Stroke is a leading cause of death and long-term disability worldwide [1
]. Ischemic stroke occurring in the zone irrigated by the middle cerebral artery, it can affect the parietal cortex and striatum, which suffer an energetic unbalance leading to neuronal and glial damage and even to cell death [3
]. The damaged zone, or infarct, has a core and a penumbra, this latter being capable of recuperation [4
]. However, current treatments, thrombolysis and thrombectomy are not effective enough due to the narrow therapeutic window and complexity of administration [5
]. None of these treatments provide neuroprotection to the ischemic tissue damaged during the reperfusion period. Numerous clinical trials for neuroprotectants against stroke and neurodegenerative disorders have been conducted, reporting unsatisfactory outcomes [8
]. Accumulating evidence has demonstrated that the oxygen-binding neuroglobin protein (NGB) [10
], acts as a neuroprotective molecule against stroke in humans [1
], and against some hypoxic/ischemic (H/I), and oxidative stress-related insults in animals and cultured neurons [12
]. Overexpression of NGB in rat brains reduced the infarct size following transient middle cerebral artery occlusion (tMCAO) [18
], and in an ischemic pre-conditioning model of MCAO [19
]. The inhibition of the expression of NGB with NGB-antisense oligodeoxynucleotide eliminates the neuroprotective effect mediated by hypoxic post-conditioning, whereas overexpression of NGB ameliorates neuronal damage in CA1 after transient global ischemia, indicating that hypoxic post-conditioning confers neuroprotective effects via upregulation of NGB [20
]. NGB has also been identified as a factor driving for axon regeneration after ischemia/reperfusion, correlating positively with the elevation of axon-regeneration markers like growth-associated protein 43 (GAP43), neurofilament-200, and Tau-1. Upregulation of NGB does not appear until 48–72 h of reperfusion after the ischemic insult [21
]. These data, together with NGB being expressed at physiological levels, do not enable resistance to neuronal death following ischemia [23
]. As such, effective and innocuous therapies allowing an increase of NGB in the damaged cerebral parenchyma immediately after the ischemic insult must be developed. Therefore, rapidly increasing NGB in the penumbra zone of the infarct could change the prognosis of stroke.
Although the goal of increasing NGB in the cerebral parenchyma after ischemia may appear feasible, i.e., injecting NGB at a systemic level, both the immune response and the selectivity of the blood-brain barrier (BBB) prevent the entry of large molecules to the brain and represent considerable obstacles that need to be overcome. Several studies using delivery systems such as viral vectors [18
] or cell-penetrating peptides (CPP) [1
], tried to solve problems, but both approaches presented a series of inconveniences [21
], which make their use unfeasible in humans. Given these difficulties, we developed different types of sodium hyaluronate (SH) nanoparticles (NPs) to protect and transport large molecules, like NG,) from blood to the brain after a stroke episode [25
]. Particularly, we used different gelation methods and envelopes to synthesize innocuous and functionalized NPs, which may act as Trojan horses able to protect and help their cargo to cross the BBB, thus leading NGB to the damaged nerve cells on time. We characterized these NPs physicochemically and conducted in vitro and in vivo studies to find the NPs with the best ability to reach the target cells. Factors such as lipophilicity or size of the NPs are important to determine its permeability, but other parameters such as the ζ-potential are also decisive, due to the highly negative electrokinetic membrane potential of the endothelial cells. These NPs are synthesized from the natural polymer sodium hyaluronate, which has the ability to gelify in the presence of a cross-linker without the presence of organic solvents or high temperatures. This feature conveniently avoids the damage or loss of labile drugs [26
] like NGB. Moreover, these NPs have the advantage of being biocompatible and promoting biological signals that interact with specific receptors of endothelial cells [27
]. Facilitating the infiltration of NPs into the central nervous system, even in the absence of lipophilicity. Consequently the drug transported by the NPs can easily reach its final target: The hypoxic damaged nerve cells.
Naked NPs in the bloodstream are quickly removed due to opsonization and capture by the reticuloendothelial system, even though they have suitable composition and size. Therefore, any strategy that would increase the lifespan of NPs in the blood should be an objective in the design of NPs [28
]; the adsorption of surfactants on the NPs surface has been shown to enhance its life expectancy in the circulation [29
]. Consequently, we used polysorbate 80 [30
] to achieve this goal, as previous studies conducted in vivo demonstrated that the adsorption of polysorbates, like polysorbate 80, on the surface of the NPs leads to changes in the distribution of the NPs [31
]. The penetration of NPs into cells occurs through the stimulation of receptor-mediated endocytosis, particularly through the interaction of NPs with LDL receptors on the surface of brain endothelial cells. It was concluded that the reason for such interaction was the adsorption of endogenous LDL from plasma to polysorbate 80 [32
Chitosan (CH), a natural biocompatible cationic polysaccharide used as an excipient in several applications related to drug administration [33
], has been postulated to be a good candidate for NPs coating due to its ability to increase the positive charge density of NPs, which favors the permeation of the NPs through the endothelial cells of the BBB, to lengthen the half-life of NPs in plasma, or to facilitate the bio-adhesion to the endothelium after electrostatic interaction [38
Given this background, in this study, we developed a series of procedures, which range from the biosynthesis of recombinant NGB to the preparation of functional NPs, to produce an innocuous neuroprotective formulation able to bring NGB from blood to the damaged nervous cells quickly. We used an animal model of transient middle cerebral artery occlusion (tMCAO) and confocal microscopy to verify that these NPs loaded with NGB reach their therapeutic targets and that NGB is released in the infarcted area of the cerebral parenchyma. The brains of animals submitted to tMCAO were checked to detect the NPs loaded with NGB (NGB–NPs) using confocal microscopy at 2 h and 24 h after the onset of reperfusion. Finally, to improve the efficiency of the NGB–NPs, we completed lyophilization tests and stability studies of NGB to preserve the formulation and verify its therapeutic ability over time.
2. Materials and Methods
Sodium hyaluronate (SH) (1.0–1.5 MDa) was purchased from Fagron (Barcelona, Spain), and TALON™ metal affinity column from Takara Bio Europe (Saint-Germain-en-Laye, France). Grape seed oil and Tween® 80, as well as Freund’s adjuvant, were obtained from Guinama (Valencia, Spain) and Fisher Scientific (Madrid, Spain), respectively. Calcium chloride, chitosan (low molecular weight), glacial acetic acid, glycerol tripalmitin, rhodamine-123, lysozyme, formalin, DNase I, normal goat serum, DAPI, Triton X-100 and LB medium were obtained from Sigma Aldrich (Madrid, Spain). Dichloromethane and ampicillin were purchased from VWR (Barcelona, Spain), ketamine (Imalgene 100 mg/mL) from Merial Laboratorios S.A. (Sant Cugat del Vallès, Spain), and xylacine (Rompun®) from Bayer (Sant Joan Despí, Spain). Uranyl acetate was obtained from Electron Microscopy Sciences (Hatfield, PA, USA), and distilled water was prepared using a Millipore (Billerica, MA, USA) system. Sevoflurane was purchased from Abbot Laboratories (Madrid, Spain), O.C.T medium from Sakura (Alphen aan den Rijn, Netherlands), Cy2-linked goat anti-rabbit IgG from Pierce (Rockford, IL, USA), and IPTG from Canvax Biotech (Córdoba, Spain).
2.2. Expression and Purification of Recombinant Neuroglobin
The pET15b/NGB expression vector was constructed by Genscript Biotech Corp. The NCBI Reference Sequence NM_033359.3 that codes for rat neuroglobin was inserted between the Nde I and BamH I sites of the pET15b plasmid. E. coli BL21(DE3) transformed with pET15b/NGB construct were inoculated in LB medium containing 0.1 mg ampicillin/mL and grown at 37 °C until A600 = 0.8. Then, the expression of the recombinant protein was induced by the addition of 0.5 mM isopropyl-1-thio-β-D-galatopyranoside (IPTG), and growth was continued at 37 °C for 4 h. Cells were collected by centrifugation and suspended in 20 mM Tris-HCl, pH 8; 0.1 M NaCl (Tris buffer) containing 0.5 mg lysozyme/mL and 1 μg DNase I/mL. Then, cells were lysed by sonication and the homogenate was clarified by centrifugation at 10,000× g for 30 min. The cell-free extract was filtered and loaded onto a TALON™ (Takara Bio Inc., Kusatsu, Japan) metal affinity column equilibrated with Tris buffer. The column was washed with this same buffer containing 5 mM imidazole and the recombinant His-tagged NGB protein was eluted with 100 mM imidazole. To separate the His-tag from the NGB protein, 1 unit of thrombin/mL was added to the purified recombinant protein, incubated for 2 h at room temperature, and dialyzed against Tris buffer. Finally, the sample was passed through the TALON™ metal affinity column equilibrated with Tris buffer, and the flow-through containing NGB protein was collected. Protein concentration was determined according to the molar extinction coefficient at 280 nm for NGB (22,500 M−1·cm−1).
2.3. Preparation of Antiserum against NGB
The polyclonal NGB antiserum was produced in the experimentation animal service of the University of Cordoba (SAEX, Cordoba, Spain) using New Zealand rabbits. All procedures were previously approved (approval # 23/05/2016/090, 23 May 2016) by the local Animal Care Committee and performed in compliance with the Spanish legislation and in accordance with the European Union (EU) Directive 2010/63/EU (2010).
For antibody production, rabbits were injected weekly subcutaneously at multiple sites with recombinant NGB. 250 μg of protein were mixed with complete Freund’s adjuvant for the primary immunization and 125 μg in incomplete Freund’s adjuvant for the subsequent immunizations. Blood was extracted from the immunized animals and centrifuged at 20,000× g for 30 min. The supernatant was heated at 56 °C to inactivate the complement proteins and the resulting serum was used as a polyclonal probe for immunoassays. Serum extracted prior to immunization was also obtained as a negative control.
2.4. Synthesis of NPs with NGB
The emulsification and external gelation methodology used to produce NPs is based on the formation of a water-oil emulsion (W/O), as previously reported with slight modifications [25
]. To obtain this type of NP, an initial aqueous phase was elaborated as follows: 0.26% (w
) SH and 2.6% (w
80 (Bio-Rad Laboratories, S.A., Alcobendas, Madrid, Spain) were dispersed in 25 mL of 10−4
M rhodamine solution under magnetic stirring for 10 min at 200 rpm. Then, 35 mg of the purified recombinant NGB diluted in PBS was added to the previous solution, stirring for further 10 min. Afterward, 90 mL of grapeseed oil was added at a speed of 1200 rpm for 10 min. Next, 3 mL of distilled water with 0.25 g of calcium chloride was incorporated to the dispersion at a speed of 1600 rpm for about 10 min, continuing the stirring at 1200 rpm for 2 h. Afterward, the oil phase was eliminated by centrifugation at 10,000 rpm (5× g
) for 15 min. Once this dispersion of NPs with NGB was optimized, they were coated with CH and glycerol tripalmitin (GT); GT is a biocompatible triglyceride present in the human body as fat [39
]. The procedure was made as follows: 1 mL of 1% glacial acetic acid was added to 1% CH solution (v
), as this acidification facilitated the dissolution of CH before coating. Then, this CH solution was mixed in equal parts with the dispersion of the NPs, keeping the mixture in magnetic stirring for 2 h; once coated, the remaining CH was easily removed after centrifugation at 10,000 rpm (5× g
) for 35 min. Later, the resulting CH-coated sodium hyaluronate NPs containing NGB were subjected to a new coating with GT, because its lipid nature facilitated the penetration of the NPs through the BBB. For that, 0.1% GT was dissolved in dichloromethane (w
), added to 10 mL of the colloidal dispersion of NGB–NPs, and maintained under magnetic stirring until complete evaporation of the solvent.
2.5. Characterization of NPs
2.5.1. Particle Size and Polydispersity Index (PDI)
The size and PDI of the NGB-NPs were determined using a laser scattering particle size analyzer at 25.0 °C ± 0.5 °C (Malvern Zetasizer Nano ZS®; Malvern Instruments Ltd., Malvern, UK). Dispersions of NGB–NPs in deionized water was prepared and the average size was expressed in nanometers (nm).
2.5.2. Zeta Potential (ζ-Potential) Measurement
ζ-potentials of NGB–NPs were also determined using electrophoretic light scattering and a molecular weight analyzer with static light scattering (Malvern Zetasizer Nano ZS®) by dispersing NGB–NPs in deionized distilled water. Samples were placed in a capillary cell, and ζ-potentials of these NGB–NPs were measured and are expressed in millivolts (mV).
2.5.3. Transmission and Scanning Electron Microscopy (TEM and SEM) Analysis
For TEM images of NGB–NPs, the samples were prepared with negative staining. The dispersion was incubated in a grid with a carbon support film for 5 min in a Petri dish and contrasted with 1% uranyl acetate in aqueous solution. Then, these samples were mounted and visualized on a TEM microscope LEO 906E (Carl Zeiss LEO 906E, Jena, Germany).
For SEM images, a drop of the colloidal dispersion of NGB–NPs was deposited on the corresponding support for the FESEM (pin stub mount, Hitachi Ltd., Chiyoda, Tokyo, Japan), allowing it to dry at room temperature. Subsequently, it was sputtered with carbon by means of a carbon coater (Polaron CC7650, Quorum Technologies Ltd., Laughton, East Sussex, UK) and visualized on a SEM microscope (Hitachi S-510, Hitachi Ltd., Chiyoda, Tokyo, Japan).
Both microscopes are located at the Scientific Instrumentation Center of the University of Granada (Granada Spain).
2.5.4. High Performance Liquid Chromatography (HPLC) Conditions
An Acquity UPLC System instrument (Waters Technologies Corporation, Milford, MA, USA) equipped with autosampler, column temperature controller, TUV detector, quaternary pump, and an online degasser, was used for the analyses. A Waters UPLC™ (Waters Technologies Corporation, Milford, MA, USA), thermostatted at 25 °C, was used for chromatographic separations, a Waters UPPLC™ Protein BEH C4 2.1 × 50 mm, 1.7 µm column was used. The mobile phase was formed by 2 channels: A (water) and B (acetonitrile). The gradient elution program was: 5% B, T5: 95% B, T6: 100% B, T6.1: 5% B. The flow rate was 0.2 mL/min with detection wavelength of 290 nm. The injection volume was 10 μL and each run was followed by an equilibration period of 1.9 min. The total run time was 8 min and the whole method was validated.
2.6. Determination of Drug Encapsulation Efficiency (DEE, %)
To determine the efficiency of the encapsulation of NGB–NPs, the dispersion was centrifuged at 10,000 rpm (Eppendorf AG 5804; Hamburg, Germany) for 20 min until a solid precipitate was obtained. The NGB content in the supernatant was analyzed by HPLC under the conditions described above, and the encapsulation was determined using the following formula: encapsulated percentage = (actual drug content/theoretical drug content) × 100.
2.6.1. In Vitro Drug Release Study
An in vitro NGB release study was performed using a dialysis membrane (50 kDa molecular weight cut off; Spectra/Por® 6, Spectrum Chemical Mfg. Corp., New Brunswick, NJ, USA) containing 25 mL of phosphate buffer at pH 7.4. Dispersion of NPs (1.6 mL) were placed in the dialysis membrane and both ends were sealed with magnetic weighted closures (Spectra/Por Clousures®, Sigma, Madrid, Spain). Then, the dialysis bag was maintained in the receptor compartment containing dissolution medium (phosphate buffer pH 7.4) at 37 ± 0.5 °C and stirring at 100 rpm for 72 h. At regular time intervals, 0.8 mL of the sample was withdrawn and replaced with freshly prepared phosphate buffer pH 7.4. The NGB content in the samples was analyzed by HPLC under the conditions described above.
2.6.2. In Vitro Drug Release Kinetics
Different mathematical models were tested to choose the one that best explained the release kinetics. Data obtained from the in vitro analysis of the drug release were submitted to the Akaike Information Criterion (AIC), one of the most widely used methods for the determination of the model that best explains the diffusion process [40
]. AIC allows to find the function that more accurately fits to the drug release process. The criterion identifies the model that best fits the data as the one with the minimum value of AIC, and was calculated by applying the following equation:
where n is the number of pairs of experimental values, ln is the Neperian logarithm, SSQ is the Sum of residual squares, and p is the number of parameters of the adjustment function.
2.7. Stability Studies
2.7.1. Lyophilization of NGB
Lyophilization was conducted using a freeze dryer (Telstar® Cryodos 50, Telstar Spain, Tarrasa, Barcelona, Spain). First, 1 mL sample vials of 2.04 mg/mL of recombinant NGB in PBS were frozen at −80 °C for 24 h. The vials were subjected to vacuum (less than 500 mbar) until the end of the process and obtained a residual humidity of less than 5%. The lyophilized samples were kept at 6 °C until reconstitution and measured by HPLC.
2.7.2. Lyophilization of NGB–NPs
The dispersion of NGB–NPs was lyophilized using a freeze dryer (Telstar® Cryodos 50), prior to freezing at −80 °C for 24 h. Then, vials were subjected to vacuum (less than 500 mbar) at the end of the process, obtaining a residual humidity of less than 5%. Afterward, the integrity of the NPs linked to NGB was easily redispersed and analyzed by means of a TEM microscopy and a Zetasizer® (Malvern Panalytical B.V., San Sebastián de los Reyes, Madrid, Spain)
2.7.3. Stability to 6 °C
A solution of NGB in water was stored at 6 °C for 3 months and measured by HPLC.
2.8. In Vivo Studies
Adult male Wistar rats (Charles River) were used to analyze the penetration of NGB–NPs into the cerebral parenchyma. Experimental procedures were supervised by the Animal Care Committee of the University of Jaén and performed in compliance with the Spanish legislation and in accordance with the EU Directive 2010/63/EU (2010). Animal studies were performed in the Animal Production and Experimental Centre of the University of Jaén (CPEA) (approval # 23/05/2016/090, 23 May 2016).
Animals were subjected to a stroke model of tMCAO and euthanized at 2 h (n
= 8) or 24 h (n
= 8) after the onset of reperfusion to monitor the location of NGB–NPs at these earlier stages of the ischemia/reperfusion injury, while the main molecular events involved in ischemic damage were occurring [41
]. All animals were injected intravenous (1 mL/kg body weight) with the formulation of SH-NPs linked to NGB (2.15 mg/mL) immediately after tMCAO throughout the lateral vein of the tail.
2.8.1. Stroke Model
The stroke model was applied using a slight modification of the model previously described [42
]. Briefly, a 23 mm segment of a 3-0 nylon monofilament suture with a 3–4 mm coating (Doccol Corporation, Redlands, CA, USA), was inserted through the right common carotid artery and advanced until occluding the origin of the middle cerebral artery. The suture was removed after 45 min of occlusion [25
]. Only animals with a cerebral blood flow reduction over 60%, evaluated by a Laser-Doppler flow probe (tip diameter 1 mm) attached to a flowmeter (moorVMS-LDF1, Moor Instruments, Axminster, UK) were included in the study (Figure 1
2.8.2. Histology and Microscopy
After euthanasia, animals were perfused through the left ventricle with 0.01 M phosphate-buffered saline (PBS, pH 7.4) followed by 300 mL of 10% formalin. The brains were removed and post-fixed for a further 4 h in the same fixative at room temperature. Samples were cryoprotected by immersion overnight at 4 °C in 0.1 M PBS containing 30% sucrose and then embedded in O.C.T. medium to obtain serial rostrocaudal sections (20 µm thick) using a cryostat (Leica CM1950; Leica Microsistemas S.L.U., L’Hospitalet de Llobregat, Spain). Free-floating sections were then washed 3 times in PBS for 5 min each, and incubated in blocking solution containing 0.1% Triton X-100 and 3% normal goat serum (NGS) in PBS for 2 h at room temperature; afterward, sections were incubated in rabbit anti-NGB antisera 1:500 in PBS containing 0.2% Triton X-100, overnight at 4 °C. After several rinses in PBS, the sections were incubated with Cy2-linked goat anti-rabbit IgG 1:1000 (PA42004, GE Healthcare, Little Chalfont, UK). After 3 rinses in PBS, the sections were stained with 4′,6-Diamidino-2-phenylindole, dihydrochloride (DAPI) (124653, Merck, Darmstadt, Germany) at 1:2000 for 8 min to visualize the cell nuclei. Then, the sections were quickly dehydrated in a graded ethanol series, cleared, and mounted on slides for examination under confocal laser scanning microscope (Leica TCS SP5 II; Leica Microsistemas S.L.U., L’Hospitalet de Llobregat, Spain) in the Central Research Support Services of the University of Jaén (SCAI). Cell nuclei were visualized in blue due to DAPI staining (excitation 358 nm, emission 529 nm), SH–NPs appeared in red due to rhodamine (excitation 507 nm, emission 525 nm), and NGB in green due to the Cy2 immunofluorescence staining (excitation 492 nm, emission 510 nm). To ensure that the signal detected in each channel was not due to autofluorescence, TrueVIEW Autofluorescence Quenching Kit (Vector Laboratories, Burlingame, CA, USA) and control samples of rats not injected with NPs–NGB were used. Thus, the biodistribution of SH–NPs and NGB within the infarcted area of the brains could be histologically visualized. Some sections of the infarcted brains were stained with triphenyltetrazolium chloride monohydrate (TTC) [44
] in order to visualize the infarcted area, which appeared white in contrast to the red-stained normal areas (Figure 1
2.8.3. Fluorescence Quantification in the Cerebral Parenchyma
The fluorescence of the rhodamine, Cy2 and DAPI were automatically evaluated in different brain sections using the Leica LCS software (Leica Microsystems, Wetzlar, Germany). Using this software, that analyses the fluorescence emitted by each fluorophore (mean grey value) from areas previously determined in the histological sections, a semiquantitative estimation of the presence of NPs (rhodamine fluorescence), NGB (Cy2 fluorescence), and cell nuclei (DAPI fluorescence) located in the cerebral parenchyma of the brains submitted to tMCAO at reperfusion periods of 2 h and 24 h. Data from different histological sections in areas located at the same level of the ischemic parietal cortex in both groups of animals were obtained strictly under the same optical conditions and later recorded for further analysis (Figure 2
). The data 2 h and 24 h were compared using the Student’s t
-test with a 95% confidence level.
Gelation within an emulsion is an effective method for the encapsulation of the neuroprotective protein NGB. This method, for the first time, has achieved the delivery of NGB linked to NPs from blood to cerebral parenchyma after stroke.
The characterization of these NGB–NPs coated with CH and GT evidenced that they have adequate sizes and charges for use as therapeutic tools. They show good stability for the preparation of an extemporaneous drug formulation since both NPs and NGB are highly stable in lyophilization.
After a stroke, the NGB–NPs injected intravenously at the onset of the reperfusion period, can cross the BBB. They quickly reached the damaged nerve cells, being detected inside cytoplasm after 2 h, and remaining after 24 h of reperfusion.
Overall, the pharmaceutical formulation developed in this study is a delivery system that can successfully carry the neuroprotective oxygen-sensing protein NGB to the damaged ischemic brain after stroke.