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Xu A, Wang Q, Lv X, Lin T. Progressive Study on the Non-thermal Effects of Magnetic Field Therapy in Oncology. Front Oncol 2021; 11:638146. [PMID: 33816280 PMCID: PMC8010190 DOI: 10.3389/fonc.2021.638146] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2020] [Accepted: 02/08/2021] [Indexed: 12/16/2022] Open
Abstract
Cancer is one of the most common causes of death worldwide. Although the existing therapies have made great progress and significantly improved the prognosis of patients, it is undeniable that these treatment measures still cause some serious side effects. In this context, a new treatment method is needed to address these shortcomings. In recent years, the magnetic fields have been proposed as a novel treatment method with the advantages of less side effects, high efficiency, wide applications, and low costs without forming scars. Previous studies reported that static magnetic fields (SMFs) and low-frequency magnetic fields (LF-MFs, frequency below 300 Hz) exert anti-tumor function, independent of thermal effects. Magnetic fields (MFs) could inhibit cell growth and proliferation; induce cell cycle arrest, apoptosis, autophagy, and differentiation; regulate the immune system; and suppress angiogenesis and metastasis via various signaling pathways. In addition, they are effective in combination therapies: MFs not only promote the absorption of chemotherapy drugs by producing small holes on the surface of cell membrane but also enhance the inhibitory effects by regulating apoptosis and cell cycle related proteins. At present, MFs can be used as drug delivery systems to target magnetic nanoparticles (MNPs) to tumors. This review aims to summarize and analyze the current knowledge of the pre-clinical studies of anti-tumor effects and their underlying mechanisms and discuss the prospects of the application of MF therapy in cancer prevention and treatment.
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Affiliation(s)
- Aoshu Xu
- College of Instrumentation and Electrical Engineering, Jilin University, Changchun, China
- Key Laboratory of Geophysics Exploration Equipment, Ministry of Education of China, Changchun, China
| | - Qian Wang
- College of Instrumentation and Electrical Engineering, Jilin University, Changchun, China
- Key Laboratory of Geophysics Exploration Equipment, Ministry of Education of China, Changchun, China
| | - Xin Lv
- College of Instrumentation and Electrical Engineering, Jilin University, Changchun, China
- Key Laboratory of Geophysics Exploration Equipment, Ministry of Education of China, Changchun, China
| | - Tingting Lin
- College of Instrumentation and Electrical Engineering, Jilin University, Changchun, China
- Key Laboratory of Geophysics Exploration Equipment, Ministry of Education of China, Changchun, China
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2
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Zhang P, Ren Z, Chen Z, Zhu J, Liang J, Liao R, Wen J. Iron oxide nanoparticles as nanocarriers to improve chlorin e6-based sonosensitivity in sonodynamic therapy. DRUG DESIGN DEVELOPMENT AND THERAPY 2018; 12:4207-4216. [PMID: 30573951 PMCID: PMC6292398 DOI: 10.2147/dddt.s184679] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Background Compared to the excitation light in photodynamic therapy, ultrasound in sonodynamic therapy (SDT) could easily penetrate into the deep tumor in liver. However, the photosensitizer chlorin e6 (E6) activated by ultrasound has been limited in its application in clinics for the poor water solubility of E6 and poor effect of SDT. Nanoparticles as cavitation promotors may be able to amplify the E6-mediated SDT effect and also improve its water solubility. Objective The objective of the study was to develop an E6-based sonosensitizer with improved SDT effect and good water solubility using nanotechnology. Materials and methods Polyethylene glycol (PEG)ylated iron oxide nanoparticles coated with E6 (PION@E6) was prepared by means of pyrolysis and phase transfer. Characterization of PION@E6 was performed by means of transmission electron microscopy, hydrate particle size analysis, and absorption and fluorescence spectra analysis. Uptake of PION@E6 by H22 cells (a murine hepatoma cell line) was measured by inductively coupled plasma atomic emission spectroscopy. The effect of SDT on H22 cells was studied by the combination of ultrasound treatment with PION@E6 incubation. Cell viability was measured using cell counting kit-8 assay. Cell apoptosis was analyzed by flow cytometry. ROS generation was measured using DCFH-DA (2',7'-dichlorodihydrofluorescein diacetate) probing kit. Results Absorption spectra of PION@E6 revealed successful loading of E6 onto the PIONs. It showed excellent water solubility and stability with a size of 37.86±12.90 nm in diameter. The fluorescence spectra of PION@E6 revealed a red-shift compared with free E6. When combined with ultrasound treatment, it showed a significantly better inhibitory effect on H22 cells and correspondingly higher level of intracellular ROS generation compared with free E6. Furthermore, either higher dose of PION@E6 or higher power intensity of ultrasound initiated significantly better SDT effect and correspondingly higher level of intracellular ROS generation compared with lower dose of PION@E6 or ultrasound, respectively. Conclusion PION@E6 is a superior potential sonosensitizer to E6 to treat tumors by SDT.
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Affiliation(s)
- Peng Zhang
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
| | - Zhongyu Ren
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
| | - Zhiqiang Chen
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
| | - Jinyong Zhu
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
| | - Jing Liang
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
| | - Rujia Liao
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
| | - Jian Wen
- Research Center for Nervous System Diseases, The Affiliated Hospital of Guilin Medical University, Guilin Medical University, Guilin, Guangxi, People's Republic of China,
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3
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Spyridopoulou K, Makridis A, Maniotis N, Karypidou N, Myrovali E, Samaras T, Angelakeris M, Chlichlia K, Kalogirou O. Effect of low frequency magnetic fields on the growth of MNP-treated HT29 colon cancer cells. NANOTECHNOLOGY 2018; 29:175101. [PMID: 29498936 DOI: 10.1088/1361-6528/aaaea9] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Abstract
Recent investigations have attempted to understand and exploit the impact of magnetic field-actuated internalized magnetic nanoparticles (MNPs) on the proliferation rate of cancer cells. Due to the complexity of the parameters governing magnetic field-exposure though, individual studies to date have raised contradictory results. In our approach we performed a comparative analysis of key parameters related to the cell exposure of cancer cells to magnetic field-actuated MNPs, and to the magnetic field, in order to better understand the factors affecting cellular responses to magnetic field-stimulated MNPs. We used magnetite MNPs with a hydrodynamic diameter of 100 nm and studied the proliferation rate of MNPs-treated versus untreated HT29 human colon cancer cells, exposed to either static or alternating low frequency magnetic fields with varying intensity (40-200 mT), frequency (0-8 Hz) and field gradient. All three parameters, field intensity, frequency, and field gradient affected the growth rate of cells, with or without internalized MNPs, as compared to control MNPs-untreated and magnetic field-untreated cells. We observed that the growth inhibitory effects induced by static and rotating magnetic fields were enhanced by pre-treating the cells with MNPs, while the growth promoting effects observed in alternating field-treated cells were weakened by MNPs. Compared to static, rotating magnetic fields of the same intensity induced a similar extend of cell growth inhibition, while alternating fields of varying intensity (70 or 100 mT) and frequency (0, 4 or 8 Hz) induced cell proliferation in a frequency-dependent manner. These results, highlighting the diverse effects of mode, intensity, and frequency of the magnetic field on cell growth, indicate that consistent and reproducible results can be achieved by controlling the complexity of the exposure of biological samples to MNPs and external magnetic fields, through monitoring crucial experimental parameters. We demonstrate that further research focusing on the accurate manipulation of the aforementioned magnetic field exposure parameters could lead to the development of successful non-invasive therapeutic anticancer approaches.
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Affiliation(s)
- K Spyridopoulou
- Department of Molecular Biology and Genetics, Democritus University of Thrace, 68100 Alexandroupolis, Greece
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4
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Belyanina I, Kolovskaya O, Zamay S, Gargaun A, Zamay T, Kichkailo A. Targeted Magnetic Nanotheranostics of Cancer. Molecules 2017; 22:E975. [PMID: 28604617 PMCID: PMC6152710 DOI: 10.3390/molecules22060975] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2017] [Revised: 06/02/2017] [Accepted: 06/06/2017] [Indexed: 12/31/2022] Open
Abstract
Current advances in targeted magnetic nanotheranostics are summarized in this review. Unique structural, optical, electronic and thermal properties of magnetic materials in nanometer scale are attractive in the field of biomedicine. Magnetic nanoparticles functionalized with therapeutic molecules, ligands for targeted delivery, fluorescent and other chemical agents can be used for cancer diagnostic and therapeutic purposes. High selectivity, small size, and low immunogenicity of synthetic nucleic acid aptamers make them attractive delivery agents for therapeutic purposes. Properties, production and functionalization of magnetic nanoparticles and aptamers as ligands for targeted delivery are discussed herein. In recent years, magnetic nanoparticles have been widely used in diagnostic methods, such as scintigraphy, single photon emission computed tomography (SPECT), positron emission tomography (PET), magnetic resonance imaging (MRI), and Raman spectroscopy. Therapeutic purposes of magnetic nanoconstructions are also promising. They are used for effective drug delivery, magnetic mediated hypertermia, and megnetodynamic triggering of apoptosis. Thus, magnetic nanotheranostics opens a new venue for complex differential diagnostics, and therapy of metastatic cancer.
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Affiliation(s)
- Irina Belyanina
- Krasnoyarsk State Medical University named after prof. V.F. Voino-Yaseneckii, 660022 Krasnoyarsk, Russia.
| | - Olga Kolovskaya
- Krasnoyarsk State Medical University named after prof. V.F. Voino-Yaseneckii, 660022 Krasnoyarsk, Russia.
- Federal Research Center, KSC Siberian Branch of Russian Academy of Science, 660022 Krasnoyarsk, Russia.
| | - Sergey Zamay
- Federal Research Center, KSC Siberian Branch of Russian Academy of Science, 660022 Krasnoyarsk, Russia.
| | - Ana Gargaun
- Independent Researcher Vancouver, Vancouver, BC V6K 1C4, Canada.
| | - Tatiana Zamay
- Krasnoyarsk State Medical University named after prof. V.F. Voino-Yaseneckii, 660022 Krasnoyarsk, Russia.
- Federal Research Center, KSC Siberian Branch of Russian Academy of Science, 660022 Krasnoyarsk, Russia.
| | - Anna Kichkailo
- Krasnoyarsk State Medical University named after prof. V.F. Voino-Yaseneckii, 660022 Krasnoyarsk, Russia.
- Federal Research Center, KSC Siberian Branch of Russian Academy of Science, 660022 Krasnoyarsk, Russia.
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5
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Master AM, Williams PN, Pothayee N, Pothayee N, Zhang R, Vishwasrao HM, Golovin YI, Riffle JS, Sokolsky M, Kabanov AV. Remote Actuation of Magnetic Nanoparticles For Cancer Cell Selective Treatment Through Cytoskeletal Disruption. Sci Rep 2016; 6:33560. [PMID: 27644858 PMCID: PMC5028756 DOI: 10.1038/srep33560] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Accepted: 08/30/2016] [Indexed: 12/29/2022] Open
Abstract
Motion of micron and sub-micron size magnetic particles in alternating magnetic fields can activate mechanosensitive cellular functions or physically destruct cancer cells. However, such effects are usually observed with relatively large magnetic particles (>250 nm) that would be difficult if at all possible to deliver to remote sites in the body to treat disease. Here we show a completely new mechanism of selective toxicity of superparamagnetic nanoparticles (SMNP) of 7 to 8 nm in diameter to cancer cells. These particles are coated by block copolymers, which facilitates their entry into the cells and clustering in the lysosomes, where they are then magneto-mechanically actuated by remotely applied alternating current (AC) magnetic fields of very low frequency (50 Hz). Such fields and treatments are safe for surrounding tissues but produce cytoskeletal disruption and subsequent death of cancer cells while leaving healthy cells intact.
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Affiliation(s)
- Alyssa M Master
- Center for Nanotechnology in Drug Delivery, University of North Carolina, Chapel Hill, NC, USA
| | - Philise N Williams
- Center for Nanotechnology in Drug Delivery, University of North Carolina, Chapel Hill, NC, USA.,Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, NE, USA
| | - Nikorn Pothayee
- Macromolecules and Interfaces Institute, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
| | - Nipon Pothayee
- Macromolecules and Interfaces Institute, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
| | - Rui Zhang
- Macromolecules and Interfaces Institute, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
| | - Hemant M Vishwasrao
- Center for Nanotechnology in Drug Delivery, University of North Carolina, Chapel Hill, NC, USA.,Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, NE, USA
| | - Yuri I Golovin
- Nanocenter, G. R. Derzhavin Tambov State University, Tambov, 392000, Russian Federation.,Laboratory of Chemical Design of Bionanomaterials, Faculty of Chemistry, M. V. Lomonosov Moscow State University, Moscow, 117234, Russian Federation
| | - Judy S Riffle
- Macromolecules and Interfaces Institute, Virginia Polytechnic Institute and State University, Blacksburg, VA, USA
| | - Marina Sokolsky
- Center for Nanotechnology in Drug Delivery, University of North Carolina, Chapel Hill, NC, USA
| | - Alexander V Kabanov
- Center for Nanotechnology in Drug Delivery, University of North Carolina, Chapel Hill, NC, USA
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6
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Kim PD, Zamay SS, Zamay TN, Prokopenko VS, Kolovskaya OS, Zamay GS, Princ VY, Seleznev VA, Komonov AI, Spivak EA, Rudenko RY, Dubinina AV, Komarov AV, Denisenko VV, Komarova MA, Sokolov AE, Narodov AA, Zjivaev VP, Zamay AS. The antitumor effect of magnetic nanodisks and DNA aptamer conjugates. DOKL BIOCHEM BIOPHYS 2016; 466:66-9. [PMID: 27025491 DOI: 10.1134/s1607672916010154] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Indexed: 12/17/2022]
Abstract
Here we describe a method of forming large arrays (up to 10(9) pieces) of free magnetic Ni-nanodisks 50 nm thick coated on both sides with layers of 5 nm thick Au. The antitumor effect of the magnetic nickel gold-coated nanodisks and DNA aptamer conjugates was evaluated in vivo and in vitro. Under the influence of rotating magnetic field, the studied nanodisks can cause the death of Ehrlich ascites carcinoma cells.
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Affiliation(s)
- P D Kim
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Institute of Semiconductor Physics, Siberian Branch, Russian Academy of Sciences, pr. Akademika Lavrent'eva 13, Novosibirsk, 630090, Russia
| | - S S Zamay
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia.,Kirenskii Institute of Physics, Siberian Branch, Russian Academy of Sciences, Akademgorodok, Krasnoyarsk, 660036, Russia
| | - T N Zamay
- Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia. .,Siberian Federal University, Svobodnyi pr. 79, Krasnoyarsk, 660041, Russia.
| | - V S Prokopenko
- Astaf'ev Krasnoyarsk State Pedagogical University, ul. A. Lebedevoi 89, Krasnoyarsk, 660049, Russia
| | - O S Kolovskaya
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia
| | - G S Zamay
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia
| | - V Ya Princ
- Institute of Semiconductor Physics, Siberian Branch, Russian Academy of Sciences, pr. Akademika Lavrent'eva 13, Novosibirsk, 630090, Russia
| | - V A Seleznev
- Institute of Semiconductor Physics, Siberian Branch, Russian Academy of Sciences, pr. Akademika Lavrent'eva 13, Novosibirsk, 630090, Russia
| | - A I Komonov
- Institute of Semiconductor Physics, Siberian Branch, Russian Academy of Sciences, pr. Akademika Lavrent'eva 13, Novosibirsk, 630090, Russia
| | - E A Spivak
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia
| | - R Yu Rudenko
- Siberian Federal University, Svobodnyi pr. 79, Krasnoyarsk, 660041, Russia.,Kirenskii Institute of Physics, Siberian Branch, Russian Academy of Sciences, Akademgorodok, Krasnoyarsk, 660036, Russia
| | - A V Dubinina
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia.,Siberian Federal University, Svobodnyi pr. 79, Krasnoyarsk, 660041, Russia
| | - A V Komarov
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Siberian Federal University, Svobodnyi pr. 79, Krasnoyarsk, 660041, Russia
| | - V V Denisenko
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Siberian Federal University, Svobodnyi pr. 79, Krasnoyarsk, 660041, Russia
| | - M A Komarova
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia
| | - A E Sokolov
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Kirenskii Institute of Physics, Siberian Branch, Russian Academy of Sciences, Akademgorodok, Krasnoyarsk, 660036, Russia
| | - A A Narodov
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia
| | - V P Zjivaev
- Astaf'ev Krasnoyarsk State Pedagogical University, ul. A. Lebedevoi 89, Krasnoyarsk, 660049, Russia
| | - A S Zamay
- Krasnoyarsk Research Center, Siberian Branch, Russian Academy of Sciences, Akademgorogok, Krasnoyarsk, 660036, Russia.,Voino-Yasenetskii State Medical University, Ministry of Health of the Russian Federation, ul. Partizana Zheleznyaka 1, Krasnoyarsk, Krasnoyarsk Krai, 660022, Russia.,Institute of Chemistry and Chemical Technology, Siberian Branch, Russian Academy of Sciences, Krasnoyarsk, Russia
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7
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Tian L, Chen BA, Cheng J, Guo QL. Effects of magnetic nanoparticles of Fe3O4 combinated with gambogic acid on apoptosis of SMMC-7721 cells. Onco Targets Ther 2015; 8:2285-90. [PMID: 26345420 PMCID: PMC4556044 DOI: 10.2147/ott.s86494] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Objective This study aims to investigate the potential benefit of combination therapy with magnetic nanoparticles of Fe3O4 (Fe3O4-MNP) and gambogic acid (GA) on SMMC-7721 cells. Methods The inhibition of proliferation of SMMC-7721 cells was evaluated by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide assay. Cell apoptosis was calculated and analyzed by flow cytometry, and the expressions of the apoptosis-related protein were detected by Western blot. Results GA enhanced the cytotoxicity of SMMC-7721 cells in a dose-dependent manner. The Fe3O4-MNP itself had no obviously inhibitory effect, but it could enhance the effect of GA on proliferation of SMMC-7721 cells. The apoptotic rate of SMMC-7721 cells induced by combination of GA with Fe3O4-MNP was higher than that by GA alone. The expression levels of caspase-3 and caspase-8 after co-treatment of GA and Fe3O4-MNP were higher than that exposed to either GA or Fe3O4-MNP alone, while the levels of bcl-2 were downregulated. Conclusion Fe3O4-MNP can promote GA-induced apoptosis of SMMC-7721 cells, which may be related to the downregulation of Bcl-2 and upregulation of caspase-3.
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Affiliation(s)
- Liang Tian
- Department of Hematology and Oncology (Key Department of Jiangsu Medicine), The Affiliated Zhongda Hospital, Medical School, Southeast University, Nanjing, Jiangsu, People's Republic of China
| | - Bao-An Chen
- Department of Hematology and Oncology (Key Department of Jiangsu Medicine), The Affiliated Zhongda Hospital, Medical School, Southeast University, Nanjing, Jiangsu, People's Republic of China
| | - Jian Cheng
- Department of Hematology and Oncology (Key Department of Jiangsu Medicine), The Affiliated Zhongda Hospital, Medical School, Southeast University, Nanjing, Jiangsu, People's Republic of China
| | - Qing-Long Guo
- China Pharmaceutical University, Nanjing, Jiangsu, People's Republic of China
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