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Gold Nanorod Mediated Chlorhexidine Microparticle Formation and Near-infrared Light Induced Release Dong Luo, Md. Samiul Hasan, Saroash Shahid, Boris khlebtsov, Michael J. Cattell, and Gleb B. Sukhorukov Langmuir, Just Accepted Manuscript • DOI: 10.1021/acs.langmuir.7b01656 • Publication Date (Web): 14 Jul 2017 Downloaded from http://pubs.acs.org on July 20, 2017
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Gold Nanorod Mediated Chlorhexidine
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Microparticle Formation and Near-infrared Light
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Induced Release
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Dong Luoa*, Md. Samiul Hasan b, Saroash Shahidb, B. N. Khlebtsov cd, Michael J. Cattellb, Gleb
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B.Sukhorukova*
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a
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4NS, United Kingdom
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b
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London E1 2AD, United Kingdom
School of Engineering and Materials Science, Queen Mary University of London, London E1
Barts and The London School of Medicine and Dentistry, Queen Mary University of London,
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c
11
d
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Sciences, 13 Prospekt Entuziastov, Saratov 410049, Russia
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Key words: chlorhexidine, gold nanorods, near-infrared light, capsules, controlled release
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ABSTRACT
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Gold nanorods (GNR) are good light harvesting species for elaboration of near-infrared (NIR)
16
responsive drug delivery systems. Herein, chlorhexidine microparticles are grown directly on the
17
surface of gold nanorods and then stabilized with polyelectrolyte multilayer encapsulation,
Saratov State University, Astrakhanskaya Street 83, Saratov 410012, Russia Institute of Biochemistry and Physiology of Plants and Microorganisms, Russian Academy of
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producing novel composite drug-GNR particles with high drug loading and NIR light sensitivity.
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Crystallization of chlorhexidine is caused by the ionic strength of the chloride solution that has
3
been demonstrated via formation of a homogeneous porous spherical structure at 0.33 M CaCl2.
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By introducing GNRs into the CaCl2 solution, the nucleation of chlorhexidine molecules as well
5
as size of produced spheres are affected, since GNRs act as sites for chlorhexidine nucleation.
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Similarly, when GNRs are replaced by chlorhexidine seeds (5.2±1.7 µm), a core-shell crystal
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structure is observed. The encapsulated GNR/chlorhexidine composites are responsive to NIR
8
light (840 nm) that increases the temperature at the chlorhexidine crystals, followed by
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microparticle dissolution and rupture of capsules which is illustrated with confocal microscopy
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and SEM. Furthermore, a stepwise burst release of chlorhexidine can be induced by multiple
11
cycles of NIR light exposure. The GNR/chlorhexidine composites show good biocompatibility
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and antimicrobial activity. The proposed method of antibacterial drug release may therefore
13
indicate that this NIR responsive chlorhexidine composite may be useful for future clinical
14
applications.
15 16
INTRODUCTION
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Gold nanoparticles and nanorods based carriers are extensively used for drug delivery and
18
photothermol therapy due to their facile surface modification and intrinsic plasmonic properties.1,
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2, 3
20
energy into heat. The general approach is to attach drug molecules or therapeutic agents, such as
21
DNA and RNA, to their surface and then selective release can be achieved via photothermal
22
treatment.4,
23
polyelectrolyte microcapsules,8 and nanogels9 to facilitate stimuli responsive drug release. These
Upon near infrared (NIR) light irradiation, the gold particles can efficiently convert the
5
They are also incorporated into carriers such as micelles,6 liposomes,7
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NIR light responsive carriers can also demonstrate a step wise in vitro drug release pattern,10
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with specific intracellular release of cargo triggered by light irradiation.11 Previously a NIR
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mediated tumor cell apoptosis was achieved with gold nanorod based carriers in vivo.5 Hollow
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vesicles consisting of gold nanoparticles and gold nanocages were also reported, which were
5
supposed to be more sensitive to the NIR light because of the high gold content.12, 13 Moreover,
6
their hollow structure was also advantageous over the other carriers due to the drug loading
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capability.
8
Another approach to make the most of the photothermal properties of gold nanoparticles and
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nanorods for drug delivery is achieved by directly constructing drug on top of the particles. For
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instance mesoporous silica shells were deposited on the surface of gold particles to produce core-
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shell nanocomposites.14, 15 Since this was first reported by Liz-Marzan et al., (1996),16 these
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gold/silica composites have attracted great attention for usage in controlled drug delivery. This is
13
due to the porous silica shells acting as a good drug container and the gold core serving as an
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efficient photothermal convertor. The release kinetics of the payload from such composites can
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be easily tuned by NIR light illumination and with targeted delivery realised via modification of
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the silica surface.1, 5 The mechanism of formation of these core/shell structures consists of two
17
stages: hydrolysis to form silica oligomers and mesoporous silica growth on the surface of the
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gold seeds via Ostwald ripening.17 Because gold has little affinity for silica, silane coupling
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agents are usually used as surface primers.14, 16 However, since most of the payload molecules
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are just physically entrapped in silica cavities, gating moieties on the composite particle surface
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are always needed to regulate the release behavior, and the drug loading rate is also limited.18
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Therefore, if the drug crystals could be grown directly onto the surface of the gold nanoparticles
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or gold nanorods, it would be more straightforward to trigger the release with an NIR light. The
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release behavior could also be easily tuned by further encapsulating with multilayers using the
2
layer-by-layer (LbL) assembly technique.19, 20
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Chlorhexidine is a broad spectrum antibacterial agent commonly used in dentistry.21,
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incorporated into mouth rinses for the treatment of gingivitis
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into a cross-linked gelatin chip (PerioChip®) for the treatment of periodontal pockets.24 However,
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a lack of controllable release of chlorhexidine and long term effect may lead to repetitive
7
infections. The biguanidine groups of chlorhexidine molecules have a strong coordinating ability,
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which was utilized to produce other chlorhexidine formulations to improve its antibacterial
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performance.25,
26, 27
23
22
It is
, reduction of dental plaque or
In our previous study, by tuning the ion type and concentration,
10
chlorhexidine spheres with homogeneous size and morphology were produced, and the crystal
11
growth could be further modulated by the temperature.28 The chlorhexidine spheres could be
12
encapsulated with layer-by-layer assembly to achieve a sustained release.28, 29 Therefore, if gold
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nanorods could be incorporated into the porous chlorhexidine crystal structure, NIR light stimuli
14
responsive properties could be enabled, which would be very attractive in clinical applications.
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In the present study, gold nanorods were used to functionalize chlorhexidine spheres to produce
16
a NIR light responsive formulation. The effect of gold nanorods on chlorhexidine crystal
17
formation was investigated. The formation of functionalized chlorhexidine was achieved in the
18
current work and the presence of gold nanorods was effective in the controlled crystallization of
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chlorhexidine particles. The functionalized chlorhexidine spheres could be stabilized by LbL
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encapsulation and the resultant capsules could be burst using a NIR light to provide snap
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chlorhexidine release. The NIR light responsive chlorhexidine formulation has promising
22
applications in medicine and dentistry.
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EXPERIMENTAL SECTION
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Materials
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Chlorhexidine diacetate (99%), Poly(allylamine hydrochloride) (PAH, 56 kDa), Poly(sodium 4-
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styrenesulfonate) (PSS, 70 kDa), Rhodamine B Isothiocyanate dye (TRITC, 99%), Fluorescein
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isothiocyanate isomer I (FITC, >90%), Calcium Chloride (99.9%), Gold(III) chloride (HAuCl4,
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>99%), Sodium borohydride (96%), Silver nitrate (AgNO3, >99%), Dulbecco's Modified Eagle's
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Medium (DMEM), fetal bovine serum (FBS), MTT, streptomycin, glutamine, broth were all
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purchased from Sigma-Aldrich. Hexadecyltrimethylammonium bromide (CTAB, 96%) and
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Ascorbic acid (>99%) were purchased from Fluka. All the chemicals were used directly without
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further purification.
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Synthesis of gold nanorods
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Gold nanorods were synthesized according to a reported seed mediated growth protocol.30
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Briefly, the seed solution was prepared by mixing 1 mL of 0.1 M CATB and 0.025 mL of 10
14
mM of HAuCl4. While stirring, 0.1 mL of ice-cold 10 mM NaBH4 was added. The mixture was
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kept at 25 ºC. Then 50 mL of 0.1 M CTAB, 1 mL of 4 mM AgNO3, and 2.5 mL of 10 mM
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HAuCl4 were mixed to produce the growth solution. Then 0.5 mL of 0.1 M ascorbic acid was
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added to the growth solution. Finally, 0.5 mL of the seed solution was added to the growth
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solution at 27 ºC and the reaction was kept constant at this temperature for 6 hours. The CTAB
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stabilized GNRs were centrifuged (13000 g, 30 min) and ultrasonicaly redispersed in PSS
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solution (1 mg/mL) followed by incubation for 1 h. Then PSS coated nanorods were centrifuged
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(13000 g, 30 min) again and redispersed in water.
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Fabrication of chlorhexidine spheres
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Chlorhexidine particles were fabricated by precipitation of chlorhexidine diacetate with CaCl2
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which was reported in our previous work.28 Briefly, 15mg/mL chlorhexidine diacetate solution
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and 0.33 M CaCl2 solution were mixed together at ratio of 1:1 by volume at room temperature.
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The mixtures were shaken for 1 min, then centrifuged at 2000 rpm for 1 min (Eppendorf
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centrifuge 5417C, Germany). Then the precipitates were washed three times with CaCl2 solution
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to reduce the dissolution of the chlorhexidine compounds. The resulting chlorhexidine
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compounds were coated with gold and characterized using a scanning electron microscope
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(SEM, FEI inspect-F, USA) with voltage of 10 kV, working distance of 10 mm and spot of 3.5.
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In addition, EDX mapping was used to analyze the elemental distribution in the chlorhexidine
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spheres. The produced chlorhexidine spheres were freeze dried at -107 ºC, 0.009 mBar for 1 day
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(ScanVac Cool Safe Freeze Drying, Denmark), and the powder was analyzed using Fourier
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Transform Infrared Spectroscopy (FTIR-Bruker, USA).
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For visualization of the chlorhexidine spheres using confocal microscopy, the spheres were
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labelled using Rhodamine B (RhB). Spherical chlorhexidine particle fabrication was carried out
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using the previous procedure, but before mixing the chlorhexidine diacetate solution with the
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CaCl2 solution, RhB was added to the chlorhexidine diacetate solution. The synthesized particles
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were centrifuged and washed as described previously. Particles were characterized using
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confocal microscopy (Leica TS confocal scanning system, Germany).
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Gold nanorod functionalization of the chlorhexidine spheres
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To functionalize the chlorhexidine spheres with gold, the gold nanorod suspension was pre-
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mixed with 0.8 mL of 0.33 M CaCl2, and then the mixture was introduced to 0.8 mL of 15
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mg/mL chlorhexidine diacetate solution. Specifically, a series of gold suspensions, 5, 10, 50,
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100, 200, and 400 µl (0.45 mg/mL), were premixed with CaCl2 solution to determine the
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influence of nanoparticles on chlorhexidine growth. All the procedures were the same as
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previous described and the gold nanorod functionalized chlorhexidine spheres were also freeze
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dried. The number of particles produced from all the mixtures was counted using a
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hemocytometer. Both field emission and back scattered SEM (FEI Inspect F, Eindhoven, The
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Netherlands) were used to characterize the synthesized particles, and the size of the gold-
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chlorhexidine composites were measured using image analysis software (Nano Measure, version
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1.2). The gold nanorod functionalized chlorhexidine spheres were also characterized using
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Thermo-gravimetric analysis (TGA, Q50, USA) at 10°C/min under a nitrogen atmosphere and
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over a temperature range of 100-1000 °C.
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Fabrication of core-shell chlorhexidine spheres
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Growth of chlorhexidine spheres was also tuned and separated into two stages. The first stage
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involved the slow growth of small chlorhexidine crystals at low temperature and second the fast
13
growth of chlorhexidine shells on top of the initial primary crystals. To visualize the two stages,
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chlorhexidine diacetate solutions were mixed with FITC and RhB accordingly. To produce small
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chlorhexidine primary crystals, both the chlorhexidine diacetate (15mg/ml) and CaCl2 solutions
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(0.33 M) were kept in an ice bath for one hour. The mixing of these solutions as described
17
previous resulted in immediate precipitation of small chlorhexidine crystals. These pre-produced
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chlorhexidine crystals at 5, 50, 100, 200 and 400 µl (1.63×107 crystallites/mL) were separately
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added to 0.33 M room temperature CaCl2, and 15 mg/ml chlorhexidine diacetate solutions. After
20
1 minute, the mixtures were washed with CaCl2 and characterized using confocal microscopy.
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The size effect induced by the chlorhexidine primary crystals was determined by analyzing the
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size distribution of produced chlorhexidine spheres using image analysis software (Nano
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Measure, version 1.2).
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LbL assembly on gold-chlorhexidine composites
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Stabilization of chlorhexidine spheres was achieved by using LbL self-assembly. PAH (2
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mg/mL) and PSS (2 mg/mL) were used as polyelectrolytes to be deposited on the gold-
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chlorhexidine composite surface. The LbL assembly procedure is described in a previous study28
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and to reduce the dissolution of gold-chlorhexidine spheres, 0.33 M CaCl2 was added in both the
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PAH and PSS solutions. The PAH was added to the gold-chlorhexidine spheres as the first layer
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and mixture was shaken (Vortex-Genie 2, Germany) for 10 min. Then the mixture was
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centrifuged (Eppendorf centrifuge 5417C, Germany) at 2000 rpm and washed with 0.33 M CaCl2
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solution (3 times) to remove the excess PAH. The second PSS layer was assembled using the
10
same procedure. After assembling six layers, the encapsulated chlorhexidine particles with the
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structure Chlorhexidine/(PAH/PSS)3 were produced. The supernatant during each layer assembly
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and after washing was collected for UV measurement to determine chlorhexidine loss during the
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LbL process (Lambda 35, Perkin Elmer, USA). For fluorescence imaging, one of the PAH layers
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was labelled with FITC and the chlorhexidine core was labelled with RhB. SEM and confocal
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microscopy were used to characterize the synthesized gold-chlorhexidine composite capsules.
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Rupture of gold functionalized chlorhexidine capsules by NIR light irradiation
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To irradiate the chlorhexidine capsules a customised laser setup was used.31 A 100 mW laser
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diode (840 nm) was coupled with a simple optical microscope (100 × objective, Edmund
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Scientific, USA), and the focused laser spot was tuned by adjusting the operating laser voltage.
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In addition, the white light source and XYZ stages allowed samples to be easily located and
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focused. The laser beam passed through the objective in the Z direction and was focused at the
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sample to irradiate the specific site. A CCD camera was connected to a computer to capture this
23
event. Thus, once aligned and focused, an image of sample and a laser spot could be observed on
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the screen. In the current work, remote triggering of the gold functionalized chlorhexidine
2
capsules was carried out using this laser setup.
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The chlorhexidine capsule suspension was placed on a thin glass slide and the glass slide was
4
marked to locate the particles. After application of the laser beam, the chlorhexidine capsules
5
were broken which led to the dissolution of the chlorhexidine crystals and remaining
6
polyelectrolytes shells. The sample was then dried in air and laser triggered site was
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characterized using SEM and confocal microscopy.
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NIR light controlled release
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Chlorhexidine release was performed in deionized H2O (n=3). 50 µl of gold-chlorhexidine
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capsules were diluted into 400 µl for each sample in NMR tube (5 cm in length), and was
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irradiated by the laser beam from to top (100 mW) for 30 min (laser on) at each time point. Then
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the capsule suspensions were incubated at room temperature for 24 h (laser off). Supernatants
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(200 µl) from each sample at each time points (24, 24.5, 48, 48.5, 72, 72.5, 96, 96.5, 120, 120.5,
14
144, 168 h) were collected and replaced with equivalent fresh deionized H2O. Chlorhexidine
15
release was determined by UV-vis absorption (Lambda 35, Perkin Elmer, USA) at 254 nm
16
according to the established calibration curve. Chlorhexidine release from capsules without laser
17
treatment was normalized as the experimental control.
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Cytotoxicity assay
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Cytotoxicity of chlorhexidine particles was evaluated with a standard MTT assay with L929 cells
20
(ECACC 85011425). Briefly, cells were cultured in DMEM supplemented with 10% fetal bovine
21
serum (FBS) with 100 IU/mL penicillin, 100 µg/mL streptomycin and 2 mmol/L glutamine in an
22
humidified incubator with 10% CO2 and 95% air at 37°C, and seeded in 96-well microtiter plates
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at 10000 cells per well. Following overnight incubation, medium was removed and cells were
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washed twice with PBS. The cells were then treated with different concentrations (ranging from
2
0.0000625 to 0.008%) of chlorhexidine diacetate, uncoated and coated Au/CHX particles for 24
3
and 48 hours. Following treatment, culture medium containing the treatments were removed and
4
50 µL of 5 mg/mL tetrazolium salt MTT was added to each well and incubated in 37 °C for 2 h.
5
Then 100 µl of isopropanol was added to each well and measured with a plate reader at 570 nm.
6
Antimicrobial assay
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Porphyromonas gingivalis (strain-381) and Escherichia coli (NCTC 9003) were grown in brain
8
heart infusion (BHI) broth in an anaerobic environment with an atmosphere of 5% H2, 10% CO2,
9
and 85% N2 at 37°C. To determine the Minimum Inhibitory Concentration (MIC) of NIR
10
induced chlorhexidine containing solution against P. gingivalis and E.coli, 96-well flat-bottomed
11
microtiter plates were used with a final assay volume of 250 µl/well (225 µl/well of bacterial
12
solution and 25 µl/well of chlorhexidine suspensions from 30 min NIR light illumination, with
13
concentration ranging from 0.00008125-0.0013%). Negative control (bacterial inoculum only but
14
no chlorhexidine) and blank (medium only) wells were also included. The microtiter plates were
15
incubated for 0, 24 and 48 hours in anaerobic conditions as above and the optical density (OD)
16
was determined at 595 nm to quantify bacterial growth. The MIC was defined as the lowest
17
concentration of chlorhexidine that inhibited the growth of microorganism at each time point.
18 19
RESULTS AND DISCUSSION
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Chlorhexidine spheres with gold nanorods
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Based on the seed mediated growth method, the homogeneous gold nanorods used are shown in
2
Figure 1a. According to the TEM image, the gold nanorods have an average length of 85 nm and
3
width of 20 nm. UV-vis spectroscopy of the gold nanorods (Figure 1b) displayed their
4
absorbance peak at 840 nm. The surface plasmon resonance band was largely dependent on the
5
shape and ratio of length to width of the gold nanorods, their surface properties, as well as the
6
mediums surrounding the particles.32, 33 The plasmonic properties of gold nanorods make them
7
promising candidates in light responsive drug delivery, since they have great photothermal
8
conversion ability and their absorption band in the near infrared range is especially preferred for
9
in vivo applications.34
a
b
10 11
Figure 1. (a) TEM image of gold nanorods; (b) UV-vis spectrum of gold nanorods.
12
In a previous study the authors reported a new method to produce chlorhexidine spheres, with
13
homogeneous size and morphology, and proved that the crystal growth of the drug spheres could
14
be tuned by temperature and ion concentration.28 In medicine and dentistry24 a more sustained
15
and stimuli responsive chlorhexidine delivery system against bacteria is also desirable. This
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could be achieved by combining the chlorhexidine spheres with the gold nanorods. As
2
demonstrated in Figure 2 gold nanorod functionalized chlorhexidine spheres were synthesized by
3
introducing the gold nanorods into the CaCl2 solution. Without gold nanorods, the chlorhexidine
4
spheres had a porous surface morphology, which were comprised of small dendrites (Figure 2b).
5
In contrast, for the gold nanorods functionalized spheres (with 400 µl nanorods), gold was
6
clearly observed in the backscattered images (Figure 2c), and at high magnification small gold
7
nanorod
8
GNRs/chlorhexidine composites also demonstrated a absorption peak at 840 nm (Figure 1b). The
9
incorporation of gold particles into drug delivery carriers has been extensively studied. For
10
instance, hollow gold nanospheres were loaded into PLGA microspheres together with
11
paclitaxel, via a double-emulsion solvent evaporation method, and the paclitaxel release was
12
modulated by using a NIR light.35 Gold nanorods and doxorubicin were incorporated into
13
crosslinked poly(β-amino ester) particles, with the glass transition temperature (Tg) close to
14
body temperature. Therefore, transformation of the polymer from a glassy to a rubbery state
15
induced by an NIR light produced an instant burst release of doxorubicin.36 For both examples
16
drug release benefited from enhanced diffusion through the polymer networks. The choice of
17
polymers with either a lower Tg
18
isopropylacrylamide) (PNIPAm),37 is essential for the design of NIR responsive drug carriers.
19
The incorporated gold nanorods in the chlorhexidine drug crystals have the potential to generate
20
heat upon NIR light irradiation, and thus deconstruct the porous drug crystals and induce
21
chlorhexidine release.
clusters
were
present
on
the
chlorhexidine
dendrites
(Figure
2d).
The
or high thermal sensitivity, such as poly(N-
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b
c
d
1 2
Figure 2. BSEM images of (a)chlorhexidine sphere and (c)gold-chlorhexidine composites; SEM
3
images show the surface morphology of (b)chlorhexidine sphere and (d) gold-chlorhexidine
4
composites.
5 6
Tuneable chlorhexidine crystal growth
7
To further understand the role of gold nanorods in chlorhexidine particles formation, different
8
amounts of gold nanorods was dispersed into CaCl2 solutions. Figure 3 illustrates the influence
9
of gold nanorods on the size of chlorhexidine spheres. Without the addition of gold nanorods the
10
chlorhexidine spheres had a mean (SD) diameter of 24.0 (5.0) µm. Adding 5 µl of gold nanorods
11
produced a slight size reduction of 22.9 (4.6) µm. The average chlorhexidine sphere diameters
12
gradually decreased on increasing addition of gold nanorods, with a 400 µl gold nanorod
13
addition giving a mean (SD) diameter of 14.5 (1.6) µm. There was a correlation between the
14
amount of gold nanorods added and the mean chlorhexidine particle diameter (r2=0.98, Figure
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3g). SEM images indicated there was no distinct difference in the morphology of chlorhexidine
2
spheres at different gold nanorods addition. In terms of the particles size distribution, with less
3
gold nanorods added, the size distribution was broader (Supporting information, Figure S1). The
4
chlorhexidine precipitation efficiency (>98%) was also similar for all the samples (Supporting
5
information, Table S1). When increasing the amount gold nanorods however, the chlorhexidine
6
spheres were more homogeneous. The crystallisation of the chlorhexidine spheres involves a
7
rapid nucleation and crystal growth process, so it is likely that the gold nanorods in the solution
8
may act as sites for crystallization. This is supported by the data in Figure 3g, h where
9
chlorhexidine particle number and size was correlated with the amount of gold nanorods added
10
to solution (r2=0.98, Figure 3g; r2=0.98, x from 0 to 200, Figure 3h). The remaining weight of
11
functionalized chlorhexidine spheres also increased as a function of increased amount of gold
12
nanorods as indicated by the TGA result (Supporting information, Figure S2).
13
Gold nanoparticles were previously used as seeds to produce hybrid silica particles,16 and
14
CdSe/ZnS quantum dots were also used to grow mesoporous silica shells on their surface.38
15
Therefore, we assume that the amount of gold nanorods in the solution was a key factor to
16
determine the chlorhexidine sphere size and number. It was however noted that any excess gold
17
nanorods could cluster and be trapped in the crystals (Supporting information, Figure S3). It is a
18
common approach to control crystals size by adjusting the seed amount in nanoparticle synthesis.
19
Similarly for gold nanoparticle synthesis, the mean particle size can also be tuned, with the mean
20
particle size decreased with increased seed concentration, and at low seed and gold precursor
21
ratio, large particles and secondary nucleation were observed.39 Interestingly, gold nanorods can
22
also be replaced by other nanoparticles (e.g. Fe3O4 nanoparticles), and the same effect on
23
chlorhexidine crystallization has been demonstrated by the authors. The current functionalization
14 Environment ACS Paragon Plus
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1
of chlorhexidine crystals with Gold or Fe3O4 nanoparticles also opens up a door for its stimuli
2
responsive release.
a
b
c
d
e
f
g
h
450
4
Mean CHX particle number per ml (×10 )
30 28
Mean CHX particle diameter (µm)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
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400
350
300
250
200
150
12
-50
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0
50
100
150
200
250
300
350
400
0
50
450
100
150
200
250
300
350
400
450
Amount of Au NR added (µL)
Amount of Au NR added (µL)
3
Figure 3. Effect of gold nanorods on chlorhexidine crystallization. SEM images of gold-
4
chlorhexidine composites with different amount of gold nanorods: (a) no gold nanorods; (b) 5 µl;
5
(c) 50 µl; (d) 100 µl; (e) 200 µl; (f) 400 µl gold nanorods (0.45 mg/mL), and (g) mean
6
chlorhexidine particle diameter and (h) chlorhexidine particle numbers as a function of GNRs
7
amount. Inset images are individual particles at high magnification (×8000).
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1
In a parallel experiment, small chlorhexidine spheres were used as primary particles instead of
2
gold nanorods to further reveal the mechanism of chlorhexidine particles formation. This was
3
achieved by keeping the original chlorhexidine diacetate and CaCl2 solutions in an ice bath and
4
carrying out the synthesis to produce primary chlorhexidine particles with a mean (SD) diameter
5
of 5.2 (1.7) µm (Figure 4a and Supporting information, Figure S4), while chlorhexidine spheres
6
synthesized at room temperature had a mean (SD) diameter of 17.2 (1.9) µm (Figure 4b and
7
Supporting information, Figure S4). By introducing the chlorhexidine primary particles into the
8
CaCl2 solution, growth of a second shell of chlorhexidine crystals were successfully achieved.
9
FITC labelled chlorhexidine primary particles were presented as the core (green label, Figure 4a,
10
c) and the new shells grown from the interface around the primary particles were visible when
11
labelled with RhB (red label, Figure 4d, e). At the transmitted channel, a clear boundary between
12
the chlorhexidine primary particles and outside shell was identified (Figure 4f). These
13
observations suggest a seed mediated crystallisation of chlorhexidine crystals, which supports the
14
previous hypothesis. Similarly, the mean particle diameter of the chlorhexidine spheres
15
decreased as the amount of primary chlorhexidine particles increased (Supporting information,
16
Figure S4 and S5). The chlorhexidine particle size distribution also narrowed at increasing
17
primary particle addition (Supporting information, Figure S5 and S6). An epitaxial growth on the
18
surface of the primary seed crystal may also be likely and is present in other systems where the
19
chemistry and crystal lattice constants are favourable.40
20 21 22
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a
b
d
e
c
f
1 2
Figure 4. Confocal images of chlorhexidine spheres. (a) chlorhexidine primary particles
3
produced in an ice bath (labelled with FITC); (b) large chlorhexidine spheres produced at room
4
temperature (labelled with RhB); core-shell chlorhexidine particles produced based on the small
5
chlorhexidine primary particles at (c) green channel, (d) red channel and (e) merged image; (f) at
6
transmitted channel.
7 8
Mechanism of chlorhexidine crystal growth
9
Theoretically, the growth of nano/micro particles involved two main stages: rapid nucleation to
10
form primary seeds and sustained growth of precursors on the primary seeds.41 The formation of
11
homogenous porous chlorhexidine spheres was a very rapid process, which was dependent on the
12
type and concentration of ions and temperature of the bulk solutions, as proposed in our previous
13
study.28
Herein, with gold nanorods or chlorhexidine primary particles, the chlorhexidine
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1
particle forming process is presented schematically in Figure 5. At the first stage of synthesis,
2
when chlorhexidine diacetate was mixed with CaCl2, monomers were formed immediately
3
following basic coordination chemistry of guanidines.42 The biguanidines of chlorhexidine have
4
strong coordination capability with ions, such as Cu2+, Zn2+ or Ag+.43, 44 According to the inset
5
FTIR spectrum (Figure 5), the typical chlorhexidine band of C=N was shifted from 1610 cm-1 to
6
1621cm-1 and N-H stretching vibration of the Alkyl-NH-Aryl, (Alkyl)2NH and =NH at 3118,
7
3303 and 3190 cm-1 was distinctly increased.44 This is evidence that Ca2+ had coordinated with
8
chlorhexidine. The presence of Cl- may also help to accelerate the precipitation of these
9
complexes since the Cl- ion is thought to reduce chlorhexidine solubility.45 Interestingly there
10
was a homogenous and copious distribution of Ca2+ and Cl- in the chlorhexidine spheres via EDX
11
mapping (Supporting information, Figure S7). Therefore, the addition of CaCl2 to the
12
chlorhexidine diacetate solution facilitated the formation of chlorhexidine nucleation and
13
monomers for crystal growth. The addition of gold nanorods or chlorhexidine primary particles
14
in the solution, appears to have encouraged surface crystallization to produce more primary
15
crystallites. Research on the growth of mesoporous silica shells on gold nanoparticles, indicates
16
the ratio of gold nanoparticles to silica precursors was a key factor to determine the gold
17
occupancy and cluster sizes for the synthesized composites.17 This could explain why gold was
18
only detected in the backscattered SEM images for samples with excess addition of gold
19
nanorods. At more reduced additions of gold particles crystallization sites were favoured, while
20
excess gold particles could lead to flocculation and clusters observed on the chlorhexidine sphere
21
surfaces (Figure 2d). In addition, the negatively charged gold nanorods may have a high affinity
22
to positively charged chlorhexidine molecules, which encouraged crystallization of chlorhexidine
23
on their surfaces. This is advantageous as coating of gold colloids with silica requires a surface
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1
modification using a silane coupling agent to make them vitreophilic.14, 16 For the second stage,
2
the growth of chlorhexidine spheres proceeded via continuous deposition of monomers on the
3
primary particles. This process was monitored by labelling the chlorhexidine primary particles
4
and chlorhexidine monomers with different dyes and a core-shell structure was displayed (Figure
5
4). At low temperature, chlorhexidine crystal growth rate was limited, so small (5.2±1.7 µm)
6
crystals were produced. Once the primary particles were transferred into solutions with
7
monomers, crystal growth continued until the chlorhexidine monomers were depleted. There was
8
also evidence of Ostwald Ripening, as the sacrifice of small particles and bridging between
9
particles was observed in the SEM images of the chlorhexidine precipitates at different time
10
intervals (10, 20, 30, 40, 50 and 60s) (Supporting information, Figure S8).
or
CHX monomers Ca2+
Gold particles Cl
Cl
CHX primary particles Primary particles Crystal growth and Ostwald ripening 3303
3190 C= N 1621
4000
3500
3000
2500
Wa v e l e n g t h / c m
2000
1500
-1
11 12 13
Figure 5. Schematic illustration of chlorhexidine crystallization. Gold particles (red) and small
14
chlorhexidine spheres (green) were used as seeds for chlorhexidine crystals growth; inset is the
15
FTIR spectrum of the chlorhexidine spheres (red) and chlorhexidine diacetate (black).
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1
Gold-chlorhexidine particle encapsulation and laser triggered release
2
LbL encapsulation of drug crystals is an efficient approach to achieve sustained drug release and
3
improve the solubility for some anticancer drugs.29,
4
encapsulation over other delivery methods is the high drug loading rate since the cores consist of
5
the drug, and their toxicity can be reduced at the same time compared to the equivalent free
6
dose.47,
7
porous structure as the spheres could be easily dissolved in H2O. Successful encapsulation of the
8
chlorhexidine spheres was achieved by carrying out the assembly at moderate conditions and in
9
high salt polyelectrolyte solutions. As presented in Figure 6a, the chlorhexidine sphere cores
10
were still remained intact after encapsulating 6 layers of polyelectrolytes (shells appear in green).
11
The overlapped images indicated that the polyelectrolytes had penetrated into the porous
12
chlorhexidine sphere surface (Figure 6a). Compared to the conventional LbL capsules, the
13
polymer shells here were much thicker, which was due to the deposition of polyelectrolytes at
14
high salt concentration, and also chlorhexidine dissolution during the LbL process.49 The shell
15
thickness of the chlorhexidine capsules was 1.02 µm according to a cross-sectional measurement
16
in our previous study.28 SEM images showed that the chlorhexidine capsules had completely
17
been coated and no dendritic structure could be identified (Supporting information, Figure S9).
48
46
The advantage of drug colloid
LbL encapsulation of the chlorhexidine composites was necessary to stabilize the
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green
red
transmitted
overlap
a
b
1 2
Figure 6. Confocal images of gold functionalized chlorhexidine capsules before (a) and after
3
laser irradiation (b). One of the PAH layers is labelled with FITC (green) and the chlorhexidine
4
particles were labelled with RhB (red). Arrows indicated the remaining polyelectrolyte shells and
5
inset images are taken at high magnification.
6 7
Gold nanorods have a strong photothermal conversion ability,4 so it was assumed that it would
8
be possible to trigger the release of functionalized chlorhexidine capsules with NIR light
9
irradiation. Using an 840 nm NIR light (up to 100 mW) with our laser setup, the chlorhexidine
10
capsules could be ruptured while the others stayed intact (Figure 6b). Once be focused by the
11
laser beam, the capsule erupted and the exposed chlorhexidine spheres dissolved, as a result,
12
only polyelectrolyte shells remained as indicated by arrows in Figure 6b. There was however still
13
some weak red signal detected within the residual shells, indicating residual chlorhexidine. This
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Page 22 of 36
1
was due to complexation between the chlorhexidine molecules and the PSS layer via an
2
interaction of its amine group and sulfonic group of PSS. According to the transmitted channel
3
images, debris around the broken polyelectrolyte shells was also observed and confirmed by the
4
SEM images (Figure 7a, b). It was not surprising that the gold nanorod functionalized
5
chlorhexidine capsules were responsive to NIR light since the chlorhexidine crystals were
6
directly growth on top of the nanorods. The energy generated by NIR light irradiation can disrupt
7
the chlorhexidine crystal structures. In a previous study of silica coated gold nanoparticles, the
8
surface temperature of gold particles was suggested to be more than 100 oC upon laser
9
irradiation.50, 51 The local heating by using NIR light irradiation was therefore a more efficient
10
trigger for drug release than simply heating the solution to an equivalent temperature.12 Gold
11
nanoparticles deposited into polyelectrolyte capsules previously revealed rupture of the capsules
12
upon laser irradiation,52 even with a SiO2 layer deposited on the surface of capsules, which
13
allowed snap intracellular cargo release.8 Since the chlorhexidine crystal growth is based on the
14
coordination of Ca2+ and biguanidines, heat generated by gold nanorods could interrupt the
15
binding and even cause a conformational change of chlorhexidine molecules, thus leading to
16
destruction of the crystals. Local heating of gold nanorods may also accelerate dissolution and
17
diffusion of chlorhexidine molecules. According to the in vitro release kinetics (Figure 8),
18
chlorhexidine release occurred in a stepwise fashion after each cycle of laser treatment. A burst
19
release was observed during each laser irradiation cycle. In contrast, the released chlorhexidine
20
content during each cycle for the control was lower, although both groups exhibited a sustained
21
release.
22 23
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b
a
1
Figure 7. SEM images of gold functionalized chlorhexidine capsules after laser irradiation.
2
Untreated capsules were still intact but laser triggered ones were broken with polymer shells
3
remaining as indicated by white arrows.
ON
0.6
Cumulative chlorhexidine release (mg)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
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ON
ON
ON
control with NIR light
ON
0.5
0.4
0.3
0.2
0.1
0.0 0
20
40
60
80
100
120
140
160
180
time (h)
4
Figure 8. Cumulative release of chlorhexidine from capsules with (red) and without (black) NIR
5
light irradiation. Five cycles of NIR light on (30 min, 100 mW) were indicated by grey shades;
6
values are the mean of three groups and vertical bars represent the SD.
23 Environment ACS Paragon Plus
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1
Cytotoxicity and antimicrobial activity
2
The effect of coated Au/CHX spheres on the viability of fibroblast-like cell line (L929) was
3
determined by MTT assay and was compared with uncoated Au/CHX spheres and CHX
4
diacetate. Treatment with these products reduced the viability of the cells in a dose-dependent
5
manner (Figure 9). However, the coated Au/CHX spheres demonstrated reduced cytotoxicity in
6
comparison with uncoated Au/CHX spheres and CHX diacetate at the same concentration.
7
Relative cellular viability was reduced to approximately 50% when treated with 0.0005% of
8
CHX diacetate for 24 hours which was further reduced to about 30% when treated for 48 hours.
9
Treatment with 0.0005% of coated Au/CHX spheres however, showed approximately 90% of
10
cellular viability at 24 hours and was more than 70% at the 48 hour time point. Accordingly,
11
changes in cellular morphology (rounded, swelled and loss of attachment to the wells) were also
12
observed at 0.0005% of CHX diacetate whilst maintaining the normal morphology in coated
13
Au/CHX treated cultures. These suggest that coated Au/CHX spheres are not cytotoxic when
14
compared to CHX diacetate. (Supporting information, Figure S10).
24h
48h
100
80
80
concentration (%)
24 Environment ACS Paragon Plus
concentration (%)
0. 00 8
0. 00 2
0. 00 1
0. 00 05
0. 00 02 5
25
0. 00 8
0. 00 4
0 0. 00 2
0 0. 00 1
20
0. 00 05
20
0. 00 02 5
40
0. 00 00 62 5 0. 00 01 25
40
0. 00 01 25
60
0. 00 00 6
viability (%)
100
60
coated Au/CHX uncoated Au/CHX CHX diacetate
120
0. 00 4
coated Au/CHX uncoated Au/CHX CHX diacetate
120
viability (%)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
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Figure 9. Effect of coated and uncoated Au/CHX particles and chlorhexidine diacetate on the
3
relative viability of fibroblast like cell line. The percentages of cellular viability in the presence
4
of the treatment compounds relative to that in the control are shown. The results are the average
5
of six replicates.
6
To demonstrate if the released chlorhexidine induced by NIR light exposure was still functional,
7
antimicrobial assays were performed against anaerobic microorganisms; P. gingivalis and E.coli.
8
50 µl of coated Au/CHX particles (diluted into 400 µl) were exposed to NIR light irradiation for
9
30 min and supernatants were collected for the test. Supernatants from coated Au/CHX particles
10
without exposure were also tested as a control. According to the measurement, the concentration
11
of released chlorhexidine induced by NIR light exposure was about 0.0013% and was only
12
0.00016% without NIR light irradiation.
13
P. gingivalis and E.coli were grown and treated with series of diluted supernatants for 24 and 48
14
hours to determine the MIC. The results showed that NIR induced CHX were able to inhibit
15
(MIC) P. gingivalis at 0.00065%, whereas the growth of E.coli was inhibited at 0.0013% (Figure
16
10), indicating that the released chlorhexidine was still functional. However, supernatant from
17
coated Au/CHX particles without NIR light exposure showed no inhibitory effect against either
18
the P. gingivalis or E.coli, which means the released amount without NIR treatment was too low
19
at these time points to inhibit the bacterial growth (Supporting information, Figure S11).
20
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Langmuir
P.gingivalis
E.coli 0h 24h 48h
0.7 0.6
0h 24h 48h
0.7
0.6
0.5 0.5
absorption (a.u.)
0.4
0.3 0.2
0.3
13 0. 00
5 0. 00 06
03 25 0. 00
01 6 0. 00
00 0
01
0. 0
0.
0. 0
00 06
5
32 5 0. 0
00 0.
00
25
01 6
concentration (%)
concentration (%)
5
0.
00 00
81
0
5
0.0 81 2
0.0 3
0.1
25
0.1
25
0.2
00
06 2
Figure 10. Antimicrobial activity of chlorhexidine supernatants from NIR light exposure. 0. 0
1
0.4
0
absorption (a.u.)
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2 3
The proposed gold nanorod functionalized chlorhexidine capsules with high drug loading rate
4
and NIR light responsive properties have advantages and promising applications in medicine and
5
dentistry. Many current products have limitations due to lack of controlled drug release and
6
duration.24 The gold nanorod functionalized chlorhexidine capsules are useful as they may be
7
injected into sites such as periodontal pockets. As periodontitis is caused by microbial biofilms
8
which are highly resistant to antimicrobial agents, a burst release triggered by NIR light would
9
be essential to eliminate the pathogens, which cannot be achieved otherwise as the minimum
10
inhibitory concentration (MIC) may not be reached without these triggers. Any remaining
11
bacteria may cause a secondary infection, so the non-invasive approach of NIR light induced
12
drug release could help solve this problem. Photodynamic therapy using a diode laser is already
13
used in conjunction with a photosensitizer to decrease or eliminate bacteria53 and it may be
14
possible to combine these therapies to increase its efficacy.
15 16
CONCLUSION
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1
In the present work, a novel NIR light responsive chlorhexidine composites was proposed, which
2
was based on gold nanorods and chlorhexidine crystallisation. By introducing gold nanorods into
3
chlorhexidine solutions it was possible to control the amount and size of chlorhexidine spheres.
4
Formation of gold functionalized chlorhexidine microparticles was demonstrated in a gold
5
nanorod assisted crystallisation and Ostwald Ripening mechanism. This process was also
6
demonstrated by using chlorhexidine primary particles to control chlorhexidine crystallisation.
7
Encapsulation of the gold nanorod functionalized chlorhexidine crystals using LbL
8
polyelectrolyte multilayers allowed a sustained release and stimuli responsive release when NIR
9
light irradiation was used.
10 11
ASSOCIATED CONTENT
12
Supporting Information
13
SEM images of Au-chlorhexidine particles size distribution, chlorhexidine precipitation
14
efficiency, TGA results of Au-chlorhexidine particles, BSEM images of Au-chlorhexidine
15
particles, SEM images of chlorhexidine particles with different amounts of CHX seeds and their
16
size distribution, EDX mapping of chlorhexidine particle, SEM images of chlorhexidine particles
17
growth as a function of time, encapsulated chlorhexidine particles, cell morphology with CHX
18
treatments, and plates showing the antibacterial activity of CHX treatments are included in the
19
supporting information. These materials are available free of charge on the ACS Publications
20
website athttp://pubs.acs.org.
21
AUTHOR INFORMATION
22
Corresponding Author
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1
*E-mail:
[email protected];
[email protected] 2
Notes
3
The authors declare no competing financial interest.
Page 28 of 36
4 5
ACKNOWLEDGMENT
6
The work was supported by Government of the Russian Federation (grant №14.Z50.31.0004) to
7
support scientific research projects implemented under the supervision of leading scientists. The
8
authors thank Mr. Russell Bailey of Nanovision (QMUL) for help with SEM, Dr Dongsheng Wu
9
for assistance in Confocal laser scanning microscopy. Specially, we have to thank Dr Anton M.
10
Pavlov for the assistance with the assembly of the laser setup. Dong Luo thanks for the financial
11
support from the China Scholarship Council during his PhD study. The authors would like to
12
thank Queen Mary Innovation for providing funding via the Life Sciences Initiative Proof of
13
Concept Fund.
14 15
ABBREVIATIONS
16
GNRs, gold nanorods; CHX, chlorhexidine; LbL, Layer-by-Layer; PAH, poly(allylamine
17
hydrochloride); PSS, poly(sodium 4-styrenesulfonate); RhB, Rhodamine B isothiocyanate; FITC,
18
Fluorescein isothiocyanate isomer I; FTIR, Fourier Transform Infrared Spectroscopy; SEM
19
scanning electron microscopy; CLSM, confocal laser scanning microscopy.
20 21 22
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REFERENCES
3
1.
4
Nanorods Coated with Mesoporous Silica Shell as Drug Delivery System for Remote Near
5
Infrared Light-activated Release and Potential Phototherapy. Small 2015, 11 (19), 2323-2332.
6
2.
7
Martinez de la Fuentea, J.; Cui, D. Human Induced Pluripotent Stem Cells for Tumor Targeted
8
Delivery of Gold Nanorods and Enhanced Photothermal Therapy. ACS Nano 2016, 10 (2), 2375-
9
2385.
Liu, J.; Detrembleur, C.; De Pauw-Gillet, M. C.; Mornet, S.; Jerome, C.; Duguet, E. Gold
Liu, Y.; Yang, M.; Zhang, J.; Zhi, X.; Li, C.; Zhang, C.; Pan, F.; Wang, K.; Yang, Y.;
10
3.
Yahia-Ammar, A.; Sierra, D.; Merola, F.; Hildebrandt, N.; Le Guevel, X. Self-Assembled
11
Gold Nanoclusters for Bright Fluorescence Imaging and Enhanced Drug Delivery. ACS Nano
12
2016, 10 (2), 2591-2599.
13
4.
14
Nanorods: Their Potential for Photothermal Therapeutics and Drug Delivery, Tempered by the
15
Complexity of Their Biological Interactions. Adv Drug Deliv Rev. 2012, 64 (2), 190-199.
16
5.
17
J.; Chen, H. Y.; Zhu, J. J. Near Infrared-Guided Smart Nanocarriers for MicroRNA-Controlled
18
Release of Doxorubicin/siRNA with Intracellular ATP as Fuel. ACS Nano 2016, 10 (3), 3637-
19
3647.
20
6.
21
Tumor Delivery of Paclitaxel Using Glycolipid-like Polymer Micelles Containing Gold
22
Nanospheres. Biomaterials 2013, 34 (18), 4510-4519.
Alkilany, A. M.; Thompson, L. B.; Boulos, S. P.; Sisco, P. N.; Murphy, C. J. Gold
Zhang, P.; Wang, C.; Zhao, J.; Xiao, A.; Shen, Q.; Li, L.; Li, J.; Zhang, J.; Min, Q.; Chen,
You, J.; Wang, Z.; Du, Y.; Yuan, H.; Zhang, P.; Zhou, J.; Liu, F.; Li, C.; Hu, F. Specific
29 Environment ACS Paragon Plus
Langmuir
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
1
7.
2
E.; Viitala, T.; Le Guevel, X.; Yliperttula, M.; Murtomaki, L.; Urtti, A. Light Induced Cytosolic
3
Drug Delivery from Liposomes with Gold Nanoparticles. J. Controlled Release 2015, 203, 85-
4
98.
5
8.
6
Romero, S. Light-Addressable and Degradable Silica Capsules for Delivery of Molecular Cargo
7
to the Cytosol of Cells. Chem. Mater. 2015, 27 (6), 1929-1942.
8
9.
9
Responsive Hybrid Nanogels for Optical Temperature Sensing, Tumor Cell Imaging and
Page 30 of 36
Lajunen, T.; Viitala, L.; Kontturi, L. S.; Laaksonen, T.; Liang, H.; Vuorimaa-Laukkanen,
Ott, A.; Yu, X.; Hartmann, R.; Rejman, J.; Schütz, A.; Ochs, M.; Parak, W. J.; Carregal-
Wang, H.; Yi, J.; Mukherjee, S.; Banerjee, P.; Zhou, S. Magnetic/NIR-thermally
10
Triggered Drug Release. Nanoscale 2014, 6 (21), 13001-11301.
11
10.
12
Nanocarrier with Reversible DNA Valves for Intracellular Controlled Release. Adv. Funct.
13
Mater. 2013, 23 (18), 2255-2262.
14
11.
15
G. B.; Parak, W. J. NIR-light Triggered Delivery of Macromolecules into the Cytosol. J.
16
Controlled Release 2012, 159 (1), 120-127.
17
12.
18
Vesicles as a Drug Delivery Carrier Enabling Rapid Drug Release upon Light Irradiation. ACS
19
Appl. Mater. Interfaces 2013, 5 (9), 3900-3907.
20
13.
21
Logical Intracellular Release Using Gold Nanocage@Smart Polymer Shell. Adv. Funct. Mater.
22
2014, 24 (6), 826-834.
Li, N.; Yu, Z.; Pan, W.; Han, Y.; Zhang, T.; Tang, B. A Near-Infrared Light-Triggered
Carregal-Romero, S.; Ochs, M.; Rivera-Gil, P.; Ganas, C.; Pavlov, A. M.; Sukhorukov,
Niikura, K.; Iyo, N.; Matsuo, Y.; Mitomo, H.; Ijiro, K. Sub-100 nm Gold Nanoparticle
Shi, P.; Ju, E.; Ren, J.; Qu, X. Near-Infrared Light-Encoded Orthogonally Triggered and
30 Environment ACS Paragon Plus
Page 31 of 36
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
Langmuir
1
14.
Nooney, R. I.; Dhanasekaran, T.; Chen, Y.; Josephs, R.; Ostafin, A. E. Self-Assembled
2
Highly Ordered Spherical Mesoporous Silica/Gold Nanocomposites. Adv. Mater. 2002, 14 (7),
3
529-532.
4
15.
5
Drug Delivery to Cancer Cells by Aptamer Gated Nanovehicles. Adv. Mater. 2012, 24 (21),
6
2890-2895.
7
16.
8
Shell Particles. Langmuir 1996, 12 (18), 4329-4335.
9
17.
Yang, X.; Liu, X.; Liu, Z.; Pu, F.; Ren, J.; Qu, X. Near-infrared Light-triggered, Targeted
Liz-Marzan, L. M.; Giersig, M.; Mulvaney, P. Synthesis of Nanosized Gold-Silica Core-
Nooney, R. I.; Thirunavukkarasu, D.; Chen, Y.; R., J.; Ostafin, A. E. Self-Assembly of
10
Mesoporous Nanoscale Silica/Gold Composites. Langmuir 2003, 19, 7628-7637.
11
18.
12
Responsive Drug Release System Based on Gold Nanorods and Phase Change Material. J.
13
Mater. Chem. B 2014, 2, 8338–8345.
14
19.
15
Delivery. Chem. Soc. Rev. 2012, 41 (7), 2867-2884.
16
20.
17
Properties of Composite Polyelectrolyte Based Capsules. Adv Drug Deliv Rev. 2011, 63 (9), 716-
18
729.
19
21.
20
Dental Composites with Chlorhexidine and Mesoporous Silica. J. Dent. Res. 2014, 93 (12),
21
1283-1289.
Lee, J.; Jeong, C.; Kim, W. J. Facile Fabrication and Application of Near-IR Light-
De Koker, S.; Hoogenboom, R.; De Geest, B. G. Polymeric Multilayer Capsules for Drug
Antipina, M. N.; Sukhorukov, G. B. Remote Control Over Guidance and Release
Zhang, J. F.; Wu, R.; Fan, Y.; Liao, S.; Wang, Y.; Wen, Z. T.; Xu, X. Antibacterial
31 Environment ACS Paragon Plus
Langmuir
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
Page 32 of 36
1
22.
Farrugia, C.; Camilleri, J. Antimicrobial Properties of Conventional Restorative Filling
2
Materials and Advances in Antimicrobial Properties of Composite Resins and Glass Ionomer
3
Cements-A Literature Review. Dent. Mater. 2015, 31 (4), e89-99.
4
23.
5
UDMA-TEGDMA Resin. J. Dent. Res. 2006, 85 (10), 950-954.
6
24.
7
Debruyne, E.; Hildebrand, H. F.; Martel, B. A chlorhexidine-loaded Biodegradable Cellulosic
8
Device for Periodontal Pockets Treatment. Acta Biomater. 2014, 10 (1), 318-329.
9
25.
Anusavice, K. J.; Zhang, N. Z.; Shen, C. Controlled Release of Chlorhexidine from
Tabary, N.; Chai, F.; Blanchemain, N.; Neut, C.; Pauchet, L.; Bertini, S.; Delcourt-
Dupont, N.; Lazar, A. N.; Perret, F.; Danylyuk, O.; Suwinska, K.; Navaza, A.; Coleman,
10
A. W. Solid State Structures of the Complexes Between the Antiseptic Chlorhexidine and Three
11
Anionic Derivatives of Calix[4]arene. CrystEngComm 2008, 10 (8), 975.
12
26.
13
Characterization,
14
Nanoparticles for Applications in Biomedical Materials and Consumer Products. Int
15
J Nanomedicine 2013, 8, 3507-3519.
16
27.
17
Chlorhexidine–Copper(II)
18
Nanocomposites. Mater. Sci. Eng. C 2013, 33 (2), 752-757.
19
28.
20
of Chlorhexidine Spheres and Sustained Release with Multilayered Encapsulation. ACS Appl.
21
Mater. Interfaces 2016, 8 (20), 12652-12660.
Barbour, M. E.; Maddocks, S. E.; Wood, N. J.; Collins, A. M. Synthesis, and
Efficacy
of
Antimicrobial
Chlorhexidine
Hexametaphosphate
Wu, Y.; Zhou, N.; Li, W.; Gu, H.; Fan, Y.; Yuan, J. Long-term and Controlled Release of from
Organically
Modified
Montmorillonite
(OMMT)
Luo, D.; Shahid, S.; Wilson, R. M.; Cattell, M. J.; Sukhorukov, G. B. Novel Formulation
32 Environment ACS Paragon Plus
Page 33 of 36
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
Langmuir
1
29.
Santos, A. C.; Pattekari, P.; Jesus, S.; Veiga, F.; Lvov, Y.; Ribeiro, A. J. Sonication-
2
Assisted Layer-by-Layer Assembly for Low Solubility Drug Nanoformulation. ACS Appl. Mater.
3
Interfaces 2015, 7 (22), 11972-11983.
4
30.
5
Resonance of Gold Nanorods by Controlled Etching. Colloid J. 2015, 77 (5), 652-660.
6
31.
7
of Capsules Containing Ag Nanoparticles and IR Dye by Laser Light. Langmuir 2004, 20 (17),
8
6988-6992.
9
32.
Khanadeev, V. A.; Khlebtsov, N. G.; Burov, A. M.; Khlebtsov, B. N. Tuning of Plasmon
Skirtach, A. G.; Antipov, A. A.; Shchukin, D. G.; Sukhorukov, G. B. Remote Activation
Zhang, Q.; Han, L.; Jing, H.; Blom, D. A.; Lin, Y.; Xin, H. L.; Wang, H. Facet Control of
10
Gold Nanorods. ACS Nano 2016, 10 (2), 2960-2974.
11
33.
12
Silver Ions, Surfactants, and Reducing Agents in Gold Nanorod Overgrowth: Pathway Switch
13
between Silver Underpotential Deposition and Gold–Silver Codeposition. Chem. Mater. 2016,
14
28 (8), 2728-2741.
15
34.
16
Adv. Mater. 2010, 22 (44), 4925-4943.
17
35.
18
Paclitaxel from Biodegradable Microspheres: Photothermal Effect and Enhanced Antitumor
19
Activity. Small 2010, 6 (9), 1022-1031.
20
36.
21
from Near-Infrared Light Responsive Polymer-Nanorod Composites. ACS Nano 2011, 5 (4),
22
2948–2956.
Zhang, Q.; Jing, H.; Li, G. G.; Lin, Y.; Blom, D. A.; Wang, H. Intertwining Roles of
Timko, B. P.; Dvir, T.; Kohane, D. S. Remotely Triggerable Drug Delivery Systems.
You, J.; Shao, R.; Wei, X.; Gupta, S.; Li, C. Near-Infrared Light Triggers Release of
Hribar, K. C.; Lee, M. H.; Lee, D.; Burdick, J. A. Enhanced Release of Small Molecules
33 Environment ACS Paragon Plus
Langmuir
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
1
37.
2
Lin, D.; Langer, R.; Kohane, D. S. Magnetically Triggered Nanocomposite Membranes: a
3
Versatile Platform for Triggered Drug Release. Nano Lett 2011, 11 (3), 1395-1400.
4
38.
5
Ammonium Bromide-Capped Nanoparticles. Nano lett 2008, 8 (1), 369-373.
6
39.
7
of Citrate-Stabilized Gold Nanoparticles of Up to 200 nm: Size Focusing Versus Ostwald
8
Ripening. Langmuir 2011, 27 (17), 11098-11105.
9
40.
Page 34 of 36
Hoare, T.; Timko, B. P.; Santamaria, J.; Goya, G. F.; Irusta, S.; Lau, S.; Stefanescu, C. F.;
Gorelikov, I.; Matsuura, N. Single-Step Coating of Mesoporous Silica on Cetyltrimethyl
Bastus, N. G.; Comenge, J.; Puntes, V. Kinetically Controlled Seeded Growth Synthesis
Koutsoukos, P. G.; Nancollas, G. H. Crystal Growth of Calcium Phosphates - Epitaxial
10
Considerations. J. Cryst. Growth 1981, 53 (1), 10-19.
11
41.
12
Monodispersed Hydrosols. J. Am. Chem. Soc. 1950, 72 (11), 4847-4854.
13
42.
14
Coord. Chem. Rev. 2001, 214, 91–141.
15
43.
16
Characterization of New Copper(II) Complex Compounds with Chlorhexidine. Part I. Cent Eur.
17
J. Chem. 2010, 8 (3), 543-549.
18
44.
19
and Thermal Decomposition of New Copper (II) Complex Compounds with Chlorhexidine. J
20
Therm Anal Calorim. 2012, 111 (3), 1763-1770.
21
45.
22
Salts. Drug Dev Ind Pharm. 2009, 35 (2), 172-176.
LaMer, V. K.; Dinegar, R. H. Theory, Production and Mechanism of Formation of
Bailey, P. J.; Pace, S. The Coordination Chemistry of Guanidines and Guanidinates.
Călinescu, M.; Negreanu-Pîrjol, T.; Georgescu, R.; Călinescu, O. Synthesis and
Badea, M.; Olar, R.; Iliş, M.; Georgescu, R.; Călinescu, M. Synthesis, Characterization,
Zeng, P.; Rao, A.; Wiedmann, T. S.; Bowles, W. Solubility Properties of Chlorhexidine
34 Environment ACS Paragon Plus
Page 35 of 36
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60
Langmuir
1
46.
Fuhrmann, K.; Schulz, J. D.; Gauthier, M. A.; Leroux, J. PEG Nanocages as Non-
2
sheddable Stabilizers for Drug Nanocrystals. ACS Nano 2012, 6 (2), 1667–1676.
3
47.
4
Encapsulated Hydrocortisone Crystals by Insulin/Alginate Shells. Langmuir 2011, 27 (4), 1499-
5
1504.
6
48.
7
Electrospun Poly(lactic acid) Fibers Containing Novel Chlorhexidine Particles with Sustained
8
Antibacterial Activity. Biomater Sci. 2017, 5, 111-119.
9
49.
Zhao, J.; Cui, Y.; Wang, A.; Fei, J.; Yang, Y.; Li, J. Side Effect Reduction of
Luo, D.; Zhang, X.; Shahid, S.; Cattell, M. J.; Gould, D. J.; Sukhorukov, G. B.
Ai, H.; Jones, S. A.; de Villiers, M. M.; Lvov, Y. M. Nano-Encapsulation of Furosemide
10
Microcrystals for Controlled Drug Release. J. Controlled Release 2003, 86, 59–68.
11
50.
12
Heating. J. Am. Chem. Soc. 2012, 134 (18), 7628-7631.
13
51.
14
Nanolithography by Plasmonic Heating and Optical Manipulation of Gold Nanoparticles. ACS
15
Nano 2013, 7 (9), 7648-7653.
16
52.
17
Encapsulation and Triggered Release of Small Molecules. Part Part Syst Char. 2013, 30 (11),
18
989-995.
19
53.
20
PDT against Periodontopathogenic Bacteria. Int J Mol Sci. 2015, 16 (11), 27327-27338.
Croissant, J.; Zink, J. I. Nanovalve-Controlled Cargo Release Activated by Plasmonic
Fedoruk, M.; Meixner, M.; Carretero-Palacios, S.; Lohmüller, T.; Feldmann, J.
Yi, Q.; Sukhorukov, G. B. Single-Component Diazo-Resin Microcapsules for
Haag, P. A.; Steiger-Ronay, V.; Schmidlin, P. R. The in Vitro Antimicrobial Efficacy of
21 22
35 Environment ACS Paragon Plus
Langmuir
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Insert Table of Contents Graphic and Synopsis Here
or
CHX monomers Ca2+
Gold particles Cl
Cl
CHX primary particles Primary particles Crystal growth and Ostwald ripening 3303
3190 C= N 1621
4000
3500
3000
2500
Wa v e l e n g t h / c m
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2000 -1
1500