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Biodegradable micelles enhance the antiglioma activity of curcumin in vitro and in vivo

Authors Zheng S, Xiang Gao X, Liu X, Yu T, Zheng T, Wang Y, You C

Received 14 December 2015

Accepted for publication 29 January 2016

Published 9 June 2016 Volume 2016:11 Pages 2721—2736

DOI https://doi.org/10.2147/IJN.S102450

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 4

Editor who approved publication: Prof. Dr. Thomas J. Webster


Songping Zheng,1,* Xiang Gao,1,2,* Xiaoxiao Liu,1 Ting Yu,1 Tianying Zheng,1 Yi Wang,1 Chao You1

1Department of Neurosurgery, West China Hospital, West China Medical School, Sichuan University, Chengdu, People’s Republic of China; 2Department of Pharmacology, Yale School of Medicine, Yale University, New Haven, CT, USA

*These authors contributed equally to this work

Abstract: Curcumin (Cur), a natural polyphenol of Curcuma longa, has been recently reported to possess antitumor activities. However, due to its poor aqueous solubility and low biological availability, the clinical application of Cur is quite limited. The encapsulation of hydrophobic drugs into nanoparticles is an effective way to improve their pharmaceutical activities. In this research, nanomicelles loaded with Cur were formulated by a self-assembly method with biodegradable monomethoxy poly(ethylene glycol)-poly(lactide) copolymers (MPEG-PLAs). After encapsulation, the cellular uptake was increased and Cur could be released from MPEG-PLA micelles in a sustained manner. The Cur-loaded MPEG-PLA micelles (Cur/MPEG-PLA micelles) exhibited an enhanced toxicity on C6 and U251 glioma cells and induced more apoptosis on C6 glioma cells compared with free Cur. Moreover, the therapy efficiency of Cur/MPEG-PLA micelles was evaluated at length on a nude mouse model bearing glioma. The Cur/MPEG-PLA micelles were more effective on suppressing tumor growth compared with free Cur, which indicated that Cur/MPEG-PLA micelles improved the antiglioma activity of Cur in vivo. The results of immunohistochemical and immunofluorescent analysis indicated that the induction of apoptosis, antiangiogenesis, and inhibition of cell proliferation may contribute to the improvement in antiglioma effects. Our data suggested that Cur/MPEG-PLA may have potential clinic applications in glioma therapy.

Keywords: curcumin, glioma, cell apoptosis, cell proliferation, angiogenesis 

Introduction

An increasing number of patients have been diagnosed with glioma in USA over the past decades.1 More than a half of them are glioblastoma multiforme, which is one of the most malignant tumors of the brain characterized by high proliferation, migration, and aggression. Although major improvements have been made in standardized treatment, containing surgical resection, radiotherapy, and chemotherapy, the overall prognosis of glioblastoma multiforme is still very poor, with the median survival of ~1 year after diagnosis.24 Chemotherapy should be the most curative method since surgery and radiation are restricted by permeation of tumor cells into normal brain tissues. However, the effectiveness of conventional chemotherapy is severely hindered since chemotherapeutic drugs are often eliminated in circulation and hard to reach a high local drug concentration in the tumor site. Moreover, the overexpression of multidrug resistance proteins by tumor cells causes efflux of various chemotherapeutic drugs.57 Therefore, new chemotherapeutic agents are sorely needed.

Curcumin (Cur), a natural polyphenol isolated from the rhizome of the plant Curcuma longa, is regarded to be nontoxic to humans since being part of the daily food of millions of Indians. It has been reported to possess anticancer property through various mechanisms, including cell cycle inhibition (suppressing cyclin D and inducing p21), differentiation induction (promoting autophagy), apoptosis promotion (activating caspase-3 and reducing bcl-xl), and anticancer drug resistance (targeting cancer stem cells).811 More significantly, studies showed that Cur selectively targeted tumor cells, leaving normal neural cells intact.12,13 However, due to its poor aqueous solubility, fast metabolism, and low biological availability, the clinical application of Cur is quite limited. Scientists have been developing different drug delivery systems that are expected to resolve the hydrophobic property, prolong the circulation time in blood, and increase the release to the targeted tissue, such as cyclodextrin complex, solid dispersion, phospholipid complex, and others.1416 But there exist different problems in practice, such as highly unstable, less effective, or difficult for manufacturing.

Nanomedicine, which is an important branch of nanotechnology, has been rapidly developing in recent years. It is expected to play a vital role in early diagnosis and accurate treatment of diseases at molecular level. In the field of anticancer research, nanodelivery system has attracted much attention. Through the combination of drug and carrier, hydrophobic agents can be water soluble. Pharmacokinetics and biodistribution of drug could also be altered, so as to improve the bioavailability and specificity.1719 Nanocarriers are mainly composed of silica, gold, iron oxides, liposomes, and polymeric nanocarriers, such as polyelectrolyte complexes, micelles, and hydrogels. Among them, biodegradable polymeric micelles are an attractive delivery system with nanoscale hydrophilic shell and hydrophobic core binding agents. The drug is combined with polymeric micelles through dissolution or by biodegradable chemical bond. The encapsulation of drug in the biodegradable polymeric micelles enables prolonged circulation time in blood, as well as preferred storage and effective control of drug release in the desired location with low toxicity.2023

In this study, in order to improve the antiglioma efficiency, Cur-loaded monomethoxy poly(ethylene glycol)-poly(lactide) copolymers (MPEG-PLAs) were formulated by our group. We planned to explore the efficiency of these Cur/MPEG-PLA micelles at a cellular level by investigating the drug uptake, apoptosis, and cytotoxicity to tumor cells in vitro. More importantly, the subcutaneous tumor model in nude mice was used to evaluate the potential of this new delivery system to treat glioma in vivo.

Materials and methods

Materials

Dulbecco’s Modified Eagle’s Medium and fetal bovine serum (FBS) were obtained from Thermo Fisher Scientific (Waltham, MA, USA). Cur and 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) were purchased from Sigma-Aldrich Co. (St Louis, MO, USA). Methanol and acetic acid (high-performance liquid chromatography [HPLC] grade) were purchased from Thermo Fisher Scientific. Dimethyl sulfoxide and acetone were purchased from KeLong Chemicals (Chengdu, People’s Republic of China).

MPEG(2000)-PLA(2000) diblock copolymer with a designed molecular weight of 4,000 Da was synthesized by ring opening of L-lactide, initiated by MPEG. MPEG (5.0 g) was melted in a 50 mL flask following the addition of anhydrous L-lactide (5.0 g) and Sn(Oct)2 (1 mL) under nitrogen. The mixture reactant was maintained at 125°C for 24 hours. The crude product was dissolved in tetrahydrofuran and then purified by precipitation in ice-cooled diethyl ether followed by filtration. This process was performed in triplicate, and the resultant product was vacuum dried at ambient temperature. The number average molecular weight (Mn) of MPEG-PLA copolymer was 4,010 Da (data not shown). The MPEG (molecular weight =2,000 Da) (Sigma-Aldrich Co.) was dried in a one-necked flask under vacuum and magnetically stirred at 105°C for 90 minutes before use.

The C6 and U251 cells (obtained from American Type Culture Collection [ATCC], Manassas, VA, USA) were cultured in Dulbecco’s Modified Eagle’s Medium supplemented with 10% heat-inactivated FBS and 100 μg/mL amikacin and were maintained in humidified incubator at 37°C in 5% CO2-containing atmosphere. Sichuan University waived the requirement to obtain ethical approval for using the rat C6 glioma and human U251 glioma commercialized cell lines.

Male Sprague Dawley rats and female nude BALB/c mice (6–8 weeks old) were used for in vivo pharmacokinetic and antitumor test studies. The animals were purchased from the Laboratory Animal Center of Sichuan University, and were separately housed according to their sex at controlled temperature of 20°C–22°C, relative humidity of 50%–60%, and 12-hours light–dark cycles. Animals were provided with standard laboratory chow and tap water ad libitum. All the animals would be in quarantine for a week before treatment. All animal procedures were performed according to the protocol approved by the Institutional Animal Care and Treatment Committee of Sichuan University (Chengdu, People’s Republic of China). All mice were treated humanely throughout the experimental period.

Preparation of Cur/MPEG-PLA micelles

Cur/MPEG-PLA micelles were prepared by a self-assembly method. Cur (10 mg) and MPEG-PLA (90 mg) were codissolved in 5 mL acetone under stirring. The abovementioned mixture was evaporated in rotary evaporator at 55°C using negative pressure. Subsequently, the resultant co-evaporant was dissolved in water. The solution was filtered by a syringe filter (0.22 μm) and then lyophilized and stored at 4°C before use.

Characteristics of Cur/MPEG-PLA micelles

Drug loading (DL) and encapsulation efficiency (EE) of Cur/MPEG-PLA micelles were determined as follows. Briefly, 10 mg of lyophilized Cur/MPEG-PLA micelles was dissolved in 0.1 mL of acetonitrile. The amount of Cur in the solution was determined by HPLC (LC-20AD; Shimadzu Corporation, Tokyo, Japan). The DL and EE of Cur/MPEG-PLA micelles were calculated according to the following equations:


(1)


(2)

The particle size and zeta potential of Cur/MPEG-PLA micelles were measured by dynamic light scattering. The 100 μL micelles were dissolved in 2 mL of distilled water (micelles concentration: 1 mg/mL), then the test was performed in triplicate.

The examination of transmission electron microscopy (TEM) samples followed the following procedures. In brief, the Cur/MPEG-PLA micelles solution was placed dropwise onto a copper grid. Approximately 15 minutes after nanoparticle deposition, the grid was tapped with filter paper to remove excess water and stained using a solution of phosphotungsten acid (2%, w/v) for 20 minutes. After the stained sample was allowed to air dry, TEM samples were obtained. A photomicrogram of Cur/MPEG-PLA micelles was obtained by using a transmission electron microscope (high-resolution transmission electron microscopy) (Tecnai G2 F20 S-TWIN).

Release of Cur from the Cur/MPEG-PLA micelles was performed by the dialysis membrane method. First, 1 mL of Cur/MPEG-PLA micelles solution (equivalent to 1 mg of Cur) was transferred in dialysis bags (Sigma-Aldrich Co.) with a molecular cutoff 3.5 kDa. The bags were suspended in 200 mL of phosphate-buffered saline (PBS) (pH 7.4) with 0.5% Tween 80 at 37°C in a shaking water bath at 100 rpm. At selected time intervals, 200 μL of normal saline (NS) sample was collected and replaced by an equal volume of fresh medium. The Cur content of PBS with Tween 20 was analyzed by an HPLC system.

Pharmacokinetic

Male Sprague Dawley rats (200±10 g body weight) were randomly assigned to two groups for pharmacokinetic investigation. Groups 1 and 2 received an intravenous (iv) injection of free Cur and Cur/MPEG-PLA micelles through the tail vein, respectively, at an equivalent dose of 60 mg/kg Cur versus the body weight. At time points of 0 (pre-dose), 15 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, and 24 hours post-injection, 0.5 mL of blood was collected in heparinized polyethylene tubes via carotid artery and centrifuged at 1,000× g for 10 minutes to obtain plasma. The plasma was separated and extracted with ethyl acetate, and supernatant fluid was collected and evaporated to dryness. The dry residues were dissolved in methanol for HPLC analysis.

MTT test

The MTT assay was applied to determine the cell proliferation. The C6 and U251 cells were planted in 96-well plates containing FBS (3×103 cells/well for 48-hour incubation and 5×103 cells/well for 24-hour incubation). Then, the cells were treated with free Cur or Cur/MPEG-PLA micelles at different concentrations (50 μg/mL, 25 μg/mL, 12.5 μg/mL, 6.25 μg/mL, 3.125 μg/mL, 1.563 μg/mL, and 0.753 μg/mL). After incubation for 24 hours or 48 hours, 5 mg/mL of MTT solution was added. The cells were then incubated for 3 hours and combined with dimethyl sulfoxide. Formazan generated by cellular dehydrogenase was measured by IMARK microplate reader (Multiskan; Thermo Fisher Scientific, USA) at 570 nm of absorbance.

Apoptosis study

The apoptosis of C6 cells was assayed with flow cytometry (FCM, BD FACSCalibur). Briefly, C6 cells were seeded into six-well plates (3×105 cells/well) and allowed to attach overnight. Then the cells were treated with free Cur or Cur/MPEG-PLA micelles at different concentrations for 24 hours (12.5 μg/mL, 6.25 μg/mL, and 3.125 μg/mL). Cells treated only with micelles were used as blank control. In the next step, the cells were harvested and combined with 5 μL Annexin V-fluorescein isothiocyanate (FITC) and 5 μL propidium iodide (PI) (Annexin V-FITC/PI Apoptosis Detection Kit). The stained cells were then analyzed with FCM.

Cellular uptake

Cellular uptake of free Cur and Cur/MPEG-PLA micelles was monitored by confocal microscopy and FCM. The C6 and U251 cells were grown in six-well culture plates (3×105 cells/well) and incubated overnight at 37°C. Subsequently, cells were treated with nonencapsulated Cur or Cur/MPEG-PLA micelles at various concentrations, respectively (6.25 μg/mL or 3.125 μg/mL). Cells treated with empty micelles (EM) served as control in the experiment. After 4 hours, the cells were washed three times with PBS to prevent contamination. Subsequently, the cells were viewed and photographed under a fluorescence microscopy. FCM was applied for quantification of intracellular Cur. After centrifugation at 1,000 rpm, cells were harvested and analyzed by FCM equipped with a 488 nm argon laser. The fluorescence emission at FL-1 from 10,000 cells was measured to compare the difference in cellular uptake between cells treated with free Cur and cells treated with Cur/MPEG-PLA micelles.

Antiglioma cancer in vivo

For in vivo implantation, C6 cells were injected subcutaneously at 1×107 cells in 0.1 mL in the right flank of the mice. When the tumor volume reached ~100 mm3, the mice were randomized into four groups (five mice each group) and treated with one of the following regimens: 1) NS, 2) EM, 3) free Cur (F-Cur, Cur: 50 mg/kg), and 4) Cur/MPEG-PLA micelles (Cur-M, Cur: 50 mg/kg). The tumor diameters were measured every other day with a vernier caliper in two dimensions. Individual tumor volume (V) was calculated using the formula: V = (L × W2) ×0.52, wherein length (L) is the longest diameter and width (W) is the shortest diameter perpendicular to length. In addition, for safety evaluation of the control and Cur formulations, the body weight of each mouse was determined every alternate day. At the end of the experiment, the animals were sacrificed by cervical dislocation, and the tumor mass was harvested and weighed.

Tunnel assay

Tumors were first dunked in PBS with 4% paraformaldehyde for at least 24 hours, then in 70% ethanol overnight, and finally embedded in paraffin. The 3–5 μm sections were cut and mounted. A terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) kit (Promega Corporation, Fitchburg, WI, USA) was applied to analyze apoptotic cells within C6 tumors. The samples were detected with fluorescence microscope (×400) according to the manufacturer’s protocol.

Immunohistochemical determination of Ki-67 and CD31

Antiproliferation and antiangiogenic effects of Cur/MPEG-PLA micelles were measured by immunochemistry with antibody Ki67 and CD31. Briefly, the tumor tissue frozen sections were fixed in acetone, washed with PBS, and stained with rabbit antirat Ki67 polyclonal antibody (1:50; BD Pharmingen™; BD Biosciences, San Jose, CA, USA) and rabbit antimouse CD31 (1:50; Abcam, Cambridge, UK). Then, it was washed twice with PBS, and stained with secondary antibody conjugating FITC or Rhodamine (Abcam). The positive cells were observed under microscope, and the number of capillaries per high-power field was manually counted.

Statistical analyses

The statistical analysis software SPSS15.0 for Windows (SPSS Inc., Chicago, IL, USA) was used. The results are recorded as mean ± standard deviation (SD). Analysis of variance was used for multiple group comparisons. P<0.05 was considered statistically significant.

Results

In this study, through the application of nanodelivery system, an aqueous formulation Cur/MPEG-PLA was obtained, and the anticancer activity and mechanism of this formation on glioma were explored in vitro and in vivo.

Preparation and characterization of the Cur/MPEG-PLA micelles

A highly soluble formation of Cur based on MPEG-PLA was developed by a single step of solvent evaporation method as previously reported.23 Cur and MPEG-PLA were codissolved in acetone, evaporated in rotary evaporator, and then combined with NS solution. During this process, Cur and MPEG-PLA self-assembled into Cur/MPEG-PLA micelles, which encapsulated Cur in the core part, with a hydrophilic shell as shown in Figure 1.

Figure 1 Preparation of Cur/MPEG-PLA micelles.
Notes: The Cur/MPEG-PLA was prepared by a solvent evaporation method. The MPEG-PLA and curcumin with different proportions were codissolved in acetone. Then through the steps of evaporation and hydration, MPEG-PLA and curcumin self-assembled into Cur/MPEG-PLA micelles.
Abbreviations: Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; PEG, poly(ethylene glycol).

The developed Cur/MPEG-PLA micelles were further characterized with respect to particle size, polydispersity index, zeta potential, and appearance features. In Figure 2A, the size distribution spectrum showed that the Cur/MPEG-PLA micelles were monodispersed and had a very narrow particle size distribution (polydispersity index =0.12±0.03). These Cur/MPEG-PLA micelles showed an average diameter of ~33±2.3 nm in aqueous phase and had the DL of 9.85%±0.03% and EE of 98.5%±0.03%. According to Figure 2B, the zeta potential of Cur/MPEG-PLA micelles was −3.3±0.3 mV. Furthermore, TEM was applied to observe the morphological characteristics of these nanoparticles. Spherical Cur/MPEG-PLA micelles were measured ~23 nm in drying phase under electron microscope (Figure 2C). Since the structure of these amphiphilic particles was usually loose in solution, the size measured by dynamic light scattering was always a little larger than that measured by TEM.

Figure 2 Characterization of Cur/MPEG-PLA micelles.
Notes: (A) Size distribution spectrum of Cur/MPEG-PLA micelles. (B) Zeta potential spectrum of Cur/MPEG-PLA micelles. (C) Transmission electron micrograph of Cur/MPEG-PLA micelles (bar 20 nm). (D) The combination of curcumin and MPEG-PLA modifies the physical property of curcumin, making it easily soluble in aqueous media. (a) Normal saline solution, (b) curcumin suspension, and (c) Cur/MPEG-PLA micelles solution.
Abbreviations: Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer.

As shown in Figure 2D, free Cur and Cur/MPEG-PLA micelles showed different dissolution behaviors in NS solution. Compared with free Cur, which formed a cloudy orange suspension (Figure 2Db), the Cur/MPEG-PLA micelle solution was transparent and clear, indicating a complete dispersibility in aqueous solution.

The in vitro release results showed that the Cur can be released slowly from Cur/MPEG-PLA micelles, and the free Cur was released very quickly (Figure 3A). The cumulative percentage release demonstrated that the amount of drug released from nanomicelles was gradually increased over time, and after 120 hours, there was an increase of >40%. The free Cur exhibited a high level (40%) at 2 hours. This indicated that Cur could be released from Cur/MPEG-PLA micelles.

Figure 3 Drug release in vitro and pharmacokinetic studies.
Notes: (A) In vitro release study and (B) in vivo pharmacokinetics assay of free curcumin and Cur/MPEG-PLA micelles.
Abbreviations: Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; F-Cur, free curcumin; Cur-M, Cur/MPEG-PLA micelles; h, hours.

To assess whether the micelles improve bioavailability of poorly water soluble drugs, the mean plasma concentration–time profiles of Cur after iv administration of free and formulated drug are presented in Figure 3B. Free Cur was rapidly cleared, and the plasma level of Cur was <2.1 μg/mL of the injected dose within 5 hours of injection. Compared with free drug, Cur concentration in plasma was ~20-fold higher for Cur/MPEG-PLA micelles at 6 hours after drug injection. The difference was most evident at time points beyond 6 hours (Figure 3B). The results demonstrate that MPEG-PLA-encapsulated Cur reduced drug elimination.

Cur/MPEG-PLA micelles enhance antiglioma cancer activity in vitro

The anticancer activity of free Cur and Cur/MPEG-PLA micelles was studied in vitro. The MTT assay was applied to investigate the cycotoxicity on two glioma cell lines (C6 and U251). As shown in Figure 4, both free Cur and Cur/MPEG-PLA micelles have time- and dose-dependent inhibitive effects on cell viability of C6 and U251 cells. Compared with the 24-hour group, the cell viability of 48-hour group decreases more significantly at the same drug concentration. Meanwhile, the half maximal inhibitory concentration (IC50) of Cur/MPEG-PLA micelles was slightly lower than that of free Cur, indicating that MPEG-PLA micelles improved the cytotoxicity of Cur to glioma cells.

Figure 4 In vitro cytotoxicity studies of Cur/MPEG-PLA micelles in different glioma cell lines.
Notes: Increasing concentrations of free curcumin and Cur/MPEG-PLA micelles were added to U251 (A and B) and C6 (C and D) glioma cells. After 24 hours (A and C) or 48 hours (B and D) treatment, cells were harvested, and the extent of growth inhibition was measured by MTT assay.
Abbreviations: Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide; F-Cur, free curcumin; Cur-M, Cur/MPEG-PLA micelles.

The IC50 of free Cur on U251 at 24 hours and 48 hours was 43.37 μg/mL and 10.38 μg/mL, respectively, which was higher than that of Cur nanomicelles (24 hours: 29.02 μg/mL; 48 hours: 6.82 μg/mL). And IC50 of free Cur on C6 at 24 hours and 48 hours was 4.74 μg/mL and 1.97 μg/mL, respectively, which was higher than that of Cur nanomicelles (24 hours: 4.38 μg/mL; 48 hours: 1.57 μg/mL). These results indicated that the encapsulated Cur by MPEG-PLA could enhance the cytotoxic activity of Cur.

In addition, the intracellular uptake of free Cur and Cur/MPEG-PLA micelles was measured to explore the mechanism of increased toxicity and apoptosis effect. The inset in Figure 5 shows that in the Cur/MPEG-PLA micelle group, a very bright, greenish fluorescence was observed in C6 cells after 4-hour incubation, indicating an enhanced drug accumulation. In comparison, no fluorescence was found in the group treated with EM, and a weak fluorescence was observed in a few glioma cells in the free Cur group. Moreover, this result was consistent with that obtained by FCM. As shown in Figure 6, the fluorescence intensities in the two glioma cell lines (C6 and U251) treated with Cur/MPEG-PLA micelles at different drug concentrations (3.125 μg/mL and 6.25 μg/mL) were both significantly higher than the blank control group and groups treated with EM and free Cur.

Figure 5 C6 cell uptake drug assay.
Notes: Fluorescence microphotographs showing C6 cells treated with empty micelles (A and A1), free curcumin (B and B1), and Cur/MPEG-PLA micelles (C and C1) at a concentration of 6.4 μg/mL after 4-hour incubation. Curcumin shows green fluorescence under fluorescence microscopy. AC are bright-filed images and A1C1 are fluorescence images.
Abbreviations: Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer.

Figure 6 Cell uptake drug assay with FCM.
Notes: FCM histograms showing cellular uptake of curcumin and Cur/MPEG-PLA micelles by C6 (A and B) and U251 (C and D) glioma cells at different drug concentrations after incubation for 4 hours. 3.2 μg/mL (A and C) and 6.4 μg/mL (B and D).
Abbreviations: FCM, flow cytometry; Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; NS, normal saline; EM, empty micelles; F-Cur, free curcumin; Cur-M, Cur/MPEG-PLA micelles.

The apoptosis of C6 glioma cells induced by Cur and Cur/MPEG-PLA micelles was determined by FCM using Annexin V-FITC/PI staining. According to Figure 7, in the NS and EM groups, the glioma cell apoptosis rates were 2.48% and 1.98%. In the free Cur and Cur/MPEG-PLA micelle treatment groups, the cell apoptosis rates were 10.79% and 15.24% at the drug concentration of 3.125 μg/mL. At the drug concentration of 6.25 μg/mL, the cell apoptosis rates were 15.45% and 18.7%. And at the drug concentration of 12.5 μg/mL, the cell apoptosis rates were 20.51% and 51.22%. It is clear that Cur/MPEG-PLA micelles have more pronounced effects of inducing cell apoptosis compared with free Cur and control groups.

Figure 7 The apoptosis of C6 glioma cells was determined by FCM using Annexin V-FITC/PI staining.
Notes: Normal saline (A), empty micelles (B), free curcumin (CE), and Cur/MPEG-PLA micelles (FH) were added to wells at different concentrations, respectively (Cur: 3.125 μg/mL for C and F, 6.25 μg/mL for D and G, and 12.5 μg/mL for E and H). After incubation for 24 hours, cells were harvested, stained with Annexin V-FITC/PI, and analyzed with FCM.
Abbreviations: FCM, flow cytometry; FITC, fluorescein isothiocyanate; PI, propidium iodide; Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer.

Nanomicelles improved antiglioma cancer activity of Cur in vivo

The nude mouse model bearing subcutaneous glioma was applied to evaluate the antiglioma activity of Cur/MPEG-PLA micelles. Four groups of randomly assigned mice bearing C6 tumor were treated with NS, EM, free Cur, and Cur/MPEG-PLA micelles through iv injection, respectively. Results shown in Figure 8 indicate that EM had no antiglioma activity, while free Cur and Cur/MPEG-PLA micelles could inhibit the growth of glioma. And the Cur/MPEG-PLA micelles inhibited glioma tumor growth more effectively than free Cur. More specifically, the weight of tumor in the Cur/MPEG-PLA micelle group was significantly lower than that in the group treated with free Cur, which suggested that the application of MPEG-PLA micelles enhanced the antiglioma activity of Cur in vivo.

Figure 8 Cur/MPEG-PLA micelles inhibit tumor growth in vivo.
Notes: (A) Suppression of subcutaneous tumor growth by Cur-M in tumor-bearing nude mice and (B) weight of tumors in each treatment group on day 24. (C) Body weight in each treatment group and (D) representative images of subcutaneous tumors in each treatment group.
Abbreviations: Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; Cur-M, Cur/MPEG-PLA micelles; NS, normal saline; EM, empty micelles; F-Cur, free curcumin.

In order to make clear the proliferative activity of glioma, the tumor sections of each group were stained with Ki67. The representative photographs were shown in Figure 9. The Ki67-positive tumor cells significantly reduced in the Cur/MPEG-PLA micelle group compared with that in other groups. The positive cells were counted, and the Ki67 index was significantly lower in the Cur/MPEG-PLA micelle group (27%±3.5%) than that in groups treated with free Cur (43%±5.9%), EM (67%±7.3%), and NS (70%±11.6%), indicating that Cur/MPEG-PLA micelles could obviously suppress the proliferation of glioma in vivo.

Figure 9 Cell proliferation activity assay with Ki67.
Notes: Ki-67 immunohistochemical staining applied for the assessment of tumor proliferation activity. Each group treated with NS (A and A1), empty micelles (B and B1), free curcumin (C and C1), and Cur/MPEG-PLA micelles (D and D1) was stained with Ki-67 antibody (AD) and DAPI (A1D1). Cur/MPEG-PLA micelles showed a pronounced antiproliferative activity compared with that of other groups.
Abbreviations: NS, normal saline; Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; DAPI, 4′,6-diamidino-2-phenylindole.

In addition, the TUNEL assay was applied to investigate the mechanism of the improved antiglioma activity of Cur/MPEG-PLA micelles. As shown in Figure 10, both free Cur and Cur/MPEG-PLA micelles treatment induced significant cellular apoptosis as compared with NS and EM treatment (P<0.05), which was revealed by greenish fluorescence. More apoptosis cells were observed in the Cur/MPEG-PLA micelle group than that in the NS, EM, and free Cur groups. The apoptosis index was significantly more in the Cur/MPEG-PLA micelle group (47%±5.5%) than that in the NS (3%±1.2%), EM (2%±0.9%), and free Cur group (29%±3.2%), which implied that the induction of cellular apoptosis could be a possible approach for Cur/MPEG-PLA micelles to induce antiglioma activity in vivo.

Figure 10 TUNEL test.
Notes: The TUNEL assay was performed for the detection of tumor cell apoptosis in glioma model. Tumor sections of each group treated with NS (A), empty micelles (B), free curcumin (C), and Cur/MPEG-PLA micelles (D) were stained with TUNEL for observation of cell apoptosis. Compared with free curcumin, Cur/MPEG-PLA micelles showed a prominent apoptosis induction effect.
Abbreviations: TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling; NS, normal saline; Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer.

Furthermore, immunofluorescent analysis with anti-CD31 monoclonal antibody was performed to observe the new vasculature content in frozen tumor sections. As shown in Figure 11, CD31-positive endothelial cells in the free Cur treatment group were less than that of the NS group and the empty micelle group but more than that of the Cur/MPEG-PLA micelle group (Figure 11AD). The microvessel number was counted in details. A remarkably fewer of microvessels were present in the free Cur group (31±7) and the Cur/MPEG-PLA micelle group (14±3) compared with the NS group (131±23) and the EM group (120±17). In addition, the Cur/MPEG-PLA micelle group reduced the number of microvessels more significantly when compared with the free Cur group (P<0.05). No significant difference was observed between the NS group and the EM group.

Figure 11 Antiangiogenesis analysis with CD31 immunofluorescence staining.
Notes: Representative CD31 immunofluorescence images for the NS (AA2), empty micelles (BB2), free curcumin (CC2), and Cur/MPEG-PLA micelles (DD2) are shown. Groups were stained with CD31 antibody (AD) and DAPI (A1D1). Merged images are shown in (A2D2).
Abbreviations: NS, normal saline; Cur, curcumin; MPEG-PLA, monomethoxy poly(ethylene glycol)-poly(lactide) copolymer; DAPI, 4′,6-diamidino-2-phenylindole.

Discussions

Cur has exhibited promising effects for treating cancer in various tissues.811,2427 It has received extensive attention with its unique effectiveness in glioma therapy. Previous studies demonstrated that Cur can significantly inhibit the proliferation of glioma cells by downregulating multidrug resistance proteins that cause the efflux of many chemotherapeutic agents.28,29 However, its clinical application is severely restricted due to its low water solubility.

In order to resolve the poor aqueous solubility, fast metabolism, and low biological availability of Cur, some materials were used such as liposomes and polymer micelles to improve it.16,30 Different aspects should be taken into account when selecting nanodelivery system, including suitable polymer fonts, support stability, chemotherapeutic drug solubility, and so on. As a biodegradable nanometer material, MPEG-PLA micelle has shown promising drug EE, high stability, and low toxicity in drug delivery in previous anticancer research.3133 In this study, we used a biodegradable polymer MPEG-PLA to deliver Cur to the tumor site. Through a one-step solvent evaporation method, Cur was encapsulated into MPEG-PLA micelles to create Cur/MPEG-PLA micelles for better antiglioma effects. Compared with the preparation of Cur Poly (lactic-co-glycolide) (PLGA),34 the preparation of Cur-MPEG-PLA was very simple and fast.

The Cur/MPEG-PLA assembly model has been demonstrated in Figure 1. Hydrophobic Cur exhibited a high affinity for the domain of PLA locating in the center of the spherical structure, resulting in a high encapsulation efficacy. And the MPEG segments located at the surface of this spherical structure were hydrophilic, which stabilized the Cur/MPEG-PLA micelles in water and prevented the aggregates of nanoparticles.35 With these characters, Cur/MPEG-PLA micelles can be fully dispersed in aqueous solution, which is consistent with the appearance of Cur/MPEG-PLA solution and the result of TEM in this study. Furthermore, this core–shell structure may contribute to the sustained drug release in vitro and the high effective treatment of glioma. Compared with the Cur loaded in the PLGA and PEG-PLGA,36,37 Cur PLA-PEG nanomicelles have a small particle size, high DL, and high EE.

Although Cur-encapsulated formulations have been made in the recent past, their effectiveness has been limited due to their high particle size and low penetrating capacity into the cancer cells, resulting in poor therapeutic effects in cancer treatment.3840 In a previous study, the gaps between adjacent endothelial cells were >200 nm. The micelles loading drug with diameter <200 nm could pass through the endothelial cell gaps into tumor tissues.41 The Cur/MPEG-PLA micelles prepared by our group in this work were monodispersed and showed an average diameter ~33±2.3 nm in aqueous phase, which made Cur/MPEG-PLA micelles cross the endothelial cell gaps smoothly so as to improve the antiglioma activity of Cur.

From the pharmacokinetic experiment, we found that the circulation time of Cur nanoformulations in vivo was prolonged, which indicated that the biocompatibility and bioavailability of Cur nanoformulations can be increased, with the same advantages of other Cur formulations.4245 With the encapsulation of MPEG-PLA micelles, Cur was more easily taken up by glioma cells and reached a higher concentration in C6 and U251 cell lines compared with free Cur, which was demonstrated in Figures 5 and 6. In this study, since the results of MTT assay showed that the cell viability of C6 and U251 cell lines in the Cur/MPEG-PLA micelle group decreased more significantly, we speculate that the high drug uptake of Cur/MPEG-PLA micelles in glioma cells may contribute much to the enhanced antiglioma activity in vitro. For testing uptake of Cur through FCM, we found that glioma cell features of uptaking of more Cur from Cur nanoparticles was similar to the nanoparticulate Cur made by Mohanty and Sahoo46 and Tripodo.47

In the nude mouse model bearing glioma, our study showed that the weights and volumes of subcutaneous gliomas were more effectively inhibited in the Cur/MPEG-PLA micelle group compared with other groups. In the meanwhile, the body weights of nude mice in four groups were not statistically significant, indicating a low drug toxicity of Cur/MPEG-PLA micelles to normal tissues. The result of pharmacokinetic study in our research exhibited a more stable plasma concentration of Cur released from Cur/MPEG-PLA micelles, which may be due to the avoidance of elimination of Cur in circulation through encapsulation by MPEG-PLA micelles. Moreover, the sizes of Cur/MPEG-PLA micelles are smaller than the tumor interendothelial junctions. Combined with the impaired lymphatic drainage, the localization of Cur/MPEG-PLA micelles is much improved. As we all know, prolonged accumulation of chemotherapy agents in the tumor region is crucial for effective chemotherapy.

The antitumor mechanisms of Cur were explored in this research. It is known that the nuclear-associated antigen Ki67 is expressed in proliferating cells. Previous studies have shown that Ki67 is closely related to the activity of cell proliferation and could be a predictor of prognosis of various tumors.48,49 As shown in Figure 9, the Ki67-positive cells in the Cur treatment groups were much fewer than the control groups, indicating that Cur inhibited glioma through the inhibition of cell proliferation. In addition, tumor sections were stained with CD31 to evaluate the angiogenesis of glioma. The number of microvessels in each group was counted. It was obvious that the Cur treatment led to a marked inhibition of angiogenesis in tumor tissues, which suggested that the mechanism of antiangiogenesis may be involved in the inhibition of glioma by Cur in vivo. Furthermore, the apoptosis tumor cells were also examined in vitro and in vivo. The results of Annexin V-FITC/PI staining in vitro and TUNEL staining of tumor sections were consistent. According to the results shown in Figures 7 and 10, induction of apoptosis may be another mechanism that Cur inhibits glioma. More importantly, the glioma cell apoptosis rate of the Cur/MPEG-PLA micelle group was higher than that of the free Cur group, which implied that MPEG-PLA micelles enhanced the antiglioma activity of Cur.

Conclusion

Biodegradable Cur/MPEG-PLA micelles were applied to treat glioma cancer in vitro and in vivo. Compared with free Cur, the cellular uptake and cytotoxicity were increased in vitro after Cur was encapsulated into polymeric micelles. Besides, a sustained release behavior was observed in the Cur/MPEG-PLA micelle group in vitro. Furthermore, Cur/MPEG-PLA micelles showed significant effectiveness on suppressing glioma growth by inducing more cell apoptosis and inhibiting more cell proliferation and angiogenesis versus free Cur. Thus, the Cur/MPEG-PLA micelles in this study may have potential clinical applications in glioma therapy.

Acknowledgment

This work was supported by the National Natural Science Foundation of China (NSFC81502165) and Sichuan University Outstanding Young Scholars Research Fund (2016SCU04A04).

Disclosure

The authors report no conflicts of interest in this work. The authors alone are responsible for the content and writing of the paper.


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