Open Access Article
Ali Fattahia,
Nadia Karimiab,
Fatemeh Rahmatic,
Yalda Shokoohiniad and
Komail Sadrjavadi
*d
aMedical Biology Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
bDepartment of Chemistry, Basic of Sciences Faculty, Ilam University, Ilam, Iran
cStudent Research Committee, School of Pharmacy, Kermanshah University of Medical Sciences, Kermanshah, 6734667149, Iran
dPharmaceutical Sciences Research Center, School of Pharmacy, Kermanshah University of Medical Sciences, Kermanshah, 6734667149, Iran. E-mail: komail.sadrjavadi@gmail.com
First published on 6th April 2018
In the present study, camptothecin grafted poly amino ester-methyl ether polyethylene glycol (CPT-PEA-MPEG) as a novel copolymer was synthesized by Michael reaction at different ratios of MPEG and CPT (60
:
40 and 80
:
20). The microemulsion was used to prepare nanomicelles, and in vitro cytotoxicity was performed on the HT29 cell line, and cell survival was measured by MTT assay. The syntheses were confirmed by 1H NMR and FT-IR. Several characterization methods including CMC, particle size, size distribution, and transmission electron microscopy were performed to evaluate features of prepared nanomicelles. Low critical micelle concentration, small particle size and IC50 of 0.1 mg ml−1 at MPEG to CPT ratio of 60
:
40 make this micelle a promising drug delivery carrier. CPT-PAE-MPEG nanomicelles at a MPEG
:
CPT ratio of 60
:
40 can be a suitable choice to improve the physiochemical properties of CPT and its therapeutic effect, while it can be potentially used as a nano-carrier for other anticancer drugs to purpose a dual drug delivery.
Polymeric micelles introduced as drug delivery vehicles in the 1980s by Helmut Ringsdorf and co-workers3 have manifested several advantages over other types of carrier. Their core–shell structure with the drug in the core guarantees low toxicity in the human body, and their prolonged circulation time in the bloodstream is owing to the high hydrophilic shell which prevents phagocytic and renal clearance.4 Furthermore, they possess proper stability, bioavailability and strong mechanical properties.5
Recently, co-delivery of small molecule anticancer drugs, macromolecular genes and therapeutic proteins has attracted more attention.6,7 Accordingly, different types of polymeric micelles were used for co-delivery of drugs and genes.8–10 Among dual drug delivery systems, drug conjugated polymeric micelles were more interesting because the hydrophobic drugs play two main roles simultaneously as hydrophobic apart of micelles and efficient drug.11–13
Poly amino ester is a biodegradable and biocompatible cationic polymer easily synthesized from primary amines and diacrylate esters.14,15 It has the high buffer capacity due to its tertiary amine groups16 and has been used excessively in drug and gene delivery.17
Polyethylene glycol (PEG) is one of the most suitable polymers used for biotechnological and biomedical applications. Due to the high hydrophilic properties, solubility in aqueous and organic solvents and absence of antigenicity and immunogenicity, it is utilized for hydrophilic outer shell in preparation of polymeric micelles.18 Although adding PEG or any other hydrophilic polymer into the structure of the nano-particular system can reduce cell uptake, this disadvantage can be justified by using specific ligands, e.g., monoclonal antibodies and aptamers. Camptothecin is a five-ring alkaloid and a topoisomerase inhibitor, effective on a wide range of tumors. It has a limited therapeutic application due to its instability at neutral pH, low solubility in aqueous medium and nephrotoxicity. Polymeric micelles are among novel pharmaceutical carriers widely used to minimize or eliminate undesired physiochemical characteristics of CPT.19
The aim of the present study is the synthesis of a new generation of polymeric micelles with inherent anticancer activity by synthesis of CPT-PAE-MPEG copolymer and preparation of its micelles.
:
1) and then with MeOH/CH2Cl2 mixture (ratio of 1
:
10). The resulting product was dissolved in tetrahydrofuran (THF), precipitated in cold diethyl ether, and dried in a vacuum oven (85% yield).20 The synthesis was proved using FT-IR.
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| Fig. 1 Schematic of synthesis of MPEG-Tos (A), MPEG-N3 (B), 6-azidohexanoic acid (C), camptothecin-azide (D), poly amino ester (E) and CPT-PAE-MPEG copolymer (F). | ||
FT-IR (KBr): νmax (cm−1) = 3069 (
C–H), 2935 and 2885 (–C–H), 1597 and 1465 (C
C, ring), 1346 (S
O), 1141 and 1114 (C–O), 842 and 775 (S–O).
FT-IR (KBr): νmax (cm−1) = 2935 and 2885 (–C–H), 2100 (–N3), 1465 (C–N), 1141 and 1114 (C–O).
FT-IR (KBr): νmax (cm−1) = 2500–3400 (OH), 2959 and 2868 (–C–H), 2096 (–N3), 1708 (C
O) 1458 (C–N), 1257 (C–O).
1H NMR (400 MHz; DMSO-d6): δ = 1.32 (t, 2H), 1.49, 2.21 (2m, 4H, 2CH2), 2.54 (t, 2H, CH2C
O), 3.32 (t, 2H, CH2–N3), 11.88 (brs, 1H, OH).
:
5). For this purpose, the reaction mixture was kept at a temperature in the range of 30–40 °C for 30 min until a clear solution was obtained. Then, the solution was kept at a temperature of 0 °C overnight until CPT-N3 precipitate was obtained. The product was dissolved in CHCl3 and was centrifuged at 8800 rpm for 20 min. The solution was separated and was dried in vacuum (45% yield).23 Structure of CPT-N3 was proved by FT-IR and 1H NMR data. The reaction is shown in Fig. 1D.FT-IR (KBr): νmax (cm−1) = 3082 (
C–H, ring), 2939 and 2870 (–C–H), 2100 (–N3), 1728 (C
O of ester), 1747 (C
O of lactone), 1666 (C
O of amide) 1562 and 1454 (C
C ring), 1624 (C
N), 1346 (C–N), 1230 and 1149 (C–O, ring), 1118 (C–O).
1H NMR (400 MHz; DMSO-d6): δ = 0.99 (t, CH3, aliphatic), 1.91 (t, 2H, CH2), 1.38–1.61, (m, CH2, aliphatic), 2.33 (t, 2H, CH2C
O), 2.5 (t, 2H, CH2–N3), 2.96, 3.17 (s, 2H, CH2–N, ring), 4.29 (s, 2H, CH2–O, ring), 5.76–7.72 (m, 6H, CH of ring).
FT-IR (KBr): νmax (cm−1) = 3444(–N–H), 3278 (
C–H), 2927 and 2857 (–C–H), 2102 (–C
C), 1728 (C
O of ester), 1462(–N–H), 1327 (C–N), 1257 (C–O), 732 (–N–H, oop).
1H NMR (400 MHz; DMSO-d6): δ = 1.27, 1.39, 1.64 (m, 12H, CH2, aliphatic), 2.22 (s, 1H, –C
C–H), 2.54 (t, 2H, CH2C
O), 2.85 (t, 2H, CH2–N), 3.44 (s, 2H, N–CH2–), 4.09 (t, 4H, CH2–O).
CPT-PAE-MPEG was synthesized using a mixture of MPEG-N3 and CPT-N3 at two ratios of MPEG
:
CPT (60
:
40 and 80
:
20).
To synthesize CPT-PAE-MPEG copolymer at a ratio of 80
:
20, PAE (19.7 mg, 0.06 mmol) and CPT-N3 (5.58 mg, 0.012 mmol) were dissolved in 5 ml anhydrous DMF. Then CuBr (3.5 mg, 0.024 mmol) as the catalyst and triethylamine were added to the mixture (1.08 mg, 0.024 mmol). This mixture was stirred at room temperature for 48 h under nitrogen atmosphere. Then, MPEG-N3 (98.68 mg, 0.048 mmol) was added, and the reaction was stirred under the condition described above. After 48 h, the excess amount of MPEG-N3 (115 mg, 0.055 mmol) was added to consume unreacted acetylene group of PAE, and it was stirred for further 48 h. Finally, the reaction mixture was centrifuged at 7000 rpm for 20 min. The solution was separated and precipitated with cold diethyl ether, and it was dried with the evaporation of the solvent to obtain viscous yellow oil. The finished product was purified by dialysis (cut-off 3500 Da) with buffer solution (pH 7.4) for 48 h at 4 °C. The final CPT-PAE-MPEG copolymer was synthesized with yield of 60%, and the structure of copolymer was proved by FT-IR and 1H NMR data. The reaction is shown in Fig. 1F.
To synthesize CPT-PAE-MPEG copolymer with ratio of 60
:
40, PAE (9.85 mg, 0.03 mmol), CPT-N3 (11.16 mg, 0.024 mmol) CuBr (1.75 mg, 0.012 mmol) and MPEG-N3 (76.14 mg, 0.036 mmol) were added to DMF (5 ml). The reaction was allowed to continue in different steps similar to the reaction of 80
:
20. The final CPT-PAE-MPEG copolymer was synthesized with yield of 50%.
FT-IR (KBr): νmax (cm−1) = 3458 (–N–H), 3007 (
C–H, ring), 2927 and 2857 (–C–H), 1732 (C
O, ester of PAE and CPT), 1748 (C
O of lactone of CPT), 1656 (C
O of amide of CPT) 1562 and 1452 (C
C ring, of CPT), 1624 (C
N of CPT), 1357 (C–N of CPT and PAE), 1230 and 1149 (C–O, ring of CPT), 1118 (C–O).
1H NMR (400 MHz; DMSO-d6): δ = 1.17, 1.26, 1.39 (m, 12H, CH2, of PAE chine), 2.33 (t, 2H, CH2C
O, of PAE), 2.56 (t, 2H, CH2–N, of polymer), 0.95 and 1.7 (m, 4H, CH2, of CPT-N3 chine) 2.95 (t, 2H, CH2–N3, of CPT-N3 chine), 2.31 (t, 2H, CH2–C
O, of CPT-N3 chine), 3.44 (s, 2H, –N–CH2–teryazol ring), 3.82 (t, 4H, –O–CH2–CH2–O–, of PEG-N3) 4.09 (t, 4H, CH2–O, of PAE), 7.03 (1H, CH, of teryazol ring), 6.1–7.80 (m, 6H, CH, of CPT-N3 ring).
:
CPT ratio of 60
:
40 and 80
:
20 were prepared with serial dilution (0.25–2.47 × 10−7 and 0.05–1.95 × 10−5 mg ml−1, respectively) using distilled water. The obtained solutions were sonicated for 30 min, and then the emission spectra of Nile Red were recorded at 512 nm (the exciting wavelength was 482 nm, and the emission wavelength range were 500–650 nm). The fluorescent intensity was measured using a fluorescence spectrophotometer (Perkin-Elmer, LS-45, U.K).The obtained emulsion was sonicated with a 20 kHz sonicator (GM 2070, Bandelin, Germany) for 2 min at 70% power, and then it was stirred at room temperature to evaporate DCM.
:
CPT ratios (80
:
20 and 60
:
40).
:
40 (0.25 μg ml−1) was placed on a carbon-coated copper grid and then dried under air atmosphere at room temperature.
:
CPT ratio of 60
:
40 was dissolved in 600 μl of EtOH, and then 400 μl of distilled water was added to the solution. The absorption of the diluted solution was determined by UV spectrophotometer at 370 nm. The calibration curve was prepared for the quantification of CPT at the CPT concentrations of 439, 219, 109, 54 and 27 μg ml−1 with a correlation coefficient of R2 = 0.9980. The yield of CPT conjugation was obtained as the mass ratio between the conjugated amount of CPT in micelles and the initial amount of drug used in the preparation.
:
CPT ratio of 60
:
40 was measured in PBS (phosphate buffer solution, 0.01 N) containing EtOH (3%, v/v) at 37 °C. Four mg of micelles was suspended in 4 ml of PBS at PH 7.4 or 5.8. Then, the micelles solution was placed into a dialysis bag (molecular weight cut-off 8000), and the dialysis bag was plunged in 40 ml of PBS containing 3% v/v EtOH and 0.1% w/v NaN3 (to prevent bacteria and fungi growth) at pH 7.4 or 5.8. The temperature was kept constant at 37 °C with horizontal shaking at 120 rpm in a shaker (NB-205, N-Biotek, Korea) for 11 days. At the designated time intervals, 2 ml of release medium was withdrawn, and the amount of drug release for samples was assessed by UV-Vis spectrophotometer at 370 nm. The withdrawn medium was replenished with fresh release medium.25
| Cell viability (%) = (OD540s − OD630s)/(OD540c − OD630c) × 100 | (1) |
O. The C
C stretching vibrations of the aromatic ring was observed at 1597 and 1465 cm−1, and the peak at 3057 cm−1 was related to the C–H stretching vibration of the aromatic ring. Also, the broad peak of OH group of PEG at 3417 cm−1 was disappeared. These results confirmed the presence of tosyl group. The spectrum of PEG-N3 revealed the characteristic peak of N3 stretching vibrations at 2100 cm−1 in the PEG-N3, and the omitting of PEG-Tos peaks at 1570 and 1176 cm−1 (relating to benzyl ring and S
O, respectively) confirmed the presence of N3.
PAE was synthesized by two monomers; propargylamine and 1,6-hexanediol diacrylate. The spectrum of propargylamine showed the characteristic peaks of N–H primary amine stretching vibration and bending vibration of the propargyl at 3429, 3600 and 1635 cm−1. Also, the sharp peak located at 2150 cm−1 identified the acetylene stretching vibration, and the peak at 3290 cm−1 indicated the symmetrical C–H stretching of acetylene group of the propargyl. The 1,6-hexanediol diacrylate spectrum showed the characteristic of C–H alkenes stretching vibration peak at 3105 cm−1, and the peak at 1635 cm−1 indicated the C
C alkenes stretching vibration. The synthesized PAE showed the C–H alkenes stretching vibration peak at 3287 cm−1, and the sharp peak at 2102 cm−1 identified C
C stretching in propargylamine. Also, the peak at 3444 cm−1 was characteristic of N–H stretching vibration of the second amine, and the peak at 3051 cm−1 could be related to C–H alkene stretching vibration. The characteristic peak of C–H alkenes stretching vibration at 3105 cm−1 and the peak of C
C alkenes stretching vibration at 1635 cm−1 were omitted in the polymer spectrum, which confirmed the reaction between 1,6-hexanediol diacrylate and propargylamine.
The esterification between OH group of CPT and the carboxylic acid group of 6-azidohexanoic acid resulted in CPT-N3. The spectrum of 6-azidohexanoic acid showed the broad peak of OH stretching vibration in the range of 2400–3600 cm−1, and the sharp peak of C
O stretching vibration of carboxylic acid at 1708 cm−1. Also, this spectrum identified a sharp peak of – the N3 stretching vibration of 6-azidohexanoic acid at 2100 cm−1, and the spectrum of CPT showed a broad peak of OH stretching vibration at 3433 cm−1 while the spectrum of the CPT-N3 indicated a peak observed at 1747 cm−1 region for the ester carbonyl stretching vibration. The presence of this peak and disappearing peak at 3433 cm−1 confirmed the esterification and the presence of CPT-N3.
We applied the click chemistry between acetylene group of PAE and N3 group of CPT-N3 and MPEG-N3 to synthesize CPT-PAE-MPEG. The FT-IR spectrum of CPT-PAE-MPEG were indicated the peaks of the CH2 and CH3 symmetric, and asymmetric stretching vibrations from 2854 to 2927 cm−1 and a weak vinyl C–H stretching vibration peak appeared at 3007 cm−1. The carbonyl bands from ester group of PAE, lactone and amide group of CPT were indicated at 1732, 1748 and 1656 cm−1, respectively. The peaks at 1562 and 1452 cm−1 were attributed to the symmetrical C
C stretching of aromatic ring group of CPT, and the peak at 1624 cm−1 was corresponded to the C
N stretching vibration of CPT, although the peak at 1624 cm−1 was overlapped by the peak of C
C vinyl stretching vibration of triazole ring. The peak at 1118 cm−1 was corresponded to –C–O– of MPEG. Furthermore, the peaks of C
C (at 2150 cm−1 region) and
C–H (3290 cm−1 region) related to PAE and peak of N3 (at 2100 cm−1 region) corresponding to PEG-N3 and CPT-N3 were disappeared in CPT-PAE-MPEG spectrum synthesis of the copolymer.
PAE showed the peak of –CH2NH– at 3.44 ppm and the peak of methylene of propargylamine group at 3.69 ppm. The peak at 2.47 indicated protons of –CH2COO– and the peak at 4.08 identified protons of –CH2OOC– group. Also, the peak at 2.85 ppm was characteristic of proton of propargylamine group (–C
CH), the peak relating to the proton alkenes of 1, 6-hexanediol diacrylate group at around 6 ppm was omitted. These results confirmed the synthesis of PAE from 1,6-hexanediol diacrylate and propargylamine. In the spectrum of CPT-PAE-MPEG, the peaks relating to protons of –O–CH2–CH2–O and –OCH3 of MPEG unit at 3.82 and 4.09 ppm, were observed, respectively. The peaks relating to protons of C–H aromatic ring of CPT at 6.1–7.80 ppm were observed, and also the peak relating to the proton of C–H double bond triazole ring at 7.03 ppm was observed. The results of 1H NMR spectra confirmed the synthesis of CPT-PAE-MPEG.
:
40 and 80
:
20). The mean particle size of nanomicelles at ratios of 60
:
40 and 80
:
20 was 118.9 ± 1.66 and 166.6 ± 26.79 nm, and their PDIs were 0.108 ± 0.014 and 0.292 ± 0.018, respectively. The size and PDI of nanomicelles decreased with increasing the percentage of conjugated CPT. Increasing the degree of substitution increases the hydrophobicity and consequently forming a denser core, which could be the reason for decreasing the size of 60
:
40.28 The reduced trend of size in the hydro state in this study agrees with a similar study carried out by Yang et al.;29 the higher percentage of the drug is, the higher hydrophobic interaction at the core of micelles is.The results of stability of nanomicelles for ratios of 60
:
40 and 80
:
20 are shown in Fig. 2. At the ratio of 80
:
20, not only particle size showed enhancement during the time, but also standard deviation (S.D.) was significantly higher than that one at ratio 60
:
40. The lower S.D. is, the higher stability is. According to reasons above, the stability of 60
:
40 could be related to the formation of the denser core and lower CMC value.28
:
40 and 1.96 × 10−4 mg ml−1 at ratio of 80
:
20.
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Fig. 3 The critical micelle concentrations of nanomicelles at different ratios of MPEG : CPT (60 : 40 and 80 : 20). | ||
Low CMC is one of the most important characters of nanomicelles for in vivo applications. Nanomicelles with lower CMC have enhanced stability in body fluids. The drug-loaded polymeric micelles with high CMC led to an infinite dilution in the bloodstream, which may cause the dissociation of the polymeric micelle and premature drug release. The inherent CMC values of polymeric micelles are influenced by the molecular weight of block copolymers, the hydrophobicity of hydrophobic block, as well as the block length and ratio of blocks.30 Increasing the CPT percentage leads to an increase in hydrophobic interaction at the core of micelles and causes facilitating the formation of nanomicelles. Inter-molecular interactions such as electrostatic interactions, chemical cross-linking, and hydrogen bonding can enhance stability.31
:
40 have a spherical shape with a diameter of 78.4 ± 33.18 nm. The difference of nanomicelles size between DLS measurement compare to the size of nanomicelles in images of TEM is caused by hydrodynamic ratio role in the measured size of DLS method. Particle size blow than 200 nm is an ideal size for nanoparticular drug delivery systems. At physiological condition distribution of nanoparticles and drug conjugated macromolecules can be proportional to the blood content of tissues. At pathogenic condition of tumors, not only blood content of tissue is high but also permeability of endothelial barrier is higher than normal tissues and drainage of nanoparticles cannot happen by the lymphatic system. Therefore CPT-PAE-MPEG nanomicelles can be deposit into a tumor by enhanced permeation and retention (EPR) effect. On the other hand, low solubility and low blood protein binding of camptothecin cause its deposition in tissues immediately upon release and a long half-life in tumors.
:
40 was calculated using a UV-Vis spectrophotometer at 370 nm. The absorbance band of solutions was recorded, and the calibration curve of CPT was prepared. The average percentage of conjugated CPT in CPT-PEA-MPEG micelles base on the initial amount of CPT was 66.52% ± 0.06145.The release curve of CPT from CPT-PEA-MPEG micelles in 11 days is illustrated in Fig. 5. It showed that approximately 87 and 69% of CPT were released in 11 days at pH 5.8 and 7.4, respectively. In the first day, CPT-PEA-MPEG micelles released about 26.1 and 17.81% of CPT at pH 5.8 and 7.4, respectively. The release rate of CPT from CPT-PEA-MPEG micelles gradually increased in 6 days and reached to 76.51 and 58.01% at pH 5.8 and 7.4, respectively. These results indicated that CPT-PEA-MPEG micelles showed a distinguished pH-dependent drug release profiles. At pH 5.8, hydrolyze of ester bonds between drug and polymer is catalysed, and the release of CPT was faster. Therefore, acidic pH of the tumor can potentially trigger the rapid release of CPT at the tumor tissue.
:
40 and 80
:
20 ratios of MPEG to CPT for 48 h and the cytotoxicity was assessed using MTT method (Fig. 6). The results revealed that nanomicelles at the ratio of 60
:
40 have higher cytotoxicity compared to nanomicelles at a ratio of 80
:
20. The IC50 was 0.1 mg ml−1 of nanomicelles for the ratio of 60
:
40. The greater cytotoxicity of 60
:
40 was attributed to its higher percentage of CPT. In the previous studies by other researchers, micelles of MPEG modified PAE as drug delivery systems have been used as a promising carrier to increase the efficacy of anti-cancer therapy with no inherent therapeutic effect.33 The novel PAE synthesized in this study not only shows an inherent cytotoxic effect but also can be potentially used as a carrier of other anti-cancer drugs. Clinical studies approved that combination therapy can reduce the risk of drug resistance and improved chemotherapy. Also, it had been proved that the concentration of polymer–drug conjugates in the tumor could reach 10–100 times higher than that for free drug.34 On the other hand, this polymeric micelle increases solubility, stability, and bioavailability of CPT. The cytotoxic activity of CPT depends on its structure. With conjugating CPT to PAE, the lactone ring can be stabilized. Camptothecin is an active anti-tumor drug, containing α-hydroxy-δ-lactone ring moiety. The intrinsic instability of CPT arises from the rapid hydrolysis of this ring in basic or neutral media, to give the open carboxylate form, which is essentially inactive. The reaction is reversible, and the lactone form predominates only at acidic pH. Pharmacokinetic studies have shown this pH-dependent hydrolytic equilibrium to be shifted toward the carboxylate form in plasma, in a species-dependent manner which the in vivo and in vitro biological activities of camptothecin are significantly greater for the lactone than those for the carboxylate form. Lactone form has a critical role in the passive diffusion of the drug into cancer cells as well as for successful interaction with the pharmacological target.35 It has been approved that the conjugation of CPT from its 20-OH group to a macromolecule, e.g., PEG, poly(L-glutamic acid), starch and chitosan can enhance the solubility of the lactone ring and reduce the propensity for opening the ring.12,36–38
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Fig. 6 The cytotoxicity of nanomicelles at different ratios of MPEG : CPT (60 : 40 and 80 : 20) on HT-29 cell line. | ||
Regarding the obtained results, CPT is utilized as a constituent of nanomicelle caused inherent anti-cancer activity of micelles. On the other hand, prepared nanomicelles can be used as a proper carrier for other anti-cancer drugs. Co-delivery of two anticancer agents reduces the complexity of combination by enabling a better time, location, and dosage control and also results in synergistic effects.39 According to these reasons, we achieved an advantageous formulation which can be inherently used for cancer treatment and can act as a proper carrier for anti-cancer drugs.
The nanomicelles at two different ratios of MPEG
:
CPT (60
:
40 and 80
:
20) were prepared. The synthesis was confirmed with FT-IR and 1H NMR. Microemulsion method was employed to prepare the nanomicelles. The CMC, particle size analysis, surface charge, and transmission electron microscope imaging were performed. According to the results, for nanomicelles with a ratio of 60
:
40, the mean particle size was 118.9 ± 0.96 nm and the critical micelle concentration was 3.55 × 10−5 mg ml−1. In vitro cytotoxicity test was performed on HT29 cell line and the IC50 was achieved for 0.1 mg ml−1 of nanomicelles at MPEG
:
CPT ratio of 60
:
40. The results of this study showed that the CPT-PAE-MPEG nanomicelles at the ratio of 60
:
40 could be a proper choice to improve the physiochemical properties of CPT and enhance its therapeutic efficacy. Base of our knowledge it is the first time that camptothecin conjugated PAE-MPEG is synthesized and used for the preparation of nanomicelles with intrinsic anticancer effect and potential capacity to loading another anticancer drug with the purpose of dual drug delivery.
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