Materials
NHS-PEG-b-PLA copolymers and Mal-PEG-b-PLA copolymers with a molecular weight of 6,000 Da were purchased from Nanosoft Polymers. DiI was purchased from Biotium. Ham’s F10 medium and bovine serum albumin (BSA) were obtained from Gibco and GenDEPOT, respectively. Dulbecco’s modified Eagle’s medium (DMEM), fetal bovine serum (FBS), and antibiotic-antimycotics were purchased from Biowest. The DNA Mini Kit and RNeasy Mini Kit were purchased from QIAGEN. TOPscript™ complementary DNA (cDNA) Synthesis Kit and qPCR SyGreen Mix were purchased from Enzynomics and PCR BIOSYSTEMS, respectively. SnakeSkin™ Dialysis Tubing (10,000 MWCO) was purchased from Thermo and pluriStrainer® 500 µm was purchased from pluriSelect. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) cell proliferation assay kit was obtained from iNtRON Biotechnology. Hank’s balanced salt solution (HBSS), dimethyl sulfoxide (DMSO), nicotinamide, D-glucose, L-glutamine, calcium chloride dihydrate, isobutylmethylxanthine, ciprofloxacin, N-(2-Hydroxyethyl) piperazine-N′-(2-ethanesulfonic acid) (HEPES), sodium bicarbonate, collagenase type V, acridine orange (AO), propidium iodide (PI), and 3,3',5-triiodo-L-thyronine sodium salt (T3) were purchased from Sigma Aldrich. Human/Canine/Porcine Insulin Quantikine ELISA Kit purchased from R&D Systems. All other chemicals and reagents were of analytical grade.
Animals
The experimental protocols involving animals were approved by the Institutional Animal Care and Use Committee of the Institute of MGENSolutions Co. Ltd. (approval number: #2019-1). All procedures were performed in accordance with the committee's stipulations. The piglets were anesthetized using general anesthesia. Careful measures were taken to minimize discomfort during the procedure. Pancreatectomy was performed on the piglets as part of the study protocol. Prior to the surgical excision of the pancreas, all piglets were euthanized to underscore humane treatment.
Production of PSomes
PEG-b-PLA copolymer conjugates (PSomes, 5 mg/mL) with NHS- and Mal- groups were dissolved in 1 mL of DMSO to prepare PSomes. Dual-PSomes containing both NHS- and Mal- were formed by combining individual copolymers in varying proportions. To this solution, 3 mg of T3 and DiI were added for drug loading and visualization, respectively. After adding 4 mL of distilled water, the solution was ultrasonicated at 60°C for 10 min to obtain a final concentration of 1 mg/mL. The resulting mixture was dialyzed for 3 days using SnakeSkinTM Dialysis Tubing (10,000 MWCO) in distilled water.
Characterization of PSomes
At 25°C, the hydrodynamic dimension of PSomes was determined using DLS with ELSZ-2000S (Otsuka Electronics Co). Simultaneously, their zeta potentials were measured using a Zetasizer Nano ZSP (Malvern Panalytical). The morphology of PSomes was examined using JEM-2100F (Jeol Ltd.) field emission TEM at an accelerating voltage of 2000 kV. For the TEM analysis, 10 µl of PSome dispersion was applied to formvar/carbon-coated 75-mesh copper grids (Ted Pella), negatively stained with a 1% (w/v) of uranyl acetate aqueous neutral solution, and air-dried for 30 minutes.
Analysis of T3 Release In Vitro
Release of T3 contained in Dual-PSomes was performed using 0.01 M NaOH and Tube-O-DIALYZER (Medi 50 K MWCO, GenoTechnology Inc., St Louis, MO, USA). The amount of T3 was determined by analyzing the drug content using HPLC. Furthermore, the in vitro T3 release pattern was measured using HPLC. The analysis was conducted using liquid chromatography (AGILENT 1260 Infinity, Waldbronn, Germany) equipped with a diode array detector and Quaternary Gradient pump, and separation and quantification were performed on an Eclipse XDB-C18 4.6x250, 5-µ column. The column was maintained at 4°C, and the flow rate and injection volume were 1 mL/min and 20 µL, respectively. The mobile phase was a mixture of methanol/deionized water (65:35, v/v) with 2% acetic acid. The detection was performed at a wavelength of 240 nm. As a result, T3 was released from T3 loaded NHS:Mal (7:3)-dual-PSomes for up to 2 weeks.
Isolation of Neonatal Porcine Islet-Like Cell Clusters (NPCCs)
NPCCs were extracted from the pancreata of piglets aged 3–5 days via enzymatic digestion. The procedure for isolating NPCCs has been previously described.15 Briefly, following the humane sacrifice of piglets, the pancreas was carefully dissected to prevent a bowel injury. The pancreas was immediately homogenized into 1–2-mm3-sized fragments. Collagenase type V (2.5 mg/mL) was added to HBSS containing 8.3 mM of sodium bicarbonate, 10 mM of HEPES, and 0.5% of antibiotic–antimycotic. Introducing an HBSS buffer containing 10% FBS halted the enzymatic activity. After two cycles of HBSS buffer rinsing, tissue samples were passed through a cell strainer with 500-µm pores. Postisolation, the NPCCs were incubated in Ham's F10 medium enriched with 0.25% BSA, 10 mM of nicotinamide, 10 mM of D-glucose, 2 mM of L-glutamine, 2 mM of calcium chloride dihydrate, 50 µM of isobutylmethylxanthine, 20 µg/mL of ciprofloxacin, and 1% of antibiotic–antimycotic. The cultivation conditions were maintained at 37°C and 5% of CO2. NPCCs were cultured for 5–6 days, and the culture medium was replaced on the first and third postisolation days.
Quality Control of NPCCs
After culture, the number of NPCCs was determined by measuring the diameter of islet colonies with an ocular optical reticle. The calculated amount of NPCCs was denoted as the islet equivalent (IEQ). Using 0.67 µM of AO and 75 µM of PI, the viability of NPCCs was determined. The resulting viability data were normalized relative to the NTC, which served as the baseline.
Glucose-Stimulated Insulin Secretion Assay
NPCCs were initially preincubated in Krebs–Ringer bicarbonate buffer (KRBB) enriched with 25 mM of HEPES, 115 mM of sodium chloride, 24 mM of sodium bicarbonate, 5 mM of potassium chloride, 1 mM of magnesium chloride hexahydrate, 2.5 mM of calcium chloride dihydrate, and 0.1% of BSA at a basal-glucose concentration of 2.8 mM for 1 h. NPCCs were then subjected to a sequential glucose challenge, in which they were exposed to low glucose levels (2.8 mM) in KRBB for 1 h, followed by a high glucose concentration (28 mM) in KRBB for another hour. Using the Human/Canine/Porcine Insulin Quantikine ELISA Kit, insulin secretion at both low and high glucose concentrations was evaluated by collecting the supernatants following incubation. To account for variations in cell numbers during insulin quantification, DNA was extracted from NPCCs participating in GSIS using a DNA preparation kit. Finally, insulin secretion levels under each condition were normalized relative to the NTC, which served as the baseline.
Quantitative Real-Time Polymerase Chain Reaction
RNA was obtained using an RNA prep kit. The extracted RNA was converted into cDNA using a cDNA synthesis reagent. qRT-PCR was performed using the qPCR SyGreen Mix to quantify the gene expression. This procedure was performed using Bio-Rad 's CFX Opus 96 Real-Time PCR System (Hercules, CA, USA). Forward − 5'-CCAGCATCTGTTCCCTCTACC-3' and Reverse − 5'-TTATTGGGTTTTGGGGTGCGG-3' were the specific primers designed for the porcine insulin gene. To assure the accuracy of gene expression data, the insulin gene's expression levels were referenced against GAPDH and then calculated using the ΔΔCt method.
Nano-Encapsulation
In 2.7 mL of ordinary F-10 medium supplemented with 0.25% BSA, approximately 10,000 IEQ NPCCs were plated. After the NPCCs were seeded, 300 µL of PSomes was added and allowed to interact with them for 1 h. Following treatment, the nano-encapsulated NPCCs were rigorously rinsed with HBSS and maintained in the F-10 culture medium. DiI-conjugated PSomes were visualized to facilitate fluorescence intensity–based observations.
Efficiency of Nano-Encapsulation
NPCCs encapsulated with DiI-conjugated PSomes were visualized using a fluorescence microscope (Leica, Wetzlar, Germany), and detailed imaging was performed using CLSM from Carl Zeiss (Oberkochen, Germany). Red fluorescence emitted by PSomes conjugated with DiI and affixed to NPCCs was measured. This measurement was based on the MFI and was analyzed using ImageJ software provided by the National Institutes of Health (Bethesda, United States).
Selective Permeability Assay
Dual-PSome–encapsulated NPCCs were subjected to a 2-h treatment with FITC-conjugated dextran of varying molecular weights (10, 20, 70, and 250 kDa). The internalization of FITC-labeled dextran within PSome nano-encapsulated NPCCs was determined using CLSM.
MTT Assay
HeLa cells were cultured in DMEM supplemented with 10% FBS and 1% penicillin–streptomycin at a density of 2 × 104 cells per well in a 96-well plate. After 24 h, 20 µL of PSomes was added to 180 µL of DMEM, and the cells were incubated for an additional hour. The cells were then cleansed and grown in an appropriate culture medium. After an additional day, the MTT cell proliferation assay was performed to evaluate cell viability. The cell viability results were normalized to those of the NTC.
Statistical Analysis and Graphing
Statistical analysis was conducted using GraphPad Prism 6.0 using the one-way (or two-way) analysis of variance. Statistical significance was denoted by * and **, corresponding to the P-values of 0.05 and 0.01, respectively. In addition, all graphs drawn in this study were generated using SigmaPlot 10.0 (Systat Software, Inc.).