2.1 Materials
MTX and 2-methylimidazole (2-MIM) were provided by Solarbio Science & Technology (Beijing, China); zinc nitrate hexahydrate [Zn(NO3)2·6H2O, ≥ 99%], by Innochem Chemical Reagent Factory (Beijing, China); and FPD, by Xi'an Ruixi Biotechnology Company Ltd. (Xian, China). 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), lipopolysaccharide (LPS), and 4,6-diamidino-2-phenylindole (DAPI) were obtained from Beijing Solarbio Science & Technology. Rhodamine B (Rhm B) and methanol were purchased from Kelong Chemical Reagent Factory (Chengdu, China). The PKH67 fluorescent labeling kit was obtained from Beijing Baiao Laibo Technology (Beijing, China). Rabbit monoclonal antibodies against CD81, CD9, or TSG101, as well as horseradish peroxidase (HRP)-conjugated goat anti-rabbit IgG were obtained from Abcam (Cambridge, UK). Ultrapure water (18.2 MΩ) was prepared using a Milli-Q water purification system (Millipore Co, Shanghai, China).
2.2 Cell lines and animals
Murine macrophage-like RAW264.7 cells (Chinese Academy of Sciences, Shanghai, China) were cultured in Dulbecco’s Modified Eagle Medium (Hyclone, HyClone, Logan, UT, United States, USA) supplemented with 10% fetal bovine serum (FBS) (Gibco, USA) and 1% (v/v) penicillin/streptomycin (Hyclone) at 37°C in an atmosphere containing 5% CO2.
Male Sprague−Dawley rats (140 ± 20 g) were provided by Dashuo Experimental Animal Company (Chengdu, China). The rats were kept under standardized circumstances, and all animal experiments were conducted based on the approval of the Animal Care and Ethics Committee of Southwest Medical University (permit no. 20210223-231).
2.3 Synthesis and characterization of MTX@ZIF-8
For the synthesis of MTX@ZIF-8, 12 mg of MTX and 200 mg of Zn(NO3)2·6H2O were dissolved in 5 mL of methanol. After stirring for 5 min, 10 mL of a MIM (2.0 g) solution in methanol was added, followed by stirring for another 30 min. Next, the solution was centrifuged at 4,500 × g for 5 min to obtain the MTX@ZIF-8 nanoparticles, which were washed at least three times with 10 mL of methanol. Pure ZIF-8 and Rhm B-encapsulated ZIF-8 (Rhm B@ZIF-8) were also prepared as controls using the same method[19, 39].
The morphology of all formulations was observed by transmission electron microscopy (TEM; JEM-1200EX; JEOL Ltd, Tokyo, Japan). The mean particle size and zeta potential were measured by dynamic light scattering (DLS; Malvern Instruments, Worcestershire, UK), and their ultraviolet-visible absorption spectra were recorded on a spectrophotometer (UV-A360, Aoyi, Beijing, China). X-ray powder diffraction (XRD) spectra were obtained with an X’Pert3 Powder diffractometer (D8 Advance, Brucker, Germany) using Cu Kα radiation (2θ = 10–50°). Thermal gravimetric analysis (TGA) was performed on a NETZSCH STA 449 F5/F3 Jupiter instrument (Netzsch, Germany). The surface area of the samples was determined by N2 adsorption/desorption at liquid nitrogen temperatures on an ASAP 2460 analyzer (Thermo Fisher Scientific Surfer, ASAP 2460, USA)[36, 40].
2.4 Drug loading and encapsulation efficiency
The encapsulation efficiency (EE) and drug loading efficiency (DLE) of the prepared formulations were determined by high-performance liquid chromatography (HPLC)[36]. The payload of MTX was calculated from the standard calibration curve based on the difference in the amount of MTX between the precipitate collected after centrifugation and the initial solution. DLE and EE were calculated using the following formulas:
$$\text{D}\text{L}\text{E} \left(\text{%}\right)=\frac{\text{W}\text{e}\text{i}\text{g}\text{h}\text{t} \text{o}\text{f} \text{e}\text{n}\text{c}\text{a}\text{p}\text{s}\text{u}\text{l}\text{a}\text{t}\text{e}\text{d} \text{M}\text{T}\text{X} \text{i}\text{n} \text{n}\text{a}\text{n}\text{o}\text{p}\text{a}\text{r}\text{t}\text{i}\text{c}\text{l}\text{e}\text{s}}{\text{T}\text{o}\text{t}\text{a}\text{l} \text{w}\text{e}\text{i}\text{g}\text{h}\text{t} \text{o}\text{f} \text{n}\text{a}\text{n}\text{o}\text{p}\text{a}\text{r}\text{t}\text{i}\text{c}\text{l}\text{e}\text{s}}\times 100\text{%}$$
$$\text{E}\text{E} \left(\text{%}\right)=\frac{\text{W}\text{e}\text{i}\text{g}\text{h}\text{t} \text{o}\text{f} \text{M}\text{T}\text{X} \text{i}\text{n} \text{n}\text{a}\text{n}\text{o}\text{p}\text{a}\text{r}\text{t}\text{i}\text{c}\text{l}\text{e}\text{s}}{\text{W}\text{e}\text{i}\text{g}\text{h}\text{t} \text{o}\text{f} \text{M}\text{T}\text{X} \text{i}\text{n}\text{i}\text{t}\text{i}\text{a}\text{l}\text{l}\text{y} \text{a}\text{d}\text{d}\text{e}\text{d}}$$
2.5 Isolation and characterization of MV, MV/MTX@ZIF-8, and FPD/MV/MTX@ZIF-8
RAW264.7 cells were seeded into a 10-cm dish at 2 × 106 cells/dish and cultured in 7 mL of FBS-free DMEM medium. After two days, the conditioned medium was harvested and centrifuged at 2,000 × g (20 min, 4°C) to remove cells and debris. The supernatant was then concentrated to about 30% of the original volume at 2,400 × g for 8 min using an ultrafiltration tube (molecular weight cutoff = 10,000 Da; QPTimaMAX-XP Ultra-High, Beckman Coulter, USA). The obtained supernatant was again centrifuged at 16,500 × g (30 min, 4°C) and the MVs were collected[41]. After washing once with PBS, the MVs were resuspended in sterile phosphate-buffered saline (PBS) for subsequent experiments.
For the preparation of MV/MTX@ZIF-8, MVs were mixed with 1 mg of MTX@ZIF-8, and the mixture was sonicated for 60 s. The solution was then extruded 10 times through a 200-nm porous polycarbonate membrane, followed by centrifugation at 10,000 × g for 5 min[42]. Afterward, the collected product and FPD ligands were mixed in a mass ratio of 1:5 and incubated at 37°C for 2 h. Before use, all preparations were centrifuged at 1,000 × g for 10 min and washed with PBS at least three times[43].
The size distribution and zeta potential of FPD/MV/MTX@ZIF-8 were determined by DLS, and their morphology was examined by TEM. The amount of protein in the purified samples was determined using the bicinchoninic acid (BCA) assay (Beyotime Biotech, Jiangsu, China).
2.6 Western blot analysis
The presence of TSG101, CD81, and CD9 on the MV surface was determined by Western blotting[44–46]. The protein concentration was measured using the BCA assay following the manufacturer’s instructions. Briefly, MVs and cell proteins were heated at 100°C for 5 min. The samples were then fractionated by 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis and transferred electrophoretically to a polyvinylidene fluoride membrane. The membrane was treated with 5% non-fat dry milk for 2 h in washing medium to block non-specific binding sites, then incubated with primary antibodies against TSG101, CD81, or CD9 (1:1000; Abcam, UK)[38] at 4°C overnight. After washing with TBST, the membrane was incubated with horseradish peroxidase-conjugated anti-rabbit secondary antibody (1:1000; Beyotime Biotechnology) at room temperature for 1 h. The membrane was finally soaked in chemiluminescent HRP substrate (Solarbio Biotechnology Company), and chemiluminescence was measured with a ChemiDoc instrument (Bio-Rad, Hercules, CA, USA).
2.7 Cumulative drug release
The cumulative drug release of free MTX, MTX@ZIF-8, MV/MTX@ZIF-8, and FPD/MV/MTX@ZIF-8 was determined by a dialysis method[19]. Briefly, 1 mL of each formulation was sealed in a dialysis bag (molecular weight cutoff = 14,000 Da) and incubated in 50 mL of PBS (pH 7.4 and 5) at 37°C for 24 h under stirring. At predetermined time points, 200 µL of the release medium was collected and replaced with an equal volume of fresh medium. The concentration of MTX was determined by HPLC[39], and the cumulative amount released was calculated using the formula: Drug released (%) = (amount of drug in release medium / amount of drug loaded into nanoparticles) x 100%. The experiment was performed in triplicate.
2.8 In vitro cytotoxicity
The in vitro cytotoxicity of free MTX, pure ZIF-8, MTX@ZIF-8, MV/MTX@ZIF-8, and FPD/MV/MTX@ZIF-8 was examined in RAW264.7 cells using the MTT method[47]. First, cells were seeded in 96-well plates (1 × 104/well) and incubated in 200 µL of cell medium overnight at 37°C in an atmosphere containing 5% CO2. Next, the culture medium was removed and different concentrations of free MTX, MTX@ZIF-8, MV/MTX@ZIF-8, or FPD/MV/MTX@ZIF-8 were added. After incubation for 24 h, MTT solution (5 mg/mL) was added to each well, followed by incubation at 37°C for 4 h. Afterward, 150 µL of dimethyl sulfoxide was added to each well to solubilize the formazan crystals. Absorbance at 490 nm was measured using a microplate reader (Synergy H1, Biotek, Vermont, USA). Cells cultured in nanoparticle-free medium were used as controls. All cytotoxicity experiments were performed three times.
2.9 Uptake of nanoparticles by cells
MTX@ZIF-8, MV/MTX@ZIF-8, and FPD/MV/MTX@ZIF-8 were labeled with Rhm B and PKH67 according to the manufacturer’s protocol. Resting RAW264.7 cells or RAW264.7 cells stimulated for 24 h with LPS at a final concentration of 10 µg/mL were then incubated with the labeled formulations for 1 h at 37°C[48]. After staining the cell nuclei with DAPI, endocytosis was observed by confocal laser scanning microscopy (Leica Microsystems, Wetzlar, Germany)[37]. Uptake of the labeled formulations was also observed by flow cytometry using a Verse cytometer (BD Biosciences, Franklin Lakes, NJ, USA) after stimulating RAW264.7 cells for 24 h with LPS.
2.10 Anti-inflammatory effects of nanoparticles against LPS-activated RAW264.7 cells
RAW264.7 cells were seeded into a 24-well plate (5 × 105 cells/well) and incubated with LPS at a final concentration of 10 µg/mL at 37°C for 24 h. The culture medium was then replaced with fresh medium containing free MTX, MTX@ZIF-8, MV/MTX@ZIF-8, or FPD/MV/MTX@ZIF-8 at a final MTX concentration of 20 µg/mL. Cells cultured in PBS-containing medium were used as negative controls. After incubation at 37°C for 24 h, the culture medium was collected and centrifuged at 2,000 × g for 5 min. The levels of tumor necrosis factor-α (TNF-α), interleukin (IL)-1β, and IL-10 in the supernatant were determined using commercial enzyme-linked immunosorbent assays (ELISAs, Thermo Fisher, Austria) following the manufacturer’s instructions[49].
2.11 Hemolysis assay
Fresh blood samples collected from healthy mice were centrifuged at 800 × g for 10 min, and the red blood cells (RBCs) were isolated. After washing with saline at least three times, a 2% solution of RBCs in saline was prepared. Free MTX, MTX@ZIF-8, MV/MTX@ZIF-8, or FPD/MV/MTX@ZIF-8 in saline were then mixed with an identical volume of 2% RBCs, incubated at 37°C for 3 h, and centrifuged at 800 × g for 10 min. Saline was used as a negative control and deionized water as a positive control. The absorbance of the supernatant at 545 nm was measured using a microplate reader. The hemolysis percentage was calculated as follows[36]: hemolysis percentage (%)
$$=\frac{\text{s}\text{a}\text{m}\text{p}\text{l}\text{e} \text{a}\text{b}\text{s}\text{o}\text{r}\text{b}\text{a}\text{n}\text{c}\text{e} – \text{n}\text{e}\text{g}\text{a}\text{t}\text{i}\text{v}\text{e} \text{c}\text{o}\text{n}\text{t}\text{r}\text{o}\text{l} \text{a}\text{b}\text{s}\text{o}\text{r}\text{b}\text{a}\text{n}\text{c}\text{e}}{\text{p}\text{o}\text{s}\text{i}\text{t}\text{i}\text{v}\text{e} \text{c}\text{o}\text{n}\text{t}\text{r}\text{o}\text{l} \text{a}\text{b}\text{s}\text{o}\text{r}\text{b}\text{a}\text{n}\text{c}\text{e} – \text{n}\text{e}\text{g}\text{a}\text{t}\text{i}\text{v}\text{e} \text{c}\text{o}\text{n}\text{t}\text{r}\text{o}\text{l} \text{a}\text{b}\text{s}\text{o}\text{r}\text{b}\text{a}\text{n}\text{c}\text{e}}\times 100\%$$
2.12 Rat model of collagen-induced arthritis (CIA)
To establish the CIA rat model, bovine type II collagen was thoroughly emulsified with an equal volume of complete Freund’s adjuvant (5 mg/mL; Chondrex, USA) by vortex mixing, and 100 µL of the emulsion was administered intradermally to the base of the rat tail. After seven days, rats were administered an intradermal booster injection of type II collagen with an equal volume of incomplete Freund’s adjuvant. RA severity was evaluated by rating the paw swelling according to the following scale[37]: 0, no signs of swelling; 1, mild inflammation and swelling of individual toes; 2, moderate inflammation and swelling of all toes; 3, severe swelling of the entire paw; and 4, maximum swelling of the limb. The scores of each paw were summed to calculate the total arthritis index score for the animal.
2.13 Biodistribution and pharmacokinetics
The biodistribution of nanoparticles was observed using near-infrared fluorescence imaging. CIA rats were intravenously administered with free Cy5, Cy5 encapsulated in ZIF-8 (Cy5@ZIF-8), MV/Cy5@ZIF-8, or FPD/MV/Cy5@ZIF-8. In each case, the Cy5 dose was 5 mg/rat. At 1, 12, and 24 h post-injection, rats were sacrificed, and their major organs were collected. The fluorescence intensity in the collected tissues was analyzed using an IVIS Spectrum system (Caliper, Hopkinton, MA, USA).
CIA rats were also randomly divided into four groups (n = 3 per group) and intravenously injected once with free MTX, MTX@ZIF-8, MV/MTX@ZIF-8, or FPD/MV/MTX@ZIF-8. In each case, the MTX dose was 1 mg per kg. At 0.25, 0.5, 1, 2, 4, and 8 h post-injection, blood was collected for quantitative analyses of pharmacokinetics. At 0.25, 1, 4 and 8 h post-injection, the rats were sacrificed and their heart, liver, spleen, lung, kidneys, entire hind limbs were collected for quantitative analyses of biodistribution.
2.14 Weight, ankle diameter, paw thickness, foot volume, and articular index score in CIA rats
On day 16 after collagen induction, CIA rats were also randomly divided into seven groups (n = 3 per group) which were injected via the tail vein with saline, ZIF-8, free MTX, MTX@ZIF-8, MV/MTX@ZIF-8, or FPD/MV/MTX@ZIF-8 (MTX dose = 1 mg/kg) once every three days for a total of six times. Healthy rats were used as a control. Arthritic index scores were determined for each limb as described in section 2.12. Body weight, ankle diameter, right hind paw thickness, and foot volume were also measured during treatment every three days. Foot volume was measured using the drainage method[37].
2.15 Micro-computed tomography (micro-CT) of articular bone
On day 34 after collagen induction, rats in each treatment group were euthanized, and their hind limbs were collected. After removing the muscles, the hind limbs were fixed in formalin overnight. The microstructure of each limb was then analyzed using an Inveon positron emission tomography/computed tomography system (Siemens, Siemens, Erlangen, Germany, Germany). The bone mineral density (BMD), ratio of bone surface area to bone volume (BS/BV), ratio of bone volume to tissue volume (BV/TV), trabecular number (Tb.N), trabecular separation (Tb.Sp), and trabecular thickness (Tb.Th) in regions of interest were calculated using Siemens Inveon Research Workplace software 4.2[1].
2.16 Pro-inflammatory cytokines in serum
Blood samples were collected from rats on day 34 after CIA induction, and serum levels of the pro-inflammatory cytokines TNF-α and IL-1β were measured using a commercial ELISA (see section 2.10) according to the manufacturer’s instructions.
2.17 Histological evaluation of joint tissue
Joint tissue samples were decalcified with 15% ethylenediaminetetraacetic acid at neutral pH. Decalcification was considered complete when there was no resistance to acupuncture. The decalcified tissue was then embedded in paraffin and cut into thin sections, which were stained with hematoxylin and eosin (H&E), safranin O or toluidine blue. The histological score was determined by rating cellular infiltrates and cartilage erosion on a scale[50] from 0 to 3, where 0 = no symptoms, 1 = mild symptoms (1–10% cellular infiltrates and cartilage erosion), 2 = moderate symptoms (11–50%), and 3 = severe symptoms (51–100%).
2.18 In vivo safety evaluation
The levels of aspartate transaminase (AST) and alanine transaminase (ALT) in serum collected from different treatment groups were determined using an automatic biochemical analyzer (Mindray BS-240, Shenzhen, China).
2.19 Statistical analysis
All data were expressed as mean ± standard deviation (SD). Statistical analysis was performed using GraphPad Prism 7 (GraphPad Software, La Jolla, CA, USA). One- or two-way analysis of variance was used to assess inter-group differences for significance, and differences associated with P < 0.05 were considered significant.