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PNP hydrogel fabrication and characterization
PNP hydrogels are formed through the mixing of the two primary components - hydrophobically-modified HPMC polymers and PEG-PLA nanoparticles (Figure 1a). Therapeutic cargo is most easily incorporated into the additional buffer used to dilute the nanoparticle component prior to hydrogel preparation. For downstream biomedical characterization, it is convenient to use an elbow mixing method that enables simple and reproducible mixing of the two components (Figure 1b). After adequate mixing, the hydrogel should feel firm in the syringe, but yield under pressure and extrude from a standard needle (21G shown) (Figure 1c). After injection, the hydrogel should rapidly set into a solid-like material that resists flow from gravity. To fully characterize the hydrogel and ensure consistent batch-to-batch products, samples should be analyzed using several different experiments on a rheometer. The shear-thinning and self-healing capabilities of the gel will be easily observed using a flow sweep protocol and step-shear protocol, respectively (Figure 2a,b). For stiffer gels, such as the 2:10 formulation, the user should look for viscosity to decrease at least two orders of magnitude during the flow sweep as the shear rate is increased from 0.1 to 100 s-1, which simulates the mechanical conditions during injection. The step-shear protocol should reveal an orders-of-magnitude decrease in viscosity under the high-shear steps, and a rapid return (<5 s recovery time) to baseline viscosity during the low shear steps. Characterization of the storage and loss moduli using an oscillatory shear frequency sweep experiment in the linear viscoelastic regime should reveal solid-like properties at frequency ranges from 0.1-100 rad s-1 (Figure 2c). In particular, there should typically not be a crossover of the shear storage and loss moduli that is observable at low frequencies for stiffer formulations like the 2:10 hydrogels. Such a crossover event may indicate issues in the quality of the starting materials, either the modified HPMC or PEG-PLA polymer, or the size and dispersity of the PEG-PLA nanoparticles. It should be noted that a crossover event can be expected for weaker hydrogel formulations, such as the 1:5 hydrogel. Oscillatory shear amplitude sweeps on PNP hydrogels reveal that the materials do not yield until high stress values are applied, indicating these materials possess a yield stress, a threshold amount of stress required for the material to flow.
Characterizing release kinetics from PNP hydrogels
An essential step in designing PNP gels for drug delivery is the characterization of drug release kinetics from a chosen formulation. There are several techniques for this, but a simple in vitro methodology provides useful data during early formulation development (Figure 3a). Varying the polymer content of the PNP hydrogels through modulating the amount of HPMC-C12 or NPs is the most straightforward way to tune the mechanical properties and mesh size of these hydrogels, which can have a direct impact on the diffusion of cargo through the polymer network and rate of release from the materials (Figure 3b). For cargo that is larger than the dynamic mesh size (i.e., high molecular weight or large hydrodynamic radius), researchers should expect a slow, dissolution-mediated release of cargo from the hydrogel depot. Formulations with dynamic mesh sizes greater than or equal to the size of the cargo will allow for diffusion-mediated release that can be described using traditional models of cargo diffusion and release46,47,48,49. Based on the shape of the release curve, researchers can reformulate the hydrogel to tune it towards slower (e.g., increase the polymer content) or faster (e.g., decrease the polymer content) release.
Assessing stability of therapeutic cargo
Determining the stability of the therapeutic cargo in a hydrogel formulation is critical before commencing preclinical or cellular studies. Compared to other synthetic methods for encapsulating drugs, PNP hydrogels incorporate cargo in a gentle manner by mixing into the bulk material, and it is unlikely that encapsulation will damage the cargo. These studies indicate that PNP hydrogels can also stabilize cargo that is susceptible to thermal instability, such as insulin, considerably extending shelf life and reducing reliance on cold storage and distribution (Figure 4). It is important to evaluate the condition of the cargo immediately after encapsulation into the hydrogel as well as after extended periods of storage. These data show that insulin remains stable in hydrogels after 28 days of storage under continuous thermal and mechanical stress, using a simple fluorescence assay for measuring insulin aggregation. An alternative technique for cases where an appropriate plate assay is unavailable would be to perform circular dichroism measurements of the cargo, which is particularly useful for determining the secondary structure of protein drugs.
Determining cell viability and dispersion in PNP hydrogels
Many therapeutic cells require adhesion motifs to remain viable, and thus inclusion of integrin motifs like arginine-glycine-aspartic acid (RGD) peptides is an important step in adapting PNP hydrogels for cellular therapies50. The modular PEG-PLA polymer comprising the NPs enables chemical functionalization of the PEG corona through simple "click" chemistries28,51. In this example, cell-adhesive RGD peptides were attached to the PEG-PLA polymer to promote cell engagement with the PNP hydrogel structure. Formulations lacking adhesion sites will have low cell viability as encapsulated cells fail to proliferate compared to cells encapsulated in formulations with these adhesion motifs (Figure 5a,b). Encapsulated cells can be labeled with calcein AM or another appropriate fluorescent dye (e.g., CFSE) to facilitate cell counting with a fluorescence microscope. During optimization, viability should be compared to unmodified PNP hydrogels to assure integrin-functionalized formulations are providing enhanced viability and proliferation. If integrin-functionalized formulations are providing similar efficacy as unmodified hydrogels, this may indicate a failure in the conjugation chemistry used to incorporate the adhesion motifs.
Researchers should expect encapsulated cells to be evenly dispersed through the hydrogel medium when using an appropriate hydrogel formulation. This will allow for consistent and predictable dosing of cells during hydrogel administration and should translate to local retention of cells in the hydrogel after administration. The distribution of cells can be easily determined using fluorescence microscopy techniques. Cells can be labeled with an appropriate dye and then imaged using confocal microscopy. The images can be assessed visually (Figure 5c) and also quantitatively (Figure 5d) using ImageJ software to measure the average fluorescence intensity along the vertical axis of the image (or along whichever axis cell-settling due to gravity is expected to occur). If the hydrogel formulation is too weak to support the cells in suspension over prolonged timeframes, cell settling will occur, as observed in the 1:1 formulation in Figure 5. Increasing the polymer content can resolve issues with inhomogeneous cell dispersion due to settling.

Figure 1: Polymer-nanoparticle (PNP) hydrogels are easily formed by mixing two components. (a) The first component is a solution of dodecyl-modified hydroxypropylmethyl cellulose (HPMC-C12), and the second component is a solution of poly(ethylene glycol)-block-poly(lactic acid) (PEG-PLA) nanoparticles along with any therapeutic cargo. Gentle mixing of these two components yields an injectable hydrogel, where the HPMC-C12 polymers are physically crosslinked by dynamic, multivalent interactions with the PEG-PLA nanoparticles. (b) Photograph demonstrating gel formulation by mixing with two syringes, each one containing one component of the PNP hydrogel. By connecting the two syringes with a Luer-lock elbow connector, the two components can be easily mixed under sterile conditions to yield a bubble-free hydrogel pre-loaded into a syringe for immediate use. The NP solution is dyed blue for the purpose of demonstration. (c) Demonstration of the injection of PNP hydrogels and their re-solidification. (i) PNP hydrogel in a syringe with an attached 21G needle. (ii) Injection places the hydrogel under shear which temporarily breaks the interactions between polymer and nanoparticles, creating a fluid-like consistency. (iii) Post-injection, the dynamic polymer-nanoparticle interactions rapidly reform, allowing the hydrogel to self-heal into a solid. (iv) The solid hydrogel does not flow under forces weaker than its yield stress, such as gravity. The PNP hydrogel is dyed blue for the purpose of demonstration. Please click here to view a larger version of this figure.

Figure 2: Rheological characterization of two PNP hydrogel formulations. Formulations are denoted as polymer wt.%: NP wt.%. (a) Steady shear flow sweeps from low to high shear rate of PNP hydrogels. Viscosity as a function of shear rate characterizes shear-thinning properties. (b) Viscosity as a function of oscillating shear rates between low shear rates (white background; 0.1 s−1) to high shear rates (red background; 10 s−1) demonstrating self-healing properties of PNP hydrogels. Shear rates are imposed for 30 s each. (c) Elastic storage modulus G′ and viscous loss modulus G″ as a function of frequency at a constant 1% strain for various PNP hydrogel formulations. (d) Amplitude sweeps at a constant frequency of 10 rad/s to characterize elastic storage modulus G′ and viscous loss modulus G″ of PNP hydrogels as a function of stress. This rheological characterization can be used as comparison for quality control. This figure has been adapted from Grosskopf et al.28 Please click here to view a larger version of this figure.

Figure 3: In vitro release of bovine serum albumin (BSA) from PNP hydrogels. Formulations are denoted as polymer wt.%: NP wt.%. (a) Schematic describing the experimental in vitro release protocol. Aliquots are removed from PNP hydrogel-loaded capillary tubes over time. (b) The in vitro release of BSA from 1:10 PNP, 2:5 PNP and 2:10 PNP reported as the mass collected by the specified time point divided by the total mass collected during the assay (data shown as mean ± SD; n = 3). BSA was detected through absorbance measurements. Please click here to view a larger version of this figure.

Figure 4: Thermal stability of insulin encapsulated in PNP hydrogels by ThT assay. Formulations are denoted as polymer wt.%: NP wt.%. Insulin encapsulated in both 1:5 and 2:10 PNP hydrogel remained unaggregated for over 28 days at stressed aging conditions of 37 °C and constant agitation. Time to aggregation for insulin formulated in PBS was 20 ± 4 h (mean ± SD, aggregation threshold 750,000 AFU). Data presented as an average of n = 4 experimental replicates (AFU, arbitrary fluorescence units). This figure has been adapted from Meis et al.38 Please click here to view a larger version of this figure.

Figure 5: Cell viability and cell settling in PNP hydrogels. (a,b) Cell viability studies in PNP hydrogels with human mesenchymal stem cells (hMSCs). (a) Representative images of viable hMSCs in 1:5 PNP hydrogels with and without the cell-adhesive arginine-glycine-aspartic acid (RGD) motif conjugated to the PEG-PLA NPs. hMSCs were calcein-stained for 30 min prior to confocal imaging. Scale bar represents 100 µm. (b) Cell viability on Day 6 defined as number of fluorescent cells in the image relative to number of fluorescent cells on Day 1 (data shown as mean ± SD; n = 3). (c,d) Cell encapsulation and settling experiments with hMSCs. (c) Maximum intensity images of calcein AM-stained hMSCs encapsulated in 1:1 PNP hydrogel (top row) and 1:5 PNP hydrogel (bottom row) across 4 hr to quantify cell settling. Scale bar represents 1 mm. (d) Average horizontal pixel intensity of hMSCs along the vertical profile of the hydrogel. This figure has been adapted from Grosskopf et al.28 Please click here to view a larger version of this figure.