We use cookies to improve your experience. By continuing to browse this site, you accept our cookie policy.×
Skip main navigation
Aging Health
Bioelectronics in Medicine
Biomarkers in Medicine
Breast Cancer Management
CNS Oncology
Colorectal Cancer
Concussion
Epigenomics
Future Cardiology
Future Medicine AI
Future Microbiology
Future Neurology
Future Oncology
Future Rare Diseases
Future Virology
Hepatic Oncology
HIV Therapy
Immunotherapy
International Journal of Endocrine Oncology
International Journal of Hematologic Oncology
Journal of 3D Printing in Medicine
Lung Cancer Management
Melanoma Management
Nanomedicine
Neurodegenerative Disease Management
Pain Management
Pediatric Health
Personalized Medicine
Pharmacogenomics
Regenerative Medicine
Research Article

In vitro evaluation of a hybrid drug-delivery nanosystem for fibrosis prevention in cell therapy for Type 1 diabetes

    Claire Rennie

    School of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    ,
    Yanan Huang

    School of Mathematical and Physical Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    ,
    Prakriti Siwakoti

    School of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    ,
    Ziqing Du

    School of Mathematical and Physical Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    ,
    Matthew Padula

    School of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    ,
    Guochen Bao

    Institute for Biomedical Materials & Devices, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    ,
    Bernard E Tuch

    Department of Diabetes, Central Clinical School, Faculty of Medicine, Nursing & Health Sciences, Monash University, Victoria, 3004, Australia

    Australian Foundation for Diabetes Research, 2000, NSW, Australia

    ,
    Xiaoxue Xu

    *Author for correspondence:

    E-mail Address: XiaoxueHelen.Xu@uts.edu.au

    School of Mathematical and Physical Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    School of Biomedical Engineering, Faculty of Engineering and IT, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    &
    Lana McClements

    **Author for correspondence:

    E-mail Address: lana.mcclements@uts.edu.au

    School of Life Sciences, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    Institute for Biomedical Materials & Devices, Faculty of Science, University of Technology Sydney, Ultimo, NSW, 2007, Australia

    Published Online:https://doi.org/10.2217/nnm-2022-0231

    Background: Implantation of insulin-secreting cells has been trialed as a treatment for Type 1 diabetes mellitus; however, the host immunogenic response limits their effectiveness. Methodology: The authors developed a core-shell nanostructure of upconversion nanoparticle-mesoporous silica for controlled local delivery of an immunomodulatory agent, MCC950, using near-infrared light and validated it in in vitro models of fibrosis. Results: The individual components of the nanosystem did not affect the proliferation of insulin-secreting cells, unlike fibroblast proliferation (p < 0.01). The nanosystem is effective at releasing MCC950 and preventing fibroblast differentiation (p < 0.01), inflammation (IL-6 expression; p < 0.05) and monocyte adhesion (p < 0.01). Conclusion: This MCC950-loaded nanomedicine system could be used in the future together with insulin-secreting cell implants to increase their longevity as a curative treatment for Type 1 diabetes mellitus.

    Plain language summary

    This work describes a new drug-delivery system that can release an immunomodulatory drug in a controlled manner and prevent fibrosis, which is part of the immune response when a foreign body is implanted. This system can be particularly useful for insulin-secreting cell implants, used to replace multiple daily injections of insulin and improve the quality of life of people with Type 1 diabetes mellitus. By preventing the immune response that leads to fibrosis, the longevity of these cellular implants can be extended without the need for frequent replacement procedures. This innovative nanosystem can release the required amount of immunomodulatory drug, which could be stimulated with the use of special light, hence showing the ability for local and extended delivery. This type of system has the potential to reduce the side effects associated with oral daily administration of immunomodulatory agents in people with Type 1 diabetes mellitus.

    Tweetable abstract

    In this article, the authors describe an innovative approach for the controlled release of an immunomodulatory agent based on an upconversion nanomedicine system that could be explored for the prevention of fibrosis in insulin-secreting cell implant treatment for Type 1 diabetes mellitus.

    Graphical abstract

    Papers of special note have been highlighted as: • of interest

    References

    • 1. Saeedi P, Petersohn I, Salpea P et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res. Clin. Pract. 157, 107843 (2019).
    • 2. Garg SK, Rewers AH, Akturk HK, Ever-increasing insulin-requiring patients globally. Diabetes Technol. Ther. 20(Suppl. 2), S21–S24 (2018).
    • 3. Ramachandran A. Know the signs and symptoms of diabetes. Indian J. Med. Res. 140(5), 579–581 (2014).
    • 4. Chawla A, Chawla R, Jaggi S. Microvasular and macrovascular complications in diabetes mellitus: distinct or continuum? Indian J. Endocrinol. Metab. 20(4), 546–551 (2016).
    • 5. Schofield J, Ho J, Soran H. Cardiovascular risk in Type 1 diabetes mellitus. Diabetes Ther. 10(3), 773–789 (2019).
    • 6. Déruaz-Luyet A, Raabe C, Garry EM, Brodovicz KG, Lavery LA. Incidence of lower extremity amputations among patients with type 1 and type 2 diabetes in the United States from 2010 to 2014. Diabetes Obes. Metab. 22(7), 1132–1140 (2020).
    • 7. Pathak V, Pathak NM, O'Neill CL, Guduric-Fuchs J, Medina RJ. Therapies for Type 1 diabetes: current scenario and future perspectives. Clin. Med. Insights Endocrinol. Diabetes 12, 1179551419844521 (2019). • Excellent and thorough review of therapies for Type 1 diabetes, including insulin replacement therapy, immune therapies, peptide hormone-based therapies, islet transplantation and stem cell-based therapies.
    • 8. Sutherland DE, Matas AJ, Goetz FC, Najarian JS. Transplantation of dispersed pancreatic islet tissue in humans: autografts and allografts. Diabetes 29(Suppl. 1), 31–44 (1980).
    • 9. Shapiro AM, Lakey JR, Ryan EA et al. Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. N. Engl. J. Med. 343(4), 230–238 (2000).
    • 10. Chen S, Du K, Zou C. Current progress in stem cell therapy for type 1 diabetes mellitus. Stem Cell Res. Ther. 11(1), 275 (2020).
    • 11. Siwakoti P, Rennie C, Huang Y et al. Challenges with cell-based therapies for Type 1 diabetes mellitus. Stem Cell Rev. Rep. doi:10.1007/s12015-022-10482-1 (2022) (Epub ahead of print).
    • 12. Mooranian A, Negrulj R, Chen-Tan N et al. Advanced bile acid-based multi-compartmental microencapsulated pancreatic β-cells integrating a polyelectrolyte-bile acid formulation, for diabetes treatment. Artif. Cells Nanomed. Biotechnol. 44(2), 588–595 (2016).
    • 13. Wang HS, Shyu JF, Shen WS et al. Transplantation of insulin-producing cells derived from umbilical cord stromal mesenchymal stem cells to treat NOD mice. Cell Transplant. 20(3), 455–466 (2011).
    • 14. Gamble A, Pepper AR, Bruni A, Shapiro AMJ. The journey of islet cell transplantation and future development. Islets 10(2), 80–94 (2018).
    • 15. Opara EC, Mcquilling JP, Farney AC. Microencapsulation of pancreatic islets for use in a bioartificial pancreas. Methods Mol. Biol. 1001, 261–266 (2013).
    • 16. Addison P, Fatakhova K, Rodriguez Rilo HL. Considerations for an alternative site of islet cell transplantation. J. Diabetes Sci. Technol. 14(2), 338–344 (2020).
    • 17. Han EX, Wang J, Kural M et al. Development of a bioartificial vascular pancreas. J. Tissue Eng. 12, 20417314211027714 (2021).
    • 18. Mridha AR, Dargaville TR, Dalton PD et al. Prevascularized retrievable hybrid implant to enhance function of subcutaneous encapsulated islets. Tissue Eng. Part A 28(5–6), 212–224 (2022).
    • 19. Tuch BE, Keogh GW, Williams LJ et al. Safety and viability of microencapsulated human islets transplanted into diabetic humans. Diabetes Care 32(10), 1887–1889 (2009).
    • 20. Basta G, Montanucci P, Luca G et al. Long-term metabolic and immunological follow-up of nonimmunosuppressed patients with Type 1 diabetes treated with microencapsulated islet allografts: four cases. Diabetes Care 34(11), 2406–2409 (2011).
    • 21. Vaithilingam V, Bal S, Tuch BE. Encapsulated islet transplantation: where do we stand? Rev. Diabet. Stud. 14(1), 51–78 (2017).
    • 22. Veiseh O, Doloff JC, Ma M et al. Size- and shape-dependent foreign body immune response to materials implanted in rodents and non-human primates. Nat. Mater. 14(6), 643–651 (2015). • This work demonstrated the role of the geometry of implanted materials in their biocompatibity in vivo, including hydrogels, ceramics, metals and plastics. It also showed that for encapsulated rate pancreatic islet cells transplated into strptozolocin-treated diabetic C57BL/6 mice, islets prepared in 1.5-mm alginate capsules were able to restore blood-glucose control for up to 180 days.
    • 23. Bochenek MA, Veiseh O, Vegas AJ et al. Alginate encapsulation as long-term immune protection of allogeneic pancreatic islet cells transplanted into the omental bursa of macaques. Nat. Biomed. Eng. 2(11), 810–821 (2018).
    • 24. Lopez-Mendez TB, Santos-Vizcaino E, Pedraz JL, Orive G, Hernandez RM. Cell microencapsulation technologies for sustained drug delivery: latest advances in efficacy and biosafety. J. Control. Rel. 335, 619–636 (2021).
    • 25. Mridha ACL, Dargaville TR, Dalton PD et al. Prevascularized retrievable hybrid implant to enhance function of subcutaneous encapsulated islets. Tissue Eng Part A 28, 212–224 (2022).
    • 26. Germain M, Caputo F, Metcalfe S et al. Delivering the power of nanomedicine to patients today. J. Control. Rel. 326, 164–171 (2020).
    • 27. Li Y, An L, Lin J, Tian Q, Yang S. Smart nanomedicine agents for cancer, triggered by pH, glutathione, H(2)O(2), or H(2)S. Int. J. Nanomed. 14, 5729–5749 (2019).
    • 28. Mura S, Nicolas J, Couvreur P. Stimuli-responsive nanocarriers for drug delivery. Nat. Mater. 12(11), 991–1003 (2013).
    • 29. Zhao P, Zheng M, Luo Z et al. NIR-driven smart theranostic nanomedicine for on-demand drug release and synergistic antitumour therapy. Sci. Rep. 5(1), 14258 (2015). • A multiple functional smart theranostic nanomedicine system was established using noninvasive near-infrared light as the external stimulation. This system applied thermoresponsive lipids to control drug release, utilized fluorescent molecules to track nanosystems in real-time and a chemotherapeutic agent to treat cancer.
    • 30. Kim J, Jo Y-U, Na K. Photodynamic therapy with smart nanomedicine. Arch. Pharm. Res. 43(1), 22–31 (2020).
    • 31. Yang D, Ma PA, Hou Z, Cheng Z, Li C, Lin J. Current advances in lanthanide ion (Ln3+)-based upconversion nanomaterials for drug delivery. Chem. Soc. Rev. 44(6), 1416–1448 (2015).
    • 32. Jalani G, Tam V, Vetrone F, Cerruti M. Seeing, targeting and delivering with upconverting nanoparticles. J. Am. Chem. Soc. 140(35), 10923–10931 (2018).
    • 33. Lee G, Park YI. Lanthanide-doped upconversion nanocarriers for drug and gene delivery. Nanomaterials (Basel) 8(7), 511 (2018).
    • 34. Zhao L, Peng J, Huang Q et al. Near-infrared photoregulated drug release in living tumor tissue via yolk-shell upconversion nanocages. Adv. Funct. Mater. 24(3), 363–371 (2014).
    • 35. Liu J, Yang G, Zhu W et al. Light-controlled drug release from singlet-oxygen sensitive nanoscale coordination polymers enabling cancer combination therapy. Biomaterials 146, 40–48 (2017).
    • 36. Jalani G, Naccache R, Rosenzweig DH, Haglund L, Vetrone F, Cerruti M. Photocleavable hydrogel-coated upconverting nanoparticles: a multifunctional theranostic platform for NIR imaging and on-demand macromolecular delivery. J. Am. Chem. Soc. 138(3), 1078–1083 (2016).
    • 37. Wu X, Yan P, Ren Z et al. Ferric hydroxide-modified upconversion nanoparticles for 808 nm NIR-triggered synergetic tumor therapy with hypoxia modulation. ACS Appl. Mater. Interfaces 11(1), 385–393 (2019).
    • 38. Wang Y, Song S, Liu J, Liu D, Zhang H. ZnO-functionalized upconverting nanotheranostic agent: multi-modality imaging-guided chemotherapy with on-demand drug release triggered by pH. Angew. Chem. Int. Ed. Engl. 54(2), 536–540 (2015).
    • 39. Atluri R, Hedin N, Garcia-Bennett AE. Hydrothermal phase transformation of bicontinuous cubic mesoporous material AMS-6. Chem. Mater. 20(12), 3857–3866 (2008).
    • 40. Liu D, Xu X, Du Y et al. Three-dimensional controlled growth of monodisperse sub-50 nm heterogeneous nanocrystals. Nat. Commun. 7(1), 1–8 (2016).
    • 41. Gee A, Xu X. Surface functionalisation of upconversion nanoparticles with different moieties for biomedical applications. Surfaces 1(1), 96–121 (2018).
    • 42. Liu D, Xu X, Wang F et al. Emission stability and reversibility of upconversion nanocrystals. J. Mater. Chem. C 4(39), 9227–9234 (2016).
    • 43. Hinz B. Myofibroblasts. Exp. Eye Res. 142, 56–70 (2016).
    • 44. Tomei AA, Villa C, Ricordi C. Development of an encapsulated stem cell-based therapy for diabetes. Expert Opin. Biol. Ther. 15(9), 1321–1336 (2015).
    • 45. Johnson BZ, Stevenson AW, Prêle CM, Fear MW, Wood FM. The role of IL-6 in skin fibrosis and cutaneous wound healing. Biomedicines 8(5), 101, (2020).
    • 46. Nakashima K, Kanda Y, Hirokawa Y, Kawasaki F, Matsuki M, Kaku K. MIN6 is not a pure beta cell line but a mixed cell line with other pancreatic endocrine hormones. Endocr. J. 56(1), 45–53 (2009).
    • 47. Coll RC, Robertson AAB, Chae JJ et al. A small-molecule inhibitor of the NLRP3 inflammasome for the treatment of inflammatory diseases. Nat. Med. 21(3), 248–255 (2015).
    • 48. El-Sharkawy LY, Brough D, Freeman S. Inhibiting the NLRP3 inflammasome. Molecules 25(23), 5533 (2020).
    • 49. Mridha AR, Dargaville TR, Dalton PD et al. Prevascularized retrievable hybrid implant to enhance function of subcutaneous encapsulated islets. Tissue Eng. Part A 28(5-6), 212–224 (2022).
    • 50. Biernacka A, Dobaczewski M, Frangogiannis NG. TGF-β signaling in fibrosis. Growth Factors 29(5), 196–202 (2011).
    • 51. Fielding CA, Jones GW, Mcloughlin RM et al. Interleukin-6 signaling drives fibrosis in unresolved inflammation. Immunity 40(1), 40–50 (2014).
    • 52. Gao R, Shi H, Chang S et al. The selective NLRP3-inflammasome inhibitor MCC950 reduces myocardial fibrosis and improves cardiac remodeling in a mouse model of myocardial infarction. Int. Immunopharmacol. 74, 105575 (2019).
    • 53. Qu J, Yuan Z, Wang G, Wang X, Li K. The selective NLRP3 inflammasome inhibitor MCC950 alleviates cholestatic liver injury and fibrosis in mice. Int. Immunopharmacol. 70, 147–155 (2019).
    • 54. Mridha AR, Wree A, Robertson AAB et al. NLRP3 inflammasome blockade reduces liver inflammation and fibrosis in experimental NASH in mice. J. Hepatol. 66(5), 1037–1046 (2017).
    • 55. Wang W, Wang X, Chun J et al. Inflammasome-independent NLRP3 augments TGF-β signaling in kidney epithelium. J. Immunol. 190(3), 1239–1249 (2013).
    • 56. Alyaseer AAA, De Lima MHS, Braga TT. The role of NLRP3 inflammasome activation in the epithelial to mesenchymal transition process during the fibrosis. Front. Immunol. 11, 883–883 (2020).
    • 57. Yamada D, Kobayashi S, Wada H et al. Role of crosstalk between interleukin-6 and transforming growth factor-beta 1 in epithelial–mesenchymal transition and chemoresistance in biliary tract cancer. Eur. J. Cancer 49(7), 1725–1740 (2013).
    • 58. Srivastava A, Sharma H, Khanna S et al. Interleukin-6 induced proliferation is attenuated by transforming growth factor-β-induced signaling in human hepatocellular carcinoma cells. Front. Oncol. 11, 811941 (2022).
    • 59. Luckett-Chastain LR, Gallucci RM. Interleukin (IL)-6 modulates transforming growth factor-beta expression in skin and dermal fibroblasts from IL-6-deficient mice. Br. J. Dermatol. 161(2), 237–248 (2009).
    • 60. Li MO, Wan YY, Sanjabi S, Robertson A-KL, Flavell RA. Transforming growth factor-β regulation of immune responses. Annu. Rev. Immunol. 24(1), 99–146 (2006).