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Redox-sensitive micelles composed of disulfide-linked Pluronic-linoleic acid for enhanced anticancer efficiency of brusatol

Authors Zhang J, Fang X, Li Z, Chan HF, Lin ZX, Wang Y, Chen M

Received 20 December 2016

Accepted for publication 25 February 2017

Published 13 February 2018 Volume 2018:13 Pages 939—956


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

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

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Jinming Zhang,1,* Xiaobin Fang,1,* Zeyong Li,2 Hon Fai Chan,3 Zhixiu Lin,4 Yitao Wang,1 Meiwan Chen1

1State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macau, China; 2Department of Laboratory Medicine, Guangdong No 2 Provincial People’s Hospital, Guangzhou, China; 3Department of Biomedical Engineering, Columbia University, New York, NY, USA; 4Faculty of Science, School of Chinese Medicine, Chinese University of Hong Kong, Shatin, Hong Kong, China

*These authors contributed equally to this work

Abstract: Brusatol (Bru) exhibits promising anticancer effects, with both proliferation inhibition and chemoresistance amelioration activity. However, the poor solubility and insufficient intracellular delivery of Bru greatly restrict its application. Herein, to simultaneously utilize the advantages of Pluronics as drug carriers and tumor microenvironment-responsive drug release profiles, a flexible amphiphilic copolymer with a polymer skeleton, that is, Pluronic® F68 grafting with linoleic acid moieties by redox-reducible disulfide bonds (F68-SS-LA), was synthesized. After characterization by 1H-nuclear magnetic resonance and Fourier transform infrared spectroscopy, the redox-sensitive F68-SS-LA micelles were self-assembled in a much lower critical micelle concentration than that of the unmodified F68 copolymer. Bru was loaded in micelles (Bru/SS-M) with high loading efficiency, narrow size distribution, and excellent storage stability. The redox-sensitive Bru/SS-M exhibited rapid particle dissociation and drug release in response to a redox environment. Based on the enhanced cellular internalization, Bru/SS-M achieved higher cytotoxicity in both Bel-7402 and MCF-7 cells compared with free Bru and nonreducible micelles. The improved anticancer effect was attributed to the remarkably decreased mitochondrial membrane potential and increased reactive oxygen species level as well as ­apoptotic rate. These results demonstrated that F68-SS-LA micelles possess great potential as an efficient delivery vehicle for Bru to promote its anticancer efficiency via an oxidation pathway.

Keywords: poloxamer188, tumor micro-environment, glutathione, Brucea javanica, cancer treatment


In view of the continually rising morbidity and mortality rates caused by cancer worldwide, it is imperative to develop effective therapeutic options. Unfortunately, chemotherapy, one of the most common cancer treatment approaches,1 is hampered by unsatisfactory therapeutic outcomes. The challenges of chemotherapy include the narrow therapeutic window of anticancer drugs, poor water solubility, short circulating half-life, insufficient tumor accumulation and non-selective delivery to tumor sites.2,3 Recent advances in nanoscale drug delivery (particle size: 20–250 nm) have drastically improved chemotherapy outcomes.4 Particularly, tumor-targeted nanocarriers have shown promising results in terms of higher intra-tumoral drug concentrations and lower normal tissue concentrations than free drug counterparts via an enhanced permeability and retention (EPR) effect or overexpressed tumor receptor binding.57 However, the therapeutic efficiency of nanomedicine in clinics remains questionable as a consequence of the excessively gradual drug release from nanovehicles.810 Redox-sensitive micelles have recently received increasing interest to facilitate drug bursts at the tumor site in response to the higher glutathione (GSH) concentrations in cancer cells (~10 mM) compared with ~20 μM GSH in normal physiological environments.1114 This unique intracellular redox potential enables the versatile design of redox-sensitive micelles with improved intracellular drug delivery and enhances therapeutic efficiency.

Pluronic, a triblock copolymer comprising hydrophilic poly(ethylene oxide) (PEO) and lipophilic poly(propylene oxide) (PPO), has been widely used in nanodrug delivery systems with good biocompatibility and low toxicity.1517 Based on its amphiphilic nature, single component Pluronic copolymer micelles can be formulated based on its hydrophobic PPO core and hydrophilic PEO corona.18 Pluronic F68, with a monomer unit ratio of 78/30/78, is approved for intravenous injection by the US Food and Drug Administration. Nevertheless, due to its high PEO/PPO ratio, the drug encapsulation efficiency (EE) and stability of single F68 micelles are poor.19 Some strategies have been explored to enhance the kinetic stability of F68 micelles in the blood stream upon dilution and to reduce the critical micelle concentration (CMC), including generating mixed micelles with different Pluronic copolymers,20 F68-drug conjugates,21 and F68 complexed with other amphiphilic copolymers.22 However, both the copolymer complexes and chemical conjugation prodrug approaches require excess amounts of polymers, resulting in reduced drug loading (DL) efficiency. Reinforcing the hydrophobic core of F68 by conjugating additional lipophilic chains could effectively enhance the drug-encapsulation capacity and strengthen its stability.

One of the most prominent strategies in cancer chemoprevention is to regulate oxidative stress in both tumor development and response to anticancer therapies.23 Brusatol (Bru), a quassinoid isolated from the Chinese herbal medicine Brucea javanica fruit,24 demonstrates various bioactivities, including anticancer.25 Moreover, Bru can improve chemotherapy efficiency by inhibiting the up-expression of nuclear factor erythroid 2-related factor 2,26 which contributes to chemoresistance.27,28 However, like numerous other anticancer candidates, its high hydrophobicity caused by the multiple hydrophobic rings in the molecular structure greatly limits clinical application through intravenous administration.

In this study, water-soluble amphiphilic F68 was grafted with linoleic acid (LA),29 an essential fatty acid with a chain length of 18 carbon atoms, mediated by the disulfide linkage to encapsulate Bru (Bru/F68-SS-LA). This approach aimed to decrease the CMC value, enhance the DL, and generate more substantial redox-sensitive micelles by self-assembly. More importantly, LA can be incorporated into the lipid bilayer of cells seamlessly,30 which results in higher cellular uptake of F68-SS-LA micelles. The physicochemical properties, such as the CMC, stability, micelle size, DL, and in vitro redox-responsive drug-release behavior were investigated. Furthermore, the enhanced cellular uptake, cytotoxicity, and related antioxidative pathways were examined in detail.

Materials and methods


Poloxamer 188 (Pluronic F68, Mw 8350) was purchased from BASF Co. (Ludwigshafen, Germany). 4-Dimethylaminopyridine (DMAP), N, N′-dicyclohexylcarbodimide (DCC) were purchased from GL Biochem Ltd. (Shanghai, China). Cystamine (CA) dihydrochloride (purity ≥96%) and Coumarin 6 were purchased from Sigma-Aldrich (St Louis, MO, USA). Pyrene was obtained from Baoman Bio (Shanghai, China).

Chemical compounds

Bru (PubChem CID: 73,432); LA (PubChem CID: 52,80,450). Bru with purity >98% was provided by Prof Zhixiu Lin at the School of Chinese Medicine, The Chinese University of Hong Kong. LA was purchased from Aladdin Industrial Corporation (Shanghai, China).

Synthesis of F68-SS-LA copolymer

The synthesis of the F68-SS-LA conjugate consisted of 3 steps (Figure 1). 1) F68 (1 mmol) and succinic anhydride (SA, 2.2 mmol) were dissolved in dimethyl sulfoxide (DMSO; Sigma-Aldrich) and reacted under nitrogen protection in the presence of DCC (2.5 mmol) and DMAP (0.2 mmol). After 24 h, the reaction mixture was dialyzed in a dialysis tube with molecular weight cut-off (MWCO) 5000, and the F68-(SA)2 (COOH-SA-PEO-PPO-PEO-SA-COOH) crude products were obtained by lyophilization. 2) CA dihydrochloride was transformed into the CA base form by stirring with 1% triethylamine for 3 h. CA was conjugated with F68-SA by amidation in the presence of 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide (EDC) and N-hydroxysuccinimide (NHS) (molar ratio was 2:1:2.5:2.5). The excess CA, DCC, and DMAP were removed by dialyzing in a dialysis tube with MWCO 3500. F68-(CA)2 containing disulfide bonds was obtained by separation using thin-layer chromatography with a mobile phase of methanol/chloroform (70:30, v/v). 3) Finally, 2-fold equivalent molar of LA was conjugated with F68-(CA)2 to produce EDC/NHS, mediated by amidation conjugation between activated carboxyl group of LA and the terminal amino group of F68-(CA)2. After stirring for 24 h, the insoluble by-products were removed using a membrane filter (0.45 μm).

Figure 1 Synthetic scheme of F68-SS-LA copolymer.
Abbreviations: CA, cystamine; DCC, N, N′-dicyclohexylcarbodimide; DMAP, 4-dimethylaminopyridine; EDC, 1-(3-Dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride; LA, linoleic acid; NHS, N-hydroxysuccinimide; SA, succinic acid; TEA, triethylamine.

To compare the redox-sensitivity, F68-CC-LA was also synthesized, as shown in Figure S1. The synthesized copolymers were characterized by 1H-NMR spectroscopy (400 MHz; Bruker, Bremen, Germany) with deuterated chloroform as the solvent.

Drug loading in F68-SS-LA micelles

Bru was loaded in F68-SS-LA micelles by film hydration.31 Concisely, F68-SS-LA (15 mg) and 2 mg Bru were mixed and dissolved in 2 mL of methanol. Afterwards, the methanol solution was evaporated using a rotary vacuum to form a thin film, followed by vacuum drying at 40°C overnight. The thin film was rehydrated in 10 mL of deionized water by stirring for 1 h to form a micellar suspension. The unencapsulated Bru was removed using a membrane filter (0.45 μm). Bru-loaded F68-SS-LA micelles were further sterilized using a 0.22 μm syringe. Blank micelles were prepared using a similar procedure without adding Bru drug. Furthermore, Bru/F68-LA micelles were also prepared by using F68-LA copolymer instead of F68-SS-LA copolymer.

The drug concentration of the Bru-loaded micelles was determined by high-performance liquid chromatography (HPLC) with a maximum absorption wavelength of 360 nm. Micelles were dissolved in an equivalent amount of methanol to disrupt the polymeric shells and to release drugs. The DL amount was determined using a Waters e2695 HPLC with a reversed-phase C18 column (250×4.6 mm) at a flow rate of 1 mL/min. The mobile phases consisted of methanol: acetonitrile:0.25% acetic acid at 65:30:5. The DL and EE were calculated using the following equations:

Characterization of Bru-loaded redox-sensitive micelles

The average particle size, size distribution, and zeta potential of the Bru-loaded F68-SS-LA micelles (1 mg/mL) were measured using a dynamic light scattering (DLS) instrument (Zetasizer Nano ZSP system; Malvern Zetasizer, Malvern, UK) at 25°C. The morphologies of Bru-loaded micelles containing disulfide linkages were imaged by transmission electron microscopy (TEM) (HRTEM, Tecnai G20; FEI Company, Hillsboro, OR, USA). Specimens were prepared by adding 50 μL of micellar suspension dropwise to a Formvar/carbon film grid followed by partial air-drying and negative staining with 2% phosphotungstic acid.

The CMC values of the F68-SS-LA and F68 copolymers were determined by fluorescence measurements using pyrene as a hydrophobic probe.32 Pyrene solutions (6×10−6 M) in acetone were added to each vial and were subsequently evaporated to remove the organic solvent. A series of concentrations of copolymer solutions 10 mL ranging from 0.0001 to 1 mg/mL was added to the vials and mixed for 3 h by sonicating and vortexing to equilibrate the pyrene and the micelles. The final concentration of pyrene was 6.0×10−7 M. The emission spectra of pyrene were recorded from 360 to 450 nm using a fluorescence spectrophotometer (LUMINA; Thermo Scientific, Waltham, MA, USA) at an excitation wavelength of 339 nm, in which the slit opening for the excitation and emission spectra was set at 5 nm. The intensity ratio of the fluorescence intensities at 373 and 384 nm in the pyrene emission spectra was then calculated.

The storage stability of Bru-loaded F68-SS-LA micelles (Bru/SS-M) was examined by monitoring the particle size change over the storage time in PBS buffer with or without 10% fetal bovine serum (FBS). Briefly, Bru/SS-M was lyophilized and redissolved in buffer at 0.5 mg/mL. The particle size and zeta potential of micelle suspensions stored at 37°C and 4°C were determined by DLS for 7 days.

Redox-sensitivity of Bru-loaded micelles

The in vitro redox-sensitivity of Bru/SS-M was studied via reduction-triggered disintegration and drug release. Briefly, Bru/SS-M was dissolved in PBS containing 10 mM dithiothreitol (DTT) at 1 mg/mL and kept in a shaking bath at 37°C. The particle size was measured by DLS at a predetermined time to monitor disintegration, and a TEM image of Bru/SS-M with 10 mM DTT treatment for 48 h was obtained.

In vitro release of Bru from F68-SS-LA micelles was studied using a dialysis method, in which 0.5% Tween-80 solution was used as the release medium. Briefly, 2 mL Bru-loaded micelle suspension was added to a dialysis bag with MWCO 3.5 kDa and was incubated in 40 mL of release medium with or without 10 mM DTT with shaking at 100 rpm and 37°C. The drug-leakage profile of an equivalent amount of free Bru was employed as control. At predetermined time points, 2 mL of release medium was collected, and the same volume of fresh release medium was added. The concentration of Bru in the release medium was determined by HPLC. The cumulative percentage of Bru release was calculated using the following formula:

Mi represents the total amount of drug released at the ith time point. Ci (mg/mL) represents the concentration of Bru in the release medium at the ith time point. Σj=1j=j–1Cj × 1 mL represents the total amount of drug release before the jth time point. MA represents the initial amount of Bru in the dialysis bag.

Cell culture and drug treatment

Human hepatocellular carcinoma Bel-7402 and breast cancer MCF-7 cell lines, obtained from American Type Culture Collection, were cultured in DMEM with high glucose containing 10% FBS, supplemented with 50 U·mL−1 penicillin–streptomycin (Invitrogen, Carlsbad, CA, USA) and incubated at 37°C in a 5% CO2 atmosphere. Cells were passaged with 0.05% trypsin-EDTA (Invitrogen). Cells pretreated with samples were seeded into 12-well plates or 96-well plates 1 day before the experiment. Bru was dissolved in sterile DMSO and stored at 4°C. The micellar suspension was filtered with a 0.22 μM pore PVDF syringe filter for sterilization. Solvent control was included by diluting the same volume of DMSO or PBS buffer used in drug preparation in the culture medium.

Cell uptake studies

The cellular uptake efficiency of Bru micelles in Bel-7402 and MCF-7 cells was measured by determining the intracellular drug concentration via HPLC. Briefly, cells were seeded in a 6-well plate at a density of 1×105 cells per well for 24 h before the experiment. Cells were treated with free Bru, Bru/F68-CC-LA (non-SS-M), and Bru/F68-SS-LA (SS-M) (equivalent Bru concentration of 2 μM) for predetermined time intervals (1, 3, and 6 h, respectively) at 37°C. At the end of the incubation period, cells were collected and washed 3 times with cold PBS. Then, cells were lysed with 1% Triton X-100. Both the protein amount and Bru concentration in the cell lysate were determined using a BCA protein assay kit and HPLC analysis, as previously reported.33 Cellular accumulation of Bru was normalized with respect to the total protein amount.

In addition, the fluorescent dye coumarin-6 (C6) was employed to replace Bru and was loaded in micelles to visualize the cellular internalization capacity. The cellular uptake of C6/NPs in Bel-7402 and MCF-7 cells was observed using an IN Cell Analyzer (GE Healthcare, Little Chalfont, UK). After incubation with cells for 6 h, culture medium containing the aforementioned C6 samples with an equivalent concentration of C6 (1 μg·mL−1) was removed. Cells were washed 3 times with cold PBS, fixed in 4% paraformaldehyde for 10 min, stained with Hoechst 33342 for 10 min, and observed by fluorescent DAPI and fluorescein isothiocyanate (FITC) channels, respectively.

Cell viability

The in vitro cytotoxicity of Bru/SS-M was investigated on Bel-7402 and MCF-7 cells using the 3-(4 5-dimethylthiazol-2-yl)-2 5-diphenyltetrazolium bromide (MTT) assay. Briefly, 5×103 cells were seeded in each well of a 96-well plate. After 24 h incubation, cells were treated with free Bru, Bru/non-SS-M, and Bru/SS-M at indicated concentrations for 24 and 48 h. The untreated cells acted as controls. After treatment, cells were kept in fresh culture medium containing 1 mg/mL of MTT for another 4 h at 37°C. DMSO 100 μL was added to dissolve the formed formazan crystals. The optical density was recorded at 570 nm on a microplate reader. Each treatment group included 3 individual wells, and cell viability was calculated as ODtreatment/ODcontrol.

Mitochondrial membrane potential (MMP) assay

The change in MMP was determined by the 5,5′,6,6′-tetrachloro-1,1′,3,3′-tetraethylbenzimidazolcarbocyanine iodide (JC-1) probe and analyzed using flow cytometry (FCM). Bel-7402 and MCF-7 cells were plated in 12-well plates at a density of 5×104 cells per well. After treatment with various Bru formulations (equivalent concentration of 5 μM) for 12 h, 5 μL·mL−1 of the JC-1 staining solution (Beyotime, Shanghai, China) was added to each well followed by co-incubation for 20 min in the dark. The untreated cells and cells treated with 0.1% carbonyl cyanide m-chlorophenylhydrazone acted as the negative and positive controls, respectively. Cells were washed, collected, and resuspended in 200 μL JC-1 working buffer. The ratio of red fluorescence to green fluorescence was defined as the depolarization level.

Reactive oxygen species (ROS) generation

The accumulation of intracellular ROS was detected using the 2′,7′-dichlorofluorescin diacetate (DCFH2-DA) probe, as described previously.34 Briefly, after treatment with various Bru formulations (equivalent concentration of 5 μM) for 6 h, cells were co-incubated with 1 μM DCFH2-DA for 20 min at 37°C in a humidified atmosphere at 5% CO2. Cells were washed, collected, and resuspended in 200 μL PBS in the dark. To quantify ROS, the fluorescence intensity (FL-1 channel) was measured by FCM. The green fluorescence generated by the accumulated ROS was observed using a fluorescence microscope.

Apoptosis assay

The apoptosis induction effect of Bru/F68-SS-LA in Bel-7402 and MCF-7 cells was detected by Annexin V-FITC/propidium iodide (PI) assay. Briefly, cells were plated into 6-well plates with 2×105 cells per well and treated for 24 h with Bru formulations (equivalent concentration of 5 μM). Subsequently, cells were collected, washed with cold PBS, successively stained with 3 μL of Annexin V-FITC and 2 μL of 100 μg/mL PI, and resuspended in 200 μL of binding buffer. After 15 min incubation, a total of at least 10,000 events were recorded by FCM (BD, San Diego, CA, USA).

Calcein-AM/PI double staining was used to evaluate cell death.35 Similarly, Bel-7402 and MCF-7 cells were seeded in 96-well plates and treated with samples with an equivalent concentration of Bru (2 μM). After 24 h, the cells were washed and stained with calcein-AM/PI for 10 min. Cells were observed using an IN Cell Analyzer (GE Healthcare) in the green and red fluorescent channels, which provided quantification of living and dead cells, respectively.

Statistical analysis

Data are presented as the mean ± SD. Statistical significance was determined by analysis of variance among 3 groups or Student’s t-test between 2 groups. P-values of <0.05 were considered significant.

Results and discussion

Characterization of the F68-SS-LA conjugate

The F68-SS-LA conjugate was synthesized by multiple graft reactions, as shown in Figure 1. 1H NMR spectra were used to confirm the process (Figure 2A). We observed typical signals for the F68 polymer, including the –CH2 peaks (δ=3.60–3.65 ppm), –CH peaks (δ=3.50–3.55 ppm), and the –CH3 peaks (δ=1.10–1.17 ppm). Additionally, we observed the typical signals for LA in the spectra of F68-SS-LA, including peaks a (δ=5.32–5.39 ppm), peaks b (δ=2.75–2.80 ppm), peaks c (δ=2.30–2.36 ppm), peaks d (δ=2.03–2.13 ppm), peaks e (δ=1.59–1.66 ppm), peaks f (δ=1.28–1.39 ppm), and peaks g (δ=0.87–0.93 ppm). Because of the successful conjugation, all the representative peaks were observed in the 1H NMR spectrum of F68-SS-LA. Moreover, the methylene peaks of CA (–CH2–CH2–S–S–CH2–CH2–) at δ 2.71–2.86 ppm (peak h and i)36 that emerged in F68-SS-LA demonstrated the successful synthesis of the F68-SS-LA conjugate. In addition, the Fourier transform-infrared (FT-IR) spectra of F68-SS-LA further supported the verification of the F68-SS-LA polymer structure (Figure 2B). Based on the FT-IR spectrum of LA,37 the stretching bands at 1,740, 1,711, and 1,650 cm−1 resulted from amides (–CO–NH–) in the F68-SS-LA conjugates. The 1H NMR spectrum of the F68-SS-LA copolymer is shown in Figure S2.

Figure 2 (A) 1H NMR spectra of F68 polymer, LA moiety, and F68-SS-LA copolymer; (B) FT-IR spectra of F68 polymer and F68-SS-LA copolymer.
Abbreviations: LA, linoleic acid; FT-IR, Fourier transform-infrared spectroscopy; NMR, nuclear magnetic resonance.

Preparation and characterization of Bru-loaded micelles

The amphiphilic nature of the F68-SS-LA copolymer enabled micelles to be generated by self-assembly. The blank F68-SS-LA micelles exhibited a particle size of 83.56±3.42 nm and a zeta potential at −16.8±1.2 mV. According to our previous study, the apparent partition coefficient (Log P) of Bru was ~1.82. Thus, hydrophobic Bru could be encapsulated into F68-SS-LA micelles through hydrophobic interactions between the LA moieties and Bru agents, with the narrow size distribution for the EPR effect (Figure 3A). With a Bru feed ratio of 11.7% (w/w), the DL and EE in the F68-SS-LA micelles were 8.4%±0.3% (w/w) and 92.0%±0.5%, respectively. Based on DLS determination, Bru/F68-SS-LA micelles possessed a narrow average size distribution of 94.38±2.68 nm (polydispersity index [PDI] <0.2) with a zeta potential of −17.2±1.6 mV. Similarly, blank F68-SS-LA micelles exhibited a narrow average size distribution of 88.42±2.12 nm with a PDI value of 0.146. The TEM images in Figure 3B show that the drug-loaded micelles were spherical in shape with sizes of 50–100 nm. The size range of the micelles indicated that Bru-M was selectively accumulated in solid tumors via the EPR effect.38

Figure 3 Characterization of Bru-loaded F68-SS-LA micelles (Bru/SS-M).
Notes: (A) Particle size distribution by DLS determination. (B) TEM images of Bru/SS-M, scale bar is 50 nm. Magnification ×250,000. Intensity ratio of I373/I384 from emission spectra of pyrene as a function of log (F68-SS-LA). (C) and F68-CC-LA (D) polymer concentration for CMC value determination. Storage stability evaluation of Bru/SS-M in particle size and zeta potential at 37°C (E) and 4°C (F).
Abbreviations: Bru, brusatol; DLS, dynamic light scattering; LA, linoleic acid; CMC, critical micelle concentration; TEM, transmission electron microscopy.

The self-assembly behavior of the F68-SS-LA copolymer in aqueous solution and the dilution resistance capacity were characterized based on the CMC and compared with the F68-CC-LA block polymer. The fluorescent spectrum of pyrene probe will change if the pyrene loaded in the micelle core is released into the aqueous solution when the micelles are diluted excessively. The CMC was obtained by plotting the ratio of I373/I384 of the emission spectra profile vs the concentration of copolymers. As shown in Figure 3C and D, this ratio decreased with increasing concentration of copolymer. The CMCs for F68-SS-LA and F68-CC-LA were as low as 7.94×10−4 and 15.48×10−4 g/L, respectively. This similar CMC values of the F68-SS-LA and F68-CC-LA copolymers indicated that there was no significant difference in the self-assembly behavior of F68 conjugates with redox-sensitive linkage and nonredox-sensitive linkage. However, the copolymers conjugated with LA moieties exhibited a much lower CMC than a single F68 polymer (CMC for F68 was ~1.003×10−2 g/L in the previous study39). The addition of LA moiety to the F68 polymer could significantly decrease the CMC of F68, resulting in higher stability and antidilution capacity.

Subsequently, the storage stability of Bru/F68-SS-LA micelles at 37°C and 4°C was monitored using DLS to determine the change in size and zeta potential. As shown in Figure 3E and F, the properties of Bru/F68-SS-LA micelles did not change significantly after 1 week of storage, with no precipitation or aggregation observed.

Redox-sensitivity of micelles

The size change of Bru/SS-M in buffer containing 10 mM DTT at different time intervals was detected to determine the reduction-triggered destabilization. During a 48 h incubation, a gradual increase in the size of the micelles was observed (Figure 4A). The initial size of Bru/SS-M showed a unimodal distribution with an average hydrodynamic diameter of ~94 nm. However, the particle size of the micelles dramatically increased to >450 nm after 48 h incubation with 10 mM DTT. After 48 h of incubation, monodisperse particles were not observed in the TEM image (Figure 4A), indicating the redox-sensitive dissociation of micelles containing SS linkage.

Figure 4 Redox-sensitive size change. Magnification ×250,000. (A) and drug release in vitro (B) of Bru/SS-M in presence of 10 mM DTT.
Abbreviations: Bru, brusatol; DTT, dithiothreitol.

To further investigate the redox-sensitive in vitro release of Bru from F68-SS-LA micelles triggered by destabilization, the Bru release profiles in release medium with or without 10 mM DTT under sink conditions were investigated by dialysis. Bru was released much more rapidly from Bru/SS-M in the presence of 10 mM DTT than without DTT (Figure 4B). After 48 h of shaking, 80% of Bru was released from Bru/SS-M in medium without DTT. However, ~85% of Bru was released from Bru/SS-M with 10 mM DTT after 12 h, which was similar to the leakage profile of free Bru. Both the fast micellar destabilization and drug release in a high reduction environment suggested that F68-SS-LA micelles could facilitate the rapid increase of the intracellular concentration of Bru in cancer cells.

Cellular uptake in vitro

The cellular uptake was investigated to determine the capacity of F68-SS-LA micelles to improve the Bru concentration in cancer cells. As shown in Figure 5A and B, a higher concentration of Bru was detected in cells incubated with Bru micelles than that of free Bru at each time point due to the higher penetration capacity of the nanosized carriers. In contrast, no difference in cellular uptake between Bru/SS-M and Bru/non-SS-M was observed, indicating that disulfide bonds in copolymers would not influence the internalization process of micelles. However, the redox-sensitive drug release behavior of Bru/SS-M could be leveraged to rapidly increase the drug concentration in the cytoplasm. Taken together, the micelle structure and redox-sensitive drug release behavior synergistically improve intracellular drug delivery.

Figure 5 Cellular uptake of Bru/SS-M in Bel-7402 cells (A) and MCF-7 cells (B) after 1, 2, 4, 6 h incubation. (C) Fluorescence imaging of C6-loaded micelles in Bel-7402 cells after 6 h incubation. Cell nucleus was stained by Hoechst 33342 (blue). Scale bar is 50 μm. Magnification ×100.
Abbreviation: Bru, brusatol.

Furthermore, to visualize the cellular uptake of F68-SS-LA micelles, the green fluorescent dye C6 was used as a model drug to visually analyze endocytosis and the intracellular distribution in Bel-7402 cells. Figure 5C shows that intracellular C6 mainly distributed around the nucleus. After 6 h of incubation, more green fluorescence was observed in cells treated with both C6/non-SS-M and C6/SS-M than that of free C6. Moreover, compared with fluorescent dots in the C6/non-SS-M group, homogeneous fluorescence was observed in the cytoplasm of cells treated with C6/SS-M. This finding suggested that the reduction-triggered SS-M had a similar cellular uptake capacity to the non-SS-M counterpart but displayed more efficient intracellular drug release activity.40,41 These results demonstrated that redox-sensitive micelles could improve the accumulation of Bru intracellularly, which could lead to higher cytotoxicity against cancer cells.

Cytotoxicity in vitro

The in vitro cytotoxicity of Bru/SS-M was assessed on Bel-7402 and MCF-7 cells using the MTT assay in comparison with Bru in DMSO solution (free Bru) and Bru in nonredox-sensitive micelles (Bru/non-SS-M). Specifically, the cytotoxicity of empty micelles of F68-SS-LA and F68-CC-LA with excess copolymer concentrations as Bru/SS-M and Bru/non-SS-M were evaluated (Figure S3). After 48 h of incubation, 10–100 μg/mL of F68-SS-LA and F68-CC-LA empty micelles did not exhibit significant cell survival inhibition, with >85% cell viability, indicating good biocompatibility of the designed copolymers. However, free Bru and Bru micelles remarkably decreased the cell survival rate in a dose- and time-dependent manner (Figure 6). The cytotoxicity of Bru/non-SS-M was comparable with that of free Bru. However, Bru/SS-M drastically reduced cell viability compared with free Bru and Bru/non-SS-M at all Bru concentrations. For example, after 48 h of treatment, the IC50 values for free Bru, Bru/non-SS-M and Bru/SS-M were 1.301, 1.158 and 0.634 μM on Bel-7402 cells and 1.850, 1.694 and 0.992 μM on MCF-7 cells, respectively. This was mainly due to the increased cellular uptake and accelerated drug release in the reductive environment of the cytoplasm.4244 Therefore, delivery via F68-SS-LA micelles could potentially improve the in vitro cytotoxicity of Bru.

Figure 6 In vitro cytotoxicity of free Bru and Bru-loaded micelles against Bel-7402 cells (A) and MCF-7 cells (B) for 24 and 48 h treatment determined by MTT assay.
Abbreviation: Bru, brusatol.

Mitochondrial membrane potential

The determination of the mitochondrial permeability transition profile, that is, variation in MMP, provides an early indication of cellular apoptosis. In cells with high MMP (negative), JC-1 can accumulate in the mitochondria, where JC-1 aggregates exhibit red fluorescence, while JC-1 in the cytoplasm, associated with low MMP and found as monomers, shows green fluorescence. Thus, loss of MMP due to Bru can be detected by the fluorescence variation caused by the change in the JC-1 dye state. As shown in Figure 7, compared with the minimal green fluorescence observed in the negative control group, various Bru formulations resulted in a transition of red fluorescence to green fluorescence in Bel-7402 cells, indicating leakage of JC-1 from the mitochondria in association with the decrease in MMP. Particularly, Bru/SS-M produced much more evident membrane depolarization than the other formulations, which suggested that Bru loaded in F68-SS-LA micelles could remarkably reduce MMP in Bel-7402 and provoke cell death via the initial apoptotic pathway. Similarly, the significant MMP decrease induced by Bru/SS-M was also observed in MCF-7 cells, as shown in Figure S4.

Figure 7 Fluorescence microscope images of Bel-7402 cells treated with various Bru formulations (equivalent Bru concentration of 5 μM) for 12 h treatment and subsequently stained with JC-1 dye. Scale bar is 200 μm. Magnification ×20.
Abbreviation: Bru, brusatol.

Intracellular ROS generation

ROS is a well-known mediator of intracellular cascade signals. An excessively increased ROS level could lead to opening of the mitochondrial permeability transition pore and subsequently stimulate pro-apoptosis and DNA damage.45,46 To determine whether the cytotoxicity of Bru against cancer cells was associated with ROS, the ROS level was measured using the ROS-detecting fluorescent dye DCFH2-DA, where the fluorescent DCF generated by intracellular ROS was detected. The fluorescent intensity of Bel-7402 (Figure 8A) and MCF-7 (Figure 8B) cells treated with Bru formulations was significantly increased. This finding provided evidence that the proliferation inhibition activity of Bru could involve increased ROS generation. Furthermore, treatment with Bru/SS-M caused significantly higher ROS production than both free Bru and Bru/non-SS-M. Specifically, the ROS level in Bel-7402 cells after treatment with Bru/SS-M was 1.84- and 1.63-fold the levels in the free Bru and Bru/non-SS-M groups, respectively. Similarly, Bru/SS-M resulted in 1.89- and 1.53-fold higher ROS production of MCF-7 cells than in the free Bru and Bru/non-SS-M groups, respectively. This indicated that the delivery of Bru by redox-sensitive micelles induced oxidative stress, which played a key role in the cytotoxicity against cancer cells.

Figure 8 Effect of Bru formulations on ROS level in Bel-7402 (A) and MCF-7 cells (B), by means of quantitative analysis by FCM and observation of the generated fluorescence intensity.
Notes: p<0.05 Bru/SS-M vs free Bru.*p<0.05 Bru/SS-M vs Bru/non-SS-M. Scale bar is 200 μm.
Abbreviations: Bru, brusatol; FCM, flow cytometry; ROS, reactive oxygen species.

Induction of the apoptotic rate

Apoptosis, one of the major types of cell death, has been identified as the general pathway to halt tumor cell proliferation for most of chemotherapeutic agents. Decreased MMP and increased intracellular ROS have been extensively demonstrated to play pivotal roles in apoptosis.47 Therefore, we examined whether Bru loaded in micelles could induce apoptosis of cancer cells. By means of Annexin V-FITC/PI double staining, cells treated with various Bru formulations were detected by FCM. As shown in Figure 9A and B, Bru formulations resulted in increased apoptotic cell amount compared with the negative control. Particularly, significantly more apoptotic cells were observed after treatment with Bru/SS-M than after treatment with free Bru and Bru/non-SS-M. Specifically, the apoptotic rates in Bel-7402 cells (Figure 9A) treated with free Bru and Bru/non-SS-M were 30.2%±1.8% and 34.5%±2.1%, respectively, compared with 63.7%±3.7% in the Bru/SS-M group. Similarly, the highest apoptotic rate in MCF-7 cells (Figure 9B) was also observed in the Bru/SS-M group.

Figure 9 Bru formulations treatment caused apoptosis in cancer cells. Quantitative analysis of Bru formulations induced apoptosis by FCM in Bel-7402 (A) and MCF-7 (B) cells. (C) Cell apoptosis observed in both cell types by calcein-AM/PI double staining assay (live/dead:green/red).
Notes: p<0.05 Bru/SS-M vs free Bru.*p<0.05 Bru/SS-M vs Bru/non-SS-M. Scale bar is 200 μm. Magnification ×20.
Abbreviations: Bru, brusatol; FCM, flow cytometry; PI, propidium iodide.

The live/dead assay by calcein-AM/PI double staining further confirmed the pro-apoptosis activity. As shown in Figure 9C, more dead cells (red fluorescence) were observed in cells treated with Bru/SS-M. These results suggested that the inhibition effect on cell proliferation induced by Bru was at least partially attributed to its apoptotic effect, and F68-SS-LA micelles can be used as an efficient carrier for Bru to improve its anticancer effect.


An amphiphilic block copolymer based on Pluronic F68 and LA conjugated by redox-sensitive linkage (F68-SS-LA) was synthesized and evaluated for its potential in intracellular delivery of Bru. Due to the extended hydrophobic moiety, F68-SS-LA displayed more favorable self-assembly behavior to form flower-like micelles and higher anti-dilution properties than the single F68 block polymer. Bru-loaded SS micelles displayed a spherical shape, with an average size of <100 nm, high DL capacity, and reducible environment-triggered drug release in vitro. A larger amount of Bru loaded in micelles than free Bru was taken into cancer cells via endocytosis. Meanwhile, to demonstrate the advantages of the redox-sensitive linkage, a nonreducible micelle structure composed of F68-LA conjugated with carbon–carbon bonds was synthesized as a control. Due to the enhanced cellular uptake and rapid drug release mediated by cleavage of disulfide bonds in a highly reductive environment, Bru/SS-M induced higher cytotoxicity against both Bel-7402 and MCF-7 cells in a dose- and time-dependent manner than other counterparts. This enhanced anticancer effect was probably attributed to regulate the intracellular oxidation pathway, including ROS generation, mitochondria depolarization, and pro-apoptosis activity. Our findings suggested that the flexible redox-sensitive F68-SS-LA micelles exhibit great potential for Bru delivery. In future work, in vivo studies will be conducted on the pharmacokinetics, inhibition effect on the tumor volume and toxicity in mouse models.


This study was supported by the National Natural Science Foundation of China (81403120), the Macao Science and Technology Development Fund (096/2015/A3), and the Research Fund of the University of Macau (MYRG2016–00130-ICMS-QRCM, MYRG2015–00171-ICMS-QRCM, MYRG2016–00143-ICMS-QRCM).

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript.


The authors report no conflicts of interest in this work.



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Supplementary materials

Synthesis of F68-CC-LA copolymer

The synthesis of F68-CC-LA conjugate was similar to F68-SS-LA described in the manuscript (Figure S1). Briefly, based on the SA-F68-SA conjugates, 1,6-hexamethylenediamine (HMD) was used to replace cystamine (CA) and conjugated with F68-(SA)2 by amidation reaction in the presence of 1-(3-dimethylaminopropyl)-3-ethylcarbodiimide hydrochloride (EDC) and N-hydroxysuccinimide (NHS), in which the molar ratio was 2:1:2.5:2.5, respectively. The excess of HMD, N, N′-dicyclohexylcarbodimide (DCC), and 4-dimethylaminopyridine (DMAP) were removed by dialyzing in the dialysis tube with MWCO 3500. Subsequently, 2-fold equivalent of linoleic acid (LA) was reacted with the activated amino group in F68-(CA)2 with the aim of EDC/NHS. After stirring for 24 h, the insoluble by-products in mixture were removed by the filterable membrane (0.45 μm). F68-CC-LA copolymer containing carbon–carbon bonds was obtained by the separation of thin layer chromatography with the mixture mobile phase of methanol/chloroform (75:25, v/v).

Characterization of F68-CC-LA copolymer

Due to the high structural similarity with F68-SS-LA, F68-CC-LA displayed a similar spectrum profile. However, compared with proton nuclear magnetic resonance (1H NMR) spectrum of F68-SS-LA copolymer in the manuscript, the methylene peaks of cystamine around δ 2.71–2.86 ppm were disappeared in F68-CC-LA spectrum.

In vitro cytotoxicity of copolymers

After 48 h of incubation, 10–100 μg/mL of F68-SS-LA and F68-CC-LA copolymers did not exhibit significant cell survival inhibition. Higher than 85% of cell viability was detected, indicating the high biocompatibility of designed copolymers.

Figure S1 Synthetic route of F68-CC-LA copolymer.
Abbreviations: DCC, N, N′-dicyclohexylcarbodimide; DMAP, 4-dimethylaminopyridine; EDC, 1-ethyl-3-(3-dimethylaminopropyl)-carbodiimide; HMD, 1,6-hexamethylenediamine; LA, linoleic acid; NHS, N-hydroxysuccinimide; SA, succinic anhydride; TEA, triethylamine.

Figure S2 1H NMR spectra of F68 polymer, LA moiety, and F68-SS-LA copolymer.
Abbreviations: H-NMR, proton nuclear magnetic resonance; LA, linoleic acid.

Figure S3 Cytotoxicity of F68-SS-LA and F68-CC-LA copolymer against Bel-7402 and MCF-7 cells after 48 h of incubation.
Abbreviation: LA, linoleic acid.

Figure S4 Fluorescence microscope images of MCF-7 cells treated with various Bru formulations (equivalent Bru concentration of 5 μM) for 12 h treatment and subsequently stained with JC-1 dye.
Notes: Bru formulations resulted in the increased green fluorescence by JC-1 dye in MCF-7 cells. However, compared to free Bru and non-reducible micelles, Bru/SS-M led to the highest amount of green fluorescence, suggesting effect of MMP significantly decreased and with great mitochondrial disturbance activity. Scale bar is 200 μm. Magnification ×200.
Abbreviation: Bru, brusatol.

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