Abstract
Photodynamic therapy is generally considered to be safer than conventional anticancer therapies, and it is effective against different kinds of cancer. However, its clinical application has been significantly limited by the hydrophobicity of photosensitizers. In this work, a system composed of the hydrophobic photosensitizer aluminum–phthalocyanine chloride (AlPc) associated with water dispersible poly(methyl vinyl ether-co-maleic anhydride) nanoparticles is described. AlPc was associated with nanoparticles produced by a method of solvent displacement. This system was analyzed for its physicochemical characteristics, and for its photodynamic activity in vitro in cancerous (murine mammary carcinoma cell lineage 4T1, and human mammary adenocarcinoma cells MCF-7) and noncancerous (murine fibroblast cell lineage NIH/3T3, and human mammary epithelial cell lineage MCF-10A) cell lines. Cell viability and the elicited mechanisms of cell death were evaluated after the application of photodynamic therapy. This system showed improved photophysical and photochemical properties in aqueous media in comparison to the free photosensitizer, and it was effective against cancerous cells in vitro.
Keywords: third-generation photosensitizer, nanoparticles, cancer, photodynamic therapy, drug delivery systems
Introduction
Photodynamic therapy (PDT) has been shown to be effective against different types of cancer.1,2 It is based on the combination of two separately innocuous components, light and a photosensitizer (PS), inside a biological target.3 Basically, the target is first exposed to the PS and then irradiated with light at a wavelength intensely absorbed by the PS, but which is poorly absorbed by biological structures.3–5 Once the PS absorbs light, reaching an excited state, it can emit fluorescence or phosphorescence, it can react with different surrounding molecules, generating radicals – type 1 photoreaction – or it can catalyze the conversion of triplet oxygen (3O2) into singlet oxygen (1O2) – type 2 photoreaction.3,4 The oxidative burst generated by these photoreactions can induce stress and/or death by apoptosis or necrosis in the target cell.6 However, despite the encouraging results obtained so far with anticancer PDT, an ideal PS has not been found.1,3,7
The first-generation porphyrinoid PSs are the ones most used in clinical anticancer PDT. However, they present important drawbacks such as absorption of light at relatively short wavelengths, low extinction coefficients, and induction of prolonged skin photosensitization (1–2 months).1,7,8 Improved, second-generation PSs have been developed over the last few decades.1,7,8 Among these second-generation PSs, phthalocyanine derivatives have attracted considerable attention, mainly because they present some optimal characteristics for anticancer PDT, such as absorption of light at 660–770 nm, high quantum yield for the generation of singlet oxygen, and rapid, prolonged accumulation inside cancerous cells.7–9 However, most phthalocyanine derivatives exhibit high hydrophobicity, which limits their clinical efficacy for different reasons, such as the loss in photodynamic activity,10 or the pharmacokinetic issues that may arise from molecule aggregation, such as poor tissue distribution, hampering intravenous use.9
Hydrophobic phthalocyanine derivatives aggregate in aqueous media, undergoing self-quenching, a phenomenon that drastically reduces the photodynamic activity of the PSs, ie, their capacity to produce reactive species by photoreactions.11 In this context, the association of hydrophobic PSs to water-dispersible drug nanocarriers has been suggested as a solution to the aggregation issue.12–16 This approach also presents the advantage of allowing tumors to be targeted by passive and active strategies.12,17,18 This kind of system, in which the PS is associated to carriers, is often referred to as third-generation PS.19 In this context, in recent years, poly(methyl vinyl ether-co-maleic anhydride) (PVM/MA) has been reported to be a good candidate for composing versatile, biodegradable, water-dispersible drug nanocarriers.20–23 In the present work, PVM/MA nanoparticles (NPs) were used as water-dispersible carriers for aluminum–phthalocyanine chloride (AlPc). This new third-generation PS system showed improved photophysical properties in aqueous media and photodynamic activity in vitro against cancerous cells.
Materials and methods
Chemicals and cells
PVM/MA (Gantrez® AN-119) was kindly gifted by ISP Corporation (São Paulo, São Paulo, Brazil). Dulbecco’s Modified Eagle’s Medium (DMEM) (HyClone™; Thermo Fisher Scientific, Waltham, MA, USA). Penicillin, streptomycin, and fetal bovine serum (Gibco®; Life Technologies, Carlsbad, CA, USA). Phosphate buffered saline (PBS) (Laborclin produtos para laboratórios Ltda, Pinhais, Paraná, Brazil). Dimethyl sulfoxide, acetone, ethanol (Vetec Química Fina Ltda, Xerém, Rio de Janeiro, Brazil). All other materials were purchased from Sigma-Aldrich (St Louis, MO, USA). The cell lineages used included: murine mammary carcinoma cell lineage 4T1 (kindly provided by Dr Suzanne Ostrand-Rosenberg; MD, USA); human mammary adenocarcinoma cells MCF-7; murine fibroblast cell lineage NIH/3T3 (Rio de Janeiro Cell Bank [RJCB], Rio de Janeiro, Brazil); and human mammary epithelial cell lineage MCF-10A (kindly provided by Dr Maria Mitzi Brentani, University of São Paulo, São Paulo, Brazil).
Production of PVM/MA particles by solvent displacement
PVM/MA particles were obtained through a solvent displacement method based on a previously described protocol.24 Briefly, PVM/MA was dissolved in acetone at concentrations of 10 mg/mL, 20 mg/mL, 30 mg/mL, 40 mg/mL, 60 mg/mL, and 80 mg/mL. Next, 10 mL of ethanol and 10 mL of distilled water were added, in that sequence, to 5 mL of each PVM/MA solution, under mild stirring at room temperature. Stirring was continued for 10 minutes, and then the organic solvents were removed by distillation at 45°C under reduced pressure (80 mbar) in a rotavapor apparatus (Rotavapor® R II; BÜCHI Labortechnik AG, Flawil, Switzerland). The volume of the aqueous dispersion was then completed to 10 mL with distilled water and centrifuged at 22,000 ×g for 30 minutes. The fully transparent supernatant was removed and the pellet was resuspended in 5 mL of distilled water. This dispersion was immediately analyzed for its colloidal characteristics.
Colloidal characterization
The hydrodynamic diameter (HD) and zeta potential of NPs dispersed in PBS were measured at 25°C, pH 7.4, by photon correlation spectroscopy and electrophoretic laser Doppler velocimetry (Zetasizer Nano ZS; Malvern Instruments, Malvern, UK), respectively. The polydispersity index (PDI) was calculated by the equipment software from dynamic light scattering measurements. All measurements were performed in triplicate and the results are presented as mean ± standard error of the mean (SEM).
Effect of Tween® 20 on AlPc aggregation
Molecular aggregation impairs the photodynamic efficiency of a PS and, thus, must be avoided.16 This phenomenon is observed for hydrophobic phthalocyanines, such as AlPc, in aqueous media.9 Therefore, the biocompatible surfactant Tween® 20 was added to the precipitation medium to reduce the aggregation of AlPc during and after its incorporation to PVM/MA NPs.
Different concentrations of Tween 20 were tested. Briefly, 28 mL of ethanol and 21 mL of distilled water were added, in that sequence, under mild stirring, at RT, to 14 mL of a 20 mg/mL PVM/MA acetone solution. Then, seven aliquots of 9 mL were separated; Tween 20 was added in different amounts and the volume of each aliquot was completed to 10 mL with distilled water. The final concentrations of Tween 20 ranged from 0%–2% (w:v). Next, 350 μL of 300 μM AlPc in ethanol was added dropwise to each aliquot under mild stirring. Organic solvents were removed, as described before; the dispersions were washed twice with 4 mL of distilled water (22,000 ×g for 30 minutes) and the NPs were then redispersed in 2 mL of distilled water. The concentration of AlPc was measured as described below. Dispersions were then diluted in distilled water to 1 µM AlPc, and fluorescence intensity (excitation [ex] λ 350 nm, emission [em] λ 690 nm) was measured in triplicate with a spectrofluorophotometer. The result was expressed as the normalized mean ± SEM of the fluorescence quantum yield (ΦF).
Measurement of AlPc concentration
Samples were diluted 20-fold in ethanol 99%, left at RT for 30 minutes, and the fluorescence intensity (ex λ 350 nm, em λ 680 nm) was then read with a spectrofluorophotometer. The concentration of AlPc was calculated on the basis of the measured fluorescence intensity with the equation of the standard curve obtained with AlPc in ethanol 95% (r2>0.999, in the range of 0.15–5.0 μM AlPc).
Effect of AlPc concentration on AlPc aggregation and on its efficiency of association to PVM/MA nanoparticles
Dispersions of PVM/MA NPs were prepared as described before, with 20 mg/mL of PVM/MA in acetone. To 5 mL aliquots of this dispersion, 500 μL of AlPc in ethanol, at concentrations ranging from 12–384 μM, were dropwise added under mild stirring and RT. Then, samples were left under stirring for 10 minutes, organic solvents were removed, the NPs were washed twice with 2 mL of distilled water, and they were resuspended in 0.5 mL of distilled water. The concentration of AlPc was measured as described before, and the dispersions were then diluted with water to 1 µM AlPc. The absorption spectrum and fluorescence intensity (ex λ 350 nm, em λ 690 nm) of each sample were measured with a spectrofluorophotometer. AlPc association efficiency was calculated as the percentage of AlPc remaining in the final dispersion in relation to the initially added amount. The ΦF was normalized and expressed as the mean ± SEM.
Association of AlPc to PVM/MA nanoparticles
The procedures described above led to the establishment of a standard protocol for associating AlPc to PVM/MA NPs. Throughout the following text, the NPs obtained by this protocol are referred to as AlPc-NP.
AlPc-NP was prepared by adding 10 mL of ethanol, 7.5 mL of distilled water, and 2.5 mL of 15% (w:v, in water) Tween 20, in that sequence, to 5 mL of 20 mg/mL of PVM/MA in acetone, under mild stirring at RT. Next, 833 μL of 300 μM AlPc in ethanol were added dropwise, and the dispersion was continued under mild stirring for 10 minutes at RT. The organic solvents were then removed by distillation at 45°C under reduced pressure (80 mbar) in a rotavapor apparatus; the volume of the remaining aqueous dispersion was completed to 10 mL with distilled water and this NP dispersion was washed twice (22,000 ×g for 30 minutes) with distilled water. Finally, the NPs were resuspended in 5 mL of PBS or distilled water; a 50 μL aliquot was separated for characterization, and the remaining volume was kept frozen at −20°C until usage. Pure PVM/MA NPs were prepared through the same protocol, without AlPc.
Scanning electron microscopy
The shape and surface morphology of NPs were both investigated in a field-emission scanning electron microscope (JSM-7001F; JEOL, Tokyo, Japan). Briefly, 20 μL of AlPc-NP dispersed in water were deposited on copper supports. Next, the sample was left to dry for 5 hours at room temperature in a jar containing silica gel desiccant, and then coated with gold using Blazers SCD 050® sputter coater (Blazers Union AG, Fürstentun, Liechtenstein). The images were digitalized using an UltraScan™ camera connected to DigitalMicrograph™ 3.6.5 computer software (Gatan, Inc., Pleasanton, CA, USA).
Photophysical characterization
Fluorescence and absorption spectra, optical density, turbidity, and fluorescence intensity, in the visible region of the electromagnetic spectrum, were all measured in a spectrofluorophotometer (Spectramax® M2; Molecular Devices LLC, Sunnyvale, CA, USA) at 25°C.
Infrared spectroscopy
Ten milliliters of AlPc-NP dispersed in water were prepared, as described before, and separated into two aliquots. A 5 mL aliquot was immediately frozen and lyophilized, while the other was left at 25°C in the dark for 6 hours, then frozen and lyophilized. These lyophilized samples, pure AlPc, and PVM/MA were then analyzed for their transmittance spectra in the infrared region of the electromagnetic spectrum with a Fourier transform infrared spectrophotometer (FTIR) (FT/IR 4100; Jasco Products Company, Oklahoma City, OK, USA) with a resolution of 4 cm−1, in the range of 500–4,000 cm−1.
Detection of singlet oxygen
Singlet oxygen was detected by a previously reported spectroscopic method.25,26 This method is based on the fact that the probe 1,3-diphenylisobenzofuran (DPBF) reacts irreversibly with singlet oxygen, causing a directly proportional decrease in the DPBF-specific optical density at λ 414 nm.25,26 Briefly, 5 μL of 5.5 mM DPBF in ethanol were added to 600 µL aliquots of the following samples: AlPc in ethanol; AlPc in PBS; AlPc-NPs in PBS; dissolved AlPc-NPs in PBS; and pure PVM/MA NPs in PBS. Then, each mixture was irradiated with a laser (λ 670 nm; energy density of 0.5 J/cm2). Absorption of the samples was read at 414 nm before and after irradiation. The difference between optical densities before and after irradiation was used as an index of singlet oxygen production. Samples without DPBF were used as blanks. The concentration of AlPc in all samples was 1 μM. The concentration of PVM/MA in AlPc-NPs and pure dispersed PVM/MA NPs was 0.6 mg/mL.
Cells and culture conditions
Cancerous (4T1 [murine] and MCF-7 [human]) and noncancerous (NIH/3T3 [murine] and MCF-10A [human]) cell lines were used in this work. NIH/3T3, 4T1, and MCF-7 cells were cultured in DMEM, and supplemented with 10% (v:v) fetal bovine serum and 1% (v:v) antibiotic solution (100 IU/mL penicillin and 100 mg/mL streptomycin). MCF-10A cells were cultured in DMEM/F12 (1/1, v:v) supplemented with 5% (v:v) equine serum, 20 ng/mL of epidermal growth factor, 10 μg/mL of bovine insulin, 0.5 μg/mL of hydrocortisone, 100 ng/mL of cholera toxin, and 1% (v:v) antibiotic solution (100 IU/mL penicillin and 100 mg/mL streptomycin). All cells were maintained at 37°C in a 5% CO2 and humidified atmosphere.
AlPc-NP incorporation/adsorption by cells
This experiment was performed to check the time profile of AlPc-NP incorporation/adsorption by cell lines used in this work. Briefly, 4T1, MCF-7, NIH/3T3, and MCF-10A cells were cultured for 24 hours according to conditions described in the Cells and culture conditions section, at a density of 1×103 cells/well in 96-well plates. Then, the culture medium was replaced by 200 μL of AlPc-NPs dispersed in culture medium at a concentration of AlPc of 0.25 μM. Next, cells were incubated at 37°C, 5% CO2, and 80% humidity for 1 minute, 5 minutes, 10 minutes, 15 minutes, 30 minutes, or 60 minutes, in the dark. Then, the culture medium was removed, the cells were washed twice with 200 μL of PBS, and the AlPc was extracted with 200 μL of dimethyl sulfoxide for 30 minutes. Next, fluorescence was read at ex λ 350 nm and em λ 680 nm. This experiment was performed with two different pools of cells in quintuplicate, and the results were expressed as normalized fluorescence intensity.
Intracellular distribution of AlPc-NPs
The intracellular localization of AlPc-NPs was visualized by confocal microscopy. For this experiment, 4T1, MCF-7, NIH/3T3, and MCF-10A cells were cultured on coverslips placed in a 24-well plate for 24 hours, according to the conditions described in the Cells and culture conditions section, at a density of 2×104 cells/well. Next, cells were exposed to AlPc-NPs dispersed in culture medium at a concentration equivalent to 0.25 μM AlPc for 15 minutes, at 37°C, 5% CO2, and 80% humidity, then washed twice with PBS, fixed with paraformaldehyde 4% (w:v) for 30 minutes, again washed twice with PBS, and mounted on glass slides. Next, cells were visualized in a confocal microscope (Leica TCS SP5, Leica Microsystems, Wetzlar, Germany) and AlPc fluorescence was detected at ex λ 405 nm and em λ 633 nm.
Cell treatment design
4T1, MCF-7, NIH/3T3, and MCF-10A cells were cultured for 24 hours under the standard conditions described above. Next, cells were treated as follows: 1) irradiated with a laser (λ 670 nm) at energy densities of 0.0 J/cm2, 3.8 J/cm2, 11.5 J/cm2, 22.9 J/cm2, and 34.4 J/cm2; 2) exposed to blank PVM/MA NPs dispersed in PBS for 15 minutes in the dark at concentrations of 0.15 mg/mL, 0.3 mg/mL, 0.6 mg/mL, 1.2 mg/mL, 2.4 mg/mL, 4.8 mg/mL, and 7.2 mg/mL of PVM/MA; 3) exposed to AlPc-NPs dispersed in PBS for 15 minutes in the dark at concentrations of 0.25 μM, 0.5 μM, 1.0 μM, 2.0 μM, 4.0 μM, 8.0 μM, and 12.0 μM of AlPc; and 4) exposed to AlPc-NPs dispersed in PBS for 15 minutes in the dark at concentrations of 0.25 μM, 0.5 μM, 1.0 μM, and 2.0 µM of AlPc, washed twice with PBS, and then irradiated with a laser (λ 670 nm) at energy densities of 0.0 J/cm2, 0.48 J/cm2, 1.38 J/cm2, and 3.82 J/cm2
After the treatments, cells were cultured for 24 hours under standard conditions and their viability was assessed by the 3,(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay, as described in Assessment of cell viability.
Assessment of cell viability
Cell viability was assessed by exposing cells to the yellow dye MTT assay, which is converted by the mitochondria of viable cells to an insoluble purple formazan.27 Briefly, after receiving their respective treatment, cells were washed twice with PBS and then incubated with 0.5 mg/mL of MTT in culture medium for 2.5 hours at 37°C, 5% CO2, and 80% humidity. Next, the MTT solution was removed and formazan was extracted from the cells with 200 µL of dimethyl sulfoxide (DMSO). The absorption was then measured at λ 595 nm using a spectrophotometer (Spectramax® M2; Molecular Devices LLC). This experiment was performed in quintuplicate for each treatment, and the results were expressed as percentages relative to control.
Detection of fragmented DNA
This experiment is based on the fact that propidium iodide (PI) binds DNA, allowing cell DNA content to be measured by flow cytometry. Briefly, 4T1, MCF-7, NIH/3T3, and MCF-10A cells were cultured under standard culture conditions on 12-well microplates at a density of 3×104 cells/well for 24 hours. Next, the culture medium was removed, cells were washed twice with PBS, and 400 μL of AlPc-NPs dispersed in culture medium was added to each well, at the AlPc-NP lethal concentration LC50 specific to each cell line, as follows: 0.3 μM to 4T1; 0.6 μM to NIH/3T3; 1.8 μM to MCF-7; and 0.5 μM to MCF-10A. LC50 was calculated based on the viability of the cells exposed to different concentrations of AlPc-NPs, and they were then irradiated with laser (λ 670 nm) at 0.48 J/cm2. After 15 minutes of incubation with AlPc-NPs, the culture medium was removed, cells were washed twice with PBS, 400 µL PBS was added to each well, and cells were then irradiated with a laser (λ 670 nm) at 0.48 or 1.38 J/cm2. Next, PBS was replaced by a culture medium and cells were cultured under standard conditions for 24 hours. Then, the floating and adhered cells were harvested, centrifuged, and resuspended in 100 μL of PBS. For DNA fragmentation analysis, 200 μL of a PI-containing buffer (0.1% w:v sodium citrate, 0.1% w:v Triton™ X-100 and 20 μg/mL PI; Life Technologies) was added, and the mixture was then incubated for 30 minutes in the dark at RT. Next, samples were evaluated using FACSscan™ flow cytometry (FACSCalibur™; BD Biosciences, San Jose, CA, USA) at FL2-H (fluorescence 2 height; 560–580 nm) and analyzed by the CellQuest™ software (BD Biosciences). Ten thousand events were counted in triplicate per sample in the CyFlow® Space cytometer (Partec GmbH, Münster, Germany). Fragmented DNA was identified in sub-G1 (DNA content <2 n) populations. This experiment was performed twice, and the results were expressed as the percentage of events presenting fragmented DNA in all counted events.
Cell death analysis
The frequency of cell death by apoptosis or necrosis was analyzed after AlPc-NP-based PDT in vitro by the acridine orange/ethidium bromide double staining method.28 Briefly, cells were cultured under standard culture conditions for 24 hours in 12-well plates at a density of 3×104 cells/well. Then, culture medium was removed, and the cells were washed twice with PBS and exposed to 400 μL of AlPc-NPs in PBS at LC50, as described before, for 15 minutes. Cells were washed twice with PBS; 400 μL of PBS was added to each well, and then cells were irradiated with a laser (λ 670 nm) at 0.48 J/cm2 or 1.38 J/cm2. Next, cells were washed twice with PBS and cultured under standard conditions for 24 hours. Floating and adhered cells were then harvested, centrifuged, resuspended in 100 μL of PBS containing 50 μg/mL orange acridine and 50 μg/mL ethidium bromide, and left in the dark at RT for 5 minutes. Ten microliters of that suspension of cells were dispersed on a glass slide and analyzed in a fluorescence microscope. This experiment was performed twice, and 100 cells were analyzed per sample in triplicate, in three different regions of the slide. Results were expressed as the mean ± SEM of the percentage of cells in apoptosis or necrosis.
Statistical analysis
Correlation between variables was analyzed with the Spearman test. Statistical differences between groups were assessed by one-way analysis of variance, followed by Tukey or Bonferroni’s posttests (α=0.05) on GraphPad Prism 5.0 software (GraphPad Software, Inc., La Jolla, CA, USA).
Results and discussion
Hydrophobic phthalocyanine derivatives present excellent photophysical and photochemical characteristics, as well as rapid accumulation in cancerous cells.9 However, the issue of their aggregation in aqueous media has severely limited their application in anticancer PDT. In this context, water-dispersible nanocarriers have been proposed to circumvent this problem.5,15,29 In the present work, a third-generation system intended for anticancer PDT, composed of a hydrophobic phthalocyanine derivative associated to PVM/MA NPs, is described.
PVM/MA concentration affects colloid characteristics
The PVM/MA NPs were produced by a solvent displacement method based on a previous work.24 This method enabled the HD of PVM/MA NPs to be tuned by simply controlling the initial concentration of the polymer, corroborating previous work.30 There was a significant positive correlation between the concentration of PVM/MA and the HD of NPs produced by solvent displacement (rSpearman =0.95; P<0.01; Figure 1A). Narrow particle size distributions were obtained in the range of 20–40 mg/mL (2.5%–5.0% w:w, in acetone) with PDI values below 0.1, while poor quality colloids were obtained only for both the lowest and highest PVM/MA concentrations tested, as indicated by their higher values of PDI. In subsequent experiments, the concentration of PVM/MA was set to 20 mg/mL because it yielded NPs with an average HD of about 200 nm, which is interesting for parenteral administration and drug delivery purposes.18
ΦF is affected by the concentrations of Tween 20 and AlPc
AlPc was associated to the preformed NPs dispersed in the precipitation medium, which is aqueous and thus promotes the aggregation of AlPc. Therefore, in order to avoid AlPc aggregation, the surfactant Tween 20 was added to the precipitation medium. This surfactant markedly reduced the aggregation of AlPc associated to PVM/MA NPs (AlPC-NPs). Consequently, a significant positive correlation was observed between the concentration of Tween 20 in the precipitation medium and the ΦF of AlPC-NPs (rSpearman =0.96; P<0.01; Figure 1C). In subsequent experiments, Tween 20 was added at 1.5% (w:v) to the precipitation medium.
The results also showed that the concentration of AlPc affects the ΦF of the final formulation. Figure 1C shows a negative, significant correlation between the concentration of AlPc used in the precipitation medium and the ΦF of AlPc-NPs (rSpearman =−0.98; P<0.001). When prepared with 35 µM of AlPc, for example, AlPc-NPs presented a value of ΦF that was about only 30% of that observed for the formulation prepared with 11 µM AlPc. This is probably related to the effect of the mean distance between vicinal AlPc molecules on the intensity of quenching effects.11,31,32
AlPc association efficiency
As Figure 1B shows, there was a significant negative correlation between the efficiency of association of AlPc to PVM/MA NPs and the initial AlPc concentration used in the process (rSpearman =−0.83; P<0.05). In subsequent experiments, the initial AlPc concentration was set to 10 μM in the precipitation medium.
Colloid characterization
PVM/MA NPs, either with AlPc (AlPc-NPs) or without AlPc (NPs), showed narrow particle size distribution, PDI below 0.1, and negative zeta potential in aqueous medium at pH 7.2 (Figure 2). The negative zeta potential reflects the presence of carboxylate groups on the surface of NPs. AlPc load in AlPc-NP was 0.9 μg/mg, as determined in the lyophilized samples. The HD did not significantly change with the association of AlPc to NPs, and was close to 200 nm for both NP and AlPc-NP. None of these characteristics was significantly affected by a freeze/thaw cycle, and all remained stable for at least 60 days at −20°C. Moreover, AlPc-NPs are spherically shaped, as shown by scanning electron microscope images.
Photophysical characterizations
The photophysical characteristics of AlPc-NP were assessed and compared to those of free AlPc. In comparison to free AlPc in PBS, an aqueous medium, AlPc-NP presented improved photophysical and photochemical characteristics. Both the absorption and fluorescence of free AlPc are close to zero in PBS (Figure 3) – a medium that promotes aggregation of this molecule.13 On the other hand, when dissolved in ethanol, AlPc showed intense absorption with its typical strong Q band (670 nm) and intense fluorescence emission. When associated to PVM/MA NPs (AlPc-NPs) dispersed in PBS, AlPc presented intense absorption and fluorescence, with a hyperchromic effect in relation to free AlPc in PBS and a bathochromic shift of about 10 nm for both fluorescence emission and absorption peaks in comparison to free AlPc in ethanol. The peak observed at 720 nm is due to the turbidity of the NP suspensions (NP/PBS and AlPc-NP/PBS), and this fades away after the dissolution of NPs.
The dissolution of AlPc-NPs occurred within a few hours, as evidenced by the gradual decrease in the turbidity of the dispersion (Figure 4). The decrease in turbidity begins at about 1 hour and stops at 5 hours. At 6 hours, it was not possible to observe any remaining NPs in the scanning electron microscope images (data not shown). Interestingly, even after the complete dissolution of the AlPc-NPs in PBS, its photodynamic activity was maintained, suggesting that AlPc remains associated to PVM/MA even after the dissolution of NPs. In other systems, such as those based on poly(lactic-co-glycolic) acid, the photodynamic activity of hydrophobic PS molecules in aqueous media may be significantly reduced after the disintegration of NPs.32,33 A strong Coulomb interaction between the negative, carboxylate groups of PVM/MA and the positive, metallic center of AlPc may be responsible for keeping AlPc associated to the polymer strands even after the dissolution of NPs.
FTIR spectra
PVM/MA anhydride groups readily react with water, producing carboxyl groups, as confirmed by the FTIR spectrum of AlPc-NPs exposed to water for 6 hours. It clearly shows an intense reduction in the intensity of the anhydride bands, at 1,770 cm−1 and 1,842 cm−1,34 in comparison to the spectra of both fresh AlPc-NPs and pure PVM/MA (Figure 5). Moreover, two bands typical of carboxyl groups, at 1,362 cm−1 and 1,733 cm−1,34 appeared for AlPc-NPs after 6 hours of exposure to water. Fresh AlPc-NPs also showed bands of carboxyl groups and a reduction in the intensity of anhydride bands, as a consequence of the exposure of PVM/MA to the water added during the process of NP preparation.
It is possible to control the time of PVM/MA dissolution in aqueous media through simple steps of NP surface modification, such as the crosslinking of polymer strands with a diamine23 or associating them with polymers by hydrogen bonds. This kind of modification can give the NPs some interesting properties for drug delivery and controlled release purposes.
Because of the anhydride groups, PVM/MA NPs also allow several targeting molecules to be easily converted to their surface.20,35 Moreover, carboxyl groups generated by the hydrolysis of anhydride groups form hydrogen bonds with other molecules exposed on the cell membrane and with other possible biological targets.23 This phenomenon can also be explored to increase the incorporation of PS molecules by target cells.
AlPc-NP produces oxidant species in aqueous medium under light irradiation
As Figure 6 shows, under irradiation with a laser (λ 670 nm; 0.5 J/cm2 energy density), the level of oxidant species generated by AlPc-NPs in PBS was equivalent to more than 50% of that observed with free AlPc in ethanol; on the other hand, free AlPc in PBS reached less than 5%. This result matches the increase in ΦF previously discussed and shows that the association of AlPc to PVM/MA NPs enhances the photochemical performance of this PS in aqueous media. After its dissolution, AlPc-NPs generated about 10% more oxidant species in comparison to the fresh formulation.
AlPc-NP is incorporated by cells in vitro
Figure 7A shows that AlPc-NP was incorporated by both cancerous and noncancerous cells. It was observed that murine cancerous cells, 4T1, incorporated 16.4% and 30.7% more AlPc-NPs than did murine noncancerous cells (NIH/3T3) at 30 minutes and 60 minutes of incubation, respectively. Cancerous cells of human origin (MCF-7) incorporated 18.8% and 73.9% more AlPc-NPs than did the noncancerous cells (MCF-10A) at 30 minutes and 60 minutes, respectively. The higher incorporation seen in cancerous cells may be due to the higher endocytic activity of these cells.17 Figure 7B shows the intracellular distribution of AlPc-NPs after 15 minutes of exposure to AlPc-NP in cells from all lines. Fluorescence imaging by confocal microscopy clearly shows that AlPc-NP is concentrated in the cytosol of the cells.
Photodynamic activity against cells in vitro
The cytotoxic potential of laser, PVM/MA NPs, and AlPc-NP alone was evaluated. As Figure 8A and B show, laser and PVM/MA NPs, at any of the energy densities and concentrations tested, respectively, were not toxic to the studied cells. These results are in accordance with basic features of PDT, which assume that both the light source and drug carrier are innocuous when used separately.36 In addition, the absence of significant cell death after exposure to PVM/MA NPs shows that this material is biocompatible.
In Figure 8C, a significant reduction in the viability of murine 4T1 and NIH/3T3 cells was noted when they were exposed in the dark to AlPc-NPs, starting at 4.0 μM and 8.0 μM of AlPc, respectively. On the other hand, the same treatment was not cytotoxic to the human cell lines at any of the tested AlPc-NP concentrations, as shown in Figure 8D. These results determined the highest nontoxic AlPc concentration (2.0 μM) for the subsequent PDT experiments.
Even for cell lineages from the same species, different susceptibility to toxic compounds may be found. For different cancer cell lineages, the susceptibility to some substances may vary even more significantly than for normal cells, as differences in metabolism are easily observed in this kind of cell.37 Therefore, the species factor may not be responsible for the difference observed in our experiments.
After testing the cytotoxicity of isolated components of the system, and ensuring the internalization of AlPc by cells (Figure 7), PDT was performed in vitro with AlPc-NPs at different concentrations. Figure 9 shows that PDT with AlPc-NPs was able to induce significant reductions in the viability of cells from all lines. For murine cells (4T1 and NIH/3T3) and human cancerous cells (MCF-7) at low laser energy densities, cytotoxicity was clearly dependent on the concentration of AlPc-NP. At the highest laser energy density, 3.82 J/cm2, the maximum effect was reached even at 0.25 μM of AlPc-NP for all cells.
The observed cell death after AlPc-NP-mediated PDT (Figure 9), along with the finding that AlPc-NP is incorporated by both normal and cancerous cells (Figure 7), shows that AlPc-NP is delivered to cultured cells in a nonspecific manner. That was expected, since the specific delivery of drugs to the tumor with nanobased systems is mainly dependent on the altered physiological characteristics of cancerous tissues in vivo.38,39
Malignant neoplastic tissues have abnormal and aberrant blood vessels that are much more permeable to NPs when compared to normal noncancerous blood vessels.39 This phenomenon is classically referred to as the enhanced permeability and retention effect, and is one of the most important theories explaining the enhanced drug delivery to tumor tissues related to nanobased drug carriers.40,41 Therefore, the differences in the specificity of drug delivery are better observed in in vivo experimental methods.
Cell death mechanism and DNA fragmentation
Figure 10A shows that DNA fragmentation was more intense in cells treated with PDT at the lowest laser energy density tested (0.48 J/cm2). This profile was observed for all the cell lines tested. On the other hand, DNA fragmentation in the cells receiving PDT at the highest energy density applied, 1.38 J/cm2, was statistically equal to the control.
The results show a bell-shaped distribution of DNA damage in the function of energy density in all cell types. Interestingly, the predominant mechanism of cell death induced by AlPc-NP-mediated PDT was affected by the laser energy density applied. In Figure 10B, it is possible to note that in cells treated with PDT at the lowest laser energy density, apoptosis was predominant. On the other hand, at higher energy density, necrosis was the predominant mechanism of cell death, and the frequency of cell death was also increased in the highest energy groups.
These results indicated that low-energy PDT leads to the activation of the effector mechanisms related to apoptosis in a typical oxidative stress-induced apoptosis pathway.42,43 In contrast, cells treated with high-energy PDT presented a predominant pattern of necrotic cell death. These observations are in accordance with other reports, which identified a significantly increased intracellular oxidative stress when high-light energies were applied in the PDT protocols in comparison with low-light energy protocols.44,45 When oxidative stress is too intense, as observed in the high-energy groups, the cellular machinery that initiates apoptosis is also affected, and cell death occurs via necrosis.45,46
Thus, at lower energy doses, limited damage is caused to cell structures. This damage is not enough to promote cell necrosis, but it is able to activate the cellular machinery responsible for the initiation of apoptosis. On the other hand, the more intense severe damage caused by higher energy doses is capable of significantly destroying important cell structures – such as the cell membrane, for example – leading to death by necrosis.
Interestingly, based on the fact that cell death by necrosis induces a robust inflammatory response and potentiates an antitumoral immune response,47 it is possible to suggest that the high-energy PDT can stimulate immune activation against the remaining tumor cells. Actually, this hypothesis has already been suggested and described as an advantage of PDT over traditional antitumor therapies, such as some chemotherapy protocols that are generally immunosuppressive.48–50
Conclusion
In conclusion, the system composed by AlPc associated to PVM/MA NPs presents photodynamic activity in aqueous media, and may be used for anticancer PDT. This new third-generation PS should be further studied, especially for its drug delivery ability in in vivo models. Moreover, PVM/MA NPs may also be tested as a carrier for other PSs.
Acknowledgments
Financial support from the Brazilian agencies: National Counsel of Technological and Scientific Development (CNPq, Brasília, Distrito Federal, Brazil), Funding Authority for Studies and Projects (FINEP, Rio de Janeiro, Rio de Janeiro, Brazil), Agency for the Support and Evaluation of Graduate Education (CAPES, Brasília, Distrito Federal, Brazil), and Research Funding Foundation of Distrito Federal (FAP/DF, Brasília, Distrito Federal, Brazil) is gratefully acknowledged.
Footnotes
Disclosure
The authors report no conflicts of interest in this work.
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