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Khaled N. Salama et al.
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Materials Chemistry B
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Resveratrol (RES) is a naturally occurring and effective drug for tumor prevention and treatment.
However, its low levels of aqueous solubility, stability, and poor bioavailability limit its application,
especially when used as a free drug. In this study, RES was loaded into peptide and sucrose liposomes
(PSL) to enhance the physico-chemical properties of RES and exploit RES delivery mediated by
liposomes to effectively treat breast cancer. RES loaded PSL (the complex: PSL@RES) were stable, had a
good RES encapsulation efficiency, and prolonged RES-release in vitro. PSL@RES was exceptionally
efficient for inhibiting the growth of cancer cells, as the IC50 of PSL@RES in MCF-7 cells was found to
be only 20.89 mmol L1. The therapeutic efficacy of PSL@RES was evaluated in mice bearing breast
cancer. The results showed that PSL@RES at a dosage of 5 mg kg1 was more effective than 10 mg kg1
free RES, and PSL@RES inhibited tumor growth completely at a dosage of 10 mg kg1. PSL@RES induced
Received 20th September 2019, apoptosis in breast tumor by upregulation of p53 expression. This then downregulated Bcl-2 and
Accepted 5th November 2019 upregulated Bax, thereby inducing Caspase-3 activation. More importantly, encapsulation of RES within
DOI: 10.1039/c9tb02051a peptide liposomes greatly reduced the toxicity of free RES to mice. Overall, the simple formulation of
liposomal nanocarriers of RES developed in this study produces satisfactory outcomes to encourage
rsc.li/materials-b further applications of liposomal carriers for the treatment of breast cancer.
This journal is © The Royal Society of Chemistry 2020 J. Mater. Chem. B, 2020, 8, 27--37 | 27
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Fig. 1 Structure of trans-3,5,4 0 -trihydroxystilbene (a) and cis-3,5,4 0 -trihydroxystilbene (b). The trans isomer is the biologically active form of the drug.
of hydrophobic drugs is their stability and low drug loading rates. Results and discussion
They are suspected to be capable of causing unquantifiable harm
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to normal tissues.21–23 Although a few studies show that lipo- Blank liposomes were prepared using the peptide lipid CDO
somes with specific properties improve the stabilization of and sucrose laurate L126 at the weight ratio of 1 : 1. RES was
drug-liposomes and drug encapsulation efficiency, the problem loaded into the liposome to obtain PSL@RES liposomes using
of implementing high dosage utilization of RES remains unresolved. the thin-film hydration method at the lipid/drug weight ratios
In one study, RES-loaded and YHWYGYTPQNVI-conjugated lipo- of 1 : 1, 5 : 1 and 10 : 1. The encapsulation efficiency (EE) of RES
somes shows a half maximal inhibitory concentration in head in PSL@RES at the lipid/drug ratio of 1 : 1 was less than 70%,
and neck cancer cells of 151.59 mmol L1 RES.24 In addition, the but over 90% at the ratios of 5 : 1 and 10 : 1 (Fig. S1, ESI†). To
reported delivery systems mediated by liposomes are too complex, reduce the toxicity of lipids, we select relatively less lipid
causing difficulties in implementing the clinical applications content under the same drug loading. So we chose PSL@RES
of RES. with the lipid/drug ratio of 5 : 1 to use for the current study.
In this study, we constructed novel and simple RES liposomes PSL@RES was measured for particle size, zeta potential and
(PSL@RES) through the assembly of the tri-peptide lipid CDO (1,2- morphology, as shown in Fig. 2. The average particle size of the
bis-myristyloxyamidopropyl ornithine), sucrose laurate L126, and peptide liposome (PSL) was about 120 nm with a narrow size
RES. The formulation inhibited the growth of breast cancer at very distribution (Fig. 2a). Addition of RES increased the average
low dosage (10 mg kg1 RES) and also exhibited controlled release PSL@RES size by about 20 nm, and these particles still maintained
of RES in cells due to the presence of a hydrolyzable carbamate a homogeneous distribution. The particles within the size range of
linker in the lipid structure. As we used peptide lipid and sucrose 100–200 nm can escape systemic clearance by Kupffer cells and
laurate to form the RES liposome, it exhibited very low toxicity to remain in the blood circulation for longer times.25,26 This may
mice. To the best of our knowledge, this is the first study to report enhance the bioavailability of RES. The zeta potential of blank
the delivery of RES by a peptide liposomal carrier for inhibition of liposome PSL was 42.3 mV (Fig. 2b), and that of PSL@RES
breast cancer in vitro and in vivo. decreased slightly after RES encapsulation. TEM images indicate
Fig. 2 Particle size (a), zeta potential (b), morphology of PSL (c), and PSL@RES (d). Transmission electron microscopy (TEM) images of PSL and PSL@RES
at 8000 magnification (scale bar 100 nm).
28 | J. Mater. Chem. B, 2020, 8, 27--37 This journal is © The Royal Society of Chemistry 2020
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that both types of PSL particles were spherical, and RES was visibly To evaluate in vitro anticancer activity of RES liposomes, we
encapsulated in PSL@RES particles as shown in Fig. 2c and d. first investigated the effects of the RES liposome on the viability
The PSL@RES liposome exhibited excellent stability for three of human breast cancer MCF-7 cells by employing the MTT
months at 4 1C and it was also stable at 37 1C in 48 h, as evidenced assay and using free RES as a control. As shown in Fig. 4a,
from measurements of the particle size, zeta potential changes both PSL@RES and RES produced attrition of MCF-7 cells in a
(Fig. S2, ESI†) and the TEM images of PSL@RES at 4 1C and 37 1C dose-dependent manner in the RES concentration range of
(Fig. S3, ESI†). 2–64 mmol L1. PSL@RES was more efficient in inhibiting the
To find out the protection of liposome PSL to RES in the growth of cancer cells than RES, as the IC50 of PSL@RES and
blood circulation system and tumor micro-environment, and RES in MCF-7 cells were 20.89 mmol L1 and 25.67 mmol L1,
the controlled release of the drug at the target site, we tested respectively. To investigate the cytotoxicity of PSL@RES on non-
RES release from the liposome complex in the simulated acidic malignant cells, a viability assay was performed in MCR-5 cells,
tumor micro-environment (pH 6.8) and endosomes/lysosomes which were a variety of human lung fibroblasts. The results in
(pH 5.5) using a dialysis membrane sleeve. Fig. 3 showed that Fig. 4b indicate that PSL@RES had much lower toxicity to MCR-5
molecular RES reached the highest concentration in a very cells than to MCF-7 cells. For example, after treatment with
PSL@RES containing a RES concentration of 64 mmol L1, cell
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Fig. 4 Effects of liposomes PSL@RES on the cell viability of MCF-7 cancer cells (a) and MCR-5 non-malignant cells (b). Data represent the mean SD of
three independent experiments.
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Fig. 5 MCF-7 cells were treated with PSL@RES for 48 h before staining with AnV-Alexa Fluor 488s and PI and analyzed by imaging under an inverted
fluorescence microscope (a: 200) and quantified by flow cytometry (b: PSL@RES, c: RES, d: PSL). Cells labeled with one or both compounds were
analyzed using a quadrant plot. Significance level: **p o 0.01 and ***p o 0.001.
alone applied under the same conditions. We found that there compared to the untreated control group. Fig. 6b–d showed that
was no significant difference between the two groups at a RES the levels of caspases noticeably increased with the increase in
concentration of 64 mM (Fig. 5b and c). In addition, few necrotic RES concentration. PSL@RES treated cells had slightly higher
cells were observed for either PSL@RES or RES groups in the caspase activities compared to the RES group, although there was
range of all RES concentrations. For the blank liposome PSL no significant difference between the two groups. We concluded
group, apoptotic cells remained at low levels, although they that cells treated with PSL@RES generated more ROS, and
slightly increased upon raising the PSL concentration (Fig. 5d). consequently induced greater apoptosis than RES.
These data also demonstrated that the cytotoxicity of PSL In vivo therapeutic efficacy of RES liposome complexes on
liposomes was low. tumor-bearing mice was studied as well. BALB/c mice bearing
Intracellular reactive oxygen species (ROS) plays an important MCF-7 breast cancer with tumor volumes of approximately
role in apoptosis and accumulating experimental evidence has 100 mm3 in the right flanks were treated with PSL@RES-10
demonstrated involvement of ROS in RES-induced apoptosis in a (10 mg kg1 RES), PSL@RES-5 (5 mg kg1 RES), PSL@RES-2.5
variety of cancer cells.27–29 To produce more information about (2.5 mg kg1 RES) and RES-10 (10 mg kg1 RES) with six
the role of ROS in this study, we measured the production of consecutive tail intravenous injections on days 1, 3, 5, 7, 9 and 11.
intracellular ROS by the 2 0 ,7 0 -dichlorofluorescein diacetate Photos of the tumors in Fig. 7a demonstrated that the growth of all
(DCFH-DA) assay. As shown in Fig. 6a, the level of ROS genera- tumors in the drug treatment groups was inhibited compared with
tion gradually increased with increasing RES concentration. the control group. The PSL@RES-10 treatment group showed the
Significant levels of ROS were generated in MCF-7 cells at a RES greatest growth inhibition. The curves of tumor growth (Fig. 7b)
concentration of 64 mM by treatment with both PSL@RES and were used to further analyze the inhibition rates. Compared with
free RES. The average value of the fluorescence intensity in cells the RES-10 group, the PSL@RES-5 group exhibited slightly greater
were 4 and 3.4 folds higher than those in untreated cells for efficiency in the reduction of tumor volume, although only half
applications of PSL@RES and RES, respectively. These results (5 mg kg1) of the RES concentration was used. More importantly,
suggest that the apoptosis induced by RES could occur by PSL@RES-10 was nearly three times more effective than RES-10 at
means of its pro-oxidant effects on cancer cells, as observed inhibiting tumor growth, demonstrating a significant difference
in other studies.30–32 Caspases are key effectors of apoptosis in over time (p o 0.01). The dosages used here were much lower than
mammalian cells. Active caspases participate in a cascade of those reported in other studies.33,34 In addition, TUNEL and DAPI
cleavage events that disable key homeostatic and repair enzymes staining of the tumors confirmed that the PSL@RES-10 and
and initiate apoptosis. Higher Caspase-8, Caspase-9 and Caspase-3 PSL@RES-5 doses resulted in greater apoptosis in tumor cells as
activities were observed upon addition of PSL@RES and RES compared to the RES-10 dose (Fig. 7c).
30 | J. Mater. Chem. B, 2020, 8, 27--37 This journal is © The Royal Society of Chemistry 2020
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Fig. 6 Intracellular ROS levels determined by CM-DCHF-DA staining combined with flow cytometry (a). Protein levels of Caspase-8 (b), Caspase-9 (c)
and Caspase-3 (d). Significance levels: *p o 0.05 and **p o 0.01.
Fig. 7 In vivo antitumor efficacy of RES liposomes in MCF-7 tumor-bearing mice. Photos of tumor growth in mice (a). Tumor growth as a function of
time; results are presented as the means SD. **p o 0.01, ***p o 0.001 (b). Evaluation of tumor cell apoptosis in vivo by TUNEL assay (nuclei were
stained blue with DAPI, apoptotic cells were shown in green) (c). Mice received injections of PSL@RES-10 (10 mg kg1), PSL@RES-5 (5 mg kg1) and
PSL@RES-2.5 (2.5 mg kg1) as indicated by the arrows. Mice with RES-10 (10 mg kg1) and saline treatment were used as controls.
The main causes of breast cell apoptosis may be associated (Fig. 8a–d). The results of Western Blot experiments demon-
with changes in the tumor suppression gene and apoptosis strated that PSL@RES significantly enhanced the expression of
related to protein expression.35,36 We measured the expression p53 in a concentration-dependent manner. For the treatment
of p53, Bax, Bcl-2 and caspase-3 proteins to characterize the groups of PSL@RES-2.5, PSL@RES-5, and PSL@RES-10, the
signaling pathways involved in apoptosis induced by PSL@RES expression of p53 was significantly higher than the control group.
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Fig. 8 Protein expression of Bcl-2, Bax, p53 and Caspase-3 in MCF-7 tumor cells by Western blot. Anti-b-actin was used as a loading control to
normalize the data. Tumor-bearing mice were treated with PSL@RES and RES for 13 days, and saline was used as control. (a) Representative
autoradiographs of Bax, Bcl-2, p53 and Caspase-3 expression. Relative protein expression level of p53 (b), Bcl-2 (c), Bax (c) and Caspase-3 (d) were
quantified by densitometry traces. Results are expressed as mean SD from three-independent experiments.
The PSL@RES-10 group increased their p53 expression by 3.13 abnormalities occurred. Furthermore, the body weight of the
fold compared to the control, the RES-10 group increased about mice after the treatment under three dosages of PSL@RES did
2.01 fold over the same control (Fig. 8a and b). P53 is recognized not present evidence of obvious loss during the entire experi-
as an important suppression gene that subsequently promotes ment in vivo. For the RES group, however, body weight dropped
apoptosis by its ability to control the transcription of pro- noticeably at day 13 after the treatment (Fig. 9a). The body
apoptotic members of the Bcl-2 family, such as Bcl-2 and Bax. weight measurements confirmed that the toxicity of RES was
In this work, the expression of Bax increased significantly after reduced after the encapsulation in the PSL liposome. Major
the treatment with PSL@RES-10. In contrast, the expression of organs including the heart, liver, spleen, lung and kidney were
the Bcl-2 protein decreased prominently under the same con- stained with hematoxylin and eosin (H&E) for histological
ditions (Fig. 8a and c). The Bcl-2/Bax ratio was found to analysis (Fig. 9b). The histological slides of these organs showed
diminish 45% in the PSL@RES-10 group over the RES-10 group no significant damage or inflammatory lesions after the treatment
(Fig. S4, ESI†). This ratio reflects favorable apoptosis capability with any of the three dosages of PSL@RES. However, RES-10
of the liposome complex. Finally, we investigated the Caspase-3 treatment produced observable heart damage, as myocardial fibers
activity in breast tumors and obtained the results shown in were disordered, with instances of cellular breaks and note-
Fig. 8a and d. The treatment group with PSL@RES-10 showed worthy infiltration of inflammatory cells. Moreover, liver tissue
significantly higher Caspase-3 activity compared to the saline was seriously damaged after the treatment with RES-10. Hepatic
control and the RES treatment groups. These results confirmed peri-portal inflammatory cell infiltration and liver cell diffuse
that RES liposomes induced apoptosis in breast tumors, accom- vacuolar degeneration were observed. The results confirmed that
panied by the activation of Caspase-3. Based on our data, we RES remained encapsulated in PSL liposomes under non-acidic
demonstrated that PSL@RES increases the expression of p53 in conditions, leading to the protection of the normal organs.
breast tumors, downregulated Bcl-2, and upregulated Bax, thus In order to further investigate in vivo toxicity of PSL@RES,
inducing Caspase-3 activation.37–39 renal indicators and liver enzymes were also measured. As shown
Since toxicity of drug carriers is a major obstacle for their in Fig. 10, we found that PSL@RES did not produce significant
application in clinical trials, we evaluated general organ toxicity changes in renal indicators and liver enzymes, including blood
of the PSL@RES and RES in the in vivo mice model. Compared with urea nitrogen (BUN), creatinine, aspartate aminotransferase (AST)
the control group, no apparent signs of dehydration, locomotor and alanine aminotransferase (ALT). Although the BUN values
impairment, anorexia, or other symptoms associated with animal were slightly low in the PSL@RES-10 and PSL@RES-5 treatment
toxicity were observed during the treatment, and no behavioral groups as compared with the saline group, all values were within
32 | J. Mater. Chem. B, 2020, 8, 27--37 This journal is © The Royal Society of Chemistry 2020
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Fig. 9 (a) Body weights of mice were determined every two days, significance level: **p o 0.01. (b) Histological analysis of organs extracted from
tumor-bearing mice (200).
the normal range. For the RES-10 group, however, the ALT value period of time, leading to the induction of apoptosis of tumor
was greatly elevated compared with the saline group. This further cells. Importantly, PSL@RES inhibited the growth of tumors at
confirmed that free RES can lead to serious inflammation of the a significantly reduced dosage of RES with no evident toxicity to
liver. These data were consistent with our organ histological analysis normal tissues in a mouse model. These unique properties
(Fig. 8b), further confirming that encapsulation of RES within indicate that the PSL@RES liposome delivery nanocarriers may
peptide liposomes reduces the systematic toxicity of RES to mice. become a promising new tool for future clinical applications
of RES.
Conclusions
Materials
In summary, we successfully developed PSL@RES liposomes
with impressive biocompatibility and therapeutic benefits for RES was purchased from Meilun Biotechnology (Dalian, China).
RES delivery. PSL@RES complexes exhibited improved aqueous Sucrose laurate L195 (1% monoester, HLB: 1) and sucrose laurate
solubility and stability of RES. In addition, the PSL@RES L1695 (80% monoester, hydrophilic/lipophilic balance, HLB: 16)
liposome was inferred to enter tumor cells and tissues by were purchased from the Shineroad Company (Shanghai, China).
enhanced permeability and retention. This was followed by Tri-peptide lipid CDO was synthesized by our laboratory.
controlled RES release at the target sites over a prolonged RPMI1640 and fetal bovine serum (FBS) were purchased from
This journal is © The Royal Society of Chemistry 2020 J. Mater. Chem. B, 2020, 8, 27--37 | 33
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Fig. 10 Toxicity assessments of PSL@RES to kidney and liver functions. The normal range of ALT, AST, BUN and CREA were 62–120 IU L1, 134–199 IU L1,
4.78–9.52 mmol L1 and 44.20–91.05 mmol L1, respectively. Values are expressed as mean SD of 3 animals in each group.
Gibco (Grand Island, USA). MCF-7 and MCR-5 cells were obtained was scaled up to 2–3 mg mL1 and the hydration time was
from the Institute of Biochemistry and Cell Biology (Nanjing, increased to improve the incorporation efficiency of RES.
China). 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
(MTT) was purchased from Sangon Biotech Co., Ltd (Shanghai, Particle size, zeta potential and morphology
China). Apo-ONE homogeneous caspase-3, caspase-8 and caspase-9 For the measurement of particle size and zeta potential, 20 mL
assay kits were purchased from Beyotime Biotechnology (Shanghai, of the liposomes were diluted in distilled water (1 mL). The
China). The ANNEXIN V-FITC-PI apoptosis kit was purchased particle size and zeta potential were measured by dynamic light
from Beyotime Biotechnology (Shanghai, China). All other scattering (DLS) using a Nano-Particle Size Analyzer (HORIBA
chemicals were of reagent grade. All materials were used as SZ-100, Japan). The measurements for each sample were done
received. All water used was purified using a Milli-Q Plus 185 water in triplicate. The morphology of liposome PSL and RES lipo-
purification system (Millipore, Massachusetts, USA), giving a some PSL@RES was determined using a JEOL 2100F transmission
resistivity greater than 18 MO cm. electron microscope (TEM) as previously described.41
34 | J. Mater. Chem. B, 2020, 8, 27--37 This journal is © The Royal Society of Chemistry 2020
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dialysis membrane following the method of Chinese Pharmaco- Measurement of the generation of intracellular ROS
poeia (2015) with minor modifications.42,43 Samples equivalent to MCF-7 cells were seeded at 105 cells per well in 24-well plates
1.0 mg of RES were dispersed in 2 mL of aqueous solution and and allowed to adhere for 18–24 h. All the treatments were
then placed in the dialysis bag with Molecular Weight Cut Off carried out in DMEM. Following 24 h, the cells were washed
500. The dialysis bag was dipped with the help of a thread in a once with PBS and detached using 0.25% trypsin–EDTA. The
conical flask containing 40 mL of solution (37 1C) on a shaking cells were centrifuged at 1500 rpm for 5 min and treated with a
bed. The dialysate aliquots were withdrawn at 0.5, 1, 2, 4, 6, 8, 10, solution of the ROS-indicator dye DCFH-DA (500 mL) for 20 min.
12, 20, 24, 28, 32, 36, 44, 48, 64, 72 and 84 h and the same Cells were analyzed immediately for ROS levels by flow cyto-
amount of fresh solution was added to the medium. The RES metry using a Becton Dickinson FACSCaliburt.
released into the medium was determined using a UV spectro-
photometer at 308 nm. Caspase activity assay in vitro
Cytotoxicity of RES liposome on cancer cells The Apo-ONE homogeneous caspase-3, caspase-8 and caspase-9
To study the inhibition of liposome complexes of PSL@RES on assay kits were used to study the activation of caspases. MCF-7
cells were seeded at a density of 105 cells per well in 24-well
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This journal is © The Royal Society of Chemistry 2020 J. Mater. Chem. B, 2020, 8, 27--37 | 35
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Conflicts of interest Healthcare Mater., 2019, 14, 1900389.
21 S. Mitragotrl, T. Lammers, Y. H. Bae, S. Schwendeman, S. De
There are no conflicts to declare.
Smedt, J.-C. Leroux, D. Peer, I. C. Kwon, H. Harashima,
A. Kikuchi, Y.-K. Oh, V. Torchilin, W. Hennink, J. Hanes and
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22 A. Popat, S. Karmakar, S. Jambhrunkar, C. Xu and C. Z. Yu,
This work was financially supported by the National Natural Colloids Surf., B, 2014, 117, 520.
Science Foundation of China (Grant No. 21606041, 21776044, 23 J. Chen, W. L. Lu, W. Gu, S. S. Lu, Z. P. Chen, B. C. Cai and
21503035), Fundamental Research Funds for the Central X. X. Yang, Exp. Opin. Drug Delivery, 2014, 11, 565.
Universities. 24 T. T. Zhang, H. H. Feng, L. Liu, J. Peng, H. T. Xiao, T. Yu,
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