Abstract
Hydroxyapatite (HAp) is the most important constituent of biological tissues such as bone and teeth and exhibits several characteristic features. HAp nanoparticles (NPs) are good host materials and can be functionalized with various kinds of dopants and substrates. By endowing HAp NPs with desired properties in order to render them suitable for biomedical applications including cellular imaging, non-invasive and quantitative visualisation of molecular process occurring at cellular and subcellular levels becomes possible. Depending on their functional properties, HAp based nanoprobes can be divided into three classes, i.e., luminescent HAp NPs (for both downconversion and upconversion luminescence), magnetic HAp NPs, and luminomagnetic HAp NPs. Luminomagnetic HAp NPs are particularly attractive in terms of bimodal imaging and even multimodal imaging by virtue of their luminescence and magnetism. Functionalised HAp NPs are potential candidates for targeted drug delivery applications. This review (with 166 references) spotlights the cellular imaging applications of three types of HAp NPs. Specific sections cover aspects of molecular imaging and the various imaging modes, a comparison of the common types of nanoprobes for bioimaging, synthetic methods for making the various kinds of HAp NPs, followed by overviews on fluorescent NPs for bioimaging (such as quantum dots, gold nanoclusters, lanthanide-doped or fluorophore-doped NPs), magnetic HAp NPs for use in magnetic resonance imaging (MRI), luminomagnetic HAp NPs for bimodal imaging, and sections on drug delivery as well as cellular imaging applications of HAp based nanoprobes (including targeted imaging).
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Introduction
Hydroxyapatite [HAp; Ca10(PO4)6(OH)2] is the main constituent of biological tissues such as vertebrate bone and teeth. HAp exhibits several characteristic features of an ideal natural biomaterial such as excellent biocompatibility, biodegradability, bioresorability, osteogenisis, osteoconductivity and osteoinductivity [1–3]. Synthetic HAp has been preferred as the material for hard tissue repair. It is effective in reducing aseptic loosening associated with post-implant surgery [4]. Nanophase HAp possesses unique properties such as high surface to volume ratio, reactivity and biomimetic morphologies compared to bulk counterpart due to quantum size effect and surface phenomena at the nanolevel [5]. HAp nanocrystals found enormous applications in the field of tissue engineering, nanomedicine, industrial catalysis and in many other disciplines [6, 7]. HAp nanoparticles are more favourable in applications like orthopaedic implant coating. It has been observed that HAp NPs can significantly enhance the biocompatibility and bioactivity of synthetic biomaterials.
HAp nanospheres can act as carriers for controlled drug delivery [8]. Encapsulation of drugs within HAp matrix or coupled to HAp NPs enable targeted drug delivery. Nanoparticulate carriers based on HAp are desirable for both systemic and localised drug delivery particularly due to their solubility in vivo and capacity to penetrate the cell membranes [9]. However the difficulty associated with the loading of drugs that are insoluble in water may limit the application of HAp as a nanocarrier [10]. HAp NPs exhibit considerable anticancer activity, since studies revealed that HAp can inhibit the growth of many kinds of cancer cells [6, 11, 12]. Several reports on antimicrobial effects of HAp based nanoprobes are available. Silver ions can offer antibacterial activity to HAp NPs, due to the interaction of silver ions with the thiol functional group in bacterial proteins [13, 14]. The biocompatibility of HAp NPs is widely accepted by the scientific community with a little controversy. Very recently in vitro studies on the interaction of HAp NPs with bone marrow mesenchymal stem cells (BMSCs) revealed excellent biocompatibility of HAp NPs [15]. Few reports about the cytotoxicity of HAp nanocrystals are available and it has been observed that cytotoxicity of HAp NPs is shape and cell dependent [16]. Even though HAp NPs are associated with several favourable features for biomedical and other applications, the precise control of size and shape to produce uniform NPs is a challenge and it limit their applications.
HAp nanocrystals are good host for many materials and can be doped with dyes, different metal ions including lanthanide ions and other substrates. HAp NPs doped with suitable materials may exhibit different functional properties, which make them adaptable for bioimaging and other applications. Bioimaging is widely used in biomedical sciences for applications ranging from the morphological analysis of anatomical structures to sensitive measurements of intracellular molecular events [17, 18]. The function of HAp based nanoprobes in bioimaging is highly promising and the present review focuses on the bioimaging applications of HAp based nanoprobes.
Molecular imaging and different imaging modes
In this section we shall consider various imaging modes including multimodal imaging and nanoprobes commonly employed in bioimaging. The two major applications of nanomaterials in the biomedical field are imaging and therapy. This is mainly because of the fact that nanomaterials can overcome the shortcomings such as short-blood circulation time and non-specific bio distribution associated with conventional imaging and therapeutic probes. For instance the blood circulation time can be increased by the control of size of nanomaterials and specific bio distribution can be accomplished by conjugating nanomaterials with specific targeting moieties [19, 20]. Molecular imaging is a rapidly emerging tool in the clinical discipline and myriad advances have been made to make this technique as a most powerful diagnostic procedure. The molecular imaging aimed at non-invasive and quantitative visualisation of molecular process occurring at cellular and sub cellular levels.
The common imaging modes include magnetic resonance imaging (MRI), X-ray computed tomography (CT), positron emission tomography (PET), single photon emission computed tomography (SPECT), optical coherence tomography (OCT), optical imaging (OI) including NIR and upconversion (UC) luminescence imaging, ultrasound and photoacoustic imaging [21]. It has been observed that various imaging modes differ in key characteristic features such as spatial resolution, soft tissue contrast, tissue penetration limit, imaging time and sensitivity. Various common imaging modes and their characteristic features are given in Table 1.
It has been observed that the imaging modes CT, PET and SPECT are radiodiagnostic techniques and are prone to radiation risks. Compared to the radiodiagnostic techniques PET and SPECT, MRI has significantly high spatial resolution but MRI contrast agents (CA) should be used in large concentrations (~ 10−5 M) to achieve desired contrast enhancement [22].
Multimodal imaging (MMI)
MMI has emerged as a technology that utilises the strengths of different modes and yields a hybrid imaging platform with benefits superior to any of its individual components [34]. It can offer complementary advantages like high spatial resolution and soft tissue contrast. Combination of different nanostructured materials with different functional properties can offer synergistic multifunctional properties, which enable MMI. However incorporation of different modes in a single probe may create difficulties such as targeting, different concentration requirements for different contrast agents, stability and concern about biocompatibility. Recently, researchers focused on MMI combined with therapeutics to obtain theranostic nano systems with wide applicability. It has been observed that in most of the multimodal imaging systems MR, PET or optical imaging is one component and CT based systems are limited due to high concentration requirement of contrast agents for CT. The area of MRI/optical imaging is well developed in terms of dual-modality imaging [35, 36]. Several reports came on bimodal imaging modes like PET/CT and PET/ MRI. Among these bimodal systems, PET/MRI is more preferred due to the fact that MRI can provide more robust imaging evaluation in clinical settings. Moreover PET/CT systems fail to perform simultaneous data acquisition and also limited by significant radiation dose contributed by CT [37, 38]. Upconversion luminescence systems are recently employed in multimodal imaging by combination with other modes [39].
Nanoprobes for bioimaging
A wide variety of nanoparticles are used as bioimaging probes and a large volume current research is emerging towards the prospecting of novel nanoprobes with improved performance in bioimaging including multimodal imaging. Several nanoparticles as such employed in bioimaging by virtue of their certain characteristic features like luminescence, magnetism etc. For instance gold nanostructures (nanoparticle, nanorod, nanoshell, nanocage, nanoclusters) are highly useful in optical imaging due to their inherent luminescent properties; oxide nanoparticles (Fe2O3, Gd2O3 etc.) used as contrast agents in MRI due to inherent magnetism. However the incorporation of several components into nanoparticle matrix enables the formation of efficient nanoprobes for bioimaging. For instance dye doped silica NPs can be used in optical imaging due to the luminescence of the dye component; dendrimers can be used as nanoprobes for bioimaging such as fluorescence imaging, CT, PET and MRI by the incorporation of reporter moieties [40]. Figure 1 illustrates the important reporter moieties of nanoparticles as well as pristine nanoparticles used as imaging probes in different modes.
Among various imaging modes, MRI and OI are very common methods that utilise a wide variety of nanoparticles as imaging probes. Several reviews on nanoprobes for MRI are available in literature. The nanoparticles commonly used for optical imaging has been reviewed recently [41]. Table 2 gives representative examples of particles other than HAp NPs for use in OI and MRI.
Even though a large number of nanoprobes are developed for the bioimaging applications, their practical utility is limited by several factors. Such factors mainly include the stability, hydrophilicity/ hydrophobicity, precise size control, biocompatibility, attachment of the targeting molecules and difficulties associated with the fabrication of the nanoprobes. For HAp based nanoprobes, most of the mentioned factors are favourable in view point of bioimaging. Pristine HAp NPs lack inherent functional features like luminescence or magnetism, essential for developing nanoprobes for bioimaging. However, incorporation of reporter moieties into the HAp nanomatrix either as dopant or as attachment can make HAp NPs adaptable for cellular imaging.
Synthesis and characterization of HAp based nanoprobes
In this section we shall mainly consider the synthetic strategies adopted for the fabrication of nanocrystalline HAp with different functional properties like luminescence and magnetism, for biomedical applications such as drug delivery and bioimaging. HAp is the thermodynamically more stable form of calcium phosphate in the physical environment (pH ≥ 5.4) [51]. The features of HAp nanocrystals like bioresorability, strength, toxicity etc. depend on the morphology, stoichiometry (Ca/P ratio) and phase purity. Various methods employed for the preparation of nanometric HAp as well as the advantages and disadvantage of such methods have been reviewed [52]. The size, morphology, degree of crystallinity, phase purity and Ca/P ratio depends on the method adopted for the synthesis as well as synthesis conditions. One of the noticeable features of the nanocrystalline HAp is their diverse morphology. Figure 2 represents common morphologies of nanocrystalline HAp. The common morphologies of HAp nanocrystals include nanorods, nanospheres, nanospindles, nanoflakes, nanoflowers and porous/mesoporous nanospheres. In majority of cases HAp NPs exhibit rod -like morphology and this structure is common for HAp NPs for biological applications.
The Ca/P ratio is an important parameter, which has strong implication on the biological applications of HAp NPs. Natural HAp exhibits a Ca/P ratio of 1.67 and calcium phosphate can be present in other important chemical phases also. Some important phases are octacalcium phosphate (Ca/P = 1.3), dicalcium phosphate (Ca/P = 1), β-tricalcium phosphate (Ca/P = 1.5) and amorphous calcium phosphate (Ca/P = 1.2–2.2) [5]. The Ca/P ratio of HAp NPs may vary with method of synthesis.
The common methods of synthesis of HAp NPs are (a) wet chemical synthesis (b) dry synthesis and (c) high temperature synthesis.
Wet chemical synthesis
Wet chemical methods are the most promising method for the fabrication of nanocrystalline HAp, since we can control the morphology as well as the size of the NPs. Low crystallinity of the NPs is a main disadvantage of this method. Most of the NPs included in the biological applications are synthesized by this method. The wet chemical method involves chemical precipitation (co-precipitation), hydrolysis, sol–gel synthesis, emulsion method and sonochemical synthesis [53]. It has been observed that in the wet chemical synthesis a lower processing temperature and higher stirring rate yields smaller HAp NPs [54].
Dry synthesis
Dry method involves solid-state method and mechanochemical synthesis. The dry methods produce NPs with diverse structure and high crystallinity. These methods do not require precisely controlled conditions, because such methods are almost independent of processing conditions.
High temperature synthesis
The high temperature synthesis can be by combustion and pyrolysis. High temperature syntheses also produce NPs with diverse structure in nanometric dimensions.
In addition to the mentioned methods, HAp nanocrystals can also be prepared by combination methods and from biogenic sources. In the combination method, two or more general methods are combined to get more efficiency in the synthesis. For instance sol–gel and combustion methods can be combined t get a synergistic effect in synthesis [55, 56]. HAp NPs can be obtained from various biogenic resources like bone waste, egg shell etc. But the resultants HAp NPs have large particle size [57]. The elemental composition and crystallinity of the synthesized HAp NPs can be characterised by routine methods, energy dispersive X-ray (EDX) analysis and X-ray powder diffraction (XRD) studies. The morphologies of HAp NPs synthesized by various methods can be analysed by using common nanometric characterisation methods like atomic force microscopy (AFM), scanning electron microscopy (SEM) and transmission electron microscopy (TEM).
The mesoporous HAp NPs with controlled pore size are highly useful in drug delivery applications. The porous structure enables the efficient drug loading in HAp NPs. The drug loaded mesoporous HAp NPs are efficient nanoprobes for controlled drug release triggered by different external factors like pH. It has been observed that hydrothermal method and combustion method are generally employed for the preparation of porous HAp NPs [52].
Whatever may be the synthetic method adopted the precise control of size and morphology of the HAp NPs is difficult. Moreover, every synthetic procedure has advantages and disadvantages in connection with particle agglomeration, size distribution, phase impurities that may occur in crystal structure, diverse materials needed and economy in procedure. Therefore these factors should be considered while adopting a typical procedure for the synthesis of HAp NPs.
HAp based nanoprobes for drug delivery and cellular imaging
It has been observed that HAp NPs with different functional properties are employed as potential candidates for drug delivery applications. The drug delivery applications of HAp based nanoprobes are discussed in a separate section. HAp based nanoprobes can be conveniently divided into three types: luminescent HAp, magnetic HAp and luminomagnetic HAp nanoparticles (NPs) depending on the properties that are being explored in bioimaging. These three kinds of NPs shall be discussed in the following.
Luminescent HAp nanoparticles
The incorporation of at least one fluorescent label in the HAp matrix enables the formation of luminescent HAp NPs. For expediency, it is more appropriate to run through the advantages and shortcomings of various fluorescent labels as well as the mechanism of luminescence in luminescent NPs prior to the detailed discussion on luminescent HAp NPs.
Fluorescent labels for fabrication of NPs for bioimaging
The common fluorescent labels used in the fabrication of luminescent NPs for bioimaging include (a) organic dyes (b) quantum dots (c) gold nanoclusters and (d) lanthanide ion dopants. The conventional organic dyes are associated with several limitations like photobleaching, limited possibility of multicolour imaging, autofluorescence and dependence of emission on chemical environment [50]. The photobleaching can be reduced by the encapsulation of the dye inside a rigid matrix and autofluorescence can be reduced to a greater extent by the usage of NIR emitting dyes instead of conventional dyes [58].
Quantum dots (QDs) provide a class of biomarkers that could overcome the limitations of organic dyes. The emission spectra of QDs can be tuned by changing the size as well as composition. QDs in general, are resistant to metabolic degradation and privileged by high extinction coefficients as well as conjugation ability. The broad excitation and narrow emission spectra of QDs are favourable for bioimaging, since such spectral behaviour effectively reduces the spectral overlap. The broad excitation spectrum implies the usage of single excitation wavelength to excite QDs of different colours. This is an important advantage of QDs over organic dyes. However, in most of the cases the bare QDs are susceptible to photo-oxidation. This can be prevented by capping the QDs with a protective shell [59]. The potential toxicity of QDs limit their biological applications [60].
In contrast to QDs, gold nanoclusters (Au NCs) exhibit low toxicity, good water solubility, high biocompatibility, ultra fine size, and tunable photostability. They can be easily fabricated and surface functionalised. Such properties make them promising for bioimaging applications [47]. When the metal NP size approaches below 2 nm, the continuous band structures break up into discrete energy levels and exhibit an electronic transition, which leads to photoluminescence. The fluorescence of Au NCs originates as a result of electronic excitation from the valence band (filled 5d10) to the conduction band (6sp1) by HOMO-LUMO interband transition.
The lanthanide ion doped NPs have an edge over quantum dots (QDs) by virtue of their stable luminescence, sharp emission peaks with narrow band width, lack of blinking and biocompatibility. The optical properties of the trivalent lanthanide ions, Ln(III) are characteristics of their electronic energy levels, generated by the electronic configurations [Xe]4fn (n = 0–14). The transitions in Ln(III) ions range over UV, visible and near-infrared (NIR) regions [61]. The three types of transitions that are involved in Ln(III) ions are ligand to metal charge transition (L-MCT), 4f-5d and intra configurational 4f-4f. Among these the last transition is more relevant for the bioapplications [62]. The 4f-4f transitions in Ln(III) ions may be magnetic dipole transitions or electric dipole transitions [63, 64]. 4f-5d transitions are highly energetic and broader than 4f-4f transitions and are commonly observed in trivalent ions of Ce, Pr and Tb [65]. In Ln(III) complexes, the forbidden f-f transitions leads to weak intrinsic luminescence due to low molar absorptivity [63, 66]. Thus intense light source like lasers are required to populate the excited states of Ln(III) ions in complexes, which makes them impractical for majority of biological imaging [67]. However, the attachment of a light-harvesting antenna ligand can circumvent this problem by sensitizing the Ln(III) ions through the so called antenna effect [68].
Downconversion and upconversion luminescence
Based on the mechanism of luminescence, luminescent nanomaterials are classified into upconversion NPs (UCNPs) and downconversion NPs (DCNPs) [69]. Downconversion (DC) is a non-linear optical phenomenon in which a high energy photon is absorbed followed by the emission of two low energy photons. The high energy photon is generally absorbed from the UV region and the emission is in the visible or IR region. A number of host materials including hydroxyapatite have been synthesized with DC luminescence [65]. It can be generalized that trivalent Eu, Dy, Tb, Sm and Nd are used in DC. Eu and Sm produces red emission, Dy causes blue or yellow emission, Tb provides green emission and Nd causes NIR emissions [70, 71]. A detailed mechanism of DC luminescence is appeared in [72].
The term upconversion (UC) relates to an effect by which low energy NIR radiation is converted to high energy visible light by sequential multi photon NIR absorption and subsequent emission of shorter wave luminescence [73]. In lanthanide base UCNPs, Ln(III) ions are dispersed in a dielectric host material with a dimension less than 100 nm. The Ln(III) ion dopant produces luminescence upon excitation [74]. There are five basic mechanisms for UC. They are (a) excited state absorption (ESA) (b) energy transfer upconversion (ETU) (c) co-operative sensitization upconversion (CSU) (d) cross relaxation (CR) and (e) photon avalanche (PA). Complete descriptions of all theUC mechanistic pathways are appeared in [46, 74–76]. The major challenge associated with the UCNPs is to increase their UC efficiency. Selection of host materials with low phonon energy is a best method for achieving high UC efficiency. This is because systems with low phonon energy can minimise non-radiative loss and enhance radiative emission. Lanthanide fluorides are often selected as host materials for developing UCNPs because of their low phonon energy and chemical stability [65]. Several methods are employed to enhance the efficiency of UCNPs. They involve process like plasmonic enhancement of upconversion, tailoring of local crystal field around Ln(III), nanoscopic control of energy transfer process, incorporation of metal shell etc.[65, 74].
Types of luminescent HAp NPs
We shall discuss various luminescent HAp NPs that have been fabricated and explored for bioimaging applications. Among various fluorescent labels described earlier, lanthanide ion dopants and organic dyes are mainly used as fluorescent labels in the fabrication of luminescent HAp NPs. Figure 3 shows various fluorescent labels used in the fabrication of luminescent HAp NPs. It has been observed that most of the luminescent HAp NPs are based on Eu-dopant as a fluorescent label and hence it is more convenient to consider them separately.
Eu-doped luminescent HAp NPs
Among various luminescent Ln(III)-complexes, Eu(III) and Tb(III) have received a great deal of interest because of several desirable factors like biologically appropriate emission in the visible region, long luminescent life time and less sensitivity to quenching by singlet oxygen [77]. Luminescent 4f-4f transitions of Eu(III) and Tb(III) ions leads to the emission of red and green light respectively. Among the Ln(III) ions, the Eu(III) ion is considered to be the most useful spectroscopic probe in view of its non-degenerate emissive state of 5D0 and the ground state of 7F0. Eu(III) is the most widely used lanthanide ion to fabricate luminescent HAp.
Eu(III) doped HAp NPs have been prepared by common synthetic strategies like co-precipitation method [78–81], hydrothermal synthesis [82], thermal decomposition method [83] and microwave assisted hydrothermal method [84]. In each case, the nanocrystals exhibit different morphology and different aspect ratio (length to diameter ratio). They however, show nanometric dimensions around 100 nm. In most of the cases, the luminescence is due to the 5D0-7FJ (J = 0, 1, 2, 3, 4) transitions of Eu(III). The luminescence intensity keeps on increasing with concentration of the dopant up to certain level and above which concentration quenching is observed. Thus the concentration of Eu(III) at which high luminescence intensity is observed can be optimised. The 5D0-7F2 transition (red emission) of Eu(III) ion is of an electric - dipole (ED) nature and very sensitive to its site symmetry. However, 5D0- 7F1 transition (orange emission) is of a magnetic - dipole (MD) nature and insensitive to site symmetry [85]. It has been observed that the ratio of the red emission to the orange emission shows size dependence [81]. Eu(II) and Eu(III) doped calcium deficient hydroxyapatite (Ca-D HAp) NPs were also fabricated by co-precipitation[86] and combustion synthesis [87]. The emission spectra shows a broad peak with centre at 450 nm corresponds to 4f6 5d1→ 4f7 transition of Eu(II) ion and sharp peaks due to 5D0-7FJ of Eu(III) [86]. It has been observed that the luminescent properties are different in Eu(III) doped HAp and calcium deficient HAp (Ca-D HAp), even though they possess similar crystallite size [87]. Eu(III) doped fluorapatite (FAp) NPs were synthesized by hydrothermal method [88]. They exhibit spherical morphology and Eu(III) ions are centred at FAp lattice. Arginine modified Eu-doped HAp NPs are obtained by hydrothermal synthesis [89]. They exhibit no cytotoxicity in human epithelial cells and endothelial cells. Eu-doped HAp NPs embedded in PMMA matrix [90] have been reported.
In the mentioned systems the researchers explored the luminescent properties, biocompatibility as well as other characteristics of nanometric HAp. But biomedical applications including bioimaging have not been focused or explored. However several reports on bioimaging and drug delivery applications of Eu-doped luminescent HAp NPs are available. The Eu-doped HAp based nanomaterials for use in luminescent bioimaging as well as drug delivery are detailed in Table 3.
From Fig. 3 it is clear that several dopants can make HAp NPs luminescent and most of such dopants are lanthanide ions. In addition to Eu-doped HAp, luminescent HAp NPs can also be derived by doping with Tb, Nd, Cr, organic dyes, Eu/Tb, Eu /La, Eu and Y, CePO4 and Tb and finally Gd and Pr. Most of such HAp NPs are explored for bioimaging and related applications. The luminescent HAp NPs with dopants other than Eu and having biomedical applications are detailed in Table 4.
The Tb-doped HAp NPs [103, 104] exhibit green emission and it has been observed that Tb-doped FAp shows more green fluorescence intensity than Tb-doped HAp [103]. This is probably due to the presence of OH− quenchers in HAp. In Tb-doped HAp, the emission is observed due to the 5D4-7F3–6 transition of Tb(III) [105]. Cr doped HAp NPs have been fabricated and the luminescence is due to the 4T1(F)→4A2(F) transitions of the Cr ions[112]. Gd and Pr co-doped HAp NPs have been prepared by co-precipitation method. Here the PL emission shows a narrow band at 313 nm, which is due to the 6P7/2 → 8S7/2 transition in Gd3+ ion. The intensity of this emission can be enhanced by Pr3+ doping [118]. It should be noted that strontium hydroxyapatite (Sr5(PO4)3OH, SrHAp) in nanometric dimensions also exhibit luminescence (blue emission) [119, 120]. This arise from CO2 .- radical impurities in the crystal lattice. These systems are not yet explored for the bioimaging applications.
Lanthanide doped upconversion nanoparticles are highly useful and widely accepted imaging probes [121]. Such probes can be incorporated into HAp to yield upconversion nanosystems for bioimaging. HAp nanorods functionalised with YVO4:Yb3+, Er3+ upconverting NPs have been synthesized by the sol–gel synthesis and the obtained system found potential application in bioimaging [122]. Flurophore doped calcium phosphate NPs were prepared and employed in non-toxic biomedical applications including bioimaging [123].
Magnetic HAp nanoparticles
The magnetic HAp NPs can be fabricated by the incorporation of paramagnetic, ferromagnetic or super paramagnetic labels into the nano matrix of HAp. The commonly used paramagnetic labels are trivalent lanthanide ions or transition metal ions. Ferromagnetic and superparamagnetic labels include Fe(II), Fe(III), magnetite (Fe3O4) or maghemite (γ-Fe2O3) [124]. The paramagnetism in trivalent lanthanide ions and transition metal ions aroused from the unpaired electrons of f-orbitals of anti penultimate shell and d-orbitals of penultimate shell respectively. The common paramagnetic labels and related magnetic moments are shown in Table 5.
The magnetic nanoparticles are characterised by magnetisation (M), coercivity (Hc) and magnetocrystalline anisotropy constant (K). The term magnetisation represents the extent to which the substance is magnetised under a given magnetic field. The highest value of M is known as saturation magnetisation (Ms). Coercivity is the strength of external magnetic field required to make the magnetisation of a nanoparticle zero. Magnetocrystalline anisotropy constant reflects the energy required to change the direction of magnetisation from easy to hard axis [125]. Iron oxide nanoparticles exhibit the phenomenon of superparamagnetism, in which NPs have zero coercivity and retentivity [126]. The zero coercivity of superparamagnetic iron oxide nanoparticles (SPION) is a favourable feature for biomedical applications. This is because zero residual magnetisation prevents their coagulation and helps in sustaining a long period of circulation in the body [127]. Magnetic NPs including HAp based magnetic nanoparticles have been synthesized, modified and explored for biomedical applications including bioimaging [128–130].
Most of the magnetic HAp NPs are based on Fe(II), Fe(III) or iron oxides. However magnetic HAp NPs based on other dopants are also reported. Different magnetic HAp NPs categorised based on the magnetic labels are shown in Fig. 4. The magnetic HAp NPs include eight different categories such as (i) Fe-doped, (ii) Fe and Pt co-doped, (iii) Nd and Gd co-doped (iv)Co ferrite doped, (v) iron oxide doped, (vi) Mn and Fe doped, (vii) 153Sm and Gd incorporated and (viii) iron oxide, Fe and Cu doped HAp NPs.
Fe-doped HAp nanocrystals with different morphology and different nanometric dimensions have been fabricated by conventional methods like sol–gel synthesis [131], co-precipitation method [132] and ion-exchange method [133]. It has been observed that the particle size decreases as the concentration of iron dopant increases [131]. In this case simultaneous changes in the crystallinity degree, lattice parameters, unit cell volume and the phase composition are also observed. Nd(III) and Gd(III) substituted HAp has been prepared by ion-exchange method [134]. Here the electrical conductivity of HAp is improved because of the high polarizability of Nd(III) and Gd(III). Cobalt ferrite doped ferromagnetic HAp NPs with core-shell structure have been prepared developed by co-precipitation method [135]. Here HAp is in the shell and Coferrite(CoFe2O4) is in the core. Iron oxide (both magnetite and maghemite) incorporated HAp NPs have been prepared by co-precipitation method [136–138]. Mn and Fe incorporated HAp nanocrystals have been prepare by wet chemical method coupled with ion exchange mechanism [139]. Compared with Mn2+ions, Fe3+ ions were more active in replacing Ca2+ in HAp lattice. The mentioned magnetic HAp NPs are not explored for imaging applications. However, several magnetic HAp NPs have been reported for biomedical applications including bioimaging and drug delivery. They are detailed in Table 6.
Luminomagnetic HAp NPs
Incorporation of fluorescent and magnetic labels in nanocrystalline HAp enables the formation of luminomagnetic bifunctional HAp NPs. The important advantage of such bifunctional systems is that both magnetism as well as luminescence can be simultaneously explored for biomedical applications. This strategy is very useful in developing bimodal or multimodal imaging probes. Several bifunctional lumino magnetic systems have been fabricated and explored for bimodal or multimodal imaging applications as well as drug delivery (Table 7).
Drug delivery and molecular imaging applications of HAp based nanoprobes
In this section we shall describe the drug delivery and molecular imaging applications of HAp based nanoprobes. It is clear from the preceding sections that luminescent, magnetic and luminomagnetic HAp NPs are explored for various imaging as well as drug delivery applications. For biomedical applications such as drug delivery and bioimaging, it is necessary to target the nanoprobes into relevant biological sites of therapeutic and diagnostic importance.
Targeting of HAp based nanoprobes for drug delivery and bioimaging
Modification of the imaging probes with targeting ligands leads to specific interaction of the probes with the receptors on the target cell. As a result of this specific interaction the imaging probes selectively accumulate at the target site for a long period of time and produces images with high spatial resolution. The imaging probes with targeting moieties can produce high quality images even at low concentration compared to the same nanoparticles without targeting moieties [16]. The targeting moieties may be proteins, carbohydrates, lipids, vitamins or polymers. Such moieties can be conjugated to the nanoprobes using various conjugation methods including host-guest physical interactions [159]. The correct choice of the conjugation method avoids the deterioration of the imaging resolution and ameliorates high quality diagnosis [160]. Figure 5 schematically represents the targeting of HAp based nanoprobes for bioimaging and drug delivery.
HAp nanoprobes can be conjugated with different targeting moieties to enable targeted cellular imaging. Amino acids like arginine [97], proteins like albumin [105], vitamins like folic acid [151, 158] etc. can be used as targeting moieties. The targeting moieties can be anchored through surface coating of the HAp NPs with poly acrylic acid (PAA), poly lactic acid (PLA), poly ethylene glycol (PEG) or poly ethylene imine (PEI). It is a well established fact that folic acid conjugated HAp NPs produces targeted imaging through interaction with the folate receptors over expressed in many cancer cells. The folate receptor based targeted drug delivery is highly promising in cancer therapy.
Drug delivery applications
Precise drug release into highly specified targets involves miniaturizing the delivery systems to become much smaller than their targets. These minute drug delivery systems can be realized through the advances in the nano biotechnology. A wide variety of nanosystems have been developed for targeted drug delivery applications. Biocompatible and biodegradable HAp NPs mesoporous structures have great potential in drug delivery systems. HAp NPs are used as drug delivery systems for various classes of drugs, protein drugs, enzymes, ibuprofen, antibiotics, 5- fluorouracil and Adriamycin. Folic acid modified poly ethylene glycol functionalised HAp NPs are used in the paclitaxel drug delivery [161]. Hollow mesoporous HAp NPs exhibit enhanced drug loading efficiency and pH responsive release for the drug doxorubicin (DOX) [162]. HAp microspheres act as vehicles for sustained delivery of small molecular drugs like doxycycline hydrochloride [163]. Thus the usage of HAp NPs for drug delivery is promising. In this section we shall consider the drug delivery applications of luminescent, magnetic and luminomagnetic HAp NPs.
Luminescent Nd-doped HAp NPs complexed with cyclodextrin were prepared by co-precipitation method and successfully demonstrated in drug delivery applications. The said NIR emitting NPs exhibit needle-like morphology and the in vitro loading and releasing studies were performed by using DOX as a model drug [113]. Organic dyes incorporated luminescent calcium phosphate NPs were used in the in vitro delivery of the chemotherapeutic drug, ceramide to human vascular cells [116]. Eu-doped amorphous calcium phosphate NPs were used as luminescent drug carriers for the drug ibuprofen [101]. Magnetic HAp NPs doped with varying levels of Fe3+ was synthesized by hydrothermal and microwave assisted method. These NPs showed sustained release for the drugs amoxicillin and 5- fluorouracil at lowest concentration of Fe3+ [150]. Fe3O4 doped ferromagnetic HAp NPs found potential application in targeted delivery of drugs [147].
Several multifunctional HAp NPs with luminescence and magnetism are also demonstrated for drug delivery applications. Sm3+ and Fe3+ co-doped magnetic and luminescent mesoporous HAp nanocrystals were prepared by template assisted synthesis. The nanospindles thus obtained have a large pore volume, high surface area and high drug payload ratio which made them highly suitable for drug delivery [164]. Eu3+ and Gd3+ dual doped luminomagnetic HAp nanorods were prepared by microwave assisted synthesis and the obtained nanorods showed high drug adsorption capacity as well as sustained drug release [154]. Porous HAp composite functionalised with upconversion luminescent and magnetic nanocrystals were fabricated by electrospinning method. The said nanocomposite found potential application as a drug carrier [157]. Aptamer caped multifunctional strontium substituted HAp NPs were demonstrated for cancer cell responsive drug delivery applications [153]. Sustained drug releasing capability of Eu3+ and Gd3+ dual doped multifunctional calcium phosphate nanospheres were demonstrated by using ibuprofen as a model drug [156]. The difficulties associated with the preparation of stable nanoscaled HAp NPs with and without porous structures limit the application of HAp NPs in drug delivery and other biomedical applications.
Molecular imaging applications
Luminescent HAp NPs are employed in optical imaging including NIR and upconversion luminescence imaging, by virtue of their luminescence. Magnetic HAp NPs are good candidates for MRI applications. Luminomagnetic systems are useful in bimodal or multimodal imaging by making use of their functional properties. Thus the imaging capability HAp based nanoprobes depends on the nature of the dopants or attaching moieties as reporters for bioimaging. Figure 6 represents the consolidation of imaging applications of HAp based nanoprobes.
Optical imaging using luminescent HAp NPs
The HAp NPs with luminescent properties can be used as imaging probes in luminescence imaging. This imaging may be simple fluorescence imaging, NIR imaging or UC luminescence imaging. It has been observed that a wide variety of cancer cells can be imaged using luminescent HAp NPs as optical imaging probes.
Imaging of human embryonic kidney cells (HEK293) was performed by using mesoporous Eu-doped HAp NPs. The lack of cytotoxic effects of the nanoparticles were analysed by focusing the F-actin filament pattern and heat shock proteins expression in HEK293 cell line [91]. Bel-7402 human liver cancer cells are labelled by using HAp NPs doped with 2 % of Eu3+ ion. The NPs are internalized by the cancer cells through endocytosis. The said NPs exhibit a temporally stable luminescence with life time of 19.ms, which enables their function as a promising luminescent imaging probe [93]. The applicability of Eu-doped nanowhiskers in bioimaging is illustrated by confocal microscopic studies of 7F2 cells incubated with the nanowhiskers[95]. Arginine functionalised Eu-doped HAp NPs were successfully employed for optical imaging applications. The biocompatibility and cellular uptake of the said NPs were proved by using human epithelial lung cancer cell line (A549). Arginine functionalisation effectively changes the zeta potential of Eu-HAp NPs to positive values and this enables the specific binding of the NPs to plasmid DNA of cell lines [97]. Eu-doped fluorine substituted HAp NPs are effective imaging probes as proved by fluorescence imaging studies on human cervical cancer (HeLa) cells [98]. Eu-doped HAp NPs were successfully employed in the imaging of human cancerous epithelial pancreatic cells (Capan-1 cell line). Here the confocal microscopic analysis confirmed the internalization of the nanoprobes by the cancer cells, since the luminescent NPs are located around the nucleus of the cell [100].
HAp NPs doped with small amount of Tb is used as a bioimaging probe for cellular imaging. The nanoprobes explore the luminescence of Tb3+, which produce a green emission after excitation with visible light of wavelength 488 nm. The imaging studies were performed on rabbit bone marrow mesenchymal stem cells (MSCs) [104]. Luminescent Nd-doped HAp NPs complexed with cyclodextrin (CD) were used in the drug delivery system as well as for bioimaging. The applicability of the system in bioimaging is confirmed by the cellular uptake and imaging studies performed using C6 glioma cells. The said NPs exhibit a strong NIR emission at 680 nm after excitation at 420 nm. The coating of NPs with CD enables the preferential adsorption of albumin, which implies selective targeting [113].
HAp NPs prepared by using silica template are surface functionalised with FITC dye and are used in the live cell imaging of HeLa cells. The said NPs (THA-FITC) at different concentration (100, 300 and 500 μg.mL−1) were allowed to interact with HeLa cells for a period of 2 h at 37 °C and confocal fluorescent images are taken (Fig. 7a, b and c). The green fluorescence of FITC, which is proportional to the concentration of THA-FITC NPs, indicates that the NPs are internalized into the cells. Multilabelling laser scanning confocal microscope studies were performed to confirm the intracellular localisation of FITC. For this cytoplasm of HeLa cells was stained with red dye (rhodamine 6G) after incubation of NPs and images were taken for THA-FITC colour and cytoplasmic red colour (Fig. 7c and d). The merged image (Fig. 7f) confirms the intracellular localisation of THA-FITC. The said NPs exhibit low cytotoxicity and are good bioimaging probes [114].
MR imaging using magnetic HAp NPs
The major role of magnetic HAp NPs in cellular imaging is as the contrast agents (CAs) for MRI. The administration of CAs can improve the applicability of MRI as a valuable diagnostic tool by providing high quality images. The contrast in MR images is generated by the difference in the proton density between tissues and the difference in T1 and T2 relaxation times. The CAs can be positive (T1) or negative (T2) based on their capability to produce a brightening or darkening effect on the MR image, respectively. The commonly used CAs are based on Gd (T1 CAs) and Fe (T2 CAs) [49]. Other paramagnetic lanthanide ions (Dy3+, Ho3+, Tb3+ and Er3+) are also used in CAs [22, 165]. T1 and T2 CAs have been developed from magnetic HAp NPs and T1 or T2 contrasting activities of those systems depend on the magnetic label used.
Gd doped magnetic HAp nanorods labelled with radioactive species Sm-153 is employed as the dual modal contrast agent for SPECT and MR imaging in vivo. The high magnetic moment possessed by the Gd3+ ion is explored in MRI application and γ- emission from Sm-153 is explored in SPECT imaging [140]. The said nanorods (153 Sm-HA: Gd) exhibit excellent biocompatibility as revealed by the methyl thiazolyl tetrazolium (MTT) assay and TEM analysis. T1 weighted images and relaxivity of the nanorods were measured using a 3 T MRI scanner. It has been observed that the T1 weighted MRI signal intensity showed a proportionate increase with nanorod concentration and relaxivity parameter (r1) at 3 T is calculated experimentally as 5.49 s−1 (mM)−1. For in vivo MR imaging studies, the nanorods at 15 mg/kg were intravenously injected into BALB/c mice (20 g) and anatomical images were taken. Comparison of pre and post-contrast T1weighted images (Fig. 8a and b respectively) revealed the contrast enhancement in organs like liver and spleen, 60 min after injection. The colour map images of the MR signal showed that the region of the liver and spleen appeared blue and green before injection became yellow and red, 60 min after injection (Fig. 8c and d respectively). The MR images clearly depicted that the nanorods were readily taken up by the mononuclear phagocytic systems (liver and spleen). The said nanorods are explored for SPECT imaging in vivo. The SPECT images also revealed the uptake of the nanorods by the mononuclear phagocytic systems.
Even though a number of magnetic HAP NPs were developed by doping with different magnetic label ions such as Gd3+, Mn2+, Fe2+, Fe3+ etc. only few are found relevant in imaging applications like MRI [142, 145] . This may be probably due to vast availability of other CAs (based on substrates other than HAp) and the wide popularity of T1 CAs (contain Gd) over T2 CAs (contain Fe). A number of the magnetic HAp NPs are explored for other biomedical applications such as targeted drug delivery, magnetic hyperthermia, biosensing and theranostics [143, 144, 146, 148–150]. However, multifunctional HAp NPs are extensively used in multimodality imaging recently.
Multimodal imaging using luminomagnetic HAp NPs
Bifunctional HAp NPs that incorporate luminescence as well as magnetism are highly promising bimodal or multimodal imaging probes. HAp NPs doped with Eu3+ and Gd3+ is used as a multi modal contrast agent for MRI, X-ray imaging and NIR fluorescence imaging [151]. The said NPs exhibit hexagonal phase with spherical morphology and average particle size is 30 nm. The nanotoxicity analysis of the NPs using different type of cancer cells revealed excellent biocompatibility. The NPs are made suitable for receptor targeted imaging by surface conjugation with folic acid. The T1 MR contrasting activity of the NPs is tested by using 1.5 T clinical MRI system by echo-spin method. The said NPs exhibited high longitudinal realxivity (r1 = 12 s−1 (mM)−1) compared to commercial Gd-DTPA complex. The NPs have nearly 80 % X-ray attenuation, which is suitable for X-ray imaging. The Eu3+ dopant caused emission at 700 nm, which made the system adaptable for NIR fluorescence imaging. It has been observed that strontium substituted HAp (SHAp) has similar stoichiometry to that of HAp and leads to enhancement of in vitro bioactivity [166]. Aptamer caped Gd-doped luminescent and mesoporous SrHAp NPs were successfully used as dual modal imaging probe for fluorescence imaging and MRI, by virtue of their blue autofluorescence and paramagnetism. The said NPs are also useful for cancer cell responsive drug delivery [153].
Eu3+ and Gd3+ dual doped HAp nanorods fabricated by microwave assisted synthesis were used as a multiple imaging agent for MRI, photoluminescence (PL) and CT imaging [154]. These biocompatible nanorods are highly useful for drug delivery applications also. In vitro MR imaging studies revealed the potential applicability of the system as a T1 contrast agent. The in vivo PL imaging capability of the nanorods was demonstrated by the subcutaneous injection of the NPs to mice at an optimum concentration of 1 mg. mL−1 per animal. The mice were imaged and the obtained images (Fig. 9a and b) clearly depicted the applicability of the nanorods in PL imaging. It has been observed that the solution of the said nanorods produced an intense red emission (Fig. 9c).
For in vivo CT imaging the nanorods were injected to the mice and the mice were imaged by a clinical CT. The in vivo whole body images of the mouse before and after injection at two different injection sites (back of the mouse and buttock of the mouse) produced clearly distinguished CT signals. The signals were obtained because of the attenuation of strong X-rays by the nanorods.
HAp nano composite functionalized with up-conversion (UC) luminescent and magnetic Na(Y/Gd)F4: Yb3+,Er3+ nanocrystals were used as dual modal imaging probe in MRI and UC luminescence imaging [157]. In vitro MR imaging studies revealed the applicability of the said composite as T1 CAs. Upconversion luminescence microscopy was used to detect the interaction of the MC 3T3-E1 cells with the composite, under NIR laser excitation (980 nm) and the produced images clearly proved the applicability of the said system in UC luminescence imaging. These nanocomposites were also used in drug delivery.
Calcium phosphate doped with indigocyanin green (ICG), Gd and labelled with 99 m Technetium methylene diphosphonate (99mTc-MDP) is employed as trimodal contrast agent [155]. Here the fluorescence from ICG is explored for NIR imaging, magnetism of Gd utilised for MRI contast and 99mTc-MDP is exploited for nuclear imaging. Multifunctional Eu3+ and Gd3+ dual doped calcium phosphate vesicle like nanospheres were employed for multimodal imaging (MRI and NIR luminescence imaging) and sustained drug release [156]. Recently, our research group developed a luminomagnetic HAp nanocrystalline system by doping HAp with paramagnetic label (Ho3+) and fluorescent label (organic dye, FITC). The present system is employed in the fluorescence imaging of cancer cells (HeLa cells) and can be used for MRI contrast by exploring the luminescence of FITC and magnetism of Ho3+ respectively [158].
Conclusion
The main objective of this review is to explain state-of-the -art bioimaging applications of HAp based nanoprobes, especially the luminescent and magnetic cellular imaging. HAp nanocrystals can be doped with a variety of dopants like lanthanide ions or can be modified with other substrates and reporter moieties to achieve desirable functional properties. The HAp NPs functionalised in this manner can serve as potential nanoprobes for cellular imaging. Based on the functional properties that explored in bioimaging, HAp NPs are conveniently grouped into luminescent, magnetic and luminomagnetic HAp NPs. The studies on luminescent and magnetic HAp NPs demonstrated their usefulness as potential imaging probes in optical imaging and MRI respectively. The luminomagnetic HAp NPs are good candidates for multimodal imaging, where two or more imaging modes are combined to produce a synergistic effect in diagnostic imaging. The functionalised HAp NPs proved their efficacy as potential nanoprobes for targeted drug delivery. Even though several reports on bioimaging applications of HAp based nanoprobes are available, the exploration of HAp NPs as bioimaging probe is least in comparison with other biomedical applications such as bone tissue engineering, nanomedicine and catalysis. This is probably due to many challenges which hinder the potential applications of HAp NPs as bioimaging probes.
The main challenge is the precise size and morphological control of HAp NPs. Nanometric size with suitable range is essential for the successful application in bioimaging as well as drug delivery. A number of methods are available to synthesise nanocrystalline HAp with different morphologies and any of such method is not completely successful in offering uniform size distribution and morphology. Cell viability studies and toxicity analysis revealed excellent biocompatibility of HAp NPs. However, the effect of functionalised HAp based nanoprobes for long time in vivo is still not known with certainty and need much more systematic investigation. Another challenge is in designing the targeted multimodal imaging system based on HAp. Factors like appropriate choice of targeting moiety, conjugation method of the targeting moiety and selection of surface coating materials for HAp should be considered during the designing such systems. In designing multimodal imaging systems including PET or SPECT, radiation hazards should also be taken into account. The control of pore size in mesoporous HAp NPs has a crucial role in targeted drug delivery applications. More focus is needed to address these challenges to develop highly promising HAp based nanoprobes for imaging as well as drug delivery.
Most of the luminescent and magnetic HAp NPs are fabricated by doping with lanthanide ion labels. Incorporation of other fluorescent labels (organic dyes, gold nanoclusters, UC phosphors etc.) and different magnetic labels (transition metal ions) can enable the design and fabrication novel luminescent as well as magnetic HAp nanoprobes. Derivatives of HAp, like fluorine or strontium substituted HAp can also be employed for the fabrication of bioimaging as well as drug delivery nanoprobes in future.
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Acknowledgments
The authors would like to acknowledge University Grant Commission (UGC) New Delhi, for providing financial assistance through the Teacher Fellowship under Faculty Improvement Programme (FIP) and the Head, Department of Chemistry, University of Kerala (Kariavattom Campus), Trivandrum.
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Syamchand, S.S., Sony, G. Multifunctional hydroxyapatite nanoparticles for drug delivery and multimodal molecular imaging. Microchim Acta 182, 1567–1589 (2015). https://doi.org/10.1007/s00604-015-1504-x
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DOI: https://doi.org/10.1007/s00604-015-1504-x