Fong Yi Teng, Chen Chih-Hao, Chen Jyh-Ping
Department of Chemical and Materials Engineering, Chang Gung University, Taoyuan 33302, Taiwan.
Department of Plastic and Reconstructive Surgery and Craniofacial Research Center, Chang Gung Memorial Hospital, Linkou, Kwei-San, Taoyuan 33305, Taiwan.
Nanomaterials (Basel). 2017 Nov 14;7(11):388. doi: 10.3390/nano7110388.
By taking advantage of the pH-sensitive drug release property of graphene oxide (GO) after intracellular uptake, we prepared folic acid (FA)-conjugated GO (GOFA) for targeted delivery of the chemotherapeutic drug doxorubicin (DOX). GOFA-DOX was further encapsulated in an injectable in-situ forming thermo-sensitive hyaluronic acid-chitosan--poly(-isopropylacrylamide) (HACPN) hydrogel for intratumoral delivery of DOX. As the degradation time of HACPN could be extended up to 3 weeks, intratumoral delivery of GOFA-DOX/HACPN could provide controlled and targeted delivery of DOX through slow degradation HACPN and subsequent cellular uptake of released GOFA-DOX by tumor cells through interactions of GOFA with folate receptors on the tumor cell's surface. GOFA nano-carrier and HACPN hydrogel were first characterized for the physico-chemical properties. The drug loading experiments indicated the best preparation condition of GOFA-DOX was by reacting 0.1 mg GOFA with 2 mg DOX. GOFA-DOX showed pH-responsive drug release with ~5 times more DOX released at pH 5.5 than at pH 7.4 while only limited DOX was released from GOFA-DOX/HACPN at pH 7.4. Intracellular uptake of GOFA by endocytosis and release of DOX from GOFA-DOX in vitro could be confirmed from transmission electron microscopic and confocal laser scanning microscopic analysis with MCF-7 breast cancer cells. The targeting effect of FA was revealed when intracellular uptake of GOFA was blocked by excess FA. This resulted in enhanced in vitro cytotoxicity as revealed from the lower half maximal inhibitory concentration (IC50) value of GOFA-DOX (7.3 μg/mL) compared with that of DOX (32.5 μg/mL) and GO-DOX (10 μg/mL). The flow cytometry analysis indicated higher apoptosis rates for cells treated with GOFA-DOX (30%) compared with DOX (8%) and GO-DOX (11%). Animal studies were carried out with subcutaneously implanted MCF-7 cells in BALB/c nude mice and subject to intratumoral administration of drugs. The relative tumor volumes of control (saline) and GOFA-DOX/HACPN groups at day 21 were 2.17 and 1.79 times that at day 0 with no significant difference. In comparison, the relative tumor volumes of treatment groups at the same time were significantly different at 1.02, 0.67 and 0.48 times for DOX, GOFA-DOX and GOFA-DOX/HACPN groups, respectively. The anti-tumor efficacy was also supported by images from an in vivo imaging system (IVIS) using MCF-7 cells transfected with luciferase (MCF-7/Luc). Furthermore, tissue biopsy examination and blood analysis indicated that intratumoral delivery of DOX using GOFA-DOX/HACPN did not elicit acute toxicity. Taken together, GOFA-DOX/HACPN could be deemed as a safe and efficient intratumoral drug delivery system for breast cancer therapy.
通过利用氧化石墨烯(GO)在细胞内摄取后对pH敏感的药物释放特性,我们制备了叶酸(FA)共轭的GO(GOFA),用于化疗药物阿霉素(DOX)的靶向递送。GOFA-DOX进一步被包裹在可注射的原位形成热敏性透明质酸-壳聚糖-聚(N-异丙基丙烯酰胺)(HACPN)水凝胶中,用于DOX的瘤内递送。由于HACPN的降解时间可延长至3周,GOFA-DOX/HACPN的瘤内递送可通过HACPN的缓慢降解以及随后肿瘤细胞通过GOFA与肿瘤细胞表面叶酸受体的相互作用对释放的GOFA-DOX进行细胞摄取,从而实现DOX的可控靶向递送。首先对GOFA纳米载体和HACPN水凝胶的物理化学性质进行了表征。载药实验表明,GOFA-DOX的最佳制备条件是0.1 mg GOFA与2 mg DOX反应。GOFA-DOX表现出pH响应性药物释放,在pH 5.5时释放的DOX比pH 7.4时多约5倍,而在pH 7.4时GOFA-DOX/HACPN仅释放有限量的DOX。通过对MCF-7乳腺癌细胞进行透射电子显微镜和共聚焦激光扫描显微镜分析,可以证实在体外GOFA通过内吞作用进入细胞以及DOX从GOFA-DOX中释放。当过量的FA阻断GOFA的细胞内摄取时,揭示了FA的靶向作用。这导致体外细胞毒性增强,如GOFA-DOX(7.3 μg/mL)的半数最大抑制浓度(IC50)值低于DOX(32.5 μg/mL)和GO-DOX(10 μg/mL)所示。流式细胞术分析表明,与DOX(8%)和GO-DOX(11%)处理的细胞相比,GOFA-DOX处理的细胞凋亡率更高(30%)。在BALB/c裸鼠皮下植入MCF-7细胞并进行瘤内给药的动物研究。第21天时,对照组(生理盐水)和GOFA-DOX/HACPN组的相对肿瘤体积分别是第0天时的2.17倍和1.79倍,无显著差异。相比之下,同时期治疗组的相对肿瘤体积在DOX、GOFA-DOX和GOFA-DOX/HACPN组分别为1.02倍、0.67倍和0.48倍,有显著差异。使用转染了荧光素酶的MCF-7细胞(MCF-7/Luc)的体内成像系统(IVIS)图像也支持了抗肿瘤疗效。此外,组织活检检查和血液分析表明,使用GOFA-DOX/HACPN进行DOX的瘤内递送不会引起急性毒性。综上所述,GOFA-DOX/HACPN可被视为一种用于乳腺癌治疗的安全有效的瘤内药物递送系统。
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