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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">918819</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2022.918819</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Hyaluronic Acid&#x2013;Stabilized Fe<sub>3</sub>O<sub>4</sub> Nanoparticles for Promoting <italic>In Vivo</italic> Magnetic Resonance Imaging of Tumors</article-title>
<alt-title alt-title-type="left-running-head">Zhang et al.</alt-title>
<alt-title alt-title-type="right-running-head">Fe<sub>3</sub>O<sub>4</sub>@HA NPs for Promoting MRI</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Weijie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1753033/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Zhongyue</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1773617/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Lou</surname>
<given-names>Shitong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chang</surname>
<given-names>Zhiwei</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Wen</surname>
<given-names>Baohong</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Tao</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Oncology</institution>, <institution>The First Affiliated Hospital of Zhengzhou University</institution>, <addr-line>Zhengzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Department of MRI</institution>, <institution>The First Affiliated Hospital of Zhengzhou University</institution>, <addr-line>Zhengzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>College of Pharmacy</institution>, <institution>Xinxiang Medical University</institution>, <addr-line>Xinxiang</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/489389/overview">Jianxun Ding</ext-link>, Changchun Institute of Applied Chemistry (CAS), China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/828856/overview">Wei Shao</ext-link>, Westlake University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1751684/overview">Wenbing Dai</ext-link>, Peking University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Weijie Zhang, <email>fcczhangwj@zzu.edu.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Experimental Pharmacology and Drug Discovery, a section of the journal Frontiers in Pharmacology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>15</day>
<month>07</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>918819</elocation-id>
<history>
<date date-type="received">
<day>12</day>
<month>04</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>27</day>
<month>05</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Zhang, Zhang, Lou, Chang, Wen and Zhang.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Zhang, Zhang, Lou, Chang, Wen and Zhang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The use of iron oxide (Fe<sub>3</sub>O<sub>4</sub>) nanoparticles as novel contrast agents for magnetic resonance imaging (MRI) has attracted great interest due to their high <italic>r</italic>
<sub>2</sub> relaxivity. However, both poor colloidal stability and lack of effective targeting ability have impeded their further expansion in the clinics. Here, we reported the creation of hyaluronic acid (HA)-stabilized Fe<sub>3</sub>O<sub>4</sub> nanoparticles prepared by a hydrothermal co-precipitation method and followed by electrostatic adsorption of HA onto the nanoparticle surface. The water-soluble HA functions not only as a stabilizer but also as a targeting ligand with high affinity for the CD44 receptor overexpressed in many tumors. The resulting HA-stabilized Fe<sub>3</sub>O<sub>4</sub> nanoparticles have an estimated size of sub-20&#xa0;nm as observed by transmission electron microscopy (TEM) imaging and exhibited long-term colloidal stability in aqueous solution. We found that the nanoparticles are hemocompatible and cytocompatible under certain concentrations. As verified by quantifying the cellular uptake, the Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles were able to target a model cell line (HeLa cells) overexpressing the CD44 receptor through an active pathway. In addition, we showed that the nanoparticles can be used as effective contrast agents for MRI both <italic>in vitro</italic> in HeLa cells and <italic>in vivo</italic> in a xenografted HeLa tumor model in rodents. We believe that our findings shed important light on the use of active targeting ligands to improve the contrast of lesion for tumor-specific MRI in the nano-based diagnosis systems.</p>
</abstract>
<kwd-group>
<kwd>iron oxide nanoparticles</kwd>
<kwd>magnetic resonance imaging</kwd>
<kwd>hyaluronic acid</kwd>
<kwd>HeLa cell/tumor</kwd>
<kwd>active targeting</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Early and precise diagnosis is essential for treatment of cancer in the clinic, which continuously pushes the need for advanced imaging modalities and contrast agents. Magnetic resonance imaging (MRI) has been considered as one of the most effective and valuable <italic>in vivo</italic> bioimaging techniques because of its noninvasive and high-resolution features (<xref ref-type="bibr" rid="B15">Harisinghani et al., 2003</xref>; <xref ref-type="bibr" rid="B47">Sim et al., 2020</xref>). Traditional contrast agents for MRI are often small molecules with chelated metals (<xref ref-type="bibr" rid="B5">Caravan et al., 1999</xref>; <xref ref-type="bibr" rid="B34">Lohrke et al., 2016</xref>; <xref ref-type="bibr" rid="B52">Wahsner et al., 2019</xref>), such as Gd(III) or Mn(II). However, these molecular imaging agents suffer from rapid clearance and low efficiency due to their small-molecule nature (<xref ref-type="bibr" rid="B28">Lee et al., 2010</xref>). The emergence of nanotechnology has simulated the use of nanoparticles as novel contrast agents and brought additional benefits due to the enhanced permeability and retention effect (EPR) (<xref ref-type="bibr" rid="B16">Hifumi et al., 2006</xref>; <xref ref-type="bibr" rid="B2">Bridot et al., 2007</xref>; <xref ref-type="bibr" rid="B3">Brigger et al., 2012</xref>; <xref ref-type="bibr" rid="B43">Oliveira et al., 2014</xref>; <xref ref-type="bibr" rid="B49">Swierczewska et al., 2016</xref>; <xref ref-type="bibr" rid="B53">Wei et al., 2017</xref>; <xref ref-type="bibr" rid="B12">Farzin et al., 2020</xref>; <xref ref-type="bibr" rid="B29">Leon-Janampa et al., 2020</xref>; <xref ref-type="bibr" rid="B41">Mitchell et al., 2021</xref>). Among them, iron oxide (Fe<sub>3</sub>O<sub>4</sub>) nanoparticles are the classic ones used in both <italic>T</italic>
<sub>1</sub>-weighted and <italic>T</italic>
<sub>2</sub>-weighted MRI (<xref ref-type="bibr" rid="B37">Ma et al., 2017</xref>; <xref ref-type="bibr" rid="B44">Shen et al., 2017</xref>). The ultrasmall ones with diameters smaller than 5&#xa0;nm are used as positive contrast agents for <italic>T</italic>
<sub>1</sub>-weighted MRI, while the bigger ones larger than 10&#xa0;nm are potentially used as negative contrast agents for <italic>T</italic>
<sub>2</sub>-weighted MRI due to their high <italic>r</italic>
<sub>2</sub> relaxivity (<xref ref-type="bibr" rid="B17">Hu et al., 2011</xref>; <xref ref-type="bibr" rid="B26">Lee and Hyeon, 2012</xref>; <xref ref-type="bibr" rid="B27">Lee et al., 2015</xref>; <xref ref-type="bibr" rid="B39">Martinkova et al., 2018</xref>; <xref ref-type="bibr" rid="B7">Dadfar et al., 2019</xref>; <xref ref-type="bibr" rid="B48">Souri et al., 2022</xref>). Nevertheless, one major hurdle is that Fe<sub>3</sub>O<sub>4</sub> nanoparticles easily aggregate and precipitate in the solution (<xref ref-type="bibr" rid="B56">Yu et al., 2006</xref>; <xref ref-type="bibr" rid="B21">Kim et al., 2011</xref>); the other one is that the use of bare Fe<sub>3</sub>O<sub>4</sub> nanoparticles only benefits from passive targeting as a result of the EPR effect in leaky vasculature and poor lymphatic drainage (<xref ref-type="bibr" rid="B38">Maeda, 2010</xref>; <xref ref-type="bibr" rid="B1">Barreto et al., 2011</xref>; <xref ref-type="bibr" rid="B36">Luo et al., 2015</xref>). This approach does not apply for tumor-specific MRI. Therefore, to increase the efficiency and specificity, it is crucial to create stable nanoparticles with active tumor targeting properties.</p>
<p>Anchoring water-soluble polymers, for example, polyethylene glycol (PEG) (<xref ref-type="bibr" rid="B55">Yallapu et al., 2010</xref>; <xref ref-type="bibr" rid="B17">Hu et al., 2011</xref>; <xref ref-type="bibr" rid="B32">Li Z. et al., 2013</xref>; <xref ref-type="bibr" rid="B36">Luo et al., 2015</xref>), polyethyleneimine (PEI) (<xref ref-type="bibr" rid="B40">Mcbain et al., 2007</xref>; <xref ref-type="bibr" rid="B33">Liu et al., 2011</xref>; <xref ref-type="bibr" rid="B31">Li J. et al., 2013</xref>), chitosan (<xref ref-type="bibr" rid="B59">Zhi et al., 2006</xref>; <xref ref-type="bibr" rid="B20">Kievit et al., 2009</xref>; <xref ref-type="bibr" rid="B45">Shi et al., 2012</xref>; <xref ref-type="bibr" rid="B19">Khmara et al., 2019</xref>), and dextran (<xref ref-type="bibr" rid="B50">Tassa et al., 2011</xref>; <xref ref-type="bibr" rid="B10">Easo and Mohanan, 2013</xref>; <xref ref-type="bibr" rid="B42">Naha et al., 2019</xref>; <xref ref-type="bibr" rid="B58">Zhao et al., 2021</xref>), onto the surface of Fe<sub>3</sub>O<sub>4</sub> nanoparticles is a proven strategy to stabilize the nanoparticles and avoid the formation of large aggregates on precipitation. Although this strategy could help to some extent, the functionalized Fe<sub>3</sub>O<sub>4</sub> nanoparticles still lack the targeting ability. Hyaluronic acid (HA) is a water-soluble glycosaminoglycan with repeating units of <sc>d</sc>-glucuronic acid and N-acetyl-<sc>d</sc>-glucosamine (<xref ref-type="bibr" rid="B22">Lapcik et al., 1998</xref>; <xref ref-type="bibr" rid="B6">Choi et al., 2009</xref>; <xref ref-type="bibr" rid="B8">Della Sala et al., 2022</xref>). It is a natural polymer involved in many important physiological processes, such as wound healing, tissue regeneration, and joint lubrication. It has also been identified as a targeting auxiliary with high affinity for the CD44 receptor (<xref ref-type="bibr" rid="B11">Eliaz and Szoka, 2001</xref>; <xref ref-type="bibr" rid="B51">Toole, 2004</xref>; <xref ref-type="bibr" rid="B18">Ju et al., 2016</xref>; <xref ref-type="bibr" rid="B25">Lee et al., 2016</xref>), which is overexpressed in a variety of tumors. Therefore, HA could be used as a targeting ligand for both enhanced imaging and therapy (<xref ref-type="bibr" rid="B23">Lee et al., 2008a</xref>; <xref ref-type="bibr" rid="B24">Lee et al., 2008b</xref>; <xref ref-type="bibr" rid="B30">Li et al., 2014</xref>; <xref ref-type="bibr" rid="B54">Xiao et al., 2015</xref>; <xref ref-type="bibr" rid="B57">Zhang et al., 2020</xref>; <xref ref-type="bibr" rid="B60">Zhou et al., 2021</xref>).</p>
<p>With the aim of improving the contrast of lesions, we reported in this work the creation of HA-stabilized Fe<sub>3</sub>O<sub>4</sub> nanoparticles and their applications in enhanced MRI of tumors. Fe<sub>3</sub>O<sub>4</sub> nanoparticles were first synthesized <italic>via</italic> a co-precipitation method (<xref ref-type="bibr" rid="B9">Ding et al., 2016</xref>). The resulting nanoparticles possess positively charged surface chemistries, which were subsequently stabilized <italic>via</italic> HA through electrostatic interactions (<xref ref-type="fig" rid="F1">Figure 1</xref>). Some literature reports have shown the modification of HA onto the surface of Fe<sub>3</sub>O<sub>4</sub> nanoparticles by chemical conjugation (<xref ref-type="bibr" rid="B30">Li et al., 2014</xref>; <xref ref-type="bibr" rid="B14">Gong et al., 2019</xref>; <xref ref-type="bibr" rid="B35">Luo et al., 2019</xref>; <xref ref-type="bibr" rid="B57">Zhang et al., 2020</xref>). However, this method requires tedious chemical reactions, which could result in low yield, low functionalization density due to inefficient reaction, and batch-to-batch variations in modification density. Taking advantage of electrostatic interactions potentially contributes to the reproducibility of the system since the functionalization density mostly depends on the surface charge of the Fe<sub>3</sub>O<sub>4</sub> nanoparticles. The HA-coated nanoparticles (Fe<sub>3</sub>O<sub>4</sub>@HA) were characterized with a variety of techniques, such as X-ray diffraction (XRD), Fourier transform infrared spectrometry (FTIR), thermogravimetric analysis (TGA), transmission electron microscopy (TEM), and dynamic light scattering (DLS), to verify the success in synthesis and stabilization. Through a series of <italic>in vitro</italic> studies, we showed that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles are biocompatible and hemocompatible. We demonstrated the targeting ability of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at the cellular level <italic>via</italic> comparing cellular uptake of nanoparticles in HA active and blocked modes, respectively. More importantly, Fe<sub>3</sub>O<sub>4</sub>@HA showed much enhanced contrast for MRI in a cervical tumor model in rodents.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Schematic illustration of synthesis and preparation of HA-stabilized Fe<sub>3</sub>O<sub>4</sub> nanoparticles and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles targeting the tumor <italic>via</italic> active binding with the receptor.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g001.tif"/>
</fig>
</sec>
<sec sec-type="results|discussion" id="s2">
<title>Results and Discussion</title>
<sec id="s2-1">
<title>Synthesis and Characterization of Fe<sub>3</sub>O<sub>4</sub>@HA Nanoparticles</title>
<p>Fe<sub>3</sub>O<sub>4</sub> nanoparticles were first synthesized <italic>via</italic> a hydrothermal co-precipitation approach (<xref ref-type="bibr" rid="B9">Ding et al., 2016</xref>). HA was wrapped onto the surface of nanoparticles through electrostatic interactions (<xref ref-type="fig" rid="F1">Figure 1</xref>). XRD was used to investigate the patterns of nanoparticles. Both bare Fe<sub>3</sub>O<sub>4</sub> (black) and Fe<sub>3</sub>O<sub>4</sub>@HA (red) nanoparticles showed same peaks in (220), (311), (400), (422), (511), and (440) planes (<xref ref-type="fig" rid="F2">Figure 2A</xref>), indicating that the incorporation of HA into the system happened in a physical absorption way rather than a chemical reaction. FTIR results (<xref ref-type="fig" rid="F2">Figure 2B</xref>) showed the existence of characteristic signals of HA in Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles, suggesting successful functionalization of HA corona. Furthermore, TGA measurements were used to quantitatively identify the content of HA binding on the surface of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. Compared with bare Fe<sub>3</sub>O<sub>4</sub> nanoparticles, the modified Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles exhibited an increase in weight loss from 12.75 to 32.39% (<xref ref-type="fig" rid="F2">Figure 2C</xref>). The content of HA on the surface of nanoparticles is 19.64%. These results together indicate that we have successfully synthesized Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles with an HA loading of around 20% by weight.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Characterization of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. <bold>(A)</bold> XRD pattern of bare Fe<sub>3</sub>O<sub>4</sub> and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. <bold>(B)</bold> FTIR curves of HA and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. <bold>(C)</bold> TGA analysis of bare Fe<sub>3</sub>O<sub>4</sub> and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g002.tif"/>
</fig>
<p>We next characterized the morphology and size of the resulting Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. TEM imaging clearly revealed spherical nanoparticles with a uniform size distribution (<xref ref-type="fig" rid="F3">Figure 3A</xref>). The size of the nanoparticles was further measured by ImageJ and estimated to be around 10.25 &#xb1; 2.11&#xa0;nm (<xref ref-type="fig" rid="F3">Figure 3B</xref>). Since we did not stain the nanoparticles, the contrast of the HA corona should be relatively low and even negligible. Therefore, the size we measured here is possibly the size of bare Fe<sub>3</sub>O<sub>4</sub> itself. The actual size of Fe<sub>3</sub>O<sub>4</sub>@HA should be considered larger than the size here with the extra HA corona. In addition, we examined the hydrodynamic size and physical stability of Fe<sub>3</sub>O<sub>4</sub>@HA in PBS buffer <italic>via</italic> DLS. The results showed that the hydrodynamic size of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles is in between 270&#x2013;310&#xa0;nm (<xref ref-type="fig" rid="F4">Figure 4</xref>), which is much larger than the size measured by TEM. This is plausibly caused by slight aggregation or interaction among nanoparticles in the solution, as also observed by others in similar systems (<xref ref-type="bibr" rid="B30">Li et al., 2014</xref>). The intensity averaged particle size measured by DLS often reflects a bit more on large-sized particles even though the majority are small ones (<xref ref-type="bibr" rid="B13">Fischer and Schmidt, 2016</xref>). With TEM imaging, we were able to identify the single nanoparticles. Monitoring the hydrodynamic size of Fe<sub>3</sub>O<sub>4</sub>@HA for 14&#xa0;days (<xref ref-type="fig" rid="F4">Figure 4</xref>) showed that the system did not form a super large aggregation or precipitate out within this period of time. Therefore, the bare Fe<sub>3</sub>O<sub>4</sub> nanoparticles were successfully stabilized by coated HA. The zeta potential of Fe<sub>3</sub>O<sub>4</sub>@HA was measured as 32.3 &#xb1; 0.8&#xa0;mV.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Representative TEM image <bold>(A)</bold> and histogram of size distribution <bold>(B)</bold> of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. Spherical nanoparticles were observed with an estimated size of around 10.25 &#xb1; 2.11&#xa0;nm (<italic>n</italic> &#x3d; 132). As the particles were not stained, the HA corona was almost invisible. The actual size of Fe<sub>3</sub>O<sub>4</sub>@HA should be considered larger than the size measured here.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g003.tif"/>
</fig>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>Hydrodynamic size of the Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles and their physical stability over 14&#xa0;days. As a result of slight aggregation, the hydrodynamic size is between 270&#x2013;310&#xa0;nm. Monitoring the hydrodynamic size over 14&#xa0;days showed that the system was stable and did not form super large aggregations or precipitate out within 14&#xa0;days. Data are calculated from three parallel measurements and presented as mean &#xb1; SD.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g004.tif"/>
</fig>
</sec>
<sec id="s2-2">
<title>Measurements of <italic>T</italic>
<sub>2</sub> Relaxivity of Fe<sub>3</sub>O<sub>4</sub>@HA Nanoparticles</title>
<p>Since magnetic Fe<sub>3</sub>O<sub>4</sub> nanoparticles can shorten the transverse <italic>T</italic>
<sub>2</sub> relaxation time of water protons so as to enhance the contrast, we next characterized the <italic>T</italic>
<sub>2</sub> of protons in the Fe<sub>3</sub>O<sub>4</sub>@HA solutions of various Fe concentrations. The results (<xref ref-type="fig" rid="F5">Figure 5</xref>) clearly showed that with the increase in the Fe concentration, Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles were able to cause a decrease in the magnetic resonance (MR) intensity in the <italic>T</italic>
<sub>2</sub>-weighted mode. The transverse relaxivity <italic>r</italic>
<sub>2</sub> (the transverse relaxation rate per mM of iron) was further calculated by linear fitting of the relaxation rate 1/<italic>T</italic>
<sub>2</sub> <italic>vs</italic>. Fe concentration (<xref ref-type="fig" rid="F5">Figure 5</xref>). The <italic>r</italic>
<sub>2</sub> of the Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles was estimated at around 314&#xa0;mM<sup>&#x2212;1</sup>s<sup>&#x2212;1</sup>. This number is higher than the numbers reported in the literature (<xref ref-type="bibr" rid="B46">Shi et al., 2008</xref>; <xref ref-type="bibr" rid="B4">Cai et al., 2012</xref>; <xref ref-type="bibr" rid="B31">Li J. et al., 2013</xref>; <xref ref-type="bibr" rid="B30">Li et al., 2014</xref>), which could be possibly caused by the thinner layer of HA corona due to electrostatic interactions compared with the chemical conjugated ones. Water molecules can penetrate easily through the thinner HA corona and interact with Fe<sub>3</sub>O<sub>4</sub> in the core of the nanoparticles. These results suggested that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles with such high <italic>r</italic>
<sub>2</sub> can be used as a potential candidate for <italic>T</italic>
<sub>2</sub>-weighted MRI.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Linear fitting of 1/<italic>T</italic>
<sub>2</sub> <italic>vs</italic>. Fe concentration. The Fe concentrations are 0.00156, 0.00313, 0.00625, 0.0125, 0.025, 0.05, and 0.1&#xa0;mM. The resulting transverse relaxivity <italic>r</italic>
<sub>2</sub> was estimated as 314.01&#xa0;mM<sup>&#x2212;1</sup>s<sup>&#x2212;1</sup>.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g005.tif"/>
</fig>
</sec>
<sec id="s2-3">
<title>Hemolysis Measurements</title>
<p>Given that all the contrast agents are eventually used for <italic>in vivo</italic> detection and diagnosis, they should be extremely biocompatible with the body. We therefore investigated the hemocompatibility of the Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles, which is one of the crucial prerequisites before the <italic>in vivo</italic> studies. The hemolysis assay was performed at different Fe concentrations (0.025, 0.05, 0.1, 0.2, 0.4, 0.8, and 1.6&#xa0;mM) with water and PBS as controls (<xref ref-type="fig" rid="F6">Figure 6</xref>) for 2&#xa0;h incubation at 37&#xb0;C. The absorbents were collected after incubating Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles with RBC suspension (<xref ref-type="fig" rid="F6">Figure 6</xref>). Along with PBS solution, we did not notice the strong hemolysis effect in the samples with Fe<sub>3</sub>O<sub>4</sub>@HA, while the water control showed an obvious hemolysis phenomenon. By comparing the absorbance at 541&#xa0;nm, we found that the percentage of hemolysis is almost negligible (less than 3%) under the current Fe concentrations. Therefore, we concluded that our Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles were hemocompatible, warranting further investigation <italic>in vivo</italic>.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Hemolysis assay of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles was measured at Fe concentrations of 0.025, 0.05, 0.1, 0.2, 0.4, 0.8, and 1.6&#xa0;mM with water and PBS as controls. The insert graph on the top is a photo of RBCs incubated with different solutions for 2&#xa0;h and subsequently centrifuged. The UV-Vis absorptions of the supernatants were then collected.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g006.tif"/>
</fig>
</sec>
<sec id="s2-4">
<title>
<italic>In Vitro</italic> Cytotoxicity Assay and Cellular Uptake</title>
<p>In order to function as imaging agents for living cells, the nanoparticles have to get into cells and also be compatible with cells. We therefore evaluated the cytotoxicity and cellular uptake of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. The nanoparticles at different Fe concentrations (0.025&#x2013;0.4&#xa0;mM) were incubated with HeLa cells for 24&#xa0;h at 37&#xb0;C. The morphologies of HeLa cells treated with Fe<sub>3</sub>O<sub>4</sub>@HA were observed by phase contrast microscopy. The images (<xref ref-type="fig" rid="F7">Figure 7A</xref>) showed that the morphologies of the nanoparticle groups were similar to those treated with PBS, and no obvious changes were observed, indicating that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles are compatible with cells under the current concentration range. This observation was further verified by <italic>in vitro</italic> cytotoxicity studies. The viabilities of HeLa cells were measured after incubation with Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles (0.025, 0.5, 0.1, 0.2, and 0.4&#xa0;mM) for 24&#xa0;h by MTT assay. Clearly, the Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles did not exert any cytotoxicity until the Fe concentration was at 0.2&#xa0;mM (<xref ref-type="fig" rid="F7">Figure 7B</xref>). Further increase in the Fe concentration to 0.4&#xa0;mM slightly decreased the cell viability by less than 10% compared with the cells treated with PBS. These results, together with the observation of cell morphology, demonstrated that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles are biocompatible and almost non-cytotoxic at the Fe concentration up to 0.4&#xa0;mM.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>
<bold>(A)</bold> Phase contrast microscopic images of HeLa cells incubated with PBS and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at the Fe concentrations of 0.025, 0.05, 0.1, 0.2, and 0.4&#xa0;mM, respectively. The morphologies of the nanoparticle groups were similar to those treated with PBS, and no obvious changes were observed. <bold>(B)</bold> <italic>In vitro</italic> cytotoxicity of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles measured by MTT assay (<italic>n</italic> &#x3d; 3 per group). Nanoparticles show no cytotoxicity until Fe concentration is at 0.2&#xa0;mM. A slight decrease (less than 10%) in cell viability compared with the PBS group was observed at a Fe concentration of 0.4&#xa0;mM. <bold>(C)</bold> Investigation of targeting ability and quantitative determination of cellular uptake of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles using Hela cells (<italic>n</italic> &#x3d; 3 per group). The HA blocked group is a negative control, in which HeLa cells were pretreated with HA to saturate the CD44 receptor and then incubated with Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. The normal Fe<sub>3</sub>O<sub>4</sub>@HA group showed higher cellular uptake than the HA-blocked group at all concentrations, possibly through an active targeting mechanism. Data are presented as mean &#xb1; SD.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g007.tif"/>
</fig>
<p>Since HA has high binding affinity with the CD44 receptor that is overexpressed in HeLa cells, we next assessed the targeting ability of HA toward the model HeLa cell line. Cells were treated with PBS and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at concentrations of 0.025, 0.5, 0.1, 0.2, and 0.4&#xa0;mM. After 4&#xa0;h of incubation, the cells were washed with PBS three times, digested, centrifuged, and resuspended in PBS for cell counting. Cells were further lysed, and the Fe uptake was quantified by inductively coupled plasma-atomic emission spectroscopy (ICP-AES). The negative control group was created by pretreating HeLa cells with HA (10&#xa0;&#x3bc;M in DMEM) for 2&#xa0;h to saturate the CD44 receptor and then incubating with Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. As shown in <xref ref-type="fig" rid="F7">Figure 7C</xref>, the HeLa cells showed a dose-dependent cellular uptake of Fe<sub>3</sub>O<sub>4</sub>@HA. The amount of nanoparticles entered the cells increased with increasing Fe concentration in both the Fe<sub>3</sub>O<sub>4</sub>@HA group and the negative control HA-blocked group. More importantly, the normal Fe<sub>3</sub>O<sub>4</sub>@HA group showed higher cellular uptake compared with the HA-blocked group at all concentrations. Quantitively, the amounts of Fe uptake in the Fe<sub>3</sub>O<sub>4</sub>@HA group were 1.7, 2.6, 1.5, 1.6, and 1.9 folds compared with those in the HA-blocked group at the incubation concentrations of 0.025, 0.5, 0.1, 0.2, and 0.4 mM, respectively (<xref ref-type="fig" rid="F7">Figure 7C</xref>). These observations suggested that the HA corona on the surface of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles can mediate the specific interactions with the CD44 receptor expressed by HeLa cells and realize an active targeting mechanism. The results also perfectly elaborate on the design principle of the work.</p>
</sec>
<sec id="s2-5">
<title>
<italic>In Vitro</italic> MRI of HeLa Cells</title>
<p>To verify the feasibility of using Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles as contrast agents, we next performed an <italic>in vitro</italic> MRI study. HeLa cells were co-incubated with Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at various Fe concentrations (0.025, 0.5, 0.1, 0.2, and 0.4&#xa0;mM) for 6&#xa0;h at 37&#xb0;C with PBS as a control. Furthermore, <italic>T</italic>
<sub>2</sub>-weighted MRI of the HeLa cells was performed and analyzed. As shown in <xref ref-type="fig" rid="F8">Figure 8A</xref>, the MR images of the cells treated with Fe<sub>3</sub>O<sub>4</sub>@HA presented lower signal intensity than the PBS control group. The signal also exhibited a dose-dependent behavior, which decreased with the increase in the Fe concentration (<xref ref-type="fig" rid="F8">Figure 8B</xref>). These results indicated the effective role of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles in providing adequate imaging contrast, and the dose-dependent decrease in signal intensity is probably a result of the concentration-dependent cellular uptake.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>
<bold>(A)</bold> <italic>T</italic>
<sub>2</sub>-weighted <italic>in vitro</italic> MRI of HeLa cells treated with PBS and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at concentrations of 0.025, 0.05, 0.1, 0.2, and 0.4&#xa0;mM for 6&#xa0;h (<italic>n</italic> &#x3d; 3). <bold>(B)</bold> Corresponding signal intensity of MRI results. Data are calculated from three parallel measurements and presented as mean &#xb1; SD.</p>
</caption>
<graphic xlink:href="fphar-13-918819-g008.tif"/>
</fig>
</sec>
<sec id="s2-6">
<title>
<italic>In Vivo</italic> MRI in a Xenografted Tumor Model in Mice</title>
<p>After demonstrating the possibility of <italic>in vitro</italic> MRI in cells, we further investigated the use of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles for <italic>in vivo</italic> MRI in a HeLa xenografted tumor model. When the tumor reached a size of around 150&#xa0;mm<sup>3</sup>, Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles were administered intravenously at Fe concentration of 10&#xa0;mM in 100&#xa0;&#x3bc;L PBS. MRI was then performed at 1, 2, 4 and 8&#xa0;h post-injection. In the group of blocked HA, it (100&#xa0;&#x3bc;M in 50&#xa0;&#x3bc;L PBS) was intratumorally injected to saturate the CD44 receptor 1&#xa0;h before administration of nanoparticles. The <italic>T</italic>
<sub>2</sub>-weighted MR images of Fe<sub>3</sub>O<sub>4</sub>@HA and HA-blocked groups are shown in <xref ref-type="fig" rid="F9">Figures 9A,B</xref>, respectively. We found that the MR signals in both groups decreased after injection. Based on more quantitative assessment (<xref ref-type="fig" rid="F9">Figure 9C</xref>), we found that the highest contrast enhancement happened at 1&#xa0;h post injection and then gradually recovered. In the Fe<sub>3</sub>O<sub>4</sub>@HA group, the signals decreased by 66, 50, 30, and 20% at 1, 2, 4, and 8&#xa0;h post-injection, respectively, compared with that before injection. However, in the HA-blocked group, the signals only decreased by 29% at 1&#xa0;h post injection and had already recovered back to similar intensity as that before injection at 4&#xa0;h. Direct comparison between Fe<sub>3</sub>O<sub>4</sub>@HA and HA-blocked groups showed significant differences, indicating that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles achieved more effective tumor targeting in the HA active state than in the HA-blocked state. The slight decrease in the MR intensity in the HA-blocked group could be a result of passive targeting because of the EPR effect, and the recovery of the intensity could be mainly attributed to the metabolism process that cleared nanoparticles out of the body, but the significantly lower MR signals in the Fe<sub>3</sub>O<sub>4</sub>@HA group than in the HA blocked group at the same time point clearly indicated the role of the HA-mediated specific tumor targeting pathway in addition to the EPR effect. These results are consistent with our <italic>in vitro</italic> cellular uptake studies, which again confirmed that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles could target the tumor through an active targeting mechanism, realizing more effective MRI both <italic>in vitro</italic> and <italic>in vivo</italic>.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>
<bold>(A,B)</bold> <italic>T</italic>
<sub>2</sub>-weighted <italic>in vivo</italic> MRI of nude mice (<italic>n</italic> &#x3d; 3) bearing HeLa tumor before and after administration of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. The HA-blocked group <bold>(B)</bold> is a negative control, in which HA was intratumorally injected to saturate the CD44 receptor 1&#xa0;h before administration of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles. <bold>(C)</bold> Comparison of the corresponding signal intensity of MRI results of Fe<sub>3</sub>O<sub>4</sub>@HA and HA-blocked groups (<italic>n</italic> &#x3d; 3 per group). The significant differences in the intensity indicate that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles achieved more effective tumor targeting in the HA active state than in the HA blocked state. Data are presented as mean &#xb1; SD and analyzed by one-way ANOVA (0.01 &#x3c; &#x2a;<italic>p</italic> &#x2264; 0.05; &#x2a;&#x2a;<italic>p</italic> &#x2264; 0.01; &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x2264; 0.001).</p>
</caption>
<graphic xlink:href="fphar-13-918819-g009.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="conclusion" id="s3">
<title>Conclusion</title>
<p>In this article, we created the HA-stabilized Fe<sub>3</sub>O<sub>4</sub> nanoparticles simply through electrostatic interactions. The adhesion of HA onto the surface of bare Fe<sub>3</sub>O<sub>4</sub> nanoparticles contributes to the dispersibility and stability of colloidal aggregates. The formed Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles are compatible with cancer cells and RBC suspension in the studied concentration range. The relatively high <italic>r</italic>
<sub>2</sub> relaxivity is a result of the thin-layered HA corona that allows better penetration of water molecules into the particle core. Our findings showed that Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles are able to enter into HeLa cells overexpressing the CD44 receptor through a specific cell targeting pathway in the HA active state compared with the HA-blocked state. Furthermore, the created Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles can be used as effective nanoprobes for targeted MRI of both HeLa cells <italic>in vitro</italic> and xenografted HeLa tumors <italic>in vivo</italic>. We hope that our findings will eventually contribute to building up the general design principle of the targeted delivery of nanoparticles for both cancer diagnosis and therapy.</p>
</sec>
<sec sec-type="materials|methods" id="s4">
<title>Materials and Methods</title>
<sec id="s4-1">
<title>Materials</title>
<p>Hyaluronic acid (6&#xa0;KDa) was purchased from Zhenjiang Dong Yuan Biotechnology Corporation (Zhenjiang, China). Iron (III) chloride hexahydrate (FeCl<sub>3</sub>.6H<sub>2</sub>O), iron (II) chloride tetrahydrate (FeCl<sub>2</sub>.4H<sub>2</sub>O), and sodium hydroxide were purchased from Aladdin Ltd. (Shanghai, China). 3-(4,5Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) was supplied by Thermo Fisher Scientific, Ltd. (Waltham, MA). Fetal bovine serum (FBS), Dulbecco&#x2019;s modified Eagle&#x2019;s medium (DMEM), penicillin-streptomycin, and trypsin were obtained from Gibco Life Technologies Co. (Grand Island, NY). Regenerated cellulose dialysis membranes with a molecular weight cut-off (MWCO) of 50&#xa0;KDa were acquired from Fisher (Pittsburgh, PA).</p>
</sec>
<sec id="s4-2">
<title>Synthesis of Fe3O4@HA Nanoparticles</title>
<p>The nanoparticles were synthesized <italic>via</italic> a facile controlled co-precipitation method. Briefly, 30&#xa0;mg of HA was first dissolved in 25&#xa0;ml Milli-Q water (resistivity higher than 18.2&#xa0;M&#x3a9; cm, a Milli-Q Plus 185 water purification system (Millipore, Bedford, MA)) and stirred in a three-neck round-bottom flask to obtain a homogeneous solution. The solution was degassed with bubbling N<sub>2</sub> to remove O<sub>2</sub> and heated to 80&#xb0;C. Then, 0.36&#xa0;g of FeCl<sub>3</sub>.6H<sub>2</sub>O and 0.132&#xa0;g of FeCl<sub>2</sub>.4H<sub>2</sub>O were dissolved in 7.5&#xa0;ml O<sub>2</sub>-free Milli-Q water and added to the HA solution. After stirring for 15&#xa0;min under N<sub>2</sub> protection, 10&#xa0;ml of O<sub>2</sub>-free Milli-Q water containing 1&#xa0;g of NaOH was quickly added to the mixture under mechanical stirring of 1200&#xa0;rpm. The reaction was continued for another 2&#xa0;h at 80&#xb0;C. After cooling down to room temperature, the black solution was 1) centrifuged at a low speed of 600&#xa0;rpm to get rid of the big aggregations and 2) magnetically separated and re-dispersed in the Milli-Q water. The obtained solution was further dialyzed (molecular weight cut-off at 50&#xa0;KDa) against Milli-Q water for 2&#xa0;days to remove free ions and HA. A small quantity of the Fe<sub>3</sub>O<sub>4</sub>@HA solution was subjected to freeze-drying, and the leftover was stored at 4&#xb0;C.</p>
</sec>
<sec id="s4-3">
<title>Characterization of Fe<sub>3</sub>O<sub>4</sub>@HA Nanoparticles</title>
<p>The crystalline structure of the Fe<sub>3</sub>O<sub>4</sub> and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles was characterized by X-ray diffraction (XRD) in a 2&#x3b8; range of 20&#x2013;80&#xb0;, using a D/max 2550&#xa0;PC X-ray diffractometer (Japan, Rigaku Cop.) with Cu K&#x3b1; radiation (<italic>&#x3bb;</italic> &#x3d; 0.154,056&#xa0;nm) at 40&#xa0;kV and 200&#xa0;mA. Fourier transform infrared (FTIR) spectra of Fe<sub>3</sub>O<sub>4</sub> and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles were obtained by using a Nexus 670 spectrometer (Thermo Nicolet Corporation, Madison, WI). Thermogravimetric analysis (TGA) was performed in a temperature range of 30&#x2013;900&#xb0;C with a heating rate of 20&#xb0;C/min under nitrogen using a TG209 F1 (NETZSCH Instruments Co., Ltd., Germany) thermogravimetric analyzer.</p>
</sec>
<sec id="s4-4">
<title>Size and Stability Measurements</title>
<p>The TEM samples were prepared by adding 10&#xa0;&#x3bc;L of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticle (Fe concentration 0.1&#xa0;mM) solution onto a carbon-film-coated copper grid (400 square mesh, Electron Microscopy Sciences, Hatfield, PA, United States), and the excess solution was wicked with a filter paper. The grid was air-dried before imaging and was then imaged using a FEI Tecnai 12 TWIN transmission electron microscope (100&#xa0;kV). A SIS Megaview III wide-angle CCD camera was used to acquire the TEM images. The samples for dynamic light scattering measurements were prepared at a Fe concentration of 0.2&#xa0;mM, and then, the hydrodynamic size of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles was measured by a Malvern Zetasizer Nano ZS model ZEN3600 (Worcestershire, U.K.) equipped with a standard 633-nm laser. Three repeated measurements for each sample were determined to give the average values and standard deviations.</p>
</sec>
<sec id="s4-5">
<title>Determination of <italic>T</italic>
<sub>2</sub> Relaxivity</title>
<p>The Fe concentration of Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles was previously determined using the Leeman Prodigy Inductively Coupled Plasma-Atomic Emission Spectroscopy (ICP-AES) system (Hudson, NH03051). Sample solutions at Fe concentrations of 0.00156, 0.00313, 0.00625, 0.0125, 0.025, 0.05, and 0.1&#xa0;mM were prepared by dilution of stock solution before measurements. <italic>T</italic>
<sub>
<italic>2</italic>
</sub> relaxometry was performed by using a 0.5-T NMI20-Analyst NMR Analyzing and Imaging system (Shanghai Niumag Corporation, China). Instrumental parameters are as follows: a point resolution of 156&#xa0;mm &#xd7; 156&#xa0;mm, section thickness of 0.6&#xa0;mm, TR of 4000&#xa0;ms, TE of 60&#xa0;ms, and number of excitation of 1. The <italic>T</italic>
<sub>
<italic>2</italic>
</sub> relaxivity was determined by linear fitting of 1/<italic>T</italic>
<sub>
<italic>2</italic>
</sub> <italic>vs.</italic> Fe concentration.</p>
</sec>
<sec id="s4-6">
<title>Hemolysis Assay</title>
<p>Mouse blood (1.5&#xa0;ml) collected from the inner canthus vein plexus was mixed with 3.5&#xa0;ml of PBS. Pure red blood cells (RBCs) were obtained <italic>via</italic> repeated centrifugation/redispersion processes (2000&#xa0;rpm, 10 min, three times). The RBCs were then diluted with 5&#xa0;ml of PBS for further use. A measure of 100&#xa0;&#x3bc;L of the obtained RBC suspension was mixed with 900&#xa0;&#x3bc;L PBS (negative control), water (positive control), and Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticle solution in PBS at various Fe concentrations (0.025, 0.05, 0.1, 0.2, 0.4, 0.8, and 1.6&#xa0;mM). After 2&#xa0;h incubation at 37&#xb0;C, sample solutions were centrifuged at 10,000&#xa0;rpm for 15&#xa0;min. The absorbance of the supernatant for each sample at 540&#xa0;nm was then measured <italic>via</italic> a Lambda 25 UV-Vis spectrophotometer (PerkinElmer, Boston, MA). The hemolysis rate was calculated as follows: <inline-formula id="inf1">
<mml:math id="m1">
<mml:mrow>
<mml:mtext>hemolysis</mml:mtext>
<mml:mtext>rate</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mtext>%</mml:mtext>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>&#x3d;</mml:mo>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mtext>A</mml:mtext>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>sample,&#xa0;</mml:mtext>
<mml:mn>540</mml:mn>
<mml:mtext>&#xa0;nm</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
<mml:msub>
<mml:mrow>
<mml:mo>-</mml:mo>
<mml:mtext>A</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>negative,&#xa0;</mml:mtext>
<mml:mn>540</mml:mn>
<mml:mtext>&#xa0;nm</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mtext>/</mml:mtext>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>A</mml:mtext>
<mml:mmultiscripts>
<mml:mo>-</mml:mo>
<mml:mprescripts/>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>positive,&#xa0;</mml:mtext>
<mml:mn>540</mml:mn>
<mml:mtext>&#xa0;nm</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:none/>
</mml:mmultiscripts>
<mml:msub>
<mml:mtext>A</mml:mtext>
<mml:mrow>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mtext>negative,&#xa0;</mml:mtext>
<mml:mn>540</mml:mn>
<mml:mtext>&#xa0;nm</mml:mtext>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mtext>%</mml:mtext>
</mml:mrow>
</mml:math>
</inline-formula>.</p>
</sec>
<sec id="s4-7">
<title>Cell Culture, Morphology, and <italic>In Vitro</italic> Cytotoxicity</title>
<p>HeLa cells were purchased from the Institute of Biochemistry and Cell Biology (the Chinese Academy of Sciences, Shanghai, China) and cultured in DMEM containing 5% FBS and 1% antibiotics at 37&#xb0;C and 5% CO<sub>2</sub>.</p>
<p>HeLa cells (10,000 cells/well) were seeded in 96-well plates overnight. The Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at various Fe concentrations (0.025, 0.05, 0.1, 0.2, and 0.4&#xa0;mM) were next incubated with the HeLa cells for another 24&#xa0;h in 200&#xa0;&#x3bc;L of DMEM. HeLa cells treated with PBS were used as a control. The morphology of HeLa cells was further observed by phase contrast microscopy (Leica DM IL LED inverted phase contrast microscope) at a magnification of 200 times.</p>
<p>
<italic>In vitro</italic> cytotoxicity was further quantitively confirmed by the MTT assay. Similar to the protocols described earlier, HeLa cells (10,000 cells/well) were seeded in 96-well plates overnight. The Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at various Fe concentrations (0.025, 0.05, 0.1, 0.2, and 0.4&#xa0;mM) were then incubated with the HeLa cells for another 24&#xa0;h in 200&#xa0;&#x3bc;L DMEM. Furthermore, the cells were rinsed three times with PBS and then incubated in 100&#xa0;&#x3bc;L of FBS-free DMEM medium containing 10% MTT for 4&#xa0;h. After removal of the medium, the MTT assay was performed according to the manufacturer&#x2019;s instructions. For each concentration, three parallel wells were measured to give the average values and standard deviations.</p>
</sec>
<sec id="s4-8">
<title>Cellular Uptake of Fe3O4@HA in HA Active and Blocked States</title>
<p>HeLa cells (2 &#xd7; 10<sup>6</sup> cells/well) were seeded in 6-well plates for overnight adherence. The seeded plates were divided into two groups, and the cell medium was replaced on the second day. One group was replaced with fresh DMEM medium, and the other group was replaced with fresh DMEM containing HA (10&#xa0;&#x3bc;M) that pre-saturates the overexpressed CD44 receptor in HeLa cells. After incubation for another 2&#xa0;h, the medium was removed, and the cells were washed with PBS three times. Then, the cells were further incubated with fresh DMEM containing Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at various Fe concentrations (0.025, 0.05, 0.1, 0.2, and 0.4&#xa0;mM) for 4&#xa0;h at 37&#xb0;C. Next, the cells were washed three times with PBS, digested by trypsinization, centrifuged (1000&#xa0;rpm, 5&#xa0;min), and resuspended in PBS for cell counting. The remaining cells were centrifuged (1000&#xa0;rpm, 5&#xa0;min) and lysed using 0.5&#xa0;ml aqua regia solution (nitric acid/hydrochloric acid, v/v &#x3d; 1:3) for one day. Finally, we diluted the samples with PBS, and the cellular uptake of the Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles was evaluated by inductively coupled plasma-atomic emission spectroscopy (ICP-AES).</p>
</sec>
<sec id="s4-9">
<title>
<italic>In Vitro</italic> MRI of Cancer Cells</title>
<p>The animal study protocol was approved by the Ethics Committee of Scientific Research and Clinical Trials of the First Affiliated Hospital of Zhengzhou University. HeLa cells (5 &#xd7; 10<sup>6</sup> cells/flask) were seeded into 25&#xa0;cm<sup>2</sup> culture flasks with 5&#xa0;ml DMEM overnight at 37&#xb0;C. On the second day, Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles at different Fe concentrations (0.025, 0.05, 0.1, 0.2, and 0.4&#xa0;mM) in 5&#xa0;ml fresh medium were replaced. After 6&#xa0;h incubation, the HeLa cells were rinsed three times with PBS, digested by trypsinization, centrifuged (1000&#xa0;rpm, 5&#xa0;min), and resuspended in 1&#xa0;ml (containing 0.5% agarose) PBS in a 2-ml eppendorf tube. The <italic>T</italic>
<sub>
<italic>2</italic>
</sub>-weighted MRI of HeLa cells was performed on a 3.0&#xa0;T Signa HDxt superconductor clinical MR system (GE Medical Systems, Fairfield, CT). 2D spin-echo MR images were obtained with the parameters of 2&#xa0;mm slice thickness, TR/TE 2000/96.2&#xa0;ms, FOV 6 &#xd7; 6&#xa0;cm, and 256 &#xd7; 256 matrix.</p>
</sec>
<sec id="s4-10">
<title>
<italic>In Vivo</italic> MRI of the Tumor Model</title>
<p>For the experiment, 6-week-old female BALB/c nude mice were purchased from SPF (Beijing) Biotechnology Co., Ltd. HeLa cells (2 &#xd7; 10<sup>6</sup> in 100&#xa0;ml PBS) were subcutaneously injected into the left back of the mice. After 3&#x2013;4 weeks, when the tumor reached a size &#x223c;150&#xa0;mm<sup>3</sup>, the mice were randomly divided into two groups (<italic>n</italic> &#x3d; 3 per group). One group was intratumorally injected with HA (100&#xa0;&#x3bc;M) in 50&#xa0;&#x3bc;L PBS 1&#xa0;h before the injection of Fe<sub>3</sub>O<sub>4</sub>@HA contrast agents. Then, both groups of mice were anesthetized by an intraperitoneal injection of pentobarbital sodium (40&#xa0;mg/kg). The Fe<sub>3</sub>O<sub>4</sub>@HA nanoparticles (Fe concentration &#x3d; 10&#xa0;mM, in 100&#xa0;&#x3bc;L PBS) were then intravenously injected into mice. The <italic>in vivo</italic> tumor MRI studies were conducted at different time points (1, 2, 4, and 8&#xa0;h post injection) using a 3.0&#xa0;T Signa HDxt superconducting clinical MR system attached with a custom-built animal receiver coil. 2D spin-echo MR images were obtained with the parameters of 2&#xa0;mm slice thickness, TR/TE 2000/96.2&#xa0;ms, FOV 6 &#xd7; 6&#xa0;cm, and 256 &#xd7; 256 matrix. The <italic>T</italic>
<sub>
<italic>2</italic>
</sub>-weighted MR images before administration were also obtained as controls.</p>
</sec>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data Availability Statement</title>
<p>The raw data supporting the conclusion of this article will be made available by the authors without undue reservation.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Ethics Committee of Scientific Research and Clinical Trials of the First Affiliated Hospital of Zhengzhou University.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>WZ convinced the idea, designed, and supervised the experiments; ZZ, SL, ZC, BW, and TZ conducted the experiments; WZ, ZZ, and BW analyzed the data; WZ and ZZ wrote the manuscript. All authors have read and agreed to the published version of the manuscript.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This research was funded by the Henan Province Medical Science and Technology Research Program (Provincial and Ministry Co-construction) Project, grant number SBGJ202003026.</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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