Berberine-based carbon dots for selective and safe cancer theranostics

Fluorescent berberine-based carbon dots (Ber–CDs) were prepared through a facile synthesis strategy. Ber–CDs exhibited excellent optical properties for bioimaging and retained the biofunctions of berberine, and enabled selective and safe anti-tumor performance, demonstrating their promising application potential in cancer theranostics.


Introduction
Carbon dots (CDs) have emerged as indispensable nanomaterial owing to their unique and tunable optical properties, easy surface modication, high biocompatibility, as well as superior chemical and optical stability. [1][2][3][4][5][6][7] Taking advantage over traditional organic dyes in terms of optical photostability and over semiconductor QDs concerning toxicity, CDs have been utilized as multifunctional nanocarriers for drug delivery, uorescent imaging, and photothermal therapy in several diseases. [8][9][10][11][12][13][14][15][16][17][18][19] Up to now, various synthetic strategies have been employed to fabricate CDs, including bottom-up carbonization from small molecules and polymers, as well as top-down cutting from different carbon sources. 1,2,20 It is more conducive to manipulate physical characters and chemical compositions of CDs by bottom-up compared with top-down methods. 21,22 To endow intrinsic biofunctions of CDs, biologically active precursors including small molecular drugs, proteins and nucleic acids were widely applied as carbon resources for bottom-up syntheses. [23][24][25] Previous studies have showed that the combination of CDs with several anticancer agents through absorption or conjugation could be applied for cancer theranostics. 10,[26][27][28][29] In this regard, CDs could only act as diagnosis agents and limited attention has been paid to their own therapeutic properties. Hence, developing efficient and safe CDs for intrinsic cancer theranostics is highly desired.
Berberine (Ber) is an isoquinoline alkaloid from the berberis species, and it exhibits extensive biomedical benets, including anti-cancer, anti-bacterial and anti-inammation effects. [30][31][32] Besides its promising performance in cancer chemotherapy, berberine could inhibit several undesirable outcomes including drug resistance, metastasis and recurrence through reprogramming AMPK-mediated cellular energy metabolism. [33][34][35][36] However, poor solubility and low gastrointestinal absorption have limited its clinical translation. 27,28 To surmount these obstacles, continuous efforts have been made to improve the solubility of berberine and to increase its accumulation at targeted sites, ultimately improve the efficacy and safety of berberine administration. 32,37,38 With these previous ndings in mind, we hypothesized that berberine could be selected as precursor to fabricate CDs with the reserve of instinct pharmacological activities. In the present study, we have developed berberine-based carbon dots (Ber-CDs) through a facile strategy. To test our hypothesis, the anti-cancer ability, bioimaging capability, biocompatibility of Ber-CDs are investigated and compared with free berberine (Scheme 1).

Synthesis of Ber-CDs
Ber-CDs were synthesized by hydrothermal methods according to our previous work. 6,24 In general, 20 mg of berberine was mixed with 20 mL deionized water and stirred for 20 minutes to disperse. Then the turbid liquid was transferred a poly (tetra-uoroethylene) (Teon)-lined autoclave (25 mL) and heated at 170 C for 10 h in oven. Next the system was cooled down to room temperature and dialyzed for 72 hours in deionized water. Brown powder was obtained aer freeze-drying.

Characterization of Ber-CDs
Transmission electron microscopy (TEM) was conducted using a Hitachi H-800 electron microscope at an acceleration voltage of 200 kV. High-resolution TEM (HRTEM) imaging was implemented by a JEM-2100F electron microscope at 200 kV. Fluorescence spectroscopy was performed using a Shimadzu RF-5301 PC spectrophotometer. UV-vis absorption spectra were obtained using a Shimadzu 3100 UV-vis spectrophotometer. Fourier transform infrared (FTIR) spectra were performed with a Nicolet AVATAR 360 FTIR instrument.

Cell culture
Human liver cancer HepG2 cell, human liver cancer SMMC-7721 cell, human lung cancer A549 cell, human breast cancer MCF-7, and mouse liver cancer H22 cell, as well as normal cell lines including human hepatic embryo HL-7702 cell, human umbilical vein endothelial HUVEC cell, and mouse myoblast cell C2C12 were obtained from ATCC and cultured in RPMI-1640 medium containing 10% fetal bovine serum (FBS), supplemented with 50 U mL À1 penicillin and 50 U mL À1 streptomycin, and incubated at 37 C in 5% CO 2 atmosphere. Cells were passaged with 0.25% trypsin/EDTA every 3 days.

2.5
In vitro toxicity studies and determination of the half maximal inhibitory concentration (IC 50 ) Cellular toxicity was determined by measuring the activity of mitochondrial enzymes in live cells to transform the soluble, yellow MTT solution to an insoluble, purple formazan product. The cells were cultured in 96-well tissue culture plates at a density of 5 Â 10 3 cells per well. Aer attachment, the cells were incubated with a medium containing different doses of CDs for 48 h. Subsequently aer incubation, the medium from each well was removed and the cells were washed in phosphatebuffered solution (PBS). A fresh medium containing 10 mL of 5 mg mL À1 solution of MTT was added to each well and kept for 4 h. The medium was removed and 150 mL of DMSO was then added to dissolve the formazan crystals. The absorbance of each well was recorded at 490 nm using a multi-mode microplate reader. The untreated cells were used as controls for calculating the relative percentage cell viability [mean (%) AE SD, n ¼ 6] from the following equation: The ratio of cell proliferation to control group was calculated from the MTT data. IC 50 values were calculated from percentages of cell viability obtained from the MTT assay.

Cellular uptake
To explore the bioimaging potential and cellular distribution of Ber-CDs, HepG2 cells or HL-7702 cells were seeded at a density of 5 Â 10 4 in 1 mL RPMI-1640 in 24-well plate. Consequently, a fresh medium containing 25 mg mL À1 ltered sterilized Ber-CDs was added to the respective dishes and incubated for 3 h. Aer washing with PBS twice, the cells were stained with DAPI and LysoTracker Red. Aer incubated for 15 min, cells were imaged by using a laser scanning confocal microscopy (CLSM). For ow cytometry, Ber-CDs treated, free berberine treated and untreated cells were trypsinized, collected and resuspended in PBS for analysis. The cell suspension was then analyzed by using a ow cytometer under 488 nm excitation laser, by selecting the appropriate channel. Collected data (10 000 events per sample) were analyzed using FlowJo soware.

Animals
All animals received care in compliance with the guidelines outlined in the Guide for the Care and Use of Laboratory Animals and the procedures were approved by the Jilin University of China Animal Care and Use Committee. Animal experiments were performed according to the guidelines of the National Institute of Health. Male NU/NU mice and ICR mice (6-8 weeks old) were purchased from the Beijing Vital River Laboratory Animal Technology Co., Ltd. The animals were maintained in specic pathogen free (SPF) animal lab.

In vivo and ex vivo imaging
A human liver cancer xenogra tumor model was generated through subcutaneous injection of HepG2 cells (1.5 Â 10 6 , 100 mL in PBS) in the right ank of each nude mouse. For in vivo uorescent imaging of HepG2 tumor-bearing mice, Ber-CDs solutions were injected directly into xenogras and visualized using an in vivo Imaging System at excitation and emission wavelengths of 350 and 530 nm, respectively. To reveal Ber-CDs' ex vivo imaging properties, HepG2 tumor-bearing mice was injected with Ber-CDs via tail vein (5 mg kg À1 ). Aer the injection, mice were sacriced at 24 h, the tumor and major organs (heart, kidney, liver, lung and spleen) were collected and washed with PBS. For each group, three mice were used. The excised organs were visualized using the same protocol.

In vivo biodistribution of Ber-CDs
To investigate the biodistribution behaviours of Ber-CDs, blood, tumor, heart, kidney, liver, lung and spleen were collected from above-mentioned HepG2 tumor bearing mice (n ¼ 6) aer 24 h of injection. All weighed organs were stored and homogenized in saline and centrifuged at 3500 rpm for 10 minutes. The supernatants were collected and examined by a spectro-uorophotometer with a 360 nm excitation wavelength, and then the photoluminescence (PL) intensity of the emission spectra at 500 nm were recorded.

Half-life determination of Ber-CDs
Twenty-four healthy ICR mice were fasted for 12 hours before drug administration and were given free access to water. Three mice were randomly selected at each time point. Aer tail vein injection of Ber-CDs, blood was taken at 0.2, 0.5, 1, 2, 4, 6, 12 and 24 h and placed in a centrifuge tube containing 10 mL of heparin and centrifuged at 4000 rpm for 10 min to draw the supernatant. The plasma samples were stored at À20 C to be determined. The uorescence intensity of carbon dots in plasma was measured by a uorescence indexer and the relative uorescence intensity versus time was plotted. The half-life was calculated using PKSolver soware.

In vivo anti-cancer efficiency of Ber-Cds
A mouse liver cancer xenogra tumor model was generated through subcutaneous injection of H22 cells (1.5 Â 10 6 , 100 mL in PBS) in the right ank of each mouse. When the tumor volume reached approximately 20-50 mm 3 , mice were randomly divided into 3 groups (n ¼ 6), the treatment was started and this day was designated as day 0. Mice were treated with PBS (Con), berberine (50 mg kg À1 per day by i.g.), Ber-CDs (50 mg kg À1 per 3 days by i.v.). Tumor volume and body weight were measured twice every week to evaluate the anti-tumor activity and systematic toxicity. The estimated tumor volume (mm 3 ) was calculated based on the formula length Â width 2 Â 0.52.

Histopathology analysis and serum biochemistry assays
At day 14, mice were sacriced, and blood was collected for serum biochemistry tests. Tumor and main organs including liver, spleen, kidney, heart, lung, and brain were excised and xed 4% buffered paraformaldehyde overnight, and then embedded in paraffin. The paraffin-embedded tissue samples of the implanted tumor were sliced at 5 mm thickness, and stained with hematoxylin and eosin (H&E) for evaluating histopathological changes under a microscope.

Statistical analysis
All experiments were performed at least three times and expressed as mean AE SD. Statistical signicance (p < 0.05) was evaluated using the Student t-test when only two groups were compared. If more than two groups were compared, evaluation of signicance was performed using one-way ANOVA analysis of variance, followed by Bonferroni's post hoc test.

Synthesis and characterizations of Ber-CDs
With the aid of berberine as a carbon source alone, watersoluble CDs were fabricated through a green and facile hydrothermal approach in one pot. The morphology was identied rstly through transmission electron microscopy (TEM). Ber-CDs possessed uniform dispersion without any apparent aggregation (Fig. 1a). The diameter of Ber-CDs was between 2 and 5 nm (Fig. S1, ESI †). The HRTEM image (Fig. 1a inset) also showed that Ber-CDs contained a highly carbon crystalline core with a lattice spacing of approximately 0.33 nm, which represented the (002) facet of graphite. The hydrodynamic size of Ber-CDs was 11.5 nm (Fig. S2 †). As shown in Fig. 1b, the UV-vis absorption spectrum of berberine solution showed that four absorption peaks that were found at the wavelengths of 227 nm, 262 nm, 345 nm, and 420 nm. They were corresponding to n-s transition, p-p* transition of aromatic ring, p-p* transition of aromatic ring, and n-p* transition. 38 Aer hydrothermal processing, Ber-CDs possessed similar absorption spectrum to berberine. It is worth noting that a stronger absorption peak of Ber-CDs centred around 262 nm and 345 nm implied the dominance of electrostatic interactions between the aromatic rings of berberine molecules themselves. As shown in Fig. 1c, Ber-CDs exhibited broad range of emission wavelengths while the strongest uorescence emission was centred at 490 nm under 380 nm excitation wavelengths, which showed a slight red shi when compared with berberine solution. This phenomenon might due to optical selection of different surface defect states near the Fermi level of CDs. 2 Ber-CDs solutions could be stored for as long as 30 days with less precipitates or uorescence loss, demonstrating its good photostability (Fig. S3, ESI †). Moreover, the Ber-CDs exhibited good uorescent stability in acidic solution (Fig. S4 †). To determine if the bioactive groups of berberine could be reserved aer CDs formation, FTIR spectra were adopted to further analyze the chemical structure of Ber-CDs. As shown in Fig. 1d, Ber-CDs exhibited C]N stretching vibration of quaternary amine center at 1670 cm À1 and f-C-O stretching vibration of benzyloxy at 1270 cm À1 , which preserved the effective bioactive groups of berberine. The results of XPS analysis have shown the presence of nitrogen element as well (Fig. S5 †). Collectively, these characteristics suggest that highly uorescent Ber-CDs exhibited good optical properties, leading to promising opportunities for its potential use in biomedical applications.

Bioimaging of Ber-CDs
The potential cell imaging application of the prepared Ber-CDs was rstly evaluated through laser scanning confocal microscopy (CLSM) on HepG2 cells and HL-7702 cells. Consistent with our previous reports, 13,39 Ber-CDs has been internalized into cytoplasm and co-localized with endosomes or lysosomes aer 3 h incubation in both HepG2 and HL-7702 cells (Fig. 2a), meanwhile the differences of uorescent intensity between these two types of cells demonstrated that the internalization of Ber-CDs in HL-7702 cells was less than that in HepG2 cells. Importantly, quantitative uorescence activated cell sorter (FACS) analysis demonstrated that the internalization of Ber-CDs in HepG2 cells was signicantly higher than that in HL-7702 cells (Fig. S6, ESI †), which was consistent with CLSM images. To further reveal its in vivo imaging properties, Ber-CDs were injected directly into the tumor site using nude mice bearing HepG2 xenogras, and uorescence can be monitored at tumor site (Fig. S7, ESI †). Valid uorescence of Ber-CDs were observed in the tumor area, indicating its passive tumor accumulation properties. 10 Aer 24 h of post injection, mice were sacriced and liver, spleen, kidney, heart, lung, and tumor were excised for ex vivo uorescence imaging (Fig. 2b). As shown in Fig. 2c, stronger uorescence signals of Ber-CDs were observed in tumor, liver and kidney rather than the other organs. These ndings further demonstrated that Ber-CDs could passively targeted the tumor site via the well-known enhanced permeability and retention (EPR) effect, as well as being accumulated in reticuloendothelial system (RES) organs including liver and kidney due to their smaller size. 8,10,23 Moreover, we used the uorescent method to investigate the circulation half-life of Ber-CDs in vivo. As shown in Fig. S8, † aer tting to a two-phase decay model, it was apparent that the half-life of Ber-CDs was 10.74 h.

The anti-tumor effects of Ber-CDs
Given that Ber-CDs still retained the bioactive groups of berberine, we next investigated the in vitro anti-cancer effects of prepared Ber-CDs through methylthiazolyldiphenyltetrazolium bromide (MTT) assay. The results suggested that both Ber-CDs and free berberine could dose-dependently decreased cell viability of cancer cell lines including human liver cancer HepG2 cell, human liver cancer SMMC-7721 cell, human lung cancer A549 cell, human breast cancer MCF-7 cell, and mouse liver cancer H22 cell, as well as normal cell lines including human hepatic embryo HL-7702 cell, human umbilical vein endothelial HUVEC cell, and mouse myoblast C2C12 cell ( Fig. S9-16, ESI †). The IC 50 of Ber-CDs and free berberine on aboved cells were depicted in Fig. 3a, cancer cell lines were more susceptible to Ber-CDs rather than normal cell lines, indicating the selective anti-cancer performance of Ber-CDs. This interesting nding might be attributed to the similar anticancer effects of berberine. 32,40 Although Ber-CDs showed lower anti-cancer effect than free berberine, its high water solubility and cancer cells specicity might achieve efficient and safe therapeutic performance in vivo. As shown in Fig. 3b and c, the in vivo tumor growth was signicantly delayed aer 14 days in the Ber-CDs treated group when compared with free berberine and control group. The smaller tumor size and more decrease of tumor weight also conrmed better anti-tumor efficacy of Ber-CDs rather than free berberine ( Fig. 3b and d).
Finally, we performed a toxicological evaluation through comparing the body weight, biochemical parameters and organ histopathology of different groups at the end of treatment. No remarkable change was found in body weight in mice from all groups (Fig. S17, ESI †). Results of several serum biochemistry assays including alanine aminotransferase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), creatinine (CRE), triglyceride (TG), albumin (ALB), alkaline phosphatase (ALP), and total cholesterol (TC) from blood samples demonstrated no signicant differences for mice in all three groups (Fig. S18, ESI †). In addition, pathological damages were not observed in liver, spleen, kidney, heart and lung (Fig. 4). Taken together, Ber-CDs have greatly inhibited tumor growth with good biocompatibility.

Conclusions
In summary, we fabricated a kind of novel multifunctional Berberine-based CDs through a facile bottom-up strategy. Ber-CDs possessed good optical properties and retained the bioactive groups of berberine. Ber-CDs can be internalized into cancer cells and achieved targeted bioimaging in vivo. Importantly, Ber-CDs selectively killed cancer cells and inhibited tumor growth signicantly without any obvious toxicity. This work suggests that berberine-based CDs as a selective and safe nanocarrier for cancer theranostics and show considerable potential in biomedical applications.

Conflicts of interest
There are no conicts to declare. Tumor picture, (c) tumor volume, and (d) tumor weight from mice after administration of Ber or Ber-CDs. Each bar represents the mean AE SD, n ¼ 6, and *P < 0.05 vs. the control group, # P < 0.05 vs. Ber group. Fig. 4 Representative H&E stained images of heart, liver, spleen, and kidney from mice in the control, Ber and Ber-CDs groups at 14 days. Scale bars represent 100 mm.