Theranostics 2015; 5(4):345-356. doi:10.7150/thno.10731
Combined Cancer Photothermal-Chemotherapy Based on Doxorubicin/Gold Nanorod-Loaded Polymersomes
1. State Key Laboratory of Biotherapy/Collaborative Innovation Center for Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, P.R. China
2. School of Medical and Life Sciences, University of Jinan, Jinan 250022, PR China
3. School of Medicine, Tsinghua University, Beijing, 100084, China
Liao J, Li W, Peng J, Yang Q, Li H, Wei Y, Zhang X, Qian Z. Combined Cancer Photothermal-Chemotherapy Based on Doxorubicin/Gold Nanorod-Loaded Polymersomes. Theranostics 2015; 5(4):345-356. doi:10.7150/thno.10731. Available from http://www.thno.org/v05p0345.htm
Gold nanorods (GNRs) are well known in photothermal therapy based on near-infrared (NIR) laser absorption of the longitudinal plasmon band. Herein, we developed an effective stimulus system -- GNRs and doxorubicin co-loaded polymersomes (P-GNRs-DOX) -- to facilitate co-therapy of photothermal and chemotherapy. DOX can be triggered to release once the polymersomes are corrupted under local hyperthermic condition of GNRs induced by NIR laser irradiation. Also, the cytotoxicity of GNRs caused by the residual cetyltrimethylacmmonium bromide (CTAB) was reduced by shielding the polymersomes. The GNRs-loaded polymersomes (P-GNRs) can be efficiently taken up by the tumor cells. The distribution of the nanomaterial was imaged by IR-820 and quantitatively analyzed by ICP-AES. We studied the ablation of tumor cells in vitro and in vivo, and found that co-therapy offers significantly improved therapeutic efficacy (tumors were eliminated without regrowth.) compared with chemotherapy or photothermal therapy alone. By TUNEL immunofluorescent staining of tumors after NIR laser irradiation, we found that the co-therapy showed more apoptotic tumor cells than the other groups. Furthermore, the toxicity study by pathologic examination of the heart tissues demonstrated a lower systematic toxicity of P-GNRs-DOX than free DOX. Thus, the chemo-photothermal treatment based on polymersomes loaded with DOX and GNRs is a useful strategy for maximizing the therapeutic efficacy and minimizing the dosage-related side effects in the treatment of solid tumors.
Keywords: polymersomes, gold nanorod, NIR, photothermal therapy, chemotherapy.
Photothermal therapy is an attractive method for treating solid tumors in a minimally invasive manner[1,2]. This therapy utilizes the conversion of absorbed near-infrared (NIR) light to focus heat. NIR light is poorly absorbed by normal biological tissues; it can provide deep-tissue penetration with high spatial precision, targeting the tumor environment. To date, several gold nanostructures including gold nanoparticles[4-8], nanocage nanoclusters, nanostars, nanocubes, nanoshells[13-15], and nanorods (GNRs)[16-18] have been used in NIR photothermal therapy. Studies of photothermal therapy have revealed some disadvantages to these approaches. Specifically, the formation of gold nanoshells and cages is relatively complex, involving a complicated gold-coating process. However, GNRs lack such drawbacks. They can be easily synthesized using a seed-mediated route and have the adjustable aspect ratio to achieve NIR light absorption. Meanwhile, large-scale synthesis is efficient and GNRs have colloidal stability. Even so, GNRs have limited clinical use due to the cytotoxicity caused by the residual CTAB, which served as a template during GNR synthesis process. To reduce such cytotoxicity, polymers[19-23] are being widely used for surface modification of GNRs by electrostatic adsorption.
Schematic illustration of the preparation P-GNRs-DOX and the collapse of polymersomes after 808 nm laser irradiation. The co-therapy of photothermal and chemotherapy lead the tumor cells to dead or apoptosis.(Click on the image to enlarge.)
Nanoparticles have been loaded into polymersomes for optimization of their properties[24,25], Hydrophobically modified maghemite nanoparticles were encapsulated within the membrane of poly(trimethylene carbonate)-b-poly( L-glutamic acid) (PTMC-b-PGA) block copolymer vesicles. These magnetic vesicles exhibited a long-term colloidal stability and showed an important contrast enhancement in Magnetic Resonance Imaging with a particularly low (subnanomolar) detection limit. But to date, polymersomes made from monomethyl poly(ethylene glycol)-poly(ε-caprolactone) (mPEG-PCL) have not been used as a vehicle of GNRs to reduce cytotoxicity and enhance photothermal therapy. Polymersomes are spherical vesicles formed by the self-assembly of amphiphilic block copolymers with appropriate hydrophilic/hydrophobic ratio in aqueous environment. Polymersomes can both encapsulate hydrophilic molecules within the aqueous interior and integrate hydrophobic molecules within the hydrophobic membrane[28,29]. The polymersomes made from mPEG-PCL have a melting point in accord with the hyperthermia caused by the GNRs, which results in enhanced release of antitumor drug. Doxorubicin (DOX) is an effective antitumor drug, but severe cardiotoxicity and bone marrow suppression limits dosing regimens that are sufficiently high to destroy cancer cells without damaging healthy tissue. Polymersomes have been used to encapsulate DOX to reduce such effects, but the overall chemotherapeutic efficacy was unsatisfactory. Thus, more information about combination of chemotherapy and photothermal therapy to target tumor is warranted. To address this, advances in photothermal technology have yielded several synergistic therapies for cancer treatment. For example, GNR-capped magnetic core/mesoporous silica shell nanoellipsoids and a mesoporous silica nanorattle-gold shell have been applied to co-deliver GNRs and drug to the targeted tumor, enhancing overall therapeutic efficacy compared to single treatments of each therapeutic component alone. Xiao and co-workers developed a self-assembled DNA-based platform co-loaded with DOX and GNRs. The platform selectively delivered DOX to target cells and effectively inhibited tumor growth via thermo-chemotherapy. One major limitation of this study was the local delivery strategy of intratumoral injection.
Herein, we fabricated NIR-stimulated polymersomes that can co-deliver GNRs and DOX for cancer therapy. As illustrated in Figure 1, the amphiphilic block copolymer mPEG-PCL with an appropriate hydrophilic/hydrophobic ratio self-assemble into polymersomes. DOX and GNRs can be co-loaded the polymersomes. Subsequent DOX release is triggered under local hyperthermic condition induced by NIR laser exposure. Heat from the GNRs not only promotes drug delivery into the tumor, but also increases the drug toxicity to tumor cells. Finally, the tumor cells treated with co-therapy of photothermal and chemotherapy were all apoptotic or dead.
Materials and Methods
Methylpolyethylene glycol (mPEG, Mn = 5,000), ε-caprolactone (ε-CL, Mn = 114), atannous octoate [Sn(Oct)2], sodium borohydride (NaBH4), L(+)-ascorbic acid (Vc), IR-820 were purchased from Sigma-Aldrich Corp. (St. Louis, MO). Acid tetrachloroaurate (III) trihydrate (HAuCl4·3H2O) was purchased from Sinopharm Chemical Reagent Co. Ltd. (Shanghai, China). CTAB was obtained from China national medicines Co., Ltd (Beijing, China). Doxorubicin chloride (doxorubicin, DOX) was obtained from Zhejiang Hisun Pharmaceutical Company (Zhejiang, China). Deionized water (18.2 MΩ·cm) was used to prepare all of the aqueous solutions. All chemicals were analytical grade and used without further purification. TUNEL assays were performed using the Flurescein FragEL DNA fragmentation detection kit (Calbiochem, catalog number QIA39, Merck, Germany). Female BALB/c mice (4-6 weeks old) were purchased from Beijing HFK Bioscience Co., Ltd. They were housed at a temperature of 20-22 oC, relative humidity of 50-60%, with 12 h light-dark cycles. They were also provided with free access to food and water. All studies involving mice were approved by the institute's animal care and use committee.
Synthesis and Characterization of mPEG-PCL Copolymer
mPEG-PCL (5,000-30,000) copolymer with the designed molecular weight of 35,000 was synthesized by ring-opening polymerization of ε-CL and mPEG (Mn = 5,000) catalyzed by Sn(Oct)2 at 135 oC according to a previously published method [35,36]. The obtained mPEG-PCL copolymer was purified and vacuum dried.
Preparation of GNRs
GNRs were synthesized through a seed-mediated approach modified from a method described by Murphy and coworkers. Briefly, gold seed particles were prepared by adding 100 µL of 24 mM HAuCl4·3H2O to 7.5 mL of 0.1 M CTAB with gentle mixing. Then, 600 μL of freshly prepared, ice-cold 10 mM NaBH4 solution was added following by mixing for 2 min. The brown-yellow seed solution was kept undisturbed at 25 oC for 2 h before use.
Next, the gold nanorod growth solution was prepared, which consisted of 100 mL of 0.1 M CTAB, 2.04 mL of 24 mM HAuCl4, 2 mL of 0.5 M H2SO4, 0.9 mL of 0.01 M AgNO3 and 0.8 mL of 0.1 M L-ascorbic acid. A seed solution (240 μL) was added to the above-mentioned growth solution to initiate the growth of the GNRs. After 12 h, the GNRs were purified by centrifugation (12,000 rpm, 10 min). The precipitates were collected and redispersed in deionized water.
Preparation of DOX and GNRs Co-loaded Polymersomes
DOX and GNRs co-loaded polymersomes were prepared using a double emulsion method. Typically, 0.5 mL water solution containing DOX and GNRs were added dropwise into 7.5 mL solution of 15 mg mPEG-PCL under sonication on ice. This primary emulsion was emulsified by sonication on ice in 15 mL 0.1% PVA pH = 7.4 phosphate-buffered saline (PBS). Subsequently, the resulting water-in-oil-in-water (w/o/w) double emulsion was diluted by mixing with 50 mL of 0.1% PVA pH = 7.4 PBS solution under vigorous stirring in the dark overnight to evaporate the dichloromethane solvent. DOX and GNRs co-loaded polymersomes were then centrifuged to discard the free drug and residual GNRs, and redispersed in different cryoprotectant solutions for lyophilization prior to use. Transmission electron microscopy (TEM) micrographs were obtained on a Tecnai G2 F20 S-TWIN TEM (FEI Co., Oregon, USA) at an accelerating voltage of 120 kV. The samples were prepared by dropping them on a copper grid followed by staining with phosphotungstic acid (1%) and dried at room temperature. Particle sizes and zeta potentials were determined using a Zetasizer Nano-ZS from Malvern Instruments (Zetasizer nano ZSP, Malvern, England). The amount of GNRs loaded into polymersomes was measured using an inductively coupled plasma-atomic emission spectrometer (ICP-AES, SPECTRO ARCOS, Spectro, Germany). Polymersomes were lyophilized using a Wizard 2.0 vacuum freeze drying machine (VirTis, SP Scientific, New York, USA). The photo-stability of P-GNRs was optically characterized by UV-vis extinction spectroscopy.
NIR Laser Stimulated Release of DOX
The release of DOX from polymersomes was measured using a dialysis method. Briefly, 5 mg of P-GNRs-DOX was redispersed in 1 mL PBS (10 mM, pH = 7.4), then placed in a dialysis bag (molecular weight cutoff = 8,000-14,000) and sealed. Dialysis fluids consisted of 10 mL pH = 5.0, 6.0 and 7.4 PBS. DOX release was measured over time, and fresh PBS was replaced at each time point. At the same time points, samples that were/were not irradiated with the NIR laser (centered at 808 nm, output power = 2.5 W cm-2 for 5 min). DOX released from samples was measured by UV-vis.
Bio-TEM and Fluorescence Microscopy Images of Cells Uptake
C26 cells were incubated in 10 mL of Dulbecoo's modified Eagle's medium (DMEM) at a density of 5.0×106 cells. After 24 h, growth medium was replaced with fresh DMEM containing 40 μg/mL P-GNRs and then the C26 cells were incubated for 2 h at 37 oC. The cells were collected by centrifugation at 1,500 rpm for 5 min. After removing supernatant solution, the cells were fixed by adding 2.5% glutaraldehyde solution. The fixed cells were successively stained with 2% osmium tetroxide and 0.5% uranyl acetate. The sample was embedded and processed for ultrathin sectioning. Ultrathin sections were cut and observed by TEM. Besides, the localization of DOX was directly observed by a fluorescent microscope (Leica, Germany) and photomicrographs were taken.
In Vitro Cytotoxicity Test
The cytotoxicity of P-GNRs was measured using 3T3 cells and C26 tumor cells. Cells were seeded in 96-well plates (5.0×103 cells per well) in 100 μL DMEM medium and were incubated at 37 oC for an additional 24 h. Then, cells were exposed to various concentrations of GNR-loaded polymersomes for 24 h, and cell viability of cells was measured by the MTT method.
Cell Viability after Photothermal Therapy
For cell viability measurements, C26 cells were plated into 96-well plates (5.0×103 per well) and allowed to adhere prior to addition of varying concentrations of free DOX, P-DOX, and P-GNRs-DOX. The cells treated with P-GNRs-DOX about 4 h for uptake before laser irradiation. Then cells were/were not irradiated with an 808 nm NIR laser (power density = 2.5 W cm-2 for 5 min). Next, cells were incubated for 24 h at 37 oC. Cell viability was measured using the MTT assay. The data reported represent the means of triplicate measurements.
To investigate the biodistribution of P-GNRs, we loaded a NIR imaging agent (IR-820, is a cyanine dye to be used as a contrast agent in tumor cell imaging) into the polymersomes (named as P-GNRs-820). NIR fluorescence images were obtained using an IVIS Lumina (Perkin-Elmer) at 1, 4, and 24 h after injection. The mice were sacrificed at 24 h after injection of the nanomaterials. The major organs including tumors were collected and were completely lysed in digesting solutions (HNO3:HCl:HClO4 = 3:1:2 by volume). The samples were heated at 200 oC for 2 h. After cooling down to temperature, each of the resulting solution was then diluted by deionized water to 5 mL, and subsequently analyzed by ICP-AES to determine the total amount of Au in each measured organ.
IR Thermal Imaging
Mice bearing C26 tumors treated with P-GNRs-DOX were irradiated with the 808 nm laser at power density of 2.5 W cm2 for 5 min, and simultaneously imaged by a Fluke Ti32 Infrared (IR) thermal camera (Infrared Cameras, USA).
Photothermal Therapy of Balb/c Mice Bearing C26 Solid Tumors
All animals were handled in accordance with the guidelines of the Animal Care and Use Committee of the State key Laboratory of Biotherapy. To induce a solid tumor, C26 cells (1.0×106) were injected subcutaneously into the right rear flank area of female Balb/c mice (8 weeks). When the tumors grew to approximately 4 mm in diameter, the mice were divided into eight groups (n = 16/group). To compare the effect of photothermal ablation of the solid tumor, the mice were administered A) normal saline (NS, 200 μL), B) normal saline with the laser (NS+laser, 200 μL), C) free DOX for 1 time (5 mg/kg, 200 μL), D) free DOX for 4 times (5 mg/kg, 200 μL ), E) P-DOX (5 mg/kg, 200 μL), F) P-GNRs (50 mg/kg, 200 μL), G) P-GNRs with the laser (50 mg/kg, 200 μL), H) P-GNRs-DOX with the laser (2.5 mg/kg, 200 μL, in terms of DOX) intravenously through tail veins. Next, tumor regions of the laser-treated groups were irradiated with NIR laser (2.5 W cm-2, 5 min) at 24 h post-injection. Then after 12 h three mice from each group were sacrificed, and tumors were removed. A TUNEL assay was performed according to the manufacturer's recommended protocol for “tissue cryosections”. Tumors of the remaining mice in the eight groups were measured with a digital caliper every other day and calculated as volume = (tumor length) × (tumor width)2/2. Relative tumor volumes were calculated as V/V0 (V0 = tumor volume when treatment was initiated). The mice were also photographed using a digital camera at the time of tumor size measurement. Finally, after 14 days, hearts from three mice in each group were removed for H&E histological processing and analysis.
Results and Discussion
The Characterizatin of Hybrid Polymersomes
The mPEG-PCL copolymer was synthesized by ring-opening polymerization of ɛ-CL by mPEG5000. Supplementary Material: Figure S1 shows that mPEG-PCL was successfully synthesized. The bare polymersomes (diameter ≈ 175 nm) were prepared as a carrier for GNRs and DOX using a double emulsion method (Figure 2 A). The thickness of polymersome membrane was about 12 nm (Figure 2 B), related to the length of the amphiphilic block copolymer, which can be explained as molecular packing parameter[38-40]. To confirm that mPEG-PCL formed vesicles, we placed Nile red (a hydrophobic dye) in the oil phase during the preparation of polymersomes and observed the w/o/w emulsion using a CLSM. Confocal image depicted Nile red-labeled polymersomes (Figure 3 A). Nile red is hydrophobic and the fluorescence intensity contributed around the particle border (Figure 3 B), suggesting the encapsulation of Nile red in the membrane of the polymersomes. Thus, the result confirms the bilayer structure of polymersomes. For effective cancer cell imaging and photothermal therapy, GNRs (aspect ratio of ~4) with a longitudinal absorption band at ~808 nm were synthesized using the seed-mediated growth method (Figure 2 C inset). GNRs were loaded into polymersomes by adding GNRs to the internal water phase of polymersomes (Figure 2 C). The amount of GNRs (Au content) loaded in polymersomes determined by ICP-AES was ~3.6 wt%. The zeta-potential of GNRs stabilized in a CTAB solution had highly positively charged surface states (+37.8 mV), but GNRs-loaded polymersomes (-5.1 mV) had surface charge similar to those of the nanocarriers themselves (-6.6 mV), suggesting that GNRs were shielded once inside the polymersomes. On the other hand, absorption peaks of the P-GNRs had a modest redshift compared with that of GNRs (Figure 4 A). The redshift may be attributed to the presence of GNRs in the polymersomes.
TEM images of A) polymersomes, B) the magnification of the polymersomes, C) P-GNRs (Inset: GNRs). The scale bar is 100 nm.(Click on the image to enlarge.)
A) CLSM image of Nile red encapsulated the membrane of polymersomes, B) Fluorescence intensity across the Nile red-labeled polymersome.(Click on the image to enlarge.)
A) UV-vis absorption spectra of polymersomes, GNRs and P-GNRs. B) The particle size distribution spectrum of P-GNRs-DOX (black line: prior to lyophilization; red line: after lyophilization). Inset: a) Photographs of lyophilized P-GNRs-DOX with different lyoprotectants (1. sucrose; 2. glucose; 3. mannitol; 4. glycine). b) The redispersion of P-GNRs-DOX with sucrose (5. P-GNRs-DOX; 6. lyophilized P-GNRs-DOX with sucrose; 7. redispersion of P-GNRs-DOX with sucrose). C) Measured UV-vis extinction spectra of P-GNRs before and after laser irradiation.(Click on the image to enlarge.)
The P-GNRs-DOX can be stable for 1 week at 4 oC, but not too long. To maintain the physicochemical properties of polymersomes for a long time, it's necessary to lyophilize P-GNRs-DOX with lyoprotectants. Lyophilized P-GNRs-DOX at its final volume showed an intact shape occupying the same volume as the original frozen mass with different lyoprotectants (sucrose, glucose, mannitol or glycine) used at 5 wt % concentration. However, mannitol and glycine converted the P-GNRs-DOX to a turbid color (Figure 4 B, inset). Among these lyoprotectants, the desirable hydrodynamic particle size and post-reconstruction distribution was achieved with sucrose (Figure 4 B). The mean hydrodynamic particle size of P-GNRs-DOX was ~208 nm and ~210 nm before and after being lyophilized with sucrose, respectively.
The photo-stability of P-GNRs was optically characterized by UV-vis extinction spectroscopy (Figure 4 C). The longitudinal plasmon peak is a good indicator for shape changes of GNRs, because the peak position strongly depends on the aspect ratio[42, 43]. Indeed, after the aqueous P-GNRs solution irradiation for 5 min (power output = 2.5 w cm-2), the longitudinal plasmon peak was a bit blue shift (~ 8 nm). The photo-stability of P-GNRs in our study is good enough for photothermal therapy.
Drug Loading Capacity and NIR Laser Stimulated Release of DOX
Drugs were loaded into polymersomes similar to the method used for GNRs. According to the standard curve of absorption of DOX (490 nm, the standard curve A = 18.84C+0.0005), we calculated that the drug loading capacity of the polymersomes reached 19.7 wt % and the entrapped efficiency was about 84.3 %. The release of DOX from P-GNRs-DOX could be readily controlled with NIR laser irradiation and manipulations of pH (Figure 5 A). Within 5 min after NIR laser irradiation (output = 2.5 W cm-2), the cumulative drug release almost doubled compared to no irradiation treatment. DOX release was significantly reduced during the subsequent hour of incubation after irradiation was removed. Similar results were observed when the laser treatment protocol was repeated in other treatment cycles. Investigation of DOX release after incubations at various pH revealed that at lower pH, more DOX was released. A sample at pH of 5.0 released almost 70% of the encapsulated DOX in 30 h. Because the extracellular tissues of tumors and intracellular lysosomes have a pH of approximately 5.0, this microenvironment can support increased DOX release. Enhanced DOX release triggered by NIR laser may be attributed to the heat generated from the GNRs.
A) DOX-release profiles in the presence and absence of NIR laser under different pH conditions. B) DSC curve of mPEG-PCL. Inset: TEM of P-GNRs-DOX after NIR laser irradiation (scale bar = 50 nm). C) Heating curves of pure water, P-GNRs-DOX and GNRs (14 μg Au mL-1). D) Different concentrations of P-GNRs-DOX (0.5 mg mL-1, P-GNRs-DOX contained 14 μg Au mL-1) under NIR laser irradiation (power density = 2.5 W cm-2). E) Infrared thermal imaging of P-GNRs-DOX (1.0 mg mL-1, contained 28 μg Au mL-1 ) under 2.5 W cm-2 irradiation by 808 nm laser a t different time.(Click on the image to enlarge.)
Selected bio-TEM images of A, B) P-GNRs and C, D) GNRs uptake by C26 tumor cells. Fluorescent microscopic images of C26 tumor cells after incubated with P-GNRs-DOX for 2 h: E) red fluorescence shows the location of DOX, F) blue fluorescence shows the nuclei stained with DAPI and G) merge; Images were acquired at 400× magnification.(Click on the image to enlarge.)
When the aqueous solutions of GNRs and P-GNRs-DOX, both 14 μg Au mL-1, were exposed to the NIR laser (2.5 W cm-2 for 5 min), the temperature was increased to 58.8 oC and 51.3 oC, respectively (Figure 5 C). In P-GNRs-DOX, The heat was absorbed partly by polymersomes, which induced the corruption of the polymersomes because the temperature was higher than the melting point of mPEG-PCL (Figure 5 B). In comparison, no significant temperature change was observed when H2O was exposed to the NIR laser. The more P-GNRs-DOX contained in the medium, the higher temperature increased upon laser excitation (Figure 5 D). As shown in Figure 5 F, 1.0 mg mL-1 P-GNRs-DOX (contained 28 μg Au mL-1) was monitored by an infrared thermal camera within 5 min. Thus, the additional heat mediated by GNRs in the presence of NIR laser may be responsible for NIR laser-triggered release of DOX[45,46].
Bio-TEM and Fluorescence Microscopy Images of Cells Uptake
Cellular uptake of P-GNRs was visualized with bio-TEM and fluorescent microscopy. As marked by the red circle in Figure 6 A and B, the P-GNRs were phagocytized by C26 tumor cells and trapped into the intracellular endosomes, and then, escape from the endosomes into the cytoplasm (red square in Figure 6 B). On the other hand, the tumor cells happened to dead when incubated with 8 μg/mL GNRs (Figure 6 C and D). The cytomembranes were ruptured and the structure of the organelles (like mitochondrion and golgiosome) was destroyed by CTAB. This result suggested the polymersomes can reduce the cytotoxicity of the GNRs and help efficiently take up by cells. Microscopy images of C26 cells incubated with P-GNRs-DOX for 2 h were obtained, and then specially marked with DAPI for nuclei staining with blue fluorescence (Figure 6 E). Red fluorescence comes from DOX (Figure 6 F), indicative of the location of P-GNRs-DOX (Figure 6 G), which agreed with the result of bio-TEM.
In Vitro Cytotoxicity Test and Tumor Cells Viability after Photothermal Therapy
Next, we studied dose dependency of biocompatibility and cell killing efficiency of the nanovehicle in vitro. As shown in Figure 7 A, cell viability remained greater than 90% even at P-GNRs concentration of 500 μg mL-1 (for 3T3 cells) and 125 μg mL-1 (for C26 cells). Also, P-GNRs (up to 8.0 mg mL-1) did not induce hemolysis in vitro (Figure 7 B). Then, the in vitro viability of C26 tumor cells was measured with free DOX, P-DOX, P-GNRs-DOX without irradiation, and P-GNRs-DOX with irradiation. As seen in Figure 8 C, dose-dependent cytotoxicity occurred in the six groups as shown. Approximately 56.35% and 57.48% of cells were killed by P-DOX and P-GNRs-DOX, respectively which was equivalent to DOX concentration (10 μg mL-1). However, free DOX was more toxic, killing 78.33% of cells at the same drug concentration. The decreased cytotoxicity with P-DOX and P-GNRs-DOX could be attributed to delayed DOX release inside cells. After NIR laser irradiation (2.5 W cm-2 for 5 min/treatment), P-GNRs-DOX killed significantly more cancer cells (73.22%) at an equivalent DOX concentration (10 μg mL-1). Greater cytotoxicity of P-GNRs-DOX compared with P-DOX primarily resulted from enhanced release of DOX upon NIR laser irradiation. The cell viability of P-DOX group or free DOX upon NIR irradiation have little different compared with the each group without laser irradiation, which indicates the absence of GNRs cannot lead to the enhanced tumor cell dead.
A) Relative viabilities of 3T3 and C26 cells after being incubated with various concentrations of P-GNRs for 24 h. B) Hemolytic test on the P-GNRs. The concentration was a) 1.0 mg mL-1, b) 1.5 mg mL-1, c) 3.0 mg mL-1, d) 6.0 mg mL-1, e) 12.0 mg mL-1; sample f was normal saline used as negative control, and sample g was distilled water used as positive control. C) Relative viabilities of C26 tumor cells either not exposed to NIR light or irradiated with NIR light (2.5 W cm-2 for 5 min per treatment, three treatments over 2 h). Data are represented as mean±SE of six wells per group. *P<0.05 by two-sample student's t-test.(Click on the image to enlarge.)
To investigate the biodistribution of P-GNRs in major organs and the tumor, the P-GNRs-820 was intravenously injected through tail vein into mice bearing C26 tumors. NIR fluorescence images were obtained at 1, 4, and 24 h after injection, respectively (Figure 8 A). Tumor sites showed higher fluorescence intensity at 24 h, indicating the accumulation of the injected nanomaterials in the tumor sites with enhanced permeability and retention (EPR) effect. To analyze quantitatively the amount of GNRs, major organs including tumors were excised and lysed, and the gold content was determined by ICP-AES. As shown in Figure 8 B, GNRs had a decent tumor uptake of 7.94 %ID/g at 24 h. The accumulation of GNRs in the reticuloendothelial systems (RES) (such as liver, spleen) was high, which was in accordance with the result of NIR fluorescence image.
IR Thermal Imaging
We further investigated the in vivo heating efficacy of P-GNRs-DOX in C26 tumor mice by tail injection of P-GNRs-DOX. At 24 h post-injection, the tumor was exposed to an 808 nm laser beam with power intensity of 2.5 W cm2. The red circle (the area above 43 oC) broadened with time, due to the gradual thermal accumulation and diffusion in the exposed region, and the stable temperature distribution was reached in about 5 min. The temperature in exposed region reached 45 oC at 5 min (Figure 9), which was high enough to kill tumor in vivo. Tumor cells undergo heat stress in the temperature resulting in activation of many intra and extracellular degradation mechanisms like protein denaturation, protein folding, aggregation and DNA cross linking. While no significant temperature change was observed in the mice of control group. This demonstrates that P-GNRs-DOX is an efficient and potential agent for the in vivo co-therapy of photothermal and chemotherapy of tumor.
Photothermal- and Chemo- Therapy of Balb/c Mice Bearing C26 Solid Tumors
Then, we conducted comparative efficacy studies in vivo. C26 tumor-bearing mice were divided into 8 groups and treated with the protocols summarized in the experimental section. Mice treated with NS, NS+laser and P-GNRs had a similar and rapid tumor growth (Figure 10 A), indicating that laser irradiation only or P-GNRs did not affect tumor development. In addition to tumor growth, mouse weight in these three groups increased (Figure 10 B). The P-DOX treated group had influenced the growth of tumor unobviously, so the body weight also increased along with the tumor growth. Mice received free DOX injections every other day for a total of 4 administrations had a rapid reduction in tumor volume, as well as body weight reduction, suggesting systemic toxicity of free DOX. As shown in Figure 11, free DOX injected once and 4 times had noticeable lesions in heart tissues as evidenced by H&E staining. Tumors from P-GNRs+laser and P-GNRs-DOX+laser groups were exposed to an 808 nm laser (2.5 W cm-2, 5 min) 24 h after injection. Tumors in the P-GNRs+laser group disappeared after 14 days, but 30% of the mice grew new tumors later, due to the incomplete ablation. Meanwhile, mice treated with P-GNRs-DOX+laser achieved total tumor ablation 2 days after NIR irradiation, and black scars were observed at the original tumor sites (Figure 10 D). P-GNRs-DOX+laser may be more ablative, causing tumor cell necrosis. The black scars healed after seven days post-treatment; tumors did not reoccur, and no significant body weight changes were observed. Also, control mice had an average life span of 45-57 days, whereas mice in the P-GNRs-DOX+laser group were tumor-free after treatment and survived more than six months without a single death (Figure 10 C). H&E histological analysis of heart tissues was also normal. From the immunofluorescent TUNEL staining assay of tumors (Figure 12), laser irradiation to the NS group had no effect on tumor cells. More apoptotic tumor cells were found in the P-GNRs-DOX+laser (apoptotic index 12.52 ± 0.84%) and P-GNRs+laser groups (9.45 ± 1.22%) than the other groups (P < 0.01). The P-GNRs-DOX+laser group had more pronounced apoptotic induction than the P-GNRs+laser group, the apoptotic apoptotic index was increased in the P-GNRs-DOX+laser groups compared with P-GNRs+laser group was 1.33 (P < 0.01). With the chemo- and photothermal- treatment, permanent irreversible DNA/RNA and protein damage can occur resulting in the elimination of tumor.
A) NIR fluorescence images of P-GNRs-820 treated mice were obtained 1 h, 4 h, and 24 h after injection. The arrows indicate tumor sites. B) Biodistribution of P-GNRs in mice at 1 h, 4 h, 24 h after injection determined by ICP-AES measured of Au concentrations. Error bars were based on standard deviations (SD) of three mice per group.(Click on the image to enlarge.)
Infrared thermal imaging of tumor under the photothermal heating by 808 nm laser irradiation at A) 0 min, B) 1 min, C) 2 min, D) 3 min, E) 4 min, F) 5 min in NS and P-GNRs-DOX injected mice under 2.5 W cm-2 irradiation.(Click on the image to enlarge.)
A) Tumor growth curves, B) Body weight of mice and C) Survival curves of mice bearing C26 tumors after various treatments as indicated. Data are represented as mean±SE of ten mice per group. *P<0.05 by two-sample student's t-test. D) Representative photos of mice bearing C26 tumors after a) NS treatment, b) NS+laser treatment, c) P-GNRs+laser treatment and d) P-GNRs-DOX+laser treatment for 0, 2 and 14 days.(Click on the image to enlarge.)
H&E stained images of heart. Representative H&E stained images of NS (A), NS+laser (B), free DOX for 1 time (C), free DOX for 4 times (D), P-DOX (E), P-GNRs (F),P-GNRs+laser (G), and P-GNRs-DOX+laser (H). Images were acquired at 400× magnification.(Click on the image to enlarge.)
TUNEL immunofluorescent staining of tumors after NIR laser irradiation. Representative TUNEL immunofluorescent images and mean apoptotic index of A) NS, B) NS+laser, C) free DOX for 1 time, D) free DOX for 4 times, E) P-DOX, F) P-GNRs, G) P-GNRs+laser, and H) P-GNRs-DOX+laser. *P<0.01 by two-sample student's t-test. Images were acquired at 400× magnification.(Click on the image to enlarge.)
In summary, we studied the chemo-physical properties and therapeutic effects of P-GNRs-DOX in vitro and in vivo. DOX release can be stimulated by the temperature rise of GNRs induced by NIR laser irradiation. Effective tumor ablation was observed after intravenous injection of P-GNRs-DOX followed by NIR laser irradiation, whereas DOX chemotherapy or P-GNRs photothermal treatment alone did not eliminate all tumors or prevent reoccurrence. Our results revealed that combined chemo- and photothermal co-therapy based on P-GNRs-DOX was superior to chemotherapy and photothermal therapy alone. Moreover, the dose of DOX in the P-GNRs-DOX treatment group was reduced by 50% which may be due to decreased side effects compared to the DOX group. Thus, the chemo-photothermal treatment based on polymersomes loaded with DOX and GNRs is a useful and effective strategy for both maximizing the therapeutic efficacy and minimizing the dosage-related side effects in the treatment of solid tumors. Future research will focus on the mechanism of the co-therapy of this photothermal and chemotherapy and active targeting of the P-GNRs-DOX by conjugation with tumor cell surface receptor ligands[49-51].
This work was financially supported by National Natural Science Foundation (NSFC31222023), and Distinguished Young Scholars of Sichuan University (2011SCU04B18). We thank LetPub for its linguistic assistance during the preparation of this manuscript.
The authors have declared that no competing interest exists.
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