Martina E.
Wieder
a,
Duncan C.
Hone
a,
Michael J.
Cook
a,
Madeleine M.
Handsley
b,
Jelena
Gavrilovic
b and
David A.
Russell
*a
aSchool of Chemical Sciences and Pharmacy, University of East Anglia, Norwich, UK NR4 7TJ. E-mail: d.russell@uea.ac.uk
bSchool of Biological Sciences, University of East Anglia, Norwich, UK NR4 7TJ
First published on 21st June 2006
Phthalocyanine-nanoparticle conjugates have been designed and synthesised for the delivery of hydrophobic photosensitizers for photodynamic therapy (PDT) of cancer. The phthalocyanine photosensitizer stabilized gold nanoparticles have an average diameter of 2–4 nm. The synthetic strategy interdigitates a phase transfer reagent between phthalocyanine molecules on the particle surface that solubilises the hydrophobic photosensitizer in polar solvents enabling delivery of the nanoparticle conjugates to cells. The phthalocyanine is present in the monomeric form on the nanoparticle surface, absorbs radiation maximally at 695 nm and catalytically produces the cytotoxic species singlet oxygen with high efficiency. These properties suggest that the phthalocyanine-nanoparticle conjugates are ideally suited for PDT. In a process that can be considered as cancer therapy using a ‘Trojan horse’, when the nanoparticle conjugates are incubated with HeLa cells (a cervical cancer cell line), they are taken up thus delivering the phthalocyanine photosensitizer directly into the cell interior. Irradiation of the nanoparticle conjugates within the HeLa cells induced substantial cell mortality through the photodynamic production of singlet oxygen. The PDT efficiency of the nanoparticle conjugates, determined using colorimetric assay, was twice that obtained using the free phthalocyanine derivative. Following PDT with the nanoparticle conjugates, morphological changes to the HeLa cellular structure were indicative of cell mortality via apoptosis. Further evidence of apoptosis was provided through the bioluminescent assay detection of caspase 3/7. Our results suggest that gold nanoparticle conjugates are an excellent vehicle for the delivery of surface bound hydrophobic photosensitizers for efficacious photodynamic therapy of cultured tumour cells.
We are interested in developing a drug delivery system based on nanoparticle technology for the photodynamic therapy (PDT) of cancer indications. PDT is a cancer treatment modality which combines the use of a photoactive drug, termed a photosensitizer, with light to cause selective damage of the target tissue. Visible light is used to stimulate the photosensitizer into an electronically excited state. The excited state energy is transferred to ground state molecular oxygen to produce an excited species known as singlet oxygen. Singlet oxygen is a highly oxidising form of oxygen and is cytotoxic. It is the cytotoxicity of singlet oxygen which is key to PDT as a cancer treatment.
While the clinical potential of PDT has been recognized for over 25 years, approval of a photosensitizer for oncological indications was first granted in 1995. The first approved photosensitizer was hematoporphyrin derivative (Photofrin) and subsequently 3 other drugs have received regulatory approval, viz.: meta-tetrahydroxyphenyl chlorin (Foscan); 5-aminolevulinic acid (Levulan) and methyl 5-aminolevulinate (Metvix). The latter two drugs are not photosensitizers but are converted by the body to protoporphyrin IX (or the methyl derivative for Metvix) via the heme biosynthetic pathway. Protoporphyrin IX is a photosensitizer and consequently produces singlet oxygen when stimulated by light. The current status of PDT in cancer treatment has been recently reviewed by Brown et al.4
While excellent clinical results are obtained with the current photosensitizers a number of improvements are sought which would enhance the efficiency of PDT treatment. These improvements include: isomerically pure photosensitizers; photosensitizers which absorb light in the far-red region of the electromagnetic spectrum, as human tissue transmits these wavelengths preferentially thus enabling access to deeper residing tumours;4 enhanced efficiency of singlet oxygen production, thereby reducing the concentration of the photosensitizer necessary to treat the tumour; and increased selectivity of biodistribution of the photosensitizer in the tumour tissue, this latter improvement is particularly important as skin photosensitivity is known to be a key limitation currently.
Phthalocyanines are a class of compounds which have been shown to successfully address all of these issues.5 However, the parent phthalocyanine molecule is hydrophobic and needs to be incorporated within a liposomal formulation, for example, for successful delivery. Water soluble phthalocyanines can be made and indeed disulfonated aluminium phthalocyanine has received approval for use in Russia.4 However, hydrophobic photosensitizers have been shown to exhibit substantially greater PDT performance6,7—the obvious drawback being the need for lipid-based delivery systems in order to target the tumour tissue with such photosensitizers. We have been studying a series of zinc phthalocyanine derivatives for PDT which possess eight substituents surrounding the parent macrocyclic ring structure.5 We have shown that these photosensitizer molecules exhibit excellent PDT action,8,9 although a Cremophor emulsion was required in order to facilitate delivery into the animal model.
In order to avoid the use of such emulsions we have recently developed a nanoparticle approach for photosensitizer drug delivery.10 Our delivery system is based on gold nanoparticles whereby the photosensitizer is bound to the surface of the nanoparticle. The surface bound photosensitizer exhibits a remarkable enhancement of the singlet oxygen quantum yield (ΦΔ = 0.65) as compared with the free photosensitiser (ΦΔ = 0.45). It is thought that this 50% enhancement in ΦΔ is due to the presence of an associated phase transfer agent (tetraoctylammonium bromide; TOAB) which increases the triplet energy transfer to molecular oxygen. Subsequently, Prasad et al. have reported a silica nanoparticle based delivery approach whereby the photosensitizer was encapsulated within the nanoparticles achieving excellent cell kill results with their in vitro study.11 Other nanoscale systems that have been proposed for application in PDT include semiconductor quantum dots,12,13 polymeric nanoparticles for the encapsulation of photosensitizers14,15 and most recently, iron oxide nanoparticles for combined hyperthermia and photodynamic therapies.16 In a recent review where the silica and gold nanoparticle systems were compared as photosensitizer delivery vehicles,17 it was speculated that the surface bound photosensitizer (on the gold nanoparticle) may present an advantage over an encapsulated photosensitizer in that the generated singlet oxygen would not need to diffuse out of the porous particle structure to elicit cell kill. This present paper reports on a cellular study (with HeLa cells, a well established tumour cell line originating from a cervical epithelial tumour) using our photosensitizer-nanoparticle conjugates for photodynamic therapy.
In order to exemplify our gold nanoparticle delivery technology we chose to use a phthalocyanine derivative with consideration of the improved PDT performance of this class of molecules, although other photosensitizers could be readily delivered using this approach. To attach the phthalocyanine molecule to the gold surface, the photosensitizer has been derivatized with a thiol moiety. The thiol provides a direct linkage to the gold nanoparticle surface via self-assembly. The photosensitizer stabilized gold nanoparticles are formulated using a gold salt, a phase transfer reagent (TOAB), the thiolated phthalocyanine derivative and sodium borohydride as a reductant. The resulting product is designed to provide a 3-component system containing the photosensitizer and phase transfer reagent bound to the surface of the gold nanoparticles. Importantly, while the free phthalocyanine derivative is only soluble in organic solvents, such as toluene, the presence of the phase transfer reagent facilitates solubilisation of the photosensitizer-nanoparticle conjugates in polar solvents such as ethanol. Such solubility and the overall size of the phthalocyanine-nanoparticle conjugates are essential design features as they enable the delivery and the subsequent internalisation of the conjugates by the cells. Irradiation of the internalised phthalocyanine-nanoparticle conjugates induces mortality of the cancerous cells—a process which we consider as cancer therapy using a ‘Trojan horse’.
UV-visible and fluorescence spectroscopy of the phthalocyanine-nanoparticle conjugates were performed using a Hitachi U-3000 UV-visible and a FluoroMax-2 (ISA Instruments S.A.) fluorescence spectrometer respectively. Both showed the presence of the phthalocyanine molecule with the characteristic absorbance (λmax = 695 nm) and fluorescence (λem = 715 nm) maxima of the octyl substituted phthalocyanine derivative.5,8 Transmission electron microscopy (TEM) (Jeol 2000EX operating at 100 kV) confirmed that the photosensitizer stabilized nanoparticles were 2–4 nm in diameter. Energy dispersive X-ray analysis (EDXA) confirmed the presence of both the phthalocyanine photosensitizer and the TOAB phase transfer reagent on the gold surface by the appearance of Zn(II) (Lα 8.63 keV) and bromine (Kα 11.90; Kβ 13.38 keV) signals in the spectrum respectively.10 A schematic representation of the 3-component phthalocyanine-nanoparticle conjugates is shown in Fig. 1.
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| Fig. 1 Schematic representation of the three-component phthalocyanine-nanoparticle conjugates. | ||
Phthalocyanine-nanoparticle conjugates were incubated with the HeLa cells, and the effects with, and without, irradiation from the 690 nm diode laser were assessed in terms of the cell viability/cell death using assays and microscopy.
To assess nanoparticle conjugate uptake by the HeLa cells and cellular morphology post-PDT, confocal laser scanning microscopy was used. HeLa cells (25 × 104 cells) were cultured on 42 mm round coverslips in a Petri dish in 5 mL DMEM and then incubated for 24 h. The cells were incubated with 47 µM phthalocyanine-nanoparticle conjugates in 5 mL DMEM for 6 or 16 h. The medium was then changed to phenol red free, air-buffered, L15 medium containing the FCS, P–S and L-glutamine supplements and the cells were mounted on a 37 °C heated stage. The cells were observed with a confocal laser scanning microscope (Carl Zeiss, LSM 510 meta) using 633 nm laser excitation with fluorescence emission measurement between 650–720 nm. A 63×, 1.4 NA objective was used to obtain high-resolution images. Differential Interference Contrast (DIC) images were collected simultaneously with transmitted light from the 633 nm excitation. Images were processed and composite merges were obtained using Adobe Photoshop.
To determine cell viability the colorimetric MTT metabolic activity assay developed by Mossman,22 and subsequently modified by Prasad and co-workers to incorporate a cell irradiation protocol,11 was used. HeLa cells (1 × 104 cells well−1) were added to wells of a 96 well microtiter plate (Nunc) with 200 µL DMEM and incubated for 24 h. Phthalocyanine-nanoparticle conjugates (0.5 µL of varying concentrations in ethanol), with 100 µL DMEM, were added to the wells and the plates were returned to the incubator for 2, 4 or 6 h. After incubation, the wells were rinsed three times with phosphate buffered saline (PBS) to remove the nanoparticle conjugates that had not been internalised by the HeLa cells. DMEM (200 µL) was added to the wells and then each well was irradiated using the 690 nm diode laser for varying time periods. The cells were incubated for a further 18 h. Cell viability was assessed using the MTT (3-[4, 5-dimethylthiazol-2-yl]-2, 5 diphenyltetrazolium bromide; Sigma) assay. MTT was dissolved in PBS (5 mg mL−1), and 12.5 µL was added to each well following the 18 h incubation. The cells were then incubated for a further 4 h. The resultant formazan crystals were dissolved in dimethyl sulfoxide (200 µL) and the absorbance intensity measured at 570 nm. Each variable (concentration of nanoparticle conjugates, incubation time and irradiation time) was assessed through MTT assay in triplicate. To ensure reproducible irradiation of the HeLa cells, the intensity of the laser light source was measured on each occasion using a power meter (Power Max 500AD; Molectron).
Apoptosis is a key mechanism of cell death which can be induced by PDT action. To determine whether the phthalocyanine-nanoparticle conjugates induce apoptosis a bioluminescent assay for activation of caspases-3 and -7 (Caspase-Glo™ 3/7 assay; Promega) was used. HeLa cells (1 × 104 cells well−1) were plated on a white-walled 96 well plate (to remove background fluorescence) with 200 µL DMEM and incubated for 24 h. 0.5 µL of the phthalocyanine-nanoparticle conjugates (0.55 µM in ethanol) with 100 µL DMEM were added to the wells and the plate returned to the incubator for 6 h. After incubation, the cells were rinsed 3 times with PBS to remove non-internalised nanoparticles. DMEM (100 µL) was added to the wells, which were then irradiated with the 690 nm diode laser at 1.84 mW cm−2 for 10 min each. The irradiated HeLa cells were incubated for 18 h. Caspase-Glo™ 3/7 buffer and lyophilised Caspase-Glo™ substrate (Promega) were stored in a freezer and equilibrated to room temperature (ca. 20 ° C) prior to use. The buffer and substrate solutions were combined. Caspase-Glo™ reagent (100 µL) was added to each well. The contents of the wells were mixed on a plate shaker for 30 s. The 96 well plate was incubated at 20 °C for 3 h. The luminescence of the samples was measured using a Wallac Victor 2, 1420 Multilabel Counter. Each assay measurement was replicated at least 3 times.
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| Fig. 2 Variation of the absorption spectrum of ADPA and phthalocyanine-nanoparticle conjugates following irradiation at 690 nm (1.72 mW cm−2). (A) Spectrum showing contributions from both ADPA and phthalocyanine-nanoparticle conjugates. (B) Time-dependent photobleaching of ADPA absorbance as the singlet oxygen, generated by the irradiation (at 690 nm) of phthalocyanine-nanoparticle conjugates (dots), produces the endoperoxide. Au–NMe3+ nanoparticles were used as a control (squares). | ||
To establish whether photosensitizers can be delivered to cells via the nanoparticle vehicle approach, the phthalocyanine-nanoparticle conjugates were incubated with HeLa cells. With consideration of the small size of the nanoparticles it was envisaged that the HeLa cells would internalize the photosensitizer-nanoparticle conjugates through endocytotic processes from the extracellular environment. Indeed internalisation of the photosensitizer-nanoparticle conjugates was readily observed when the particles were incubated with the HeLa cells for 16 h. The uptake of the conjugates by the cells, observed using confocal fluorescence microscopy, is shown in Fig. 3. It can be seen that the nanoparticle conjugates are present throughout the intracellular space, with the exception of the cell nucleus.
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| Fig. 3 Combined confocal fluorescence and DIC images of HeLa cells following incubation with phthalocyanine-nanoparticle conjugates. The presence of the nanoparticle conjugates within the HeLa cells can be readily seen from the fluorescence emission (red) following excitation at 633 nm. | ||
To determine the in vitro efficiency of the photosensitizer-nanoparticle conjugates for photodynamic therapy, variation and optimization of multiple parameters were required. These parameters included: varying nanoparticle conjugate concentration (0.04–5.42 µM); variation of cell incubation period (2, 4 and 6 h) with the nanoparticle conjugates; and variation of the period of irradiation of the cells (10, 20 and 30 min) using the 690 nm diode laser. Cell assays were used to study each parameter by measurement of cell viability (as % metabolic activity) using the colorimetric MTT reagent. Full controls were undertaken for each variable. The results of these studies are summarised in Fig. 4.
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| Fig. 4 Variation and optimization of parameters for the in vitro PDT of HeLa cells using phthalocyanine-nanoparticle conjugates as determined by MTT assay. All data are an average of 3 replicates for each parameter. (A) Effect of phthalocyanine-nanoparticle conjugate concentration when incubated with the HeLa cells for 6 h. (B) Effect of duration of incubation of 0.55 µM phthalocyanine-nanoparticle conjugates with the HeLa cells for 2, 4 or 6 h before (dark grey) and after (light grey) irradiation with a 690 nm diode laser at 1.84 mW cm−1 for 10 min. (C) Effect of duration of irradiation of the 0.55 µM phthalocyanine-nanoparticle conjugates on HeLa cell viability. Cells were irradiated for 10, 20 or 30 min (light grey) (using a 690 nm diode laser at 1.66 mW cm−1). Controls, where the nanoparticle conjugates within the cells were not irradiated are shown for comparison (dark grey). | ||
Fig. 4(A) shows that the HeLa cell viability, as determined by MTT assay, decreases as the concentration of the phthalocyanine-nanoparticles incubated with the cells increases. These dose versus metabolic activity data show that the nanoparticle conjugates exhibit a dark-toxicity at higher concentrations when incubated with the cells for 6 h. By decreasing the period of time used to incubate the nanoparticle conjugates (at a concentration of 0.55 µM) from 6 to 4 or 2 h, the dark toxicity effect is reduced (Fig. 4(B)). Cell survival was ca. 90% when a period of either 2 or 4 h was used to incubate the nanoparticle conjugates with the HeLa cells. Cell survival reduced to 70% with a 6 h incubation. When the accumulated nanoparticle conjugates within the cells were irradiated for 10 min using the diode laser at 690 nm, PDT action resulted in a further reduction of the cell viability. With consideration of both the dark toxicity and the PDT effect following irradiation, it was determined that a period of 4 h was the optimal time for the cells to take-up and intracellularly accumulate the nanoparticle conjugates (Fig. 4(B)). The effect of the time of irradiation of the nanoparticle conjugates within the cells (following 4 h incubation) is shown in Fig. 4(C). The data (in Fig. 4(C)) clearly show that the optimum PDT effect is observed when the cells are irradiated for 20 min with the 690 nm light source. From the data shown in Fig. 4, the optimized protocol for the PDT of the cervical cancerous cell line was determined as follows: HeLa cells (1 × 104 cells well−1) were added to the wells of a 96 well plate with 200 µL DMEM and incubated for 24 h. Phthalocyanine-nanoparticle conjugates (0.5 µl of 0.55 µM conjugates in ethanol) with 100 µL DMEM, were added to the wells and the plate was returned to the incubator for 4 h. The wells were rinsed 3 times with PBS to remove non-internalised nanoparticle conjugates. DMEM (200 µL) was added to the wells and then each well was irradiated for 20 min using the 690 nm diode-laser at 1.84 mW cm−2. The HeLa cells were incubated for a further 18 h. The cell viability results, as determined by MTT assay, using this optimised protocol are shown in Fig. 5.
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| Fig. 5 Metabolic activity of HeLa cells, as determined by MTT assay, following incubation of phthalocyanine-nanoparticle conjugates (0.55 µM) for 4 h and subsequent irradiation at 690 nm (1.84 mW cm−2) for 20 min. | ||
When the internalised phthalocyanine-nanoparticle conjugates were irradiated at 690 nm, the HeLa cell viability decreased to 43% indicating that the majority of the cells had been killed through photodynamic action. The nanoparticle conjugates at the 0.55 µM concentration do appear to cause a partial ‘dark’ toxicity as the cell viability, without light irradiation, decreased to 77%. In order to establish whether a specific component of the conjugates was cytotoxic, each constituent was tested by measurement of cell viability. The components tested included TOAB and the free zinc phthalocyanine derivative both at concentrations determined to be present on the gold nanoparticle surface. The free phthalocyanine was solubilized using both TOAB and ethanol to facilitate incubation with the HeLa cells. To determine whether the gold was cytotoxic, mannose stabilized gold nanoparticles were produced and tested. The results of the ‘dark’ toxicity and the phototoxicity of each of these individual components are shown in Fig. 6.
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| Fig. 6 HeLa cell viability (% metabolic activity), as determined by MTT assay, following incubation with the individual constituents of the phthalocyanine-nanoparticle conjugates: ethanol (0.5%); TOAB (2.19 µM); Au–mannose nanoparticles (0.42 µM); and zinc phthalocyanine derivative (0.55 µM, solubilized using TOAB and ethanol). Test solutions were each incubated with HeLa cells for 6 h in DMEM. Irradiation of samples was achieved using a 690 nm laser for 10 min at 1.84 mW cm−2. Non-irradiated cells (diagonal shading), irradiated cells (dot shading). Results are an averaged value from 3 replicates. | ||
Minimal cytotoxic effect was observed with the ethanol (cell viability of ca. 94%), and the mannose coated gold nanoparticles (95%) with or without red-light irradiation. Indeed, following the irradiation protocol a decrease in cell viability from 100 to 96% was induced in the cells alone. The incubation of the cells with the TOAB phase transfer reagent reduced the cell viability to 88% when the cells were irradiated. Addition of the free phthalocyanine derivative (solubilized with both TOAB and ethanol) to the cells also decreased the cell viability to 89%. A further decrease in cell viability was obtained (74%) when these cells were irradiated, showing the PDT effect of the phthalocyanine derivative. The ‘dark’ toxicity of the nanoparticle conjugates (Fig. 5) appears to represent a cumulative effect from the individual components.
From Fig. 5 it is apparent that a significantly enhanced photodynamic effect is observed with the phthalocyanine-nanoparticle conjugates with a decrease in cell viability to 43% as compared to the free phthalocyanine (Fig. 6). Indeed, these results show that the nanoparticle conjugates exhibit a PDT efficiency which is greater than twice that of the free phthalocyanine derivative. This is a substantial improvement in PDT efficiency which probably can be attributed to the 50% enhancement of singlet oxygen quantum yield observed for the phthalocyanine-nanoparticle conjugates as compared to the free photosensitizer.
Following PDT with the phthalocyanine-nanoparticle conjugates the morphology of the HeLa cells changes dramatically. The combined differential contrast and fluorescence microscopy images (Fig. 7(A)) shows the presence of the nanoparticle-conjugates within the intracellular environment of the HeLa cells but additionally the cells show the presence of blebs and vacuoles. These cellular features are not present in ‘healthy’ HeLa cells (Fig. 7(B)) and are indicative of cell mortality possibly induced by apoptosis.
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| Fig. 7 Combined confocal fluorescence and DIC images of: (A) A post PDT image of phthalocyanine-nanoparticle conjugates internalised within HeLa cells following 6 h incubation and (B) ‘Healthy’ HeLa cells—with no nanoparticle conjugates. The cellular morphology in (A) shows the presence of blebs (yellow arrow) and vacuoles (green arrow), structures which are absent in the none PDT treated cells shown in (B). | ||
To determine whether the nanoparticle conjugates induce apoptosis following PDT a caspase 3/7 assay was used. Caspase-3 is considered one of the central molecules in apoptotic events and is responsible for the cleavage and activation of caspase 6, 7 and 8.23,24 The Caspase-Glo™ 3/7 assay measures the amount of caspase 3/7 by luminescence as the cleavage of caspase produces a luminescent signal from luciferase; the intensity of the luminescence signal being proportional to the quantity of caspase 3/7 produced. The average luminescence intensity (from 3 separate measurements) obtained from the caspase 3/7 assay following irradiation of the HeLa cells containing nanoparticle conjugates was 7875 RLU (relative light units), whereas the average intensity obtained for HeLa cells without the conjugates was 7333 RLU. The luminescence intensity obtained from the HeLa cells with non-irradiated nanoparticle conjugates was comparable to the cells without conjugates present. This latter result suggests that the non-irradiated nanoparticle conjugates do not induce apoptosis. However, the increased luminescence intensity following irradiation of the nanoparticle conjugates internalised by the HeLa cells indicates an enhanced level of caspase 3/7 suggesting that apoptosis is involved in the cellular death that is induced by PDT with the phthalocyanine-nanoparticle conjugates.
Both necrosis and apoptosis are known to be involved in cellular destruction through PDT.23–25 The balance between these two mechanisms being dependent upon a range of parameters including light-dose, post-irradiation time, the concentration of photosensitizer, cell type, its genetic and metabolic potential, the nature of the photosensitizer and its sub-cellular localization.23–25 Under the optimized experimental protocol conditions used to elicit cell kill with the nanoparticle conjugates, the luminescence caspase assay results suggest that apoptosis is intimately involved in the cell kill.
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