Gold Nanosensitisers for Multimodal Optical Diagnostic Imaging and Therapy of Cancer

Multi-modal nanoprobes have attracted much attention because of their superior chemical and physical properties that have great potential for early diagnosis and treatment of cancer. We report herein a novel stepwise fabrication of a gold nanoparticle-Raman reporter-photosensitiser conjugate called a Gold Nanosensitiser (NS). The efficacy of gold NS as multimodal nanoprobes for surface enhanced Raman spectroscopy (SERS) imaging and photodynamic (PDT) and photothermal treatment (PTT) of cancer were examined. NS were constructed using a multilayer technique in which a Raman reporter, DTTCI (3,3’-Diethylthiatricarbocyanine iodide) and a photosensitiser, hypericin, were coated onto gold nanostars. By adjusting the layer spacing, these coatings endowed NS with both enhanced SERS and fluorescence bioimaging capabilities. Excitation of the NS in solution at an appropriate wavelength permitted examination of the photodynamic therapy (PDT) capability in terms of singlet oxygen generation. As the nanostar is multibranched and comprises multiple ‘hot spots’ capable of enhanced electromagnetic radiation, along with SERS it also exhibits photothermal therapy (PTT) capability when excited at its resonant wavelength of 675 nm. The NS was also characterised to examine the retention of physio-chemical and optical properties of its components after fabrication. The development of such a multimodal nanoplatform in the current work will offer a useful tool for noninvasive, high-accuracy, single-node diagnosis and therapy of cancer. optical properties that can be fine-tuned by adjusting the geometry in terms of aspect ratio of the branches. When in resonance with the incident light, nanostars exhibit intense surface plasmons at the tips of the branches called hot spots. This acts to significantly enhance the electromagnetic field intensity. This property called localised surface plasmon resonance (LSPR) in turn enhances the scattering crosssection of the nanostars and of the molecules adsorbed, an effect called surface enhanced Raman scattering (SERS) [8-10]. Bioimaging based on SERS tags has attracted growing interest recently. It has shown many advantages over other optical bioimaging techniques including the multiplexing capability due to the narrow width of Raman bands, better photostability of the Raman active molecules, higher spatial resolution due to the confinement of the intensified electric field around the surface of the nanoparticles, and high signal-to-noise ratio in complex biological systems at single wavelength excitation in the near infrared (NIR) region [11,12]. At SPR frequency, nanostars convert the strongly absorbed radiation into heat by electron-phonon and phonon-phonon processes [13]. Nanostars thus serve as heating antennas that lead to elevated temperature of the surrounding medium and induce hyperthermia or Journal of Nanomedicine & Nanotechnology J o u r n a l o f N an om edicine & Natechn o l o g y ISSN: 2157-7439 Citation: Raghavan V, Connolly JM, Fan HM, Dockery P, Wheatley A, et al. (2014) Gold Nanosensitisers for Multimodal Optical Diagnostic Imaging and Therapy of Cancer. J Nanomed Nanotechnol 5: 238. doi: 10.4172/2157-7439.1000238


Introduction
In the recent past, there have been accelerated developments in biomedical modalities for the early diagnosis and therapy of cancer. Of primary interest in cancer research is the conservation of healthy tissue during therapeutic efforts, in addition to minimally-or noninvasive diagnosis. Photodynamic therapy (PDT) is one such treatment modality that takes advantage of a light absorbing class of chemicals called photosensitisers (PS) [1]. When excited with light at an appropriate wavelength, PS can generate cytotoxic singlet oxygen and other reactive oxygen species (ROS). Most of the PSs are hydrophobic in nature which makes systemic administration problematic and, in turn, affects its delivery to and uptake by tumour cells [2,3]. Thus, they tend to aggregate, which reduces the quantum efficiency of ROS generation. This has led to the development of third-generation PS that are now equipped with nanocarrier systems to enhance their targeted delivery for efficient PDT and photodynamic diagnosis (PDD). These nanocarriers, which load PS by physisorption or covalent binding, offer benefits of hydrophilicity and appropriate size for passive targeting of tumour by the enhanced permeability and retention (EPR) effect. Various types of nanocarriers are available and their use in PDT has been extensively reviewed [4]. In particular, gold nanoparticles are favoured as PS carrier due to their biocompatibility, easy preparation, efficient bioconjugation and high-drug loading capacity [4,5]. Also strong absorption and scattering of gold nanoparticles provides opportunities for contrast enhanced optical imaging.

Abstract
Multi-modal nanoprobes have attracted much attention because of their superior chemical and physical properties that have great potential for early diagnosis and treatment of cancer. We report herein a novel stepwise fabrication of a gold nanoparticle-Raman reporter-photosensitiser conjugate called a Gold Nanosensitiser (NS). The efficacy of gold NS as multimodal nanoprobes for surface enhanced Raman spectroscopy (SERS) imaging and photodynamic (PDT) and photothermal treatment (PTT) of cancer were examined. NS were constructed using a multilayer technique in which a Raman reporter, DTTCI (3,3'-Diethylthiatricarbocyanine iodide) and a photosensitiser, hypericin, were coated onto gold nanostars. By adjusting the layer spacing, these coatings endowed NS with both enhanced SERS and fluorescence bioimaging capabilities. Excitation of the NS in solution at an appropriate wavelength permitted examination of the photodynamic therapy (PDT) capability in terms of singlet oxygen generation. As the nanostar is multibranched and comprises multiple 'hot spots' capable of enhanced electromagnetic radiation, along with SERS it also exhibits photothermal therapy (PTT) capability when excited at its resonant wavelength of 675 nm. The NS was also characterised to examine the retention of physio-chemical and optical properties of its components after fabrication. The development of such a multimodal nanoplatform in the current work will offer a useful tool for noninvasive, high-accuracy, single-node diagnosis and therapy of cancer.
optical properties that can be fine-tuned by adjusting the geometry in terms of aspect ratio of the branches. When in resonance with the incident light, nanostars exhibit intense surface plasmons at the tips of the branches called hot spots. This acts to significantly enhance the electromagnetic field intensity. This property called localised surface plasmon resonance (LSPR) in turn enhances the scattering crosssection of the nanostars and of the molecules adsorbed, an effect called surface enhanced Raman scattering (SERS) [8][9][10]. Bioimaging based on SERS tags has attracted growing interest recently. It has shown many advantages over other optical bioimaging techniques including the multiplexing capability due to the narrow width of Raman bands, better photostability of the Raman active molecules, higher spatial resolution due to the confinement of the intensified electric field around the surface of the nanoparticles, and high signal-to-noise ratio in complex biological systems at single wavelength excitation in the near infrared (NIR) region [11,12].
At SPR frequency, nanostars convert the strongly absorbed radiation into heat by electron-phonon and phonon-phonon processes irreversible thermal damage to the targeted tissue, thereby offering an alternative cancer treatment called photothermal therapy (PTT). Recent studies reported that combined PDT and PTT treatment modalities to be an effective treatment strategy compared to conventional PDT or PTT alone [14][15][16].
Hypericin is a naturally occurring plant-based perylene-quinone dye that has been successfully tested as an effective photosensitiser in in-vitro studies [17][18][19] due to its properties of fast clearance, low dark toxicity and higher quantum efficiency of reactive oxygen species generation [20][21][22][23]. Herein, as a proof-of-concept, we propose fabrication of a nanoprobe, called a Nanosensitiser (NS). This NS comprises of a gold nanoparticle core that when coated with a Raman reporter and hypericin, enhances both the SERS signal of the reporter and the delivery of the photosensitiser. Such a NS has applications in multimodality optical imaging of cancer including SERS and fluorescence imaging, and therapy of cancer including PDT and PTT. The development of such a multimodal nanosensitiser in this current work will offer a useful tool for non-invasive, high-accuracy, singlenode detection and therapy of cancer.

Materials and Methods
All the chemicals used in this study were purchased from Sigma Aldrich and deionised water was used as solvent. All glassware used was washed with aquaregia (mixture of 3:1 ratio of hydrochloric and nitric acid, respectively) and rinsed with Millipore ultrapure water.

Nanoparticle synthesis
One-pot synthesis of 3-dimensional multibranched gold nanocrystals was utilised based on the green chemistry approach [24], where the common biochemical buffer, 4-(2-Hydroxyethyl)piperazine-1-ethanesulfonic acid (HEPES) was used as a weak reducing and shape directing agent. An aqueous solution of HEPES (40 mM; pH 7.4) was mixed with aqueous tetrachloroauric acid (HAuCl 4 ) at room temperature so that the final concentration of HAuCl 4 was 200 µM. The colour of the reaction solution turned greenish-blue within 30 minutes signalling the formation of branched nanocrystals. Reaction parameters including the concentration ratio of gold precursor to reducing agent (R [HEPES]/[HAuCl4] ), pH and temperature were varied to obtain multibranched gold nanoparticles with desired surface plasmon absorption wavelength.

Nanoparticle characterisation
Absorption and fluorescence measurements were performed using the Shimadzu UV-2600 and RF-5301 spectrophotometers, respectively. The size and morphology of nanoparticles were examined using the Hitachi H7000 transmission electron microscope (TEM) with accelerating voltage of 75 kV. Surface enhanced Raman scattering (SERS) measurements were carried out with Renishaw Raman spectrometer with Invia microscope. The excitation source was a 785 nm diode laser with samples focused using 20x objective. The elemental gold concentration was quantified using Varian SpectrAA 200 atomic absorption spectrophotometer (AAS). Singlet oxygen generation by hypericin in the nanoprobe was examined at an excitation of 543 nm with a HeNe fibre optic laser coupled with a collimator. Temperature increase in solution by gold nanoparticles was measured with a digital temperature probe using a 675 nm laser excitation.

Nanoprobe fabrication
Nanoparticles were recovered from the reaction solution by centrifugation and re-dispersed in water. The Raman reporter, 3,3'diethylthiatricarbocyanine iodide (DTTCI), was then added dropwise to the colloidal nanoparticles under vigorous stirring. Bovine serum albumin (BSA) was chemically denatured by adding sodium borohydride (NaBH 4 ) in aqueous condition at 70-75°C. Unreacted sodium borohydride was removed by spontaneous decomposition [25]. Hypericin was added to denatured BSA (dBSA) and left overnight for incubation [26]. The dBSA:Hyp complex was purified by removing unbound hypericin using Nanosep™ 10000 MWCO OMEGA membrane (Pall Life Sciences). DTTCI tagged nanostars were then centrifuged and re-dispersed in dBSA:Hyp solution and left overnight at room temperature. Fabricated nanoprobes were characterised for physiochemical and optical properties. The schematic of nanoprobe fabrication can be seen in Figure 1.

In-vitro studies
A human oral cancer cell line (SCC9) was purchased from American Type Culture Collection (ATCC). Cells were cultured under standard conditions (5% CO 2 , 95% O 2 , 37°C) in Dulbecco's modified Eagle's medium (DMEM)/nutrient mixture F-12 Hams, phenol free (Sigma, D6434) supplemented with foetal bovine serum (10%; Sigma-Aldrich), L-glutamine (2.5 mM; Sigma-Aldrich), penicillin (100U/ ml; Sigma-Aldrich), streptomycin (100 μg/ml; Sigma-Aldrich). Confocal fluorescence microscopy (CFM) was performed using Andor Revolution Confocal Microscope with motorised inverted microscope fitted with a piezo controlled z-stage. Darkfield microscopy (DFM) was carried out with a light microscope fitted with Cytoviva advanced darkfield illumination system that replaces the standard condenser. For both CFM and DFM, cells were cultured in 8-well plates and fixed with paraformaldehyde after incubation with NS. Fluoromount mounting medium was added before placing of a Quartz cover slip for imaging. For PDT and PTT studies, cells were seeded at a concentration of 5×10 3 cells per well in a 96-well plate and treated for 3 hours with 0 -10 μM of NS1 or gold nanostars (n=12 each, where 'n' is a well of cells). Medium was replaced with fresh medium and cells were irradiated at a fluence of 1 J/cm 2 . Following incubation in the dark for 18 hours, viability of the irradiated cells was assessed using the MTT assay as per manufacturer's instructions (Sigma Aldrich).

Results and Discussion
Since the energy difference between lattice structures of metal nanocrystals does not allow uniform growth structure during nucleation and growth process, a one-pot strategy was used to obtain 3-dimensional multibranched star-shaped gold nanocrystals  (Figures 2A and 2B respectively). The absorption maximum gradually red shifted with increasing pH (up to pH 9) (data not shown). A pH of 7.4 was selected for further synthesis for two reasons; it is close to the physiological pH and, at this pH, nanostars with narrower absorption bands and thus high monodispersity were produced. As shown in the TEM image in Figure 2A, the size of synthesised nanostars ranged from 30-45 nm. While the number of branches ranged from 1-7, nanostars predominantly had 4 branches, as shown in the histogram as in Figure  2C. The growth reaction of nanostars from nucleation to anisotropic formation, took approximately 60 min. After 60 minutes of reaction time, the nanostars were recovered from reaction solution as further growth would lead to the loss of anisotropic configuration through Ostwald ripening. Recovered nanostars had a zeta potential of -40.0 mV, suggestive of higher dispersion stability in solution [27].
Gold nanostars enhanced the Raman signal of the well-studied Raman reporter, DTTCI (3,3'-diethyltrithiacarbocyanine iodide) considerably. An increased SERS signal is evident in Figure 3A with increased DTTCI concentrations with constant nanostar concentrations. By comparison of the relative enhancement of four signature DTTCI Raman bands (marked arrows in Figure 3A), a 5 µM concentration displayed optimum SERS signal ( Figure 3B).
Stabilisation of nanostars prevents desorption of Raman reporter from its surface and solvent derived aggregation of the nanoconstruct. Various biopolymers have been reported as stabilisers, but polyethylene glycol (PEG) and bovine serum albumin (BSA) have been recently exploited for their enhanced biocompatibility [9,28]. PEG covering has been shown to stabilise gold nanoparticles and shield the Raman reporter due to the specific adherence on gold nanoparticle's surface that spontaneously forms a monolayer on gold [29]. BSA, in its denatured form, was found to be more advantageous in that its thiol binding capacity was found to be much stronger and maintained the non-aggregated isolated state of the nanostructures even after multiple washes. In the study by Yuan et al. nanoparticle tracking analyses (NTA) confirmed this and also showed that PEG stabilised nanoconstructs tend to form small clusters after multiple washes [9]. The stabilizing property of BSA stems from the exposed thiol groups. These can be attained by chemical denaturation of BSA which converts the multiple disulphide (S-S) bonds to functional thiol groups (-SH). These have been widely reported to have high affinity for the gold nanoparticle surface [9,30]. To prevent fluorescence quenching of photosensitisers (PS) by nanostars [31,32] and to stabilise the nanoconstruct, dBSA was first conjugated with hypericin and the dBSA -hypericin complex was then conjugated with the DTTCI tagged nanostars. The concentration ratio of hypericin to be conjugated with dBSA was determined first. By keeping the dBSA concentration stable, various molar ratios (dBSA:hypericin) from 1:2 (higher concentration of hypericin) to 8:1 (lower concentration of hypericin) were examined. The concentration ratio of 4:1 was found to be optimal (Figure 4), as any further increase in hypericin concentration led to fluorescence self-quenching. This methodology of conjugating hypericin with dBSA to prevent fluorescence quenching by nanostars was corroborated by another group by [26] who investigated the conjugation site of hypericin within serum albumins and reported that hypericin binds with the deeply localized IIA sub-domain of BSA. This study also investigated SERS of hypericin when conjugated with BSA-hypericin complex. A strong reduction in intensity of hypericin's Raman bands when in complex with BSA was observed using SERS spectroscopy which is indicative of its greater distance from nanoparticle's surface resulting from its conjugation with BSA [26]. Thus, conjugating hypericin with BSA provided the dual purpose of stabilizing nanostars and also localizing hypericin in deep pockets within BSA, enabling hypericin to retain its fluorescence.
Quantification of Au (III) in nanostars and the NS was analysed using AAS and found to be 19 ppm and 4 ppm respectively. The lesser yield with NS was understandable as colloidal nanostars were washed multiple times after every step in fabrication of the NS and loss of some nanostars was unavoidable. Using UV-Vis standard curve analysis and the aforementioned quantification of gold in NS, the number of hypericin molecules conjugated with each nanostar was calculated to be 6250. The NS were characterised for their structural stability and retention of optical properties of the individual components. TEM imaging of the NS clearly showed the stabilizing envelope of dBSA around nanostars. The nanosensitisers were negatively stained with 0.5% uranyl acetate, a standard negative stain for proteins, to observe the BSA coating around nanostars; unstained nanosensitiser sample was also imaged as a negative control ( Figures 5A and 5B respectively). Fluorescence retention of hypericin after the fabrication of NS was examined, with the NS displaying similar spectra as hypericin conjugated with dBSA ( Figure 5C) with little decrease in intensity which might be due to the unbinding of hypericin molecules during purification process. SERS capability of nanostars before and after NS fabrication was examined. As can be seen in Figure 5D, the nanostar which is the core of the NS displayed similar SERS enhancement of DTTCI as did colloidal nanostars.
Singlet oxygen ( 1 O 2 ) generation capability and thus photodynamic efficacy of the NS in solution was investigated with laser irradiation  at 543 nm (2.0 W/cm 2 ), closely matching the absorption wavelength of hypericin. Singlet oxygen generation was demonstrated by the increase in fluorescence intensity of singlet oxygen sensor green (SOSG) at a 532 nm wavelength in the presence of singlet oxygen in solution [33]. Equimolar concentrations of pure hypericin with SOSG was investigated and showed a gradual increase of fluorescence signal up to 60 min ( Figure 6A). A similar pattern was demonstrated with NS ( Figure 6B) showing the efficacy of hypericin in terms of 1 O 2 generation with increasing irradiation time when in pure solution and also post-fabrication of NS. Though the fluorescence signal of hypericin decreased after persistent irradiation (upto 60 min) due to photobleaching (data not shown), the capability of 1 O 2 generation stayed relatively high, thus demonstrating the NS's potential as a viable PDT agent. Unlike typical nanoconstructs used for drug delivery, NSs are not required to release the PS upon chemical or physical stimuli [4,34] for it to be therapeutically effective. As can be seen from the SOSG analysis, hypericin within the NS construct is capable of PDT activity via generation of significant amount of 1 O 2 .
The photothermal capability of NS was next investigated. After irradiating with 675 nm laser at 2.0 W/cm 2 , the temperature of the NS solution rose rapidly from the initial temperature of 20°C to around 50°C within 20 minutes and then plateaued ( Figure 6C). Under the same experimental conditions, pure hypericin and dBSA samples were also irradiated, and negligible increases in temperature were shown, thus confirming that the sharp rise in temperature was purely through the photothermal effect of nanostars. With NS exerting combinatorial PDT and PTT capability, the therapeutic efficacy can be managed by adjusting the irradiation time.
In vitro studies were then performed to examine the uptake of NS and retention of hypericin's fluorescence upon uptake by the cells. Confocal fluorescence microscopy (CFM) images showed that NS with hypericin concentration of 5 µM can be detected in cytoplasm of the cells and not inside the nucleus ( Figure 7A). Similar uptake can be seen with the positive control of NS with same concentration of hypericin but enveloped with PEG instead of dBSA ( Figure 7B), which shows that dBSA stabilisation does not affect the NS uptake and hypericin's fluorescence within the cells. The uptake of NS within cells and its distribution in the cytoplasm can also be examined using dark-field microscopy (DFM), which makes use of the back-scattering from the gold nanostars that form the core of the NS. As seen in CFM images, scattering from nanostars in NS is evident in the cytoplasm of the cells and not within the nucleus ( Figure 7C). Figures 8A and 8B show the percentage cell viability compared to untreated control following PDT and PTT treatment with NS containing 0 -10 µM hypericin and gold nanostars, respectively. A significant PDT effect can be seen using as little as 0.01 µM concentration of hypericin, and a significant PTT effect is evident using 2 µM of gold nanostars. More detailed in vitro analyses including NS detection with confocal Raman microscopy (CFM) and TEM imaging, concentration dependant uptake of NS with CFM and DFM, and in vivo therapeutic efficiency are all in progress.

Conclusion
A novel methodology for the synthesis and fabrication of anisotropic gold nanostar based nanoprobes (NS) for multimodal detection and therapy for cancer has been developed. Multibranched gold nanostars were synthesised based on a green chemistry approach using HEPES as a reducing and shape directing agent. After coating with a monolayer of the NIR Raman dye DTTCI, nanostars significantly enhanced the SERS signal of DTTCI's signature Raman bands. Conjugation of hypericin to denatured BSA before being fabricated into the nanoconstruct offered the dual purpose of stabilising the structure and preventing the fluorescence quenching of the photosensitiser. Physio-chemical and optical properties of the individual components were also investigated post-fabrication, demonstrating retention of NS stability. Synthesised NSs displayed SERS capability by its gold nanostar core and fluorescence capability by the photosensitier and as such can be used in SERS microscopy and photodynamic diagnosis (PDD), respectively for the detection of cancer. NSs also displayed therapeutic potential through the photodynamic capability of photosensitisers and photothermal capability of the multibranched gold nanostars. This nanoconstruct  not only exhibits the aforementioned theranostics capabilities, but further modalities including optical coherence tomography (OCT) and photoacoustic imaging could also be exploited owing to the gold nanostar's property of high scattering cross-section providing enhanced optical contrast. Preliminary in vitro analyses shown here demonstrate a real promise for NS as single node multimodal theranostic tool. Although the concept of multimodal nanophotosensitisers as clinical tools is in its initial stages, the exploitation of innovative nanocarriers and methodologies for fabrication shows promise and may attract the attention of the clinical community.