Cell Membrane Coated Nanoparticles for Biomedical Applications

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Cell Membrane Coated Nanoparticles for Biomedical Applications
Advances in Applied NanoBio-Technologies                                                                2022, Volume 3, Issue 1, Pages: 49-59

                                                                                    J. Adv. Appl. NanoBio Tech.

                                                                                           ISSN:   2710-4001
                                                                                              Journal web link:
                                                                                      http://www.AANBT.dormaj.com

                                                                                  https://doi.org/10.47277/AANBT/3(1)59

            Cell Membrane Coated Nanoparticles for
                   Biomedical Applications
                                            Elham Nemati1, Ahmad Gholami1*
                               *Biotechnology Research Center, Shiraz University of Medical Science, Shiraz, Iran

               Received: 20/12/2021                        Accepted: 26/12/2021                       Published: 20/03/2022

Abstract
Today cell-based remedies have shown amazing and hopeful results in many medical fields, including genetic engineering, bio-
imaging, and regenerative medicine and drug delivery. The distribution of phospholipids and proteins across cellular membranes
is asymmetric in most organisms and this asymmetry plays an essential role in various cellular activities and functions, for example
programmed cell death, absorption, etc. Scientists have attempted to study membrane-regulated formation and function for many
years. Today, researchers are constantly trying to use asymmetric artificial membrane models in various fields. Presently
nanoparticles (NPs) have been extensively inquired into several biomedical applications containing diagnostics, cancer therapy,
imaging, and targeted drug and gene-delivery. It is necessary to modify the surface of nanomaterials and nanoparticles so that they
are not to be cleared by the immune system. In this study, biomedical applications and challenges faced by nanoparticles coated by
cell membranes and other medical applications of asymmetric membranes which are often made of lipids, polymers, or a
combination of both, are investigated.
Keywords: Nanoparticles, biomedical applications, Cell Membrane-Coated Nanoparticles, targeted drug delivery, immune responses

1 Introduction                                                               many fields such as targeted drug delivery, diagnostic
                                                                             imaging, etc. Because of the great properties of
The cell membrane is made of lipids, proteins and                            nanoparticles, they can control drug releasing, protect drugs
carbohydrates and is semi-permeable and it also varies based                 and also loading capacity and targeting ability, etc. So they
on cell function in different cells. 1, 2 The lipid molecules                have shown great potential for the future of biomedical
made bilayers that prepare a steady substrate, and proteins                  applications. 1, 10 Nanoparticles protect loading until target
and channels can accomplish their cellular activities and                    delivery, also with altering their ligands we could enhance
transport materials with selective permeability. 1, 3 One of the             their ability like targeting. 11, 12
important functions of the cell membrane is cellular
communication through information transmission and                           We could use Polyethylene glycol (PEG) to extend
reception. 1 The plasma membrane also acts as a border and                   nanoparticles circulation time but it’s not a permanent
swaps information between cell and another cell, or between                  solution, and also can cause hypersensitivity. 11, 13 Therefore
cell and environment. 4, 5 Cell membranes have specific                      cell membrane coating is so promising approach. Until today
receptors so specific biomolecules can bind them. 1 When                     cell membrane coating imitates the surfaces of bacteria, stem
we coated nanomaterials with cell membranes that have                        cells, platelets, cancer cells, RBCs, and leukocytes. 6, 11
these specific receptors, biomolecules identify them. Cell                   Different antigenic profiles on cell membranes help them to
membrane coated nanomaterials provide functions and                          perform diverse biological functions. 1, 14 Because of its good
performances of live cells for them, which can use in                        biocompatibility, the ability to do various functions, and no
different biomedical applications. 1, 6                                      need for organic solvents, Used in various medical
                                                                             technologies, e.g. immunotherapy, optical therapy, tumor
The most of nanoparticles that use in nanomedicine, are                      imaging, drug delivery, vascular injury repair,
synthetic, and the immune system discovers them simply                       detoxification, etc. (figure 1.) and the design and biomedical
and removes them. 7, 8 Scientists cover nanoparticles with                   applications of cell membrane-coated nanomaterials discuss
cell membranes so they could stay longer in the body without                 in this review. 1, 11
discovering and eliminating. 7, 9 We can use Nanoparticles in

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Cell Membrane Coated Nanoparticles for Biomedical Applications
Advances in Applied NanoBio-Technologies                                                              2022, Volume 3, Issue 1, Pages: 49-59

   Figure 1. Some of the applications’ of membrane coated nanoparticle in biomedical fields. (Reposted with permission from
                                         reference 11 Copyright © 2019, The Author(s))

2 Cell membrane                                                              2.3 Cell membrane`s proteins

The total membrane area in a body is about 107 m2. 15 Cell                   Cell membrane`s proteins accomplish most of the vital
membrane is made of lipids, transmembrane proteins, and                      performance such as, cell-cell recognition, transportation
peripheral       proteins,      carbohydrates,      glycoproteins,           and interactions. 7 Membrane receptor proteins particularly
glycolipids, and semipermeability is one of its important                    perform interactions between different cells and also
features. 1, 15 Just as the function of different cells is different,        between cells and environment.
the structure of their cell membranes is also different. The
cell membrane protects the entirety and cell shape and it also               3 Using asymmetric cell membranes in medical
controls cell entry and exit, and it is also responsible for                 applications
cellular communication. 1, 16
                                                                             Overall because of all the amazing features of the cell
2.1 Cell membrane`s lipids                                                   membrane has for example shape of that, membrane
                                                                             channels, chemical components, receptors, and also their
Cell membrane mostly contains lipids, they constitute two                    numerous functions, and its Biocompatibility, it is currently
leaflets that together form a bilayer because of their                       the best and most ideal example for coating nanoparticles
amphiphilic character. 17, 18 Lipids’ hydrocarbon chains face                and other medical applications. 15, 21 Cell membranes can
each other and create the core of the membrane; and their                    prepare stable segments on which proteins can support
polar head group is oriented to the surroundings. 17, 19                     signaling and selective transmission. 15 With coating
Asymmetry in natural membranes is mainly due to the                          nanomaterials with the cell membrane, functions and
distribution of lipids, and also they play a major role in signal            features of live cells are transferred to nanomaterials, and
transduction and molecular recognition processes and are                     with using different kind of cells, functions and features of
used to store energy.                                                        nanomaterials will be different. 1, 15 So because of the
                                                                             features mentioned earlier we can widely use cell membrane
2.2 Cell membrane`s carbohydrates                                            in different biomedical applications, for instance vesicles
                                                                             that use in drug delivery or gene delivery, biosensors. 9, 15
Another important ingredient from which cell membranes
are made is carbohydrates, they are usually combined with                    4 Coating Methods
proteins and lipids in glycoconjugate form. 7 These
substances are involved in cell signaling proceedings,                       Various methods are used to manufacture cell membrane-
predominantly in cell recognition processes as receptors. 7                  coated nanoparticles, first with physical extrusion
Monosaccharides, which are the smallest type of membrane                     nanoparticles cores and purified membrane are coextruded.
                                                                             10, 22 Lately sonication-based method has been applied. In
carbohydrates, contain mannose, fructose, galactose, sialic
acid, glucose, are used in the production of nanoparticles for               this method, due to the intense forces created by ultrasonic
specific targeting ability and also their mediate role in                    energy, the core-shell nanoparticles are formed
cellular responses. 7, 20                                                    automatically. 19, 22 In this method, fewer materials are used
                                                                             than the previous method. 22, 23 Researchers reported some

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Cell Membrane Coated Nanoparticles for Biomedical Applications
Advances in Applied NanoBio-Technologies                                                           2022, Volume 3, Issue 1, Pages: 49-59

new approaches to make membrane-coating nanoparticles                    for transferring oxygen with hemoglobin to distal sites in
with electroporation and use RBC membrane for coating                    each cell. 26, 27 11 There are some self-markers on RBC
magnetic nanoparticles. 21, 22 If we adjust the pulse voltage,           membranes that keep the nanoparticles safe from blood
duration and the flow velocity correctly, high-quality cell              clearance and let them remain in blood circulation about 120
membrane nanoparticles are obtained from this technique. 22,             days. 28 29 Different types of particles like metal–organic
24, 25 Besides all of these methods we can also use live cell to         frameworks (MOFs), mesoporous silica nanoparticles
produce them. And after some changes force cells to secrete              (MSNs),        poly    (lactic-co-glycolic    acid)     (PLGA)
vesicles containing the exogenous nanoparticles. 22, 24                  nanoparticles, gold nanoparticles, perfluorocarbons (PFCs)–
                                                                         PLGA nanoparticles, Fe2O3 NPs can be covered by RBC
5 Choosing appropriate cell                                              membranes. (figure 2.) 23, 29, 30 RBC is completely
                                                                         biocompatible to deliver antiviral, anti-inflammatory, anti-
Circulatory cells are the best choices for coating since their
                                                                         neurodegenerative and anti-cancer drugs. 14, 31 Especially in
perfect properties, including natural delivery mechanisms,
                                                                         cancer they are so useful and with the long circulation time
circulation throughout the body, the ability to pass almost
                                                                         in the bloodstream, Therefore, it can be more effective in
impermeable biological barriers and natural stealth
                                                                         treating cancer and delivering drugs to cancer tissue than
properties. 13, 26 So for choosing the best cell for the specific
                                                                         conventional drugs and Increase the effect of drug
application it's critical to know cell functions and features
                                                                         localization in vivo. 29, 30 Gold nanoparticles` effect and their
entirely. 26
                                                                         photothermal, also have been investigated And the results
6 RBC Coated Nanoparticles                                               were satisfactory so far. 5, 30 And with the use of membrane-
                                                                         coated PLGA NPs increasing the efficiency of antigen
Red blood cells or Erythrocytes are the greatest choices for             delivery to dendritic cells have been observed in the new
coating, they are the most plentiful blood cell that are vital           research. 30, 32

     Figure 2. Some of the nanoparticles that can be loaded in RBC membranes. (Reposted with permission from reference 29
                                           Copyright © 2019, Oxford University Press)

Coating NPs with RBC membrane cause, improving in                        progressions and atherosclerosis, etc. 34, 35 Platelet
stability and solubility, decrease adverse effects and as                membrane contains their own various biomarkers such as
mentioned earlier lengthen blood circulation without                     CD47 that help them to survive from being phagocytosis by
recognizing by macrophages and immune system,                            macrophage, and some other biomarkers that inhibit
tolerability, reduced immunogenicity.11, 28, 31 Also due to              activation of immune and complement system. 34, 36
semi-permeability the release process is slow and continues.             According to some reports platelet membrane‑coated
11, 33 So it could improve therapeutic influence in numerous
                                                                         nanoparticles can aim collagen, foam cells, inflammatory
methods. 28 Therefore membranes` of erythrocyte were the                 tissues and activated endothelium. 37 34 38, 39 Tumors imbibe
first and attractive choice for coating. 22                              platelets and make a shield to conceal their surface antigens
                                                                         from the immune system, so if antitumor drugs load in
                                                                         platelets membrane, they could directly be absorbed into the
7 Platelets Coated Nanoparticles                                         tumor site and reduce the metastasis of lung cancer and
                                                                         prevent primary growth of nodules in breast cancer. 34, 40-44
Platelets are non-nucleated cells in the blood that perform              In addition, antibiotics also can be loaded in platelets
some of the essential pathophysiological processes, such as              membrane like vancomycin, and improved antimicrobial
Role in body functions against inflammation, tumor                       efficacy in vivo. 34 45, 46

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8 WBC Coated Nanoparticles                                               9 Macrophage Coated Nanoparticles

Leukocyte are immunological cells defending body and                     Macrophages are important cells in the immune system that
native cells against pathogens and diseases. 11 Leukocyte                resident in tissue, they have taken from monocytes and
membrane‑coated nanoparticles have advantages over red                   recruited and digest harmful microorganisms and other non-
blood cells such as they are larger than RBCs, because of                native substances that have entered the body. 29, 30 Cytokines
their amoeboid moving can move between blood flow and                    and chemokines secreted by damaged tissue send signals to
surrounding tissue effectively. 11, 47 They also have particular         circulating monocytes, which become macrophages when
surface proteins and membrane receptors which make them                  they reach the tissues from the bloodstream. 30, 49 Monocytes
extremely useful. 44 Leukocyte can pass through the                      are kind of leukocytes (WBC) they have key roles in
endothelium so leukocyte Membrane‑Coated Nanoparticles                   inflammation and homeostasis. 31 Some of the advantages of
also traverse the inflamed endothelium and carry the                     using macrophages (monocytes) for carrying drug delivery
nanoparticles with themselves. 41, 48                                    is they can cross complicated biological barriers so they can
                                                                         easily migrate and interpenetrate into inflammatory tissues
Lymphocytes, monocytes, neutrophils, eosinophils, and                    and tumors; (figure 3.) and also because of their long
basophils are different kind of leukocytes and because they              lifecycle nanoparticles remain in the body longer and
have nucleus using them as membrane are more difficult                   perform their duties. 31, 36 Studies and experiments until now
than RBCs and platelets. 11, 20 Because their attractive                 showed promising future for the treatment of cancer and
properties they can simply interact with tumor cells both in             anticancer immune activation. 11, 31 Macrophage membrane
the tumor site and in circulation. 11 We can use membrane of             coated nanoparticles are also used for the treatment of sepsis
macrophage, monocyte, T lymphocyte, natural killer cell and              that is a kind of uninhibited systemic inflammatory response
other type of white blood cells depending on the needs,                  to bacterial infections. 1, 50 They act like decoys and bind to
features and characteristics we need. Macrophages, for                   endotoxins and cytokines and control immune activation and
example, are described below.                                            inflammation. 1

  Figure 3. Emtansine liposome coated with macrophage membrane for suppressing lung metastasis of breast cancer. (Reposted
                       with permission from reference 51 Copyright © 2016, American Chemical Society)

10 Stem Cell Coated Nanoparticles                                        CX3CL1 (T-cell attractant) for cancer therapy. 34, 57 Stem
                                                                         cell coated nanoparticles can act specifically on the tumor,
Mesenchymal stem cells (MSCs) or stem cells can multi-                   so their use as drug carriers reduce and decrease the systemic
differentiate and self-renovate and the ability to attaining             toxicity and side effects of chemotherapy. 30, 53, 58-62 Also
features easily. 30, 52-54 (figure 4.) They have been used as the        during ischemic injury (like myocardial infarction) stem cell
treatment of numerous diseases in many clinical trials                   coated nanoparticles can cure the injury more rapidly with
because of their higher tot potency and indefinite lifespan. 16,         improved blood reperfusion, muscle repair, limb salvage and
34, 52, 55, 56 MSCs can carry interferons, interleukins, and             enhancing the retention time in injured tissues. 30, 63, 64

     Figure 4. Preparing stem cell membrane derived vesicles from mesenchymal stem cells. (Reposted with permission from
                                    reference 65 Copyright 2016, American Chemical Society.)

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11 Cancer Cell Membrane-Coated Nanoparticles                              One of the most important properties that nanoparticle with
                                                                          the bacterial and viral membranes is their interaction with
Malignant cells have some features that make them one of                  their target cells and bypassing immune responses. 30, 70, 71
the main sources of membrane. 22 They could be easily                     (figure 5.) Some Bacteria have the ability to target tumors
cultured in vitro and their robustness, the ability to self-target        naturally including Clostridium beijerinckii, Bifido
(that can use in delivery of cancer drug delivery and                     bacterium bifidum and S. Typhimurium. 30 For example,
imaging), their immune escape ability and homotypic                       nanoparticles coated with Salmonella membranes reduced
binding capacities, make them a major choice. 22, 66-68 The               melanoma size in mice. 72, 73 Another experiment was used
effect of membrane coated nanoparticles which from the                    Salmonella typhomurium membrane and it was found that
same source cell significantly increase. 22, 69 Also, the                 tumor growth and cancer metastasis were significantly
magnetic field can be used to guide nanoparticles to the                  reduced. 74 Viruses are also used for targeted drug delivery,
tumor site. 22, 66 Cancer membrane coated nanoparticle                    viruses produce capsids that have the self-assembled ability
provides powerful tools for researchers to improve the                    and for this purpose, it is used. 30 Drugs and nanoparticles
intracellular transferring and the subcellular targeting for              replace genetic material in capsids, they are used for
chemotherapy, localized phototherapy, intensified imaging.                photodynamic therapy and optical imaging such as MRI. 20,
66, 68
                                                                          54, 75

12 Microorganisms (bacteria and viruses) as Membrane
of Nanoparticles

         Figure 5. Bacteria membrane coated nanoparticles containing bacterial surface antigens. (Reposted with permission from
                                      reference 71 Copyright 2015, American Chemical Society.)

13 Hybrid Cell Membrane-Coated Nanoparticles                              delivery of cytotoxic drugs and photosensitizers. 81, 82 Using
                                                                          hybrid membranes in comparison with single membrane-
Hybrid membranes are made from a combination of different                 coated nanoparticle showed promising results and better
membranes of multiple cells, and they improved the                        uptake, deeper tumor penetration, and better immune
functional characteristics of coated nanoparticles. 76 32, 77             escaping. 76, 81, 83 Recently studies have shown that cancer
First of all different membranes derive from the target cells             cell coated nanoparticles that hybridized with RBC, platelets
and then fuse all the membranes with mechanical forces such               (figure 6.), stem cell and leukocytes membranes, increased
as stirring, sonication or extrusion, or at first fuse live cells.        their half-life and longevity and accumulation at the tumor
76, 78, 79 For example, RBC membranes hybridize platelet
                                                                          site, as well as the length of time they remain in the
membranes were used for cancer therapy. 80 Also, platelet                 bloodstream dramatically.83, 84
membranes hybridize with neutrophil membranes for the

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 Figure 6. Cancer membranes hybridize platelet membranes were used for cancer theranostics. [CSC-P]MNs were also used for
  enhanced in vivo tumor magnetic resonance imaging (MRI) and photothermal therapy (PTT) for their magnetic property and
             optical absorption ability. (Reposted with permission from reference 84 Copyright 2019, Wiley-VCH.)

14 Conclusion                                                          References

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                                                                               media using Polyaniline-Fe3O4-silver
The author would like to thank the Shiraz Drug
                                                                               diethyldithiocarbamate nanostructures.
Biotechnology Research Center for supporting.

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