Department of Chemical and Materials Engineering, Chang Gung University, Kwei-San, Taoyuan 33302, Taiwan.
Department of Neurosurgery, Chang Gung Memorial Hospital, Linkou, Kwei-San, Taoyuan 33305, Taiwan; School of Medicine, Chang Gung University, Kwei-San, Taoyuan 33302, Taiwan.
Biomater Adv. 2022 May;136:212764. doi: 10.1016/j.bioadv.2022.212764. Epub 2022 Mar 17.
We used reduced graphene oxide (rGO), which has two times higher photothermal conversion efficiency than graphene oxide (GO), as a photothermal agent for cancer photothermal therapy (PTT). By conjugating a photosensitizer IR780 to rGO, the IR780-rGO could be endowed with reactive oxygen species (ROSs) generation ability for concurrent photodynamic therapy (PDT). The IR780-rGO was coated with hyaluronic acid (HA) by electrostatic interaction to facilitate its intracellular uptake by U87 glioblastoma cells. The IR780-rGO/HA was loaded with doxorubicin (DOX) for chemotherapy (CT), to develop a pH-responsive drug delivery nano-platform for targeted multimodal cancer CT/PTT/PDT. We fully characterized the properties of all nanocomposites during the synthesis steps. The high loading efficiency of DOX on IR780-rGO-HA provides 3 mg/mg drug loading, while IR780-rGO-HA/DOX shows 3 times higher drug release at endosomal pH value (pH 5) than at pH 7.4. The mechanism for PTT/PDT was confirmed from the ability of IR780-rGO-HA to induce time-dependent temperature rise, synthesis of heat shock protein 70 (HSP70) and generation of intracellular ROSs, after exposure to 808 nm near infrared (NIR) laser light. The nano-vehicle IR780-rGO-HA shows high biocompatibility toward 3T3 fibroblast and U87 cancer cell lines, as well as enhanced intracellular uptake by U87 through active targeting. This translates into increased cytotoxicity of IR780-rGO-HA/DOX, by lowering the drug half-maximal inhibitory concentration (IC) from 0.7 to 0.46 μg/mL. This IC is further decreased to 0.1 μg/mL by irradiation with NIR laser for 3 min at 1.5 W/cm. The elevated cancer cell killing mechanism was supported from flow cytometry analysis, where the highest cell apoptosis/necrosis rate was observed in combination CT/PTT/PDT. Using xenograft tumor model created by subcutaneous implantation of U87 cells in nude mice, IR780-rGO-HA/DOX delivered through intravenous (IV) injection and followed with 808 nm laser treatment for 5 min at 1.5 W/cm results in the lowest tumor growth rate, with negligible change of tumor volume from its original value at the end 20-day observation period. The therapeutic efficacy was supported from inhibited cell proliferation rate, increased cell apoptosis rate, and increased production of HSP70 from immunohistochemical staining of tumor tissue slices. The safety of the NIR-assisted multimodal cancer treatment could be confirmed from non-significant change of body weight and hematological parameters of blood sample. Taken together, we conclude that IV delivery of IR780-rGO-HA/DOX plus NIR laser treatment is an effective nanomedicine approach for combination cancer therapy.
我们使用还原氧化石墨烯(rGO)作为光热试剂,其光热转换效率比氧化石墨烯(GO)高两倍,用于癌症光热治疗(PTT)。通过将光敏剂 IR780 与 rGO 偶联,IR780-rGO 可以获得产生活性氧物质(ROS)的能力,用于同时进行光动力治疗(PDT)。IR780-rGO 通过静电相互作用与透明质酸(HA) 涂层,以促进 U87 神经胶质瘤细胞的细胞内摄取。IR780-rGO/HA 装载阿霉素(DOX)进行化疗(CT),开发一种 pH 响应的药物输送纳米平台,用于靶向多模态癌症 CT/PTT/PDT。我们在合成过程的各个步骤中充分表征了所有纳米复合材料的特性。IR780-rGO-HA 对 DOX 的高载药量提供了 3mg/mg 的药物载药量,而在 pH 值为 5(内体 pH 值)时,IR780-rGO-HA/DOX 的药物释放量是 pH 值为 7.4 时的 3 倍。IR780-rGO-HA 诱导时间依赖性升温、热休克蛋白 70(HSP70)的合成和细胞内 ROS 的产生的能力证实了 PTT/PDT 的机制,在暴露于 808nm 近红外(NIR)激光后。纳米载体 IR780-rGO-HA 对 3T3 成纤维细胞和 U87 癌细胞系表现出高生物相容性,并且通过主动靶向增强了 U87 的细胞内摄取。这转化为通过降低药物半最大抑制浓度(IC)将 IR780-rGO-HA/DOX 的细胞毒性从 0.7 降低至 0.46μg/mL。通过在 1.5W/cm 下用 808nm 激光照射 3 分钟,将 IC 进一步降低至 0.1μg/mL。通过流式细胞术分析支持升高的癌症细胞杀伤机制,其中在 CT/PTT/PDT 联合治疗中观察到最高的细胞凋亡/坏死率。使用裸鼠皮下植入 U87 细胞创建的异种移植肿瘤模型,通过静脉(IV)注射递送 IR780-rGO-HA/DOX,并在 1.5W/cm 下用 808nm 激光照射 5 分钟,导致最低的肿瘤生长率,在 20 天观察期结束时肿瘤体积几乎没有从原始值变化。从肿瘤组织切片的免疫组织化学染色中可以看出细胞增殖率的抑制、细胞凋亡率的增加和 HSP70 的产生增加,支持了治疗效果。从血液样本的体重和血液学参数无明显变化可以证实 NIR 辅助多模态癌症治疗的安全性。综上所述,我们得出结论,IV 给予 IR780-rGO-HA/DOX 加 NIR 激光治疗是一种有效的癌症联合治疗的纳米医学方法。
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