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Characterization, optimization, and in vitro evaluation of Technetium-99m-labeled niosomes

Authors De Silva L, Fu JY, Htar TT, Muniyandy S, Kasbollah A, Wan Kamal WHB, Chuah LH

Received 22 August 2018

Accepted for publication 10 November 2018

Published 12 February 2019 Volume 2019:14 Pages 1101—1117

DOI https://doi.org/10.2147/IJN.S184912

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Prof. Dr. Thomas J. Webster

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Leanne De Silva,1 Ju-Yen Fu,2 Thet Thet Htar,1 Saravanan Muniyandy,3 Azahari Kasbollah,4 Wan Hamirul Bahrin Wan Kamal,4 Lay-Hong Chuah1,5

1School of Pharmacy, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia; 2Nutrition Unit, Malaysian Palm Oil Board, Bandar Baru Bangi, Selangor, Malaysia; 3Department of Pharmacy, Fatima College of Health Sciences, Al Ain, United Arab Emirates; 4Medical Technology Division, Malaysian Nuclear Agency, Bangi, Selangor, Malaysia; 5Advanced Engineering Platform, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia

Background and purpose: Niosomes are nonionic surfactant-based vesicles that exhibit certain unique features which make them favorable nanocarriers for sustained drug delivery in cancer therapy. Biodistribution studies are critical in assessing if a nanocarrier system has preferential accumulation in a tumor by enhanced permeability and retention effect. Radiolabeling of nanocarriers with radioisotopes such as Technetium-99m (99mTc) will allow for the tracking of the nanocarrier noninvasively via nuclear imaging. The purpose of this study was to formulate, characterize, and optimize 99mTc-labeled niosomes.
Methods: Niosomes were prepared from a mixture of sorbitan monostearate 60, cholesterol, and synthesized D-α-tocopherol polyethylene glycol 1000 succinate-diethylenetriaminepentaacetic acid (synthesis confirmed by 1H and 13C nuclear magnetic resonance spectroscopy). Niosomes were radiolabeled by surface chelation with reduced 99mTc. Parameters affecting the radiolabeling efficiency such as concentration of stannous chloride (SnCl2·H2O), pH, and incubation time were evaluated. In vitro stability of radiolabeled niosomes was studied in 0.9% saline and human serum at 37°C for up to 8 hours.
Results: Niosomes had an average particle size of 110.2±0.7 nm, polydispersity index of 0.229±0.008, and zeta potential of -64.8±1.2 mV. Experimental data revealed that 30 µg/mL of SnCl2·H2O was the optimal concentration of reducing agent required for the radiolabeling process. The pH and incubation time required to obtain high radiolabeling efficiency was pH 5 and 15 minutes, respectively. 99mTc-labeled niosomes exhibited high radiolabeling efficiency (>90%) and showed good in vitro stability for up to 8 hours.
Conclusion: To our knowledge, this is the first study published on the surface chelation of niosomes with 99mTc. The formulated 99mTc-labeled niosomes possessed high radiolabeling efficacy, good stability in vitro, and show good promise for potential use in nuclear imaging in the future.

Keywords: nanotechnology, nanocarriers, radiolabeling, drug delivery, formulation, nuclear imaging

Introduction

Nanotechnology has emerged as a promising approach in nano-medicine with the development of nanocarriers for cancer therapy as one of its main applications.1 Conventional chemotherapeutics are distributed systemically and can affect both cancer and healthy cells, potentially causing severe side effects. Nanocarriers on the other hand, can be designed in a way that leads to selective targeting and drug delivery to tumors avoiding drug disposition in healthy tissues. Nanocarriers can also be used for controlled drug release or for protection of free drug against premature degradation.1

Niosomes are nano-sized vesicles comprised of a closed bilayer structure formed from nonionic surfactants in an aqueous system.1 Similar to well-established liposomes, niosomes are able to partition hydrophobic drugs into their hydrophobic domains while entrapping hydrophilic substances within their inner aqueous phase. Liposomes in an aqueous system have been shown to have low physical and chemical stability due to problems such as hydrolysis of fatty acid esters and oxidative degradation of unsaturated fatty acids of the phospholipid component.28 Alternatively, niosomes replace chemically unstable phospholipids with nonionic surfactants, which are also easier to handle and store and are more readily available at lower costs.912

A majority of tumor-targeted nanocarriers rely on passive targeting that can be achieved by exploiting the pathophysiological characteristics of a solid tumor.13,14 The combination of leaky vasculature and poor lymphatic drainage within the tumor creates a phenomenon known as the enhanced permeability and retention effect within the tumor. This allows nanocarriers within the range of 20–200 nm to gain access to the extravascular space and due to the interstitial fluid flow and the lack of functional lymphatic vessels, these nanocarriers will experience higher retention times in the tumor microenvironment.13,15,16

Radiolabeling of nanocarriers enables the tracking of a delivery system through nuclear imaging to determine its accumulation in vivo. Radioisotopes such as Technetium-99m (99mTc) serve as a useful tool in evaluating biodistribution of nanocarriers noninvasively. 99mTc has been widely used for the labeling of radiopharmaceuticals, especially, in the field of diagnostics due to its physical and chemical characteristics such as short half-life (t1/26.02 hour), low energy gamma emission (140 keV), and absence of corpuscular radiation, short labeling time (10–30 minute), low cost, and commercial expediency from the Molybdenum-99 (99Mo)/99mTc generator.17,18 The short half-life of 99mTc minimizes the internal radiation hazard allowing for a high intake limit in comparison to other commonly used laboratory radioisotopes.17

While the characterization and optimization of radiolabeling efficiency of other vesicular systems such as liposomes with 99mTc has been extensively investigated and published over the years, to our knowledge there have been no published articles on the surface chelation of 99mTc-labeled niosomes. On the basis of this consideration, the aim of the present study was to formulate, characterize, and optimize niosomes radiolabeled by surface chelation with 99mTc suitable for potential use in nuclear imaging.

Material and methods

Materials

D-α-tocopherol polyethylene glycol 1000 succinate (TPGS), 4-dimethylaminopyridine (DMAP), diethylenetriaminepentaacetic acid (DTPA) anhydride, stannous chloride (SnCl2·H2O) dihydrate, Sorbitan monostearate (Span) 60, cholesterol, PBS, and pyridine were purchased from Sigma-Aldrich (St Louis, MO, USA). Dimethyl sulfoxide (DMSO) and human serum were obtained from Merck Millipore (Billerica, MA, USA). Dialysis tubing (molecular weight cut-off 1000 Da) was purchased from Spectrum Labs (San Francisco, CA, USA). Sodium bicarbonate (NaHCO3), sodium hydroxide (NaOH), and hydrochloric acid (HCl) were obtained from Systerms ChemAR (Shah Alam, Malaysia). Sephadex G-25 column was purchased from GE Healthcare Bio-Sciences Corp. (Piscataway, NJ, USA). Instant thin layer chromatography (ITLC) silica gel (SG)-coated fiber glass sheet was obtained from Agilent Technologies (Santa Clara, CA, USA). Drytec 99mTc generator (99Mo activity: 508.4 mCi) was purchased from GE Healthcare UK Ltd. (Little Chalfont, UK).

Synthesis of TPGS-DTPA

In a microwave vial, TPGS (0.5 mmol), DMAP (0.5 mmol), and DTPA anhydride (0.6 mmol) were heated and stirred in DMSO until fully dissolved. The reaction vial was then placed in a microwave synthesizer (CEM Discover S-Class Focused Microwave Synthesis System, Matthews, NC, USA) and heated to 120°C for 1 hour. The mixture was dialyzed (molecular weight cut-off 1000 Da) for 24 hours against distilled water to remove unreacted DTPA and DMAP. The resultant product was obtained by freeze-drying. Yield: 89.3%.

Fourier-transform infrared spectroscopy (FTIR) (attenuated total reflection, cm−1): 1,736 (C=O stretch, ester), 1,650 (C=O stretch carboxylic acid).

1H nuclear magnetic resonance (NMR) (300 MHz, d6-DMSO): δ 0.80 (s, 3H, CH3, H-1), 0.83 (s, 3H, CH3, H-2), 0.84 (s, 3H, CH3, H-8), 0.85 (s, 3H, CH3, H-13), 1.05–1.15 (m, 18H, CH2, [H-4, H-5, H-6, H-9, H-10, H-11, H-14, H-15, H-16]), 1.22 (s, 3H, CH3, H-17), 1.37–1.52 (m, 3H, CH, H-3, H-7, H-12), 1.74 (m, 2H, CH2, H-19), 1.89 (s, 3H, CH3, H-27), 1.92 (s, 3H, CH3, H-18), 2.00 (s, 3H, CH3, H-17), 2.54 (m, 2H, CH2, C-20), 2.69 (t, J=6.9 Hz, 5.7 Hz, 2H, CH2, H-32), 2.86–2.98 (m, 8H, CH2, H-40, H-41, H-42, H-43), 2.97 (m, 2H, CH2, H-31), 3.12 (s, 2H, CH2, H-39), 3.41–3.51 (m, CH2, [H-36, H-37]n, H-44, H-45, H-46, H-47), 3.61 (m, 2H, CH2, H-34), 4.14 (m, 2H, CH2, H-35).

13C NMR (75 MHz, d6-DMSO): δ 10.92 (CH3, C-28), 11.21 (CH3, C-27), 12.06 (CH3, C-29), 18.93–18.99 (CH2, C-20), 19.35–19.75 (CH3, C-8, C-13), 21.85–21.93 (CH2, C-5, C10, C-15), 23.18 (CH3, C-1, C-2), 23.61 (CH3, C-17), 26.82 (CH, C-3), 27.71 (CH2, C-31), 27.96 (CH2, C-32), 30.13 (CH2, C-19), 31.38–31.45 (CH, C-7, C-12), 36.06–36.21 (CH2, C-6, C-9, C-11), 38.60 (CH2, C-4, C-14), 39.17 (CH2, C-16), 49.35 (CH2, C41, C42), 51.16 (CH2, C40, C43), 53.81 (CH2, C39), 54.23 (CH2, C44, C46, C47), 55.01 (CH2, C45), 63.00 (CH2, C-37), 67.67 (CH2, C-34), 69.23 (CH2, C-35), 71.78 (CH2, C36), 74.11 (CH2, C18), 116.64 (C-21), 121.16 (C-22), 124.36 (C-25), 125.79 (C-24), 139.70 (C-23), 148.00 (C-26), 170.14 (C-33), 170.36 (C-38), 171.40 (C-30), 172.03 (C-48, C-49, C-51), 172.11 (C-50).

Preparation of niosomes

The niosomes were formulated with slight modifications based on a published method by Fu et al.19 They were prepared by simple sonication method by first stirring a mixture of Span 60 (0.075 M), cholesterol (0.075 M), and synthesized TPGS-DTPA (concentration ranging from 0.010 to 0.037 M) in PBS for 1 hour at 60°C. Sonication was performed using a Q125 sonicator (Qsonica L.L.C, Newton, CT, USA; max 125 W) using a probe with a 1/8 (3 mm) replaceable tip. The probe was introduced up to the middle of the dispersion and with the instrument set at 75% of its maximal capacity (measured power 94 W) for 8 minutes. All dispersions were sonicated surrounded by crushed ice to avoid overheating. Excess unbound materials were removed by size exclusion chromatography using Sephadex G-25.

Dynamic light scattering (DLS) and zeta potential

The particle size (nm) and polydispersity index (PDI) of the niosomes were measured by cumulant analysis with DLS using the Zetasizer Nano ZS (Malvern Instruments, Malvern, UK). The analysis was performed using a He-Ne laser (wavelength of 633 nm) and a detector angle of 173° (refractive index =1.33, viscosity =0.8872 cP) at 25°C. Samples were diluted with a dilution factor of 1:1,000 with Milli-Q water before analysis. Size measurements were carried out in triplicate and the data are expressed as mean ± SD (nm).

The zeta potential (mV) of the niosomes was measured using Laser Doppler Electrophoresis, using Zetasizer Nano ZS (Malvern Instruments). Samples were diluted with a dilution factor of 1:1,000 with Milli-Q water before analysis. Zeta potential measurements were carried out in triplicate and the data are expressed as zeta potential ± SD (mV).

Morphological characterization of niosomes

The morphology of the niosomes was characterized using transmission electron microscope ([TEM], LIBRA 120; Carl Zeiss Meditec AG, Jena, Germany) operating at 120 kV. The niosomes were diluted with a dilution factor of 1:10 with Milli-Q water to reduce the concentration of vesicles. A drop of diluted sample was placed on a copper grid and allowed to air-dry at room temperature. The grid was then negatively stained with phosphotungstic acid. Excess liquid was drawn off using filter paper and left to dry in a desiccator. The grid was then mounted in the instrument and photographs were taken at different magnifications.

Radiolabeling of niosomes

The niosomes were radiolabeled with 99mTc by surface chelation with TPGS-DTPA, with slight modifications based on a published protocol by Richardson et al.20 99mTc-pertechnetate solution (Na 99mTcO4) was obtained by elution from a sterile 99Mo/99mTc generator using 0.9% w/v NaCl solution. Briefly, 1 mL of 99mTcO4 (2 mCi/mL) was mixed with SnCl2·H2O. The pH was adjusted using 0.5 M NaHCO3 solution or 0.1 M HCl. To that mixture, 1 mL of niosomal suspension was added and left to stand at room temperature for 15 minutes.

Radiolabeling efficiency

The percentage of radiolabeling efficiency of the radiolabeled complex was measured using methods described earlier.21 The radiolabeling efficiency was estimated with ascending ITLC using 1×10 cm SG-coated fiber glass sheets (Agilent Technologies) as the stationary phase. Approximately 2–3 μL of the radiolabeled complex was applied at a point 1 cm from one end of the ITLC-SG strip and allowed to dry at room temperature. The strips were allowed to develop for 8 cm from the point of application in appropriate solvent systems. ITLC was performed using two separate mobile phases:

Mobile phase 1: 0.9% (w/v) saline for the determination of free pertechnetate (99mTcO4).

Mobile phase 2: mixture of pyridine:acetic-acid:water (3:5:1.5 v/v) for the determination of reduced/hydrolysed 99mTc (radiocolloids).

After developing, the strips were dried and cut horizontally into two equal halves and the radioactivity (counts per minute [CPM]) in each segment was determined using an automated well-type gamma ray counter (2470 Wizard2 Automatic Gamma Counter; PerkinElmer Inc., Waltham, MA, USA).

The radiolabeling efficiency was determined according to the following equation:

Effect of SnCl2·H2O, pH, and incubation time on radiolabeling efficiency

The effects of amount of SnCl2·H2O and pH on the labeling efficiency of 99mTc-labeled niosomes were carried out to determine the optimum conditions needed for maximum labeling. Prior to the addition of niosomes to 99mTcO4, SnCl2·H2O was added at 0.01–0.06 mL (1 mg/mL in 0.1 M NaCl) while pH levels were adjusted from 4 to 8. The radiolabeling efficiencies at varying SnCl2·H2O concentration and pH were measured. The mixture of niosomes and 99mTc were then incubated for up to 40 minutes. The radiolabeling efficiency was measured at different time points to observe the effect of incubation time.

In vitro stability study of 99mTc-labeled niosomes

The in vitro stability of the 99mTc-labeled niosomes was determined using 0.9% (w/v) saline and human serum by ascending ITLC-SG technique. 99mTc-labeled niosomes (0.1 mL) was mixed with 0.9% saline or human serum (1.9 mL) and incubated at 37°C for up to 8 hours. Samples were drawn at 0, 1, 3, 6, and 8 hours after incubation, and the radiolabeling stability was determined by ITLC and an automated well-type gamma ray counter.

Statistical analysis

All data are reported as mean ± SD. The assessment of statistical significance among the results was carried out by Kruskal–Wallis followed by Dunnett’s post hoc test using GraphPad PRISM 7.0 (GraphPad Software, Inc., La Jolla, CA, USA), and P<0.05 was considered statistically significant.

Results

Synthesis of TPGS-DTPA

Figure 1 (see Figure S1 for full spectrum) shows the chemical structure of the synthesized TPGS-DTPA. Figure 2 shows the FTIR spectra of DTPA anhydride, TPGS, and TPGS-DTPA. The spectrum of DTPA anhydride showed the characteristic peak of the asymmetric and symmetric carbonyl (C=O) stretch of anhydride at 1,770 cm−1.22 The band at 1,637 cm−1 represents the C=O stretch of carboxylic acid.23 The absorption peaks of C−O stretch and C−N stretch of DTPA anhydride can be seen at 1,330 and 1,105 cm−1 respectively.22 The peaks of the −C−O−stretching of TPGS can be observed at 1,146 and 1,240 cm−1 of the TPGS spectrum.24 Whereas, the peak for −CH2 group of the polyethylene glycol chain can be observed at 1,342 cm−1. FTIR spectra of synthesized TPGS-DTPA showed an increase in peak intensity at the 1,735 cm−1 region proving the occurrence of successful esterification. The appearance of the absorption band 1,650 cm−1 representing the carbonyl C=O group of carboxylic acid also further confirmed the conjugation of TPGS to DTPA.

Figure 1 Chemical structure of synthesized TPGS-DTPA.
Abbreviation: TPGS-DTPA, d-α-tocopherol polyethylene glycol 1000 succinate-diethylenetriaminepentaacetic acid.

Figure 2 FTIR spectra of DTPA anhydride, TPGS and synthesized TPGS-DTPA.
Abbreviations: DTPA, diethylenetriaminepentaacetic acid; FTIR, Fourier-transform infrared spectroscopy; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Figure 3 shows the 1H NMR spectra of TPGS and TPGS-DTPA (see Figures S2S4 for full spectrum) representing the characteristic peaks, which confirmed the formation of TPGS-DTPA. The peak at 3.51 ppm (m) on the TPGS spectra represents the −CH2 protons (C36 and C37) of the polyethylene oxide part of TPGS. The triplet signals at 2.71, 2.69, and 2.67 ppm represent the −CH2 protons (C31) whereas the chemical shifts at 2.98 and 2.96 ppm correspond to the −CH2 (C32). The singlet peaks at 2.00, 1.92, and 1.89 ppm represent the −CH3 (C27–29) of tocopherol aromatic ring. The aforementioned peaks are due to the presence of TPGS in the TPGS-DTPA spectrum. The triplet peaks at 2.89, 2.88, and 2.86 ppm are attributed to the −CH2 (C41 and C42) of DTPA. The additional peak at the chemical shift of 3.12 (s) represents the −CH2 (C39) of DTPA confirming the successful functionalization of DTPA to TPGS.

Figure 3 1H NMR spectra of (A) TPGS and (B) TPGS-DTPA synthesized via microwave technology.
Abbreviations: DTPA, diethylenetriaminepentaacetic acid; NMR, nuclear magnetic resonance; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

The 13C NMR spectra in Figure 4 (see Figures S5 and S6 for full spectrum) further confirmed the formation of TPGS-DTPA by presenting the signals of the carboxylic (−COOH) functional group of the DTPA moiety. These signals can be seen at 172.11 (C50) and 172.03 ppm (C49–51). The signal of ester linkage (−C(O)O−) between DTPA and TPGS can also be seen at 171.40 ppm (C38). The additional peaks at 168.8 ppm represent baseline impurities corresponding to the −CH in the aromatic ring of DMAP.

Figure 4 13C NMR spectra of (A) TPGS and (B) TPGS-DTPA synthesized via microwave technology.
Abbreviations: DTPA, diethylenetriaminepentaacetic acid; NMR, nuclear magnetic resonance; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Preparation of niosomes

The preparation of niosomes was straightforward and highly reproducible. Table 1 shows the mean particle size of niosomes formulated with varying concentrations of TPGS-DTPA. The size of the particles ranged from 108.8±2.4 to 173.0±5.9 nm with relatively low PDIs ranging from 0.196±0.023 to 0.308±0.033, indicating relatively good homogeneity of all the dispersions. The particle size results indicate that the incorporation of increasing concentrations of TPGS-DTPA leads to a decrease in size and distribution until the size plateaus at 108.8±1.7 nm (N3), where further increases in TPGS-DTPA concentrations do not result in statistically significant differences in particle size. The niosomes prepared were negatively charged with zeta potential readings ranging from −56.79±5.44 to −69.47±3.41 mV.

Table 1 Formulation of niosomes (expressed as molar ratio) and their corresponding particle size, PDI, and zeta potential
Note: *P<0.05, statistically significant (N1, N2, N4, N5 were compared with N3).
Abbreviations: DTPA, diethylenetriaminepentaacetic acid; PDI, polydispersity index; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

The effect of varying concentrations of TPGS-DTPA on radiolabeling efficiency was also evaluated. Table 2 shows that with an increase in concentration of TPGS-DTPA, there was an increase in radiolabeling efficiency from 77.16%±0.87% (N1) to 92.69%±1.84% (N5). The increase in radiolabeling efficiency can be attributed to the decrease in percentage of radiocolloid formation from 17.71%±1.85% (N1) to 1.38%±0.41% (N5) with increasing concentrations of TPGS-DTPA.

Table 2 Radiolabeling efficiency of 99mTc-labeled niosomes with increasing concentrations of TPGS-DTPA
Notes: Formulations N1–N5: SnCl2·H2O 30 μg/mL; pH 5; and incubation time 15 min. Data presented as mean ± SD. *P<0.05, statistically significant (N1, N2, N4, N5 were compared with N3).
Abbreviations: DTPA, diethylenetriaminepentaacetic acid; SnCl2·H2O, stannous chloride; 99mTc, Technetium-99m; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Figure 5 shows a TEM micrograph of niosomes (N3) at a magnification of 800×. The niosomes shown were spherical in shape with definite walls. The size of the vesicles obtained ranged from 110.94 to 160.33 nm and were in good agreement with the particle sizes obtained by DLS measurement. Figure 6 shows the image of single niosomes (N3) at a magnification of 25,000×. The observed niosome had a measured particle size of 109.54 nm.

Figure 5 TEM micrograph of niosomes (N3) at a magnification of 800×.
Abbreviation: TEM, transmission electron microscope.

Figure 6 TEM micrograph and measurement of a single niosome (N3) at a magnification of 25,000×.
Abbreviation: TEM, transmission electron microscope.

Radiolabeling of niosomes

The effect of varying the concentration of the reducing agent, SnCl2·H2O, on radiolabeling efficiency of niosomes is shown in Table 3. The concentration of SnCl2·H2O added for the reduction of 99mTc was varied from 10 to 60 μg/mL, keeping the solution at a constant pH 5. The radiolabeling efficiency was 93.50%±0.38% when 10 μg/mL of SnCl2·H2O was added, and it increased significantly to 96.05%±0.26% and 97.38%±0.25% when 20 and 30 μg/mL of SnCl2·H2O was added, respectively. Further increases in SnCl2·H2O concentration resulted in a decrease in percentage of radiolabeling efficiency. The radiolabeling efficiency of 99mTc-labeled niosomes at different pH levels was also studied (Table 4), keeping the concentration of SnCl2·H2O (30 μg/mL) fixed. As the pH was increased from 4 to 5, an increase in radiolabeling efficiency from 93.90%±0.70% to 96.93%±0.156% was observed. However, further increases in pH to 7 and 8 resulted in the subsequent reduction in radiolabeling efficiency of 92.29%±0.19% and 83.16%±1.31%, respectively. The optimum concentration of SnCl2·H2O and pH for maximum radiolabeling efficiency of 99mTc-labeled niosomes was determined to be 30 μg/mL and pH 5, respectively.

Table 3 The effect of varying concentrations of SnCl2·H2O on the radiolabeling efficiency of 99mTc-labeled niosomes (N3)
Notes: Formulation N3: SnCl2·H2O 10–60 μg/mL; pH 5; and incubation time 15 min. Data presented as mean ± SD.
Abbreviations: SnCl2·H2O, stannous chloride; 99mTc, Technetium-99m.

Table 4 The effect of varying pH on the radiolabeling efficiency of 99mTc-labeled niosomes (N3)
Notes: Formulation N3: SnCl2·H2O 30 μg/mL; pH 4–8; and incubation time 15 min. Data presented as mean ± SD.
Abbreviations: SnCl2·H2O, stannous chloride; 99mTc, Technetium-99m.

The effect of incubation time on radiolabeling efficiency was determined, keeping other variables constant including the concentration of SnCl2·H2O and pH at 30 μg/mL and 5, respectively. Figure 7 showed that the formation of 99mTc-labeled niosomes is dependent on the reaction time. Initially, after a few seconds (corresponding to 0 minute), the radiolabeling efficiency was 92.86%±0.10%. Maximum radiolabeling efficiency was achieved after 15 minutes of incubation time, reaching a maximum radiolabeling efficiency of 97.49%±0.22% and plateaued after 15 minutes. Therefore, the optimum conditions selected for the radiolabeling of niosomes was 30 μg/mL of SnCl2·H2O at a pH 5 with an incubation time of 15 minutes at room temperature.

Figure 7 The effect of incubation time on the radiolabeling efficiency of 99mTc-labeled niosomes (N3).
Note: Data presented as mean ± SD.
Abbreviation: 99mTc, Technetium-99m.

The stability of 99mTc-labeled niosomes was investigated in saline and serum at 37°C (Figure 8). The niosomes showed good in vitro stability with only a 2.48% decrease in radiolabeling efficiency after 8 hours in saline. Comparatively, the niosomes appeared to be less stable in serum, with a loss of radiolabeling efficiency of 14.73% after 8 hours.

Figure 8 Stability of 99mTc-labeled niosomes (N3) in saline and serum in vitro at 37°C.
Note: Data presented as mean ± SD. (n= mean ± SD).
Abbreviation: 99mTc, Technetium-99m.

Discussion

Synthetic reactions typically involve reaction times ranging from several hours to days at elevated temperatures in order to drive a chemical reaction to completion.25 In the recent years, organic chemists have turned to microwave-assisted synthesis from conventional heating methods as it can carry out reactions in a shorter time with higher efficiency.26,27 There is also a reduction in the formation of by-products that are typically generated during the long duration of conventional heating. TPGS is a nonionic, amphiphilic molecule consisting of a lipophilic nonpolar (water-insoluble) head and a hydrophilic (water-soluble) PEG tail. It is formed through the esterification of D-alpha-Tocopheryl acid succinate and PEG 1000.2832 DTPA on the other hand, is a commonly used chelating agent that forms coordinate bonds with reduced 99mTc through the donation of an ion pair of electrons. TPGS was coupled to the carboxylic acid group of DTPA by esterification in a ring-opening reaction to allow for the surface chelation of niosomes with reduced 99mTc. The reaction resulted in the formation of an ester bond between the hydroxy-terminus of TPGS and the carboxylic group of DTPA. DMAP was added as a catalyst to speed up the rate of reaction and a slight excess of DTPA anhydride was used to ensure that all hydroxy terminals were completely reacted.

Common methods for the preparation of niosomes such as thin-film hydration, ether injection, and reverse phase evaporation require the use of volatile organic solvents.33,34 Simple sonication method used in this study provides an alternative method to prepare small unilamellar vesicles (SUV) by avoiding the use of harmful organic solvents.19,3539 Sonication uses high pressured waves formed from acoustic energy to break up larger multilamellar vesicles and aggregates into SUV.40 The niosomes were sonicated for a total of 8 minutes. An increase in sonication time resulted in a decrease in particle size and PDI until it reached a plateau (see Table S1).

The physicochemical characteristics of niosomes are critical in determining their success for utilization in vivo. A well-formulated niosomal dispersion should exhibit a narrow particle size distribution in the nanometer range to be suitable for in vivo injection. It has been reported that to ensure the stability of an injectable colloidal formulation, nanocarriers need to have a mean diameter ≤200 nm.41 The gradual decrease in particle size of niosomes is attributed to TPGS, which increases the compressibility of the bilayer as a result of dehydration when present in increasing concentrations. This is because TPGS decreases the bilayer defects in the niosomes and enhances the lateral packing of the acyl chains of Span 60, thus resulting in smaller niosomes in size.42 The PDI value describes the degree of uniformity of a size distribution of particles. PDI values range between 0.0 (representing a completely monodisperse dispersion) and 1.0 (representing a highly polydisperse dispersion with numerous particle size populations).43 In the field of drug delivery application for vesicular systems, a PDI of 0.3 and below is typically considered to be acceptable and represents a homogenous dispersion of nanoparticles.39,4446 All niosomal formulations exhibited relatively low PDI values, reflecting the particle diameter homogeneity of all dispersions. The increase in TPGS-DTPA concentration also showed a trend with respect to the zeta potential values measured. The decrease in zeta potential value with increasing TPGS-DTPA concentration is attributed to the deprotonation of the free carboxylic groups from DTPA, enhancing the negative charge on the surface of the niosomes. As an indicator of particle surface charge, zeta potential allows for the prediction of the long-term storage stability of a dispersion of colloidal particles.47 A dispersion is more likely to be stable if it possesses a stronger zeta potential, as charged particles repel each other due to electrostatic repulsion, thereby overcoming their natural tendency to aggregate.47,48 A study by Crommelin49 reported that in accordance to the Derjaguin, Landau, Verwey, and Overbeek (DLVO) theory and equation, particles in a dispersion possessing zeta potential of below -30 mV or above +30 mV can reduce particle aggregation by a factor of at least 109 in comparison to uncharged particles.10,48

99mTc in the form of pertechnetate (99mTcO4) with an oxidation state of +7 is the only 99mTc compound that is stable in aqueous solution. In this study, 99mTcO4 was reduced to a lower valency state of +5 using a reducing agent, SnCl2·H2O. The presence of DTPA, a chelating agent on the surface of the niosomes allowed for the immediate chelation of the reduced 99mTc.50,51 DTPA is a diethylenetriamine backbone with five carboxymethyl groups. 99mTc forms a six-coordinate complex with the three nitrogen and three oxygen donor atoms on the DTPA molecule. The major radiochemical impurities generated in radiolabeled compounds are radiocolloids and 99mTcO4. Radiocolloids typically form as a result of reduction of 99mTcO4 to 99mTc with an oxidation state of +4, resulting in the formation of 99mTc-Sn colloids due to the adsorption of Sn over 99mTcO2. Whereas unreacted 99mTcO4 arises from incomplete reduction due to insufficient addition of SnCl2·H2O during the radiolabeling process.50

The niosomes were labeled with high efficiency (>90%) by surface chelation with reduced 99mTc. Other authors using similar labeling procedures have also achieved high radiolabeling efficiency yields.18,21,51 Data on radiolabeling efficiency and stability of the labeled complex were obtained by ITLC using two separate mobile phases. Saline was used as a developing solvent to determine the percentage of 99mTcO4, which moved with the solvent front (Rf =1.0), while radiocolloids and 99mTc-labeled niosomes remained at the origin (Rf =0). A separate mobile phase containing pyridine, acetic acid, and water was used to determine the amount of radiocolloids, where radiocolloids remained at the origin (Rf =0) while 99mTcO4 and 99mTc-labeled niosomes moved to the solvent front (Rf =1.0). The percentage of radiolabeling efficiency was determined by subtracting the sum of percentage of 99mTcO4 and radiocolloids from 100%.

The radiolabeling of niosomes was initially conducted both at room temperature (23°C) and at body temperature (37°C). Radiolabeling at room temperature gave rise to similar radiolabeling efficiency (see Table S2). This data aligns with those reported in the literature, where high radiolabeling efficiency can be achieved at room temperature.5255 Hence, all radiolabeling processes were conducted at room temperature in this study. The radiolabeling process was optimized by taking four factors into account: concentrations of TPGS-DTPA and SnCl2·H2O, pH of the solution during radiolabeling, and incubation time. The optimum conditions required for maximum radiolabeling efficiency of niosomes were established. Prior to the reduction of 99mTcO4, SnCl2·H2O was dissolved in an acid to prevent the hydrolysis of Sn2+.56 It was determined that niosomes formulated from a molar ratio of Span 60:cholesterol:TPGS-DTPA at 1:1:0.3 (formulation N3) had the optimum concentration of TPGS-DTPA for maximum radiolabeling. The amount of DTPA in the formulation available for complexation during the radiolabeling process is crucial, as an insufficient amount would lead to poor radiolabeling efficiency with a high yield of radiocolloids. Therefore, formulation N3 was chosen as the optimal formulation with respect to the mean particle size (nm), PDI, zeta potential (mV), and radiolabeling efficiency (%) and was used for further radiolabeling studies.

The amount of SnCl2·H2O added for the reduction of 99mTcO4 also plays a crucial role in the radiolabeling process. High amounts of SnCl2·H2O result in the formation of stannous hydroxide colloid impurities, which compete with the complexation process, resulting in reduced complex formation between DTPA and 99mTc.51,57 In contrast, insufficient amounts of SnCl2·H2O result in poor radiolabeling efficiency with a high amount of 99mTcO4 impurities due to insufficient reductions. Our results showed that 30 μg/mL of SnCl2·H2O was required for maximum radiolabeling of niosomes. Studies on the effect of pH found that pH 5 was the most suitable pH for the radiolabeling of niosomes. At lower pH values, 99mTcO4 with a valency of +7 tends to be reduced to +4, thereby producing more 99mTcO2 impurities resulting in a lower radiolabeling efficiency. Similar to literature, there was also a reduction in radiolabeling efficiency with an increase in pH.58,59 At higher pH, the high concentration of OH in the reaction mixture may contribute to the incomplete reduction of 99mTc and partial hydrolysis of the formed complex, resulting in a low radiolabeling efficiency.57 The complexation of 99mTc with TPGS-DTPA was not rapid and required 15 minutes. As the reaction between stannous ions and 99mTcO4 occurs almost instantaneously and completely, the rate limiting step was the complexation of 99mTc with DTPA through the formation of a six-coordinate complex. This was not unexpected as there have been previous studies which reported the incubation time required for radiolabeling of particles with 99mTc typically range from 5 to 15 minutes.21,57,59

The in vitro stability of 99mTc-labeled niosomes was assessed by incubation with 0.9% saline and healthy human serum at body temperature. These conditions were chosen to mimic the applied environment of the 99mTc-labeled niosomes during in vitro storage and in vivo internal environment and physiological pH. As 99mTc-pertechnetate solution (Na 99mTcO4) is obtained by elution from a 99Mo/99mTc generator using 0.9% (w/v) saline, it is important for 99mTc-labeled niosomes to remain stable in saline. The 99mTc-labeled niosomes were found to be extremely stable in saline with only a 2.48% decrease in radiolabeling efficiency after 8 hours. This result was comparable to that obtained by Arulsudar et al21, who prepared 99mTc-labeled liposomes by direct labeling for in vivo studies in Ehrlich ascites tumor-bearing mice. Human serum on the other hand, contains a variety of proteins that have the potential to chelate with 99mTc, therefore affecting the stability of 99mTc-labeled niosomes in the blood when administered intravenously.60 As a tumor imaging agent, it is crucial for 99mTc-labeled niosomes to remain stable during the course of the study to ensure accurate interpretation of the biodistribution and imaging data of niosomes when administered in vivo. The experimental data found that there was little dissociation of 99mTc from the niosomes after 8 hours, signifying the stability as well as the suitability of 99mTc-labeled niosomes for in vivo use. The slight reduction in radiolabeling efficiency of the 99mTc-labeled niosomes after 8 hours could be attributed to the enzymatic degradation of the ester bond between TPGS-DTPA or transchelation of 99mTc to serum proteins. Comparable in vitro stability of 99mTc-liposomes prepared by direct labeling was reported by other authors with similar percentage dissociations of 99mTc at 8 hours.18,57 This was unexpected as 99mTc-labeled niosomes labeled by surface chelation were predicted to possess a higher in vitro stability in comparison to direct labeling of liposomes. Direct labeling involves 99mTc directly forming bonds with the functional groups of the nanocarrier whereas surface chelation involves the chelation of 99mTc to a lipid-chelator conjugate incorporated in the bilayer.61 Surface chelation was expected to exhibit a higher stability in vitro in comparison to direct labeling as chelators such as DTPA bind more strongly with 99mTc.

The aim of this work was to formulate, characterize, and optimize a niosome prototype suitable for use in nuclear imaging. The niosomes could subsequently be loaded with therapeutic agents for various applications. It should be noted that certain properties of the niosomes could be altered once they are loaded with therapeutic agents, and thorough characterization and investigations should be carried out to explore the pharmacokinetics and biodistribution of such system. Though the present study is limited to the data of empty niosomes, we have previously investigated the ability of a similar system to encapsulate therapeutic agents, using hydrophobic tocotrienol (T3) as a model compound, demonstrating the drug encapsulation capacities of the niosomes.62 T3-loaded niosomes have also been formulated and characterized as a drug model and found to have no significant difference in terms of physical properties from the empty niosomes in terms of particle size and zeta potential (see Table S3). As the biodistribution and pharmacokinetic profile of a nanocarrier is largely dependent on its physicochemical properties such as size and charge, it is expected that the drug-loaded niosomes will behave similarly to the formulated empty niosomes. Published work by Fu et al19 on T3-loaded niosomes with a similar composition to our system also demonstrated the drug loading capacities of this system.

Conclusion

99mTc-labeled niosomes as potential nanocarriers for nuclear imaging have been successfully formulated. Surface chelation was chosen as the method to radiolabel niosomes as it has been shown to be more stable in vivo due to the strong affinity of chelating agent, DTPA, for 99mTc. TPGS-DTPA was successfully synthesized by microwave-assisted technology as confirmed by FTIR and 1H and 13C NMR. An increase in TPGS-DTPA concentration in the niosomal formulation was found to result in a decrease in particle size, PDI, and zeta potential with an increase in radiolabeling efficiency. The study found that 30 μg/mL SnCl2·H2O was the optimal concentration of reducing agent required for the radiolabeling process. The optimal pH value and incubation time of the niosomes in terms of labeling efficiency was 5 and 15 minutes, respectively. The 99mTc-labeled niosomes were found to possess sufficient stability in an in vitro environment for up to 8 hours. The results presented in this study illustrate that 99mTc-labeled niosomes have appropriate radiolabeling efficiency and stability in vitro and show good promise as potential radiolabeled nanocarriers that can be used for nuclear imaging for future in vivo use.

Acknowledgments

This work was supported by the Fundamental Research Grant Scheme (FRGS), by the Ministry of Higher Education, Malaysia (FRGS/2/2014/SG05/MUSM/03/3), and the Malaysian Palm Oil Board (MPOB).

Disclosure

The authors report no conflicts of interest in this work.


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Supplementary materials

Figure S1 Full range FTIR spectra (400–4,000 cm−1) of DTPA anhydride, TPGS, and synthesized TPGS-DTPA.
Abbreviations: DTPA, diethylenetriaminepentaacetic acid; FTIR, Fourier-transform infrared spectroscopy; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Figure S2 1H NMR spectrum (0–2.4 ppm) of TPGS.
Abbreviations: NMR, nuclear magnetic resonance; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Figure S3 1H NMR spectrum (2–4.4 ppm) of TPGS.
Abbreviations: NMR, nuclear magnetic resonance; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Figure S4 1H NMR spectrum (0–5 ppm) of synthesized TPGS-DTPA.
Abbreviations: NMR, nuclear magnetic resonance; TPGS-DTPA, d-α-tocopherol polyethylene glycol 1000 succinate-diethylenetriaminepentaacetic acid.

Figure S5 13C NMR spectrum (0–180 ppm) of TPGS.
Abbreviations: NMR, nuclear magnetic resonance; TPGS, d-α-tocopherol polyethylene glycol 1000 succinate.

Figure S6 13C NMR spectrum (0–180 ppm) of synthesized TPGS-DTPA.
Abbreviations: NMR, nuclear magnetic resonance; TPGS-DTPA, d-α-tocopherol polyethylene glycol 1000 succinate-diethylenetriaminepentaacetic acid.

Table S1 Effect of increasing probe sonication times on particle size and PDI of niosomes (N3)
Abbreviation: PDI, polydispersity index.

Table S2 The effect of temperature on radiolabeling efficiency
Notes: Formulation N3: SnCl2·H2O 30 μg/mL; pH 5; and incubation time 15 min.
Abbreviations: SnCl2·H2O, stannous chloride; 99mTc, Technetium-99m.

Table S3 Effect of increasing probe sonication times on particle size and PDI of niosomes (N3)
Abbreviation: PDI, polydispersity index.

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