CdTe quantum dots with daunorubicin induce apoptosis of multidrug-resistant human hepatoma HepG2/ADM cells: in vitro and in vivo evaluation
© Zhang et al; licensee Springer. 2011
Received: 14 March 2011
Accepted: 13 June 2011
Published: 13 June 2011
Cadmium telluride quantum dots (Cdte QDs) have received significant attention in biomedical research because of their potential in disease diagnosis and drug delivery. In this study, we have investigated the interaction mechanism and synergistic effect of 3-mercaptopropionic acid-capped Cdte QDs with the anti-cancer drug daunorubicin (DNR) on the induction of apoptosis using drug-resistant human hepatoma HepG2/ADM cells. Electrochemical assay revealed that Cdte QDs readily facilitated the uptake of the DNR into HepG2/ADM cells. Apoptotic staining, DNA fragmentation, and flow cytometry analysis further demonstrated that compared with Cdte QDs or DNR treatment alone, the apoptosis rate increased after the treatment of Cdte QDs together with DNR in HepG2/ADM cells. We observed that Cdte QDs treatment could reduce the effect of P-glycoprotein while the treatment of Cdte QDs together with DNR can clearly activate apoptosis-related caspases protein expression in HepG2/ADM cells. Moreover, our in vivo study indicated that the treatment of Cdte QDs together with DNR effectively inhibited the human hepatoma HepG2/ADM nude mice tumor growth. The increased cell apoptosis rate was closely correlated with the enhanced inhibition of tumor growth in the studied animals. Thus, Cdte QDs combined with DNR may serve as a possible alternative for targeted therapeutic approaches for some cancer treatments.
Multidrug resistance, a phenomenon of resistance of cancer cells to structurally diverse and mechanically unrelated anti-cancer drugs, is a major obstacle to successful cancer chemotherapy . Cancer cells are different in their sensitivity and response upon treatment with anti-cancer drugs . Anti-cancer drugs have little activity and produce a low percentage of response percentage to treatment with drug-resistant cells. Over-expression of P-glycoprotein (P-gp) is the most frequent event causing multidrug resistance . CdTe quantum dots (Cdte QDs) have primarily received attentions in biological and biomedical fields due to their high luminescence efficiency, photostability, and broad absorption and narrow emission spectra . They have also attracted considerable interest because they exert tumor-inhibiting effects by a mode of action different from other organic compounds . Potential biologically active Cdte QDs have been extensively involved in potential new-type drug design because of their more specific properties.
Liver cancer is one of the most common tumors worldwide and a primary malignancy of the liver. HepG2 cell line has been widely used as the human hepatoma model cell line in the development of new anti-tumor medicines . The classical Topo II inhibitor daunorubicin (DNR) is known as one of the most effective anti-cancer drugs on the market today . Its anti-tumor activity has been reported in clinical trials against a wide variety of tumors. One of the biggest shortcomings of this drug, however, is its low anti-tumor activity against drug-resistant cells, for example adriamycin-resistant human hepatoma HepG2 cells.
Cdte QDs possess good biocompatibility and low toxicity; some recent observations illustrate that Cdte QDs with DNR treatment may indeed lead to improved selectivity toward leukemia cancer cells and facilitate inhibition of the proliferation of targeted cells. Binding the positively charged DNR molecule to a negatively charged surface of Cdte QDs may enhance drug uptake. In this study, we report the biological effects of Cdte QDs capped with negatively charged surface stabilizers (i.e., capped with 3-mercaptopropionic acid) alone or combined with anti-cancer drug DNR treating adriamycin-resistant human hepatoma HepG2 cells, as well as nude mice as model animal systems. We found that Cdte QDs greatly increased the DNR sensitivity against cancer cells. The in vivo study also revealed that Cdte QDs with DNR showed a good activity to inhibit tumor growth.
Apoptosis is an important biological process in many systems and can be triggered by a variety of stimuli received by the cells . It is well known that apoptosis can be triggered via two principal signaling pathways: the death receptor-mediated extrinsic apoptotic pathway, and the mitochondrion-mediated (cytochrome c, caspase-9) intrinsic apoptotic pathway . Western blotting was used in this study to explore the mechanism of anti-cancer activity after cell treatment by Cdte QDs with DNR. We found cell apoptosis with a rapid induction of cytochrome c, cleaved caspase-9 and caspase-3 activity, and stimulated proteolytic cleavage of poly-(ADP-ribose) polymerase (PARP) activation, which demonstrate that synergistic effects of Cdte QDs with DNR to induce apoptosis can be through mitochondrion-mediated intrinsic apoptotic pathway.
The drugs DNR and adriamycin were purchased from Sigma-Aldrich (St. Louis, MO, USA). The RPMI 1640 cell culture medium was obtained from Gibco BRL (Grand Island, NY, USA). The fetal calf serum (FCS) was from HyClone (South Logan, UT, USA). Penicillin, streptomycin, 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT), acridine orange/ethidium bromide was all purchased from Sigma-Aldrich (St. Louis, MO, USA).
Preparation of Cdte QDs
Cdte QDs were prepared as described elsewhere . The water-soluble Cdte QDs capped with negatively charged 3-mercaptopropionic acid. The morphology of the Cdte QDs was characterized by JEM-2100 high-resolution transmission electron microscopy (HRTEM). Dynamic light scattering measurement was carried out (ELS-8000L, Otsuka Electronics Co. Ltd., Osaka, Japan). Emission spectra of the Cdte QDs were measured by a Hitachi-7000 fluorescent spectrometer.
Cell culture and development of multidrug resistance
Human hepatoma HepG2 cells were purchased from the Institute of Hematology of Tianjin, Chinese Academy of Medical Sciences (Tianjin, China). To develop the drug-resistant cell line (HepG2/ADM), adriamycin was added to HepG2 cells in a stepwise increasing concentration, from 0.05 to 2 μg/ml over 8 months described . Western blotting was used to assess the MDR1 levels of HepG2 and HepG2/ADM cells. The drug-resistant HepG2/ADM cells were cultured in the cell culture medium containing 1 μg/mL adriamycin (Sigma). Both cell lines were maintained in RPMI-1640 medium containing 10% FCS, 100 U/ml of penicillin, and 100 μg/ml of streptomycin at 37°C with 5% CO2.
Cytotoxicity assays (MTT assay)
HepG2/ADM Cells (2 × 103/well) were plated in 96-well plates. After overnight incubation, HepG2/ADM cells were treated with various concentrations of DNR and various concentrations of Cdte QDs, or 4 μM Cdte QDs with various concentrations of DNR, respectively. After cells were treated for 36 h, 20 μL MTT solution (5 mg/ml) was added to each well. After 4-h incubation, the supernatant was removed and 100 μL DMSO was added to each well. Samples were then shaken for 15 min. The optical density (OD) was read at the wavelength of 540 nm. All experiments were performed in triplicates. Relative inhibition of cell growth was expressed as follows: Percentage (%) = (1 - [OD]test/[OD]control) × 100%.
Fluorescence microscopic studies
HepG2/ADM cells were treated with 4 × 10-6 mol/L of DNR, 4 μM Cdte QDs + 4 × 10-6 mol/L DNR. Untreated were taken as controls. All samples were maintained for 2 h at 37°C. The fluorescence was captured by IX71 inverted fluorescence microscope (Olympus America Inc., Melville, NY, USA) with the excitation wavelength at 488 nm and emission wavelength at 530 nm.
Electrochemical analysis of drug uptake
Differential pulse voltammetry was performed on a CHI660b electrochemical workstation to detect the electrochemical response of Cdte QDs and DNR to cells. All measurements were carried out in a three-component electrochemical cell consisting of a glassy carbon electrode as working electrode, a Pt wire as the counter electrode and an Ag wire electrode as the reference electrode. The HepG2/ADM cells were separated from suspension by centrifugation and washed twice; after that, the 1 × 106 cells were cultured with 4 × 10-6 mol/L DNR, 4 μM Cdte QDs + 4 × 10-6 mol/L DNR in PBS for 2 h at 37°C in a 5% CO2 incubator. The control was treated with PBS.
Acridine orange/ethidium bromide (AO/EB) staining to detect apoptosis
HepG2/ADM cells were incubated with Cdte QDs + DNR for 48 h. To stain apoptotic cells, the cells were trypsinized for 5 min before adding l μl of AO/EB dye mixture (100 μg/ml acridine orange and 100 μg/ml ethidium bromide) to each well. Cells were viewed under the fluorescent light microscope.
Flow cytometry analysis
Cells were seeded in 12-well plates at 1 × 105 cells/well. After incubation for 72 h at 37°C, 5% CO2, HepG2/ADM cells were treated with relative DNR, Cdte QDs, or Cdte QDs + DNR for 48 h. "Annexin-V-FITC apoptosis detection kit" (Keygen, Biotech Co., Ltd, Nanjing, China) was used to determine apoptosis. Flow cytometric analysis was conducted using a BD FACSCanto flow cytometer (BD Biosciences, Franklin Lakes, NJ, USA).
DNA fragmentation assay
HepG2/ADM cells were incubated with DNR, Cdte QDs, or Cdte QDs + DNR for 72 h, respectively. The untreated cells served as controls. DNA was extracted from HepG2/ADM cells using Apoptotic DNA ladder isolation kit (YuanPingHao Biotechnology Co., Ltd, Beijing, China), and then loaded onto 1% agarose gel. The DNA ladders stained with ethidium bromide were visualized under UV light.
After Cdte QDs + DNR treatments, HepG2/ADM cells were washed with PBS and fixed in 100% methanol for 10 min. Cell monolayers were blocked in 5% BSA in PBS for 45 min and incubated for 1 h at room temperature with P-gp antibodies (Invitrogen, Beijing, China), followed by incubation for 1 h with secondary antibodies. The fluorescence was captured by an IX71 inverted fluorescence microscope (Olympus)
Western blotting analysis in vitro
HepG2/ADM cells (1 × 105/well) were plated in 2 mL medium/well in six-well plates. After 72-h treatment of relevant DNR, Cdte QDs, or Cdte QDs + DNR, HepG2/ADM cells lysates were prepared from treatment using modified RIPA lysis buffer. The lysates were subjected to SDS-PAGE/Western blot analysis. The following antibodies were used: anti-cytochrome c, anti-cleaved caspase-9, anti-cleaved caspase-3, PARP (cell signaling, China), GAPDH levels were measured to ensure equal loading of protein. To determine if Cdte QDs + DNR reduced HepG2/ADM cells over-expression P-gp, after 72-h treatment of Cdte QDs + DNR, anti-P-gp antibody was used too.
Nude mice were provided by the Animal Feeding Farm of National Institute for the Control of Pharmaceutical and Biological Products (People's Republic of China). All mice were housed in the animal facility and animal experiments were conducted following the guidelines of the Animal Research Ethics Board of Southeast University. HepG2/ADM cells (4-5 × 106) were suspended in 100 μL of culture medium and subcutaneously inoculated into the right flank of mice using a 1.0 mL syringe.
Intravenous injection of reagents and tumor growth inhibition study
The nude mice inoculated with HepG2/ADM cells were divided into four groups with seven mice in each group: (1) control; (2) DNR; (3) Cdte QDs; (4) Cdte QDs + DNR. When the tumor volume became around 50 mm3 after 1 week of inoculation, treatment was injected for each group. Injection was intravenously administered by tail vein at day 0, 2, 4, 6, 8, 10, 12, 14, 16, and 18. The tumor volume of nude mice were measured and calculated at the 20th days after treatment. The tumor volume calculation was performed using the formula V = π/6 × [(a + b)/2]3, where a is the largest and b is the smallest diameter of the tumor.
In situ apoptosis by TUNEL staining
Apoptotic cell death in deparaffinized tumor tissue sections was detected using terminal deoxynucleotidyl transferase-mediated dUTP nick end-labeling (TUNEL) with the Klenow DNA fragmentation detection kit (Roche, Indianapolis, IN, USA). Sections were permeabilized with 20 μg/mL protease K, and endogenous peroxidase was inactivated by 3% H2O2 in methanol. Apoptosis was detected by labeling the 3'-OH ends of the fragmented DNA with biotin-dNTP using Klenow at 37°C for 1.5 h. The tumor slides were then incubated with streptavidin horseradish peroxidase conjugate, followed by incubation with 3,3'-diaminobenzidine and H2O2. Apoptotic cells were identified by the dark brown nuclei observed under light microscope.
Results were presented as mean ± SD. A t test was performed in each group for each time point. A value of p < 0.05 was considered statistically significant.
Results and discussion
Characterization of CdTe quantum dots
Cytotoxicity of Cdte QDs with DNR on HepG2/ADM cells
Fluorescence microscopy and electrochemical assay of cellular drug uptake
Staining and flow cytometry analysis to detect apoptosis
DNA fragmentation assay
Signal pathway of treatments in HepG2/ADM Cells
Tumor growth inhibition study
Analysis of cell apoptosis in HepG2/ADM xenograft tumors
The synergistic effect of Cdte QDs + DNR on the apoptosis induction in the xenograft tumors excised from HepG2/ADM nude mice, the apoptotic rate in the control group was around 8.2% (Figure 7B). Cdte QDs + DNR treatment causes a striking increase in the number of TUNEL-positive nuclei, compared to DNR or Cdte QDs treatment alone. The result of apoptosis rate was well correlated with the result of tumor growth inhibition in the studied animals.
Clinical efficacy of many anti-cancer drugs is limited by the development of drug resistance . In this study, daunorubicin was not effective against HepG2/ADM tumors. This is in agreement with previous studies, which have shown that HepG2/ADM tumor cells overexpress P-gp, and exhibit multidrug-resistant phenotype. We demonstrated that a combination of Cdte QDs and DNR where the DNR is bound to the Cdte QDs surface by electrostatic interaction will improve the accumulation of daunorubicin in tumor cells. The same or even certain high concentration of DNR did not cause a significant reduction in cell viability in HepG2/ADM cells. However, when HepG2/ADM cells were treated with Cdte QDs and DNR, we observed a remarkable enhancement of cell growth inhibition (Figure 2). The results suggest that the synergistic effect of Cdte QDs with DNR can induce cell growth inhibition of drug-resistant HepG2/ADM cells in vitro.
We demonstrate that DNR taken in by cellular behavior with synergistic effect of Cdte QDs was significantly higher than that with only DNR treatment. Over-expression of P-glycoprotein is the most frequent event causing multidrug resistance. With Cdte QDs + DNR treatment, the expression of P-glycoprotein was remarkably reduced when compared with the control treatment. It is already known that nanoparticles can cause the formation of "holes" on the surface of cell membranes, which may increase the permeability of the respective cell membranes and thus facilitate uptake of the anti-cancer drug into cancer cells and enhance drug accumulation in target cells . This may be the two reasons why Cdte QDs + DNR increase the intracellular drug concentration dramatically and thus enhance the inhibition of the proliferation to target drug-resistant cancer cells. Furthermore, Cdte QDs with negatively charged surface may combine with anti-cancer drugs such as DNR which is positively charged through electrostatic interaction.
Two major types of cell death are recognized: apoptosis and necrosis . Apoptosis is a regulated process that can be triggered by different stimuli and is mediated by a cascade of enzymes. Necrosis is a catastrophic form of cell death which does not involve the regulated action of enzymes. Studies have demonstrated that the presence of smaller DNA fragments are believed to reflect the release of nucleosomes from apoptotic cells and higher molecular weight DNA molecules are believed to reflect release from necrotic cells . Apoptosis results in fragmentation of cells into apoptotic bodies which are engulfed by neighboring cells and macrophages . However, uptake of necrotic cells has been reported to be less efficient than phagocytosis of apoptotic cells. So active anti-cancer drugs induce apoptosis in malignant cells should be a main way to clinical anti-tumor. Interestingly, we found that Cdte QDs + DNR can induce drug-resistant HepG2/ADM cell apoptosis rate significantly higher than that of Cdte QDs, or DNR alone treatment in vitro. Moreover, we analyzed the cells apoptosis morphology from various assay, nuclei staining. When cells were treated with Cdte QDs + DNR, they exhibited characteristic morphological features of apoptosis, such as chromosomal condensation and DNA fragment. With flow cytometry assay, we analyzed quantitative apoptotic cells after various treatments, the Cdte QDs + DNR could be used as inducing HepG2/ADM cells apoptosis with relatively low concentration.
Apoptosis is a regulated process that can be triggered by different stimuli and is mediated by a cascade of enzymes . The realization of mechanisms will enable optimization of chemotherapy for the treatment of cancer . To further understand the molecular mechanisms underlying the Cdte QDs + DNR treatment-mediated apoptosis in HepG2/ADM cells, we investigated apoptosis-related protein expression in HepG2/ADM cells. Cdte QDs + DNR treatment induces cytochrome c release, causing caspase-9 activation. Cleaved caspase-9 activated caspase-3 that correlated with the increased expression of cleaved PARP after relevant treatments [19, 20]. Subsequently, DNA fragmentation is induced during the cells apoptosis by cleaved PARP expression. Compared to Cdte QDs or DNR treatment, Cdte QDs + DNR treatment showed much stronger inducing apoptosis effect.
As the above results illustrated, we recognized the evidence of apoptosis of HepG2/ADM cells in vitro. It is possible that Cdte QDs + DNR could play a critical role in inducing apoptosis in vivo. The tumor growth in group 4 nude mice (treated with Cdte QDs + DNR) was suppressed most efficiently. Cdte QDs or DNR alone cannot significantly inhibit the tumor growth in HepG2/ADM mice due to multidrug resistance of this cell line. Our present study also shows apoptosis in tumor cells was induced by three kinds of treatment with TUNEL assay. The results of the TUNEL assay are consistent with the tumor growth inhibition results. Our observations indicate that the growth-inhibitory effect of Cdte QDs + DNR treatment is related to its ability to induce apoptosis, as evidenced by TUNEL assay. Taken together, our data support the thesis that Cdte QDs + DNR treatment plays an important role in inducing drug-resistant HepG2/ADM cell apoptosis and tumor suppression, and furthermore suggest that Cdte QDs + DNR treatment therapy might provide a powerful treatment for liver cancer.
In summary, in this study, we have investigated the interaction mechanism and synergistic effect of 3-mercaptopropionic acid-capped Cdte QDs with the anti-cancer drug DNR on the induction of apoptosis of drug-resistant human hepatoma HepG2/ADM cells. Our observations demonstrate that Cdte QDs readily facilitated the uptake of the DNR into HepG2/ADM cells by electrochemical assay. Apoptotic staining, DNA fragmentation, and flow cytometry analysis further demonstrate that treatment of Cdte QDs together with DNR can clearly activate apoptosis in HepG2/ADM cells. Cdte QDs + DNR treatment activated caspases protein expression. While the Cdte QDs + DNR treatment could reduce the effect of P-glycoprotein (P-gp). Moreover, our in vivo study indicates that the treatment of Cdte QDs together with DNR effectively inhibited the human hepatoma HepG2/ADM nude mice tumor growth. The increased cell apoptosis rate was closely correlated with the enhanced inhibition of tumor growth in the studied animals. Thus, Cdte QDs combined with DNR may serve as a new effective additive agent to overcome the drug resistance and thus as a novel strategy to sensitively track the respective cancer cells for efficient cancer chemotherapy.
This work was supported by the National Basic Research Program of China (no. 2010CB732404), National Natural Science Foundation of China (90713023), National High Technology Research and Development Program of China (2007AA022007), Doctoral Fund of Ministry of Education of China (20090092110028), and the Natural Science Foundation of Jiangsu Province (BK2008149) to XMW. LS and MS acknowledge support by the NSF-CREST program.
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