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Article history: The synthetic polymer vectors in gene therapy have opened a very prospective field for research in gene
Received 9 October 2008 therapy and the area in the use of these synthetic polymers as vectors in targeting oncogenes is develop-
Accepted 14 January 2009 ing very fast. With the completion of Human Genome Project, the list of genetic targets is growing very
fast. These diseases sparked the initiative to create such gene based therapeutics. The low levels of trans-
fection and expression of the gene held non-viral methods are at a disadvantage; however, recent
Keywords: advances in vector technology have yielded molecules and techniques with transfection efficiencies, sim-
Polymeric vectors
ilar to those of viruses. Amongst these synthetic polymers, polyethylenimine (PEI) and the poly(amido-
Gene therapy
Non-viral therapy
amine) (PAMAM) dendrimers and poly(b-amino ester) are used extensively as vectors in gene therapy.
pDNA Ó 2009 Elsevier Ltd. All rights reserved.
1. Introduction ronments, enter the new target cell, navigate to the cell nucleus,
and initiate expression of its genome-albeit for the purpose of
Gene therapy may be defined as the treatment of human dis- self-replication. Viruses can be transformed into gene delivery
ease by the transfer of genetic material into specific cells of the vehicles by removing part of the virus genome and replacing it
patient [1]. The advances in molecular biology and biotechnology with a therapeutic gene. If done carefully, the resulting recombi-
of the last 30 years have greatly enhanced the understanding of nant virus will retain the functions essential for infection of spe-
the genetics of pathogenesis and have led to the identification of cific target cells, but will be rendered incapable of replication
numerous disease-causing genes. With the impending completion and, hence, will be nonpathogenic. The viruses evolved essentially
of the Human Genome Project, the list of genetic disease targets is are sophisticated gene delivery vehicles and such recombinant
likely to grow tremendously. It is not difficult to predict treatment viral vectors are incredibly efficient.
of genetic diseases such as hemophilia [2], muscular dystrophy Although viruses are incredibly efficient gene delivery agents,
[3–5], or cystic fibrosis [6] through replacement of errant genes synthetic vectors provide opportunities for improved safety, greater
within the affected cells. However, the gene therapy approaches flexibility, and more facile manufacturing. In general, synthetic
are also being developed for treatments of virtually all forms of vectors are materials that bind electrostatically to DNA or RNA,
cardiovascular diseases [7], neurological diseases [8–10], infectious condensing the genetic material into nanometer-scale complexes
diseases [11], wound healing [12], and cancer [13–15]. In these in- (a few tens to several hundred nanometers in diameter) that pro-
stances, the delivered genes may be intended to augment naturally tect the genes and allow them to enter cells. Such materials have
occurring proteins (e.g growth factors or cytokines), to alter the included cationic peptides, proteins, polymers, and liposomes. Var-
expression of existing genes facilitating a desired cellular or tissue ious synthetic vectors, including (diethylamino)ether (DEAE)-dex-
response, or to produce cytotoxic proteins or pro-drug-activating tran [18] and calcium phosphate [19], have been used extensively
enzymes, for example, to kill tumor cells in the cancer treatment for in vitro gene transfer studies since 1960s. However, develop-
[13,15] or proliferating endothelial cells to inhibit restenosis ment of non-viral vectors for in vivo gene delivery, especially clin-
following balloon angioplasty [7,16]. The expression of viral genes ical applications, has suffered from problems including toxicity,
within certain tissues can also result in an efficient immune low gene transfer efficiency, and in vivo instability. Despite the
response, leading to the development of DNA vaccines [17]. high efficiency of viral vector in vitro, clinical trials are often lim-
The gene carriers for these systems are of two kinds: one based ited by several concerns, e.g. toxicity, immunogenicity, inflamma-
on recombinant viruses and another based on synthetic polymers. tory properties, the limited size of the DNA, production and
The primary function of a virus is to efficiently carry its own gen- packing problems, and the high cost. In addition, an overwhelming
ome from one host cell to another through (perhaps) hostile envi- immune reaction against adenovirus occurred in a patient at Penn-
sylvania University in 1999 [20,21] and a leukemia-like disease
* Corresponding author. were reported in a French patient in 2002 [22,23] As a result,
E-mail address: ppk923@yahoo.com (P.P. Kundu). non-viral vector-mediated systems have become of interest,
1359-0286/$ - see front matter Ó 2009 Elsevier Ltd. All rights reserved.
doi:10.1016/j.cossms.2009.01.005
90 P.P. Kundu, V. Sharma / Current Opinion in Solid State and Materials Science 12 (2008) 89–102
because they are much safer, more cost-effective, and easier to the ‘‘external/extrinsic” conditions of the microenvironment, such
manufacture than viral vector systems. as: (vi) the ionic strength of the polyplex solution; (vii) the concen-
Non-viral vectors for gene delivery are receiving increasing tration and (viii) positive/negative charge ratios of polymer and
attention for application in a broad variety of gene-mediated ther- DNA; and (ix) the technical process of polyplex formation (i.e.
apies for humans. Chemical vectors are attractive to the pharma- kinetically vs. thermodynamically controlled process) strongly
ceutical industry as alternatives to viral vectors, because of influence the polyplex formation. The latter extrinsic factors pro-
compound stability and easy chemical modification. Furthermore, vide some flexibility in selecting the most appropriate conditions
the low cost and consistent standard of production (compared to for polyplex formation. However, it has to be kept in mind that
growth of viruses in bioreactors followed by purification), higher finally upon administration the physiological environment will
bio-safety (less immunogenic as compared to viruses such as dictate the stability and fate of polyplexes; therefore the proper
adenoviruses), and a high flexibility (once a formulation has been intrinsic polymer characteristics in DNA binding and polyplex for-
defined) make these compounds very attractive [24,25]. mation are the dominating issues. In regard to the required num-
To design the optimal non-viral vector for particle-mediated ber of positive polymer charges, systematic studies demonstrated
gene delivery, it must be able to partially fulfill a number of prede- that a minimum length of six to eight cationic amino acids (lysine,
fined biological criteria depending on its specific therapeutic aim. arginine) is required to compact DNA into polyplex structures,
First, the vector must be able to transfer DNA molecules of varying active in gene delivery in vitro [38].
sizes. Second, the vector should be able to transducer dividing and/ The number is presumably higher when in vivo application is
or non-dividing cells, depending on the target cell type. Third, the considered. DNA binding can be driven by application of higher
vector should target a specific cell type. Fourth, the vector should polymer to DNA charge ratios. This can be nicely monitored by aga-
have no or very low toxicity in vivo and avoid stimulating the rose gel retardation assay or ethidium bromide exclusion assay
immune system. Fifth, depending on the therapeutic application, [39]. Depending on the size and affinity of the polycation, this
the vector should be able to induce a sustained expression over a may also result in increased net positive polyplex charge, which
defined period of time (optionally integrating into the host gen- promotes cellular uptake and transfection efficiency. However, this
ome) and, finally, the vector must not transform the target cell. also results in toxicity, due to destabilization and loss of integrity
of cellular membranes, and the presence of excess free polycation.
2. Polymer characteristics required for gene delivery In addition, the excess positive charge on the polycations may hin-
der the transfection efficiency because unpacking of the complexes
For effective polyplex-mediated gene delivery, the cationic and release of the DNA is difficult to achieve if the binding is very
polymer carrier has to fulfill a series of drug delivery functions in strong, which results in a low transfection efficiency [40]. The
the extracellular and intracellular transport of the DNA vector influence of charge group type [41] and spacing [42] was evaluated
(see Fig. 1). The polymer has to compact DNA into particles of by Davis and colleagues in a carbohydrate-containing polycation
virus-like dimensions that can migrate through the blood circula- series. They demonstrated that both the distance between the
tion into the target tissue, it has to protect the DNA from degrada- carbohydrate unit and the charge groups in the backbone, and also
tion and against undesired interactions with the biological the types of amino group (quaternary amines vs. amidine group)
environment, to facilitate target cell binding and internalization are the primary factors that influence the carrier’s transfection effi-
[26–30], ideally in a target cell specific manner [31,32], endosomal ciency in vitro.
escape [33], trafficking the cytoplasmic environment [34], and
localizing into the nucleus [35,36] as well as vector unpacking 3. Polymers vectors
[37]. In addition, the polymer should be nontoxic, non-immuno-
genic, and biodegradable. In reality, no polymer is able to carry Many types of polymers have been specifically designed for use
out all the extracellular and intracellular delivery functions; there- as gene delivery vectors. In many cases, the polymers were de-
fore additional functional elements have to be included into the signed to address one of the perceived gene delivery barriers; for
polyplex formulation (see Fig. 1). example, DNA packaging and stability in vivo, biocompatibility,
Factors influencing DNA binding affinity which are inherent to and endosomal escape have been used as design criteria. The
the chemical structure of the polymer (intrinsic properties) are: results of such studies have been mixed, with some polymers per-
(i) the number of charge groups per single polymer; (ii) the type forming as well as, or even slightly better than, polyethylenimine
of charge groups (e.g. primary, secondary, quaternary amino (PEI) and the poly(amidoamine) (PAMAM) dendrimers. The differ-
groups, amidine groups); (iii) the spacing of charge groups within ent synthetic polymers used for non-viral delivery are discussed
the polymer; (iv) the degree of branching in the polymer back- hereunder.
bone; and (v) hydrophobicity of the cationic carrier. In addition,
3.1. Polyethylenimine (PEI) based vectors
Blessing et al. [51] synthesized a conjugate of PEI covalently expression than polymers with more HEEI. There was increase in
modified with epidermal growth factor (EGF) peptides. EGF recep- transfection efficiency, which was correlated with higher ability
tor is an attractive therapeutic target for tumor targeting due to its of DNA binding and condensation and formation of the small sized
high percentage in human carcinomas. They found it very useful complexes. It was also observed that the polymer structure also
for the high transfection ability with lower DNA doses, which is influenced the basicity and protonation of copolymers and lead
very essential for in vivo applications. These EGF containing DNA to different DNA binding, complex size, cytotoxicity and transfec-
complexes were specifically taken by the EGF receptor-mediated tion efficiency.
endocytosis pathway. The reversibly cross-linked PEI was used The improvement in the stability of the polycationic vectors by
for non-viral gene transfer by Lee et al. [52]. They successfully dextran-grafted branched PEI was reported by Tseng and Jong [55].
administered in vitro gene delivery of primary amines [dithi- Dextrans of molecular weight 10,000 (dex-10,000) and 1500 (dex-
obis(succinimidylpropionate) (DSP) or dimethyl-3,30 -dithiobispro- 1500) were used to produce various degrees of grafting on linear
pionimidate.2HCl (DTBP)] cross-linked PEI to Chinese hamster and branched PEI, and the dextran-grafted polymers were used
ovary (CHO) cells. The transfection efficiencies were evaluated in to prepare DNA–polymer complexes. The changes in size and in
CHO cells by using a luciferase reporter gene under a cytomegalo- f-potential and the extent of DNA release after the exposure of
virus (CMV) promoter. The proposed transfection scheme using the complexes to bovine serum albumin (BSA) were used to evalu-
reversibly cross-linked low molecular weight PEI is shown in ate the stability of the complexes prepared at various ratios of DNA
Fig. 2. The scheme also shows the endocytosis and subsequent to polymer. Only the use of dextran-grafted branched PEI was
endosome release and the intracellular reduction of polymer disul- found to be effective to improve the stability of the complexes in
fide bonds leads to the release of DNA for the nuclear uptake and the presence of BSA. Dex-10,000 was noted to provide a slightly
transcription. The cross-linking of low molecular weight PEI with better shielding than dex-1500 against the aggregation caused by
homobifunctional amine reactive cross-linking agents to form high BSA and helped to maintain the sizes within 200 nm and the
molecular weight conjugates resulted in effective transfection of f-potentials close to neutral. Fig. 3A and B showed the extent of
CHO cells in vitro. It is observed that the DSP–PEI conjugates out- DNA being condensed by the dex-g-PEI. When DNA was condensed
perform the DTBP-PEI conjugates at similar cross-linking ratios. after the addition of polymer, the intercalating dye was excluded
The star-block copolymers were reported via a facile synthetic out of the DNA double helix, causing a reduction in fluorescence
route using hexamethylene diisocyanate as linker between intensity [56]. The percentage of uncondensed DNA was calculated
poly(ethylene glycol) (PEG) and PEI blocks by Kissel and coworkers as the fluorescence intensity after the addition of polymer divided
[53]. They first characterized the block copolymers obtained via by that before the addition of polymer. When N/P ratio exceeded 6,
NMR, FTIR, TGA, DSC, capillary viscometry, and size exclusion chro-
matography coupled with multiple angle laser light scattering
(SEC-MALLS). The copolymer–DNA complexes were also character-
ized via atomic force spectroscopy (AFM), dynamic light scattering
(DLS), laser Doppler (LDA), and DNA condensation assay tech-
niques. Kissel and coworkers [54] also synthesized copolymers of
PEI and N-(2-hydroxyethyl)-ehylene imine (HEEI) to study the
effect of the polymer structure on the physicochemical and biolog-
ical properties of DNA complexes. Polymers with a higher PEI con-
tents and hence higher branching yielded higher reporter gene
Table 1
Polymer characteristics associated with dendrimers heated to the point of highest transfection activity.a
Dendrimer Heating Measured relative Computed % amide Initial Computed final Initial Computed final Computed net Computed Computed
time (h)b amine contentc bonds cleaved molecular (kD) molecular (kD) molecule molecule molecule flexibility (vol/wt) % defects
5-TAEA 8 0.93 13 21 18.3 96 77 69 6.9 5
6-TAEA 10 0.83 35 43 28.5 192 107 80 7.6 10
6-EDA 12 0.76 50 58 28.9 256 97 57 7.5 13
8-EDA 20 0.62 70 233 70.1 1024 190 41 7.4 17
a
Dendrimers of various initial size were heat treated, dialyzed against water, then assayed for primary amine content. The amine content for each dendrimer, relative to
that of its intact counterpart, was used to determine the extent of degradation based on the fractured dendrimer model, and thus, the model parameters.
b
Heating time at which maximum activity was observed.
c
Amine content by weight relative to the corresponding intact dendrimer as determined by ninhydrin assay.
P.P. Kundu, V. Sharma / Current Opinion in Solid State and Materials Science 12 (2008) 89–102 95
Table 2
Calculated parameters for dendrimers deliberately synthesized with defectsa.
% Defects Measured relative Theor. relative Computed % Theor. 1° Theor. % Theor. Molecular Hydrodynamic Theor. flexibility
amine contentb amine contentc defects incorporatedd amines/moleculec amides remainingc weight (kD)c diameter (Å)e parameter (vol/wt)c
0 1 1 0 192 100 43.2 64 5
8 0.9 0.85 6 116 69 30.7 59 7
17 0.76 0.7 13 63 53 20.4 56 10.6
33 0.13 0.42 36 17 22 9.2 45 23.5
a
Proportion of defective monomer (N,N-dimethylacrylamide) added during the synthesis.
b
Amine content by weight relative to the intact dendrimer as determined by ninhydrin assay.
c
Theoretical values as determined by the proportion of defects introduced at each generation (e.g., the number of primary amines per molecule for the 8% 6-TAEA defective
dendrimer is 192_ (0.92).
d
Calculated parameter value.
e
Determined by size exclusion chromatography.
amino]-ethyl ester) (pDAMA). pDAMA has a low toxicity, but also The transfection ability of the PIC micelles toward 293 cells was
very low transfection activity. The addition of a membrane-disrup- remarkably enhanced with an increasing N/P ratio as high as 25.
tive peptide considerably increased the transfection efficiency. This The f-potential of the micelles with a high N/P ratio was an appre-
indicated that the pDAMA polyplexes alone were not able to medi- ciably large positive value, suggesting a non-cooperative micelle
ate escape from the endosomes via the proton sponge mechanism, formation. This deviated micellar composition with an excess cat-
which implied that the proton sponge hypothesis was not always ionic nature as well as the presence of free acetal-PEG-PAMA may
applicable for polymers with buffering capacity at low pH. play a substantial role in the enhanced transfection efficiency of
Brushed polymers composed of a backbone of poly(hydroxy- the PIC micelle system in the high N/P ratio (25) region.
ethyl methacrylate) (pHEMA) onto which poly(2-(dimethylamino) Wagner et al. [77] synthesized gene carriers based on hexane-
ethyl methacrylate)s (pDMAEMAs) was grafted via a hydrolyzable diol diacrylate linked oligoehylenimine and correlated their struc-
linker were synthesized and evaluated as non-viral gene delivery ture with biological properties. They synthesized two polycations
vectors [75]. Both pDMAEMA and pHEMA polymers with con- by applying different reaction temperatures, 20 °C (LT-OEI-HD)
trolled molecular weights and narrow distributions were synthe- and 60 °C (HT-OEI-HD). Their structural properties were analyzed
sized by controlled atom transfer radical polymerization (ATRP) by NMR, FTIR, and SEC/MALLS (size exclusion chromatography
(Fig. 7). The azide initiator was used to ensure complete and mono- coupled with multi-angle laser light scattering detection). Reaction
azide functionalization of the pDMAEMA polymer chains. Click temperature strongly influenced molecular weight and ester/amide
reaction between pHEMA with alkyne side groups and the azide ratio and thus resulted in polycations with different biological
end group in the pDMAEMA resulted in a high-molecular-weight activities and degradation profiles. LT-OEIHD was an ester-based
polymer composed of low-molecular-weight constituents via an polycation of 8.7 kDa which degraded rapidly at pH 7 and pH 9,
easily degradable carbonate ester linker. The length of the pDMA- respectively. HT-OEIHD had a molecular weight of 26.6 kDa, was
EMA grafts as well as the number of grafts of the brushed pHEMA– mainly based on amides, and degraded more slowly than LT-OEIHD.
pDMAEMA can be easily varied. At physiological conditions (pH 7.4 Both polymers mediated gene transfer as efficiently as linear PEI of
and 37 °C), the brushed polymer degraded by hydrolysis of the car- 22 kDa in two cell lines while being less toxic at their optimal
bonate ester with a half-life of 96 h. The molecular weights of the conjugate/plasmid (C/P) ratios. LT-OEI-HD needed higher C/P ratios
formed degradation products was very close to that of the starting for gene delivery; however, it was significantly less toxic than
pDMAEMA, which was likely below the renal excretion limit HT-OEI-HD.
(<30 kDa). It was shown that the degradable brushed pHEMA– Too and coworkers [78] correlated transfection barriers and bio-
pDMAEMAs were able to condense plasmid DNA into positively physical properties of cationic polymethacrylates quantitatively to
charged nanosized particles. The resulting polyplexes were able the amounts of cellular accumulation of pDNA and to the expres-
to transfect cells efficiently in the presence of the endosomal mem- sion of mRNA by quantitative real-time polymerase chain reaction
brane disrupting INF-7 peptide, and all these degradable polymers (real-time PCR). They used three polymers namely poly(dimethyl-
showed lower cellular toxicity compared to a high-molecular- amino) ethyl methacrylate (PDMA) homopolymer, PEO-b-PDMA
weight pDMAEMA reference. On the other hand, the low-molecu- copolymer, and PEO-b-poly(diethylamino) ethyl methacrylate
lar-weight pDMAEMA used for the grafting to pHEMA was neither (PEO-b-PDEA) copolymer. Despite their similar chemical structures,
able to condense the structure of DNA nor able to transfect cells. the transfection efficiencies were significantly different. PEO-
Kataoka et al. [76] synthesized polyion complex (PIC) micelles of b-PDEA copolymer was significantly less efficient as gene carrier
acetal-poly(ethylene glycol)-poly(2-(dimethylamino) ethyl meth- as compared to both PDMA and PEO-b-PDMA. Correlations between
acrylate) (acetal-PEG-PAMA) block copolymer and pDNA and stud- cytotoxicity, cellular uptake of plasmid DNA, expression levels of
ied their physicochemical properties and gene transfer efficiency. transgene, and protein, and the physical properties of the polymers
They observed that with the increasing N/P ratio to unity, acetal- were observed. With the PEO-b-PDEA studies, cytotoxicity was due
PEG-PAMA cooperatively formed complex micelles with pDNA primarily to the excess of polymers that did not participate in the
through electrostatic interaction, allowing pDNA to condense effec- DNA binding.
tively. Dynamic light scattering measurements revealed that the Block copolymers poly(2-(dimethylamino) ethyl methacrylate)-
PIC micelle at N/P P3 had a constant size of approximately b-poly(polyethylene glycol methacrylate) (PDMAEMA-b-P(PEGMA))
90–100 nm. Eventually, it was also observed that the acetal-PEG- were synthesized via reversible addition fragmentation chain
PAMA/pDNA micelles underwent no precipitation even after long- transfer polymerization (RAFT) [79]. The cross-linked micelles
term storage for more than 1 month at all N/P ratios. The PIC were found to have no toxic effects on the cell line L929, while
micelles were stable even in the presence of excess polyanions, PDMAEMA strongly inhibited cell growth, leading to substantial
poly(vinyl sulfate), in contrast to polyplexes based on the PAMA cell death. The acid degradable methacrylamide based non-viral
homopolymer, yet this stabilization effect was highly dependent gene carriers were reported by Kwon et al. [80]. These nanoparti-
on the N/P ratio to reach a plateau at N/P = 3–4. Furthermore, the cles based carriers showed efficient DNA release upon hydrolysis,
pDNA in the micelle was adequately protected from DNase I attack. and enhanced in vitro and in vivo transfection efficiency. It was also
96 P.P. Kundu, V. Sharma / Current Opinion in Solid State and Materials Science 12 (2008) 89–102
Fig. 7. (a) ATRP of 2-(dimethylamino)ethyl methacrylate (DMAEMA) using N3-functionalized initiator in dichlorobenzene (DCB); (b) pHEMA with side chain of alkynes; (c)
Click chemistry to form degradable brushed pHEMA–pDMAEMA.
observed that the highly versatile nanoparticles can be used for diacrylates (Fig. 9) [82–84]. An initial screen of model polymers
DNA vaccination via size-dependent targeting of phagocytic cells. identified these materials as potential gene carriers and demon-
The properties of these nanoparticles such as acid degradability, strated that structural variations could have a significant impact
surface charges, and types of cargo (e.g., siRNA, miRNA, and oligo- on DNA binding and transfection efficacies [82,85–87].
deoxynucleotides) can easily be tuned for specific applications, and The amino-esters based polymer vector has numerous advanta-
the targeting and imaging modalities can also be conjugated with ges over other polymer vectors such as (1) diamine and diacrylate
these nanoparticles to achieve targeted delivery, as well as com- monomers are inexpensive, commercially available starting mate-
bined imaging and gene therapy. rials, (2) polymerization in a single synthetic step reaction, and (3)
no byproducts are generated during polymerization. Poly(b-amino
3.4. Poly(amino-esters) based polymer vectors esters) (PBAEs) are promising compared with PEI due to their
biodegradability via hydrolytically degradable ester groups, their
Prof. Langer’s group at MIT developed a large library of poly- reduced cytotoxicity, their ability for triggered DNA release within
(b-amino esters) (PBAEs) based on parallel synthesis using differ- the cell, and their potential for structural diversity [88]. Initial
ent classes of amines and diol-diacrylates, and these were tested studies of this class of polymer showed that by varying synthesis
for gene delivery applications [81–83]. By using high-throughput conditions the polymer molecular weight can be varied from
synthesis techniques, they created libraries of over 2200 structur- 2000 to 50,000 Da [89]. In physiological conditions, these polymers
ally unique poly(b-amino esters) (PBAEs). Diacrylate monomers have a degradation half-life on the order of hours, but this is slo-
(letters) and amine monomers (numbers) used to synthesize wed considerably at a pH of 5 or when the polymers electrostati-
PBAEs. are shown in Fig. 8. PBAEs are hydrolytically degradable, cally condense DNA and form nanoparticles [81–83].
condense plasmid DNA at physiological pH, and are readily synthe- Investigative studies on the proton sponge mechanism and
sized via the conjugate addition of primary or secondary amines to endosomal release by Akinc et al. [83,84] also revealed that PBAEs
P.P. Kundu, V. Sharma / Current Opinion in Solid State and Materials Science 12 (2008) 89–102 97
Fig. 8. Diacrylate monomers (letters) and amine monomers (numbers) used to synthesize PBAEs.
can successfully buffer the endosomal compartment, similarly to determined that the majority of PBAE/DNA particles were limited
PEI. A library of 140 PBAEs composed of 7 diacrylate monomers by poor cell uptake, two of the polymers had high uptake and med-
and 20 amine monomers was synthesized in parallel and screened iated gene delivery 4- to 8-fold higher than PEI, comparable to the
for gene delivery efficacy [82,83]. In general, the best performing efficacy of Lipofectamine 2000. These studies demonstrated the
complexes were found to have effective diameters smaller than utility of using parallel synthesis and screening of a polymer
250 nm and positive f-potentials in 10 mM HEPES buffer. It was library to identify novel gene delivery polymers with efficacy
98 P.P. Kundu, V. Sharma / Current Opinion in Solid State and Materials Science 12 (2008) 89–102
greater than PEI. PBAEs that were poor transfection agents failed transfection efficiency of the network poly(amino ester), (n-PAE),
for a variety of reasons [83]. with PEI. There was a marked difference in the cytotoxicity of
Some polymers were simply not sufficiently water soluble, the polymers. The majority of PEI-transfected cells were granu-
while others were unable to electrostatically bind DNA tightly en- lated and dead, whereas most of the cells transfected with n-PAE
ough to prevent its movement during gel electrophoresis. The were viable and healthy. In addition to this, the n-PAE-mediated
polymers which could bind DNA, many of them formed particles transfection was also very efficient in the presence of serum.
with low cellular uptake. Some particles caused too high toxicity
even they had sufficient cellular uptake. Two leading PBAEs were 3.5. Poly(ethylene glycol) based polymer vectors
further optimized by varying polymer molecular weight, polymer
end group, and polymer to DNA weight ratio [90–92]. Interestingly, PEG is very useful because of its ease of preparation, relatively
it was also discovered that polymers terminated with diacrylate low cost, controllable molecular weight and the ability to link it to
monomers were unable to deliver DNA to cells, unlike the nearly lipids or protein (including antibody) by a variety of methods. PEG
identical polymers that were terminated with amine monomers in- is the polymer of choice for protein modification because it possesses
stead. Zugates et al. [93,94] used one step reaction to conjugate 12 several favorable properties such as the lack of immunogenicity,
new amino monomers and three diacrylate terminated base poly- antigenicity, and toxicity, and a high solubility in water and in many
mers. These newly synthesized amino-esters were studied for the organic solvents. PEG is also approved by the FDA for human use.
effect of the modification on the properties of these polymers for Common reasons for the PEGylation of a drug are to reduce its excre-
gene delivery. In another study, the end groups were modified by tion by the kidneys, to avoid or reduce its degradation by proteolytic
the two-step approach; the first step involved preparation of an enzymes and/or hydrolytic media, to enhance its water solubility
acrylate-terminated polymer followed by the second step of post (for highly hydrophobic molecules), to reduce its reticuloendothelial
polymerization amine-capping to generate end-functionalized (RES) clearance, and to reduce its immunogenicity and antigenicity
polymers [95]. It is observed that the in vitro transfection levels (mainly for peptides and proteins) [100–105]. Furthermore, for
can be increased by 30% and the optimal polymer/DNA ratio low- small drugs, polymer conjugation may yield improved and more
ered 5-fold by conjugation of the appropriate end group. The most convenient biodistribution, selected cellular uptake [106–108] or,
effective modifications were made by grafting primary diamine through tailor-made chemistry, a triggered drug release or targeting
molecules to the chain end. into specific organs or cells [109].
Prof. Langer’s lab also used the best performing amino-ester Modification of polyplexes with poly(ethylene glycol) (PEG), typ-
based polymer (C32) for gene therapy in the treatment of cancer ically grafted onto the polymer as a brush, can stabilize polyplexes
[96]. The best performing amino-ester polymer (C32) was tested against salt, protein, and complement-induced inactivation
in mice for toxicity and DNA delivery after intratumor and intra- [110,111]. The increased stability due to PEGylation is presumed to
muscular injection. C32 delivered DNA intratumorally 4-fold better result from steric effects, leading to a decreased particle–particle
than one of the best commercially available reagents, jetPEI (poly- and particle–protein interactions. The effect depends on the PEG
ethyleneimine), and 26-fold better than naked DNA. In the same molecular weight, the grafting density, and the method of attach-
lab, poly amino-ester containing microparticles were used to in- ment of PEG to the polymer [110,112]. Langer et al. [113] synthe-
crease the efficiency of the non-viral genetic vaccines [97]. These sized PEG-polyhistidine conjugates to evaluate the material as
formulations generated an increase of 3–5 orders of magnitude potential gene delivery vehicles. Two conjugate architectures
in transfection efficiency and were potent activators of dendritic (comb-shaped and linear A–B block copolymers) were synthesized
cells in vitro. When these were used as vaccines in vivo, these and formulated with plasmid DNA. The complexes were character-
microparticle formulations, unlike conventional formulations, in- ized with respect to DNA complexation capacity, hydrodynamic
duced antigen-specific rejection of transplanted syngenic tumor diameter, f-potential, in vitro cytotoxicity and transfection capacity
cells. in a model cell line. PEG content of the conjugate significantly influ-
Park et al. [98] synthesized biodegradable cross-linked poly- enced the hydrodynamic diameter of the DNA: conjugate composite
(b-amino ester) (CLPAE) by Michael addition of pentaerythritol tri- in aqueous solution. For comb-shaped conjugates, steric hindrance
acrylate and N,N-dimethylethylenediamine and modified with attributed to PEG led to a direct relationship between the PEG con-
aminohexanoic acid and lysine to CLPAE-Ahx and CLPAE-Lys, tent and the complex size. Both architectures could condense plas-
respectively, for a gene delivery system. The polymers showed mid DNA into complexes with hydrodynamic diameters <150 nm.
minimal cytotoxicity on 293 cells due to their biodegradability Complexation of DNA with the PEG-polyhistidine conjugates re-
and biocompatibility. Transfection efficiencies of CLPAEAhx and sulted in nanocomposites with negative zeta potentials that re-
CLPAE-Lys were comparable to that of PEI in 293 cells and C2C12 tarded DNase I mediated hydrolysis, and all conjugates showed a
cells. Additionally, high transfection of CLPAEAhx on primary rat low cytotoxicity to macrophages cultured in vitro. The transfection
aorta vascular smooth muscle cells (SMC) and primary mouse efficiency was approximately equivalent to DNA-polylysine
embryonic fibroblast (MEF) cells showed a potential for a gene complexes.
delivery system on primary cells, restenosis treatment of human Yin et al. [114] reported the synthesis of poly(ethylene glycol)-
SMC, and MEF cells. Park and coworkers [99] also compared the poly(n-butyl cyanoacrylate) nanocapsules with oil core via mini-
P.P. Kundu, V. Sharma / Current Opinion in Solid State and Materials Science 12 (2008) 89–102 99
emulsion polymerization. The nanocapsules were synthesized derivatives [119], aliphatic ionenes [120], polyvinyl derivatives
through miniemulsion polymerization of butylcyanoacrylate (BCA) [121], etc. These polymers showed promising properties for gene
with PEG as initiator. The particle size and the f-potential of nano- delivery. Poly(4-vinylimidazole) was studied as gene carrier by
capsules were influenced by the PEG content in the polymerization Cho et al. [117] and they found that this polymer showed high
system. Fourier transform infrared (FTIR) spectra and 1H NMR dem- transfection efficiency through the proton sponge mechanism of
onstrated the chemical coupling between PEG and poly(butylcyano- imidazole groups. Kissel and coworkers [118] reported the bio-
acrylate) (PBCA). Thermal characteristics of the copolymer were physical and transfection studies of an amine modified poly(vinyl
investigated by differential scanning calorimetry (DSC). The encap- alcohol) for gene delivery. The resulting polymers were character-
sulation efficiency increased concurrently with the increase of PEG ized using NMR, thermogravimetric analysis (TGA), and gel perma-
content in the system. The hemolytic assay and the cytotoxicity tion chromatography (GPC). Atomic force microscopy (AFM),
measurement showed that the PEG coating could significantly dynamic light scattering photon correlation spectroscopy (PCS),
reduce the hemolytic potential and cytotoxicity of the nanocapsules. and f-potential were used to investigate polyplexes of DNA with
Nagasaki and coworkers [115] prepared a novel ABC triblock copoly- PVA copolymers. These studies suggested an influence of the poly-
mer for constructing a pH-responsive and targetable non-viral gene cation structure on the morphology of condensed DNA in polyplex-
vector. The copolymer, lactosylated poly(ethylene glycol)-block- es. Significant differences were observed by changing both the
poly(silamine)-block-poly[2-(N,N-dimethylamino)ethylmethacry- degrees of amine substitution and the structure of the PVA back-
late] (Lac-PEG-PSAO-PAMA), consists of lactosylated poly(ethylene bone, demonstrating that both electrostatic and hydrophobic inter-
glycol) (A-segment), a pH-responsive polyamine segment (B-seg- actions affected DNA condensation. DNA condensation measured
ment) and a DNA-condensing polyamine segment (C-segment). by an ethidium bromide intercalation assay showed a higher de-
The Lac-PEG-PSAO-PAMA spontaneously associated with plasmid gree of condensation with pDNA with increasing degrees of amine
DNA (pDNA) to form three-layered polyplex micelles with a substitution and more hydrophobic functional groups. These find-
PAMA/pDNA polyion complex (PIC) core, an uncomplexed PSAO ings were in line with transfection experiments, in which a good
inner shell, and a lactosylated PEG outer shell, as confirmed by 1H uptake of these polymer–DNA complexes was noted with little
NMR spectroscopy. Under physiological conditions, the Lac-PEG- endosomal escape. Co-administration of chloroquine resulted in
PSAO-PAMA/pDNA polyplex micelles prepared at an N/P (number an increased endosomal escape and higher transfection efficien-
of amino groups in the copolymer/number of phosphate groups cies, due to disruption of the endosomal membrane.
in pDNA) ratio above 3 were found to be able to condense pDNA, Boussif et al. [119] used polyallylamine derivatives for gene
thus adopting a relatively small size (<150 nm) and an almost neu- delivery. They found that its ability to mediate gene transfer into
tral surface charge (f+5 mV). The micelle underwent a pH-in- cells increased by several orders of magnitude. Transfection effi-
duced size variation (132.6 nm for pH 7.4 and 181.8 nm for pH ciency was found to be dependent on the substitution level of ami-
pH 4.0). This is due to the conformational changes (globule-rod no groups and reached a highest levels in the presence of
transition) of the uncomplexed PSAO chain in response to pH, lead- lysosomotropic and/or fusogenic agents. At optimal conditions,
ing to swelling of the free PSAO inner shell at lowered pH while glycolylated PAM was shown to be as efficient as the linear PEI
retaining the condensed pDNA in the PAMA/pDNA PIC core. Fur- of 22 kDa. Langer et al. [120] used aliphatic ionenes as gene deliv-
thermore, the micelles exhibited a specific cellular uptake into ery agents and elucidated the structure-function relationship. The
HuH-7 cells (hepatocytes) through asialoglycoprotein (ASGP) ionene fractions and their polyelectrolyte complexes (PEC) with
receptor-mediated endocytosis and achieved a far more efficient DNA were studied using physicochemical and biological methods.
transfection ability of a reporter gene compared to the Lac-PEG- Ionene polymers were shown to possess low cytotoxicity (minimal
PSAO/pDNA and Lac-PEG-PAMA/pDNA polyplex micelles com- viability of the P388D1 murine macrophage cells was 80%). Degree
posed of the diblock copolymers and pDNA. of polymerization (DP) and charge density of the ionenes were
Li et al. [116] synthesized acid labile block copolymers based on shown to be factors of effective control of PEC dissolution in
poly(ethylene glycol) and poly(2-(dimethylamino)ethyl methacry- water-salt solutions. Rolland et al. [121] used polyvinyl derivatives
late) segments connected through a cyclic ortho ester linkage. as novel interactive polymers for controlled gene delivery to mus-
PEG-a-PDMAEMA condensed with plasmid DNA formed polyplex cle. A pDNA, containing a cytomegalovirus (CMV) promoter and a
nanoparticles with an acid-triggered reversible PEG shield. The galactosidase reporter gene (CMV-beta-gal), was injected either
pH-dependent shielding/deshielding effect of PEG chains on the in saline or formulated in polyvinyl pyrrolidone (PVP) and polyvi-
polyplex particles were evaluated by f-potential and size measure- nyl alcohol (PVA) solutions. The interactions between PVP and
ments. At pH 7.4, polyplexes generated from PEG-a-PDMAEMA pDNA were assessed by dynamic dialysis, isothermal titration cal-
exhibited smaller particle size, lower surface charge, reduced inter- orimetry (ITC), and fourier transformed infrared (FTIR) spectros-
action with erythrocytes, and less cytotoxicity compared to PDMA- copy. The interaction between PVP and pDNA was found to be an
EMA-derived polyplexes. At pH 5.0, f-potential of polyplexes endothermic process governed by hydrogen bonding and results
formed from PEG-a-PDMAEMA increased, leveled up after 2 h of in protection of pDNA from extracellular nucleases.
incubation and gradual aggregation occurred in the presence of
bovine serum albumin (BSA). In contrast, the stably shielded
4. Conclusions and future prospective
polyplexes formed by DNA and an acid-stable block copolymer,
PEG-b-PDMAEMA, did not change in size and f-potential in 6 h.
The gene therapy is presenting a promising approach for the
In vitro transfection efficiency of the acid-labile copolymer greatly
treatment of genetic diseases. Over the past decade and at present,
increased after 6 h incubation at pH 5.0, approaching the same
there has been continuous research to find better non-viral vectors
level of PDMAEMA, whereas there was only slight increase in effi-
to overcome the limitations of viral vectors. There are many syn-
ciency for the stable copolymer, PEG-b-PDMAEMA.
thetic polymers, which are being used and assessed for their appli-
3.6. Other polymer vectors cations in gene therapy. One of these is the poly(b-amino ester)
based vectors. Prof. Langer’s group has developed the library of
There are various other synthetic polymer vectors which are these newly synthesized poly(b-amino ester) based vectors. With
currently being tested for gene delivery research such as poly(4- an increase in the understanding of different diseases, the clinical
vinylimidazole) [117], poly(vinyl alcohol) [118], polyallylamine applications will potentially expand into areas such as neurological
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