An MRI-visible non-viral vector for targeted Bcl-2 siRNA delivery to neuroblastoma

Polyethylene glycol-grafted polyethylenimine (PEG-g-PEI) which was functionalized with a neuroblastoma cell-specific ligand, the GD2 single chain antibody (scAbGD2), was synthesized in order to effectively deliver Bcl-2 siRNA into neuroblastoma cells. This polymer was complexed first with superparamagnetic iron oxide nanoparticle (SPION) to get a MRI-visible targeted non-viral vector (scAbGD2-PEG-g-PEI-SPION) and then with Bcl-2 siRNA to form nanoparticles showing low cytotoxicity. The targeting capacity of scAbGD2-PEG-g-PEI-SPION was successfully verified in vivo and in vitro by magnetic resonance imaging. The single chain antibody encoded targeted polyplex was more effective in transferring Bcl-2 siRNA than the nontargeting one in SK-N-SH cells, a human neuroblastoma cell line, resulting in a 46.34% inhibition in the expression of Bcl-2 mRNA. Consequently, a high level of cell apoptosis up to 50.76% and a significant suppression of tumor growth were achieved, which indicates that scAbGD2-PEG-g-PEI-SPION is a promising magnetic resonance imaging-visible non-viral vector for targeted neuroblastoma siRNA therapy and diagnosis.


Introduction
Neuroblastoma (NB) is the most common extracranial solid tumor in children. It is also the most common cancer diagnosed in children less than 1 year of age. 1 Based on the International Neuroblastoma Staging System of stage, group, and tumor biology, patients can be assigned to a low-, intermediate-or high-risk group. 2 Despite advanced therapies including surgery, radiotherapy, and chemotherapy, children with high-risk NB have an extremely poor prognosis. 3 The 5-year survival rate of high-risk patients is as low as 20%-25%, and most of the patients develop metastatic dissemination. 4 Therefore, novel therapies are urgently needed.
Small interfering ribonucleic acid (siRNA) is a promising candidate for the treatment of many diseases. 5,6 The Bcl-2 gene is a key apoptosis inhibitor that is overexpressed in many tumors. We used SignalSilence Bcl-2 siRNA (Cell Signaling Technology, Inc, Danvers, MA, USA) to specifically inhibit Bcl-2 expression and promote tumor apoptosis. However, siRNA cannot readily penetrate through cell membranes because of its highly negative charge. Therefore, effective delivery systems are needed in order to overcome this problem. The challenge remains to develop safe and efficient siRNA delivery systems for siRNA therapy. Up to now, the siRNA delivery vehicles can be classified into two categories: viral and non-viral systems. 7 Viral vectors are highly efficient delivery systems for nucleic acids, but some of their properties, including the potential of oncogenicity, host immune responses, and the high cost of production, restrict their clinical application. These drawbacks have made non-viral vectors an alternative to viral vectors. To deliver siRNA efficiently, a large number of non-viral delivery systems and methods have been introduced, including chemical modifications of siRNA, cationic polymers, cationic lipids, cell-penetrating peptide, and targeted delivery. 8,9 Cationic polymers readily bind and condense nucleic acids, therefore, they have been commonly used as transfection vehicles for siRNA. Of the many cationic polymers, polyethylenimine (PEI) has been widely used for nucleic acid delivery. The "proton-sponge" effect of PEI allows siRNA to escape from endosomes and to deliver nucleic acids into the cell. 10 The highly branched polymers such as branch polyethylenimine (BPEI, 25 kDa), have been frequently used because they offer significantly more protection against nuclease degradation. However, the large amount of positive charge results in rather high cellular toxicity and is the major limiting factor for their application in vivo. Therefore, polyethylene glycol (PEG) was introduced to PEI (PEG-g-PEI) to reduce cytotoxicity. The incorporation of the hydrophilic polymer PEG into a polymeric gene delivery system has been proven to reduce the positive charge and therefore improve biocompatibility. PEGylation could improve the stability of polyplexes and could reduce their toxicity. Furthermore, PEGylation could also provide a frame for many modifications, such as antibodies, growth factors and peptides. [11][12][13] To improve the efficiency of the siRNA delivery system, targeted siRNA delivery systems are needed. Targeted delivery systems can be recognized by specific cell receptors that mediate endocytosis. In the treatment of cancer, anticancer monoclonal antibodies targeting specific antigens on tumor cell surfaces are increasingly applied. However, clinical application of the antibody has been limited due to its immunogenicity, large size (150 kDa), and subunit structure. 14 In contrast, the single-chain antibodies may be more useful for many applications. These antibodies are constructed from a heavy chain (V H ) and a light chain (V L ) that are connected via a short peptide linker, and they retain the specificity of the original immunoglobulin; single-chain antibodies have lower molecular weights than other antibodies. Additionally, GD2 ganglioside is highly expressed on the surfaces of human neuroblastoma cells, which has made it an attractive target for tumor-specific antibody therapy. 15 Magnetic resonance imaging (MRI) is widely used in the clinical setting because it is non-invasive, can produce high-definition images and can depict pathological tissues.
Gao et al reported on the MRI-visible polymer for anti-cancer drug delivery. 16 Liao et al attached doxorubicin to targeted magnetic nanoparticles and then used MRI to perform the targeted drug delivery. 17 Inspired by these achievements, we proposed to develop a multifunctional delivery system based on PEG and PEI for the joint delivery of siRNA and superparamagnetic iron oxide nanoparticles (SPIONs). The delivery capability of this multifunctional carrier was assessed through co-delivering SPION and siRNA against the Bcl-2 gene, which is a key apotosis inhibitor overexpressed in many malignant tumors. It is well known that SPIONs produce low signal intensities on MRI. Therefore, we constructed an MRI-visible siRNA delivery system by attaching SPIONs to PEG-g-PEI. Furthermore, a targeted magnetic nanoparticulate vector was constructed by attaching a GD2 single-chain antibody (scAb GD2 ) to PEG-g-PEI-SPION (scAb GD2 -PEG-g-PEI-SPION).

Materials and method Materials
PEG-g-PEI-SPION, a magnetic non-viral delivery vector, was synthesized by our lab as previously reported. 18 The GD2 antibody was purchased from BD Bioscience Pharmingen (San Jose, CA, USA). SK-N-SH cells from a human neuroblastoma cell line were purchased from the Institute of Biochemistry and Cell Biology (CAS, China). HepG2 cells from a human liver cancer cell line were purchased from the Institute of Biochemistry and Cell Biology (CAS, China). Dulbecco's modified Eagle's medium/F-12 (DMEM) and fetal bovine serum were purchased from Invitrogen Corporation (Carlsbad, CA, USA). The fluorescent staining agent 4′,6-diamidion-2-phenylindole (DAPI) was purchased from Roche (Roche, Germany). Alexa Fluor 488 and Alexa Fluor 555 were purchased from Molecular Probes, Inc, (Eugene, OR, USA). The Cell Counting Kit-8 (CCK-8) was purchased from Dojindo Laboratories (Kumamoto, Japan). FITC-siRNA, Bcl-2 siRNA, Rabbit anti-human Bcl-2 antibody and horseradish peroxidase (HRP)-conjugated goat anti-rabbit antibody were purchased from Cell Signaling Technology (CST, USA). Alexa Fluor 488-labeled siRNA was purchased from Sangon Biotech (Shanghai, China).

Synthesis of scAb GD2 -PEG-g-PEI-SPION
A total of 200 µL of GD2 antibody (0.5 mg/mL) was dissolved in 200 µL of ethylenediaminetetraacetic acid (EDTA) solution (0.5 M, pH = 8.0). 100 mg of 2-mercaptoethylamine and 20 µL of EDTA solution were mixed with phosphate buffered saline (PBS) (1 mL) and were then added to the submit your manuscript | www.dovepress.com Dovepress Dovepress aforementioned antibody solution. After incubation at 37°C for 90 min, the resulting scAb GD2 solution was washed three times with PBS (containing 0.5 M EDTA solution) in an Amicon cell (MWCO = 10 kDa). 200 µg of Mal-PEG-COOH dissolved in 200 µL of PBS containing 0.5 M EDTA solution was added to the scAb GD2 solution and incubated at 4°C overnight. The solution containing scAb GD2 -functionalized PEG (scAb GD2 -PEG-COOH) was washed three times with PBS in an Amicon cell (MWCO = 10 kDa). 10 µg of both 1-ethyl-3-(3-dimethylaminepropyl) carbodiimide and N-hydroxysuccinimide were added to the purified solution and incubated at 4°C for 10 min; PEG-g-PEI-SPION (200 µg) was then added, and the solution was incubated overnight at 4°C, resulting in scAb GD2 -PEG-g-PEI-SPION as the end product.

Polyplex formation
Bcl-2 siRNA (100 nM) and the delivery vector (PEG-g-PEI-SPION, scAb GD2 -PEG-g-PEI-SPION) were mixed according to various nitrogen-phosphorus (N/P) ratios. The combination was fully mixed and then kept at room temperature for 30 min for polyplex formation.

Gel retardation assay
Agarose gel electrophoresis was performed on a Bio-Rad Sub-Cell electrophoresis cell (Bio-Rad Laboratories, Inc, USA) to assess the siRNA condensation capacity of the delivery agents, and images were captured on a DNR Bio-imaging System (DNR Bio-imaging Systems Ltd, Israel). Polyplexes (PEG-g-PEI-SPION/siRNA, scAb GD2 -PEG-g-PEI-SPION/ siRNA) were formed at various N/P ratios from 1.8 to 2.4 and were mixed with 50% glycerin. They were then loaded onto the 1% agarose gels with ethidium bromide (0.1 µg/mL), which were run with Tris-acetate (TAE) buffer at 120 V for 25 min. UV light was used to reveal siRNA band shifts.

Cell viability assay
To evaluate the cytotoxicities of the PEG-g-PEI-SPION/ siRNA and scAb GD2 -PEG-g-PEI-SPION/siRNA polyplexes, a CCK-8 assay was performed according to the manufacturer's protocol. Cells were seeded at a density of 5 × 10 3 cells per well in a 96-well plate and were cultured for 24 hours at 37°C. The cells were then incubated in 100 µL of fresh medium at various polymer (PEG-g-PEI-SPION/siRNA, scAb GD2 -PEG-g-PEI-SPION/siRNA) concentrations for 48 hours. Subsequently, 10 µL of CCK-8 solution was added to each well, and the cells were incubated for an additional 3 hours. The absorbances at 450 nm and 620 nm were recorded on a Tecan Infinite F200 Multimode plate reader (Tecan Trading AG, Switzerland). All experiments were conducted in triplicate.

Particle size and zeta potential measurements
The particle sizes were measured by dynamic light scattering. Measurements were performed at 25°C on Plus/ BI-MAS equipment (Brookhaven Instruments Corporation, USA). The zeta potential of each sample was measured by a Zeta Plus Analyzer (Brookhaven Instruments Corporation, USA) to determine the electrophoretic light scattering at 25°C. The particle size and zeta potential of each sample were measured five times.

Transfection experiments
The FITC-labeled negative control siRNA (siNC-FITC) was used to evaluate transfection efficiency. Transfection experiments were performed in a 6-well plate, the applied siRNA amount per well in cell culture was set constantly to 100 nM (according to the manufacturer's protocol). SK-N-SH cells were seeded at a density of 1 × 10 6 cells per well prior to the transfection reaction. PEG-g-PEI-SPION/ siRNA and scAb GD2 -PEG-g-PEI-SPION/siRNA polyplexes formed at various N/P ratios were added into each well. After 4 hours of incubation, the culture medium was replaced with fresh DMEM medium, and cells were incubated for an additional 8 hours. Then cells were washed with PBS (pH = 7.4), inspected under a Carl Zeiss Aviox-1 inverted fluorescence microscope, and quantitatively analyzed using a FACScan flow cytometer (Becton Dickinson, Franklin Lakes, NJ, US).
For the free ligand competitive inhibition assay, cells were pre-treated with 10 µL of free GD2 antibody for 30 min before scAb GD2 -PEG-g-PEI-SPION/siRNA was added into the culture medium.

Cell uptake of polyplexes
Multiple fluorescent labeling of polyplexes was employed for confocal laser scanning microscopy (CLSM) experiments. Alexa Fluor 555 (Life Technologies Corporation, Carlsbad, CA, USA), an amine-reactive dye, was dissolved in dimethyl sulfoxide to a final concentration of 1 mg/mL. A delivery agent, such as scAb GD2 -PEG-g-PEI-SPION, was dissolved in 1 mL of a 0.1 M sodium bicarbonate buffer (pH = 8.3-9.0). The reactive dye was slowly added under stirring. The mixture was incubated in the dark and stirred for 1 hour at room temperature. The unreacted labeling reagent was eliminated from the solution by ultrafiltration submit your manuscript | www.dovepress.com Dovepress Dovepress in an Amicon cell (MWCO = 10 kDa). Using this method, the dye-delivery agent solution was washed four times with PBS (pH = 7.4) until no absorption at 555 nm was detected in the filtrate.
SK-N-SH cells were seeded at a density of 2 × 10 3 cells in a confocal dish. The Alexa Fluor 488-labeled siRNA (100 nM) was complexed with the appropriate amount of Alexa Fluor 555-labeled delivery agent (PEG-g-PEI-SPION, scAb GD2 -PEG-g-PEI-SPION) at an N/P ratio of 10; the components were completely mixed and were then kept at room temperature for 30 min. The prepared polyplexes were added into the DMEM cell culture medium. After 8 hours, the cells were washed three times with fresh PBS and incubated for an additional 15 min after adding the DNA-staining agent, DAPI, dissolved in ultrapure water (1 mg/mL). CLSM observations were performed using a Zeiss LSM 510 META microscope (Carl Zeiss Cl, Ltd, Gottingen, Germany). The free ligand competitive inhibition assay was also performed.

In vitro MRI scan
SK-N-SH cells were plated at a density of 1 × 10 6 cells per well on 6-well plates and incubated for 2 hours in the presence of PEG-g-PEI-SPION or scAb GD2 -PEG-g-PEI-SPION at Fe concentrations of 5, 10, 20, and 40 µg/mL in DMEM medium. The cells were washed three times with PBS, trypsinized, resuspended in a 4% gelatin solution, and scanned at room temperature with a 1.5T MR scanner (GE Healthcare UK Limited, Buckinghamshire, UK). A wrist coil with an inner diameter of 3 inches was used for this study. T 2 -weighted images were acquired using the following parameters: repetition time/echo time 5000/100 ms; FOV, 150 mm; matrix, 256 × 256; slice thickness, 1 mm. The signal intensities of the control and treated cells were determined using a circular 30 mm 2 region of interest. The signal intensity of treated cells was normalized by comparison with that of control cells. The free ligand competitive inhibition assay was performed as usual.

Assessment of cell apoptosis
Cells were plated at a density of 1 × 10 4 cells per well on a 24-well plate, the applied siRNA amount per well in cell culture was set constantly to 100 nM. After incubating the cells for 48 hours, the TUNEL assay was performed using an In Situ Cell Death Detection Kit with Tetramethylrhodamine red (Roche, Mannheim, Germany) according to the manufacturer's protocol. In brief, after 300 µL of 4% paraformaldehyde in PBS (pH = 7.4) was added to each well, the cells were incubated for 20 min at room temperature and then washed three times with PBS (pH = 7.4). After 300 µL of 0.1% Triton-X100 in 0.1% sodium citrate was added to each well, the cells were incubated for 20 min at room temperature and then washed three times with PBS (pH = 7.4). Then 50 µL of TUNEL reaction mixture was added into each well, and the cells were incubated for 1 hour at 37°C in a humidified atmosphere in the dark. The cells were then washed with PBS (pH = 7.4), the DNA-staining agent DAPI dissolved in ultrapure water (1 mg/mL), was added, and the cells were incubated for an additional 15 min. The cells were directly analyzed by fluorescence microscopy. Tetramethylrhodamine red-labeled nucleotides, incorporated in nucleotide polymers, were detected under the inverted fluorescence microscope.

Reverse transcription polymerase (RT-PCR) analysis
After transfection for 48 hour, RNA was extracted using TRIzol reagent (Invitrogen, Carlsbad, CA, USA). RT-PCR was performed using the PrimeScript RT-PCR Kit (Takara, Dalian, China) according to the manufacturer's instructions. The forward and reverse primers targeting Bcl-2 sequence were 5′-TGTCCCTTTGACCTTGTTTCT-3′ and 5′-TCATTTGCCATCTGGATTTT-3′, respectively. The PCR was run on a StepOne Plus Real-time PCR System (Applied Biosystems, Foster City, CA, USA). All experiments were performed in triplicate. The PCR reaction conditions were as follows: 95°C for 10 min; and 40 cycles of 95°C/10 s, 60°C/20 s, and 72°C/20 s.

Western blot analysis
After transfection for 48 hours, total protein was extracted using ProteoJET TM Mammalian Cell Lysis Reagent ( Fermentas, Canada) with Phenylmethanesulfonyl fluoride, and the protein concentrations were measured using the BCA Protein Assay Kit (CWBIO, Beijing, China). Total proteins (20 µg) were separated on 8% SDS-PAGE gels (Bio-Rad Laboratories Inc, Hercules, CA, USA) and transferred onto polyvinylidene difluoride (PVDF) membranes by electroblotting. The membranes were blocked with 5% nonfat milk in Tris-buffered saline and Tween (TBST) buffer for 1 hour at room temperature and then incubated with a rabbit anti-human Bcl-2 antibody (1:1000 dilution) at 4°C overnight. After three washes with TBST, the membranes were incubated with HRP-conjugated goat anti-rabbit antibody diluted at 1:5000 in TBST buffer for 1 hour at room temperature. Enhanced chemiluminescence detection reagents (Millipore, USA) were used, and the results were photo-documented. submit your manuscript | www.dovepress.com

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In vivo studies SK-N-SH cells (3.0 × 10 6 cells per mouse) were injected subcutaneously into the left thighs of 15 female nude mice (15-16 g). Three days after injection, the mice were divided into three groups (5 mice per group). Different injections were performed according to grouping: Group 1, PBS buffer; Group 2, PEG-g-PEI-SPION/siRNA; and Group 3, scAb GD2 -PEG-g-PEI-SPION/siRNA. The injections were performed daily through the tail vein for 15 days. The injection was performed everyday at a dose of 1.6 mg siRNA/Kg body weight per injection. Tumor size was measured using calipers across the longest (a) and shortest diameters (b) of the tumors, and their volumes were calculated by V = ab 2 . Tumor volumes were measured on the last day. All animal studies were approved by the animal care and use committee at the institute.

Immunohistochemistry
Mice were sacrificed, and the tumors were removed, fixed in 4% paraformaldehyde and then embedded in paraffin. After deparaffinization and rehydration, sections were incubated with 3% hydrogen peroxide. They were then blocked with protein blocking serum for 5 min and incubated with rabbit anti-human Bcl-2 antibody (1:50 dilution) at 4°C overnight. After being washed with PBS, the sections were incubated with HRP-conjugated goat anti-rabbit antibody for 30 min and were subsequently stained with 3,3-diaminobenzidine. They were then kept in the dark at room temperature for 3 min before they were washed with PBS and stained with hematoxylin.

In vivo MRI scan
To further verify the tumor-targeting capacity of scAb GD2 -PEG-g-PEI-SPION, we performed animal studies. All animal studies were approved by the animal care and use committee at the institute. All animals were bred by professionals at Zhongshan University. SK-N-SH cells expressed GD2 at high levels, while HepG2 (human hepatic carcinoma cells) hardly expressed any GD2; therefore, we chose SK-N-SH cells as the target tumor and HepG2 as the non-target tumor. We divided 12 female nude mice (15-16 g, 4-week old BALB/c Nude mice) into two groups and injected 3.0 × 10 6 SK-N-SH cells or 3.0 × 10 6 HepG2 cells subcutaneously into their left thighs. Three days after cell implantation, the mice developed left thigh tumors that were 100-150 mm 3 in size. Six mice with SK-N-SH tumors were divided into two groups (Group 1, Group 2); 6 mice with HepG2 tumors were divided into two groups (Group 3, Group 4). They were then anesthetized with 10% chloral hydrate (5 µL/g), and MRI was performed prior to injection. MRI was repeated 5 hours after the injection of 250 µL PEG-g-PEI-SPION (0.75 µg/µL) or scAb GD2 -PEG-g-PEI-SPION (0.75 µg/µL) intravenously through the tail vein. MRI was performed with a 1.5T MRI scanner (GE Healthcare, UK) using a 5-cm linearly polarized birdcage radio frequency mouse coil. T 2 -weighted images were acquired using a fast spin-echo sequence (repetition time = 2000 ms; echo time = 80 ms; FOV 3 cm × 3 cm; slice thickness 1.0 mm; flip angle 90°). The signal intensities of the tumors (before injection and after injection) were determined using a circular 30 mm 2 region of interest. The signal intensity of tumors after injection was normalized by comparison with that of tumors before injection.

Histology analysis
The mice were sacrificed after the MRI was completed. The tumors were excised, fixed in 4% paraformaldehyde and embedded in paraffin. Histological sections were prepared for analysis using Prussian blue staining.

Statistical analysis
All data were analyzed with the Statistical Package for the Social Sciences version 11.5 (SPSS Inc, Chicago, IL, USA). The results were expressed as the means ± SE, and P , 0.05 was considered statistically significant. All statistical tests were two-sided.

Gel retardation
Agarose gel electrophoresis was performed to confirm the complexation between siRNA and PEG-g-PEI-SPION or scAb GD2 -PEG-g-PEI-SPION. The complexation of siRNA with cationic polymers is due to the electrostatic neutralization and size of the polymers, by which siRNA partially or completely loses its negative charge, resulting in the retardation of its mobility in the electric field. Therefore, the capacity of the polymer to complex siRNA could be measured by the retardation of siRNA mobility in gel electrophoresis. As shown in Figure 1, both PEG-g-PEI-SPION and scAb GD2 -PEG-g-PEI-SPION started to form complexes with siRNA at low N/P ratios, and complete retardation of siRNA migration occurred at an N/P ratio of 2.2.

Cell viability analysis
A CCK-8 assay was performed to evaluate the cytotoxicities of the polyplexes. The human neuroblastoma cell line SK-N-SH was chosen as the target because of its high GD2 submit your manuscript | www.dovepress.com Dovepress Dovepress expression level. SK-N-SH cells were incubated with PEGg-PEI-SPION/siRNA and scAb GD2 -PEG-g-PEI-SPION/ siRNA for 48 hours at N/P ratios of 2.5 to 30. As shown in Figure 2, cell viability decreased gradually as N/P ratio increased. At an N/P ratio of 10, the cell viabilities of PEG-g-PEI-SPION/siRNA and scAb GD2 -PEG-g-PEI-SPION/siRNA were 96.45% ± 1.31% and 95.47% ± 1.03%, respectively. There were no significant differences between the two groups at the different N/P ratios (P . 0.05), which illustrated that the connection of scAb GD2 did not increase the cytotoxicity of PEG-g-PEI-SPION.
Particle size and zeta potential The particle size and zeta potential of nontargeting and targeting complexes varied with various N/P ratios. The particle size decreased with increasing N/P ratio of nontargeting and targeting polyplexes, maintained around 90 nm and 96 nm, respectively, when the N/P ratio reached around 10. On the contrary, the zeta potential increased with increasing the N/P ratio (Figure 3). On the whole, the particle size decreased, whereas the zeta potential of polyplexes increased with increasing N/P ratio.

Cellular uptake and distribution of polyplexes
We used CLSM to investigate the uptake of polyplexes by SK-N-SH cells after 2 hours of incubation. To obtain better visualization of the intracellular distribution of polyplexes, the nuclei were stained blue with DAPI. Alexa Fluor 488-labeled siRNA was used to visualize the cellular uptake of siRNA. Alexa Fluor 555-labeled polymer was used to visualize the cellular uptake of the polymer. As shown in Figure 5, cells incubated for 2 hours with scAb GD2 -PEG-g-PEI-SPION/siRNA (targeting) displayed clearly stronger agent (red) and siRNA (green) fluorescence compared to cells incubated with PEG-g-PEI-SPION/siRNA (nontargeting). Moreover, SK-N-SH cells incubated with free GD2 antibody significantly inhibited the uptake of targeting polyplexes into the cells. These results demonstrated that endocytosis of scAb GD2 -PEG-g-PEI-SPION/siRNA was mediated by the specific interaction between the scAb GD2 and GD2 receptors; consequently, polyplexes with scAb GD2 can significantly enhance the cellular uptake of SK-N-SH cells.

In vitro MRI scan
As shown in Figure 6, with increasing Fe concentrations in the polymer, the MRI signal intensity of SK-N-SH cells decreased. There was a significant decrease in MRI signal intensity when the Fe concentration of the polymer was higher. At the same Fe concentration, cells incubated with targeting polymer exhibited a significant decrease compared to when they were incubated with nontargeting and targeting/ GD2 polymers.

Effects of Bcl-2 siRNA on cell apoptosis
To further verify the effects of Bcl-2 siRNA, TUNEL analysis was conducted to quantify cell apoptosis. TUNEL was conducted, and the numbers of TUNEL-positive cells (ie, cells with red fluorescence) were counted to obtain the percentage of apoptotic cells. As shown in Figure 7A, nuclei in apoptotic cells displayed strong red fluorescence due to the existence of fragmented DNA. Nuclei in normal cells that were not undergoing apoptosis did not display red fluorescence.
SK-N-SH cells incubated with various polyplexes exhibited significantly different levels of apoptosis. Clearly, scAb GD2 -PEG-g-PEI-SPION/siRNA (targeting) treatment resulted in the highest level of cell apoptosis (50.76% ± 2.34%) among all the tested cell groups, as shown in Figure 7B. Cells incubated with nontargeting and targeting/GD2 resulted in 10.39% ± 1.76% and 11.34% ± 2.26% cell apoptosis, respectively, which are significantly lower than the level induced by the targeting polyplexes.

Suppression on Bcl-2 gene expression
After 48 hours of cell transfection, Bcl-2 gene expression in SK-N-SH cells was evaluated at both the mRNA and protein levels. RT-PCR analysis (shown in Figure 8A) revealed that scAb GD2 -PEG-g-PEI-SPION/siRNA (targeting), PEG-g-PEI-SPION/siRNA (nontargeting), and scAb GD2 -PEG-g-PEI-SPION/siRNA with free GD2 antibody (targeting/GD2) suppressed the expression of Bcl-2 gene to 46.34% ± 1.87%, 90.21% ± 2.09%, 88.34% ± 2.45%, respectively (relative to the blank control). There were significant differences in the suppression of the Bcl-2 gene between targeting polyplexes and nontargeting or targeting/GD2 polyplexes. Western blot analysis was then performed to evaluate the suppression of the Bcl-2 gene at the protein level. As shown in Figure 8B, cells incubated with targeting polyplexes had significantly lower levels of Bcl-2 protein expression than cells incubated with either nontargeting or targeting/GD2 polyplexes. The results are consistent with results obtained through RT-PCR and indicate that targeting polyplexes have a stronger suppressive effect on the Bcl-2 gene.

Effect of targeting therapy with Bcl-2 siRNA on SK-N-SH tumors in vivo
Fifteen days after injection, the average tumor sizes were 250.34 ± 8.45 mm 3 for the PBS-control group and 123.45 ± 6.79 mm 3 for the targeting therapy group (scAb GD2 -PEG-g-PEI-SPION/siRNA). In the nontargeting therapy group (PEG-g-PEI-SPION/siRNA), the average tumor size was 234.45 ± 6.78 mm 3 (Figure 9). These results indicate that targeting therapy could significantly inhibit the development of SK-N-SH tumors when compared to the control or nontargeting therapy groups (P , 0.01). Immunohistochemistry was performed to confirm the expression of the Bcl-2 protein in tumors. Cell nuclei were stained blue and the brown stains indicated the Bcl-2 protein expressed in the tumor tissue. Compared to the basal expression of Bcl-2 proteins in the tumor tissue from mice receiving PBS ( Figure 10B), mice receiving targeting therapy exhibited a significant suppression in Bcl-2 expression ( Figure 10F); mice receiving nontargeting therapy showed a medium level suppression in Bcl-2 expression ( Figure 10D). The results demonstrated that the targeting polyplexes delivered Bcl-2 siRNA into the tumor cells more effectively than the nontargeting polyplexes.

In vivo MRI scan
To further validate the tumor-targeting capacity of scAb GD2 -PEG-g-PEI-SPION in vivo, 12 mice with one of two types of tumors (SK-N-SH, HepG2) were injected with nontargeting or targeting polymers. Prior to injection, both tumors marked with blue arrows ( Figure 11A) exhibited high signal intensities on T 2 -weighted MRI images. Five hours after injection of PEG-g-PEI-SPION, both SK-N-SH tumors (Group 1) and HepG2 tumors (Group 3) showed slightly low signal intensity on T 2 -weighted images (marked with yellow arrows). However, five hours after injection of scAb GD2 -PEGg-PEI-SPION, SK-N-SH tumors (Group 2) showed significant hypointense signals (marked with red arrow), while HepG2 (Group 4) showed slightly lower signal intensity on T 2 -weighted images. We measured the MRI T 2 -weighted signal intensity of tumors after injection with PEG-g-PEI-SPION or scAb GD2 -PEG-g-PEI-SPION ( Figure 11B). The MRI intensity of tumors (before injection) defined as 100 were used as a control. The MRI T 2 -weighted signal intensity of Group 1, 2, 3, and 4 decreased after injection. However, the MRI signal intensity decreased nearly 50% in Group 2. The above results demonstrated that scAb GD2 -PEG-g-PEI-SPION had tumor-targeting capacity.
Prussian blue staining was performed to further verify the existence of the targeting vectors in SK-N-SH tumors. As shown in Figure 12, many scattered blue spots were detected in SK-N-SH tumors after injection of the targeting polyplexes (Group 2). Meanwhile, few blue spots were detected in Groups 1, 3, and 4.

Discussion
RNA interference has been regarded as a useful tool for successfully silencing genes using small interfering RNA (siRNA). submit your manuscript | www.dovepress.com

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After uptake by cells, siRNAs are delivered into the endoribonuclease-containing complexes, which are known as RNA-induced silencing complexes. The siRNA leads the RNA-induced silencing complexes to complementary RNA molecules, and the target RNA is then cleaved and destroyed. 19 Gene silencing using siRNA is effective and specific to the target gene. This method has many potential applications in cancer treatment. 20 The Bcl-2 gene is a critical component in the regulation of apoptosis. Overexpression of Bcl-2 is often observed in cancer cells. It prevents apoptosis of cancer cells, and it has frequently been reported that the overexpression of Bcl-2 inhibits apoptosis induced by chemotherapy. 21 Therefore, the downregulation of Bcl-2 to recover a critical apoptotic pathway in cancer cells is an important strategy. Bcl-2 is a therapeutic target in cancer cells. In our study, we used Bcl-2 siRNA to downregulate the expression of the Bcl-2 gene in SK-N-SH cells. However, siRNA has a short half-life due to its rapid degradation in cellular cytoplasm and plasma, which is a limitation for its broader application. 22 For this reason, effective siRNA delivery systems are urgently needed. Viral and non-viral vectors have been used for siRNA delivery. Nonviral vectors are generally considered to be safer than viral vectors, and a large number of non-viral vectors have been introduced to deliver siRNAs. 23 PEI is a cationic polymer that has been widely used as a carrier for the delivery of siRNA into cells; however, PEI has been found to be cytotoxic due to its electrostatic interactions with negatively charged cell membranes. 24,25 Therefore, PEI needs to be modified to reduce its cytotoxicity. PEG modification could reduce the positive charge of polyplexes and could thus reduce their cytotoxicity. Furthermore, PEGylation provides a frame for other modifications, such as SPION. 26 Many studies have reported that the use of PEG-PEI copolymers generally reduces the efficiency of gene delivery; therefore, it is important to introduce a targeting ligand into the gene delivery.
In this study, we combined scAb GD2 with PEG-g-PEI-SPION to construct an MRI-visible targeted siRNA delivery vector to improve the siRNA delivery efficiency of PEG-PEI. This non-viral vector exhibited excellent binding capacity for siRNA and low cytotoxicity.
A gel retardation assay demonstrated that increasing N/P ratios resulted in improved siRNA complexation (ie, both PEG-g-PEI-SPION/siRNA and scAb GD2 -PEG-g-PEI-SPION/ siRNA were completely complexed at N/P ratios above 2.2). Although a higher N/P ratio leads to better siRNA condensation, higher cytotoxicity will damage cancer cells due to electrostatic interaction. The CCK-8 assay showed that cytotoxicity increased along with higher N/P ratios. At an N/P ratio of 20, the cell viability for both groups was still over 85%. There were no statistical differences between the two groups at different N/P ratios, revealing that scAb GD2 had no obvious cytotoxicity to SK-N-SH cells.
submit your manuscript | www.dovepress.com Dovepress Dovepress efficiently taken up by cells, leading to strong green and red fluorescence. Cells pretreated with free GD2 antibody only displayed less green and red fluorescence. This assay verified that scAb GD2 could enhance the endocytosis of the SK-N-SH cells.
After Bcl-2 siRNA was efficiently delivered into SK-N-SH cells, we tested whether increasing the expression of Bcl-2 siRNA would promote apoptosis of tumor cells in vitro and in vivo. The TUNEL assay clearly demonstrated that incubation of SK-N-SH cells with targeting polyplex resulted in apoptosis in 50.76% of the cells. RT-PCR assay revealed that the cells treated with targeting polyplex caused a 46.34% reduction of the Bcl-2 mRNA expression level, and this result was confirmed by Western blot. In vivo studies have demonstrated a significant delay in human tumor growth with the targeting polyplex therapy, indicating that Bcl-2 siRNA can promote tumor apoptosis; this result was confirmed with immunohistochemistry. The above results illustrated that Bcl-2 siRNA promotes cell apoptosis effectively and that the targeting polymer delivers siRNA effectively.
MRI has an excellent sensitivity and spatial resolution and can be used to detect the targeting capacity and MRI-visibility of scAb GD2 -PEG-g-PEI-SPION in vivo and in vitro. SK-N-SH cells were incubated with targeting, nontargeting and targeting GD2 polymers. The decrease in signal intensity of the targeting polymer was greater than that of the nontargeting or targeting GD2 polymer. After injection of the targeting polymer, SK-N-SH tumors showed a significant decrease in signal intensity in vivo, while HepG2 tumors just showed slightly low signal. The consistent results were observed in Prussian blue staining. Our results indicated that the enhanced endocytosis of the targeting polymer was due to the scAb GD2 conjugation to PEG-g-PEI-SPION.
In summary, we constructed an MRI-visible non-viral Bcl-2 siRNA delivery vector bearing GD2 single-chain antibody (scAb GD2 ) as a targeting ligand to NB cells. The International Journal of Nanomedicine is an international, peerreviewed journal focusing on the application of nanotechnology in diagnostics, therapeutics, and drug delivery systems throughout the biomedical field. This journal is indexed on PubMed Central, MedLine, CAS, SciSearch®, Current Contents®/Clinical Medicine, Journal Citation Reports/Science Edition, EMBase, Scopus and the Elsevier Bibliographic databases. The manuscript management system is completely online and includes a very quick and fair peer-review system, which is all easy to use. Visit http://www.dovepress.com/ testimonials.php to read real quotes from published authors.
International Journal of Nanomedicine 2012:7 This non-viral vector transferred Bcl-2 siRNA in vitro effectively and specifically promoted the apoptosis of tumor cells. The in vivo and in vitro tumor targeting capacity of the vector was verified by MRI. Our study demonstrated the potential of this vector as an MRI-visible and NB-celltargeting siRNA carrier for NB tumor therapy.