Co-delivery of doxorubicin and recombinant plasmid pHSP70-Plk1-shRNA by bacterial magnetosomes for osteosarcoma therapy

Abstract

To explore a novel combination of chemotherapy, gene therapy, and thermotherapy for osteosarcoma, a targeted heat-sensitive co-delivery system based on bacterial magnetosomes (BMs) was developed. The optimal culture conditions of magnetotactic bacteria (MTB) AMB-1 and characterization of BMs were achieved. A recombinant eukaryotic plasmid heat shock protein 70-polo-like kinase 1-short hairpin RNA (pHSP70-Plk1-shRNA) under transcriptional control of a thermosensitive promoter (human HSP70 promoter) was constructed for gene therapy. Doxorubicin (DOX) and pHSP70-Plk1-shRNA were included in the targeted thermosensitive co-delivery system, and in vitro DOX release activity, targeted gene silencing efficiency and in vitro antitumor efficacy were investigated. The results showed that the optimal culture conditions of MTB AMB-1 are an oxygen concentration of 4.0%, a pH value of 7.0, 20 μmol/L of ferrous sulfate, 800 mg/L of sodium nitrate, and 200 mg/L of succinic acid. The temperature of BMs reached 43°C within 3 minutes and could be maintained for 30 minutes by adjusting the magnitude of the alternating magnetic field (AMF). The diameters of BMs, BM-DOX, BM-recombinant eukaryotic plasmid pHSP70-Plk1-shRNA (shPlk1), and BM-DOX-shPlk1 were 43.7±4.6, 79.2±5.4, 88.9±7.8, and 133.5±11.4 nm, respectively. The zeta potentials of BMs, BM-DOX, BM-shPlk1, and BM-DOX-shPlk1 were −29.4±6.9, −9.5±5.6, −16.7±4.8, and −10.3±3.1 mV, respectively. Besides, the system exhibited good release behavior. DOX release rate from BM-DOX-shPlk1 was 54% after incubation with phosphate-buffered saline at 43°C and 37% after incubation with 50% fetal bovine serum, which was significantly higher than that at 37°C (P<0.05). In addition, the expressions of Plk1 mRNA and protein were significantly suppressed in cells treated with BM-DOX-shPlk1 following hyperthermia treatment under the influence of an AMF compared to other groups (P<0.05). Furthermore, evaluation of the effect of in vitro antitumor revealed that BM-DOX-shPlk1 following hyperthermia treatment under the influence of an AMF was significantly more effective than others in tumor inhibition. In conclusion, the new heat-sensitive co-delivery system represents a promising approach for the treatment of cancer.

Introduction

Gene-based therapies are potential approaches to the treatment of cancer. However, the therapeutic efficacy remains challenging. Delivery of therapeutic genes to an identified tissue and controlled gene expression are extremely important.^1–3

Magnetic hyperthermia is a highly recommended technique that is used to treat cancers in which magnetic nanoparticles are administered to tumors and heated under the influence of an alternating magnetic field (AMF).^4,5 Recently, it has been revealed that there are certain technical problems with chemically synthesized magnetic nanoparticles, such as poor dispersion, propensity of congregation and low drug loading.^6,7 Bacterial magnetosomes (BMs), extracted from magnetotactic bacteria (MTB), are considered to be of increasing interest as drug carriers mainly due to their biocompatibility and low toxicity. It has been shown that BMs coupled with doxorubicin (DOX) display a potential antitumor property.^8–13 However, bacterial cultivation is still a problem. The efficiency of BMs used in the magnetic hyperthermia treatment of tumors needs more experimental data to be understood.

Previous studies showed that expression of genes under the control of heat shock protein 70 (HSP70) promoter can be elevated by heat stress (39°C–43°C). The HSP70 promoter system has been used as an inducible gene expression system to control therapeutic gene expression which achieves spatial and temporal targeting of therapy.^14–17 Polo-like kinase 1 (Plk1) is an essential regulator of mitosis and an emerging target for cancer therapy. Aberrant expression of Plk1 has been shown to promote the growth of lung cancer, gastric cancer, and osteosarcoma. Suppressing the expression of Plk1 by plasmid encoding specific interfering short hairpin RNA (shRNA) against Plk1 can promote apoptosis and inhibit proliferation of tumor cells.^18–21

In this study, a novel thermosensitive tumor-targeted therapy system was developed on the basis of BMs which were under the influence of an AMF. In addition, DOX and recombinant plasmid HSP70 (pHSP70)-Plk1-shRNA were loaded into the system (BM-DOX-recombinant eukaryotic plasmid pHSP70-Plk1-shRNA [shPlk1]) for the combination of chemotherapy, gene therapy, and magnetic thermotherapy. Their antitumor effect was evaluated against osteosarcoma, and it was demonstrated that the therapy system offered a new strategy for the treatment of cancer.

Materials and methods

Materials

MTB AMB-1 was a generous gift from Dr Weidong Pan (Beijing Key Laboratory of Bioelectromagnetics, Institute of Electrical Engineering, Chinese Academy of Sciences, People’s Republic of China). The Chinese Academy of Sciences Institutional Review Board approved the use of human cell lines for this study. Osteosarcoma U2-OS cells were obtained from the Cancer Institute of Chinese Academy of Medical Sciences (Beijing, People’s Republic of China). Recombinant plasmid pHSP70-Plk1-shRNA was provided by GenePharma (Shanghai, People’s Republic of China). DOX was purchased from Junning Technology Company (Shenzhen, People’s Republic of China). Anti-Plk1 antibody and anti-GAPDH antibody were supplied from Abcom (Cambridge, MA, USA). Polyethylenimine (PEI), fetal bovine serum (FBS), cell culture media, restriction endonucleases like HindIII and BamHI, and T4 DNA ligase were supplied by Invitrogen (Carlsbad, CA, USA). All cells were incubated at 37°C in humidified air with 5% CO₂. The other chemicals were purchased from Sigma (St Louis, MO, USA).

Culture of MTB

MTB AMB-1 was maintained in the growth medium which was autoclaved at 121°C for 20 minutes (min). The pH (7.0±0.1), oxygen concentration (0.8%±0.2%), temperature (28°C±1°C), and agitation speed (120±10 rpm) were kept constant and were monitored continuously during the study. Cells were cultured in a 250 mL serum bottle. Optimal culture condition was confirmed by adjusting the types and amounts of iron sources, nitrogen sources, and carbon sources. The growth of MTB AMB-1 was evaluated using optical density (OD) at 600 nm which was measured by an ultraviolet-visible (UV-vis) spectrophotometer.

Isolation of BMs

AMB-1 cells were collected by centrifugation (4°C, 11,000 rpm, 8 min), suspended in 0.1 M phosphate-buffered saline (PBS; pH 7.4) and disrupted by an ultrasonic cell crusher (300 W, for 4 s with an interval of 8 s, and repeated 80 times). BMs were absorbed by a magnet bound to the bottom of the beaker with cell debris removed. The BM sediments were collected after being resuspended in 0.1 M PBS (pH 7.4) and ultrasonically cleaned (45 W, for 4 s with an interval of 8 s, and repeated 40 times). All the processes were repeated 15 times. The purified BMs were sterilized by Co₆₀ irradiation (15 kGy) and resuspended in 0.1 M PBS (pH 7.4) (concentration of BMs added to PBS =500 μg/mL).

Construction of the recombinant plasmid pHSP70-Plk1-shRNA

The construction was based on pEGFP-C1 (GenBank accession number U55763) vector which contains a GFP gene as a marker and a neomycin resistance gene. First, the CMV promoter in pEGFP-C1 vector was replaced by the promoter of the human HSP70 gene to construct a new vector (pHSP70-GFP). Then, the shRNA against Plk1 was designed on the basis of the human Plk1 gene mRNA sequence (NM_005030.3) in the GenBank database and subcloned into the pHSP70-GFP vector (pHSP70-Plk1-shRNA) (Figure 1). The multiple cloning site of pHSP70-GFP vector and the amplified polymerase chain reaction (PCR) product of shRNA against Plk1 were simultaneously digested using HindIII and BamHI enzymes before the cut vector and PCR fragment were ligated by T4 DNA ligase. The ligated product was transformed into DH5α cells overnight at 37°C. The positive clones were collected and subcultured for 14 hours (h) before the recombinant plasmid was extracted and verified by the digestion with HindIII and BamHI restriction enzymes. Moreover, the authenticity of the recombinant plasmid pHSP70-Plk1-shRNA was confirmed by sequencing.

Figure 1.

Schematic representation for the construction of the recombinant plasmid pHSP70-Plk1-shRNA.

Abbreviations: EGFP, enhanced green fluorescent protein; HSP70, heat shock protein 70; pHSP70, heat shock protein 70 promoter; Plk1-shRNA, polo-like kinase 1-short hairpin RNA; f1, bacteriophage f1; ori, origin; Kanr, kanamycin resistant; Neor, neomycin resistant; Sv40, simian virus 40; HSV TK poly A, herpes simplex virus thymidine kinase polyadenylic acid.

Preparation of the BM-delivered DOX and pHSP70-Plk1-shRNA system

The required amount of DOX solution (1 mg/mL, dissolved in distilled water) was added in the BM suspension (200 μg/mL) and was ultrasonically cleaned for 10 min to distribute the BMs uniformly. Then, the complex of PEI and pHSP70-Plk1-shRNA vector was prepared in distilled water and ultrasonically washed for 5 min. Finally, the BMs/DOX complex was added, and the mixture was cleaned ultrasonically until DOX and BMs were well-distributed. The BM-delivered DOX and pHSP70-Plk1-shRNA system (BM-DOX-shPlk1) were formed after incubation of the mixed solution at 37°C for 6 h (the ratio of BMs to pHSP70-Plk1-shRNA was 50:1 and the ratio of BMs to DOX was 5:4).

In vitro cell transfection

U2-OS cells were seeded in 60 mm dishes at a density of 5×10⁵ cells/well. After incubation for 16 h, the cells were washed twice with PBS and then 20 μL of complexes was added into each well and incubated for 4 h. Next, the medium was replaced with fresh medium containing serum, and the cells were incubated for 48 h prior to in vitro antitumor effect evaluation.

Determination of magnetic field strength that can heat U2-OS cells incubated in the presence of BMs

After U2-OS cells were cultured on Petri dishes for 24 h, BMs (200 μg/mL) were added and exposed to an AMF of frequency 54 kHz and strength 21 mT for 30 min. The temperature of the cell suspension was measured using a thermocouple microprobe (Physitemp, Clifton, NJ, USA).

DOX release assays

DOX (20 μL)-loaded BMs were suspended in 1.5 mL PBS and PBS with 50% FBS that simulate the in vivo environment separately in Eppendorf tubes. The samples were heated in a water bath at 37°C and 43°C for 1.5 h, respectively. The DOX content in the supernate of each tube was evaluated in a fluorimeter using 590 nm emission and 485 nm excitation. The samples were incubated in 1.5 mL PBS with 1% Triton X-100 for 1 min for 100% release. The DOX release percentages were calculated according to the following formula: DOX release (%) = (F_s−F₀)/(F₁₀₀−F₀) ×100%, where F_s was the fluorescence of samples after heating, F₀ was the fluorescence of samples before heating, and F₁₀₀ was the fluorescence of samples treated with Triton X-100.

Real-time quantitative PCR

After U2-OS cells were treated with different complexes (20 μL) for 48 h, total RNA was extracted from U2-OS cells using Trizol reagent following the manufacturer’s instruction. Real-time quantitative PCR was performed by the Applied Biosystems high-capacity cDNA reverse transcription and SYBR green kits as described. Primers for Plk1 were as follows: upstream, 5′-TGACTCAACACGCCTCATCC-3′; and downstream, 5′-GCTCGCTCATGTAATTGCGG-3′. Plk1 mRNA level was normalized to that of GAPDH. GAPDH sense-strand was 5′-ACAGAACCCTGTGGGAGAAC-3′ and GAPDH antisense-strand was 5′-GCGTTGCTCTCCTGTTCATA-3′.

Western blotting

After U2-OS cells were treated with different complexes (20 μL) for 48 h, total protein was extracted from U2-OS cells using radioimmunoprecipitation assay (RIPA) lysis buffer following the manufacturer’s instruction. Sixty micrograms of protein was separated by 10% sodium dodecyl sulfate polyacrylamide gel electrophoresis and transferred to polyvinylidene difluoride membranes. After blocking with 5% bovine serum albumin (BSA) solution for 1 h at room temperature, the membranes were incubated with primary antibodies overnight at 4°C in Tris-buffered saline containing 0.05% Tween 20 and 5% BSA. The membranes were then incubated with corresponding secondary antibodies conjugated to horseradish peroxidase for 2 h at room temperature. The protein bands were visualized by ECL kit and analyzed by scanning densitometry.

MTT assays

U2-OS cells were treated with different complexes (20 μL) at 37°C for 24, 48, 72 and 96 h in 96-well plates. Subsequently, 20 μL of MTT was added to each well, and the cells were incubated at 37°C for 4 h. Then 100 μL of dimethylsulfoxide was added, and the OD at 490 nm was measured in a microplate reader. Cell proliferation was calculated according to the following formula: cell proliferation (%) = (OD_treat−OD_blank)/(OD_control−OD_blank) ×100%.

Flow cytometry assays

Apoptosis was measured by the Annexin V-fluorescein isothiocyanate (FITC) Apoptosis Detection Kit (Invitrogen). U2-OS cells were treated with different complexes (20 μL) at 37°C for 24 h in 12-well plates. After the cells were harvested, washed twice with PBS, and suspended in 450 μL binding buffer, Annexin V-FITC was added at room temperature. The cells were stained for 15 min without light and then were resuspended in 450 μL binding buffer. Next the cells were stained with propidium iodide (PI) without light. Cell apoptosis was analyzed on a flow cytometer.

Results

Culture conditions of MTB

Figure 2 shows the growth of MTB AMB-1 under different conditions by regulating the types and amounts of iron sources, nitrogen sources, and carbon sources. As iron sources, ferrous sulfate enhanced the yield of MTB AMB-1 compared to ferric chloride (Figure 2A). When the concentration of ferrous sulfate ranged from 20 to 160 μmol/L, no obvious changes in the yield were observed (Figure 2B). As nitrogen sources, sodium nitrate increased the yield of MTB AMB-1 compared to ammonium chloride and ammonium sulfate (Figure 2C). MTB AMB-1 production was gradually enhanced with increasing amounts of sodium nitrate ranging from 200 to 800 mg/L (Figure 2D). As carbon sources, succinic acid enhanced the yield compared to tartaric acid, sodium acetate, and citric acid (Figure 2E). However, MTB AMB-1 production remained constant with increasing amounts of succinic acid ranging from 200 to 800 mg/L (Figure 2F). These results showed that the optimal culture conditions of MTB AMB-1 are an oxygen concentration of 4.0%, a pH value of 7.0, 20 μmol/L of ferrous sulfate, 800 mg/L of sodium nitrate, and 200 mg/L of succinic acid.

Figure 2.

Growth curves of MTB AMB-1 in various culture media.

Notes: Growth curves with (A) different iron sources (20 μmol/L); (B) when the concentration of ferrous sulfate ranged from 20 to 160 μmol/L; (C) different nitrogen sources (200 mg/L); (D) when the concentration of sodium nitrate ranged from 200 to 800 mg/L; (E) different carbon sources (200 mg/L); (F) when the concentration of succinic acid ranged from 200 to 800 mg/L.

Abbreviations: MTB, magnetotactic bacteria; OD₆₀₀, optical density at 600 nm; h, hours.

BM-induced hyperthermia

Figure 3 shows the temperature of U2-OS cells irradiated with AMF. The temperature reached 43°C within 3 min and could be maintained for 30 min. It revealed that the magnetic field strength that can heat U2-OS cells incubated in the presence of BMs to 43°C is 21 mT.

Figure 3.

BM-induced hyperthermia in vitro.

Notes: U2-OS cells treated with BMs exposed to an AMF for 30 minutes (min). The temperature of the cells were maintained at 43°C after 3 min and measured using a thermocouple microprobe.

Abbreviations: AMF, alternating magnetic field; BM, bacterial magnetosome.

Characterization of BM-DOX-shPlk1

Electron microscopic image revealed typical whole MTB AMB-1 containing several chains of magnetosomes (Figure 4A). The magnetosomes were isolated from AMB-1 cells (Figure 4B) and were purified using ultrasonic cleaning (Figure 4C). Atomic force microscopy showed that the diameter of BM-DOX was 79.2±5.4 nm, which was larger than that of BMs (43.7±4.6 nm). Moreover, the diameter of BM-shPlk1 was 88.9±7.8 nm, while that of BM-DOX-shPlk1 increased to 133.5±11.4 nm as the encapsulation of DOX. The zeta potentials of BMs, BM-DOX, BM-shPlk1, and BM-DOX-shPlk1 were −29.4±6.9, −9.5±5.6, −16.7±4.8, and −10.3±3.1 mV, respectively (Table 1).

Figure 4.

Transmission electron microscopy images of MTB AMB-1 and BMs.

Notes: Images of (A) a single MTB AMB-1; (B) purified BMs; and (C) unpurified BMs.

Abbreviations: BM, bacterial magnetosome; MTB, magnetotactic bacteria.

Table 1.

Particle size and zeta potential of different groups

Group	Particle size (nm)	Zeta potential (mV)
BMs	43.7±4.6	−29.4±6.9
BM-DOX	79.2±5.4	−9.5±5.6
BM-shPlk1	88.9±7.8	−16.7±4.8
BM-DOX-shPlk1	133.5±11.4	−10.3±3.1

Abbreviations: BM, bacterial magnetosome; DOX, doxorubicin; Plk1, polo-like kinase 1; shPlk1, recombinant eukaryotic plasmid pHSP70-Plk1-shRNA.

In vitro DOX release from the BM-DOX-shPlk1

Figure 5 shows that the DOX release rates from BM-DOX and BM-DOX-shPlk1 were only 23.4% and 25.4% after incubation with PBS at 37°C and decreased to 16.1% and 15.0% after incubation with 50% FBS, respectively. Moreover, DOX release rates from BM-DOX and BM-DOX-shPlk1 were 49.7% and 54.0% after incubation with PBS at 43°C and decreased to 37.1% and 37.0% after incubation with 50% FBS, respectively, which was significantly higher than that at 37°C (P<0.05). The results indicate that the incorporation of plasmid had no significant effect on the stability of BMs (P>0.05) and that BM-DOX-shPlk1 had desirable thermosensitivity and could be used for hyperthermia-triggered control release of DOX.

Figure 5.

Results of DOX release test in vitro.

Notes: The release rates of DOX from (A) BM-DOX and BM-DOX-shPlk1 at 37°C after incubation in PBS or 50% FBS; (B) BM-DOX and BM-DOX-shPlk1 at 43°C after incubation in PBS or 50% FBS. Each value is represented as mean ± SD (n=6).

Abbreviations: BM, bacterial magnetosome; DOX, doxorubicin; FBS, fetal bovine serum; PBS, phosphate-buffered saline; Plk1, polo-like kinase 1; shPlk1, recombinant eukaryotic plasmid pHSP70-Plk1-shRNA; SD, standard deviation.

Plk1 expression driven by the HSP70 promoter was significantly induced by hyperthermia

To determine whether the delivered BM-DOX-shPlk1 could mediate silencing of Plk1 expression in U2-OS cells, the expression of Plk1 1 day after treatment was evaluated by real-time quantitative PCR and Western blot. As shown in Figure 6, both Plk1 mRNA and protein levels decreased in cells treated with BM-DOX-shPlk1 compared to the cells treated with BM-DOX (P<0.05). Furthermore, the expressions of Plk1 mRNA and protein were significantly suppressed in cells treated with BM-DOX-shPlk1 following hyperthermia treatment under the influence of an AMF compared to nonheated cells (P<0.05). As shown in Figure 3, the temperature of cells was maintained at 37°C or 43°C by controlling the magnitude of the AMF. These results suggested that Plk1 shRNA expression driven by the HSP70 promoter could be significantly induced by hyperthermia.

Figure 6.

Plk1 expression driven by the HSP70 promoter was significantly induced by hyperthermia.

Notes: (A) Plk1 protein expression was detected by Western blot. Lane 1, BM-DOX group; lane 2, BM-DOX-shPlk1 group; lane 3, BM-DOX-shPlk1+AMF group. (B) Relative band intensity of Plk1 of BM-DOX, BM-DOX-shPlk1, and BM-DOX-shPlk1+AMF groups compared to the intensity of GAPDH protein in each group. Each value is represented as mean ± SD (n=6). ^#P<0.05 compared with BM-DOX group. *P<0.05 compared with BM-DOX-shPlk1 group. (C) Relative amounts of Plk1 mRNA expression of BM-DOX, BM-DOX-shPlk1, and BM-DOX-shPlk1+AMF groups compared to the amounts of β-actin mRNA in each group. Each value is represented as mean ± SD (n=6). ^#P<0.05 compared with BM-DOX group. *P<0.05 compared with BM-DOX-shPlk1 group.

Abbreviations: AMF, alternating magnetic field; BM, bacterial magnetosome; DOX, doxorubicin; HSP70, heat shock protein 70; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; Plk1, polo-like kinase 1; shPlk1, recombinant eukaryotic plasmid pHSP70-Plk1-shRNA; SD, standard deviation.

Therapeutic effect of BM-DOX-shPlk1

Inhibition of U2-OS cell proliferation tested by MTT

To determine the influence on U2-OS cell proliferation after different treatments, the MTT cell viability assay was performed. As shown in Figure 7, the growth of U2-OS cells was inhibited in all groups. However, the cell proliferation inhibition rate of the combined group with BM-DOX-shPlk1 and AMF treatment was significantly lower than that of the BM-DOX-shPlk1 group and BM-DOX group (P<0.05).

Figure 7.

U2-OS cell proliferation rates after different treatments.

Notes: Each value is represented as mean ± SD (n=6). ^#P<0.05 compared with BM-DOX group. *P<0.05 compared with BM-DOX-shPlk1 group.

Abbreviations: AMF, alternating magnetic field; BM, bacterial magnetosome; DOX, doxorubicin; Plk1, polo-like kinase 1; SD, standard deviation; shPlk1, recombinant eukaryotic plasmid pHSP70-Plk1-shRNA.

Flow cytometric analysis of apoptosis

Flow cytometry using Annexin V-Fluorescence and PI-stained U2-OS cells was performed to quantitatively determine the percentage of apoptotic cells at 48 h after different treatments. As shown in Figure 8, apoptosis rate was 40.7% in cells treated with BM-DOX and increased to 57.9% in cells treated with BM-DOX-shPlk1. By contrast, the apoptosis rate was 79.3% in the combined group with BM-DOX-shPlk1 and AMF treatment, which was obviously greater than other groups (P<0.05). In a nutshell, the above data indicated that the combined treatment of chemotherapy, gene therapy, and magnetic thermotherapy, using BMs as the link, could provide a good synergetic antitumor effect in vitro.

Figure 8.

Apoptosis of U2-OS cells analyzed by flow cytometry after different treatments.

Notes: The apoptotic rate was 47.0% in the BM-DOX group (A), 57.9% in the BM-DOX-shPlk1 group (B), and 79.3% in the BM-DOX-shPlk1+AMF group (C).

Abbreviations: AMF, alternating magnetic field; BM, bacterial magnetosome; DOX, doxorubicin; PI, propidium iodide; Plk1, polo-like kinase 1; shPlk1, recombinant eukaryotic plasmid pHSP70-Plk1-shRNA.

Discussion

Osteosarcoma is the most common malignant bone tumor of childhood. Surgery in combination with routine chemotherapy is the standard treatment. However, the 5-year survival rate of osteosarcoma patients is only 60%–70%.^22,23 Therefore, novel approaches need to be rationally developed to treat patients diagnosed with osteosarcoma. Although recent progress in identifying various molecular targets has revealed that gene-based target therapy is a novel approach, unsatisfactory therapeutic effects remain due to the uncontrollable gene expression level and effective regions.²⁴ Building a new delivery system is the key to overcome the aforementioned problems.

Hyperthermia is a promising tool for the treatment of many types of tumor as the enhancement of antitumor effect. Research studies have shown that hyperthermia is produced by magnetic nanoparticles such as BMs and that they generate heat under an AMF.^25–27 BMs are membrane-bound nanocrystals with a magnetic iron sulfide or iron oxide core and extracted from MTB. They were considered excellent candidates for magnetic targeting drug carriers because of their unique features, such as nanoscale size (40–120 nm), high dispersal quality, and superparamagnetism.²⁸ Furthermore, previous studies showed that BMs are novel nanoparticles with excellent biocompatibility as the stable lipid membrane. They have been used as carriers for chemical drugs and recombinant plasmids.^29,30 Until now, studies of MTB have focused on the growth conditions. The concentration of the MTB cells primarily depends on the constituent of growth medium, such as iron source, nitrogen source, and carbon source. However, due to inadequate information about the culture of MTB, the production yield of BMs remains relatively low. Hence, before commercial application of BMs can be considered, optimized growth conditions for MTB need to be explored. In this study, the optimized growth conditions of MTB AMB-1 were investigated for enhancing both bacterial growth and production of BMs. The results showed that the optimal conditions of culture are an oxygen concentration of 4.0%, a pH value of 7.0, 20 μmol/L of ferrous sulfate, 800 mg/L of sodium nitrate, and 200 mg/L of succinic acid.

Gene therapy is a considerable approach for cancer treatment. Plk1, which belongs to the family of mitotic serine/threonine kinases, has been recognized as an important target for anticancer therapy. Recent preclinical studies concerning Plk1 in gene therapy always denied importance to effective delivery to tumor site or controlled amount of inhibitors.³¹ Indeed, control of therapeutic gene expression in tumors is essential for the study of gene therapy, because it can restrict cytotoxic gene expression to cancer cells. Various gene therapy research studies have focused on the establishment of regulable vectors which can be induced by physical stimuli, including ionizing radiation and hyperthermia.^32–34 Among numerous inducible systems, the HSP promoter system combined with hyperthermia has been successfully employed in recent years. For this promoter system, the promoter region of human HSP70 was often used due to the very low basal expression in most cells. However, expression of genes under the control of HSP70 promoter can be upregulated by cellular stresses, such as heat stress.^35,36 Consequently, the combination of hyperthermia that is produced by BMs with HSP promoter system is an attractive strategy for tumor-targeted therapy.

In this study, a novel drug and gene co-delivery system was developed for tumor therapy. Using the system, both DOX and Plk1 shRNA can be specifically guided to tumor tissue by utilizing BMs as carriers under the effect of a magnetic field. In addition, BMs have been utilized as magnetic media for thermotherapy, and a HSP70 promoter has been used to strengthen the regulation and induction of Plk1 shRNA expression in a hyperthermia-triggered manner. In vitro experimental results revealed that this co-delivery system has potential application in combined chemotherapy, gene therapy, and thermotherapy for osteosarcoma. However, there are also some potential limitations of this study. The release of DOX from BMs in PBS is relatively high which showed that the binding of DOX with BMs is not stable and may cause problems during the final complex preparation for clinical application. Furthermore, the heat shock response may be activated by other factors, such as inflammation and fever. Further investigations are necessary for a comprehensive understanding of this co-delivery system. In vivo anticancer effects should also be evaluated in the future.