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NEUROPHARMACOLOGY

Optimal Structure Requirements for Pluronic Block Copolymers in Modifying P-glycoprotein Drug Efflux Transporter Activity in Bovine Brain Microvessel Endothelial Cells

Elena V. Batrakova, Shu Li, Valery Yu Alakhov, Donald W. Miller, and Alexander V. Kabanov

Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, Nebraska (E.V.K., S.L., S.V.V., D.W.M., A.V.K.); and Supratek Pharma Inc., Laval, Quebec, Canada (V.Y.A.)

Received August 27, 2002; accepted October 14, 2002.


    Abstract
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Pluronic block copolymer P85 was shown to inhibit the P-glycoprotein (Pgp) drug efflux system and to increase the permeability of a broad spectrum of drugs in the blood-brain barrier (BBB). However, there is an entire series of Pluronics varying in lengths of propylene oxide and ethylene oxide and overall lipophilicity. This study identifies those structural characteristics of Pluronics required for maximal impact on drug efflux transporter activity in bovine brain microvessel endothelial cells (BBMECs). Using a wide range of block copolymers, differing in hydrophilic-lipophilic balance (HLB), this study shows that lipophilic Pluronics with intermediate length of propylene oxide block (from 30 to 60 units) and HLB <20 are the most effective at inhibiting Pgp efflux in BBMECs. The methods used included 1) cellular accumulation studies with the Pgp substrate rhodamine 123 in BBMECs to assess Pgp activity; 2) luciferin/luciferase ATP assay to evaluate changes in cellular ATP; 3) 1,6-diphenyl-1,3,5-hexatriene membrane microviscosity studies to determine alterations in membrane fluidity; and 4) Pgp ATPase assays using human Pgp-expressing membranes. Pluronics with intermediate lipophilic properties showed the strongest fluidization effect on the cell membranes along with the most efficient reduction of intracellular ATP synthesis in BBMEC monolayers. The relationship between the structure of Pluronic block copolymers and their biological response-modifying effects in BBMECs are useful for determining formulations with maximal efficacy for increasing BBB permeability.


Drug delivery systems based on synthetic polymers have attracted significant attention during the last two decades (Yokoyama, 1992Go; Alakhov and Kabanov, 1998Go; Kwon and Okano, 1999Go). An important and promising example of these systems is Pluronic block copolymers, which were shown to enhance drug performance by acting as biological response-modifying agents. Specifically, they sensitize multidrug-resistant cells by inhibiting drug efflux transporters (Venne et al., 1996Go). Moreover, Pluronic formulations were shown to enhance transgene expression in the body (Lemieux et al., 2000Go). One particular composition, Pluronic block copolymer P85 (P85), was found to improve the transport of select solutes across the BBB in vitro (Batrakova et al., 1998Go, 1999Go) and in vivo (Kabanov et al., 1989Go; Batrakova et al., 2001bGo). Using monolayers of polarized bovine brain microvessel endothelial cells (BBMECs) as an in vitro model of the BBB it was demonstrated that coadministration of P85 significantly increased the transport of various Pgp substrates across brain microvessels by inhibiting the Pgp efflux transport system (Batrakova et al., 1998Go, 1999Go). Similar responses were observed in vivo because administration of P85 significantly enhanced the brain penetration of the Pgp substrate digoxin in wild-type mice expressing functional Pgp to levels that were similar to those observed in Pgp-deficient knockout mice (Batrakova et al., 2001bGo). The mechanism of the effect of this copolymer on the drug efflux system in the BBB has been discussed recently (Batrakova et al., 2001aGo). It was found that the P85 treatment caused membrane fluidization leading to decreases in Pgp ATPase activity (Batrakova et al., 2001aGo). Furthermore, P85 caused significant depletion of cellular ATP in BBMEC monolayers that affected the ATP-dependent Pgp efflux transport system and increased drug diffusion across the blood-brain barrier cell monolayers. Consequently, both membrane fluidization (inhibiting Pgp AT-Pase activity) and energy depletion (decreasing the ATP pool available for Pgp) were found to be critical factors contributing to the activity of the block copolymer in the BBB.

Pluronic block copolymers consist of ethylene oxide (EO) and propylene oxide (PO) blocks arranged in a basic A-B-A structure: EOx-POy-EOx. Due to their amphiphilic nature, Pluronic block copolymers are able to self-assemble into micelles in aqueous solutions above critical micelle concentration (CMC). Below the CMC, Pluronic copolymers exist in solution in the form of a molecular dispersion of individual block copolymer molecules termed "unimers" (Alexandridis et al., 1994Go). Variations in the number of hydrophilic EO units (x) and lipophilic PO units (y) result in copolymers with different molecular mass and distinct hydrophilic-lipophilic balance (HLB). Copolymers with a short hydrophilic poly-EO block or/and an extended lipophilic poly-PO block (such as Pluronic L121 and L101) are highly lipophilic and are characterized by a relatively low CMC and low HLB. In contrast, copolymers with an extended hydrophilic poly-EO block or/and short lipophilic poly-PO block (such as Pluronic F108 and F88) are hydrophilic and are characterized by relatively high CMC and high HLB. Pluronic compositions such as P85 or P103 are intermediate in their lipophilicity and have CMC and HLB values that fall between the two extremes identified above.

Although most experiments examining the effects of Pluronic on BBB permeability were performed with Pluronic P85, there is an entire series of Pluronic block copolymers with differing molecular properties. The availability of a wide variety of Pluronic compositions provides a unique opportunity to identify those structural features that are important for the effects of the block copolymer on drug efflux transporter activity in BBB. In the current study, a series of Pluronic block copolymers with a wide range of HLB were used to identify 1) those composition with the best transporter activity profiles in brain endothelial cells, and 2) the impact of copolymer composition on critical factors (i.e., energy depletion and membrane fluidization) known to influence Pgp transporter activity in BBMEC monolayers.


    Materials and Methods
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Preparation of Block Copolymer Solutions. The list of the block copolymers used in this work and their molecular characteristics is presented in Table 1. All Pluronic block copolymers used were kindly provided by BASF Corp. (Parispany, NJ). Aqueous solutions of Pluronic block copolymer were prepared in assay buffer containing 122 mM sodium chloride, 25 mM sodium bicarbonate, 10 mM glucose, 10 mM HEPES, 3 mM potassium chloride, 1.2 mM magnesium sulfate, 1.4 mM calcium chloride, and 0.4 mM potassium phosphate dibasic, pH 7.4. Pluronic solutions were incubated for at least 1 h at 37°C before using. For the microscopy studies Pluronics P85, L35, F108, and L121 were labeled by fluorescein isothiocyanate (FITC) attached to the one of the block copolymer free ends as described previously (Beauchamp et al., 1983Go). Briefly, Pluronic block copolymers were activated with 1,1'carbonildiimidazole, and then modified with excess of ethylenediamine and purified by gel filtration. Amino-modified copolymers were conjugated with fluorescein isothiocyanate according to manufacturer's protocol. A gel-permeation chromatography was used to ensure that FITC was attached to the block copolymer. Two-step separation was performed: 1) rough separation on Sephadex PD-10 column (Sigma-Aldrich, St. Louis, MO) in acetonitrile/water (1:1) phase, and 2) precise separation on Sephadex LH-20 (Sigma-Aldrich) column in ethanol/water (1:1) phase. FITC-labeled Pluronic was eluted in the first distant peak, and detected by spectrofluorimeter (for FITC) and iodine test (for Pluronic). Second peak of nonconjugated FITC and low molecular products was eluted with a substantial delay. The yield of FITC-Pluronic conjugation was ca. 70%.


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TABLE 1 Physicochemical characteristics of Pluronic block copolymers

 

Cell Isolation and Culture. BBMECs were isolated from fresh cow brains using a combination of enzymatic digestion and density centrifugation as described previously (Miller et al., 1992Go). The cells were maintained in minimal essential medium/F-12 culture medium supplemented with 10% horse serum, 100 µg/ml heparin sulfate, 2.5 µg/ml amphotericin B, and 50 µg/ml gentamicin. Tissue culture media were obtained from Invitrogen (Carlsbad, CA), and serum and medium supplements were purchased from Sigma-Aldrich. Isolated BBMECs were seeded at a density of 50,000 cells/cm2 in 24-well plates and were used for the ATP assay and R123 accumulation studies after reaching confluence (typically within 14 days).

Characterization of Pgp Expression in BBMEC Monolayers. Identification of Pgp was done using immunoblot technique described previously (Miller et al., 1996Go). The monoclonal antibodies to Pgp, C219 (DAKO, Carpinteria, CA), and {beta}-actin, anti-{beta}-1-chicken Integrin (Sigma-Aldrich), were used at 1:100 and 1:200 dilutions, respectively. The secondary horseradish peroxide anti-mouse Ig antibodies (1:1500 dilution) were purchased from Amersham Biosciences, Inc. (Cleveland, OH). The specific protein bands were visualized using a chemiluminescence kit (Pierce Chemical, Rockford, IL). The level of Pgp expression was quantified by densitometry (Nucleo Vision; Nucleo Tech, Curitiba-Pr., Brazil). To correct for loading differences, the level of the protein was normalized to constitutively expressed {beta}-actin. The relative amount of the protein in the Pgp-overexpressing human oral epidermal carcinoma (KBv) derived by selection with vinblastine were used as a positive control, and human umbilical vein endothelial cells (HUVECs) was used as a negative control.

R123 Accumulation Studies. R123 accumulation in BBMECs was studied as described previously (Miller et al., 1997Go). Briefly, confluent cell monolayers were preincubated with the assay buffer for 30 min at 37°C, and then the assay buffer was removed and cell monolayers were exposed to 3.2 µM R123 in either assay buffer or Pluronic solutions at different concentrations for 90 min. After the incubation the dye solutions were removed, the cell monolayers were washed three times with ice-cold PBS, and solubilized in Triton X-100 (1.0%). Aliquots were removed for determination of the cellular dye using an RF5000 fluorescent spectrophotometer ({lambda}ex = 505 nm, {lambda}em = 540 nm) (Shimadzu, Kyoto, Japan) and cellular protein using the Pierce bicinchoninic acid assay. All experiments were carried out in quadruplicate.

The effects of Pluronic compositions on Pgp activity were expressed as the R123 enhancement factor (maximal R123 accumulation levels in the presence of Pluronic versus those observed in the control groups in the absence of the block copolymer).

ATP Assay. To examine the effects of Pluronics on ATP intracellular levels the confluent BBMEC monolayers were pretreated with assay buffer for 30 min after which the cells were incubated with various concentrations of Pluronic solutions for 2 h. After treatment, the cells were washed two times with ice-cold PBS, solubilized in Triton X-100 (1.0%), and immediately frozen for subsequent ATP quantification (conducted within 24 h after the sample collection). Cellular ATP was determined using a luciferin/luciferase assay (Garewal et al., 1986Go). For this purpose, 100-µl aliquots of cell lysate were mixed with 100 µl of ATP assay mix (FL-AAM; Sigma-Aldrich). Light emission was measured with a luminometer (model 20/20; Turner Designs, Inc., Sunnyvale, CA). Raw data were collected as relative light units integrated over 20 s for samples and converted to ATP concentrations with the aid of a standard calibration curve obtained using ATP standard (FL-AAS; Sigma-Aldrich). Cellular ATP levels were normalized for protein content and each data point represented the mean ± S.E.M. of a minimum of four replicates.

Pgp ATPase Assay. Membranes from Pgp-overexpressing cells were used to evaluate effects of P85 on Pgp ATPase activity (BD Gentest, Woburn, MA). A 0.06-ml reaction mixture containing 40 µg of membranes, 20 µl of the various Pluronic compositions or assay buffer, and 3 to 5 mM MgATP, in a 50 mM Tris-MES buffer containing 2 mM EGTA, 50 mM KCl, 2 mM dithiothreitol, and 5 mM sodium azide, pH 6.8. The membrane samples were incubated at 37°C for 20 min. An identical reaction mixture containing 100 µM sodium orthovanadate was assayed in parallel. Orthovanadate inhibits Pgp by trapping MgADP in the nucleotide-binding site. Thus, ATPase activity measured in the presence of orthovanadate represents non-Pgp ATPase activity and can be subtracted from the activity generated without orthovanadate to yield vanadate-sensitive ATPase activity (Pgp ATPase activity). The reaction was stopped by the addition of 30 µl of 10% SDS with Antifoam A. Aliquots (200 µl) of ammonium molybdate in 15 mM zinc acetate/10% ascorbic acid (1:4) were added to each sample and incubated for an additional 20 min at 37°C. The liberation of inorganic phosphate was detected by its absorbance at 630 nm and quantitated by comparing the absorbance to a phosphate standard curve (Druekes et al., 1995Go; Shepard et al., 1998Go).

DPH and 1-[4-(Trimethylamino)phenyl]-6-phenylhexa-1,3,5-triene (TMA-DPH) Labeling of BBMECs. DPH was used as a probe to examine the fluidity properties of the hydrocarbon region of the cell membranes. DPH is a hydrophobic fluorescent compound that spontaneously incorporates in the hydrocarbon regions of lipid membranes (Shinizky and Inbar, 1967Go; Laat et al., 1977Go). Transfer of DPH from the aqueous environment into the cell membranes results in a drastic increase of the fluorescence emission for this probe. Furthermore, once the probe is incorporated into lipid membranes, its fluorescence polarization is strongly dependent on the microenvironment, with decreases in membrane microviscosity resulting in increased fluorescent polarization. It should be noted that DPH binds not only with the plasma membranes but also with other membranes within the cells, thus the polarization value obtained reflects the overall membrane microviscosity of the cells (Pagano et al., 1977Go). Consequently, once the polarization changes are observed, it is difficult to discriminate which membranes (i.e., plasma or intracellular organelle) are affected. To examine effects of Pluronics on plasma membranes of BBMECs, the cationic analog of DPH, TMA-DPH, was used. The cationic charge of this probe ensures that TMA-DPH is anchored at the lipid-water interface, whereas the DPH moiety is intercalated between the upper portions of the lipid milieu (Prendergast et al., 1981Go). For these studies, the BBMEC suspension was washed twice with PBS and incubated with 2 µM DPH (Sigma-Aldrich) dispersion for1hat37°C. For TMA-DPH studies, cells were incubated with 2 µM TMA-DPH (Molecular Probes, Eugene, OR) for 10 min at 37°C. Then, the cells were washed twice with PBS to remove extracellular probe, and resuspended in an appropriate volume of PBS. To evaluate the kinetic effects of Pluronics in BBMECs, four different Pluronic compositions representing each group were added at concentrations producing maximal inhibition of the Pgp efflux system in BBMECs, and changes in fluorescent polarization were recorded.

Fluorescence Polarization Measurements. Fluorescence intensities were measured with a Hitachi F5000 spectrophotometer equipped with a polarizer set. This instrument detects fluorescence intensity (I) with the relative position of the polarizer and analyzer (parallel, I||, or perpendicular, I{perp}) and fluorescence anisotropy r, was calculated according to eq.1:

(1)
An excitation wavelength of 365 nm and an emission wavelength of 425 nm were used for both probes. Cell suspensions were gently mixed before each reading. In all cases, corrections for stray light and intrinsic fluorescence were made by subtracting the values for I|| and I{perp} of unlabeled samples from those of identical but labeled samples.

Microviscosities ({eta}) were derived as described previously for DPH (Shinizky and Inbar, 1967Go; Laat et al., 1977Go) and TMA-DPH (Chazotte, 1994Go) by the method based on the Perrin equation (eq. 2) for rotational depolarization of a nonspherical fluorophore:

(2)
where r0 and r are limiting and measured fluorescence anisotropies, T is the absolute temperature, and {tau} is the exited state lifetime. The value of r0 used for both probes was 0.362; {tau} values were 10 and 7 ns for DPH and TMA-DPH, respectively. C(r) is a molecular shape parameter equal to 8.6 x 105 poise · deg-1 s-1 and 15.3 x 105 poise · deg-1 s-1 for DPH and TMA-DPH, respectively.

Fluorescent Microscopy. BBMECs grown on chamber slides (Fisher Scientific Co., Fair Lawn, NJ) were incubated with 0.1% F108-FITC, P85-FITC, L35-FITC, and L121-FITC in assay buffer for 2 h at 37°C. After this period, the loading solutions were removed, and the cell monolayers were washed three times with ice-cold PBS containing 1% bovine serum albumin and examined using an ACAS-570 (Meridian Instruments, Okimos, MI) confocal laser microscope.

Cytotoxicity Assay. To examine the possible cytotoxic effect of studied block copolymers, BBMEC were seeded in 96-well plates at a density of 5000 cells/well and allowed to reattach overnight. Then, the cells were exposed to various concentrations of Pluronic solutions for 2 h at 37°C. After this treatment cells were washed three times and cultured for 3 days in the media. The cytotoxic effects were determined using a standard 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium assay (Ferrari et al., 1990Go). All experiments were repeated eight times. No cytotoxic effects of Pluronic block copolymers were observed over entire range of concentrations used in this study.

Statistical Analysis. All statistical tests were performed by Microsoft Excel 97 SR-1 program using the two-tailed heteroscedastic t tests. A minimum p value of 0.05 was estimated as the significance level for all tests. S.E.M. values for R123 accumulation levels, microviscosity, and ATP measurements were less than 10% of the mean.


    Results
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 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
Effects of Pluronics on R123 Accumulation in BBMECs. Measurements of cellular accumulation of R123, a substrate of Pgp, have been commonly used for evaluating the functional activity of Pgp in cells (Jancis et al., 1993Go; Lee et al., 1994Go, Fontaine et al., 1996Go). In the preliminary study, we examined the level of Pgp expression in BBMEC monolayers by Western blot. The determined amount of the protein was normalized to the amount of constitutively expressed {beta}-actin. Pgp-overexpressing human oral epidermal carcinoma (KBv) cells derived by selection with vinblastine were used as a positive control for the drug transporter expression, whereas the HUVECs were used as a negative control. The relative amounts of Pgp in KBv, BBMEC, and HUVEC cells were 1.33, 0.81, and 0.07, respectively, which confirms substantial Pgp expression in BBMECs.

To estimate the ability of various Pluronics to inhibit the Pgp efflux system in BBMEC monolayers, R123 accumulation studies in the presence and absence of 12 different Pluronic compositions were performed.

The concentration-dependent effects of four selected Pluronic compositions on R123 accumulation in BBMEC monolayers are presented in Fig. 1A. As it seen in the figure, one pattern observed for all the block copolymers is that accumulation of R123 reaches maximal levels at or near the respective copolymer CMC, and then decreases at concentrations above the CMC. This result is consistent with previous reports suggesting that the unimers of Pluronic (i.e., single molecular chains of block copolymer) are responsible for the inhibition of the Pgp efflux system in these cells (Batrakova et al., 1998Go, 2001aGo). The effect of high Pluronic concentrations is believed to be due to incorporation of the probe in the micelles, resulting in a decrease in the amount of free probe available for diffusion into the cells.



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Fig. 1. A, concentration effects of various Pluronics on R123 accumulation in BBMECs. B, relationship between the R123 accumulation enhancement factor and the length of lipophilic PO segment (NPO) in Pluronic block copolymers. BBMEC monolayers were exposed for 60 min to 3.2 µM R123 in the assay buffer containing different concentrations of Pluronic copolymers: F108 (filled diamonds), L121 (filled triangles), P85 (filled circles), and L35 (crosses). Thereafter, R123 accumulation enhancement factors were determined as the ratios of R123 levels in the cells exposed to the dye in Pluronic solution (at the most effective concentration) and assay buffer. Arrows correspond to CMC of each Pluronic.

 

The effects of the various Pluronic compositions on R123 accumulation were plotted as a function of length of PO block (Fig. 1B). This parameter was chosen as an index of polymer lipophilicity. As seen in Fig. 1B, the effects of the various Pluronic block copolymers on R123 accumulation in BBMEC monolayers were dependent on the composition of the polymer. The hydrophilic copolymers with HLB ranging from 20 to 29 (group I) had little affect on Pgp functional activity. In contrast, the lipophilic copolymers (HLB <20) with intermediate-length PO blocks (i.e., 30–60 units) (group II) were very effective at inhibiting of Pgp activity in BBMEC monolayers (Fig. 1B). Those lipophilic copolymers with the PO blocks less than 30 (group III a) and longer than 60 (group III b) had little if any effect on R123 accumulation. These groups are presented in Fig. 2 showing a grid of Pluronic block copolymers with different number of PO blocks (NPO) and HLB. This figure also depicts selective copolymer representative of each group.



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Fig. 2. A grid of Pluronics indicating four groups determined based on the activity of these copolymers displayed in BBMEC monolayers.

 

Effects of Pluronics on the Total Membrane Microviscosity in BBMECs. It has been shown recently that Pluronic P85 treatment causes significant changes in membranes microviscosity and that these effects correlate with the degree of inhibition of the Pgp efflux system in BBMECs (Batrakova et al., 2001aGo). To examine the effects of Pluronic structure on membrane microviscosity, the interactions of various Pluronic compositions with BBMEC membranes were studied using the DPH fluorescence polarization method. This compound has been used extensively as a membrane probe for assaying the microenvironment in the hydrocarbon regions of the lipid bilayer (Laat et al., 1977Go). It has been shown that DPH binds with plasma membranes as well as with other membranes within the cells, and thus the data obtained with DPH reflect the net polarization value of all cell membranes (Pagano et al., 1977Go). We examined the time-dependent changes in fluorescence polarization of DPH in BBMECs after exposure to the various Pluronic block copolymers. All Pluronics were added at concentrations producing maximal inhibition of the Pgp efflux system in BBMECs. The microviscosity values were calculated from the polarization measurements, as described under Materials and Methods. The changes in the total microviscosity of BBMECs exposed to representative Pluronic compositions from each group are shown in Fig. 3A.



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Fig. 3. A, kinetic effects of various Pluronics on the total microviscosity in BBMECs. B, relationship between the total microviscosity factor and the length of lipophilic PO segment (NPO) in Pluronic block copolymers. Cells were treated with F88 (filled diamonds), L121 (filled triangles), P85 (filled circles), and L35 (crosses) at 37°C. Copolymers were used at the concentrations that caused the most efficient inhibition of the Pgp efflux system in BBMECs.

 

There are two distinct effects caused by Pluronics in BBMEC cellular membranes. The hydrophilic block copolymer F88 (group I) and the lipophilic block copolymer with a short lipophilic PO block L35 (group III a) caused solidification, i.e., increasing of the membrane microviscosity (Fig. 3A), suggesting that molecules of these Pluronics adhere on the cellular surface and limit the lateral mobility of the membrane lipids. In contrast, the lipophilic copolymers with either long PO block L121 (group III b) or intermediate PO block P85 (group II) decreased the microviscosity in BBMECs (Fig. 3A), indicating their incorporation into the lipid bilayer and subsequent increase in membrane fluidization. All changes in microviscosity for each Pluronic were observed within the first 20 to 40 min after addition of the block copolymer to the cell suspension. After that time period, the microviscosity leveled off and remained constant throughout the duration of the experiment.

The microviscosity data for each Pluronic were used for calculating the total microviscosity factor (value of total cellular membrane microviscosity in the control groups in the absence of the block copolymer versus those observed in the presence of the Pluronic). After that, the microviscosity factor values were plotted versus length of lipophilic PO block for each Pluronic (Fig. 3B). As seen in the figure, the graph is qualitatively similar to those results obtained with the R123 enhancement factor (Fig. 1B). There are two separate phenomena: a bell-shaped curve corresponding to the lipophilic Pluronics and a linear dependence corresponding to the hydrophilic Pluronics. The similarities between the dependence of the rhodamine enhancement factor versus length of PO block and dependence of the microviscosity factor versus length of PO block suggest that there is a strong relationship between the effects of Pluronics on the membrane microviscosity and their ability to inhibit the Pgp efflux system in BBMECs.

Effects of Pluronics on Pgp ATPase Activity. The effect of various Pluronic compositions on Pgp ATPase activity was also examined (Fig. 4). All Pluronics were added at concentration producing maximal inhibition of the Pgp efflux system in BBMECs. The effects of four different Pluronic compositions representing each group on Pgp ATPase activity are shown in Fig. 4A.



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Fig. 4. A, effect of various Pluronics on the Pgp ATPase activity in human Pgp-expressing membranes. B, relationship between the Pgp ATPase activity factor and the length of lipophilic PO segment (NPO) in Pluronic block copolymers. Membranes were exposed to various Pluronic solutions at the most effective concentrations (in respect to the inhibition of Pgp efflux system), and Pgp ATPase activity was calculated as described under Materials and Methods.

 

Similar to the microviscosity data (Fig. 3A) there were two distinct effects on Pgp ATPase activity caused by Pluronics. The hydrophilic block copolymer F108 (group I) and the lipophilic block copolymer with a short lipophilic PO block L35 (group III a) increased the Pgp ATPase activity. In contrast, the lipophilic copolymers with the long PO block L121 (group III b) or intermediate PO block P85 (group II) decreased the Pgp ATPase activity in Pgp-overexpressing membranes. With regard to the data described in the previous section, it indicates that membrane solidification, i.e., decreasing the mobility of membrane lipids caused by the hydrophilic Pluronics, results in an increase in Pgp ATPase activity. In contrast, membrane fluidization, caused by the lipophilic block copolymers, results in a decrease in Pgp ATPase activity.

Despite these similarities, there is a major difference between the effects of various Pluronics on the membrane microviscosity and Pgp ATPase activity. Basically, the most significant membrane fluidization was caused by the intermediate lipophilic Pluronics (group II) (Fig. 3A), although the most efficient inhibition of Pgp ATPase activity was caused by the extremely lipophilic Pluronics (group III b) (Fig. 4A). This is more clearly observed by plotting the Pgp ATPase activity factor (values of Pgp ATPase activity in the control membranes in the absence of the block copolymer versus those observed in the presence of the Pluronic) versus a function of length of lipophilic PO block for each Pluronic (Fig. 4B).

As is seen in the figure, the S-shape curve for the Pgp ATPase activity factor (Fig. 4B) differs from the bell-shape curves observed for the microviscosity and R123 enhancement factors (Figs. 1B and 3B) corresponding to the lipophilic Pluronics. These differences may be due to differences in experimental protocols. Whole cells were used for the microviscosity experiments, whereas cell membranes were used for the Pgp ATPase activity studies. Therefore, the changes in the total membrane microviscosity caused by Pluronics might depend on transport of the block copolymer inside the cells. In contrast, changes in the Pgp ATPase activity in the Pgp membranes should not be affected by this factor. To prove this suggestion, the effects of various Pluronics on the plasma membrane microviscosity of BBMECs were examined.

Effects of Pluronics on the Microviscosity of Plasma Membranes in BBMECs. Changes in the dynamics of the plasma membrane in BBMECs caused by various Pluronics were studied by a fluorescence polarization method using TMA-DPH. This cationic probe at early time points interacts with head groups of phospholipids and intercalates into the outer surface leaflet of the plasma membrane of cells, but not into the intracellular compartments (Prendergast et al., 1981Go). All Pluronics were used at the concentration that caused the most efficient inhibition of the Pgp efflux system in BBMECs.

Similar to the results obtained from the DPH polarization measurements, two distinct effects of block copolymers on TMA-DPH polarization in BBMECs were observed: the plasma membrane solidification caused by the Pluronics F88 and L35 (groups I and III a) and the plasma membrane fluidization caused by the block copolymers P85 and L121 (groups II and III b) (Fig. 5A). The changes in the plasma membrane microviscosity in Pluronic-treated BBMECs occurred faster (within the first 3–10 min after addition of the block copolymer to the cell suspension) (Fig. 5A) than the changes in the total membrane microviscosity (Fig. 3A). The shorter time frame with TMA-DPH suggests that the insertion of Pluronics into the plasma membrane and the effect on the mobility of plasma membrane lipids occurs more quickly than transport of Pluronics into the cells and the resulting effects on total membrane microviscosity.



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Fig. 5. A, kinetic effects of various Pluronics on the plasma microviscosity in BBMECs. B, relationship between the plasma microviscosity factor and the length of lipophilic PO segment (NPO) in Pluronic block copolymers. Cells were treated with F88 (filled diamonds), L121 (filled triangles), P85 (filled circles), and L35 (crosses) at 37°C. Copolymers were used at the concentrations that caused the most efficient inhibition of the Pgp efflux system in BBMECs.

 

The plasma membrane microviscosity factor for each Pluronic composition was calculated, and the resulting data were plotted as a function of length of PO block for each Pluronic (Fig. 5B). An S-shaped curve corresponding to the lipophilic Pluronics and a linear dependence corresponding to the hydrophilic Pluronics were observed. It is noteworthy, that the S-shaped dependence of plasma membrane microviscosity factor (Fig. 5B) is analogous to the S-shaped dependence of the Pgp ATPase activity factor (Fig. 4B).

Effects of Pluronics on the Intracellular ATP Content in BBMECs. The effects of various Pluronic compositions on intracellular ATP content were measured by luciferin-luciferase assay (Garewal et al., 1986Go). The concentration-dependent effect of four different Pluronic compositions from each major group on cellular ATP is shown in Fig. 6A. The BBMEC monolayers treated with the hydrophilic Pluronic F88 (group I) and lipophilic block copolymer with a short lipophilic PO block L35 (group III a) increased intracellular ATP content. In contrast, incubation of the cell monolayers with the lipophilic Pluronic L121 (group III b) caused substantial energy depletion in BBMECs. Taking into account that hydrophilic Pluronics corresponding to group I and III a caused a significant membrane solidification (Fig. 3A), whereas the lipophilic Pluronics (groups II and III b) caused membrane fluidization, it suggests the relationship between the status of the membranes and the intracellular ATP level in BBMECs. Generally, Pluronics that increase the membrane microviscosity elevate the ATP content, and vise versa, block copolymers that decrease membrane microviscosity case energy depletion in the blood-brain barrier cells. The reason of this phenomenon is unknown. Intermediate Pluronic P85 (group II) reduced the intracellular ATP level, identically to lipophilic L121, but at significantly higher extent (less than 10% of Pluronic nontreated control cells). This result is consistent with our previous observation showing the most efficient membrane fluidization by the lipophilic block copolymers with the intermediate length of PO block.



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Fig. 6. A, concentration effects of various Pluronics on the ATP intracellular content in BBMECs. B, relationship between the ATP depletion factor and the length of lipophilic PO segment (NPO) in Pluronic block copolymers. Cells were treated with F88 (filled diamonds), L121 (filled triangles), P85 (filled circles), and L35 (crosses) for 2 h at 37°C. After that, the ATP intracellular levels were calculated as described under Materials and Methods.

 

Finally, the ATP depletion factor (ATP intracellular levels in the absence of Pluronic versus those observed in the presence of Pluronic) was calculated and plotted versus the length of PO block for the each copolymer (Fig. 6B). There are two separate dependences: a bell-shaped curve corresponding to the lipophilic Pluronics and a linear dependence corresponding to the hydrophilic block copolymers. The lipophilic Pluronics with the intermediate length of PO block caused the most significant energy depletion in BBMECs.

Confocal Microscopy Studies of FITC-labeled Pluronics Transport into BBMEC Pluronic F108, L35, P85, and L121 were labeled with FITC, as described previously (Beauchamp et al., 1983Go) and used to determine the cellular distribution in BBMEC monolayers. Figure 7 shows the confocal fluorescence photomicrographs of BBMECs after a 2-h (37°C) exposure to FITC-labeled Pluronics. As is seen in the figure, the FITC-labeled hydrophilic Pluronic F108 (group I) shows a poor internalization into the cells, with most of the internalized Pluronic confined to what is presumed to be endocytic compartments (Fig. 7A). In contrast, lipophilic Pluronic L35 with short PO block (group III a) and intermediate Pluronic P85 (group II) accumulated throughout the cells, including the cytoplasm, the cellular organelles, and to some extent the nuclei (Fig. 7, B and C). The cellular accumulation of highly lipophilic Pluronic L121 with the long PO block (group III b) was dramatically different from that observed with Pluronics L35 and P85 (Fig. 7D). The fluorescent microphotograph shows L121 localized presumably in the endocytic compartments. This suggests that the highly lipophilic Pluronic L121 could not cross out the BBMEC membranes, probably, due to its strong interaction with the lipid bilayer. Thus, L121 effectively decreases the microviscosity of the plasma membranes (Fig. 5B), but not the intracellular membranes. These data provide an explanation for the effects of various Pluronics on the total membrane microviscosity in BBMEC. Because DPH polarization reflects changes in the microenvironment of all membranes, the total effect of L121 on the net microviscosity in BBMECs is less than the effect of intermediate Pluronics (group II), which explains the bell-shaped dependence for the total microviscosity on the length of PO block (Fig. 3A).



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Fig. 7. Intracellular localization of FITC-F108 (A), FITC-P85 (B), FITC-L35 (C), and FITC-L121 (D) in BBMEC monolayers by confocal microscopy. Cells were exposed to various FITC-labeled Pluronics for 2 h, washed with BSA/PBS solution, and examined by fluorescent confocal microscopy.

 


    Discussion
 Top
 Abstract
 Materials and Methods
 Results
 Discussion
 References
 
The rationale for this work was to examine how Pluronic block copolymers, with different molecular structure, interact with the BBB cells and to find those Pluronic compositions having the maximal inhibitory effects on Pgp efflux transport system in BBMECs. Data from 12 Pluronic copolymer compositions were examined. Using lipophilicity as a descriptive index, the 12 polymer compositions were subdivided into four groups [hydrophilic copolymers (HLB >20) (I); lipophilic copolymers (HLB <20) with intermediate length of PO block ranging from ca. 30 to 60 PO repeating units (II); and lipophilic copolymers (HLB <20) with shorter (III a) and with longer PO blocks (III b)] and examined for their ability to alter the membrane microviscosity, Pgp AT-Pase activity, and ATP intracellular levels. These parameters were selected based on previous studies showing that the effects of Pluronic P85 on Pgp activity are correlated with membrane microviscosity, Pgp ATPase activity, and ATP depletion in BBB cells.

Hydrophilic block copolymers F38, F88, F108, and F127 (group I) showed no or little inhibition of the Pgp efflux system in BBMEC monolayers. Confocal microphotographs showed a poor cellular internalization of hydrophilic Pluronics, with intracellular accumulation mainly restricted presumably to endocytic compartments. Molecules of these block copolymers adhere to the surface plasma membrane of the cells and limit the lateral mobility of membrane lipids, causing membrane solidification. The increased membrane microviscosity could be a reason for the elevated Pgp ATPase activity observed with these block copolymers. It has been found recently that membrane fluidization by various agents, including nonionic surfactants, abolishes Pgp ATPase activity (Regev et al., 1999Go). Moreover, a mutational analysis of Pgp showed that interaction between the two ATP binding sites in the efflux protein is essential for the ATP hydrolysis (Ambudkar et al., 1999Go). Therefore, we suggest that membrane solidification caused by hydrophilic Pluronics may increase interaction between the main functional domains of Pgp and enhance the Pgp ATPase activity.

Hydrophilic Pluronic compositions also increase intracellular ATP levels in BBMECs. The mechanism of this effect remains unclear and needs further investigation. Taken together, Pluronics in group I have an extended hydrophilic ethylene oxide block, do not incorporate into lipid bilayers, undergo limited transport into the cells, and as a result, have negligible effect on Pgp efflux activity in BBMECs (Fig. 8).



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Fig. 8. Scheme describing interactions between the blood-brain barrier cells and four major groups of Pluronics.

 

Pluronic compositions in group II consist of lipophilic copolymers with intermediate length of PO block (Pluronics L64, P85, L81, and P105). Members of this group rapidly adhered to the cell membranes and incorporated into them, resulting in an increased fluidization. This is also supported by the confocal microphotographs demonstrating that group II Pluronics spread throughout the cells into the cytoplasm, cellular organelles, and even some extend into the nuclei. Our recent studies indicated colocalization of Pluronic P85 with a mitochondrial marker in BBMEC monolayers (Batrakova et al., 2001aGo), indicating possible interactions of P85 and mitochondria membranes. The membrane distribution of P85 and related polymers has a 2-fold effect; causing 1) a decrease of Pgp ATPase activity due to changes in the lipid microenvironment of Pgp, and 2) an inhibition of ATP synthesis due to changes in the electron transport in the mitochondria membranes. The evidence supporting the latter is that intermediate Pluronic P105 decreased the activity of the electron transport chains in the mitochondria from HL-60 cells (Rapoport et al., 200). Finally, the reduced ability of Pgp to consume intracellular ATP, along with energy depletion, leads to a dramatic inhibition of Pgp efflux transport system, facilitating drug transport to the brain (Batrakova et al., 2001aGo) (Fig. 8). There may be other mechanisms by which Pluronics increase drug transport into the cells. For example, it was shown recently that intermediate Pluronics enhanced the transport of doxorubicin by accelerating the processes of solute diffusion within lipid bilayers (Erukova et al., 2000Go). However, the inhibition of efflux transport systems is believed to be the most important in the facilitation of drug transport across the BBB.

Lipophilic copolymers with short PO blocks Pluronics L35 and L43 (group III a) could be placed between the hydrophilic Pluronics (group I) and the intermediate lipophilic Pluronics (group II) with respect to their effect on Pgp activity in BBMEC monolayers. Similar to the hydrophilic block copolymers, molecules of these Pluronics adhere on the surface membranes of BBMECs causing the membrane solidification and increasing Pgp ATPase activity. However, in contrast to the hydrophilic block copolymers and similar to the intermediate lipophilic Pluronics, they easily spread throughout the cells into cytoplasm and reach intracellular compartments, including nuclei. In spite of their effective transport into the BBMECs, they practically do not affect ATP content in the cells. The lack of effect on ATP intracellular levels is likely due to absence of membrane fluidization, particularly, in mitochondria membranes.

Finally, extremely lipophilic copolymers with long PO blocks Pluronics L121 and L101 (group III b) are the most membranotropic block copolymers. They cause the highest fluidization effect on plasma membranes and the most efficient inhibition of Pgp ATPase activity in Pgp-containing membranes. Because of such high membranotropic properties these block copolymers anchor in the plasma membranes and remain there for an extended period of time. As a result, they are less efficiently transported into the intracellular compartments than intermediate Pluronics (group II) (Fig. 8). Therefore, the extremely lipophilic Pluronics cause less energy depletion and, consequently, have less effect on Pgp efflux system in blood-brain barrier cells than the intermediate block copolymers. An additional consideration with the very lipophilic Pluronic compositions is the low CMC. It has been shown previously that the effect of Pluronics is mediated by the copolymer single chain unimers, rather than by the micelles (Miller et al., 1997Go). Extremely lipophilic Pluronics tend to form micelles at low concentrations of the copolymer in water solutions. Thus, the micelle formation decreases the ability of Pluronic molecules to enter the cells and reduces the influence of the copolymer on all systems in the barrier cells.

All in all, a delicate balance between hydrophilic and lipophilic components in the Pluronic molecule should be accomplished to provide the best interactions and the most significant impact of the block copolymer on the endothelial cell transport.

Present studies strongly indicate the key roles of membrane fluidization and energy depletion caused by Pluronics on the inhibition of the Pgp efflux system in BBMECs. To make this statement clear the dependence of R123 accumulation factor versus total microviscosity factor (Fig. 9A) and R123 accumulation factor versus ATP depletion factor (Fig. 9B) were plotted for all studied block copolymers. As is seen in the figure, both dependences are linear. This supports the importance of membrane fluidization and energy depletion, in the effects of Pluronics on Pgp efflux transport activity in BBMECs. Overall, Pluronics with the intermediate hydrophilic-lipophilic properties are believed to have a remarkable potential use for the delivery of therapeutic agents to the brain.



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Fig. 9. Relationship between the R123 enhancement factor and total microviscosity factor (A) or ATP depletion factor (B) for different Pluronics.

 


    Acknowledgements
 
We thank Janice Taylor (Confocal Laser Scanning Microscope Core Facility, University of Nebraska Medical Center), which is supported by the Nebraska research Initiative, for providing assistance with confocal microscopy.


    Footnotes
 
This study was supported by National Institutes of Health Grants NS36229 (to A.V.K.) and A617294 (to D.W.M.).

DOI: 10.1124/jpet.102.043307.

ABBREVIATIONS: BBB, blood-brain barrier; BBMEC, bovine brain microvessel endothelial cell; EO, ethylene oxide; PO, propylene oxide; CMC, critical micelle concentration; HLB, hydrophilic-lipophilic balance; FITC, fluorescein isothiocyanate; HUVEC, human umbilical vein endothelial cell; R123, rhodamine 123; PBS, phosphate-buffered saline; Pgp, P-glycoprotein; MES, 4-morpholineethanesulfonic acid; DPH, 1,6-diphenyl-1, 3,5-hexatriene; TMA, 1-[4-(trimethylamino)phenyl]-6-phenylhexa-1,3,5-triene.

Address correspondence to: Dr. Alexander V. Kabanov, Department of Pharmaceutical Sciences, University of Nebraska Medical Center, 986025 Nebraska Medical Center, Omaha, NE 68198-6025. E-mail: akabanov{at}unmc.edu


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