INTRODUCTION
In recent years, cancer incidence and death rates have increased rapidly worldwide, with liver cancer being the fifth most common cancer and the second most common cause of cancer-related death worldwide. In a 2020 global tally of cancer patients, liver cancer accounted for 6.3% of all cases and 10.1% of deaths.[1,2] Traditional cancer treatment methods mainly include surgery, chemotherapy, immunotherapy and nano drug therapy.[3,4] Chemotherapy is the option of most patients in certain procedures because of good therapeutic effect. However, traditional chemotherapy has some limitations, mainly including nonspecific selectivity, poor bioavailability, rapid blood/renal clearance, less accumulation of drug in tumor site, serious multi-drug resistance (MDR) and side effects for health organization.[5,6] Therefore, researchers focus on developing new drug carriers and delivery methods to improve the water solubility of antitumor drugs, enabling them to achieve long-term circulation in the body and ultimately to target to the tumor tissue for drug release.
Antibody-drug conjugates (ADCs) have become a research hotspot and an important development direction in the field of targeted tumor therapy. In this method, small molecules as linkers are used to covalently couple highly toxic drugs with monoclonal antibodies, in which monoclonal antibodies can target to recognize antigens and achieve targeted drug delivery.[7,8] To date, eight kinds of ADC drugs have been approved by the Food and Drug Administration (FDA) and more than 100 are currently in separate phases of clinical trials, with much more planned in the future.[9,10] Although ADC drugs show good safety and effectiveness in clinical application, the toxins used are usually much toxic, such as maytansine and dolastoxin. Therefore, if the toxins are released in advance of the phase of circulation in the body, significant damage to human health tissue would be caused.[11,12] Usually, these highly toxic drugs have poor water solubility, and will still cause a large amount of aggregation in vivo after conjugation with antibodies, thus reducing the therapeutic effect.[13,14] Accordingly, it is very urgent to develop a conjugation technology with stable and effective antibodies and drugs.
To overcome the deficiency of chemotherapeutic drugs, researchers have proposed various prodrug strategies, that is, combination of chemotherapeutic drugs with carriers.[15,16] Amphiphilic polymer nanoparticles, water-soluble polymers, vesicles, liposomes and inorganic nanomaterials have been used as drug carriers.[17−20] Polymeric prodrug system is considered as a promising drug delivery strategy, which refers to the coupling of a physiologically active and transportable polymer carrier with oncology drugs. In addition, the carrier can be removed through simple hydrolysis or enzymatic hydrolysis in the process of internal circulation to realize the accumulation of drugs in tumor.[21,22] For example, Liu et al. reported a promising polyprodrug amphiphile which can self-assemble into four types of uniform nanostructures. This strategy can covalently tether repeating prodrug units and deliver high-dosage parent drug at lesion sites, possessing flexible design of polymer topologies, self-assembling morphologies and theranostic functions.[23,24] Other researchers have also proposed valuable strategies for the design of prodrugs.[25,26]
Substituting polymers for small molecules as ADC linkers can enhance drug binding reaction sites and prevent the use of highly toxic drugs, thereby using less toxic anticancer drugs. This product that combines antibodies with antitumor drugs through polymers is called antibody-polymer-drug conjugation (APDC).[27−29] In recent years, the reported polymers mainly include poly(ethylene glycol) (PEG),[30] polycaprolactone (PCL),[31] hyaluronic acid (HA)[32] and polyphosphoesters (PPEs).[33] If polymer carriers are bonded with anti-tumor drugs by stimulating responsive chemical bonds, they will remain stable in normal human tissues or blood environment, while break under tumor microenvironment conditions to release the active drug.[34,35] It is known to all that biocompatibility and biodegradability are two key points in the selection of carriers. Our group reported a variety of stimuli-responsive polymer prodrugs using polyphosphoesters as the carriers. Compared with natural macromolecules, the side chain of polyphosphoesters is easy to functionalize and has good biocompatibility and biodegradation.[36−38] Therefore, polyphosphoesters as drug carriers hold a good application prospect.
Different cancer cells may have different overexpressed receptors, so it is necessary to select target molecules that can bind specifically to the overexpressed receptors. At present, the target molecules reported in literature mainly include monoclonal antibodies,[29,39] peptide,[40] hyaluronic acid (HA) and folic acid (FA).[41] CD147 mAb is a transmembrane glycoprotein belonging to the immunoglobulin superfamily. It is worth mentioning that CD147 mAb plays an important role in the progression, invasion and metastasis of tumors. In addition, it is highly expressed on the surface of hepatoma carcinoma cells.[42,43] The fragment from CD147 mAb, called metuximab, was approved for using in liver cancer patients in China in 2005.[44] So it is feasible to select CD147 mAb as a targeted molecule for the treatment of liver cancer.
Herein, we selected CD147 mAb as the targeted molecules and polyphosphoester as the drug carrier, aiming to achieve the targeted release of DOX at the tumor site, so as to reduce the systemic toxic and side effects. At first, an amphiphilic diblock copolymer precursor BocNH-PEEP-b-PBYP was synthesized by using EABoc as initiator to initiate the ring-opening polymerization (ROP) of two kinds of phosphoester monomers, EOP and BYP, in turn. After the BocNH-group was deprotected by hydrolysis, a pH-sensitive prodrug H2N-PEEP-b-PBYP-hyd-DOX was prepared by Cu(I)-catalyzed azide-alkyne cycloaddition (CuAAC) “click” reaction between the alkynyl of H2N-PEEP-b-PBYP and a doxorubicin-azide derivative (DOX-hyd-N3). Subsequently, the prodrug could self-assemble into nanoparticles, which are modified with CD147 mAb on the surface. The nanoparticles with antibodies are expected to achieve targeted drug release in tumor cell microenvironment, as shown in Scheme 1. Compared with normal cells, tumor cells possess an acidic environment and higher concentration of phosphodiesterase I (PDE I), which enables the hydrazone bond on the prodrug and the PPE linkage on the precursor polymer chain to break quickly and release DOX, so as to realize the inhibition ability of tumor. This work provides a simple preparation method of nanoparticles based on PPEs, which is stable in the internal circulation and can achieve targeted therapy.

RESULTS AND DISCUSSION
Characterization of the H2N-PEEP-b-PBYP-hyd-DOX
In this study, a polymeric prodrug based on polyphosphoesters was prepared by the following steps and the synthesis routes were shown in Scheme 2. Firstly, the polyphosphoester containing EABoc fragment at one end was prepared via one-pot sequential feeding of EOP and BYP monomers by ROP, using 2-(tert-butoxycarbonylamino)-1-ethanol (EABoc) as initiator. Secondly, an amino-terminated polyphosphoester H2N-PEEP-b-PBYP was obtained by hydrolysis. Then, DOX-hyd-N3 was prepared and conjugated to the backbone via "click" chemistry between the alkynyl group of PBYP segment and azide group of DOX-hyd-N3. Finally, we got the polymeric prodrug H2N-PEEP-b-PBYP-hyd-DOX. The detailed experimental process is described in the electronic supplementary information (ESI).

In order to confirm the chemical structures and the molecular weights of the diblock copolymers, we have made the following characterizations: 31P-NMR, GPC, 1H-NMR, FTIR, UV-Vis and HPLC analysis, respectively. The derivative DOX-hyd-N3, monomers EOP and BYP were separately prepared. Figs. S1, S2 and S3 in ESI prove that the required DOX derivative and monomers have been synthesized. Fig. S4(A) (in ESI) is the 31P-NMR spectrum of the BocNH-PEEP product after 60 min of EOP polymerization, indicating that all EOP monomers have been polymerized completely. In Fig. S4(B) (in ESI), the appearance of the new peak assigned to the PBYP repeat units indicates the successful synthesis of BocNH-PEEP-b-PBYP. From the GPC traces (Fig. 1), we can further confirm the successful synthesis of the diblock copolymer due to the increase of molecular weight.



In addition, the results of 1H-NMR spectra in Fig. 2 indicate that we have obtained the precursors BocNH-PEEP, BocNH-PEEP-b-PBYP, H2N-PEEP-b-PBYP and the prodrug H2N-PEEP-b-PBYP-hyd-DOX, respectively. In Fig. 2(A), the chemical shift peaks at δ=1.43 ppm (peak a), δ=1.34 ppm (peak f), δ= 4.33−4.22 ppm (peak h) and δ=4.22−4.12 ppm (peak e) show that the polymer BocNH-PEEP was synthesized. In Fig. 2(B), the new characteristic peaks at δ=2.04 ppm (peak g) and δ=2.61 ppm (peak i) indicate that the diblock copolymer BocNH-PEEP-b-PBYP was obtained. In Fig. 2(C), the chemical shift at δ=8.59 ppm (peak k) indicates the appearance of the amino group at one end of the copolymer chain after hydrolysis. After click reaction between H2N-PEEP-b-PBYP and DOX-hyd-N3, the characteristic signal (peak q) that appears at δ=7.55 ppm in Fig. 2(D) prove that the prodrug H2N-PEEP-b-PBYP-hyd-DOX have been prepared successfully. On the basis of 1H-NMR spectrum in Fig. 2(B), the degree of polymerization of both PEEP (x) and PBYP (y) can be calculated by the following Eqs. (1) and (2):

where Aa is the integral area of the protons at δ=1.43 ppm in BocNH― (peak a, ―C
Furthermore, the molecular weights of BocNH-PEEP and BocNH-PEEP-b-PBYP could be calculated by Eqs. (3) and (4), in which 152.01 and 176.11 represent the molecular weights of one repeating unit of PEEP and PBYP, respectively, 144 is the molecular weight of EABoc. The data of molecular weights (
Sample | ![]() | ![]() | ![]() | Ð b |
a Calculated from 1H-NMR spectra. (solvent: CDCl3); b Measured by GPC. (eluent: DMF; standard: polystyrene). | ||||
BocNH-PEEP64 | 9700 | 12500 | 13300 | 1.05 |
BocNH-PEEP64-b-PBYP36 | 16000 | 16900 | 18400 | 1.09 |
BocNH-PEEP30-b-PBYP23 | 8600 | 7500 | 10600 | 1.41 |
BocNH-PEEP30-b-PBYP30 | 8500 | 9600 | 10800 | 1.13 |
BocNH-PEEP45-b-PBYP30 | 9100 | 9900 | 10900 | 1.10 |
FTIR, UV-Vis and HPLC were also measured to prove the successful preparation of the prodrug H2N-PEEP-b-PBYP-hyd-DOX. The characteristic absorption at 2105 cm−1 (ν−C≡CH) in Fig. S5(B) (in ESI) indicate the successful synthesis of the copolymer BocNH-PEEP-b-PBYP. The characteristic absorption at 3280 cm−1 (
Self-Assembly Behavior of H2N-PEEP-b-PBYP-hyd-DOX
The prodrug H2N-PEEP-b-PBYP-hyd-DOX is an amphiphilic copolymer, which can self-assemble into nanoparticles (abbreviated as PDNPs) with the PBYP chain segment and the hydrophobic DOX as the core, and the PEEP chain segment as the shell in aqueous solution. The critical aggregation concentration (CAC) can be used to evaluate the self-assembly capability of amphiphilic polymers.[45] In general, the low CAC value means that the copolymer can form nanoparticles at low concentration. We used the pyrene fluorescence probe method for measuring the fluorescence intensity of a series of concentrations of polymer solutions. Fig. S8 (in ESI) shows the relationship between the logarithm of the concentration of the copolymer solution (logC) and the ratio of the fluorescence intensity of the third peak to the first peak (I3/I1), and the CAC value (0.096 mg·mL−1) of H2N-PEEP-b-PBYP-hyd-DOX is obtained by intersecting the two straight lines.
The average particle size (

Characterization of CD147-PEEP-b-PBYP-hyd-DOX
To confirm whether the CD147 mAb was successfully bound to PDNPs, XPS was measured for elemental analysis of the two samples, PDNPs and mAb-PDNPs, as shown in Fig. S9 (in ESI). Since PDNPs do not contain sulfur, and antibody contains disulfide bond, the sulfur peak in the XPS spectrum (Fig. S9B in ESI) indirectly proves that CD147 mAb has been attached to the surface of prodrug nanoparticles PDNPs.
In addition, in the FTIR spectum of Fig. S10 (in ESI), the migration of the carbonyl absorption peak from 1665 cm−1 to 1638 cm−1 can also account for the coupling of CD147 mAb to PDNPs. To further test the modification rate of CD147 mAb, different batches of samples were tested by BCA protein kit to determine the modification rate of CD147 mAb and the results are shown in Table 2. By measuring the zeta potential of the particle, it can also be proved that the antibody binds to the prodrug nanoparticle. Due to the amino groups on the surface of the prodrug nanoparticles, the zeta potential of PDNPs was +7.3 mV. When the monoclonal antibody CD147 mAb was linked to PDNPs, the amino group on the surface of the PDNPs will be consumed, the zeta potential would gradually decrease. Considering the experimental effect and cost, the sample with a mass ratio of CD147 mAb to PDNPs of 4 (CD147 mAb : PDNPs, μg/mg) was chosen for the subsequent experiments.
Entry | CD147 mAb added (μg/mg) | Zeta potential (mV) | CD147 mAb modified (μg/mg) |
PDNPs | − | +7.3 | − |
mAb-PDNPs-1 | 2 | +6.2 | 1.2±0.114 |
mAb-PDNPs-2 | 4 | +4.0 | 2.3±0.152 |
mAb-PDNPs-3 | 2.5 | − | 1.7±0.127 |
mAb-PDNPs-4 | 5 | − | 2.6±0.161 |
Enzymatic Degradation
In the presence of phosphodiesterase I (PDE I) and PB 7.4 buffer solution, a degradation experiment on the diblock copolymer H2N-PEEP64-b-PBYP36 was performed. The process of degradation was monitored by 1H-NMR spectroscopy. As shown in Fig. 4, we could get the results that the original peaks assigned to protons of the PEEP and PBYP blocks gradually weakened or disappeared along with the incubating time from 0 h to 72 h, and several new signals appeared at δ=0.83 ppm, δ=1.25 ppm, and δ=1.33 ppm, respectively. Therefore, the polyphosphoesters as the main chain have good biodegradability.

Particle Stability and pH Sensitivity
The nanoparticles PDNPs formed by self-assembly of amphiphilic polymer prodrug in water should remain stable in the normal in vivo environment. When entering the tumor cell microenvironment, due to the internal weak acidity, the hydrazone bond is broken, the nanoparticles would dissociated and DOX be released.[38] These processes can be confirmed by observing the changes of particle size (

In Vitro Release of DOX
In recent years, pH-responsive polymers are playing an increasingly important role in drug delivery system.[47−49] In this study, as a performance acid-sensitive bond, the hydrazone bond will ensure efficient release of the DOX under acidic conditions while maintaining equilibrium under physiological conditions. The cumulative DOX release experiments in vitro were performed in different conditions: (A) PB 5.0, (B) PB 6.0, (C) PB 7.4 with PDE I, (E) PB 7.4 for PNDPs, and (D) PB 7.4 for mAb-PDNPs, respectively, to investigate the release of DOX, as shown in Fig. 6. We can see that after 50 h of incubation in thermostatic oscillator, the cumulative release of DOX was up to 65% for PDNPs under the condition of PB 5.0 buffer (Curve A), while 10% of DOX release for both PDNPs and mAb-PDNPs after 50 h of incubation in PB 7.4 buffer, indicating that mAb-PDNPs have similar stability to PDNPs in normal physiological environment. By comparing Curve D with Curve E, we can know that the modification of CD147 mAb on the surface of prodrug nanoparticles has little effect on the release of DOX. Furthermore, in the presence of PDE I, PDNPs would dissociate and release DOX, as shown in Curve C. These results indicate that the prodrug nanoparticles PDNPs can release DOX by dissociation under acidic conditions and the polyphosphoesters have good biodegradability.

Biocompatibility
The biocompatibility of materials is one of the important bases to evaluate whether they can be used as drug carriers in drug delivery system. In this study, methyl thiazolyl tetrazolium (MTT) assays were used to study the cytotoxicity of the polymer H2N-PEEP-b-PBYP against human umbilical vein endothelial cells (HUVEC cells), mouse fibroblast cells (L929 cells) and human hepatocellular carcinomas cells (HepG2 cells), respectively. These cells were incubated with different concentrations of polymer solution for 48 h. Fig. 7 illustrates that the viability of the cells are all over 82% no matter the normal cells or the hepatoma carcinoma cells. Therefore, the copolymer H2N-PEEP-b-PBYP has low toxicity to cells and has good biocompatibility. The above results show that polyphosphoester has promising application for drug carriers.

In Vitro Cytotoxicity
MTT assays were also used to study the cytotoxicity of PDNPs and mAb-PDNPs against HepG2 cells, human cervical cancer cells (HeLa cells) and HUVEC cells, respectively, in which the two later cells have no specific binding sites and can be used as the controls. As shown in Fig. 8(a), after culture HUVEC cells with mAb-PDNPs and PDNPs for 48 h, the cell survival rate was higher, indicating that both mAb-PDNPs and PDNPs hardly released drugs in human healthy cells. In Figs. 8(b) and 8(c), the concentration dependence of the three groups of nanoparticles was observed, that is, the cell viability decreased gradually with the increase of the concentration of nanoparticles. The values of the half maximal inhibitory concentration (IC50) are listed in Table 3, which can be used to evaluate the anti-tumor effect of the nanoparticles. In Fig. 8(b), the IC50 values of free DOX, mAb-PDNPs and PDNPs are 0.19, 1.12 and 2.67 mg·L−1, respectively. The mAb-PDNPs show a lower IC50 value compared with PDNPs. This is due to the fact that mAb-PDNPs can specifically bind to the antigens on the surface of HepG2 cells and promote the enrichment of nanoparticles. On the other hand, compared with the other two groups, free DOX has the lowest IC50 value, indicating the highest toxicity. This may be due to the use of polyphosphoester as a drug carrier to reduce the toxicity of the active drug. What is more, since DOX was chemically bound to the polymer, the structure was stable and the bond need to be broken to release DOX into the tumor microenvironment, which takes more time. In Fig. 8(c), the IC50 values of PDNPs and mAb-PDNPs are 14.25 and 13.06 mg·L−1, which are similar, because there is no antigen on the surface of HeLa cells that can be specifically recognized with CD147 monoclonal antibody. And the IC50 value of free DOX is the lowest of 4.75 mg·L−1, which is similar to that of the case of HepG2 cells in Fig. 8(b). The above results can indicate mAb-PDNPs can realize targeted drug delivery and polyphosphoester as drug carrier can reduce the toxicity of active drug.

Sample | IC50 for HepG2 (mg·L−1) | IC50 for HeLa (mg·L−1) |
mAb-PDNPs | 1.12 | 13.06 |
PDNPs | 2.67 | 14.25 |
Free DOX | 0.19 | 4.75 |
Cellular Uptake
It is also important to consider whether the drug-loaded nanoparticles can recognize tumor cells and be internalized by the cells to effectively release the drugs in the tumor cells.[50] Therefore, HepG2 cells and HeLa cells were used to evaluate the cellular uptake for PDNPs and mAb-PDNPs, respectively. A live cell imaging system was used to monitor the uptake process in real time, as shown in Fig. 9. Comparing Fig. 9(a) with Fig. 9(c), DOX fluorescence intensity of mAb-PDNPs is stronger than that of PDNPs in the same period, this is because mAb-PDNPs act on HepG2 cells surface by active targeting, while PDNPs enter the cells by cellular uptake. In addition, as shown in Fig. 9(b), the fluorescence intensity of free DOX is much smaller, because DOX enters the cells through diffusion by virtue of the concentration difference between inside and outside the cells. Besides, by comparing Fig. 9(c) with Fig. 9(f), the fluorescence intensity of HepG2 cells is stronger than that of HeLa cells, because there are antigenic sites on the surface of HepG2 cells that can be targeted and recognized by CD147 monoclonal antibodies. These results show that both nanoparticles could effectively release drug in tumor cells, and mAb-PDNPs possess good targeting ability to HepG2 cells.

CONCLUSIONS
We have proven that the method of binding monoclonal antibodies to polyphosphoester prodrug nanoparticles is a simple and effective system. This technique combines biocompatible and biodegradable polyphosphoesters with anti-tumor drug DOX and CD147 mAb through ring-opening polymerizatin (ROP), click reaction, self-assembly and amidation. It has the functions of targeting specific tumor cells and releasing the original drug to the tumor cell microenvironment. We have characterized the structure and self-assembly behavior of the polymer prodrug H2N-PEEP-b-PBYP-hyd-DOX, and the particle size is 93 nm. XPS test proves that the antibody was bonded to the surface of the prodrug nanoparticles, whose particle size increased to 106 nm. We also explored the biocompatibility, stability, environmental responsiveness and drug release of these nanoparticles in different media (pH and phosphatase). The pH-responsive PDNPs could remain relatively stable under the condition of PB 7.4, but quickly dissociated in the tumor microenvironment and finally resulted in the release of DOX. MTT assay and enzymatic degradation tests indicate that the copolymer H2N-PEEP-b-PBYP based on polyphosphoesters possesses favorable biocompatibility and biodegradability. Cytotoxicity assay showed that the mAb-PDNPs could achieve targeted drug delivery for HepG2 cells due to the presence of receptors on the surface of cells. These results will provide a reference preparation method for drug delivery for targeted therapy of liver cancer.
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