Michelle M. S.
Lee
a,
Liang
Zheng
b,
Bingran
Yu
b,
Wenhan
Xu
a,
Ryan T. K.
Kwok
a,
Jacky W. Y.
Lam
a,
Fujian
Xu
b,
Dong
Wang
*c and
Ben Zhong
Tang
*a
aHong Kong Branch of Chinese National Engineering Research Center for Tissue Restoration and Reconstruction, Department of Chemistry, Institute of Molecular Functional Materials, State Key Laboratory of Neuroscience, Division of Biomedical Engineering, and Division of Life Science, The Hong Kong University of Science and Technology, Clear Water Bay, Kowloon, Hong Kong, China. E-mail: tangbenz@ust.hk
bKey Laboratory of Biomedical Materials of Natural Macromolecules (Beijing University of Chemical Technology), Ministry of Education, Beijing Laboratory of Biomedical Materials, Beijing University of Chemical Technology, Beijing 100029, China
cCenter for AIE Research, College of Materials Science and Engineering, Shenzhen University, Shenzhen 518060, China. E-mail: wangd@szu.edu.cn
First published on 16th May 2019
Fluorescence-based theranostics provides a powerful platform for effective diagnosis and therapy. In particular, luminogens with aggregation-induced emission (AIE) characteristics have triggered state-of-the-art developments in theranostics, thanks to their intrinsic properties, including high signal-to-noise ratios, high photostability and capability as photosensitizing agents. However, the development of AIE luminogens for biological applications mostly stays at rational design and preparation through organic synthesis, which may give rise to high cost, environmental destruction and potential cytotoxicity. Actually, with easy access and good biocompatibility, it would be of great interest to employ AIE-active natural agents from herbs in theranostics and pharmacodynamics studies through fluorescence imaging. In this work, the use of berberine chloride, an AIE-active natural product from herbal plants, as a theranostic agent towards both cancer cells and bacteria is investigated. Through fluorescence bio-imaging, berberine chloride selectively targets cancer cells over normal cells and discriminates Gram-positive against Gram-negative bacteria. Furthermore, light-driven organelle-targeting migration of berberine chloride from mitochondria to the nucleus was discovered. Therapeutic evaluation shows that berberine chloride can efficiently ablate cancer cells over normal cells, and kill Gram-positive bacteria through both in vitro and in vivo photodynamic therapy. This work thus provides a blueprint for the next generation of theranostics using natural AIE luminogens.
On the basis of the AIE mechanism, diverse AIEgen-based theranostic agents have been rationally designed and prepared through organic synthesis; however, this may give rise to high cost, environmental destruction and potential biotoxicity.9b In a related context, exploitation of AIE-active natural agents with theranostic functions would be remarkably interesting, considering that many naturally occurring compounds with good biocompatibility could be easily obtained on a large scale from abundant natural sources, especially from herbs. On the other hand, herbs have been employed for primary health care for thousands of years, and a considerable proportion of the world population is still using herbal medicines due to their better acceptability by the human body and minimal side effects.14 Nevertheless, the rationale of their pharmacodynamics, drug distribution and targeting sites has rarely been investigated, mainly because of their inefficient capability for diagnostic imaging. Although a handful of herbal medicines have been demonstrated to be AIE-active,15 to the best of our knowledge, there have been no previous reports on theranostic applications using natural AIEgens without any additional agent. Evidently, the AIE characteristics of AIE-active natural medicines could enable them to be capable of monitoring the distribution, evaluating the targeting site, and assisting in streamlining the drug development process, and thereby this can significantly facilitate the development of theranostics in clinical trials.
In this contribution, we report the use of berberine chloride (BBR),16 an AIE-active natural isoquinoline alkaloid product obtained from herbal plants,15a as a theranostic agent towards both cancer cells and bacteria. BBR is capable of selectively targeting cancer cells over normal cells, and discriminating Gram-positive against Gram-negative bacteria through the fluorescence imaging technique (Fig. 1). Therapeutic evaluation shows that BBR can efficiently ablate cancer cells over normal cells, and powerfully eliminate Gram-positive bacteria in vitro and in vivo through a photodynamic therapy (PDT) process (Fig. 1). The ingenious combination of all its extraordinary functions makes BBR versatile for theranostics.
Good water-solubility, natural properties and AIE characteristics make BBR an extraordinary candidate for cell imaging. In the preliminary study, HeLa cells were incubated with different concentrations of BBR from 10 μM to 100 μM. As illustrated in Fig. S4 (ESI†), BBR shows concentration-dependent cell imaging outputs. Starting from the concentration of 20 μM, reticulum-like mitochondria can be clearly observed with excellent contrast to the background signal. Noteworthily, a tedious washing procedure after cell staining was not required resulting from both the hydrophilic and AIE properties of BBR. To further evaluate the specificity of BBR to mitochondria, a co-localization experiment was performed by incubating both BBR and MitoTracker Red, a commercially available probe for mitochondria. It was observed that the staining sites of BBR and MitoTracker Red merged very well with the overlapping coefficient of 91% (Fig. 2A–D), revealing the mitochondria-specific staining nature of BBR in relatively high concentration. As BBR contains a positive charge in the chemical structure, its mitochondria-targeting ability can be attributed to the electrostatic interaction between the positive charge of BBR and the negatively charged interior of the transmembrane potential of mitochondria. Considering that photostability is a key criterion for evaluating a fluorescent probe, 80 scans within 30 min of continuous laser irradiation towards BBR- and MitoTracker Red-stained HeLa cell samples were conducted using a confocal microscope, respectively. The fluorescence intensity of BBR remained above 80% of its initial value after 15 min of irradiation; in contrast, MitoTracker Red suffered a severe decline of fluorescence intensity to below 20% in the first 20 scans (Fig. 2E), evidently denoting a much higher resistance to photobleaching of BBR over the commercially available dye.
Aiming to investigate the applicability of BBR for cell imaging, BBR was incubated with various cell lines, including HeLa, HepG2, A431, COS-7, HLF and NCM460 (Fig. 3). Observation through confocal imaging revealed that BBR is capable of targeting the mitochondria of all the investigated cancer cells including HeLa, HepG2 and A431, showing high signal-to-noise ratios. For COS-7, HLF and NCM460 normal cell lines, fluorescence emissions of BBR were barely seen. These results strongly demonstrate that BBR is a promising natural bio-imaging probe to discriminate cancer cells over normal cells. The selective targeting performance of BBR towards cancer cells can reasonably be ascribed to its inherent positive charge in the structure resulting in mitochondrial-targeting capability, which could lead to significantly higher mitochondrial upconcentration of BBR in cancer cells, resulting from both the negatively charged surface of cancer cells and higher mitochondrial membrane potential (MMP) of cancer cells than normal cells with a difference of at least 60 mV.17 Cancer is nowadays a global health issue; in this context, development of an effective protocol for cancer diagnosis has attracted significant scientific interest. Benefiting from the AIE-active nature and non-involvement of any extra cell-specific targeting ligands, BBR would be a potential simple bio-probe for early-stage cancer diagnosis.
Although the fluorescence intensity of BBR for cell imaging has only a slight decrease upon continuous laser irradiation while using a confocal microscope for 80 scans within 30 min, surprisingly, these captured sequential imaging pictures revealed a staining site migration process taking place from mitochondria to nucleus (Fig. 4A). The ultimate staining site of BBR upon light irradiation was confirmed by the co-localization test using Hoechst 33258, which is a commercially available nucleus-staining probe. The results showed that BBR and Hoechst 33258 overlapped with the Pearson's correlation coefficient of 95%, indicating the high specificity of BBR to be nucleus-targeting after light irradiation (Fig. 4B). It was also noted that the nucleolus parts inside the nucleus were particularly emissive. As part of a control experiment, another BBR-stained cell sample was kept in the dark for 30 min; it was noted that the staining site of BBR stayed at the mitochondria (Fig. S5, ESI†), suggesting that the staining site migration was due to the light illumination process. As shown in Fig. S6 (ESI†), another cancerous cell line, HepG2 cells, was also picked to stain with BBR following 30 min of laser irradiation at 488 nm using the confocal microscope, and the same staining migration process from mitochondria to nucleus was observed. Since BBR absorbed strongly within the visible light region, the light irradiation source was further switched to a white light lamp with 10 mW cm−2 of light power. Confocal images were then captured upon white light irradiation of 30 s, 2.5 min, 10 min and 20 min respectively. The BBR migration process from mitochondria to nucleus was observed to occur with a faster migration speed than while using laser irradiation by employing the confocal microscope, due to the stronger light power of the white light lamp (Fig. S7, ESI†). It seems reasonable to infer that the light-driven staining migration could be attributed to the damage of mitochondria caused by the in situ generation of reactive oxygen species (ROS), which can be produced by the combination of photosensitizer BBR and light illumination. Along with mitochondrial damage, the cell condition weakened, leading to the disassociation of BBR from the mitochondria. The weakened cell condition lead to a loss of the normal function of nuclear membrane selectivity, and thus BBR with positive charge tends to approach the negatively charged DNA and RNA in the nucleus through electrostatic interaction, particularly in the nucleoli, which are dense area of ribosomal RNA (rRNA) transcription, pre-rRNA processing and ribosome subunit assembly. To verify the above proposed BBR targeting mechanisms, carbonyl cyanide m-chlorophenyl hydrazone (CCCP) was employed to inhibit oxidative phosphorylation and alter the mitochondrial membrane potential of HeLa cells. As shown in Fig. S8A (ESI†), BBR directly targeted the nucleus in HeLa cells pre-treated with CCCP followed by BBR incubation, resulting from the decrease in the electrostatic attraction between BBR and mitochondria upon CCCP treatment. The nucleus-targeting phenomenon was also observed by the pre-treatment of cells using hydrogen peroxide, which can initiate preliminary apoptosis of cells by means of the dissipation of mitochondrial membrane potential. As an important physiological parameter, the change of electrical potential of the mitochondrial membrane can be utilized to monitor the health states of cells.18 Therefore, BBR would be a prominent indicator for assessing both mitochondrial membrane potential and cellular health.
The specific cancer cell imaging and killing ability prove the great potential of BBR in cancer theranostics. Meanwhile, as demonstrated in Fig. 4, BBR moves from mitochondria to the nucleus upon light irradiation, which might put forth questions about the exact damaging sites of BBR leading to cancer cell apoptosis. Therefore, the cell viability of BBR treated HeLa cells undergoing 15 min and 30 min of laser irradiation at an excitation wavelength of 488 nm using a confocal microscope was checked. Propidium iodide (PI) was used as a dead cell indicator in the study. This probe is a red-fluorescent nuclear and chromosome commercial dye, which is not permeable to live cells and is used to detect dead cells. Under 15 min of light irradiation when BBR damaged mitochondria and dispersed everywhere in the cell, no PI emission was observed among the cells, indicating that the cells at that stage were still alive. While after 30 min of light irradiation, BBR targeted the nucleus, and some cells were brightened up with PI showing red emission, reasonably pointing out that cells died when most of the BBR dye moves to the nucleus. This study thus suggests that both mitochondria and the nucleus could be the sites of action for PDT.
The killing efficiency of BBR towards bacteria was then illustrated using the plate count method involving a dose-dependent cytotoxicity assessment with and without light irradiation (Fig. 7 and Fig. S11, ESI†). It was demonstrated that the viability of S. aureus under dark conditions stayed above 85% when the concentration of BBR increased up to 20 μM, indicating the low dark toxicity towards the bacteria. In contrast, the viability decreased significantly to about 10% upon white light irradiation when the concentration of BBR is 5 μM. Further increase of BBR concentration led to complete bacterial death, in which no growth of bacterial colonies was observed in the agar plate at a concentration of 10 μM to 50 μM (Fig. 7A). This result revealed that BBR can be an effective natural antibiotic for eliminating Gram-positive bacteria through PDT application. Moreover, a moderate dark toxicity of BBR towards E. coli was observed, and a decrease of bacteria viability was exhibited upon light irradiation compared with the output under dark conditions. When 20 μM of BBR was utilized in the photodynamic antibacterial evaluation, the E. coli viability was determined to be 51%, implying lower antibacterial efficiency than for S. aureus, resulting from the lower targeting efficiency towards E. coli (Fig. 7A). To better observe the antibacterial effects of BBR on Gram positive bacteria, scanning electron microscopy (SEM) was performed to visualize the bacterial morphological changes before and after photodynamic antibacterial treatment. As illustrated in Fig. 7B, the bacterial cell wall without treatment was intact and smooth with uniform bacterial sizes and well-defined borders, whereas the PDT-treated bacteria shrunk and fused together. The distorted bacterial shape obviously indicated the destruction of the bacterial cell wall that led to bacterial death during the PDT process. Thus, both the plate count method and the SEM experiment drew the conclusion that BBR can be a natural antibiotic, especially for Gram-positive bacteria, by using the PDT pathway.
Fig. 7 Bacterial killing ability of BBR. (A) Statistical analysis of the bacterial viability data in Fig. S11 (ESI†). (B) SEM images of S. aureus incubated (upper picture) without treatment and (lower picture) with 10 μM BBR for 20 min, followed by 30 min of white light irradiation (60 mW cm−2). Scale bar: 1 μm. |
Aiming to further assess the photodynamic antibacterial efficiency of BBR in vivo, the performance of S. aureus-infected wounds of Wistar mice was investigated (Fig. 8). Mice with full-thickness skin wounds were randomly assigned to 4 groups: (1) a control group without bacterial infection and treatment, (2) S. aureus-infected wounds without treatment, (3) S. aureus-infected wounds treated with 4 μM of BBR only, and (4) the phototherapy group of 4 μM of BBR plus white light irradiation at 60 mW cm−2 for 30 min. Photos of the wounds at different time points (1st, 3rd and 7th day) were captured. As illustrated in Fig. 8B, both the group without treatment and the BBR only-treated group exhibit a certain degree of infection on day 1, and the former displayed severer pyosis than the latter one. On days 3 and 7, for these two groups, wound infection could still be clearly observed. By comparison, the phototherapy groups almost did not exhibit any infection on days 1, 3 and 7 post-treatment, and the wound healing smoothly proceeded. To quantitatively evaluate the antibacterial outcome, S. aureus in wounds were cultured and counted at different time points. It was observed that almost no bacterial colonies were determined in the wound of the phototherapy group involving both BBR and light illumination on days 1, 3 and 7 post-treatment, respectively (Fig. 8C and D). On the contrary, a large number of bacteria were found for both the BBR only-treated group and the group without treatment on day 1, and the number of bacterial colonies of the BBR only-treated group was less than that of the group without treatment, suggesting that BBR is capable of eliminating S. aureus under dark conditions but the efficiency is much lower than light-driven therapy, which is in good accordance with experimental data of in vitro assessment. Moreover, for the group without treatment, although a gradual decrease of bacteria number was observed from day 1 to day 7 resulting from the autoimmunity of the mice, the infection of the wound was still obvious. Furthermore, histological hematoxylin and eosin (H&E) staining results of the wound tissues indicated that the amount of neutrophil in the phototherapy group is very small, similar to the control group (Fig. 9). In contrast, the BBR only-treated group and the group without treatment possess a much higher amount of neutrophil, implying that the wound tissues of these two groups were seriously infected. In addition, newly formed vessels and fibroblasts can clearly be observed for the wound tissues of both the control and phototherapy groups, showing a healing process. These obtained results solidly demonstrated the dramatic light-driven antibacterial efficiency of BBR.
Fig. 9 H&E staining of the wound tissues harvested from different mice after 1, 3, and 7 day of treatment. Scale bar: 100 μm. |
Footnote |
† Electronic supplementary information (ESI) available. See DOI: 10.1039/c9qm00242a |
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