Guanidine–Curcumin Complex-Loaded Amine-Functionalised Hollow Mesoporous Silica Nanoparticles for Breast Cancer Therapy
Abstract
:Simple Summary
Abstract
1. Introduction
2. Experimental Procedure
2.1. Chemicals and Reagents
2.2. Synthesis of HMSNAP
2.3. Drugs Loading and Release
2.4. Drug Release Kinetics
2.5. Characterisation of HMSNAP and Drug-Loaded HMSNAP
2.6. Cytotoxicity Assay
2.7. Evaluation of Apoptosis Using Acridine Orange/Ethidium Bromide (AO/EtBr) Staining
2.8. Western Blot Analysis
2.9. Statistical Analysis
3. Results and Discussion
3.1. Formation of Drug Complex, Synthesis and Characterisation of HMSNAP
3.2. Analysis of Nanocarrier Size, Surface Charge, and Functional Compounds
3.3. XRD and FTIR Analysis of HMSNAP and Drug-Loaded HMSNAP
3.4. XPS analysis of drug-loaded HMSNAP
3.5. N2 Adsorption-Desorption Isotherms of HMSNAP and Drug-Loaded HMSNAP
3.6. NMR Analysis of Drug-Loaded HMSNAP
3.7. Guanidine and Curcumin Loading and Release in HMSNP and HMSNAP
3.8. Drug Release Kinetics
3.9. Cytotoxicity of HMSNAP, Gu-HMSNAP, and GuC-HMSNAP
3.10. Evaluation of Apoptosis in Guanidine-Curcumin Complex-Loaded HMSNAP on MCF-7 Cells
3.11. Gu-HMSNAP and GuC-HMSNAP Inactivation of Phosphorylation of Tumourigenic Proteins
3.12. GuC-HMSNAP Induces Apoptotic Proteins
4. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Siegel, R.L.; Miller, K.D.; Jemal, A. Cancer statistics, 2019. CA Cancer J. Clin. 2019, 69, 7–34. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Sun, D.; Ding, J.; Xiao, C.; Chen, J.; Zhuang, X.; Chen, X. Preclinical evaluation of antitumor activity of acid-sensitive PEGylated doxorubicin. ACS Appl. Mater. Interfaces 2014, 6, 21202–21214. [Google Scholar] [CrossRef] [PubMed]
- Ma, Y.; Fan, X.; Li, L. pH-sensitive polymeric micelles formed by doxorubicin conjugated prodrugs for co-delivery of doxorubicin and paclitaxel. Carbohydr. Polym. 2016, 137, 19–29. [Google Scholar] [CrossRef] [PubMed]
- Wu, J.; Tang, C.; Yin, C. Co-delivery of doxorubicin and interleukin-2 via chitosan based nanoparticles for enhanced antitumor efficacy. Acta Biomater. 2017, 47, 81–90. [Google Scholar] [CrossRef] [PubMed]
- Caron, J.; Maksimenko, A.; Mougin, J.; Couvreur, P.; Desmaële, D. Combined antitumoral therapy with nanoassemblies of bolaform polyisoprenoyl paclitaxel/gemcitabine prodrugs. Polym. Chem. 2014, 5, 1662–1673. [Google Scholar] [CrossRef]
- Das, M.; Jain, R.; Agrawal, A.K.; Thanki, K.; Jain, S. Macromolecular bipill of gemcitabine and methotrexate facilitates tumor-specific dual drug therapy with higher benefit-to-risk ratio. Bioconjugate Chem. 2014, 25, 501–509. [Google Scholar] [CrossRef]
- Arroyo-Crespo, J.; Deladriere, C.; Nebot, V.J.; Charbonnier, D.; Masiá, E.; Paul, A.; James, C.; Armiñán, A.; Vicent, M.J. Anticancer activity driven by drug linker modification in a polyglutamic acid-based combination-drug conjugate. Adv. Funct. Mater. 2018, 28, 1800931. [Google Scholar] [CrossRef] [Green Version]
- Chen, F.; Hong, H.; Shi, S.; Goel, S.; Valdovinos, H.F.; Hernandez, R.; Theuer, C.P.; Barnhart, T.E.; Cai, W. Engineering of hollow mesoporous silica nanoparticles for remarkably enhanced tumor active targeting efficacy. Sci. Rep. 2014, 4, 1–10. [Google Scholar] [CrossRef]
- Xiao, D.; Jia, H.-Z.; Ma, N.; Zhuo, R.-X.; Zhang, X.-Z. A redox-responsive mesoporous silica nanoparticle capped with amphiphilic peptides by self-assembly for cancer targeting drug delivery. Nanoscale 2015, 7, 10071–10077. [Google Scholar] [CrossRef]
- Amoozgar, Z.; Yeo, Y. Recent advances in stealth coating of nanoparticle drug delivery systems. Wiley Interdiscip. Rev. Nanomed. Nanobiotechnol. 2012, 4, 219–233. [Google Scholar] [CrossRef] [Green Version]
- Mout, R.; Moyano, D.F.; Rana, S.; Rotello, V.M. Surface functionalization of nanoparticles for nanomedicine. Chem. Soc. Rev. 2012, 41, 2539–2544. [Google Scholar] [CrossRef] [PubMed]
- Lou, X.W.; Archer, L.A.; Yang, Z. Hollow micro-/nanostructures: Synthesis and applications. Adv. Mater. 2018, 20, 3987–4019. [Google Scholar] [CrossRef]
- Rosenholm, J.M.; Meinander, A.; Peuhu, E.; Niemi, R.; Eriksson, J.E.; Sahlgren, C.; Lindén, M. Targeting of porous hybrid silica nanoparticles to cancer cells. ACS Nano 2009, 3, 197–206. [Google Scholar] [CrossRef] [PubMed]
- Gao, Y.; Chen, Y.; Ji, X.; He, X.; Yin, Q.; Zhang, Z.; Shi, J.; Li, Y. Controlled intracellular release of doxorubicin in multidrug-resistant cancer cells by tuning the shell-pore sizes of mesoporous silica nanoparticles. ACS Nano 2011, 5, 9788–9798. [Google Scholar] [CrossRef]
- He, Q.; Zhang, Z.; Gao, Y.; Shi, J.; Li, Y. Intracellular localization and cytotoxicity of spherical mesoporous silica nano- and microparticles. Small 2009, 5, 2722–2729. [Google Scholar] [CrossRef]
- Meng, H.; Mai, W.X.; Zhang, H.; Xue, M.; Xia, T.; Lin, S.; Wang, X.; Zhao, Y.; Ji, Z.; Zink, J.I. Codelivery of an optimal drug/siRNA combination using mesoporous silica nanoparticles to overcome drug resistance in breast cancer in vitro and in vivo. ACS Nano 2013, 7, 994–1005. [Google Scholar] [CrossRef] [Green Version]
- Yan, J.; Xu, X.; Zhou, J.; Liu, C.; Zhang, L.; Wang, D.; Yang, F.; Zhang, H. Fabrication of a pH/redox-triggered mesoporous silica-based nanoparticle with microfluidics for anticancer drugs doxorubicin and paclitaxel codelivery. ACS Appl. Bio Mater. 2020, 3, 1216–1225. [Google Scholar] [CrossRef]
- Bandyopadhyay, D. Farmer to pharmacist: Curcumin as an anti-invasive and antimetastatic agent for the treatment of cancer1. Front. Chem. 2014, 2, 113. [Google Scholar] [CrossRef] [Green Version]
- Harini, L.; Karthikeyan, B.; Srivastava, S.; Suresh, S.B.; Ross, C.; Gnanakumar, G.; Rajagopal, S.; Sundar, K.; Kathiresan, T. Polyethylenimine-modified curcumin-loaded mesoporus silica nanoparticle (MCM-41) induces cell death in MCF-7 cell line. IET Nanobiotechnol. 2017, 11, 57–61. [Google Scholar] [CrossRef]
- Harini, L.; Srivastava, S.; Gnanakumar, G.P.; Karthikeyan, B.; Ross, C.; Krishnakumar, V.; Kannan, V.R.; Sundar, K.; Kathiresan, T. An ingenious non-spherical mesoporous silica nanoparticle cargo with curcumin induces mitochondria-mediated apoptosis in breast cancer (MCF-7) cells. Oncotarget 2019, 10, 1193. [Google Scholar] [CrossRef] [Green Version]
- Coffey, D.S.; McDonald, A.I.; Overman, L.E.; Rabinowitz, M.H.; Renhowe, P.A. A practical entry to the crambescidin family of guanidine alkaloids. Enantioselective total syntheses of ptilomycalin A, crambescidin 657 and its methyl ester (neofolitispates 2), and crambescidin 800. J. Am. Chem. Soc. 2000, 122, 4893–4903. [Google Scholar] [CrossRef]
- Orner, B.P.; Hamilton, A.D. The guanidinium group in molecular recognition: Design and synthetic approaches. J. Incl. Phenom. Macrocycl. Chem. 2001, 41, 141–147. [Google Scholar] [CrossRef]
- Hekmatshoar, R.; Kargar, M.; Hashemi, Z.; Fereshteh, G.; Mostashari, A. Novel and efficient organocatalytic biginelli reaction using 2-ethylhexanoic acid. Gazi Univ. J. Sci. 2012, 25, 617–621. [Google Scholar]
- Nilsson, B.L.; Overman, L.E. Concise synthesis of guanidine-containing heterocycles using the Biginelli reaction. J. Org. Chem. 2006, 71, 7706–7714. [Google Scholar] [CrossRef] [Green Version]
- Liu, X.; Wang, X.; Li, Q.; Kozar, M.P.; Melendez, V.; O’Neil, M.T.; Lin, A.J. Synthesis and antimalarial activity of 2-guanidino-4-oxoimidazoline derivatives. J. Med. Chem. 2011, 54, 4523–4535. [Google Scholar] [CrossRef]
- Shaili, E.; Fernández-Giménez, M.; Rodríguez-Astor, S.; Gandioso, A.; Sandín, L.; García-Vélez, C.; Massaguer, A.; Clarkson, G.J.; Woods, J.A.; Sadler, P.J. A photoactivatable platinum (IV) anticancer complex conjugated to the RNA ligand Guanidinoneomycin. Chem. A Eur. J. 2015, 21, 18474–18486. [Google Scholar] [CrossRef] [Green Version]
- Chen, W.-X.; Song, X.-D.; He, S.-F.; Sun, J.; Chen, J.-X.; Wu, T.; Mao, Z.-W. Ru (II) complexes bearing guanidinium ligands as potent anticancer agents. J. Inorg. Biochem. 2016, 164, 91–98. [Google Scholar] [CrossRef]
- Mishra, A.; Batra, S. Thiourea and guanidine derivatives as antimalarial and antimicrobial agents. Curr. Top. Med. Chem. 2013, 13, 2011–2025. [Google Scholar] [CrossRef]
- Nair, J.B.; Mohapatra, S.; Ghosh, S.; Maiti, K.K. Novel lysosome targeted molecular transporter built on a guanidinium-poly-(propylene imine) hybrid dendron for efficient delivery of doxorubicin into cancer cells. Chem. Commun. 2015, 51, 2403–2406. [Google Scholar] [CrossRef]
- Králová, J.; Dvořák, M.; Král, V. Novel cationic transport agents for oligonucleotide delivery into primary leukemic cells. J. Med. Chem. 2003, 46, 2049–2056. [Google Scholar] [CrossRef]
- Nair, J.B.; Joseph, M.M.; Mohapatra, S.; Safeera, M.; Ghosh, S.; Sreelekha, T.; Maiti, K.K. A Dual-Targeting Octaguanidine–Doxorubicin Conjugate Transporter for Inducing Caspase-Mediated Apoptosis on Folate-Expressing Cancer Cells. ChemMedChem 2016, 11, 702–712. [Google Scholar] [CrossRef] [PubMed]
- Legin, A.A.; Jakupec, M.A.; Bokach, N.A.; Tyan, M.R.; Kukushkin, V.Y.; Keppler, B.K. Guanidine platinum (II) complexes: Synthesis, in vitro antitumor activity, and DNA interactions. J. Inorg. Biochem. 2014, 133, 33–39. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Sasaki, M.; Iwaoka, T.; Yamauchi, J.; Tokunaga, H.; Naomi, S.; Inoue, J.; Oishi, S.; Umeda, T.; Sato, T. A case of Sipple’s syndrome with malignant pheochromocytoma treated with 131I-metaiodobenzyl guanidine and a combined chemotherapy with cyclophosphamide, vincristine and dacarbazine. Endocr. J. 1994, 41, 155–160. [Google Scholar] [CrossRef] [Green Version]
- Teng, Z.; Han, Y.; Li, J.; Yan, F.; Yang, W. Preparation of hollow mesoporous silica spheres by a sol–gel/emulsion approach. Microporous Mesoporous Mater. 2010, 127, 67–72. [Google Scholar] [CrossRef]
- Baskararaj, S.; Panneerselvam, T.; Govindaraj, S.; Arunachalam, S.; Parasuraman, P.; Pandian, S.R.K.; Sankaranarayanan, M.; Mohan, U.P.; Palanisamy, P.; Ravishankar, V. Formulation and characterization of folate receptor-targeted PEGylated liposome encapsulating bioactive compounds from Kappaphycus alvarezii for cancer therapy. 3 Biotech 2020, 10, 136. [Google Scholar] [CrossRef]
- Kunjiappan, S.; Sankaranarayanan, M.; Kumar, B.K.; Pavadai, P.; Babkiewicz, E.; Maszczyk, P.; Glodkowska-Mrowka, E.; Arunachalam, S.; Pandian, S.R.K.; Ravishankar, V. Capsaicin-loaded solid lipid nanoparticles: Design, biodistribution, in silico modeling and in vitro cytotoxicity evaluation. Nanotechnology 2020, 32, 095101. [Google Scholar] [CrossRef]
- Kunjiappan, S.; Govindaraj, S.; Parasuraman, P.; Sankaranarayanan, M.; Arunachalam, S.; Palanisamy, P.; Mohan, U.P.; Babkiewicz, E.; Maszczyk, P.; Vellaisamy, S. Design, in silico modelling and functionality theory of folate-receptor-targeted myricetin-loaded bovine serum albumin nanoparticle formulation for cancer treatment. Nanotechnology 2020, 31, 155102. [Google Scholar] [CrossRef] [PubMed]
- Joseph, M.M.; Aravind, S.; Varghese, S.; Mini, S.; Sreelekha, T. PST-Gold nanoparticle as an effective anticancer agent with immunomodulatory properties. Colloids Surf. B Biointerfaces 2013, 104, 32–39. [Google Scholar] [CrossRef] [PubMed]
- Grombe, R.; Charoud-Got, J.; Emteborg, H.; Linsinger, T.P.; Seghers, J.; Wagner, S.; von der Kammer, F.; Hofmann, T.; Dudkiewicz, A.; Llinas, M. Production of reference materials for the detection and size determination of silica nanoparticles in tomato soup. Anal. Bioanal. Chem. 2014, 406, 3895–3907. [Google Scholar] [CrossRef]
- Lowry, G.V.; Hill, R.J.; Harper, S.; Rawle, A.F.; Hendren, C.O.; Klaessig, F.; Nobbmann, U.; Sayre, P.; Rumble, J. Guidance to improve the scientific value of zeta-potential measurements in nanoEHS. Environ. Sci. Nano 2016, 3, 953–965. [Google Scholar] [CrossRef]
- Honary, S.; Zahir, F. Effect of zeta potential on the properties of nano-drug delivery systems-a review (Part 2). Trop. J. Pharm. Res. 2013, 12, 265–273. [Google Scholar]
- Wu, Q.; Shi, J.; Wei, J.; Yang, L.; Cao, S. In situ functionalization of hollow mesoporous hydroxyapatite with thermal-responsive on–off gates in supercritical CO2. RSC Adv. 2015, 5, 70101–70108. [Google Scholar] [CrossRef]
- Ornelas-Soto, N.; Rubio-Govea, R.; Guerrero-Beltrán, C.E.; Vázquez-Garza, E.; Bernal-Ramírez, J.; García-García, A.; Oropeza-Almazán, Y.; García-Rivas, G.; Contreras-Torres, F.F. Enhancing internalization of silica particles in myocardial cells through surface modification. Mater. Sci. Eng. C 2017, 79, 831–840. [Google Scholar] [CrossRef] [PubMed]
- Zhao, W.; Cui, B.; Peng, H.; Qiu, H.; Wang, Y. Novel method to investigate the interaction force between etoposide and APTES-functionalized Fe3O4@ nSiO2@ mSiO2 nanocarrier for drug loading and release processes. J. Phys. Chem. C 2015, 119, 4379–4386. [Google Scholar] [CrossRef]
- Mohan Viswanathan, T.; Krishnakumar, V.; Senthilkumar, D.; Chitradevi, K.; Vijayabhaskar, R.; Rajesh Kannan, V.; Senthil Kumar, N.; Sundar, K.; Kunjiappan, S.; Babkiewicz, E.; et al. Combinatorial Delivery of Gallium (III) Nitrate and Curcumin Complex-Loaded Hollow Mesoporous Silica Nanoparticles for Breast Cancer Treatment. Nanomaterials 2022, 12, 1472. [Google Scholar] [CrossRef] [PubMed]
- Harini, L.; Bose, K.; Viswanathan, T.M.; Kumar, N.S.; Sundar, K.; Kathiresan, T. Mesoporous Silica Nanoparticles Are Nanocarrier for Drug Loading and Induces Cell Death in Breast Cancer. Environ. Biotechnol. 2021, 4, 225–245. [Google Scholar]
- Thomas, S.; Balónová, B.; Cinatl, J.; Wass, M.N.; Serpell, C.J.; Blight, B.A.; Michaelis, M. Thiourea and Guanidine Compounds and their Iridium Complexes in Drug-Resistant Cancer Cell Lines: Structure-Activity Relationships and Direct Luminescent Imaging. ChemMedChem 2020, 15, 349–353. [Google Scholar] [CrossRef]
- McCubrey, J.A.; Steelman, L.S.; Abrams, S.L.; Lee, J.T.; Chang, F.; Bertrand, F.E.; Navolanic, P.M.; Terrian, D.M.; Franklin, R.A.; D’Assoro, A.B. Roles of the RAF/MEK/ERK and PI3K/PTEN/AKT pathways in malignant transformation and drug resistance. Adv. Enzym. Regul. 2006, 46, 249–279. [Google Scholar] [CrossRef]
- Asati, V.; Mahapatra, D.K.; Bharti, S.K. PI3K/Akt/mTOR and Ras/Raf/MEK/ERK signaling pathways inhibitors as anticancer agents: Structural and pharmacological perspectives. Eur. J. Med. Chem. 2016, 109, 314–341. [Google Scholar] [CrossRef]
- Ozfiliz Kilbas, P.; Sonmez, O.; Uysal-Onganer, P.; Coker Gurkan, A.; Obakan Yerlikaya, P.; Arisan, E.D. Specific c-Jun N-terminal kinase inhibitor, JNK-IN-8 suppresses mesenchymal profile of PTX-resistant MCF-7 cells through modulating PI3K/Akt, MAPK and Wnt signaling pathways. Biology 2020, 9, 320. [Google Scholar] [CrossRef]
- Boucher, D.; Blais, V.; Denault, J.-B. Caspase-7 uses an exosite to promote poly (ADP ribose) polymerase 1 proteolysis. Proc. Natl. Acad. Sci. USA 2012, 109, 5669–5674. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Chaitanya, G.V.; Alexander, J.S.; Babu, P.P. PARP-1 cleavage fragments: Signatures of cell-death proteases in neurodegeneration. Cell Commun. Signal. 2010, 8, 1–11. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Nanoparticles | Silica | Nitrogen | Oxygen | Carbon |
---|---|---|---|---|
HMSNAP | 25.6 | 0.4 | 65.8 | 8.2 |
C-HMSNAP | 10.4 | 8.9 | 33.0 | 47.7 |
Gu-HMSNAP | 14.6 | 11.1 | 33.1 | 41.2 |
GuC-HMSNAP | 12.5 | 14.4 | 37.7 | 35.5 |
Sample | Surface Area (m2 g−1) SBET (m2 g−1) | Pore Diameter (nm) DpDES (nm) | Pore Volume (cm3 g−1) Vp (cm3 g−1) |
---|---|---|---|
HMSNAP | 969.78 | 3.56 | 2.71 |
C-HMSNAP | 830.66 | 3.10 | 2.38 |
Gu-HMSNAP | 750.06 | 2.74 | 1.83 |
GuC-HMSNAP | 657.39 | 2.52 | 1.14 |
Parameters | Guanidine-Loaded HMSNAP | Guanidine Curcumin-Loaded HMSNAP | |||||
---|---|---|---|---|---|---|---|
pH 3.0 | pH 6.0 | pH 7.4 | pH 3.0 | pH 6.0 | pH 7.4 | ||
Zero-order F = K0 × t | K0 | 0.016 | 0.020 | 0.024 | 0.016 | 0.024 | 0.027 |
r2 | 0.94 | 0.97 | 0.98 | 0.96 | 0.98 | 0.98 | |
AIC | 54.18 | 45.66 | 48.42 | 46.39 | 45.86 | 46.78 | |
First-order F = 100 × [1 − Exp (−K1 × t)] | K1 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
r2 | 0.88 | 0.95 | 0.90 | 0.94 | 0.93 | 0.93 | |
AIC | 61.81 | 54.54 | 65.64 | 50.48 | 60.60 | 61.74 | |
Higuchi model F = KH × t1/2 | KH | 0.75 | 0.96 | 1.20 | 0.78 | 1.18 | 1.31 |
r2 | 0.70 | 0.82 | 0.80 | 0.82 | 0.83 | 0.86 | |
AIC | 70.79 | 67.29 | 72.93 | 62.06 | 69.71 | 70.04 | |
Korsmeyer–Peppas model F = kKP × tn | kKP | 0.001 | 0.029 | 0.025 | 0.03 | 0.079 | 0.068 |
r2 | 0.97 | 0.98 | 0.98 | 0.96 | 0.98 | 0.99 | |
n | 1.30 | 0.95 | 0.99 | 0.91 | 0.84 | 0.88 | |
AIC | 49.55 | 46.97 | 50.41 | 47.31 | 45.29 | 37.65 | |
Hixon–Crowell model F = kF = 100 × [1 − (1 − kHC × t)3]KP × tn | kHC | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 |
r2 | 0.90 | 0.96 | 0.94 | 0.95 | 0.96 | 0.97 | |
AIC | 59.76 | 50.46 | 61.01 | 48.45 | 54.97 | 53.54 |
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Viswanathan, T.M.; Chitradevi, K.; Zochedh, A.; Vijayabhaskar, R.; Sukumaran, S.; Kunjiappan, S.; Kumar, N.S.; Sundar, K.; Babkiewicz, E.; Maszczyk, P.; et al. Guanidine–Curcumin Complex-Loaded Amine-Functionalised Hollow Mesoporous Silica Nanoparticles for Breast Cancer Therapy. Cancers 2022, 14, 3490. https://doi.org/10.3390/cancers14143490
Viswanathan TM, Chitradevi K, Zochedh A, Vijayabhaskar R, Sukumaran S, Kunjiappan S, Kumar NS, Sundar K, Babkiewicz E, Maszczyk P, et al. Guanidine–Curcumin Complex-Loaded Amine-Functionalised Hollow Mesoporous Silica Nanoparticles for Breast Cancer Therapy. Cancers. 2022; 14(14):3490. https://doi.org/10.3390/cancers14143490
Chicago/Turabian StyleViswanathan, Thimma Mohan, Kaniraja Chitradevi, Azar Zochedh, Ramakrishnan Vijayabhaskar, Sureba Sukumaran, Selvaraj Kunjiappan, Nachimuthu Senthil Kumar, Krishnan Sundar, Ewa Babkiewicz, Piotr Maszczyk, and et al. 2022. "Guanidine–Curcumin Complex-Loaded Amine-Functionalised Hollow Mesoporous Silica Nanoparticles for Breast Cancer Therapy" Cancers 14, no. 14: 3490. https://doi.org/10.3390/cancers14143490