Conspectus
A host–guest drug delivery system (HGDDS)
refers to a host–guest
complex of an artificial receptor and a therapeutic agent which can
dissociate at the lesion site and release the loaded cargo. Macrocyclic
receptors are promising drug carriers because of their superior properties,
including ease of preparation, precise molecular weight, well-defined
molecular structure, and excellent chemical stability. The host–guest
loading process is mild, simple, and repeatable. The host–guest
formulations can quantitatively load drug because of the exact cavity-loading
pattern and quantifiable host–guest binding constant. Host–guest
formulations are typically modular, which may be appealing in the
context of personalized medicine because the macrocyclic carriers
can act as a platform to complex diverse drugs. These lead to good
batch reproductivity and excellent application prospects in both scientific
research and industry. However, in order to make the HGDDS more suitable
for practical application, several demands such as high binding affinity,
universal binding to multiple drugs, targeting, and stimuli-responsiveness
still need to be considered.
The process of hypoxia is linked
to several diseases and biological
processes, including cancer, acute and chronic diseases, pathogenic
microbe infection, and other stress responses. As part of our ongoing
research on supramolecular biomaterials based on macrocycles by taking
advantage of their recognition and assembly properties, we have developed
a hypoxia-responsive HGDDS based on azocalixarenes. These azocalixarenes
possess a deepened cavity, resulting in high binding affinities and
high encapsulation efficiencies toward therapeutic agents. The azo
group is one of the most frequently employed hypoxia-responsive moieties
as it can be reduced under hypoxic microenvironments. This property
confers the carriers with hypoxia-triggered release due to the remarkable
decrease in binding affinities following reduction. The fast release
kinetics further facilitates the efficient accumulation of drugs at
the lesion site. These azocalixarene-based HGDDSs have been applied
in preclinical studies for diagnosis and treatment of several diseases
including tumor, bacterial infection, kidney injury, and rheumatoid
arthritis.
In this Account, we outline our recent efforts in
designing and
formulating HGDDSs based on azocalixarenes. We first provide a brief
introduction of HGDDSs, including their features, the quantitative
loading and ratiometric delivery models. Then the molecular design
principles and synthesis methods, the strong binding affinity, the
drug loading, and the fast hypoxia-response of azocalixarene-based
HGDDSs are described. The applications of azocalixarene-based HGDDSs
in treating different diseases are followed. Finally, despite the
rapid development of azocalixarene-based HGDDSs, there are still several
problems that need to be solved both scientifically and in terms of
clinical translation. Therefore, we propose perspectives that can
be further conducted on HGDDSs.