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Cancer Treatment

Combined Near Infrared Photothermal Therapy and


Chemotherapy Using Gold Nanoshells Coated Liposomes
to Enhance Antitumor Effect
Liyao Luo, Yanhong Bian, Yanping Liu, Xuwu Zhang, Meili Wang, Shanshan Xing,
Lei Li, and Dawei Gao*

Novel antitumor system based on the targeting photothermal and pH-responsive


nanocarriers, gold nanoshells coated oleanolic acid liposomes mediating by chitosan
(GNOLs), is designed and synthesized for the first time. The GNOLs present
spherical and uniform size (172.03 nm) with zeta potential (20.7 ± 0.4 mV), which
are more easily accumulated in tumor. Meanwhile, the GNOLs exhibit a slow and
controlled release of oleanolic acid at pH 7.4, as well as a rapid release at pH 5.5,
which is beneficial for tumor-targeting drug release. Under near infrared (NIR)
irradiation, hyperthermia can be generated by activated gold nanoshells to perform
photothermal therapy effect, which triggers drug release from the carriers by
activating the gel to liquid crystalline phase transition of the liposomes. Moreover, the
NIR assisting drug release can be easily and selectively activated locally due to the
spatially and real-timely controllable property of light. The experimental results also
verify that the GNOLs with NIR irradiation achieve more ideal antitumor effects
than other oleanolic acid formulations in vitro and in vivo. Hence, the drug delivery
system exhibits a great potential in chemo-photothermal antitumor therapy.

1. Introduction organic.[2,3] However, the potential application of conven-


tional liposomes is limited due to their inherent physical and
Multifunctional liposomes have provoked an upsurge of chemical instability, poor targeting, uncontrolled release of
interest, mainly due to their similarity to cell membranes and the encapsulated drugs, short circulation lifetime in vivo, and
remarkable ability of loading and transporting drug.[1] They easily captured by mononuclear phagocytic system.[4]
are frequently used to improve therapeutic effects of various To implement targeting treatment and controlling release
water soluble/insoluble drugs by enhancing bioavailability, of drugs in liposomes, various types of stimuli-responsive
solubility, retention time, or reducing toxicity to normal materials have been studied, along with external stimuli
such as light, magnetic field, ultrasound, and electric field.[5–7]
L. Luo, Y. Bian, Dr. Y. Liu, Dr. X. Zhang, M. Wang, Phototherapy, as an emerging treatment technology, can
S. Xing, L. Li, Prof. D. Gao strongly absorb near infrared (NIR) light and convert it into
Chemical Key Lab of Hebei Province
cytotoxic heat to destroy hyperthermia sensitive tumor cells
Department of Biological Engineering
Yanshan University with minimal effects on the surrounding normal cells, which
No. 438 Hebei Street, Qinhuangdao 066004, China provides an alternative way for tumor therapy.[8] Gold nano-
E-mail: dwgao@ysu.edu.cn materials have been paid much attention due to their excel-
Prof. D. Gao lent photothermal properties.[7] It was reported that different
State Key Laboratory of Metastable Materials Science and Technology gold nanostructures with tunable surface plasmon resonance
Yanshan University (SPR) had various light-absorbing ranges.[9] The SPR wave-
Qinhuangdao 066004, P. R. China length of the gold nanoparticles (AuNPs) is 520 nm in the
DOI: 10.1002/smll.201503961 visible region.[10] When the gold nanoshells are formed, the

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SPR wavelength can redshift to NIR region (650–900 nm).[11] OA, took advantage of the mechanism of chitosan and gold
As NIR light is relatively transparent for biological tissues, it nanoshells for controlling drug release and photothermal
can penetrate the tissues with little energy lost and reach the therapy. The carriers not only had pH-sensitivity to achieve
diseased region.[12] Subsequently, with high optical absorp- drug-controlled release in tumor tissue, but also could con-
tion in the NIR region, gold nanoshells’ material can convert vert the absorbed NIR light into heat to trigger OA release
NIR light energy to heat energy with high efficiency to induce in tumor tissues. Through pH-response and active targeting
localized hyperthermia in irradiation tissue.[13,14] Due to the effect, the gold nanoshells coated oleanolic acid liposomes
heat tolerance of tumor cells being lower than normal tissue, (GNOLs) could selectively target the tumor site and be taken
the temperature in the region 42–47 °C can ablate tumor up by tumor cells. Under NIR irradiation, hyperthermia
cells.[15] So the tumor cells are selectively destroyed by loos- would be generated by the activated gold nanoshells to per-
ening cell membranes and denaturing proteins with the local- form photothermal therapy effect, thus triggering release
ized hyperthermia.[16,17] Meanwhile, the heat activates gel of OA from the carriers by activating the gel to liquid crys-
phase to liquid crystalline phase transition for bio-membrane, talline phase transition of the liposomes. The drug delivery
which leads the encapsulated drugs release to kill the tumor system may open up a new avenue for future tumor therapy
cells.[18] Gold nanoshells-coated liposomes are sensitive to design.
NIR irradiation, which can induce cytotoxic hyperthermia.
Oleanolic acid (OA, Figure 1), a naturally pentacyclic trit-
erpenoid compound widely distributed in many traditional 2. Results and Discussion
Chinese medicines, has varieties of biological actions, such
as antioxidant, antiinflammatory, antifungal properties, and 2.1. Preparation of GNOLs
especially antitumor effect.[19] However, the poor aqueous
solubility and low dissolution rate of OA in the gastrointes- In the study, a reproducible and facile strategy to generate
tinal tract greatly limit its effective absorption and bioavail- uniform GNOLs was presented. Briefly, the CS-OA-Lips were
ability in body. In our previous study, the chitosan-coated OA prepared by the method that was previously reported.[20] In
liposomes (CS-OA-Lips) were prepared and achieved signifi- this process, the amount of chitosan could affect the coating
cant antitumor effect through pH-responsive target action.[20] of OA liposomes (OA-Lips). The orthogonal experiment was
The chitosan can form a hydrophilic shell on the liposome done, and confirmed that the optimal concentration of chi-
surface to increase the physical stability of liposomes and tosan was 0.1% and the volume ratio of CS to OA liposome
provide steric protection to escape adsorption of opsonins was 1:1 on preparation of the CS-OA-Lips, and the results
and phagocytosis of macrophages. Meanwhile, the chitosan were shown in Table S1 and Table S2 (Supporting Informa-
also possesses amino groups in the molecules, which is tion). Subsequently, the GNOLs were synthesized by the
capable of combining with protons and make chitosan car- seeds growth method.[25] The small-sized gold seeds were
rying the positive charges.[21] In our study, the CS-OA-Lips generated by NaBH4 reduction and then incubated with CS-
loaded more positive charges, it was reported that the tumor OA-Lips to obtain gold nanoparticles-coated CS-OA-Lips
cells loaded abundant negative charges, so the CS-OA-Lips (AuNPs-CS-OA-Lips). Fratoddi et al. found that complexes
could combine with the tumor cells easily.[20,22] In addition, with thiol groups or amine groups could be easily combined
since the tumors have leaky blood vessels, liposomes with with gold nanoparticles taking advantage of the formation of
diameters less than 200 nm can escape into tumor tissues Au S or Au N bonds.[26] Due to amine groups in the mole-
and accumulate by the enhanced permeability and retention cules, chitosan played a crucial role for forming nanoshells by
(EPR) effect.[23,24] connecting gold nanoparticles with the liposomes. The gold
The novel concept advanced here, of using gold seeds were attached selectively on the surface of CS-OA-Lips
nanoshells-coated CS-OA-Lips for targeted delivery of by forming Au N bond. After that, a growth solution con-
taining AuCl3 and NaBH4 was added to the AuNPs-CS-OA-
Lips solution. Li et al. and Topete et al. researches found that
the seeds growth would undergo two steps. In the first stage,
small gold seeds are prepared. In the second step, the seeds
are added to a growth solution containing Au precursor and
reducing agents, and the newly reduced Au0 then grows on
the seed surface to form large AuNPs. In this process, the
newly reduced Au0 can only assemble on the surface of the
gold seeds to grow into gold nanoshells, and no nucleation of
new particles occurs in solution.[27,28] In our study, the gold
seeds were formed on the surface of CS-OA-Lips at first, and
then the AuCl3 and reducing agents were added into the gold
seeds solution to grow into nanoshells. The obtained GNOLs
integrated NIR light and pH dual-stimuli responsive proper-
ties, chemotherapy, photothermal effect, and tumor-targeting
into one system. Upon NIR irradiation, the GNOLs could
Figure 1.  Structure of OA. efficiently convert light energy into heat with temperature

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Scheme 1. Schematic illustration of the GNOLs formation and the antitumor effect under NIR irradiation.

increased, which induced the instability of liposome mem- TEM image was shown in Figure S1 (Supporting Informa-
brane and activated drug release simultaneously. A typical tion). The results verified that chitosan played a crucial role
schematic of synthesis and photothermal therapy of GNOLs for forming nanoshells by connecting gold nanoparticles with
was illuminated in Scheme 1. the liposomes.
The GNOLs had a positive zeta potential (20.7 ± 0.4 mV)
that was similar with the CS-OA-Lips (19 ± 0.814 mV). It indi-
2.2. Characterization of GNOLs cated that the gold nanoshells didn’t change the property of
positive charges of CS-OA-Lips, which was beneficial to com-
The encapsulation efficiency was determined by gel chroma- bine with the negative charges on the surface of the tumor
tography separation and high performance liquid chromatog- cells.[22] Therefore, the GNOLs were liable to accumulate in
raphy (HPLC). The encapsulation efficiency of GNOLs was the tumor tissue, and the tumor-targeting accumulation of
93.4% and almost all of OA was encapsulated into the lipo- GNOLs could decrease the dosage of drugs and reduce the
some vesicles. At the same time, the encapsulation efficien- damage to normal tissue at the same time.[29] The particle
cies of OA were 94.3% and 94.7% for conventional OA-Lips size was detected by dynamic light scattering (DLS), and
and CS-OA-Lips, respectively. There were no statistical dif- the size distribution of GNOLs was shown in Figure 3. The
ferences among the three OA vehicles in encapsulation effi-
ciency. The transmission electron microscopy (TEM) images
in Figure 2 revealed vividly the process of forming GNOLs.
Figure 2a showed the morphologies of AuNPs-CS-OA-Lips,
and it could be seen that AuNPs were already coated on
the surface of CS-OA-Lips. At the second reduction phase,
the gold seeds on the surface of AuNPs-CS-OA-Lips con-
nected with a lot of AuNPs to form gold nanoshells gradually
(Figure 2b). The GNOLs presented spherical shape, uniform
size, and excellent dispersability. Besides, the gold nanoshell-
coated OA liposomes without chitosan modification were
designed and prepared, but the gold nanoparticles could not Figure 2. a) TEM of AuNPs-CS-OA-Lips; b) TEM of GNOLs. The inset
combine with the liposomes in the absence of chitosan. The showed a magnified TEM image.

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Figure 3.  Size distribution of the GNOLs.


Figure 5.  UV–vis spectra of CS-OA-Lips, AuNPs-CS-OA-Lips, and GNOLs.

average diameter of the liposomes was about 172.03 nm and in comparison with the CS-OA-Lips (Figure 5). When the
the particle size was relatively uniform without contact and gold nanoparticles aggregated to form gold nanoshells, the
fusion phenomena, which was attributed to the repulsion of surface plasmon absorption peak was redshifted to NIR
surface positive charges of the carriers. The size of liposomes region.[31] As shown in Figure 5, the GNOLs exhibited a
might be an important factor for biomedical applications, broad absorption band between 600 and 850 nm. Therefore,
as the tumors had leaky blood vessels, and the GNOLs pre- the GNOLs could rapidly convert the light absorbed at the
pared with mean size of 150–200 nm could exactly escape NIR wavelengths into thermal energy to ablate the sur-
into tumor tissues and accumulate by EPR effect.[22] On the rounding cells. Meanwhile, the thermal responsive liposomes
contrary, owing to the relatively large sizes, the GNOLs could were composed of phospholipids, which were also activated
not go through the tight junctions between endothelial cells from gel to liquid crystalline phase transition by NIR light.[32]
on normal vascular linings.[29] In addition, the particles with So the porous membranes would release drugs encapsulated
the diameter less than 200 nm could circulate in the blood in the liposomes.
stream for a long time since they were hardly captured by the The Fourier Transform Infrared Spectroscopy (FTIR)
reticuloendothelial system.[30] Hence, the GNOLs were more spectra of pure chitosan, OA-Lips, CS-OA-Lips, and
conducive to tumor therapy. GNOLs, were determined to investigate the interaction
The elements of GNOLs were determined by energy dis- among liposomes, chitosan, and gold nanoshells (Figure 6).
persive X-ray spectroscopy (EDS) on the TEM as shown in As shown in Figure 6A, the peak of 3440 cm−1 was attrib-
Figure 4. Cu and part of C belonged to carbon-coated grid. uted to axial stretching vibration of O H superimposed to
The remaining part of C, P, and O elements derived from the N H symmetrical stretching vibration and the inter-
compounds of liposomes. Most importantly, the existence of hydrogen bonds of the polysaccharide. Moreover, the peaks
Au element indicated that the gold nanoparticles successfully at 2924, 1631, and 1049 cm−1 were attributing to C H, N H,
coated on the surface of CS-OA-Lips. and C O stretching vibration, respectively. In comparison to
Due to the plasmon resonance of gold nanoparticles, the FTIR spectrum of OA liposomes (B) and pure chitosan (A),
AuNPs-CS-OA-Lips exhibited a strong absorbance at 520 nm the peaks at 3388 and 1635 cm−1 could be observed for the

Figure 6. FTIR of A) pure chitosan, B) OA-Lips, C) CS-OA-Lips,


Figure 4.  EDS of the GNOLs. and D) GNOLs.

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could accelerate the phase transitions of the lipid mem-


branes.[18] The similar results were obtained on CS-OA-Lips
with 37.14 ± 1.37%, 67.31 ± 1.58%, and 76.97 ± 1.18% stored
at 37, 25, and 4 °C for 30 d, respectively. Obviously, the encap-
sulation efficiencies of GNOLs were higher than those of CS-
OA-Lips at any temperature. This main reason was that the
pyknotic gold nanoshells on the surface of chitosan-modified
liposomes hindered the drug release from the liposomes and
enhanced the stability of the carrier.

2.4. pH-Responsive Drug Releases

In the previous study, the drug release effect of CS-OA-Lips


was determined using a dynamic dialysis method at different
pH conditions (Figure 8a).[20] The result showed that the CS-
Figure 7. Encapsulation efficiencies of CS-OA-Lips and GNOLs in
different storage conditions for 30 d. All values were expressed as mean
OA-Lips presented two drug release stages, which included
± standard deviation (SD) (n = 3). a relatively large burst effect in the initial stage and subse-
quently a slow release phase. Compared with pH 7.4 condi-
CS-OA-Lips (C) arising from N H band, which indicated tions, the drug release rate of CS-OA-Lips was significantly
that chitosan had been modified on the OA liposomes. Fur- enhanced under acidic conditions (pH 5.5). It proved that the
thermore, the same characteristic absorption peaks of the CS-OA-Lips had pH-sensitivity to achieve drug-controlled
chitosan appeared in the spectrum of GNOLs. Compared release.
the spectra of GNOLs and CS-OA-Lips, there were some In this study, the same method was used to determine the
changes on the peaks (3000–3700 cm−1) due to the interaction drug release effects of GNOLs. In addition, the influence of
of gold nanoparticles with N H stretching band. NIR light irradiation on drug release was studied, as shown
in Figure 8b. The GNOLs presented a similar phenomenon
like CS-OA-Lips without NIR light. The burst release was
2.3. Stability Study mainly ascribed to drug detachment from the outer surface
of the liposomes, while the later slow release was due to
The influences of temperature and time were explored on the fact that the diffusion of the drug from the lipid bilayer
the stability of drug delivery system, and the drug encap- entered the release media.[33] Therefore, the GNOLs were
sulation efficiencies were analyzed (Figure 7). And the sta- beneficial to the delay of the drug release from the capsules.
bility of CS-OA-Lips was shown in the previous study.[20] In We also examined the drug release performance of the mix-
this study, the GNOLs were stored at 4, 25, and 37 °C for a ture containing AuNPs and OA liposomes under different
period of 0, 5, 10, 15, 20, 25, and 30 d. It was observed that the pH conditions. The results indicated that the mixture had no
encapsulation efficiency of GNOLs at 4 °C was significantly pH-responsive ability on the drug release (Figure S2, Sup-
higher than those at 25 and 37 °C on the same time point. For porting Information).
example, the encapsulation efficiencies of the GNOLs were In the absence of NIR light irradiation, the drug release
41.38 ± 1.59%, 68.28 ± 2.21%, and 77.52 ± 1.23% stored at 37, rates of GNOLs were lower than those of CS-OA-Lips under
25, and 4 °C for 30 d, respectively. The results directly vali- the conditions of pH 7.4 or pH 5.5. In the medium of pH
dated that lower temperature (4 °C) was more conductive to 7.4, the release rates of CS-OA-Lips and GNOLs reached
preserving the liposomal integrity because high temperature 50 ± 4% and 42 ± 1% 12 h later, respectively. The main

Figure 8. a) Drug release profiles of CS-OA-Lips in vitro under different pH values. b) Drug release profiles of GNOLs in vitro under different pH
values. All values were expressed as mean ± SD (n = 3).

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reason was that the gold nanoshells could prevent the drug
diffusion from liposomes, and confine them well inside the
nanocarriers. However, the GNOLs were pH-sensitive, and
their drug release rate was significantly enhanced in acidic
condition. For example, after 8 h, 53 ± 1% of encapsulated
OA had been released at pH 5.5, while only 39 ± 2% of the
drug had been released under pH 7.4. The GNOLs exhib-
ited a slow, controlled release of OA under normal physi-
ological conditions and a rapid release in acidic environment.
Therefore, the GNOLs had the potential of controlling drug
targeting release effectively in tumor sites, in view of the neg-
ative charges property of solid tumors.[34]
After 8 h, the samples of NIR-treated groups were being
exposed to laser irradiation with a wavelength of 808 nm
(1 W cm−2, 4 min). The results showed that the release rates
of OA upon NIR light activation were increased whether at
Figure 9. Antitumor effects of the OA formulations with or without
pH 5.5 or pH 7.4. After 24 h, the drug release rate of the NIR NIR laser. Notes: Free OA (−) was OA solution without laser; Free OA
group reached 92 ± 1%, while the non-NIR group was only (+) was OA solution with laser; CS-OA-Lips (−) were chitosan-coated
69 ± 1%. The main reason was that the GNOLs could absorb OA liposomes without laser; CS-OA-Lips (+) were chitosan-coated
NIR light and convert the absorbed energy into heat to cause OA liposomes with laser; GNOLs (−) were gold nanoshells-coated OA
phase conversion of liposome membranes, thereby providing liposomes without laser; GNOLs (+) were gold nanoshells-coated
on-demand release of encapsulated drugs.[35] In view of the OA liposomes with laser. ** indicates P <0.01 compared with free OA
solution. All values were expressed as mean ± SD (n = 3).
spatially and temporally controllable property of light, the
NIR-induced drug release could be easily and selectively
activated locally and achieving on-demand drug release. could also destroy the tumor cells because of the low toler-
The gold nanoshells and chitosan combined on-demand ance of tumor tissues, along with minimal effects on the sur-
drug release system could eliminate the adverse side effects rounding normal cells.[18]
caused by drug leakage or non-specific drug release, there- Compared with all containing OA liposomes, the blank
fore reducing side effects in healthy tissues. liposomes were also investigated to evaluate the photo-
thermal effect. As shown in Figure 10, the gold nanoshells-
coated blank liposomes (AuNS-CS-Lips) with NIR
2.5. Antitumor Effect of GNOLs In Vitro irradiation showed the highest inhibition rates (49.78 ±
1.56%), which stated that NIR laser irradiation through gold
In this study, the antitumor effects of GNOLs with or without nanoshells would cause a local increase in temperature to
NIR irradiation were investigated on 143B cells. As shown in realize the antitumor effect. The other liposomes also had
Figure 9, a concentration-dependent cell-killing effect could inhibitory effect on the tumor growth to some extent, which
be observed on all of the OA formulations against 143B cells.
It was also obvious that the free OA had the minimum tumor
inhibition rate (42.81 ± 2.09% at 100 μg mL−1). The 143B cells
treated with CS-OA-Lips and GNOLs exhibited tumor inhi-
bition rates of 71.52 ± 1.21% and 73.74 ± 1.32%, respectively,
which indicated the antitumor effect of OA was improved
by encapsulating in liposomes. Furthermore, the antitumor
effects were significantly different between NIR irradia-
tion and non-irradiation. The inhibition rates of CS-OA-
Lips with and without laser were 73.11 ± 2.46% and 71.51 ±
1.21%, respectively (100 μg mL−1 OA), and it could be seen
the laser was ineffective on CS-OA-Lips. On the contrary,
the results of GNOLs were obviously different, their inhibi-
tion rates were 73.74 ± 1.32% at non-irradiation, and 86.91 ±
2.53% at NIR irradiation, respectively. The phenomena could
be due to the several reasons. First, the laser-caused hyper-
thermia increased permeability and fluidity of the liposomes
membrane, therefore promoting drug release and enhancing Figure 10. Antitumor effects of several kinds of blank liposomes.
drug accumulation inside the tumor tissue.[36,37] Meanwhile, Notes: Lips mean blank liposomes; CS-Lips were chitosan-coated
blank liposomes; AuNS-CS-Lips were gold nanoshells-coated blank
NIR-induced hyperthermia promoted phase conversion from
liposomes without laser; AuNS-CS-Lips (+) were gold nanoshells-
gel-to-liquid crystalline of cells membrane, and dramati- coated blank liposomes with laser. * indicates P <0.05, ** indicates
cally enhanced the uptake of OA by 143B cells leading to P <0.001 compared with blank liposomes. All values were expressed as
the tumor cells apoptosis.[38] Furthermore, the hyperthermia mean ± SD (n = 3).

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effect on 143B cells for AuNS-CS-Lips plus NIR irradiation


to some extent. It was notable that the group of GNOLs
with laser irradiation had the least living cells (Figure 11e) at
the irradiated region. Therefore, the combination of photo-
thermal therapy and chemotherapy was more efficient to
induce cells’ death compared with solo treatment.

2.6. Antitumor Effect In Vivo

To evaluate the therapeutic effect of GNOLs on the com-


bined photothermal ablation and chemotherapy for solid
tumors, the in vivo antitumor examination was carried out
using U14 tumor-bearing mice as animal model. Figure 12
Figure 11. Fluorescence images of 143B tumor cells treated with showed the tumor volumes and weights of mice that received
samples incubating for 24 h later. a) Control group, b) GNOLs (without different treatments.
laser), c) PBS solution (with laser), d) AuNS-CS-Lips (with laser),
It was notable that the saline and laser groups showed
and e) GNOLs (with laser).
an uninhibited tumor growth with no statistical differences
(Figure 12a), therefore, provided the solo laser irradiation
might be due to the composition of liposomes and antitumor could not inhibit the tumor growth efficiently. The tumor size
effect of chitosan, but the effect was low.[39] of free OA group was about 50% smaller than that of the
To analyze the photothermal effect of GNOLs with NIR saline control group, so it performed an antitumor effect in
irradiation against tumor cells, the 143B cells treated with some degree. The GNOLs without NIR irradiation (GNOLs
drug were dyed by fluorescein diacetate (FDA). The FDA (−) group) displayed a slightly antitumor efficiency than the
could penetrate cytomembrane and accumulate in the living CS-OA-Lips, and both of them were more efficient in tumor
cells, which exhibited green fluorescence under fluorescent therapy than the free OA group. More noticeably, the tumor
microscope. On the contrary, the dead cells could not be size in the group treated with GNOLs plus NIR irradiation
dyed by FDA and were left without color.[40,41] As shown in (GNOLs (+) group) showed the highest antitumor efficacy
Figure 11a,c, no difference was observed between the groups with an inhibition rate of 79.65% during the experiment.
of phosphate buffers (PBS) solution with or without laser, so These results demonstrated that chemo-photothermal com-
only NIR irradiation could not affect the state of cells. For bined treatment based on GNOLs was superior to chemo-
the group of GNOLs without laser irradiation, there were therapy or photothermal treatment alone. The body weight
slightly less living cells compared to PBS group. In the AuNS- was also monitored as an indicator for evaluation of drug tox-
CS-Lips group (Figure 11d), the area with laser irradiation icity (Figure 12b). There was no significant reduction in body
(Left) showed a small number of living cells, but more living weight of the mice treated with the drug vehicles, implying
cells could be observed at the area of non-NIR irradiation the low toxicity of drug delivery system. The photographs of
(Right). This phenomenon disclosed there was inhibitory the typical tumors at the end of the treatment period offered

Figure 12. a) Tumor growth curves of tumor-bearing mice treated with different formulations. b) Body weight changes of the mice after treatment.
c) Images of typical tumors at the end of the experiment. ** indicates P <0.01 compared with OA group. All values were expressed as mean ±
SD (n = 6).

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[20]
an intuitive proof for the antitumor efficacy of different OA previously reported. In the study, the orthogonal experiment was
formulations (Figure 12c). The tumor size of the GNOLs (+) done to obtain the best condition to prepare the chitosan-coated OA
was the smallest in all the groups, so it could be seen that the liposomes. For preparing chitosan-modified OA liposomes (CS-OA-
GNOLs as chemo-photothermal combined treatment dem- Lips), briefly, the chitosan (10 mg) was dissolved in 10 mL of acetic
onstrated a good drug delivery system for effective antitumor acid glacial solution (0.1 m, pH 3.5). Then the chitosan solution was
therapy. The reason was that GNOLs with NIR light irradia- added dropwise into the above OA liposomal suspension under
tion might be attributed to the localized hyperthermia induced magnetic stirrer. The mixture was stirred for 2 h at room temperature.
by laser irradiation. The GNOLs could accumulate into tumor Eventually, the CS-OA-Lips were prepared successfully.
tissues by the EPR effect; with the NIR irradiation, the gold Preparation of Gold Nanoshells Coated OA Liposomes: Gold
nanoshells absorbed the light and converted it to hyperthermia, seeds were synthesized according to the method previously
further inducing more OA released rapidly from the GNOLs reported by Jana et al.[25] Briefly, fresh NaBH4 solution (253 ×
to realize the most efficient anticancer effect; meanwhile, the 10–3 m) and AuCl3 solution (0.5 × 10–3 m) were prepared and they
tumor tissues were more sensitive to heat than normal tissues, were cooled down in an ice bath condition for 5 min. Then 10 μL
the tumors were easy to be killed directly by the NIR-induced of NaBH4 solution was added into the AuCl3 solution (1 mL) with
hyperthermia. Therefore, the chemo-photothermal combined vigorous shock and the gold seeds were formed immediately.
treatment could obtain an excellent antitumor effect. Gold seeds and CS-OA-Lips (1:3 in volume ratio) were mixed
uniformly followed by being incubated on a rocking incubator for
20 h at room temperature. Then the AuNPs-CS-OA-Lips were syn-
3. Conclusion thesized. Subsequently, 25 μL of AuCl3 solution (20 × 10–3 m) was
mixed with 975 μL of AuNPs-CS-OA-Lips solution. After that, the
In this study, gold nanoshells-coated OA liposomes were resulting solution and fresh NaBH4 solution were placed in ice
prepared which exhibited a photothermal and pH-respon- bath for 5 min. Then 10 μL of NaBH4 solution (253 × 10–3 m) was
sive drug release and superior antitumor property. So a added into the mixture following mingling evenly. The solution was
smart drug delivery system for improving the efficiency of incubated for 8 h at room temperature and aged overnight at 4 °C.
antitumor therapeutic drug was developed based on gold Finally, the GNOLs were obtained. Additionally, the gold nanoshell
nanoshells coated liposomes. By taking advantage of the coated OA liposomes without chitosan modification were designed
photothermal effect of Au nanoshells and thermal-sensitivity and prepared in the same way.
of lipid bilayers, the lipid coat was substantially disrupted Characterization of GNOLs: The encapsulation efficiency of
after NIR irradiation and a boost of drug release could be GNOLs was determined by dextran gel column chromatography
achieved. Because of pH-responsive of chitosan, the drug and HPLC. Drug encapsulation efficiency was calculated from the
system could easily realize drug targeting transport and pH- following equation
responsive release for the tumor tissue. The novel concept
of gold nanoshells-coated OA liposomes mediating tumor EE(%) = ( Wen /Wtotal ) × 100%

therapy here can render a great potential for chemo-photo-
thermal antitumor therapy. Where Wen was the amount of OA encapsulated in liposomes,
and Wtotal was the initial amount of OA added in the preparation,
respectively.
Morphology of the GNOLs was observed by transmission elec-
4. Experimental Section
tron microscopy (TEM, HT 7700, Japan). Malvern Zetasizer ZS (Mal-
Materials: OA was purchased from Sichuan Shifang Huakang vern Instruments, UK) was used to measure the sizes and surface
Pharmaceutical Raw Material Plant. Soya lecithin was purchased zeta potentials of the liposomes. First, the sample was diluted
from Shenyang Tianfeng Biological Pharmaceutical Co., Ltd. ten times with deionized water. Then diameter and zeta potential
(Shenyang, China). Chitosan (degree of deacetylation: 92%) was of the GNOLs were detected by DLS and electrophoretic mobility
purchased from Sinopharm Chemical Reagent Co., Ltd (Shanghai, measurement, respectively. Each sample was measured three
China). Cholesterol, surfactant Tween-80, and anhydrous ethanol times at room temperature. The composition of the samples was
were purchased from Tianjin Guangfu Fine Chemical Research also determined by EDS analysis using Energy Dispersive X-Ray
Institute (Tianjin, China). AuCl3 was purchased from Chengdu Spectroscopy on the TEM (HT7700, Japan).
Xiya Chemical Industry Co., Ltd (Chengdu, China). NaBH4 was The UV–vis absorption spectra were recorded on a spectro-
purchased from Tianjin Guangfu Fine Chemicals Co., Ltd (Tianjin, photometer (UV2550, Shimadzu, Japan). FTIR analyses of pure chi-
China). Sephadex G-75 was obtained from Beijing BioDee Bio Tech tosan, OA-Lips, CS-OA-Lips, and GNOLs were recorded in the range
Corporation Ltd (Beijing, China). Phosphate-buffered saline was of 400–4000 cm−1 with speed of 2 mm s−1 by an FTIR spectrom-
sourced from Sigma Chemical Company (Henan, China). Acetic eter. The samples were prepared by processing compressed KBr
acid glacial was obtained from Tianjin Fengchuan Chemical Rea- disks before detection and analysis at room temperature.
gent Technologies Co., Ltd. (Tianjin, China). Methanol and acetoni- Stability Study: The stability of liposomes is a key factor for the
trile were purchased from Tianjin Four Friends Fine Chemicals Co., therapy effect. In the study, the stability of GNOLs and CS-OA-Lips
Ltd. and were chromatographic grade. All other chemical agents was evaluated after storage at 4, 25, and 37 °C for a period of 0, 5,
used were of analytical grade. 10, 15, 20, 25, and 30 d, respectively. At the different time points,
Chitosan-Modified OA Liposomes Preparation: The OA liposomes the stability of the liposomes was evaluated by drug encapsulation
(OA-Lips) were synthesized by the ethanol injection method that was efficiency. All experiments were performed in triplicate.

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DOI: 10.1002/smll.201503961
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Drug Release Assay: The released performances of OA from  OD sample 


Inhibition rate (%) =  1 − × 100%
GNOLs were examined using a dynamic dialysis method at pH 5.5  OD control 
and pH 7.4 conditions. The PBS media (pH 5.5 and 7.4) were used
to simulate the tumor and the normal body environments, respec- ODsample and ODcontrol represented the absorbance of the
tively, which was further divided into two groups (NIR group and sample groups and PBS group, respectively.
non-NIR groups). An aliquot of each sample (1 mL) was loaded in The photothermal effect of GNOLs with NIR irradiation on
the pretreated dialysis bag (cutoff 12–14 kDa) and was immersed tumor cells was evaluated. Briefly, the 143B cells were seeded in
in 200 mL of PBS with a stirring of 100 rpm at 37 °C. After 8 h, 6-well flat-bottomed plates with a density of 5000 cells per well,
the samples in NIR groups were irradiated with NIR light (808 nm, and incubated at 37 °C in a humidified atmosphere with 5%
1 W cm−2) for 4 min. At the designated time points (12, 16, 20, and CO2. After the cells were cultured for 24 h, 1 mL of filter-sterilized
24 h), the samples in NIR groups were treated in the same way. sample (PBS, AuNS-CS-Lips or GNOLs) was added in appropriate
During the experiment, eight samples were prepared in each group well in triplicate. To be cultured for 4 h, the cells were irradiated
(NIR group and non-NIR group) and the dialysis bags were with- for 30 s by NIR light (808 nm, 1 W cm−2). Continued culturing 20 h
drawn from the release media at the predetermined time intervals later, the cells were stained by FDA followed by observing cells’
(1, 2, 4, 8, 12, 16, 20, and 24 h). Similarly, the drug release perfor- survival status. The cells incubated with free OA, CS-OA-Lips, or
mance of the mixture containing AuNPs and OA liposomes under a GNOLs in the absence of laser irradiation were as control. The cells
different pH condition was examined in the same way. Concentra- were imaged through a light microscope (Nikon, Japan).
tion of OA was determined by HPLC after demulsification, and all Antitumor Effect In Vivo Study: Kunming female mice (29 ± 1 g)
experiments were carried out in triplicates. were purchased from Vitalriver Laboratory Animal Center (Beijing,
Antitumor Effect of GNOLs In Vitro: The antitumor effects of China). They were allowed to be free to drink and eat at the feeding
free OA, blank liposomes (Lips), chitosan-coated blank liposomes conditions (20 °C, 60–65% relative humidity). U14 cells were pur-
(CS-Lips), CS-OA-Lips, AuNS-CS-Lips, and GNOLs were evaluated chased from Chinese academy of medical sciences tumor cells
on 143B osteosarcoma cells using 3-(4,5-Dimethylthiazol-2-yl)- bank (Beijing, China). All the animal experiments were carried
2,5-diphenyltetrazolium bromide (MTT) assay. The 143B cells were out in compliance with the Guide for Care and Use of Laboratory
cultured in Dulbecco’s modified eagle medium with 1% penicillin/ Animals.
streptomycin and 10% fetal bovine serum at 37 °C in a humidified For the establishment of animal tumor model, the 200 μL of
incubator. PBS was used as the negative control. Each group was U14 cells suspension (1 × 107 cells) was subcutaneously injected
dealt with or without NIR light irradiation. into the right armpit of each mouse. When the tumors reached
Briefly, the 143B cells were seeded in 96-well flat-bottomed ≈100 mm3, the mice were randomly divided into six groups
plates at a density of 5000 cells per well. Then the cells were cul- (Table 1). Normal mice without any treatment were as control.
tured at 37 °C for 24 h in a 5% CO2 atmosphere. After that, the During the experiment, the mice were treated by the intratumoral
above samples were filtered through sterile 0.22 μm filter mem- injection at a dosage of 1.8 mg OA per kg every day for a total of
brane and diluted to different concentrations (100, 50, 25, 12.5, 15 d. Meanwhile, the mice were subjected to NIR laser irradiation
6.25, 3.13, 1.56, and 0.78 μg mL−1). Thereafter, each sample was (808 nm, 1 W cm−2) for 4 min every day in the laser irradiation
added into the appropriate well in triplicate (100 μL per well), and groups.
then the cells were attached and cultured. After 4 h, the NIR groups Tumor volumes and body weights of mice were recorded
were exposed in NIR light (808 nm, 1 W cm−2) condition for 30 sec every other day since the first administration. The tumor volume
and incubated continuously for 20 h. The other groups were incu- was obtained according to the equation (a × b2) / 2, where a
bated directly with the samples for 24 h. After the above treatment, and b were the longest and shortest diameters, respectively.
the culture medium was discarded and replaced by 200 μL MTT All of the mice were sacrificed on the fifteenth day. The tumors
solution(0.5 mg mL−1), and the cells were incubated for another were photographed and weighed to obtain the tumor inhibition
4 h. After removing the MTT solution, 150 μL of dimethyl sulfoxide rates of different drugs, which were calculated according to the
was added to each well to dissolve the blue formazan crystals pro- formula
duced by live cells. Then the absorbance of each well at 490 nm
was detected by a microplate reader (SpectraMax M2e). The cell  Tumor volume in test group 
Inhibition rate(%) =  1 − × 100%
inhibition rate was calculated as follows  Tumor volume in control group 

Table 1 . Animal groups in experiments.

Groups Number Treatment methods


Normal group 6 Normal mice without injection
Negative group 6 Physiological saline (200 μL) was injected every day
Laser group 6 Physiological saline (200 μL) was injected plus NIR irradiation the tumor for 4 min every day
Free OA group 6 Free OA suspension (200 μL) was injected every day
CS-OA-Lips group 6 CS-OA-Lips suspension (200 μL) was injected every day
GNOLs (−) group 6 GNOLs suspension (200 μL) was injected every day
GNOLs (+) group 6 GNOLs suspension (200 μL) was injected with NIR light irradiated the tumor for 4 min every day

small 2016, © 2016 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim www.small-journal.com 9
DOI: 10.1002/smll.201503961
full papers
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