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1 - IJPSN 9 20 19 Aggarwal - Review - Accepted NEW PDF
1 - IJPSN 9 20 19 Aggarwal - Review - Accepted NEW PDF
4681
International Journal of Pharmaceutical Sciences and Nanotechnology
Aggarwal et al: Polyplex: A Promising Gene Delivery System
Volume 12 • Issue 6 • November – December 2019
Review Article MS ID: IJPSN-9-20-19-AGGARWAL
ABSTRACT
In the past few years gene delivery system has gained a conjugating a polymer with DNA and in maximum cases
huge attention owing to its proved efficacy in several the cationic polymers are preferred over others. The
diseases especially in those caused by genetic and/or structure and stability of the polyplexes depends on
oncological malfunctioning. The effective gene delivery various factors. The ability of the polymer to condense
mainly depends on the carrier molecules that can ensure the DNA mainly dictates the efficiency of the polyplex
the safe and specific delivery of the nucleic acid mediated transfection. In this review we are going to
molecules. Viral vectors have been used for a longer provide a framework for the synthesis and design of the
period as the gene transfer vehicle. However, these viral polyplexes along with the structure and stability of the
vectors have potential immunological disadvantages that complexes pertaining to mechanism of action,
made them less preferred. Recently, non-viral vectors characterization and therapeutic application, including
such as polyplexes have emerged as a promising polyethyleneimine mediated cytotoxicity as well as newer
alternative for viral vectors. Polyplexes are formed by strategies for the generation of better polyplexes.
KEYWORDS: Polyplex; Gene delivery; Structure; Stability; Polyethyleneimine; Cytotoxicity.
According to a study, high molecular-weight is reported that the DNA is usually completely bound
polyethyleneimine condensed plasmid DNA in the same and compacted at a charge ratio of 1 or above 1. The
way as compare with low-molecular-weight polyethyle- study further added that polyplexes may aggregate with
neimine in the same Negative/ Positive charge ratio lower solubility around electroneutrality, however, it was
(Kunath et al., 2003). Another study estimated that the found that a large proportion of the polymer was not
polyplex size synthesized between DNA and branched bound to DNA at high charge ratios (Wagner, 2004).
25-kDa polyethyleneimine or linear 22-kDa polyethy- Structure and Stability
leneimine may range from 20 to 40 nm when the
Negative/ Positive charge ratio was 1.6. The study The tough electrostatic reactions between
further added that complete DNA condensation observed polyethyleneimine and DNA transform the DNA in a
at this ratio (Elouahabi and Ruysschaert, 2005). Results condensed form and therefore a nanostructured
from photon correlation spectroscopy reported that positively charged complex called polyplex generated.
polyplexes formed between molecular weight of 25 kDa Fourier transform infrared (FTIR) data explains the
polyethyleneimine and DNA at a Negative/ Positive electrostatic bonding between DNA and the polymer
charge ratio of 6.7 showed a size of almost 150 nm explicitly. A depletion in the frequency of the phosphate
(Kunath et al., 2003). stretching vibration of plasmid DNA is reported after
Several studies reported that to produce stable having complex reaction with polyethyleneimine
polyplex complexes, using branched (Petersen et al., (Choosakoonkriang et al., 2003). Complexation behavior
2002) or linear polyethyleneimine (Jeong et al., 2001). A is influenced by the degree of polymer division. The study
negative/positive charge ratio of about 2–3 is necessary. showed that smaller polyplexes originated from
Another study suggested that DNA complexation with hyperbranched polyethyleneimine complexes with
different sized polyethyleneimine had not been shown to secondary and tertiary amine have higher transfection
result for an alteration of DNA conformation, which efficiency (Banerjee et al., 2004). The capacity of DNA
persisted specifically in B form. The study further added condensation for linear polyethyleneimine is less owing
that low ionic strength enhanced the changes of to its minimum content of primary amines compared to
protonation in polyethylenimine, therefore, possible the branched forms (Tros et al., 2010).
shifts in pKa of ionizable groups of polyethylenimine as a Researchers found that polyethyleneimine and DNA
result of DNA complexation suggested. The size and zeta alone can freely soluble in water, but polyplex of
potential of polyethylenimine and DNA polyplex was not polyethyleneimine and DNA is insoluble in water. Final
influenced by the molecular weight or the linearity or structure and transfection efficiency of polyplexes are
branching of polyethylenimine. Whereas, they depend largely dependent upon storage condition (Banerjee
mainly on the negative/positive charge ratio used for the et al., 2004). Transfection capacity of the polyplexes is
complexation procedure (Choosakoonkriang et al., 2003). affected by the complexation, size, and structural
It is reported that, some sodium salts like sodium properties. Therefore, higher branched polymer can
phosphate showed better compatibility than any other make better DNA condensation and provide better
buffer system like NaCl or phosphate-buffered saline in protection against degradation in extracellular
in vivo administration process (Hartikka et al., 2000). It environment. Finally, cell uptake improved by the
Aggarwal et al: Polyplex: A Promising Gene Delivery System 4683
electrostatic interactions of the polycation with the 2010). However, it is also reported that when DNA and
negatively charged cellular surface. polyethyleneimine were directly labeled, they remained
in complex form inside the cell and localized to the
Mechanism of Action nucleus coordinately. Whereas, other study suggested
that, in the time of the cell division when the nuclear
Cell Binding and Uptake Mechanism
membrane is dismantled for some time a passive way is
It is reported that cationic polyplexes can enter the used for plasmid DNA entry into the cell nucleus
cell through interaction with the transmembrane protein (Männistö et al., 2007).
called syndecan (Kunath et al., 2003). Several studies
Characterization
showed that the internalization of polyplexes via
transfection process was depended upon the type of cell A number of characterization techniques can
and the polymer. It is reported that for the linear demonstrate the structure of DNA-polyplex complexes to
polyplexes transfection occurred via clathrin-coated pit understand transfection efficacy. There are different
pathway. In contrast, in the transfection of branched light scattering tools that are used for characterization of
polyplexes, both clathrin-mediated and the lipid raft the colloidal features of the polyplexes. Fluorescence
pathways are involved. Therefore, HeLa cells were techniques are used frequently to study the DNA
dependent upon both the lipid-raft and clathrin-mediated condensation. For evaluation of topographical description
pathways (Gersdorff et al., 2006). Whereas, another of the polyplexes electron and scanning probe microscopy
study revealed that in COS-7 cells, both the clathrin- and are used. Nuclear magnetic resonance (NMR) and
caveolae-dependent pathways involved in internalization electron spin resonance (ESR) spectroscopy are used to
process (vander et al., 2007). According to a different determine the structural properties of particular polymer
study in HeLa and A549 cells, polyplexes were segments (Tros et al., 2010). Laser scanning confocal
incorporated in cells via caveolae pathway and had microscopy (LSCM) can analyze the activities of
complete transection (Rejman et al., 2006). complexes inside the cells and the changes happening
following DNA release. Quantitative structure-activity
Endosomal Escape of Polyplexes
relationship (QSAR) modeling can examine the molecular
Several studies assumed that after cellular basis of gene delivery (Horobin and Weissig, 2005). Gel
internalization, endosomal escape and high transfection permeation chromatography (GPC) is used to determine
capacity of polyplexes can be explained by the hypotheses the cloud point (CP) of thermosensitive polymers.
called “proton-sponge effect” (Taranejoo et al., 2015; Dynamic light scattering (DLS) can analyze the
Venkiteswaran et al., 2016). According to the hydrodynamic size and polydispersity index (PDI) of the
hypothesis, 1–6 nitrogen atoms are protonated at polyplexes. Laser Doppler Electrophoresis (LDE) is used
physiological pH while in the acidic endosomal pH, the to determine the ζ-potential of the polyplexes. Static light
number of protonated nitrogen elevated, and produces a scattering (SLS) is used to measure the gyration and
charge gradient thereby a Cl− influx induced. Therefore, hydrodynamic radius of the polyplexes (Fliervoet et al.,
water influx induced by the increased Cl− concentration, 2019).
and, finally endosome swelling leads to rupture of Researchers characterized siRNA polyplex with a
polyplexes and releasing the components into the comparison of different particle sizing methods namely
cytoplasm. Another study reported that usually for DLS, atomic force microscopy (AFM), nanoparticle
polymers with an acidic buffer (pH -5) capacity may not trafficking analysis (NTA) and fluorescence correlation
be suitable for explaining the proton sponge hypothesis spectroscopy (FCS). They reported that all the methods
(Tros et al., 2010). were able to analyze larger than 120 nm polydisperse but
Mechanism of polyplexes dissociation NTA was unable to measure smaller than 40 nm primary
particles (Troiber et al., 2013). It is reported that Taylor
After the endosomal escape, dissociation is the dispersion analysis (TDA) was successfully used for the
important stage for the polyplexes. Low molecular- size characterization of polyplexes and the quantification
weight Poly-L-Lysine-based polyplexes have high of unbound polycation within the polyplex (Leclercq
dissociation rate and more transfection efficacy than high et al., 2015).
molecular weight polyplexes. However, polyethylenei-
mine containing polyplexes have relatively slower Application
dissociation rate (Ogris et al., 2001). A study reported Gene therapy is a budding treatment option for
that after 18 hours of transfection, pancreatic carcinoma acquired diseases like AIDS and cancer along with
cell line with double-fluorescence-labeled polyethylenei- hereditary disorders, like cystic fibrosis and hemophilia
mine-DNA polyplexes have shown few condensed (Martinez-Fong et al., 2012). Neurotensin (NTS) receptor
polyplexes and many dissociated polyethyleneimine type 1 (NTSR1) exhibit distinctive structural and
polyplex (Bieber et al., 2002). characteristics to treat inconsistent types of cancer cell.
Nuclear import Therefore, neurotensin (NT)-polyplex is a non-viral
targeted gene delivery system consists of synthetic
Post dissociation, to provide DNA preservation or nanoparticles that can transfer plasmid DNA (pDNA)
cytoplasmic movability nuclear import of DNA may encoding any specific targeted gene into cells that
proceed through indirect procedures (Lam and dean,
4684 Int J Pharm Sci Nanotech Vol 12; Issue 6 • November− December 2019
express and internalize the NTSR1, like dopaminergic challenging for researchers (Ramamoorth, 2015).
neuron system (Katragadda et al., 2010) and cancer cells Therefore, polyethyleneimine complexes had revealed
(Rubio-Zapata et al., 2009). cell toxicity effects (Moghimi et al., 2005). Cell necrotic
The sympathetic nervous system may produce the and apoptotic pathways are also affected by the
most common extracranial solid tumor called cytotoxicity. The toxicity depends upon the molecular
Neuroblastoma. Therefore, NT-polyplex is a novel weight, degree of branching, size and zeta potential of
therapeutic alternative of advanced staged derivatives prepared from polyethyleneimine. Mostly, the
Neuroblastoma because of the selective, potent, higher molecular weight polymer and high ionic strength
biodegradable and nontoxic properties (Arango- buffer can produce more compact nanoparticles,
Rodriguez et al., 2006; Gonzalez-Barrios et al., 2006). therefore, cytotoxicity can be affected. Several studies
According to a study, the NT polyplex could transfect have reported that the cytotoxicity is inversely related to
therapeutic genes into Neuroblastoma tumor cells across polyplex size, therefore, bigger polyplexes had lower
the bloodstream administration or through intratumoral cytotoxicity and smaller polyplexes showed higher
injection. The study also reported that the thymidine cytotoxicity (Kunath et al., 2003).
kinase (HSVTK) suicide gene transfection along with A recent study investigated the polyplexes by
Ganciclovir (GCV) treatment reduced the size and weight evaluating the changes in sizes of polyplexes through
of Neuroblastoma tumors by 30–50% and induced molecular weight, cell medium and branching degree of
apoptosis compared to controls (Rubio-Zapata et al., the polymer to evaluate their effects on the cytotoxicity.
2009). The study showed that particles size was inversely
An aggressive form of breast cancer can be treated linked with molecular weight in case of branched
with the targeted gene-mediated synthetic polyplexes polyethyleneimine. According to this study the
(Jemal et al., 2011). Studies have shown that targeted cytotoxicity reports revealed that linear 250 kDa
therapy with therapeutic nanoparticles combined with a polyethyleneimine was non-toxic whereas lower
specific ligand can be delivered to an over-expressed molecular weight branched polyethyleneimine explained
receptor in breast cancer cells. The major target for this toxicity effects in a concentration-dependent fashion. The
therapy is the Human epidermal growth factor-2 (HER2) study also reported that the cytotoxicity effects of
receptor in the HER2-induced breast cancer. Cancer can branched polyethyleneimine were in proportional with
be treated with polyplexes containing a recombinant carrier/plasmid ratio and more significant for the
humanized monoclonal antibody or a single-chain polyplexes prepared from HBG buffer. Results from Flow
antibody fragment as ligands (Huang et al., 2010). cytometry analysis suggested that apoptosis is the major
The human breast adenocarcinoma cell line such as procedure of polyplex induced cell toxicity (Kazemi et al.,
MDA-MB-231 express neurotensin receptor type 1 2018).
(NTSR1) and thus making it a target of therapeutic Future Prospects
genes carried by neurotensin (NTS)-polyplex nanocarrier. Although polyethylenimine polyplexes comprise many
Recent study reported that NTS-polyplex nanoparticles significant abilities required for effective nucleic acid
along with the Herpes simplex virus thymidine kinase delivery, many cationic polymers with excellent
(HSVtk) suicide gene and Ganciclovir (GCV), transfected transfection properties are usually found to be cytotoxic
both genes in cultured MDA-MB-231 cells. HSVtk gene (Fischer et al., 2003). Numerous strategies have been
expression reduced cell viability by 49% and increased developed to reduce polyethyleneimine induced
apoptosis in cultured MDA-MB-231 cells after GCV cytotoxicity and increase the efficiency like size control
treatment (Castillo-Rodríguez et al., 2014). and topology, use of biodegradable cross-linked to low
A cumulative depletion of dopaminergic neurons in molecular weight polyethyleneimine, use of modified
the substantia nigra with contemporaneous gliosis in statistical surface and co-polymers and conjugation of
midbrain may produce Parkinson’s disease. The NTS oligoamine segment (Hall et al., 2017).
carrier makes endocytosis of NTS with its high-affinity To achieve better colloidal stability, reduced
receptor Neurotensin receptor type 1 to deliver the cytotoxicity and relatively low immunological response
plasmid DNA into dopamine neurons (Arango-Rodriguez newer ternary complexes containing cationic lipids, a
et al., 2006). According to a study, the NTS-polyplex used cationic polymer, and nucleic acids are developed namely
a fusogenic peptide (FP) and a karyophilic peptide (KP) Lipopolyplexes (LPPs) (Urbiola et al., 2013). Lipopoly-
to increase transfection efficiency (Esbjörner et al., 2007). plexes can combine the complexation properties of
The fusogenic peptide is bound with the poly-lysine cationic liposomes with cationic polymers, therefore,
moiety; to protect NTS-polyplex from endosomal uptake DNA (Weide et al., 2008), siRNA (Li S-D et al., 2006), or
before the enzymatic degradation. The karyophilic mRNA (Mockey et al., 2007) can be delivered.
peptide provides a nuclear localization signal which is Decationized polyplexes have also shown an excellent
electrostatically linked to the plasmid DNA to assist safety profile, better stability, and improvement in vivo
nuclear import. circulation half-life and target tissue accumulation.
Toxicity Therefore, the decationized polyplexes could be a great
choice for targeted gene-mediated therapies requiring
It is considered that polyethyleneimine is a secure systemic administration (Novo et al., 2015).
carrier for gene-mediated therapy, but its cytotoxicity is
Aggarwal et al: Polyplex: A Promising Gene Delivery System 4685
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lipoplexes and polyplexes. Eur J Pharm Sci 40(3): 159-170. Plot no 23, Dwarka sector 12, New Delhi-110078.
Tel: +91-9717727487
Urbiola K, García L, Zalba S, Garrido MJ and Tros de Ilarduya C
E-mail: rohanaggarwal30@gmail.com
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