Evaluation of cytotoxicity and mechanism of apoptosis of doxorubicin using folate-decorated chitosan nanoparticles for targeted delivery to retinoblastoma
© Springer-Verlag 2010
Received: 2 August 2010
Accepted: 21 October 2010
Published: 25 October 2010
Nanoparticles are the new entities that can greatly limit the various side effects of systemic chemotherapy, and that coupled with a targeting moiety enables site-specific delivery of drugs. Folate receptors are overexpressed in retinoblastoma cells, thus these can specifically uptake the drug-loaded nanoparticles, thereby increasing the cytotoxicity at the tumor site. In our work, doxorubicin-loaded chitosan nanoparticles was prepared and then conjugated to folic acid. The conjugation efficiency was characterized by nuclear magnetic resonance and Fourier transform infrared spectroscopy. Thereafter, the efficacy of FA-conjugated DOX-CNPs on retinoblastoma cells (Y-79) was analyzed by MTT assay which demonstrated superior cytotoxic effects as compared to unconjugated DOX-CNPs and native DOX. This may be due to enhanced intracellular uptake of DOX-CNPs-FA (30%) than that of DOX-CNPs (13.24%) and native DOX (5.01%), resulting from the high affinity of FA for folate receptors. Finally, the mechanism of doxorubicin-mediated apoptosis in retinoblastoma cell line (Y-79) was investigated which demonstrated that the mitochondrial pathway is activated and that the FA-conjugated DOX-CNPs are most effective and causes enhanced release of cytochrome c as well as the activation of downstream caspases to assist in apoptosis. Thus, the FA-targeted NPs were proved to possess sustainable, controlled, and targeted delivery of anticancer drugs with DOX as a model drug, which may provide a drug delivery system of precise control and targeting effect for the treatment of retinoblastoma.
Cancer is a debilitating disease that causes millions of death each year. Though chemotherapeutics do exist to combat cancer, one of the most serious issues is the nonselective nature of the chemotherapeutic drugs, which causes innumerable side effects (Parveen and Sahoo 2008). Thus, realizing the importance of targeted drug delivery specifically to the site of action is the need of the hour. Retinoblastoma is one such cancer that causes serious malignant intraocular tumor in infants and children and often results in loss of vision and secondary malignancies (Abramson 1990; Smith and Donaldson 1991). Recent treatment options for retinoblastoma include external beam radiotherapy, episcleral plaque radiotherapy, and cryotherapy (Amendola et al. 1989), but these are frequently associated with complications, such as facial deformities, cataract, radiation retinopathy, and a substantial risk of secondary tumors (Abramson and Frank 1998). Systemic chemotherapy is also limited by toxicity, rapid blood clearance, and multi-drug resistance (Chan et al. 1989). Moreover, ocular drug delivery is also impaired due to the natural defensive barriers of the retina that protect the eye. Thus, targeting it in a safe and effecting manner would be helpful to the majority of children diagnosed with retinoblastoma, especially in developing countries where the probability of survival is closer to 50% due to poor education, lower socioeconomic status and inadequate healthcare systems, which results in delayed diagnosis and suboptimal care (Rodriguez-Galindo et al. 2008).
Nanoparticles (NPs) are promising entities that can greatly reduce the problems due to drug delivery and retention. These are submicron-sized polymeric colloidal particles, with diameters ranging from 10 to 1,000 nm, in which the therapeutic agent of interest can be encapsulated within the polymeric matrix or adsorbed or conjugated onto the surface (Parveen and Sahoo 2008; Sahoo and Labhasetwar 2003; Sahoo et al. 2007). Chitosan nanoparticles (CNPs) are especially suitable for ocular drug delivery due to their mucoadhesiveness and ability to cross the tight epithelial junctions, thus increasing the residence time of the drug (Calvo et al. 1997b; de Campos et al. 2001; Genta et al. 1997). Moreover, these NPs can be surface functionalized by specific ligands to achieve targeted drug delivery to the tumor site, thus improving the therapeutic efficacy and reducing the side effects of chemotherapy. Several studies have shown that folic acid (FA) is an attractive targeting moiety for cancer therapy due to its high affinity for folate receptors (Kd ∼ 10−10 M; Leamon and Reddy 2004; Lu and Low 2003; Lu et al. 2004). Folate receptors are overexpressed in the membrane of many human cancer cells such as brain, kidney, breast, lung, retinoblastoma, etc. (Kansara et al. 2008; Saul et al. 2003; Sudimack and Lee 2000) and the expression level of folate receptor in tumors is around 100–300 times higher than in normal tissues (Ross et al. 1994). Thus, because of this distinguishing property, FA has emerged as an appropriate targeting ligand and can be exploited in designing a suitable convey system that can specifically deliver the drug pay load at the therapeutic site.
In this study, we evaluated the therapeutic effects of folate-decorated chitosan nanoparticles (CNPs-FA) for targeted delivery of hydrophilic anticancer drugs with doxorubicin (DOX), chosen as the model drug, as it is widely used chemotherapeutic drug for the treatment of retinoblastoma (Serpe et al. 2006). The drug-loaded CNPs (DOX-CNPs) were prepared and decorated with folic acid (DOX-CNPs-FA), which was then characterized by various analytical techniques such as laser light scattering for particle’s size, zeta potential analyzer for surface charge, and nuclear magnetic resonance (NMR) and Fourier transform infrared spectroscopy (FTIR) for surface chemistry. Thereafter, comparative analysis of intracellular uptake of drug and drug-loaded CNPs (conjugated and unconjugated nanoparticles) on retinoblastoma cells (Y-79) was carried out to access the specificity of the folate receptors and to ascertain whether nanoparticles are taken up more than the native drug. The therapeutic effect of doxorubicin formulated in the CNPs (with folate targeting effect) was also evaluated in vitro by measuring the viability and the extent of apoptosis of human retinoblastoma cells (Y-79). Furthermore, the DOX-mediated apoptotic pathway was investigated wherein the effects of various formulations on the kinetics of cytochrome c release, mitochondrial membrane potential, and activation of various downstream caspases were analyzed by western blotting.
2 Materials and methods
Chitosan (60–90 kDa, degree of deacetylation = 85%, derived from crab shells, in the form of fibrillar flakes), sodium triphosphate pentabasic (TPP), doxorubicin, folic acid, sodium chloride, disodium hydrogen phosphate, and potassium chloride were obtained from Sigma-Aldrich Co. (St Louis, MO, USA). Propidium iodide (PI) was obtained from Invitrogen (Leiden, The Netherlands). Potassium hydrogen phosphate and dimethyl sulfoxide were purchased from Qualigens Fine Chemicals, Mumbai. Acetonitrile was purchased from E-merk, India. Ultrapure water (Millipore, Bedford, MA, USA) was used throughout. All other chemicals were of analytical grade unless where otherwise stated.
2.2 Preparation of doxorubicin-loaded chitosan nanoparticles
Doxorubicin-loaded CNPs were prepared by a modified ionic gelation method as reported by Calvo et al. (1997a, b). Briefly, 2 ml of an aqueous solution of TPP (2.91 mg/ml) was slowly added drop wise into 10 ml of chitosan solution (1.75 mg/ml, pH = 5) containing DOX (5.25 mg). After overnight stirring, the CNPs were collected by centrifugation (SIGMA 3K30, Germany) at 18,000 rpm for 30 min at 4°C. The pellets were then dispersed in double distilled water and lyophilized (LYPHLOCK, Labconco, MO) for 48 h and then stored at 4°C for further studies.
2.3 Nanoparticle surface modification: synthesis of folate CNPs
Folate-conjugated CNPs were synthesized by coupling the freeze-dried CNPs to an activated folic acid as described in previous studies with minor modifications (Guo et al. 2000; Lee and Low 1995). Briefly, 5 mg of the freeze-dried CNPs dissolved in 5 ml of DMSO were mixed with 1.3 mg of folic acid and 1.3 mg of DCC. The reaction was performed at room temperature for 7 h and then mixed with 50 ml of distilled water and centrifuged at 3,000 rpm. The pellet was then dialyzed and dried to obtain CNPs-FA. The formation of folate-conjugated CNPs was monitored and confirmed by analyzing the concentration of conjugated folic acid in a known amount of the sample at 365 nm by a UV–Visible spectrophotometer (Synergy HT, BioTek® Instruments Inc., Winooski, VT; Yoo and Park 2004). Serially diluted concentrations of folic acid in DMSO were used to construct a calibration curve.
2.4 Characterization of doxorubicin-loaded CNPs with folate decoration
2.4.1 Particle size analysis and zeta potential measurement
Where k is the Boltzman constant, T is the absolute temperature, and η is the viscosity of the medium. For size measurements, ∼1 mg of CNPs was dissolved in 1 ml of water which was further diluted with water and measured for a minimum of 120 s. Zeta potential measurements were made similarly with ∼1 mg of CNPs dissolved in 1 ml of water which was further diluted and placed in an electrophoretic cell, where a potential of ±150 mV was established. All the samples were maintained at a constant temperature of 25.0 ± 0.1°C in all experiments, and each batch was analyzed in triplicates.
2.4.2 Transmission electron microscopic studies
Particle morphology was examined by transmission electron microscopy (TEM, Philips CM-10, FEI Inc., Hillsboro, OR, USA). Samples (nanoparticulate suspensions, 100 μg/ml) were dropped into Formvar-coated copper grids, and after complete drying, the samples were stained using 2% w/v uranyl acetate (Electron Microscopy Services, Ft. Washington, PA). Image capture and analysis were done using Digital Micrograph and Soft Imaging Viewer Software.
2.4.3 Surface morphology
Scanning electron microscopy
The surface morphology of CNPs was studied by scanning electron microscopy (SEM). For this, CNPs were sputtered with gold to make them conductive and placed on a copper stub. The images were taken using scanning electron microscope (JSM-T220A, JEOL, MA).
Atomic force microscopy
The surface properties of the formulated CNPs were observed by an atomic force microscopy (NanoScope III A, Veeco, USA). Explorer atomic force microscope was a tapping mode, using high resonance frequency (Fo = 312 kHz), pyramidal cantilevers with silicon probes having force constants of 20 N/m. Scan speed was set at 2 Hz. The samples were dissolved in PBS (0.1 M, pH 7.4) and then dropped on freshly cleaved mica plates, followed by vacuum drying for 24 h at 25°C.
2.4.4 Surface chemistry
Nuclear magnetic resonance
The decoration of FA on the surface of doxorubicin-loaded CNPs was confirmed by NMR. The NMR spectra was recorded on a spectrometer (FT NMR Spectrometer, JEOL, 400 MHz, Japan) at room temperature using DMSO as a solvent (Wan et al. 2008).
Fourier transform infrared spectroscopy
The FTIR transmission spectrum of various samples (folic acid, DOX, and DOX-CNPs-FA) was obtained from SPECTRUM RX I (Perkin Elmer, FTIR Spectrometer, USA). A total of 2% (w/w) of sample, with respect to potassium bromide (KBr), was mixed with dry KBr, and the mixture was ground into fine powder using an agate mortar before compressing into KBr disc under a hydraulic press at 10,000 psi. Each KBr disc was then scanned at 4 mm/s at a resolution of 2 cm−1 over a wave number region of 400–4,000 cm−1 using IR solution software (ver.1.10), and the characteristic peaks for different samples were recorded.
2.4.5 Drug encapsulation efficiency
The encapsulation efficiency (EE%) was determined by the separation of nanoparticles from the aqueous medium containing non-associated doxorubicin by centrifugation of the samples at 18,000 rpm for 30 min at 4°C (SIGMA 1–15K, Germany). The supernatant was used to estimate the drug concentration which was not encapsulated in the NPs by fluorescence spectrophotometer (Synergy HT, BioTek® Instruments Inc., Winooski, VT) at λex = 485 nm and λem = 591 nm (Misra and Sahoo 2010). Doxorubicin solutions of various concentrations were prepared and similarly quantified to generate a calibration curve for the EE calculations for the doxorubicin-loaded CNPs. Triplicate samples (supernatants) were analyzed, and the doxorubicin encapsulation efficiency was calculated by dividing the amount of doxorubicin entrapped by the total amount of doxorubicin added, multiplied by 100.
2.5 In vitro release kinetics
Freeze-dried CNPs (∼5 mg) were resuspended in 1 ml of phosphate-buffered saline solution (PBS, pH 7.4) and incubated at 37°C under light agitation of 150 rpm using an incubator shaker (Wadegati Labequip, India; n = 3). At appropriate time intervals, individual samples were collected by centrifugation (SIGMA 3K30, Germany) at 18,000 rpm for 10 min, and the amount of the drug in the release medium was determined by fluorescence spectrophotometer (Synergy HT, BioTek® Instruments Inc., Winooski, VT) at λex = 485 nm and λem = 591 nm (Misra and Sahoo 2010). Calibration curves were made with the incubation medium, and all measurements were performed in triplicates.
2.6 Cell culture
Human retinoblastoma cell line (Y-79) was obtained from the American Type Culture Collection (ATCC, Manassas, VA) and were cultured in RPMI 1640 with 10% fetal bovine serum and 1% penicillin–streptomycin at 37°C in a humidified 95% air/5% CO2 incubator (Hera Cell, Thermo Scientific, Waltham, MA). All reagents for cell culture were obtained from Himedia Laboratories Pvt. Ltd., Mumbai, India.
2.7 Assessment of cytotoxicity
The antiproliferative activity of doxorubicin was analyzed by the 3-(4, 5-dimethylthiazol-2-yl)-2, 5-diphenyl tetrazolium bromide (MTT)-based colorimetric assay (Mosmann 1983). The MTT assay is a quantitative and rapid colorimetric method, based on the cleavage of a yellow tetrazolium salt to insoluble purple formazan crystals by the mitochondrial dehydrogenase of viable cells (Al-Joudi et al. 2005). The MTT assay was carried out according to a previously reported procedure (Sahoo and Labhasetwar 2005). Y-79 cells were seeded at 5,000 per well density in 96 well plates (Corning, NY, USA), and after 24 h, drug either as a solution or encapsulated in nanoparticles at different concentrations (0.1–100 μM/ml) was added to separate wells. Medium and void nanoparticles (without drug) served as respective controls. Medium was changed on day 2 after the treatment and then every alternate day, and no further dose of the drug was added. After the specified incubation time (5 days), 10 μl MTT (Sigma) was added, and the plates were incubated for 3 h at 37°C in a cell culture incubator (Hera Cell, Thermo Scientific, Waltham, MA), following which the intracellular formazan crystals were solubilized in dimethyl sulfoxide and the color intensity measured at 540 nm using a microplate reader (Synergy HT, BioTek Instruments, Inc., Winooski, VT). The antiproliferative effect of different treatments was calculated as a percentage of cell growth with respect to respective controls.
2.8 Assessment of apoptosis by flow cytometry
Annexin V-FITC staining was used for the assessment of apoptosis. This assay is based on the observation that soon after the initiation of apoptosis, phosphotidylserine (PS) translocates from the inner face of the plasma membrane to the cell surface. The translocated PS can thus be easily detected by staining with a FITC conjugate of Annexin V, a protein that has a strong natural affinity for PS (Koopman et al. 1994). The induction of apoptosis by DOX, DOX-CNPs, and DOX-CNPs-FA was studied by flow cytometry. In 25 cm2 culture flasks (Corning, NY, USA), 1 × 105 cells/ml were grown overnight, after which 5 μM/ml concentration of free DOX and equivalent concentration of various formulations of DOX-loaded CNPs were added to the flasks, and the cells were incubated for 48 h in CO2 incubator (Hera Cell, Thermo Scientific, Waltham, MA). After the specified incubation periods, the cells were washed thrice with PBS (0.1 M, pH 7.4) and then resuspended in 100 μl of 1× binding buffer (Clontech Laboratories, Inc., Palo Alto, CA). Thereafter, 5 μl Annexin V-FITC (final concentration, 1 μg/ml; BD Biosciences Pharmingen) and 5 μl propidium iodide (10 μg/μl; MP Biomedicals, Inc., Germany) were added to the cells and incubated at room temperature in dark for 20 min. Before flow cytometric analysis, 400 μl of 1× binding buffer were added to the cells and the extent of apoptosis was determined by analyzing 15,000 ungated cells using a FACScan flow cytometer and Cell Quest software (FACSCalibur; Becton-Dickinson, San Jose, CA).
2.9 Cell cycle distribution analysis by flow cytometry
The effects of CNPs on cell cycle progression and population distribution were determined by flow cytometry. Y-79 cells were seeded at 1 × 105 cells/ml in 75-cm2 flask (Corning, NY, USA), and it was treated with 5 μM/ml of DOX, DOX-CNPs, and DOX-CNPs-FA. Doxorubicin-induced cell cycle arrest was detected by comparing the cell cycle profiles between doxorubicin-treated cells and CNP-treated cells with that of the control cells. Forty-eight hours posttreatment, the cells were collected by centrifugation, washed thrice with PBS (0.1 M, pH 7.4) to remove any uninternalized CNPs or the native doxorubicin, and thereafter, cells were incubated in propidium iodide (20 μg/ml) for 30 min. The DNA content was measured for 15,000 events for each sample (FACS Caliber instrument; Becton, Dickinson & Co, Franklin Lakes, NJ). Data were plotted using CellQuest software (Becton, Dickinson & Co).
2.10 Assessment of cellular uptake
Twenty-four well plates (Corning, NY, USA) were seeded with Y-79 cells at 5 × 104 cells per well density and 24 h post-seeding, the medium in each well was replaced with 1 ml of freshly prepared suspension of DOX-CNPs and DOX-CNPs-FA in medium (300 μg/well), and the plates were incubated for 2 h as described earlier in our previous paper (Parveen et al. 2010). An equivalent concentration of doxorubicin was also added to the cells.
For folic acid competition experiments, the cells were cultured overnight with 0–3 mM folic acid prior to the addition of the particles. The experiment was terminated after 2 h by washing the cell monolayer thrice with ice-cold PBS, 0.1 M, pH 7.4, and lysing the cells by incubating with 0.1 ml of 1× cell lysis buffer (Promega, Madison, WI) for 30 min at 37°C. The cells were washed thrice and resuspended in PBS (0.1 M, pH 7.4). The amount of endocytosed particles inside cells was analyzed by FacsCalibur flow cytometry. The mean fluorescence intensity (MFI) of the cells at FITC-A was measured.
2.11 Confocal laser scanning microscopic studies
To study the intracellular retention of the drug, Y-79 cells were seeded in Bioptechs plates (Bioptechs, Butler, PA) at 5 × 104 cells per plate in 1 ml of growth medium 24 h prior to the experiment. Thereafter, cells were treated with 5 μM/ml of either the native drug, DOX in solution, or DOX-loaded CNPs (DOX-CNPs and DOX-CNPs-FA). Untreated cells were used as control to account for the autofluorescence, if any. The medium was changed on day 2 after the treatment and then every alternate day, and no further dose of DOX was added. At different time points, the cells were washed thrice with PBS (0.1 M, pH 7.4) to remove any uninternalized drug/CNPs and then visualized using a confocal microscope (Leica TCS SP5, Leica Microsystems GmbH, Germany) that is equipped with an argon laser with an excitation wavelength set at 488 nm and emission at 590 nm (Janes et al. 2001). Detection was with a band-pass emission barrier filter. The images were processed using Leica Application Suite software.
2.12 Mitochondrial transmembrane potential
The mitochondrial membrane potential changes were analyzed by flow cytometry using a mitochondria-selective dye JC-1 (5,5′,6,6′-tetrachloro-1,1′,3,3′-tetraethylbenzimidazolcarbocyanine; Sigma-Aldrich Chemicals, Germany) (Rees et al. 1991; White and Reynolds 1996). JC-1 is a lipophilic cation, which in normal polarized mitochondria exists as aggregates. Depolarization due to loss of mitochondrial membrane potential causes the aggregates to dissolute into the monomeric forms. Thus, JC-1 forms either J-aggregates or monomers, depending on the state of the mitochondrial membrane potential, with the missions of the two dye forms detectable by flow cytometry at 585 (FL2) or 530 nm (FL1), respectively (Cossarizza et al. 1993). For the JC-1 analysis, cells (2 × 105) were treated with 5 μM/ml of native DOX, DOX-CNPs, and DOX-CNPs-FA for 48 h at 37°C. Thereafter, the cells were collected by centrifugation, washed thrice with PBS (0.1 M, pH 7.4) to remove any uninternalized CNPs or the native doxorubicin, and thereafter, cells were stained with JC-1 for 15 min at 37°C, washed thrice with PBS (0.1 M, pH 7.4), and analyzed for changes in membrane potential by FACScan flow cytometer and Cell Quest software (FACSCalibur; Becton-Dickinson, San Jose, CA). All experiments were performed in triplicates.
2.13 Determination of cytochrome c release by western blot analysis
Cytosolic and mitochondrial fractions were analyzed for cytochrome c content by immunoblotting. Briefly, Y-79 cells (1 × 106) were treated with 5 μM/ml of native DOX, DOX-CNPs, and DOX-CNPs-FA for different time intervals (2, 24, and 48 h) at 37°C. Thereafter, cells were harvested and washed thrice with cold PBS (0.1 M, pH 7.4) and sedimented by centrifugation. Cell fractionization was performed as described by the group of Bialik et al. (1999). The cell pellet was resuspended in digitonin lysis buffer (75 mM NaCl, 1 mM NaH2PO4, 8 mM Na2HPO4, 250 mM sucrose, 190 μg/ml digitonin; 150 μl/100-mm dish) and incubated on ice for 5 min. The cells were centrifuged (SIGMA 3K30, Germany) for 5 min at 14,000 rpm at 4°C, and 1.5 μl of protease inhibitor (Protease Inhibitor Mixture Set I, Calbiochem) was added. The pellet was then resuspended in 80 μl of radioimmune precipitation buffer (1% Nonidet P-40, 0.5% sodium deoxycholate, and 0.1% SDS in phosphate-buffered saline) with protease inhibitor (1:100 dilution). Radioimmune precipitation buffer is more denaturing than NP-40 or Triton X-100 lysis buffer because it contains the ionic detergents SDS and sodium deoxycholate as active constituents. It is particularly useful for membrane disruption. The pellet was then incubated on ice for 30 min, and then centrifuged (SIGMA 3K30, Germany) for 15 min at 14,000 rpm at 4°C. The supernatant was saved as the cytosolic fraction, whereas the pellet constituted the mitochondrial fraction.
The soluble protein concentration was determined by the Pierce BCA protein assay (Pierce, Rockford, IL). Protein immunodetection was done by electrophoretic transfer of SDS-PAGE separated proteins to PDVF membrane, incubation with primary antibody (antibodies used were against cytochrome c (Mouse monoclonal antibody, catalog no. IMG-101A, Imgenex Corporation, San Diego, USA)) and β-actin (Mouse monoclonal antibody, catalog no. sc-47778, Santa Cruz Biotechnology, Santa Cruz, CA) in 1:1,000 dilutions for 1 h at room temperature and secondary antibody (1:5,000 dilution) for 40 min at room temperature and chemiluminescent second step detection (Santa Cruz Biotechnology, Santa Cruz, CA). Anti-mouse secondary antibodies (catalog no. 20,101) were obtained from Imgenex Corporation, San Diego, USA and used as per recommended antibody dilution of 1:5,000.
2.14 Determination of caspase activation
Y-79 cells (1 × 106) were seeded in 25 cm2 culture flasks (Corning, NY, USA) and treated with 5 μM/ml of native DOX, DOX-CNPs, and DOX-CNPs-FA for 48 h at 37°C. Thereafter, the cells were collected, washed thrice with PBS (0.1 M, pH 7.4), and then pelleted by centrifugation (SIGMA 3K30, Germany) at 1,000 rpm. The pellet was resuspended in radioimmune precipitation buffer, incubated on ice for 30 min, and spun for 15 min at 14,000 rpm at 4°C to remove the insoluble material. Subsequently, the activities of caspase-9 and caspase-3 were determined by western blot analysis as described above. Antibodies used were against caspase-9 (rabbit polyclonal antibody, catalog no. 9502) and caspase-3 (rabbit polyclonal antibody, catalog no. 9662) in 1:1,000 dilutions from Cell Signaling Technology, Inc., MA. Anti-rabbit secondary antibodies (catalog no. 20301) were obtained from Imgenex Corporation, San Diego, USA and used as per the recommended antibody dilution of 1:5,000. Both primary and secondary β-actin was used in the dilutions mentioned previously.
2.15 Statistical analysis
All experiments were repeated at least three times. Statistical analyses were performed using a Student’s t test. The differences were considered significant for p values of <0.05.
This study shows that nanoparticulate forms of the anticancer drug doxorubicin can be specifically targeted to cancer cells in a ligand-targeted manner.
3.1 Nanoparticles characterization
3.2 Effects of DOX on in vitro cytotoxicity, apoptosis, and Y-79 cell cycle progression and proliferation
3.3 Cellular uptake as a function of particle surface modification
Targeting effect of DOX-CNPs-FA was also investigated by using confocal laser scanning microscopy to further confirm the enhanced intracellular uptake of the folate-decorated NPs. Y-79 cells, incubated with free DOX in solution, demonstrated drug internalization within 2 h of incubation, but with increase in incubation time, the fluorescent intensity was reduced slowly. DOX-CNPs-FA-loaded nanoparticles on the other hand, were more strongly stained with clear visualization of the internalized NPs, and in addition, they showed a significant increase in fluorescence intensity with incubation time with strong fluorescence even after 8 days of treatment as compared to the native DOX (Fig. 7d). These findings are in agreement with the previous results obtained for quantitative measurement. These quantitative and qualitative results of the cellular uptake of the NPs provide strong evidence for the targeting effect of folate decoration for Y-79 cells.
3.4 Drug-induced changes in mitochondrial transmembrane potential
3.5 Kinetic analysis of drug-induced mitochondrial translocation of cytochrome c
3.6 Participation of caspase-9 and caspase-3 in DOX-induced apoptosis
Loss of ψm and cytochrome c release by numerous apoptotic stimuli including chemotherapeutic drugs lead to apoptosis which is executed by the linked activation of initiator (e.g., caspase-9) and effector caspases (e.g., caspase-3; Earnshaw et al. 1999). Caspase activation was assessed by western blotting after 48 h in accordance to the peak cytochrome c release, utilizing antibodies that detect both the procaspase as well as the cleaved caspase fragments. Based on these criteria, Fig. 9b shows evidence for DOX-induced activation of the initiator caspase (caspase-9) and the effector caspase (caspase-3). It was evident that all formulations caused activation of caspases, with the effects being most prominent in case of DOX-CNPs-FA, which caused greater cleavage of the procaspases into the active caspases.
Targeting is especially relevant in case of cancer therapies, as most of the commonly used anticancer drugs have serious side effects due to non-specific actions on healthy cells. The folate receptor, which normally is expressed only at the luminal surface of polarized epithelia, has been found to be overexpressed on the surface of several cancer cells, including retinoblastoma (Kansara et al. 2008; Leamon and Low 2001; Leamon and Reddy 2004). Thus, due to this distinguishing feature between normal and cancer cells, folic acid has emerged as an attractive targeting ligand for selective delivery, and thus is used for the surface conjugation to NPs. In this paper, our goal was to prepare highly monodisperse polymeric nanoparticles with high doxorubicin loading and folate decorated on the NP surface for site-specific targeting. These NPs, in addition, may be specifically suitable for ocular drug delivery because of its excellent mucoadhesive properties and its ability to enhance the penetration of large molecules across mucosal surface (Sahoo et al. 2008).
In our studies, doxorubicin-loaded chitosan NPs of around 300 nm were synthesized and developed for the treatment of retinoblastoma (Fig. 1). These NPs were then surface conjugated with FA in order to achieve site-specific targeting. Conjugation of FA to the NP surface was confirmed by NMR and FTIR (Figs. 2 and 3a). A typical biphasic release pattern of doxorubicin from the NPs was obtained which may be due to the faster release of the surface-adsorbed drug (burst effect) and slower release thereafter, as the drug gradually diffuses from the NPs (Fig. 3b). A sustained release of the drug from the NPs is important as a continuous exposure of the tumor cells to anticancer drugs of a relatively lower but safer concentration that gives little chance for the tumor blood vessels to grow, resulting in much better efficacy and fewer side effects than intermittent chemotherapy.
Once the NPs were synthesized and characterized, the cytotoxic potential of the various formulations was determined as the efficacy of the formulations to defeat cancer cells is reflected by their cytotoxicity. A quantitative evaluation of in vitro therapeutic effect of a dosage form is IC50, which is defined as the drug concentration needed to kill 50% of the incubated cells in a designated time period. It can be calculated from the in vitro cellular viability data that judging by IC50 after the treatment, the IC50 is 15.11 μM for native DOX, 10.2 μM for DOX-CNP formulation, and 3.06 μM for folate decorated DOX-CNP formulation, which means that DOX-CNPs-FA is approximately threefold more effective than the NP formulation and approximately fivefold more effective than the native DOX (Fig. 4). It is thus clear that folate-conjugated CNPs demonstrated higher cytotoxicity than the NP formulation and native doxorubicin, which means that for the same therapeutic effect, the drug needed for the folate-conjugated CNP formulation could be much less than the NP formulation and native doxorubicin itself. Nanoparticles may be more cytotoxic than the free drug as the polymeric envelope protects the drug and prevents the drug from being degraded by the harsh in vivo environment (Panyam and Labhasetwar 2003; Torchilin 2005). In comparison, the free drug in solution is vulnerable to all such conditions and maybe degraded and as a result is not able to exert its antiproliferative effects to the maximum. Moreover, the nanoparticles form a drug depot wherein the drug is released slowly as compared to the native drug, and thus, a continuous exposure and sustained release of the drug over a period of time is more effective. This may also be the reason that both the formulations of CNPs showed greater apoptosis and enhanced cell cycle arrest than the native DOX at the same concentration, which further corroborated the results of the cytotoxicity assay (Figs. 5 and 6). The development of the CNPs formulation of DOX, thus, can enhance the therapeutic effect as well as prevent the toxic effects of the drug applied at high concentrations.
Moreover, it was evident from the various cytotoxicity assays that folate-conjugated CNPs is a better candidate for drug delivery as it provides enhanced cytotoxicity which may be due to greater cellular uptake by the folate receptors. To validate this hypothesis, the cellular uptake of the various formulations by Y-79 cells was determined in vitro to demonstrate the penetration of the CNPs into the cells and the targeting effects of the FA-decorated CNPs. Furthermore, a competitive experiment using different concentrations of FA together with DOX-CNPs-FA was performed to verify that the uptake was mediated by the FA receptor. The uptake experiments confirmed the manifold-enhanced uptake of DOX-CNPs-DOX as compared to DOX-CNPs and the native DOX (Fig. 7a, b). Besides, the inhibition of uptake of folate-decorated CNPs by free FA in a dose-dependent manner demonstrates that the particle uptake is mediated by the FA receptor (Fig. 7c). Thus, the key for the success of the targeted formulation is due to FA that conveys targeting properties to the carrier, which involves the cell–folate receptor interaction, internalization, and intracellular drug release. Though, we agree that even at a folic acid concentration of 3 mM, some internalization of the NPs occurs which may be due to the inherent ability of CNPs to enter the cells by endocytosis. Confocal microscopic studies also demonstrated greater intracellular retention of the DOX-CNPs-FA as compared to the DOX-CNPs and native DOX (Fig. 7d). Thus, the greater antiproliferative effect of DOX-loaded CNPs-FA can be very well correlated with the duration of its intracellular retention. Our experimental conclusions that FA causes ligand specific internalization and enhanced endocytosis of NPs which leads to greater cytotoxicity can also be supported by similar findings of various research groups. Folate decorated poly (lactide)–vitamin E TPGS nanoparticles for the targeted delivery of paclitaxel was synthesized by the group of Pan et al. in which they have shown the enhanced advantages of the NP formulations versus the native drug in achieving better therapeutic effect (Pan and Feng, 2008). The advantage of folate targeting was also exploited by the group of Rosenholm et al. in which they synthesized folate-conjugated porous hybrid silica nanoparticles for targeting to cancer cells. Significantly enhanced uptake of the formulated NPs by the cancer cells supports the enhanced endocytosis of the NPs by folate receptor expressing cells (Rosenholm et al. 2009). In another study by Liu et al., in which folic acid-conjugated nanoparticles of mixed lipid monolayer shell and biodegradable polymer core for targeted delivery of docetaxel was synthesized, they showed that folic acid-conjugated NPs facilitate the targeted delivery of docetaxel as well as enhanced cytotoxicity (Liu et al. 2009).
Doxorubicin is one of those cytotoxic drugs that are known to mediate apoptosis through the intrinsic mitochondrial pathway in many cancer cell lines (Guo et al. 2000; Kluza et al. 2004; Liu et al. 2010). In our studies this pathway was investigated as these studies might provide the molecular evidence of enhancement of apoptosis by the nanoparticles. As already discussed, the mitochondrial-dependent apoptotic pathway is initiated through the disruption of the mitochondrial membrane potential. This disruption leads to the release of cytochrome c and the formation of the apoptosome complex (cytochrome c/Apaf-1/caspase-9) and activation of the caspase cascade. The changes in mitochondrial membrane potential were analyzed by the JC-1 dye that can be used to predict the polarization state of the mitochondria. It was evident that due to the targeting effects, Y-79 cells were more sensitive to FA-conjugated NPs than the DOX-CNPs and the native DOX (Fig. 8). Due to the collapse of ψm as a result of the leakiness of the inner mitochondrial membrane, cytochrome c is released into the cytosol, which appears to precede the activation of caspase-9 and caspase-3. The temporal release profile of cytochrome c suggests that greater quantity of the protein accumulated in the cytosol after treatment with DOX-CNPs-FA (Fig. 9a). This was also followed by enhanced activation of both the caspases, which suggests its advantage over DOX-CNPs and native DOX (Fig. 9b).
The mechanism of apoptosis by doxorubicin in retinoblastoma has not been studied till date. Taken together, our results point to a general mechanism of apoptosis induction by DOX in Y-79 cells that involves a progressive loss of mitochondrial membrane potential and activation of the intrinsic mitochondrial/caspase-9 specific pathway, confirming previous findings from other groups in vivo as well as in different cancer cell lines (Childs et al. 2002; Gao et al. 2001; Kluza et al. 2004; Liu et al. 2010). In all cases, FA-decorated NPs showed superior efficacy as a drug delivery system as compared to DOX-CNPs and native DOX, which suggests that targeting of Y-79 with folic acid may play a pivotal role in increasing the therapeutic efficacy of drugs as well as decreasing the deleterious side effects by considerable reducing the dosage. Though, these carriers do hold promise as a drug delivery system for the ocular tissues, further studies are warranted to determine the in vivo efficacy of these folate-decorated DOX-CNPs for the treatment of retinoblastoma.
In this study, FA-conjugated and DOX-loaded CNPs are prepared and characterized for targeting the cancer cells rich in folate receptors on their surface. DOX-loaded CNPs with surface-conjugated FA, demonstrated a superior cellular uptake over non-targeted NPs due to FA receptor-mediated endocytosis, which also resulted in an increased cytotoxicity. FA-targeted CNPs also showed enhanced apoptosis and cleavage of downstream procaspases into active caspases for the augmentation of apoptosis. Thus, this work established the better efficacy of DOX-CNP-FA due to the targeting ligand (FA), and this work may pave the way for targeted therapy for the treatment of retinoblastoma via a safe drug delivery vehicle and with minimal undesirable effects. However, it should be pointed out that this is only a proof-of-concept investigation for design of FA-conjugated and drug-loaded CNPs. Further in vivo investigation should be carried out to determine the therapeutic efficacy of these CNPs.
Department of Biotechnology (DBT), New Delhi, India is acknowledged for the award of Junior Research Fellowship (JRF)/Senior Research Fellowship (SRF) to SP. Financial support to the Institute from the Department of Biotechnology (DBT) and research grants BT/04(SBIRI)/48/2006-PID and BT/PR7968/MED/14/1206/2006 from DBT to SKS is also gratefully acknowledged.
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