Fabrication and characterization of AINR
In this study, the asymmetric ion nanoregulator (AINR) was prepared by encapsulation of CDDP in F68@TA polymer with about 8.5% of loading efficiency, and then in situ deposition of Ag NPs on the surface of polymer. Firstly, the self-assembled F68@TA polymer was prepared, and the devoted mass ratios of F68/TA were also optimized (Additional file 1: Figure S1). It can be seen from Transmission Electron Microscope (TEM) images (Fig. 2A) that the polymer was spherical hollow structures with a diameter of about 70 nm. The CDDP loaded polymer showed a solid sphere with a size of approximately 60 nm. Finally, AINR was prepared and optimized by adjusting the amount of AgNO3 (Additional file 1: Figure S2). Compared with CDDP loaded polymer, AINR demonstrated an asymmetric structure with Ag NPs on one side, and the diameter was approximately 80 nm, attesting the successful deposition of Ag NPs (Fig. 2A). The hydrodynamic size distributions and zeta potentials of above nanoparticles were further analyzed via dynamic light scattering (DLS, Fig. 2B and Additional file 1: Figure S3), indicating a good dispersity in the water solution. As shown in Fig. 2C, UV–vis spectrum of F68@TA/CDDP was unchanged in spite of CDDP loading, while there was a characteristic peak of Ag NPs at about 470 nm for AINR. Energy Disperse Spectroscopy (EDS) was further conducted to certify CDDP loading and Ag existence (Fig. 2D and E). From elemental mapping images of AINR, the Ag element was mainly distributed on one side of the nanostructure, while the elements N, Cl and Pt were homogenously distributed (Fig. 2G), showing a typical asymmetric structure. Besides, the loading capacity of CDDP and Ag reached 8.5% and 28.5%, as revealed by the analyses with Inductively Coupled Plasma Mass Spectrometry (ICP-MS) (Fig. 2F). Prior to ICP-MS detection, 4 mL of F68@TA@Ag/CDDP (containing 1 mg of F68@TA) was centrifugated and digested by 1 mL of concentrated nitric acid and 1 mL of 30% H2O2 overnight. Meanwhile, the loading capacity (12.8%) of CDDP in F68@TA nanoparticles was also conducted for further studies. All above results confirmed that AINR was successfully prepared.
pH-dependent CDDP release and H
2
O
2
-dependent Ag
+
release.
Furthermore, pH-dependent swelling and CDDP release behavior of CDDP loaded polymer were detected, respectively. The morphology of CDDP loaded polymer at pH 6.5 remained little changed but the diameter increased compared with that at pH 7.4. However, CDDP loaded polymer was swollen and even partially broken at pH 5.0, and the diameter increased significantly to ~ 600 nm (Fig. 3A). The weak acidic mediated disassembly of CDDP loaded polymer was also confirmed by the decrease of light transmittance (Additional file 1: Figure S4). The corresponding size distributions of CDDP loaded polymer were about 100 nm, 130 nm and 900 nm at different pHs even within 1 h (Additional file 1: Figure S5). Meanwhile, the release of CDDP from CDDP loaded polymer was measured by High Performance Liquid Chromatography (HPLC) (Fig. 3B). The cumulative release rates of CDDP were about 16.5%, 34.3% and 82.0% after 12 h-incubation at pH 7.4, pH 6.5 and pH 5.0, respectively, laying the foundation for CDDP release in acid lysosomes.
Dechlorination of CDDP is the prerequisite for the formation of Pt–DNA adducts. As referred above, the level of Cl− is negatively correlated to the dechlorination efficiency of CDDP. Here the impact of Cl− on hydration of CDDP was studied by HPLC (Additional file 1: Figure S6), and the results confirmed that the hydration of CDDP was effectively enhanced by the reduction of Cl−. The precipitation reaction of Ag+ and Cl− can accelerate hydration of CDDP through efficient consumption of Cl−. A previous study reported that Ag NPs can be disintegrated to Ag+ by H2O2. [27] The equation is 2Ag + 3H2O2 + 2H+ → 2Ag+ + 4H2O + O2↑. H2O2-mediated dissolution of Ag NPs in F68@TA@Ag was first observed by TEM (Fig. 3C), Ag NPs were almost completely dissolved by incubation with 1 mM of H2O2 for 3 h, partially with 100 μM of H2O2 and barely with 10 μM of H2O2. The changes of color and absorbance at about 470 nm of F68@TA@Ag solution with the treatment of different concentration of H2O2 further confirmed this result (Additional file 1: Figure S7).
Furthermore, the generation of Ag+ from F68@TA@Ag was measured by ICP-MS (Fig. 3D). With the increase of H2O2 from 100 μM to 1 mM, the concentration of Ag+ increased 8-folds. Notably, the Ag+ concentration in supernatant dramatically increased 5-folds accompanied by the concentration of H2O2 raised from 100 to 200 μM. It is acknowledged that the concentration of H2O2 in tumor tissues is about 100 μM. [21] Therefore, in spite of partial dissolution in tumor extracellular matrix (ECM), most of Ag NPs can be internalized by tumor cells. Ag NPs on the constructed F68@TA@Ag can be disintegrated into Ag+ to react with intracellular Cl− in tumor cells with high level of H2O2.
Fe
2+
chelation mediated activity inhibition of DNA repair enzymes
Besides enhancing the formation of Pt–DNA by reducing Cl−, inhibiting the activity of DNA repair enzymes by reducing Fe2+ is essential to maintain Pt–DNA adducts. TA, containing 30 hydroxyl groups, possesses excellent complexing ability with Fe ions. The Fe2+ chelation ability of F68@TA was explored (Fig. 3E). As the molar ratio of F68@TA to Fe2+ varied from 1:1 to 1:10, the chelated Fe2+ increased 10-folds, possessing a remarkable potential to block the combination of DNA repair enzymes and Fe2+. To confirm our assumption, the DNA repair activity of ALKBH2 (a kind of DNA repair enzymes) incubated with TA or F68@TA was detected by TBE-PAGE gel electrophoresis via the shear efficiency of DNA restriction endonuclease DpnII (detailed methods in the Supporting Information). As seen from Additional file 1: Figure S8, DpnII could selectively shear the repaired DNA rather than damaged DNA (e.g. methylated DNA). Given Fe2+ dependence nature of ALKBH2, DNA was not sheared without Fe2+ (Fig. 3F and 3G). In contrast, when Fe2+ was added and incubated, a significant recovery of ALKBH2 activity was observed, while the DNA repair ability of ALKBH2 was inactive again when incubating with TA or F68@TA, similar with the group without Fe2+, indicating excellent Fe2+ chelation ability and DNA repair inhibition ability of TA and F68@TA.
Self-propelled movability fueled by H2O2 in vitro
Interestingly, during the experiment of the dissolution process of Ag NPs mediated by H2O2, we observed the formation of bubbles (Additional file 2: Video S1). After analysis, the potential reason is that the reaction of Ag NPs and H2O2 produces a large amount of O2 (2Ag + 3H2O2 + 2H+ → 2Ag+ + 4H2O + O2↑). Since Ag NPs are located on the side of AINR, we tested whether the preparation has movability propelled by the produced O2. Here we recorded motion behaviors through time-dependent tracking process with different concentration of H2O2. Time-dependent trajectory of the F68@TA@Ag with 25 mM of H2O2 up to 20 s was given in Fig. 3H and typical tracking trajectories of F68@TA@Ag in different concentration of H2O2 were presented in Additional file 1: Figure S9A and Additional file 3: Video S2. Due to the small diameter of ~ 100 nm, Brownian movement has strong influence on the movement of F68@TA@Ag according to the Stokes–Einstein equation and we investigated the enhanced Brownian movement by a mean-square-displacement (MSD) analysis. An increased slope of the average MSD showed a fuel concentration-dependent enhanced diffusion (Additional file 1: Figure S9B). Subsequently, we calculated the diffusion coefficients of F68@TA@Ag from the slop of MSD (MSD = 4.Dt.ΔT). The diffusion coefficient increased from 0.28 ± 0.18 µm.s−1 to 1.46 ± 0.29 µm.s−1 without H2O2 and with 50 mM of H2O2 respectively (Additional file 1: Figure S9C), which confirmed more and more violent ballistic motion with the increase of H2O2 level, suggesting the potential for deeper tumor penetration for the efficient ion regulation in tumor cells.
Cellular uptake and lysosomal escape assay.
Prior to evaluating the anti-tumor effect of AINR, we investigated the cellular uptake behavior of the polymer towards 4T1 cells. RB (Rhodamine B) was loaded into the polymer (Additional file 1: Figure S10). Flow cytometry and confocal laser scanning microscope (CLSM) were conducted for analysis of intracellular fluorescence intensity at different incubation time (Additional file 1: Figure S11 and S12). Fluorescence intensity of RB increased rapidly with incubation until 4 h, and the fluorescence intensity at 4 h was up to the saturated intake. Then the intracellular distribution of RB loaded polymer was explored by CLSM (Fig. 4A). A weak red fluorescence was found at 2 h incubation, and co-localization rate of red fluorescence (RB) and green fluorescence (lysosomes) was low, whereas an obvious increase of co-localization rate was observed after 4 h incubation, demonstrating that nanoparticles were located in the lysosomes at 4 h after internalization. The co-localization rate decreased and green fluorescence was weak after 7 h incubation, which may be attributed to swelling of the polymer at low pH. Based on this, it could be concluded that the polymer could escape quickly and release the loaded CDDP.
Intracellular Cl
−
/Fe
2+
regulation
Dechlorination of CDDP is the key to form Pt–DNA adducts, which is regulated by the level of intracellular Cl−. Ag NPs on AINR are oxidized by H2O2 to release Ag+ for down-regulating intracellular Cl−. Therefore, the concentration of H2O2 is a vital factor for generation of Ag+. Previous research reported that CDDP can mediate activation of NOXs, which triggers O2 to produce abundant superoxide anion (O2•−), further to be transformed by superoxide dismutase (SOD) enzyme to form H2O2. [24] CDDP itself was a promising agent to raise intracellular H2O2. To prove the characteristic, 4T1 cells were treated with different concentration of CDDP, and stained by a H2O2 specific probe. Intracellular green fluorescence increased with the addition of CDDP, indicating that CDDP facilitated H2O2 generation and the process followed a concentration-dependent manner (Fig. 4B, and Additional file 1: Figure S13). CDDP mediated dissolution of Ag NPs on AINR was monitored by bio-TEM (Fig. 4C), and Ag NPs attached on F68@TA@Ag (blue arrows) were hardly any dissolved at 5 h of incubation, while disappeared in some AINR (red arrows), indicating that Ag NPs on AINR could be dissolved benefiting from CDDP mediated H2O2 production. Subsequently, we explored whether AINR could reduce intracellular Cl− with the help of CDDP. Here MQAE probe was used to indicate intracellular Cl−, and the fluorescence intensity was negatively correlated to the level of Cl− (Fig. 4D, and Additional file 1: Figure S14). Intracellular Cl− was not significantly changed with CDDP treatment alone. However, 4T1 cells incubated with AINR displayed much stronger fluorescence intensity than that with F68@TA@Ag, suggesting that the elevation of H2O2 induced by CDDP could enhance the release of Ag+, thus decrease the intracellular Cl−.
The level of intracellular free Fe2+ determines the stability of Pt–DNA adducts by controlling the activity of DNA repair enzymes. Therefore, we examined the regulation of AINR on intracellular Fe2+ (Fig. 4E, and Additional file 1: Figure S15). As expected, a significant decrease of Fe2+ was observed in F68@TA, F68@TA@Ag and AINR treated groups, suggesting excellent Fe2+ chelation ability of TA involved nanoparticles in tumor cells.
Self-enhanced antitumor therapy in vitro
The ability of AINR to regulate dual ions lays the foundation for the formation and maintenance of Pt–DNA adducts, then in vitro antitumor effect of AINR was investigated. As displayed in Fig. 5A, both CDDP and CDDP loaded polymer exhibited certain dose-related inhibiting effects on cell growth. Better yet, the significantly highest cytotoxicity was observed after AINR treatment, illustrating that the CDDP chemotherapy could be self-enhanced via AINR (Fig. 5A). Subsequently, to affirm that the self-enhanced inhibition rate induced by AINR was attributed to the Pt–DNA adducts, we explored the amount of Pt–DNA adducts in tumor cells after different treatments. The content of Pt in extracted DNA was evaluated by ICP-MS (Fig. 5B). As expected, AINR induced the most amount of Pt–DNA adducts in all groups. To further investigate whether AINR inhibited cell activity through DNA damage, γH2AX, which could form foci at the location of DNA damage, was chosen as a marker, and the DNA damage was explored by the amount of γH2AX (Fig. 5C, D). Relative gray value of γH2AX in F68@TA/CDDP group was higher than that in CDDP group, which might be ascribed to the down-regulation of Fe2+, thus reducing the activity of DNA repair enzymes. AINR induced most DNA damage with the synergic regulation of Cl− and Fe2+. The DNA damage was also evaluated by comet assays. As shown in Fig. 5E, F, the tail DNA percentage of 48.9% in AINR group was significantly higher than that in other groups (10.5% in F68@TA group, 14.7% in F68@TA@Ag group, 28.8% in CDDP group and 37.8% in F68@TA/CDDP group), consistent with the γH2AX assays. In a word, AINR could enhance the chemotherapy of CDDP through increasing the amount of Pt–DNA adducts.
Interestingly, we found that the self-enhanced chemotherapy effect induced by AINR might have a tumor cell priority compared with normal cells. The survival rate of 4T1 cells and Hs578Bst cells after treated with AINR was shown in Fig. 5G. The survival rate of 4T1 cells was obviously lower than that of Hs578Bst cells and the amount of Pt–DNA adducts in tumor cells and normal cells were further detected, respectively. As Fig. 5H shown, no significant difference of Pt–DNA adducts was detected between CDDP and AINR in Hs578Bst cells, indicating that AINR did not induce the extra DNA damage. In contrast, the amount of Pt–DNA adducts in the case of AINR group was ~ 3-times higher than that of CDDP group in 4T1 tumor cells.
Combined above phenomenon and related reports, we hypothesis that CDDP can activate NOXs to produce more H2O2 in tumor cells due to its overexpressed NOX, [28] which helps to dissolve Ag NPs and down-regulate intracellular Cl−, thereby promoting the formation of Pt–DNA adducts. While the lower NOXs and low H2O2 basal content in normal cells lead to insignificant down-regulation of Cl−, so there is no obvious self-enhanced chemotherapy effect (Fig. 5I). To prove this, we have investigated NOX4 content, levels of H2O2, and intracellular Cl− regulation in tumor cells and normal cells. NOX4, one of the most important NOXs, was first detected by western blotting assays. 4T1 cells (breast cancer cell) and Hs578Bst cells (normal breast cells) was selected as the model of tumor cells and normal cells, respectively. The content of NOX4 in 4T1 cells was significantly higher than that in Hs578Bst cells (Fig. 5J, and 5K). Subsequently, specific H2O2 probe was used to evaluate the level of H2O2 in both 4T1 and Hs578Bst cells after treated with CDDP. In the case of control group, the green fluorescence in 4T1 cells was obviously higher than that in Hs578Bst cells (Fig. 5L, and M), proving that the initial H2O2 in 4T1 cells was higher than that in Hs578Bst cells. More importantly, after CDDP treatment, the level of H2O2 in 4T1 cells showed a significant increase, while little rise in Hs578Bst cells treated with the same concentration of CDDP, indicating the tumor cell selective H2O2 production.
Increased H2O2 would contribute to regulation of Cl−. Thereby, intracellular Cl− contents in two cells after treated with AINR were detected. To obtain the approximately same cell uptake, incubation time for 4T1 cells and Hs578Bst cells was postponed to 12 h (see detailed methods and Additional file 1: Figure S16 in the Supporting Information). In the case of Hs578Bst cells, no decrease of Cl− was found, while a significant decrease in Cl− was observed in 4T1 cells (Fig. 5N, and O). These results proved that AINR holds preferential self-enhanced chemotherapy for tumor cells, which laid the foundation of attenuated and synergistic treatment of CDDP.
Deep tumor penetration in 3D tumor spheroid model and solid tumor tissues
Effective penetration of drugs in three-dimensional solid tumors contributes to anti-tumor efficacy [29]. Encouraged by the superior properties of movability fueled by H2O2, tissue penetration capacity of F68@TA@Ag was elucidated by using three-dimensional multicellular spheroids model (3D MCSs). The penetrations of F68@TA@Ag in MCSs with H2O2-treatment were observed by CLSM (Fig. 6A). Compared with F68@TA group, red fluorescence (RB) in F68@TA@Ag was located in much more regions of the MCSs even at the depth of 50 μm, indicating that asymmetric nanoparticles (F68@TA@Ag) held the feature of movability at the exist of H2O2 for deeper tumor tissue penetration (Fig. 6B and 6C). Furthermore, movability of F68@TA@Ag in vivo was explored. 4T1 cells-bearing BALB/C mice were administrated by F68@TA/RB or F68@TA@Ag/RB, and the corresponding tumor tissues were exploited and sliced at 24 h after administration (Fig. 6D). CD31 antibody with green fluorescence was used to label tumor vessels. It can be seen from Fig. 6E, and 6F, compared with F68@TA/RB, most of F68@TA@Ag/RB escaped from tumor vessels and penetrated into the depth of tumor tissues, attributing to the movability of F68@TA@Ag with the help of H2O2 in tumor environment.
In vivo biodistribution, antitumor efficiency, and biosafety
Encouraged by self-enhanced chemotherapy and H2O2-driven tissue penetration characteristics of AINR, its antitumor efficiency was explored in vivo. The biodistribution of F68@TA@Ag/IR783 was detected after intravenous injection, and the mice treated with IR783 (a kind of near infrared dyes) were used as the control. As shown in Fig. 7A, compared with free IR783, the circulation time of the F68@TA@Ag/IR783 in vivo was significantly increased. More importantly, F68@TA@Ag/IR783 was accumulated in tumor region efficiently compared to free IR783 even at 48 h post-injection (Fig. 7B), attributing to outstanding stability of F68@TA@Ag/IR783 and the enhanced permeability and retention effect.
Subsequently, the antitumor effect of AINR in vivo was further investigated. Different formulations were injected into tail veins of 4T1 cells-bearing BALB/C mice every two days, respectively. The tumor volume and body weight were recorded during treatment (Fig. 7C). With a 14-d treatment, compared to the control group, the tumors from the mice treated with F68@TA, and F68@TA@Ag showed slight inhibitory effects on growth. It was noteworthy that AINR treatment showed remarkable tumor growth inhibition (Fig. 7D), which was attributed to the H2O2-driven deep tissue penetration and intracellular ion regulation mediated CDDP self-enhanced chemotherapy. To confirm the mechanism of in vivo self-enhanced effect, tumor tissues from different treated groups were sliced and stained with Cl− probe and Fe2+ probe. Cl− level in AINR treated group was significantly lower than that in F68@TA@Ag treated group (Fig. 7E and Additional file 1: Figure S17), indicating the decomposition of Ag NPs into Ag+ triggered by CDDP mediated H2O2 accumulation in the tumor was able to greatly reduce the Cl−. In addition, Fe2+ level in F68@TA, F68@TA@Ag, F68@TA/CDDP, and AINR were significantly lower than the group that treated by saline and CDDP, indicating excellent free Fe2+ chelation ability by TA involved nanoparticles (Fig. 7F, and Additional file 1: Figure S18).
To test the extent of apoptosis of tumor cells treated with different therapies, hematoxylin and eosin (H&E) staining and terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay were conducted (Fig. 7G). Large amounts of karyopyknosis (the circle) and the severer nuclear loss (the arrow) was observed in AINR treated group, indicated that tumor cells in the tissue section with AINR treatment were severely damaged. Similarly, more apoptotic cells (green color represented the damaged DNA) were detected in the AINR group by TUNEL assay, which was obviously more than that in other groups. Intuitively, tumor cells in the tissue section with AINR treatment were severely damaged.
Finally, in vivo biosafety of AINR was evaluated. The body weight of mice from CDDP group displayed a significant drop, indicating in vivo toxicity induced by free CDDP. But reasonable weight changes in the normal range were observed in the AINR treated group, indicating negligible systemic toxicity of AINR (Additional file 1: Figure S19). Besides, the major organs (heart, liver, spleen, lung, and kidney) of the mice with different treatments were assessed by H&E staining (Additional file 1: Figure S20). Histological analysis indicated after treatment with free CDDP, renal corpuscle was slightly broken, and renal tubule was swollen, which was attributed to the fact that CDDP is metabolized from kidney as original form, leading to serious nephrotoxicity. All organs in other groups were normal, so it could be inferred there was no obvious systemic toxicity of AINR during the treatment. Moreover, blood was collected for examination of liver function and kidney function (Additional file 1: Figure S21). In CDDP group, the level of ALT was sharply raised, but other indexes of liver function were stable, indicating that detoxification function of liver decreased while protein synthesis capacity remained unchanged. Meanwhile, the contents of CREA, UA, and BUN were all significantly higher than the normal range, suggesting the abnormal kidney function induced by CDDP. The indices of liver and kidney functions in other groups were all within the normal range.
Recently, an increasing attention has been paid to intracellular ion homeostasis, due to its close relationship with various enzyme activities, indispensable role in energy metabolism and the key regulatory mechanism in cell behavior, and the intracellular ion interference becomes a hot topic in tumor treatment [28, 30, 31]. For example, our previous research showed that the efficacy of tumor resistance reversal and immunotherapy could be significant improved through regulating the level of calcium ion in tumor [32, 33]. Specifically, the formation and maintenance of Pt–DNA adducts are affected by the dechlorination of CDDP and the DNA repair enzyme activity, which mainly rely on the intracellular Cl−/Fe2+ levels. Herein, an asymmetric ion nanoregulator (AINR) with the ability of regulating intracellular Cl−/Fe2+ was developed for self-enhanced CDDP chemotherapy. More importantly, AINR held a tumor cell-preferred self-enhanced chemotherapy due to the overexpressed NOXs in tumor cells. With the same therapeutic effect of AINR and CDDP, the dosage of CDDP in AINR was reduced by one-third (Additional file 1: Figure S22), providing a new ion-regulating strategy for enhanced CDDP chemotherapy.
In addition, in vivo delivery efficiency also determines the efficacy of CDDP, and the deep penetration of nanomedicine in tumors has always been a hot topic [34, 35]. To overcome this obstacle, many great efforts have been explored in recent years, such as particle size change strategy, extracellular matrix degradation strategy, etc. [36,37,38] In this study, during the nanoparticle preparation process, we found the synthesized AINR held a spherical structure with asymmetrically distributed Ag NPs, which performed an autonomous movable property as a nanomotor. With the ability of self-propelled movement, AINR could overcome the extracellular matrix barrier and penetrate into deeper tumor. Interestingly, different from other nanomotors that were usually prepared by template-directed electrodeposition process [39,40,41], AINR with asymmetric structure could be prepared through one step in situ reduction in solution environment. The simple preparation process of AINR is expected to provide a deep penetrating treatment platform for solid tumors and inflammatory environment.