Siteng Wanga,
Hongping Denga,
Ping Huanga,
Pei Suna,
Xiaohua Huangb,
Yue Sua,
Xinyuan Zhu*a,
Jian Shen*b and
Deyue Yana
aSchool of Chemistry and Chemical Engineering, State Key Laboratory of Metal Matrix Composites, Shanghai Jiao Tong University, 800 Dongchuan Road, Shanghai 200240, P. R. China. E-mail: xyzhu@sjtu.edu.cn; Fax: +86-21-54741297; Tel: +86-21-34203400
bJiangsu Collaborative Innovation Center of Biomedical Functional Materials, Jiangsu Key Laboratory of Biomedical Materials, College of Chemistry and Materials Science, Nanjing Normal University, Nanjing 210046, P. R. China. E-mail: shenjianbio@hotmail.com
First published on 15th January 2016
A new self-tracking nanoscale drug delivery system has been developed to monitor drug delivery and release in tumor cells. The small molecule nanodrug was constructed via the conjugation and self-assembly of two widely used anticancer drugs, hydrophilic irinotecan (Ir) which displays blue fluorescence and hydrophobic doxorubicin (DOX) which displays red fluorescence, which produced colorful fluorescence variations during drug delivery and release in cells. Owing to the fluorescence resonance energy transfer (FRET), the Ir–DOX conjugate emitted strong red fluorescence when excited at a short wavelength. Benefiting from its amphiphilicity, the Ir–DOX conjugate self-assembled into micelles in aqueous medium and the fluorescence was quenched due to aggregation-caused quenching (ACQ). No obvious red or blue fluorescence was observed during a 12 h cell incubation with Ir–DOX, indicating that Ir–DOX entered cells in the form of micelles rather than free conjugate or free drugs. With increasing incubation time, the breaking of the Ir–DOX linkage resulted in the release of both free drugs, leading to the recovery of dual-color fluorescence. In vitro cytotoxicity studies showed that the Ir–DOX micelles could overcome the multidrug resistance (MDR) of tumor cells, resulting in a prominent growth inhibition against cancer cell proliferation. The Ir–DOX small molecule nanodrug provides a new design for real-time self-tracking of carrier-free and probe-free drug delivery systems in cancer treatment.
To further improve therapeutic effects, the monitoring and understanding of drug delivery and release behaviors of carrier-free small molecule nanodrugs is important. Among various monitoring techniques, fluorescence is one of the most powerful tools, and exhibits high sensitivity, multicolor labeling, great versatility, and a real-time monitoring ability.18–21 Although fluorescent labeling can be readily achieved by grafting fluorescent probes onto conventional carrier-based drug delivery systems, it is not suitable for carrier-free small molecule nanodrugs. Apparently, the introduction of fluorescent probes onto a drug–drug conjugate will change the physical/chemical properties and self-assembly behavior of the small molecule nanodrugs. Therefore, real-time tracking of the delivery and release of small molecule nanodrugs becomes a challenge.
We note that some anticancer drugs show bright fluorescence by themselves, including the most common anticancer drugs, doxorubicin (DOX), camptothecin and their analogs,22–27 providing a simple and feasible route for tracking drug delivery without the need of fluorescent labeling during tumor treatment. Especially, it can be imagined that if two fluorescent anticancer drugs are mixed or conjugated together, the colorful fluorescence variations can be designed and tracked during drug delivery and release. Following this idea, here we construct a new self-tracking amphiphilic drug–drug conjugate, which enables monitoring of the drug delivery and release in the tumor cells (Scheme 1). In details, the hydrophilic anticancer drug irinotecan (Ir) which displays blue fluorescence and hydrophobic anticancer drug DOX which displays red fluorescence are conjugated together via a simple carbamate bond, since the combined chemotherapy of Ir and DOX demonstrates a potential clinical benefit.28,29 The excitation and emission wavelengths of Ir and DOX are at 370/450 nm and 480/590 nm, respectively, so there is a great overlap between the emission of Ir (donor) and the excitation of DOX (acceptor), leading to an efficient fluorescence resonance energy transfer (FRET). Thus, the Ir–DOX conjugate emits a strong red fluorescence when excited with a short wavelength in a good solvent (DMSO). Once the amphiphilic Ir–DOX conjugate self-assembles into micelles in aqueous medium, the fluorescence reduces significantly due to the serious π–π stacking of the rigid planar chromophores, i.e. aggregation-caused quenching (ACQ).30–33 After cell internalization and intracellular responsiveness, both free Ir and DOX drugs are released from the Ir–DOX micelles, resulting in the appearance of strong blue Ir fluorescence and red DOX fluorescence. Benefitting from these fluorescence features, the intracellular drug delivery and release behaviors of the small molecule nanodrugs can be easily tracked by observing the fluorescence variations of the two anticancer drugs.
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| Scheme 1 Ir–DOX conjugate and the construction of the self-assembled micelles for self-tracking cancer therapy. | ||
Next, Ir–NPC was reacted with DOX·HCl to give Ir–DOX under alkaline conditions. The chemical structure of Ir–DOX was also confirmed using 1H NMR and 13C NMR spectroscopy, as shown in Fig. 1. According to the 1H NMR, the three proton signals at 0.86 (1), 1.26 (2) and 6.50 (3) ppm, attributed to methyl (CH3CH2–, lactonic ring, pyridone ring) and methylene (–CH2–, pyridone ring) in Ir, shift to 0.76 (1′), 1.00 (2′) and 6.84 ppm (3′) in the 1H NMR spectrum of the Ir–DOX conjugate. The proton signal shift of methyl from 3.96 ppm to 3.65 ppm for DOX also confirms the successful preparation of Ir–DOX. Comparing with the 13C NMR spectra of Ir and DOX in Fig. 1b, a new peak appears at 168.5 ppm corresponding to the –OCONH– group in the Ir–DOX conjugate. The purity and molecular weight of Ir–DOX were also characterized using LC and HRMS techniques (Fig. S3†). The LC profile gives the retention time of Ir–DOX as 4.06 min, indicating the high purity of Ir–DOX. The HRMS data show that the molecular weight of Ir–DOX (m/z, M + H+) is 1156.4500, which is consistent with the calculated value (m/z, M + H+, 1157.1915). The Ir–DOX conjugate was also characterized using FTIR spectroscopy and UV-Vis spectrophotometry (Fig. S4†). In the FTIR spectrum of Ir–DOX, the newly formed absorption band at 1723 cm−1, which is ascribed to the vibration of the –OCONH– group, confirms the successful preparation of Ir–DOX. The structure of Ir–DOX is further confirmed by elemental analysis, and the details are given in the ESI.† From the UV-Vis spectra, the Ir–DOX conjugate exhibits two obvious absorption bands at around 364 nm and 482 nm. A 3 nm blue-shift of the Ir–DOX conjugate was observed compared to that of free Ir at 367 nm. A slight red-shift in the absorption of the Ir–DOX conjugate was also observed compared to that of free DOX at 480 nm.
As shown in Scheme 2, the bipiperidine group of Ir–DOX is soluble in water, especially under mild acidic conditions; while the formation of a carbamate bond (OCONH) results in the loss of water solubility for DOX. Due to its amphiphilic nature, the Ir–DOX conjugate could self-assemble into micelles in aqueous solution. To confirm the formation of Ir–DOX micelles, the CAC value was measured using the fluorescence of encapsulated Nile red. Fig. S5† shows the relationship between the fluorescence intensity of the Nile red and the Ir–DOX concentration. At a low Ir–DOX concentration, the fluorescence intensity remains almost constant. However, when the Ir–DOX concentration reaches a certain value, the fluorescence intensity increases greatly, indicating that the hydrophobic Nile red molecules have transferred from the water environment to the hydrophobic micellar core; this proves that the Ir–DOX conjugate has formed micelles. According to the inflexion of the curve, the CAC value of the Ir–DOX conjugate is about 10 μg mL−1.
Moreover, the size and morphology of the self-assembled Ir–DOX micelles were determined using DLS and TEM measurements. As shown in Fig. 2a, the DLS results reveal that the aqueous solution of Ir–DOX forms micelles with a unimodal size distribution. The average hydrodynamic diameter of these micelles is about 90.4 nm with a PDI of 0.36. Then, the TEM data were further taken to assess the size and morphology of the Ir–DOX micelles. According to the TEM photograph in Fig. 2b, the Ir–DOX conjugate forms approximately spherical micelles in aqueous solution with an average diameter of about 80 nm, which is close to that measured by DLS.
To assess the potential application of Ir–DOX in real-time monitoring of drug delivery and release, we examined the fluorescence behavior of Ir–DOX in DMSO and an aqueous medium. Firstly, fluorescence spectroscopy was employed to evaluate the fluorescence behavior of free Ir, DOX, an Ir/DOX mixture, and the Ir–DOX conjugate in DMSO. According to the fluorescence spectroscopy results shown in Fig. 3, free Ir shows an emission wavelength in the range of 400–500 nm with excitation at 370 nm, while free DOX shows a broad UV-Vis absorption peak in the range of 400–600 nm with the excitation wavelength at 480 nm. The UV-Vis absorption spectrum of DOX overlaps well with the fluorescence spectrum of Ir, which leads to an efficient FRET between Ir (donor) and DOX (acceptor). Thus, the Ir–DOX conjugate shows a fluorescence spectrum mainly in the range of 550–600 nm and the fluorescence intensity is raised greatly with excitation at 370 nm, similar to the 470 nm excitation of DOX. The different fluorescence behaviors of pure Ir, DOX, the Ir/DOX mixture and the Ir–DOX conjugate were visualized using a UV lamp with an excitation wavelength of 365 nm. As shown in Fig. 4, the Ir–DOX conjugate shows a different color compared to the mixture of Ir and DOX. In addition, the color of Ir–DOX and DOX is red, indicating that FRET occurs when Ir and DOX are conjugated together.
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| Fig. 4 Photographs of (1) Ir, (2) DOX, (3) the Ir/DOX mixture and (4) the Ir–DOX conjugate under visible light (left) and under a UV lamp with laser excitation at 365 nm (right). | ||
Using a solvent dependent aggregation method, we examined the dual-fluorescence quenching behavior of the Ir–DOX micelles. When the Ir–DOX conjugate was dissolved in DMSO, Ir–DOX exhibited intense fluorescence at 594 nm due to efficient FRET from Ir to DOX. However, with the addition of water, the fluorescence intensity decreased dramatically, as shown in Fig. 5a. When the water fraction (fw, water content in DMSO, vol%) reached 99.5%, the fluorescence intensity of Ir–DOX was only 1.8% of that in DMSO (Fig. 5b), confirming the occurrence of ACQ upon the formation of Ir–DOX micelles. Therefore, the emissive energy of Ir and DOX was greatly quenched by the effects of both ACQ and FRET, which led to the disappearance of the fluorescence of the two drugs. Moreover, the formation of FRET relies on there being a certain distance between the donor Ir and the acceptor DOX. Once the linkage in Ir–DOX was cleaved, the FRET was disrupted along with the fluorescence recovery of both Ir (blue fluorescence) and DOX (red fluorescence). These results demonstrate that Ir–DOX could be used for real-time monitoring of drug delivery and release in living tumor cells.
To verify the fluorescence recovery once Ir and DOX were released from the micelles, the in vitro release behavior of the Ir–DOX micelles was investigated. We incubated Ir–DOX micelles under simulated physiological conditions (PBS, pH = 7.4) and in an acidic environment (acetate buffer, pH = 5.0, pH = 2.0) at 37 °C. The release profiles of the free drugs from the micelles at different conditions are shown in Fig. 6a. The Ir–DOX micelles exhibit high stability in pH = 7.4 PBS solution, with about 30% drug release in 72 h; while in pH = 5.0, the release ratio increases to 45%. Further reducing the pH value to 2.0, the release ratio of free drugs increases to 70%. It can be inferred that the drug release becomes much faster in acidic conditions. These results show that the biodegradable bond of the carbamate linkage is pH-sensitive.
An in vitro assay was employed to further demonstrate the dual-fluorescence recovery of Ir and DOX in acidic conditions for 48 h. As shown in Fig. 6b and c, the fluorescence intensity of Ir and DOX recovers gradually with increasing time, which indicates that the ACQ phenomenon is disrupted as Ir and DOX are released from the Ir–DOX micelles.
Multidrug resistance (MDR) has been a growing concern for effective cancer chemotherapy, especially for small-molecule anticancer drugs. The main mechanism for MDR is drug efflux which is mediated by a membrane transport protein, P-glycoprotein (P-gp). P-glycoprotein can pump free small-molecule anticancer drugs out of tumor cells via an ATP-dependent route, leading to a reduction of drug accumulation in the tumor cells.34,35 Fortunately, the micelles can bypass the P-gp efflux pump, accumulate themselves in cells, and deliver drugs into the cytoplasm efficiently.36 Therefore, Ir–DOX drug micelles are expected to overcome the MDR of cancer cells. The cytotoxicity of free Ir, DOX, the Ir/DOX mixture and the Ir–DOX micelles was investigated using a MTT assay against MCF-7/ADR cells, as shown in Fig. 7a. Calculated by Graphpad Prism, the IC50 values of free Ir, DOX and the Ir/DOX mixture are 27.3, 36.1 and 25.0 μM, respectively. However, the IC50 of the Ir–DOX micelles in MCF-7/ADR cells is only 7.4 μM, which is far superior to that of MCF-7 (shown in Fig. S6 and Table S1†), demonstrating that the Ir–DOX micelles can overcome the MDR of cancer cells. These results demonstrate that the Ir–DOX micelles are promising for overcoming MDR and killing cancer cells efficiently.
To further investigate the synergy in the Ir/DOX mixture and in the Ir–DOX micelles, a combination index (CI) was carried out, based on the median-effect equation and derived from the mass-action law principle.37,38 The values of the CI could provide qualitative information on the drug interaction nature, usually plotted against drug effect levels (ICx values). Values of CI > 1 indicate antagonism, CI = 1 indicates an additive effect and CI < 1 indicates synergism. As shown in Fig. 7B, most of the CI values for the Ir–DOX micelles are under the line of CI = 1 after 72 h incubation of the drugs, while many data points of the Ir/DOX mixture are above or near the CI = 1 line. These results further show synergistic anticancer efficacy of the Ir–DOX micelles.
To confirm whether the Ir–DOX micelles could be effectively transported into tumor cells, a flow cytometry analysis was employed to evaluate the cellular uptake of the Ir–DOX micelles in MCF-7/ADR cells. DOX can produce red fluorescence by itself, thus the Ir–DOX itself could be used as a probe for the analysis of cell internalization. Fig. 8 shows that the relative geometrical mean fluorescence intensities of DOX gradually increase with incubation time, compared with the non-pretreated cells. These enhanced fluorescence signals demonstrate the effective internalization of the Ir–DOX micelles.
Due to the special fluorescence feature, the Ir–DOX micelles should display the fluorescence of Ir and DOX after drug release. Hence, confocal laser scanning microscopy (CLSM) was conducted to investigate whether the fluorescence change in the Ir–DOX micelles could be correlated with the drug release and therapeutic effect. After treating MCF-7/ADR cells with different incubation times, the fluorescence change was observed using CLSM. As shown in Fig. 9, there is no obvious red or blue fluorescence before 12 h, confirming that Ir–DOX enters the cells in the form of micelles, but not free conjugate or free drugs. With the increase of incubation time, the blue fluorescence of Ir and red fluorescence of DOX are recovered, and the MCF-7/ADR cells exhibit distinct blue and red fluorescence after 48 h incubation. These results indicate that Ir and DOX have been released successfully in a time-dependent manner. Free Ir and DOX both perform specific activities in DNA, so we observe that the intensities of blue and red fluorescence in the nucleus increase gradually. However, after 72 h of incubation, the fluorescence turns dark, because many of the MCF-7/ADR cells are round-shaped and dead.
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| Fig. 9 Fluorescence images of MCF-7 cells treated with Ir–DOX micelles for 12 h, 24 h, 36 h, 48 h and 72 h. The scale bar represents 40 μm. | ||
Footnote |
| † Electronic supplementary information (ESI) available: 1H NMR, 13C NMR and LC-HRMS spectra of Ir–NPC; FTIR and UV-Vis spectra for Ir, DOX, and Ir–DOX conjugate; the CAC value of Ir–DOX micelles. See DOI: 10.1039/c5ra24273h |
| This journal is © The Royal Society of Chemistry 2016 |