exposure of lysozyme on the external surface, Song et al. (2016) prepared MSNs with large pores which had ability to load lysozyme inside, and demonstrated the enhanced the ability for the treatment of E. coli in vitro and in an ex vivo small intestine infection model. Wang et al. (2019) prepared

In conclusion, MSNs demonstrated high loading capacity and protective effects toward proteins, provided advantages in the intracellular, extracellular, antibacterial delivery, immobilization of various proteins with enhanced therapeutic/catalytic efficacy. With the rigid framework and well-defined pores, MSNs provide protection toward protein and preserve their activity. In addition, the fast development of novel MSNs especially those with radial pore structure and large pores promotes the application for protein delivery. We envision that significant progress will be made and new MSNs with rational design and tailored functionalization will be developed in the near future for better protein delivery. For the future directions, targeted protein delivery and controlled protein release would be emerging technological

strategies to further improve the therapeutic effects. The recent works such as cloaked MSNs with red blood cell membranes or other targeting agents have shown longer circulation time and accumulation in target areas such as tumor (Xuan et al., 2018). The design of various responsive release system based MSNs are also receiving more attention. Many new studies have clearly demonstrated the feasibility and advantage of remote-controlled proteins release systems (Yang et al., 2013). It is noted that the in vivo effects of MSNs based proteins delivery systems are less studied. More intensive preclinical explorations such as animal studies are needed to realize their potential in clinical applications. Currently the investigation of MSNs for the in vivo delivery of therapeutic proteins has not kept pace with advances in MSNs fabrication. More studies are expected to evaluated the biocompatibility, stability, efficacy and biological interactions of MSNs based protein

delivery system. The close collaborations between materials scientists, biologist, pharmacist, and clinician would fasten this process.

📖 中文全文 Chinese Full Text

中文

# 介孔二氧化硅纳米颗粒用于蛋白质保护与递送

**作者:** Chun Xu¹*,Chang Lei²,Chengzhong Yu²*

¹ 澳大利亚昆士兰大学牙科学院,布里斯班,QLD,澳大利亚 ² 澳大利亚昆士兰大学生物工程与纳米技术研究所,布里斯班,QLD,澳大利亚

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## 蛋白质治疗与介孔二氧化硅纳米颗粒简介

1922年,胰腺胰岛素被成功纯化并应用于一位患有1型糖尿病的14岁男孩Leonard Thompson,由此开启了蛋白质治疗的新时代(Banting等,1991)。此后,众多蛋白质药物被开发并应用于各种临床领域。截至2008年,美国食品药品监督管理局(FDA)已批准了130种蛋白质治疗药物,到2017年获批的蛋白质药物数量激增至239种(Leader等,2008;Usmani等,2017)。2018年,全球销量前十的人类药物中有7种为蛋白质类药物(Urquhart,2018)。这些蛋白质治疗药物包括酶、单克隆抗体、疫苗、激素、生长因子、肿瘤坏死因子等(Usmani等,2017)。蛋白质药物因其功能特异性强、副作用较小而受到日益广泛的关注,同时由于不涉及基因改变,也被认为比基因治疗更为安全(Gu等,2011)。然而,蛋白质药物的广泛应用受到其固有缺陷的阻碍,尤其是稳定性较低。蛋白质特有的折叠三维结构对其生物学功能至关重要,但其构象仅比未折叠状态略微稳定。从熵的角度来看,蛋白质容易发生变性(Villegas等,2018)。此外,一些治疗性蛋白质需要在细胞内发挥作用,因此将活性形式的蛋白质以可控方式递送至特定细胞内部仍然是此类蛋白质药物面临的主要挑战(Ghosh等,2010;Gu等,2011)。

纳米技术的快速发展为设计基于纳米颗粒的药物递送系统提供了一种革命性的途径,以保护蛋白质并将其递送至目标部位。基于纳米颗粒或纳米结构的新制剂已在临床中得到应用(Peer等,2007;Davis等,2008),由于纳米尺度效应带来的特性,这些制剂展现出增强的疗效和降低的副作用(Muller等,2002;Torchilin,2005;Naseri等,2015)。目前,临床可用的递送系统主要为有机材料,如脂质体及其他脂质制剂和聚合物(Gradishar等,2005;Sparreboom等,2005;Duncan,2006;Greco和Vicent,2009)。然而,其固有的不稳定性及有限的载药能力限制了它们在蛋白质递送中的应用(Elsabahy和Wooley,2012;Chen等,2013)。

近年来,无机材料如介孔二氧化硅纳米颗粒(MSNs)(Gao等,2004;Michalet等,2005)、碳基纳米材料(Liu等,2011;Robinson等,2011)、层状双氢氧化物(Bao等,2011;Yan等,2013;Kura等,2014)和磁性纳米颗粒(Arruebo等,2007;Sun等,2008)的开发因其极高的化学稳定性而受到广泛关注。在这类载体中,MSNs因其优异的生物相容性、高载药能力、刚性骨架、明确的孔道结构、易于调控的形貌和可调节的表面化学性质而备受关注(Lind等,2003;Meng等,2011;Chen等,2013;Xu等,2014)。传统MSNs的小孔径通常限制了蛋白质的递送。近年来,具有大孔径和新型孔道结构的MSNs的发展极大地拓展了其在蛋白质治疗递送中的应用(Shen等,2014;Knezevic和Durand,2015;Xiong等,2015;Xu等,2015;Yang J. P.等,2015)。此外,通过丰富的表面修饰,基于MSNs的各种响应性释放系统已被开发出来,具有提高疗效和降低毒性等诸多优势(Zhu等,2017)。

本综述将全面介绍如何设计MSNs以实现有效的蛋白质装载、保护和递送。重点介绍基于MSNs的蛋白质治疗在各种应用中的最新进展,包括细胞内递送、细胞外递送、抗菌蛋白质递送、酶固定化和催化。

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## 工程化MSNs用于蛋白质装载、保护与递送

将蛋白质封装在纳米载体中可以克服蛋白质的诸多缺点,如溶解性差、稳定性低、难以穿越细胞膜以及缺乏特异性。此外,纳米载体能够实现独特的药物组合递送,这对于个性化医疗具有重要意义(Mura和Couvreur,2012;Kim等,2013)。与目前临床使用的有机纳米载体(如脂质体)相比,MSNs因其大孔径、高比表面积和大孔容可实现更高的蛋白质载药量。此外,据报道,MSNs的刚性骨架可保护蛋白质免于变性(Kao等,2014)。已有大量不同结构、形貌和表面功能化的MSNs被设计并应用于药物递送(Carino等,2007;Vallet-Regi等,2007;Angelos等,2008;Wang,2009;Manzano和Vallet-Regi,2010;Yang等,2012;Chen等,2013;Shen等,2013;Siefker等,2014;Dai等,2017)。以下部分综述了孔径、表面功能化、孔道结构、孔容和比表面积对MSNs蛋白质装载和保护能力的影响。

### 孔径

为了将蛋白质装载到介孔中,MSNs的孔径通常需要大于蛋白质分子的尺寸。与小孔径MSNs相比,大孔径MSNs通常具有更高的载药量和更快的释放速率,这可能归因于空间位阻效应(Vallet-Regi等,2008;Cirujano等,2017)。在一项研究中,当SBA-15的孔径从8.2 nm变化到11.4 nm时,牛血清白蛋白的载药能力从15%增加到27%(Vallet-Regi等,2008)。Zhang等(2014)制备了一系列具有不同入口尺寸(从<3.9 nm到34 nm)的疏水二氧化硅囊泡,并测试了它们对RNase A(尺寸为2.2 × 2.8 × 3.8 nm)的载药能力。孔径为6 nm的二氧化硅囊泡表现出最高的RNase A载药量(563 mg/g),几乎是孔径较小(<3.9 nm)或较大(>13 nm)的二氧化硅囊泡的两倍。在其他介孔结构中也观察到了类似效果,如具有三维立方孔道结构的MCM-48。孔径为5.7 nm的MCM-48比孔径为3.6 nm的MCM-48对布洛芬(IBU)具有更高的载药能力和更快的释放速率(Izquierdo-Barba等,2005)。

蛋白质装载到MSNs孔道内后,其活性和稳定性得到了显著提升,这一点已被充分证实。Kao等(2014)通过圆二色谱和活性测定等方法研究了固定在不同孔径MSNs中的溶菌酶的二级和三级结构,分析了其活性和稳定性。当溶菌酶固定在孔径接近蛋白质尺寸的MSNs孔道内时,其活性高于天然溶菌酶。此外,MSNs还提高了溶菌酶对热变性的耐受性(图1,Kao等,2014)。Kalantari等也报道了将另一种酶——脂肪酶固定到孔径可调(1.6至13 nm)的MSNs中。他们得出结论,合适的孔径(略大于脂肪酶的尺寸)是脂肪酶装载和性能发挥的关键。具有优化孔径的MSNs表现出711 mg/g的高载药量,其比活性比天然酶高5.23倍(Kalantari等,2017)。

由于MSNs的孔径对蛋白质的装载和释放起着关键作用,以下简要综述调控孔径分布的方法。传统上,扩展孔径的方法有两种:利用具有更长碳链的聚合物/表面活性剂或共表面活性剂作为模板,或添加合适的有机试剂(溶胀剂)以增大表面活性剂模板的尺寸(Knezevic和Durand,2015)。对于第一种策略,最典型的例子是使用两亲性嵌段共聚物作为模板合成SBA-15,孔径可达10 nm(Zhao等,1998)。对于第二种策略,1,3,5-三甲苯(TMB)是最常用的扩孔剂(Huo等,1996;Feng等,2000),添加TMB可在较大范围内增大MSNs的孔径。值得注意的是,过量添加溶胀剂可能导致结构破坏(Knezevic和Durand,2015)。最近,具有径向孔道结构的MSNs(Polshettiwar等,2010;Shen等,2014;Du和Qiao,2015;Wang等,2019)为合成大孔径MSNs提供了另一种策略。孔径可扩展至50 nm甚至更大(Xu等,2015;Wang等,2019)。

### 表面功能化

药物在MSNs中的装载通常通过蛋白质分子与孔道表面之间的非共价相互作用实现,如静电相互作用、氢键、π-π堆积等(Yang等,2012)。用适当的功能基团对MSNs进行化学修饰,可以提供与蛋白质的特异性相互作用,从而有效控制蛋白质的装载和释放。MSNs表面丰富硅醇基团的存在以及种类繁多的有机硅烷试剂,使得通过简单的后嫁接或共缩合方法对MSNs进行功能化修饰变得非常便捷(Manzano等,2008;Yang等,2008;Chang等,2010;Li等,2013;Bouchoucha等,2014;Jambhrunkar等,2014)。通过适当的表面功能化,可以实现蛋白质与孔道之间通过静电力的强相互作用,从而提高蛋白质载药量并减缓释放速率。在开创性研究中,带正电荷的氨基修饰MCM-41和SBA-15对IBU(一种含羧基、带负电荷的药物)的载药能力远高于未修饰的带负电荷MSNs(Vallet-Regi,2006)。同时,从氨基修饰MSNs中释放IBU的速率也更慢(Babonneau等,2003,2004;Ramila等,2003;Song等,2005;Vallet-Regi,2006)。Tu等(2016)测试了具有大孔径(10 nm)的带正负电荷MSNs对一系列不同分子量(12至250 kDa)和表面电荷的蛋白质的封装能力。结果表明,孔道内的表面化学在蛋白质装载中起主导作用。值得注意的是,蛋白质装载过程非常迅速,MSNs在20分钟内即可达到最大蛋白质载药能力的95%(Tu等,2016)。

另一种控制蛋白质装载和递送行为的表面功能化策略是用疏水基团修饰MSNs。蛋白质由许多具有不同疏水性的氨基酸组成,疏水表面修饰通常能提高蛋白质载药量并增强其稳定性。Doadrio等(2006)用辛基(-C8)和十八烷基(-C18)基团修饰SBA-15,并测试了装载抗生素药物红霉素后的药物释放行为。他们发现,疏水基团修饰的MSNs表现出更慢的释放速率,十八烷基修饰的SBA-15的释放速率比未修饰的SBA-15低一个数量级。这一现象被解释为疏水基团阻碍了水溶液的渗透,从而防止了所载药物的快速释放(Vallet-Regi等,2007)。Bale等(2010)利用正十八烷基三甲氧基硅烷修饰的二氧化硅纳米颗粒将绿色荧光蛋白和RNase A递送至哺乳动物细胞。结果表明,疏水修饰有助于保持蛋白质的生物活性,更重要的是,能实现内涵体逃逸。Niu等(2016)研究了疏水修饰(十八烷基)以及二氧化硅纳米颗粒表面粗糙度对RNase A载药量、释放曲线、细胞摄取和内涵体逃逸的影响。他们得出结论,疏水修饰提高了蛋白质载药量,实现了持续释放,并改善了细胞摄取性能。具有粗糙表面的十八烷基功能化二氧化硅纳米颗粒在RNase A递送中表现出最佳性能,可显著抑制癌细胞生长。此外,Zhang等(2018)报道了二氧化硅囊泡的疏水修饰(-C8和-C18基团)增强了从PBS或人工尿液中富集胰岛素的能力。他们还发现,装载在烷基修饰二氧化硅囊泡内的胰岛素比亲水性囊泡中的胰岛素表现出更少的二级结构构象变化。

### 孔道结构

不同的孔道结构(就孔道几何形状而言)也会影响蛋白质的装载和释放特性。Xu等(2015)合成了具有锥形孔道的MSNs(MSN-CC,图2A-D),其孔径大(45 nm),孔容高(2.59 cm³/g)。他们证明MSN-CC可实现大蛋白质的高载药量,并成功将活性β-半乳糖苷酶(β-Gal,8 × 13 × 18 nm)递送至细胞内。在此基础上,Meka等(2016)设计了一种通过一步合成法制备的氨基功能化空心锥形孔道MSNs。由于含有阳离子基团,这种空心MSNs(图2E-H)对带负电荷的蛋白质(如β-Gal)具有更高的载药量,与游离蛋白质或装载在未修饰MSNs中的蛋白质相比,细胞摄取性能分别提高了40倍和5倍。此外,由氨基修饰MSNs递送的β-Gal保留了其活性和催化功能。Andersson等(2004)也表明,具有笼状孔道的MSNs比具有圆柱形孔道的MSNs具有更高的载药量。孔道结构也会影响药物释放行为。Vallet-Regi等(2007)发现,具有三维立方孔道结构的MCM-48比具有二维六方孔道的MCM-41释放所装载IBU的速率更快(Izquierdo-Barba等,2009)。

### 比表面积

通常,药物装载过程是将MSNs浸入高浓度药物溶液中,然后进行分离。Vallet-Regi等(2007)比较了结构相似但比表面积不同的MSNs对阿仑膦酸钠的最大载药量。结果表明,在相同装载条件下,比表面积为1157 m²/g的MCM-41比表面积为719 m²/g的SBA-15具有更高的载药量(139 vs. 83 mg/g)(Vallet-Regi等,2007;Izquierdo-Barba等,2009)。孔道表面为药物的物理或化学吸附提供了位点,因此是评估MSNs载药能力的重要因素。这一结论基于小分子药物的研究。对于蛋白质,具有不同结构(含内核vs.空心)但比表面积相似的大孔径带负电荷MSNs具有相似的蛋白质载药能力(Xu等,2015;Meka等,2016)。建议通过合理设计进一步研究比表面积对蛋白质装载的影响。值得注意的是,不同表面积(如微孔)的贡献需考虑其对蛋白质装载和释放的相应影响。

### 孔容

尽管药物装载过程主要发生在介孔表面,但在某些条件下(如极高的药物载药浓度),药物-药物相互作用可能发生并填满孔道。在这些情况下,孔容是影响载药能力的重要因素。例如,孔容为1.9 cm³/g的介孔二氧化硅泡沫比孔容为1.1 cm³/g的SBA-15具有更高的牛血清白蛋白载药量(Schmidt-Winkel等,1999)。Yang及其同事在固体磁性氧化物复合材料外涂覆介孔二氧化硅泡沫(孔径>10 nm)用于蛋白质吸附。通过增加几层介孔二氧化硅层,孔容增加至约0.49 cm³/g,在不影响磁性的前提下实现了对BSA(113 mg/g)和细胞色素C(142-175 mg/g)的高载药量(Yang等,2014)。Xu等(2015)合成了具有锥形孔道的MSNs,孔容高达2.69 cm³/g,实现了对大蛋白质的超高载药量(对IgG为560 mg/g,对β-Gal为190 mg/g)(Xu等,2015;Meka等,2016)。一般而言,在孔径大于蛋白质尺寸的前提下,具有高孔容的MSNs可装载更多的蛋白质。据我们所知,孔容对蛋白质释放的影响尚未见报道。

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## MSNs在细胞内蛋白质递送中的应用

蛋白质治疗药物因其高靶标特异性而有望更精确地干预细胞功能。由于不涉及基因改变,它们也被认为比基因治疗更安全。在癌症治疗和免疫治疗等许多应用中,蛋白质治疗药物需要在细胞内发挥作用,但裸露的蛋白质无法自行穿越细胞膜。2007年,Slowing等(2007)首次证明了通过孔径为5.4 nm的MCM-41型MSNs将小蛋白质——天然细胞色素c(尺寸为2.6 × 3.2 × 3.3 nm)递送至人宫颈癌细胞(Hela细胞)。在这项开创性工作中,虽然证明了细胞色素c的细胞内递送,但未检测蛋白质递送入细胞后的功能。随后,Davis等(2008)采用PEI修饰的MSNs递送细胞色素c,诱导了Hela细胞的程序性细胞死亡(Huang等,2013)。除细胞色素c外,核糖核酸酶A(RNase A,尺寸为2.2 × 2.8 × 3.8 nm)也被广泛用作蛋白质药物模型,用于测试递送效率和细胞内功能。RNase A在细胞质中降解RNA,装载到MSNs中并递送至癌细胞后,可抑制蛋白质合成并导致细胞死亡。Zhang等(2014)报道了空心二氧化硅囊泡用于RNase A的细胞内递送。结果表明其具有高蛋白质载药量和高效抑制癌细胞的能力。Niu等(2016)证明疏水修饰(C18功能化)是MSNs细胞内递送RNase A的有效策略。还制备了苯桥接MSNs(骨架或二氧化硅中含有疏水基团)并应用于RNase A递送(Yang Y. N.等,2015)。除小分子蛋白质外,得益于大孔径MSNs的发展,大分子量的蛋白质治疗药物也可被递送至细胞内(Xu等,2015;Meka等,2016)。

除了将蛋白质递送至细胞外,人们对MSNs进行了更多设计,以实现"按需"响应性细胞内释放。例如,含有二硫键的有机MSNs可实现谷胱甘肽(GSH)响应性释放,从而选择性地在癌细胞中释放蛋白质。Yang等(2016)设计了二硫键桥接的大孔径MSNs用于RNase A的细胞内递送。这种二硫键桥接MSNs表现出GSH响应性降解行为,在癌细胞中降解速率较高,而在正常细胞中降解速率较低。最近,进一步开发了具有氧化和氧化还原双响应性的有机二氧化硅纳米颗粒,用于在癌细胞中选择性地递送和释放RNase A,并在体内评估了其抗癌性能(图3,Shao等,2018)。这些具有10 nm孔径的联硒化物桥接MSNs可通过静电相互作用将RNase A装载在孔道内,在暴露于氧化或氧化还原条件时降解释放药物。还在荷瘤裸鼠上评估了其抗癌性能。经癌细胞膜片段表面修饰后,这些MSNs表现出更长的血液循环时间、低毒性和增强的肿瘤抑制能力,表明具有适当表面修饰的双响应性可降解MSNs为将蛋白质治疗药物递送至肿瘤提供了一种有前景的策略(Shao等,2018)。

MSNs也广泛用于免疫治疗和将疫苗递送至抗原呈递细胞(Mody等,2013)。Yang及其合作者报道了使用多壳树枝状介孔有机二氧化硅纳米颗粒递送蛋白质抗原用于癌症免疫治疗。该有机二氧化硅纳米颗粒成功装载了卵清蛋白(OVA),并介导了巨噬细胞的内体/溶酶体逃逸。他们在治疗性疫苗接种模型中评估了有机二氧化硅纳米颗粒递送B16F10肿瘤细胞片段的体内抗肿瘤性能,显示出比纯二氧化硅纳米颗粒更好的癌症治疗免疫效果。他们的工作为MSNs设计用于佐剂递送和疫苗开发提供了新的见解(Yang Y.等,2017)。MSNs还用于口服疫苗递送。Wang等(2012)将牛血清白蛋白装载到不同粒径(130 nm、450 nm和1-2 μm)的MSNs中,并对小鼠进行口服给药。他们观察了免疫反应,发现小粒径MSNs在血浆中引发了更高的IgG抗体浓度(Wang等,2012)。除癌症和免疫治疗外,MSNs还用于其他蛋白质治疗,如递送蛋白酶体用于治疗阿尔茨海默病。Han等(2014)利用MSNs装载并递送治疗性蛋白酶体以降解tau蛋白聚集体,用于阿尔茨海默病的管理。MSNs在内涵体逃逸后被内化并分布于细胞质中。体外测试表明,装载蛋白酶体的MSNs比天然蛋白酶体更有效地降解细胞中过表达的tau蛋白,并降低了截短tau蛋白的水平,而截短tau蛋白被认为是该疾病的病理标志(图4)。

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## MSNs在细胞外蛋白质递送中的应用

对于那些在细胞外发挥作用的蛋白质治疗药物,MSNs也提供了一个保护其活性并实现响应性释放的平台。例如,胰岛素广泛用于糖尿病管理。然而,每日多次胰岛素注射给患者带来相当大的痛苦,这种不适可能成为许多患者使用胰岛素注射的障碍(Hunt等,1997;Zambanini等,1999)。此外,直接注射方式可能引起低血糖,导致意识丧失甚至死亡等严重问题(Veiseh等,2015)。葡萄糖响应性系统以模拟生理性胰岛素分泌的方式自动释放胰岛素,提供了一种更好的方法,并有可能改变1型糖尿病的管理方式。

已开发了多种基于MSNs的葡萄糖响应性胰岛素释放系统,利用了MSNs的高载药能力、良好的生物相容性和易于表面修饰等优势(He和Shi,2011;Zhao等,2011;Chen等,2013;Xu等,2017)。2009年,Zhao等(2009)报道了硼酸(一种苯基硼酸PBA,可与葡萄糖的二醇单元形成可逆共价复合物)功能化MSNs用于胰岛素和环磷酸腺苷的葡萄糖响应性控释。葡萄糖酸修饰的胰岛素固定在MSNs外表面,同时作为封盖剂将cAMP分子封装在介孔内。胰岛素和cAMP的释放由葡萄糖的引入触发,葡萄糖与MSNs表面的硼酸竞争性结合,导致胰岛素松动和cAMP释放。然而,在这项工作中,胰岛素被葡萄糖酸修饰,这可能影响该组分的生物学功能。Sun等(2013)引入了另外两种PBA衍生物——3-丙烯酰胺苯硼酸和N-异丙基丙烯酰胺,用作装载胰岛素MSNs的封盖剂。这些PBA衍生物形成致密层,阻止胰岛素释放,在暴露于葡萄糖时发生溶胀以触发胰岛素释放。该设计使用了未修饰的胰岛素,消除了胰岛素变性的担忧。

2011年报道了另一种基于GOD机制的设计。Zhao等(2011)使用大孔径MSNs(约20 nm)装载胰岛素,而孔道封盖通过GOD和过氧化氢酶(CAT,一种能将H₂O₂催化为H₂O和氧气的酶,防止H₂O₂积累)的涂层实现,采用层层自组装(LbL)方法控制胰岛素释放。该方法实现了高达377 mg/g的胰岛素载药量。葡萄糖响应性层(酶层)通过席夫碱键形成涂覆在装载胰岛素的MSNs上,在无葡萄糖时作为"门控"阻止胰岛素释放。酶(GOD和CAT)在氧气存在下将葡萄糖转化为葡萄糖酸,葡萄糖酸的生成降低了局部pH值。在葡萄糖存在下,席夫碱键部分质子化,酶层"松动",渗透性增加,从而触发胰岛素释放(Qi等,2009;Chen等,2011,2012)。通过这种设计,胰岛素可自发响应葡萄糖释放,并可在有/无葡萄糖条件下实现胰岛素的重复开/关释放(Zhao等,2011)。

值得注意的是,目前大多数葡萄糖响应性胰岛素释放系统(主要是基于GOD的系统)在葡萄糖浓度低于7 mM(De Geest等,2006;Ding等,2009;Qi等,2009;Wang等,2009;Zhao等,2009,2011,2012,2013;Chen等,2011,2012;Sato等,2011;Sun等,2013;Chou等,2015)或高于20 mM(Gu等,2013;Yu等,2015)时释放超过一半的装载胰岛素。然而,正常生理条件下血糖水平在3.9-6.1 mM范围内调节,这意味着大多数葡萄糖响应性系统过于敏感,即使在正常血糖浓度下也会释放超过一半的装载胰岛素。最近,Xu等(2017)报道了一种基于装载胰岛素的二氧化硅囊泡的葡萄糖响应性胰岛素释放系统,采用酶-聚合物层层自组装涂层(图5)。胰岛素释放阈值可通过改变涂层中聚合物的量来调节,胰岛素释放在高血糖时切换为"开",在正常血糖水平时切换为"关"。在I型糖尿病小鼠中的体内实验表明,这种基于MSNs的系统在单次给药后可将血糖水平调节在正常范围内长达84小时,且不影响正常小鼠的血糖浓度。这些基于MSNs的系统有望被开发用于糖尿病管理的便捷且安全的胰岛素递送载体。

对于通常在细胞表面发挥作用的单克隆抗体,装载到MSNs中也可通过提供蛋白质保护和控制释放来增强其活性。例如,细胞毒性T淋巴细胞相关抗原4抗体(CTLA-4 Ab)可抑制检查点受体,已用于黑色素瘤患者。孔径为30 nm的功能化二氧化硅泡沫被用于装载CTLA-4 Ab,表现出超高载药量(高达800 mg/g)。在荷瘤小鼠(黑色素瘤)模型中的体内测试表明,装载CTLA-4 Ab的二氧化硅泡沫与游离CTLA-4 Ab相比显著增强了抗肿瘤活性。

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## MSNs在抗菌蛋白质递送中的应用

溶菌酶是一种重要的抗菌蛋白质,已被装载到MSNs中用于抗菌应用。研究了孔径从2.7到22.4 nm的树枝状介孔二氧化硅纳米颗粒对溶菌酶的装载。他们发现大孔径MSNs具有高溶菌酶载药能力(244.5 mg/g)并呈现持续释放曲线。装载在MSNs中的溶菌酶对大肠杆菌表现出更好的抗菌效果,将最小抑菌浓度(MIC)从游离溶菌酶的2500 mg/mL降低至500 μg/mL。最近,Xu等(2018)报道MSNs可穿透生物膜(生物膜是嵌入胞外聚合物中的微生物细胞群,生物膜中的细菌对抗菌药物具有更高的抵抗力)并将溶菌酶递送至生物膜中以杀灭更深层的细菌(图6A)。这些具有大锥形孔道的中空介孔二氧化硅纳米颗粒(图6B)能够将溶菌酶装载在内部并穿透生物膜(图6C)。通过MSNs的合理设计,证明了对大肠杆菌生物膜增强的治疗活性(图6D)。

# 介孔二氧化硅纳米颗粒在酶固定化与催化中的应用

介孔二氧化硅纳米颗粒(MSNs)在酶固定化和催化领域具有重要意义,能够有效解决天然酶固有的缺陷问题(Wang and Caruso, 2005; Popat et al., 2011; Yang T. et al., 2017)。Wang和Caruso(2005)利用一系列孔径从2 nm到40 nm不等的MSNs对多种酶(包括溶菌酶、过氧化物酶、过氧化氢酶和细胞色素C)进行了固定化研究。酶负载于MSNs内部后,在较宽的pH范围内仍保持酶活性,甚至在暴露于蛋白酶等酶降解物质后也能维持活性。值得注意的是,MSNs-酶在经过25批次连续反应后仍保留了70%的初始活性。最近,Kalantari等人(2018)报道了具有苯环骨架的树枝状介孔有机二氧化硅纳米颗粒在脂肪酶固定化中的应用。有趣的是,负载于有机二氧化硅纳米颗粒后,脂肪酶表现出增强的pH稳定性和热稳定性,且活性高于游离脂肪酶。此外,经过5个循环后,负载于MSNs中的脂肪酶仍保留了94%的催化活性,显示出良好的可重复利用优势(Kalantari et al., 2018)。

图6 | 介孔二氧化硅纳米颗粒用于抗菌蛋白向生物膜的递送。MSNs用于溶菌酶递送。(A)MSNs递送生物膜的示意图。(B)MSNs的透射电镜图像。(C)MSNs向生物膜的渗透。(D)对大肠杆菌生物膜的抗菌性能测试。经Xu等人(2018)许可转载,英国皇家化学学会授权。

由于抗体在肿瘤部位的持续释放和保护作用,MSNs在抗体递送方面表现出良好的应用前景(Lei et al., 2010)。

# MSNs在抗菌蛋白递送中的应用

纳米颗粒作为抗菌蛋白的递送载体在治疗细菌感染方面展现出巨大潜力。例如,溶菌酶是一种能够催化细菌细胞壁水解的天然蛋白,将其包覆在MSN-41表面后,增强了大肠杆菌(Escherichia coli,一种典型的革兰氏阴性菌)的相互作用,并提高了溶菌酶的局部浓度。与游离溶菌酶相比,与MSNs偶联后的最小抑菌浓度降低了5倍(Li and Wang, 2013)。为解决溶菌酶暴露于外表面的问题,Song等人(2016)制备了具有大孔的MSNs,能够将溶菌酶负载于内部,并证明其在体外和小肠离体感染模型中对大肠杆菌的治疗能力得到了增强。Wang等人(2019)制备了……

# 总结与展望

综上所述,MSNs对蛋白质具有高负载能力和保护作用,在细胞内递送、细胞外递送、抗菌递送以及各种蛋白质的固定化方面具有优势,能够提高治疗/催化效果。凭借刚性的骨架结构和明确规整的孔道,MSNs能够为蛋白质提供保护并维持其活性。此外,新型MSNs的快速发展,特别是具有径向孔结构和大孔的MSNs,推动了其在蛋白质递送领域的应用。我们预计,在不久的将来,通过合理设计和定制化功能化,将开发出新型MSNs,在蛋白质递送方面取得重大进展。

在未来的发展方向上,靶向蛋白质递送和控制性蛋白质释放将成为进一步提高治疗效果的新兴技术策略。近期研究如用红细胞膜或其他靶向剂包覆的MSNs,已显示出更长的循环时间和在肿瘤等靶区的富集能力(Xuan et al., 2018)。基于MSNs的各种响应性释放系统也受到越来越多的关注。许多新研究已明确证明了远程控制蛋白质释放系统的可行性和优势(Yang et al., 2013)。

值得注意的是,基于MSNs的蛋白质递送系统的体内效应研究较少。需要更多的临床前探索,如动物研究,以实现其在临床应用中发挥潜力。目前,MSNs在治疗性蛋白质体内递送方面的研究尚未跟上MSNs制备技术的发展步伐。期待有更多研究评估基于MSNs的蛋白质递送系统的生物相容性、稳定性、疗效和生物相互作用。材料科学家、生物学家、药剂师和临床医生之间的紧密合作将加速这一进程。