Abstract
Background/Aim: Glioma is a deadly form of brain cancer. Doxorubicin is cytotoxic against glioma cells. However, the blood-brain barrier (BBB) limits its ability to be delivered to the brain. Materials and Methods: Liposomes (R8PLP) formed from, 1,2-dioleoyl-3-trimethylammonium-propane chloride (DOTAP), 1,2-distearoyl-sn-glycero-3-phosphoethanolamine-N-[methoxy-(polyethylene glycol)-2000] (PEG-DSPE), cholesterol and egg phosphatidylcholine (ePC) were modified by cell-penetrating peptide R8 conjugated with oleic acid as a novel method for delivering doxorubicin. The antitumor effect of R8PLP was evaluated by uptake, cytotoxicity and brain accumulation. Results: The size of R8PLP was 95 nm. Doxorubicin was loaded into R8PLP by active loading with more than 95% encapsulation efficiency. Cellular uptake of R8PLP by U87-MG cells was 8.6-fold higher than that of unmodified liposomes. R8PLP reduced cell viability by 16.18% and 18.11% compared to cholesterol-ePC-liposomes and free doxorubicin, respectively, at 3.6 μM after 24 h treatment. The biodistribution of doxorubicin in the brain was significantly improved by R8PLP. The area under the concentration-time curve (AUC0.5-12 h) of R8PLP was 2.4-times higher than that of cholesterol-ePC-PEG-DSPE-liposomes. Conclusion: These results suggest that R8-conjugated oleic acid-modified liposomes are effective delivery vehicles for glioma.
Glioma is an aggressive malignant tumor in the brain, with high morbidity and mortality (1-3). The survival time of patients with glioma after diagnosis is about 12-15 months (4). Treatment options for glioma are limited; surgery is associated with recurrence (5, 6). Chemotherapy using agents for glioma is limited to temozolomide, which has limited efficacy. Doxorubicin is a potential treatment option (7). Unfortunately, the blood–brain barrier (BBB) limits drug delivery to the brain (8, 9), diminishing its effectiveness.
Liposomes are nontoxic and nonimmunogenic drug delivery vehicles that have been used for doxorubicin delivery. However, delivery of liposomes across the BBB remains a great challenge.
Cell-penetrating peptides are a class of short peptides shown to facilitate cellular uptake of biomolecules (10). In this study, liposomes were modified with a cell-penetrating peptide, octa-arginine (R8), which has been shown to improve brain delivery of agents in vivo (11, 12). Oleic acid was used to modify R8 to facilitate liposomal incorporation.
Materials and Methods
Materials. R8 was synthesized by GL Biochem Ltd. (Shanghai, China). 1,2-Dioleoyl-3-trimethylammonium-propane chloride (DOTAP) and 1,2-distearoyl-sn-glycero-3-phosphoethanolamine-N-[methoxy-(polyethylene glycol)-2000] (PEG-DSPE) were purchased from Lipoid (Newark, NJ, USA). Egg phosphatidylcholine (ePC) was obtained from Avanti Polar Lipids Inc. (Alabaster, AL, USA). Oleic acid was obtained from Sigma (St. Louis, MO, USA). Modified Eagle's medium (MEM) and fetal bovine serum (FBS) were purchased from HyClone (Logan, UT, USA). 4’,6-Diamidino-2-phenylindole (DAPI) was obtained from Molecular Probes Inc. (Eugene, OR, USA). 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) was purchased from Sigma-Aldrich (St. Louis, MO, USA). U87-MG, a glioblastoma cell line, was obtained from the American Type Culture Collection (Manassas, VA, USA).
Preparation and characterization of liposomes. R8-conjugated oleic acid (R8-OA) was synthesized according to a previously reported method (13). A series of liposomes with were prepared according to Table I (14): LP: Liposomes of ePC–cholesterol; PLP: liposomes of PEG-DSPE–LP; R8LP: R8-conjugated oleic acid liposomes of DOTAP–LP; R8PLP: R8-conjugated oleic acid liposomes of PLP. The composition of liposomes was adjusted to optimize uptake by U87-MG cells. Liposomes were prepared by an ethanol injection method and doxorubicin was actively loaded into liposomes by an ammonium sulfate gradient. Firstly, R8-OA, ePC, cholesterol, and PEG-DSPE were dissolved in ethanol at different ratios to form a mixture. This was then injected into ammonium sulfate (250 mM) at a volume ratio of 1:10 to form liposomes. Liposomes were dialyzed to remove the ammonium sulfate external to the liposomes. Finally, doxorubicin was added to initiate drug loading at final concentration of 1 mg/ml. The mean size and ζ-potential of liposomes were measured by Zetasizer Nano ZS 90 from Malvern Instruments, Ltd. (Malvern, U.K.). Surface morphology of liposomes was examined on a JEOL scanning electron microscope (SEM) (Tokyo, Japan). The encapsulation efficiency (EE%) of doxorubicin in liposomes was then evaluated.
The release of doxorubicin in vitro. A dialysis method was used to study the release of doxorubicin from liposomes. Briefly, liposomes were placed into dialysis tubes (molecular weight cut-off of 8,000-12,000 Da). The external solution for dialysis was phosphate-buffered saline (PBS). The dialysis was performed in the dark with stirring at 37°C. The external solution was periodically sampled and replaced with an equal volume of PBS.
The stability of R8PLP was evaluated in PBS with 10% FBS at 37°C. Liposomes were incubated for 0, 2, 4, 8, 12 or 24 h and measured the size and EE% of liposomes (15). The encapsulated doxorubicin (EDox) in R8PLP was separated from liposomes by Sephadex G-50 (Yuanye Biological Technology Co.,Ltd., Shanghai, China). The total doxorubicin (TDox) was released from liposomes by Triton X-100 (Yuanye Biological Technology Co.,Ltd., Shanghai, China). The EE% was calculated using the following equation:
The concentration of doxorubicin was quantified by Agilent 1100 high-performance liquid chromatography (Santa Clara, CA, USA) using a fluorescence detector at Ex/Em of 480/525 nm using acetonitrile/water (50:50) as the mobile phase.
Cellular uptake of liposomes in vitro. Laser confocal microscopy was used to qualitatively analyze U87-MG cellular uptake. U87-MG cells were seeded into glass-bottom culture dish at a density of 1×105 cells/well and cultured for 24 h at 37°C in 5% CO2 atmosphere. Liposomes were then added to the U87-MG cells, which were then incubated for 4 h. The cells were fixed in 4% paraformaldehyde for 10 mins, washed with PBS. The nucleus was stained with 2 μg/ml of DAPI for 10 min. Finally, cells were washed with PBS three times and observed under a confocal microscopy from Carl Zeiss (Oberkochen, Jena, Germany) on the red channel.
The cellular uptake of liposomes was further quantitatively measured by flow cytometry. U87-MG cells were plated into 6-well plates at the density of 1×105 cells/well and cultured for 24 h at 37°C in 5% CO2 atmosphere. Liposomes were then added to the U87-MG cells, which were incubated for 4 h. The cells were fixed with 4% paraformaldehyde for 10 mins and washed with PBS. Fluorescence intensity of cells was measured on a flow cytometer from Beckman Coulter (Brea, CA, USA).
Cytotoxicity assay. Briefly, 1×104 cells per well were seeded into 96-well plates at 37°C and cultured for 24 h. Liposomes with doxorubicin concentration of 3.6 μM were added and the cells were incubated for 24, 48 and 72 h after treatment. Ten microliters of MTT (5 mg/ml) was added and the plates were incubated for 4 h. Formazan was dissolved in 150 μl dimethylsulfoxide and the absorbance at 490 nm measured by on a BioTek Synergy4 microplate reader (Winooski, VT, USA).
Animals. In order to determine whether R8-OA-modified liposomes were able to penetrate the BBB and increase doxorubicin accumulation in the brain, an in vivo study was carried out in mice (16, 17). Female KM mice (30±2 g) were purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. (Beijing, China). All animal experiments were approved by the Animal Ethics Committee of the Jilin University (No. 201805010). Mice were separated into two groups of 21 each. Mice were fasted for 12 h before administering liposomes. Mice received a single dose of liposomes (3 mg/kg of doxorubicin) through tail vein injection. Mice were sacrificed and the brain was collected at 0.5, 1, 2, 4, 6, 8, or 12 h. Tissue samples were used for analysis of doxorubicin content.
Distribution of doxorubicin in the brain. Doxorubicin analysis in brain tissue was established by Waters Ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) (Milford, MA, USA) using daunorubicin as internal standard (IS). The method was reported previously (18). Briefly, brain tissue was homogenized with two volumes of water, IS was added to 100 μl homogenization solution at a final concentration of 20 ng/ml. Samples were treated with 200 μl borate buffer (6% of w/v, pH 9.5) for 2 mins under vortex. Doxorubicin and IS were extracted from the mixture by 1 mI of chloroform/1-propanol (4:1, v/v) for 2 min with mixing and the organic phase was separated and dried by nitrogen. The residue was resuspended by the initial mobile phase and 10 μl of sample was injected into the UPLC-MS/MS system.
UPLC-MS/MS conditions: Source temperature 150°C, capillary voltage 3 kV, cone voltage 30 V, and desolvation temperature was set at 500°C. Doxorubicin was measured by quantitative ions of m/z 544.20→397.21 and m/z 528.18→321.19 for doxorubicin and IS, respectively.
Statistical analysis. The data are described as the mean±SD. The statistical significance of results was calculated by t-test. A p-value of less than 0.05 was accepted as indicating a significant difference.
Results and Discussion
Preparation and characterization of liposomes. The size distribution and ζ-potential of liposomes are shown in Table I. Mean size of liposomes was from 81.3 nm to 95.4 nm. The size of liposomes composed of ePC–cholesterol (LP) was 81.3 nm, liposomes were larger when they contained PEG-DSPE, DOTAP or R8-OA. R8LP had a larger pdipolydispersity index (0.32) than other liposomes. The size of R8PLP was 95.4 nm with pdipolydispersity index of 0.16 and the ζ-potential of R8PLP was +12.1 mV. LP and liposomes of ePC–cholesterol–PEG-DSPE (PLP) exhibited negative surface charge. However, the ζ-potentials of R8LP and R8PLP were positive. SEM was used to further characterize the surface morphology of liposomes. An SEM image of R8PLP is shown in Figure 1. R8PLP had typical liposome features and exhibited a spherical structure with a smooth surface.
Doxorubicin was actively loaded into liposomes using an ammonium sulfate gradient as driving force. The liposomes had a high EE% for doxorubicin. EE% of liposomes was more than 92%. The EE% of R8PLP was 95.3%.
Release and stability of doxorubicin in vitro. As shown in Figure 2, only 25.6% of doxorubicin in R8PLP was released at 4 h and 33.9% at 12 h. As shown in Figure 3, the size of R8PLP increased to 111.1 nm and the EE% decreased by almost 28.7% within 24 h at 37°C in 10% FBS. R8PLP was relatively stable in the presence of serum.
Cellular uptake of liposomes in vitro. Laser confocal microscopy was used to qualitative analyze the cellular uptake of liposomes. Nuclei and doxorubicin were observed in DAPI and doxorubicin channels, respectively. As shown in Figure 4, red spots in the doxorubicin channel indicated that U87-MG cells had internalized liposomes. LP- and PLP-treated cells exhibited relatively lower fluorescence intensity than cells treated with R8LP and R8PLP. These results showed that R8-OA promoted the cellular uptake of liposomes.
The uptake of liposomes by U87-MG cells were also quantitative analyzed by flow cytometry, as shown in Figure 5. The uptake fluorescence intensity was consistent with the confocal microscopy data. The cellular uptake of PLP was similar to that of LP, which was significantly lower than those of R8LP and R8PLP. The fluorescence intensities of R8PLP- and R8LP-treated cells were greater than those treated with LP, which indicated that R8-OA facilitated liposomal uptake by U87-MG cells.
Cytotoxicity assay. Cytotoxicity was investigated by the MTT assay. LP, R8LP, and R8PLP all exhibited similar or superior cytotoxicity than free doxorubicin. R8-OA-modified liposomes significantly improved doxorubicin cytotoxicity against U87-MG cells compared to PLP and LP. As can be seen in Figure 6, cell viability after R8LP or R8PLP treatment decreased relative to that of cells treated with free doxorubicin at 3.6 μM at 24 h. The cell-killing effect of liposomes was greater at 48 and 72 h. These results suggest that U87-MG cells were sensitive to doxorubicin and R8-OA-modified liposomes improved the cytotoxicity of doxorubicin.
Distribution of doxorubicin in the brain. Doxorubicin delivery to the brain using R8PLP was quantified. The concentration of doxorubicin in the homogenized brain was defined as X, peak area ratio of doxorubicin and IS was defined as Y, and 1/X2 was used as the weighting factor. The method had a good linear relation at concentrations from 5 to 1,000 ng (Y=0.273102X+0.003257, R>0.99). Brain distribution of doxorubicin delivered by R8PLP and PLP are shown in Figure 7. R8PLP significantly accumulated in the brain compared to PLP, the area under the concentration-time curve (AUC0.5-12h) of R8PLP was 2.4 times that of PLP. However, the half-life (t1/2) of R8PLP was similar to that of PLP (3.47 versus 3.94 h). These results showed that R8-OA-modified liposomes exhibited superior BBB penetration and brain accumulation.
Discussion
The results indicated that R8-OA was able to be incorporated into liposomes loaded with doxorubicin without adversely affecting their stability. The resulting R8PLP was efficiently taken up by tumor cells and was able to deliver doxorubicin to the brain. This might be due to the positive charge on the modified liposomes, which can facilitate internalization of the liposomes by tumor cells and transcytosis of the liposomes across the BBB. Increased brain distribution of doxorubicin suggests that these liposomes may have the potential for achieving enhanced therapeutic efficacy against intracranial tumors.
In future studies, we plan to investigate the effect of the R8 modification on the plasma pharmacokinetics and cardiotoxicity of liposomal doxorubicin, as well as therapeutic efficacy against intracranial glioma xenografts.
Conclusion
R8-OA modified liposomes were developed to improve the BBB-penetrating ability of doxorubicin. Cellular uptake, cytotoxicity and brain distribution of doxorubicin were enhanced with R8PLP compared to LP. R8PLP is a promising drug carrier and has potential applications in glioma therapy.
- Received October 27, 2018.
- Revision received November 23, 2018.
- Accepted November 27, 2018.
- Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved