Xuejiao
Song‡
a,
Chao
Liang‡
a,
Liangzhu
Feng
a,
Kai
Yang
*b and
Zhuang
Liu
*a
aInstitute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Soochow University, Suzhou 215123, China. E-mail: zliu@suda.edu.cn
bSchool of Radiation Medicine and Protection & School for Radiological and Interdisciplinary Sciences (RAD-X), Collaborative Innovation Center of Radiation Medicine of Jiangsu Higher Education Institutions Medical College of Soochow University, Suzhou, Jiangsu 21513, China. E-mail: kyang@suda.edu.cn
First published on 21st June 2017
Combining different therapeutic functions within single tumor-targeted nanoscale delivery systems is promising to overcome the limitations of conventional cancer therapies. Herein, transferrin that recognizes transferrin receptors up-regulated on tumor cells is pre-labeled with iodine-131 (131I) and then utilized as the stabilizer in the fabrication of polypyrrole (PPy) nanoparticles. The obtained transferrin-capped PPy@Tf-131I nanoparticles could be used for tumor-targeted radioisotope therapy (RIT) and photothermal therapy (PTT), by employing beta-emission from 131I and the intrinsic high near-infrared (NIR) absorbance of PPy, respectively. Owing to the transferrin-mediated tumor targeting, PPy@Tf-131I nanoparticles exhibit obviously enhanced in vitro cancer cell binding and in vivo tumor uptake compared to its non-targeting counterpart. The combined RIT and PTT based on PPy@Tf-131I nanoparticles is then conducted, achieving a remarkable synergistic therapeutic effect. This work thus demonstrates a rather simple one-step approach to fabricate tumor-targeting nanoparticles based on protein-capped conjugated polymers, promising for combination cancer therapy with great efficacy and high safety.
Recently, with the advances in nanotechnology, a large variety of radioisotope-labeled nanomaterials have been found to be able to efficiently accumulate in tumors via passive tumor targeting by the enhanced permeability and retention (EPR) effect, or active targeting by utilizing tumor-specific ligands, showing promising potential for internal RIT.7–11 By combining RIT with other treatment methods such as chemotherapy within nanoscale platforms, the achieved therapeutic outcomes may be further optimized.6,12–14 More recently, the idea of combining radiotherapy with photothermal therapy (PTT) using nano-theranostic agents has been also proposed for effective combination tumor treatment, considering that mild photothermal heating may be helpful in relieving tumor hypoxia via boosting intra-tumoral blood, so as to overcome the hypoxia-associated radio-resistance.15,16 However, many of these previously reported nano-platforms for photothermal-radiotherapy have been based on inorganic non-biodegradable materials.5,16–19 Moreover, in order to realize tumor-specific active targeting, tedious post-synthesis bioconjugation of targeting ligands onto nanoparticles is often required.20–24 Therefore, the development of biocompatible tumor-targeted nano-agents that can be fabricated via easy procedures for such synergistic cancer combination therapy would be of great interest but demands further explorations.
Conjugated polymers are highly versatile materials and have been widely used in various areas including nanomedicine.25–27 Due to their strong and stable absorbance in the near-infrared (NIR) region, a number of conjugated polymers such as polyaniline and polypyrrole (PPy) have been developed as robust photothermal agents for tumor ablation therapy.25,28–30 In a previous study by our group, albumin pre-conjugated with a photosensitizer was used as the stabilizer to synthesize multifunctional albumin-capped PPy nanoparticles,31 which however had no active tumor-targeting ability. Inspired by that work, herein, we used radioisotope 131I labeled transferrin (Tf), a tumor-targeting protein that specifically binds to its receptors over-expressed on various types of tumor cells,32–34 as a stabilizing molecule to prepare Tf-capped PPy (PPy@Tf) nanoparticles via a one-step method (Fig. 1a). The obtained PPy@Tf-131I nanoparticles showed in vitro specific uptake by tumor cells with an over-expressed Tf receptor (TfR), as well as efficient accumulation in TfR positive U87MG human glioblastoma tumors grown on mice after intravenous (i.v.) injection. Upon mild photothermal heating with a NIR laser on tumors, mice treated with PPy@Tf-131I nanoparticles showed the most effective tumor growth inhibition effect via the synergistic photothermal-radioisotope therapy. Our results demonstrate a simple one-step approach for the fabrication of tumor-targeted multifunctional nano-theranostics for efficient tumor synergistic therapy.
Under a transmission electron microscope (TEM), the obtained PPy@Tf and PPy@BSA nanoparticles showed uniform size distribution (Fig. 1b and ESI, Fig. S2†). By utilizing dynamic light scattering (DLS), it was found that the mean size of the as-prepared PPy@Tf nanoparticles was about 50 nm (Fig. 1c), consistent with the TEM observation. In their UV-vis-NIR spectrum, PPy@Tf nanoparticles showed a broad and strong absorption band ranging from the visible to the NIR region (Fig. 1d). Owing to their high NIR absorbance, PPy@Tf nanoparticles showed a great photothermal conversion ability under the irradiation of an 808 nm NIR laser (Fig. 1e). Moreover, unlike small organic dye molecules such as indocyanine green (ICG), the PPy@Tf nanoparticles showed a great photothermal ability without losing their NIR absorbance even after multiple rounds of NIR laser irradiation (Fig. 1f & g).
Then, the TfR-specific targeting ability of the as-prepared PPy@Tf nanoparticles was evaluated by incubating fluorescein labeled PPy@Tf (PPy@Tf-FITC) with U87MG cancer cells over-expressing TfR and normal 293T cells. PPy nanoparticles stabilized with bovine serum albumin (BSA) and labeled with fluorescein were also prepared as the control. Under a confocal laser scanning microscope (CLSM), we observed that U87MG cells incubated with PPy@Tf-FITC nanoparticles showed strong fluorescence signals, while rather weak fluorescence signals were observed for cells with TfR pre-blocked by native Tf before being incubated with PPy@Tf-FITC, as well as cells incubated with PPy@BSA-FITC nanoparticles (Fig. 2a). Moreover, the TfR-specific targeting ability of PPy@Tf nanoparticles was also investigated by flow cytometric analysis. U87MG cells and TfR negative 293T cells were incubated with PPy@Tf-FITC, PPy@BSA-FITC, and PPy@Tf-FITC with Tf pre-blocked (PPy = 0.1 mg mL−1) (Fig. 2b & ESI Fig. S3†). Similar results further demonstrated that our PPy@Tf nanoparticles were able to target cancer cells with TfR over-expression via the specific Tf/TfR recognition.
Next, the cytotoxicity of such PPy@Tf nanoparticles to U87MG cells and 293T cells was studied using the standard thiazolyl tetrazolium (MTT) assay. It was found that PPy@Tf nanoparticles showed negligible cytotoxicity to the U87MG cells and 293T cells even at high concentrations of up to 200 mg L−1 for 24 h (ESI Fig. S4†), indicating the excellent biocompatibility of the protein-capped PPy nanoparticles. The targeted cell killing ability of radioisotope labeled nanoparticles was then evaluated by incubating U87MG cells with free 131I, PPy@Tf-131I, or PPy@BSA-131I at different radioactivity doses for 1 h. After additional 24 h incubation within fresh cell culture medium, it was found that only PPy@Tf-131I nanoparticles showed dose-dependent cytotoxicity to the treated U87MG cells while both free 131I and PPy@BSA-131I did not show significant cytotoxicity to the cells under the same experimental conditions (Fig. 2c), demonstrating the capability of our PPy@Tf-131I nanoparticles for TfR-targeted RIT. Furthermore, owing to the excellent photothermal conversion ability of such PPy@Tf nanoparticles, we found that U87MG cells incubated with PPy@Tf nanoparticles showed a concentration dependent photothermal cell killing effect upon exposure to an 808 nm laser for 5 min (Fig. 2d). Afterwards, the combinational therapeutic effect of PPy@Tf-131I nanoparticles was evaluated. Compared to the cells treated with PPy@Tf-131I nanoparticles without light exposure, or PPy@Tf nanoparticles plus photothermal treatment (808 nm, 0.5 W cm−2, 5 min), the cells incubated with PPy@Tf-131I nanoparticles plus NIR laser irradiation under the same conditions showed drastically reduced cell viability (Fig. 2e). Therefore, our results indicate that such PPy@Tf-131I nanoparticles could be used for the combined photothermal-radioisotope therapy.
Considering that 131I is able to emit both beta particles and gamma rays, we used gamma imaging to track PPy@Tf-131I nanoparticles within the U87MG tumor-bearing nude mice after intravenous (i.v.) injection. PPy@Tf-131I nanoparticles showed obvious tumor accumulation at 24 h post-injection (p.i.), to a level much higher than that of PPy@BSA-131I nanoparticles without the TfR targeting ability (Fig. 3a & ESI Fig. S5†). In contrast, most of the free 131I after i.v. injection would be rapidly excreted from mice via the renal pathway without showing any appreciable accumulation in tumors. Moreover, the detailed in vivo pharmacokinetic behaviors of the as-prepared PPy@Tf-131I and PPy@BSA-131I nanoparticles were further studied using a gamma counter. The blood circulation half-lives of PPy@BSA-131I and PPy@Tf-131I were calculated to be 4.99 h and 5.54 h and their areas-under-curve (AUCs) were calculated to be 636 and 648 mCi h L−1, respectively. Both PPy@Tf-131I and PPy@BSA-131I nanoparticles after i.v. injection showed no significant difference in terms of their blood circulation profiles (Fig. 3b). Additionally, the detailed biodistribution of such PPy@Tf-131I and PPy@BSA-131I nanoparticles in U87MG tumor bearing mice was determined at 24 h p.i. (Fig. 3c). The tumor accumulation of PPy@Tf-131I nanoparticles was measured to be ∼3 fold compared to that of PPy@BSA-131I nanoparticles. Notably, the radioactivity levels in other normal organs of PPy@BSA-131I injected mice appeared to be quite low (below ∼5% ID g−1 even for the liver). These results collectively demonstrate that our PPy@Tf-131I nanoparticles have a remarkable active tumor targeting ability, promising for further tumor-targeted treatment.
Motivated by the excellent in vitro cell killing efficacy of the combined PTT–RIT, as well as the active tumor targeting ability of such PPy@Tf-131I, the in vivo combined RIT–PTT treatment with PPy@Tf-131I nanoparticles was then evaluated. U87MG tumor bearing mice with tumor sizes of ∼75 mm3 were randomly divided into four groups as follows: (I) control group with saline injection only; (II) PTT group with PPy@Tf nanoparticle injection plus 808 nm laser irradiation; (III) RIT group with PPy@Tf-131I nanoparticle injection only, and (IV) combination group with PPy@Tf-131I nanoparticle injection plus 808 nm laser irradiation. The dose of 131I was 300 μCi per mouse for all RIT groups. NIR laser irradiation was carried out 24 h post i.v. injection of nanoparticles, by exposing the mice to an 808 nm laser for 20 min (power density = 0.5 W cm−2) with their tumor surface temperature controlled at ∼45 °C using a thermal camera (Fig. 4a & b). Then, the tumor sizes were measured using a digital caliper since the beginning of the treatment. Compared to the partially inhibited tumor growth in the mice treated with either PTT alone or RIT alone, the tumor growth on the mice treated by the combination therapy (PPy@Tf-131I plus NIR laser) was most effectively inhibited, with only scars left on day 8 and no recurrence observed during the following days (Fig. 4c & d).
One critical factor that determines the efficacy of the radiation-induced damage of tumors is their oxygenation status, as oxygen molecules within tumor cells would react with radiation-induced DNA breaks to prevent DNA repairing by cells and enhance radiation-induced cell killing. The tumor hypoxia, a hallmark of solid tumors, would therefore lead to the resistance of tumors to radiation therapies. In our previous report, it has been found that the mild photothermal heating of tumors could efficiently relieve the tumor hypoxia by boosting the intra-tumoral blood flow,15,16 making the tumor cells more vulnerable to the radiation therapy. As revealed by the ex vivo immunofluorescence staining of tumor slices in our experiments, tumors in mice injected with PPy@Tf after NIR-induced photothermal heating indeed showed obviously relieved tumor hypoxia (Fig. 4e). After laser irradiation, the percentage of the hypoxia positive area dropped from∼60% for tumors in the untreated group to ∼23% for tumors in mice after the mild photothermal treatment with PPy@Tf (Fig. 4f). Therefore, the excellent synergistic effect achieved in the combined PTT–RIT with PPy@Tf-131I is likely owing to the improved tumor oxygenation after the mild PTT to overcome the hypoxia-associated resistance of tumors to RIT.
Finally, the potential in vivo toxicity of PPy@Tf-131I was also investigated. No obvious sign of the toxic effect was observed in the PPy@Tf-131I injected mice in our experiments after the PTT–RIT treatment within 14 days. The hematoxylin and eosin (H&E) stained images of all major organs of mice showed no noticeable organ damage or inflammatory lesion 14 days after such treatment with PPy@Tf-131I (ESI, Fig. S6†), indicating that the PPy@Tf-131I nanoparticles were not obviously toxic to the treated animals at our experimental dose.
To prepare PPy@131I-Tf or PPy@Tf nanoparticles, 10 mg 131I-Tf or unlabeled Tf dissolved in 2 mL water was mixed with 5 μL of pyrrole monomer followed by 1 h stirring at room temperature. Then, 5 mg ferric chloride hexahydrate was added into the reaction mixture and reacted at room temperature for an additional 24 h. The final products were purified by ultra-filtration using an Amico filter device with a MWCO of 100 kDa. Free Tf was completely removed as checked by measuring the amount of Tf in the upper and lower solution by the bicinchoninic acid (BCA) assay. The nanoparticles were re-dissolved in PBS for future use. We measured the amount of Tf in the upper and lower solution by BCA assays. The results could confirm that free Tf was completely removed. PPy@131I-BSA and PPy@BSA nanoparticles were prepared by the same procedure.
The morphology, size distribution and UV-vis-NIR spectrum of PPy@Tf nanoparticles were recorded using a TEM (Tecnai F20, FEI), a Malvern zetasizer (nano-ZS90) and a UV-vis-NIR spectrometer (Thermo Fisher), respectively. The photothermal conversion ability was monitored by using a thermal camera (Fotric 226).
The in vitro active targeting ability of PPy@Tf-131I nanoparticles was evaluated by using CLSM and flow cytometry. PPy@Tf-FITC and PPy@Tf-FITC nanoparticles were firstly prepared by using the same procedure for the preparation of PPy@Tf-131I and PPy@BSA-131I nanoparticles, with FITC labeled Tf and BSA used as the stabilizers during the synthesis of PPy, respectively. For CLSM observation, U87-MG cells were seeded in a 24 well plate containing circle glass coverslides at a density of 2 × 104 cells per well. 24 h later, one group of cells was incubated with PPy@BSA-FITC nanoparticles, while the other two groups of cells were incubated with PPy@Tf-FITC nanoparticles with one of them being pre-incubated with native Tf at a concentration of 0.5 mg mL−1 for 1 h. After being incubated for the designated periods of time, the cells were washed with PBS, fixed with 4% paraformaldehyde solution, stained with 4,6-diamino-2-phenyl indole (DAPI), and finally observed under the CLSM (Leica TCS-SP5II, Germany).
For flow cytometric analysis, 5 × 105 of U87MG cells were seeded in a 35 mm petri-dish and cultured at 37 °C for 24 h. Then, the cells which received the same treatments as aforementioned for CLSM observation were washed three times with PBS, trypsinized and re-dispersed in 1% BSA containing PBS for flow cytometric analysis (BD Calibur).
For targeted RIT, U87MG cells were seeded into 96-well cell culture plates until adherent and then incubated with various concentrations of free 131I, PPy@Tf-131I and PPy@BSA-131I nanoparticles. After 1 h of incubation, free materials were removed by washing twice with fresh culture medium. Afterwards, the cells were re-incubated in fresh medium for additional 24 h before the MTT assay to determine the relative cell viabilities.
For PTT, U87MG cells were seeded into 96-well cell culture plates until adherent, incubated with different concentrations of PPy@Tf, and then exposed to the 808 nm laser (0.5 W cm−2, 5 min). Afterwards, the MTT assay was carried out to determine the cell viabilities relative to the control untreated cells.
For combination therapy, U87MG cells were incubated with PPy@Tf-131I and PPy@Tf at the same concentration of 131I or PPy. For RIT, the cells were incubated with the PPy@Tf-131I nanoparticles for 24 h. For PTT, the cells were incubated with PPy@Tf and placed under 808 nm laser irradiation at 0.5 W cm−2 for 5 min. Afterwards, the samples were incubated for 24 h. For combination therapy, the cells were incubated with PPy@Tf-131I, exposed to the 808 nm laser (0.5 W cm−2, 5 min) and then incubated for another 24 h. The MTT assay was carried out to determine the cell viabilities relative to the control untreated cells.
Footnotes |
| † Electronic supplementary information (ESI) available. See DOI: 10.1039/c7bm00409e |
| ‡ These two authors contributed equally to this work. |
| This journal is © The Royal Society of Chemistry 2017 |