In 2014, Devkota et al. presented the engineering of multifunctional magnetic nanoconjugates composed of superparamagnetic Fe3O4 NPs coated by alginate and curcumin (Devkota et al. 2014). They showed that this nanosystem is very promising for applications in hyperthermia, and biomolecular detection. However, in this study, they only performed the application in vitro without any biological objectives. Hence, in this current study, we would like to check of this nanosytem still keep their bioactivities both in vitro and in vivo models.
In our hyperthermia experiment, the temperature of the MNPs after 30 minutes applying of an alternative magnetic field with 80 Oe and 178 kHz, at the highest Fe concentration of 2000 µg/ml, rise to 41.5oC. This temperature was lower in comparison with the reported value of the same Fe concentration in the study of Devkota. The difference may come from the existence of the cancer cells in the heated solution. Previous studies also indicated that the temperature of the cell-containing solution is always lower compared to that in the solution consists of magnetic NPs only (Bhardwaj, Parekh, and Jain 2020; Luong et al. 2011; Linh et al. 2009). Even so, the temperature 41.5◦C still had potential to kill cancer cells, with 20% of Sarcoma cells death. Variation in results of cancer cell viability were obtained in reported the studies of in vitro hyperthermia(Linh et al. 2009; Bhardwaj, Parekh, and Jain 2020; Luong et al. 2011; Tomitaka, Yamada, and Takemura 2012). In these studies, the temperature was higher than 45oC, but the cell viability after 30 minutes of AMF applying was less than that in our experiment (Tomitaka, Yamada, and Takemura 2012; Bhardwaj, Parekh, and Jain 2020; Luong et al. 2011; Linh et al. 2009). It means that beside the effect of hyperthermia, the cell death could be induced by the effect of curcumin in the NPs. Previous study proved that MIH could release curcumin from the nanoconjugates (Mukherjee et al. 2020; Luong et al. 2011), so that they could contribute to kill cancer cells. We also found that the cell death was increased by a domino effect after stopping the heating process. At the time of 60 minutes after heating, the cell death was raised up to 31.1% and 38.8% in the AMF of 30 minutes and 45 minutes, respectively. That means the extermination of Sarcoma 180 cells still occurred even the alternative field was stopped. Hyperthermia can lead cancer cell to apoptosis by the effect of heating (Tomitaka, Yamada, and Takemura 2012), and curcumin is proved to initiating programmed cell death (Song et al. 2018; Beyene et al. 2021). In this condition of our study, many apoptotic cells did not incontinently dead during heating treatments, but after the process finished. Therefore, for accurate assessment of the effectiveness of hyperthermia, the number of dead cells over time needs to be counted.
The results of hyperthermia treatment in mice bearing tumor were consistent with the in vitro test. The volume of Sarcoma 180 tumors was clearly inhibited in heated mice, especially during the time of heating process (D0-D8) with the no change in the size of tumor. This effect was kept after finishing the treatment until D14. This phenomenon clearly indicated the domino effect of hyperthermia. Although the tumor regrew after D14, but the progression rate was 4 times smaller than that of untreated mice. The regrowth of tumor suggested that it is necessary to re-treat after time to get more efficient in anti-tumor effect. Interestingly, for the mice injected with Fe3O4/Cur@ALG NPs but not heating, the tumor volume was also smaller than the control. This effect could belong to the function of curcumin since this compound was proved the role as anti-cancer substance (Beyene et al. 2021; Song et al. 2018). Taken together, our results revealed that Fe3O4/Cur@ALG NPs can efficiently killed cancer cells in both in vitro and in vivo models. The death of cancer cells may come from the synergetic effect of the combination of the thermal therapy and the chemotherapy of curcumin.
The time which nuclei take to return from an excited state to an equilibrium state is called relaxation time, which depends on the proton density in the tissues (Reimer and Balzer 2003). Magnetic NPs were considered as superparamagnetic iron oxide NPs which is potential to reduce T2 relaxation time and increase the negative image contrast (Reimer and Balzer 2003; Jordan et al. 1999). In our current study, data of MRI by Fe3O4/Cur@ALG expressed the compatible results for their nature as superparamagnetic iron oxide NPs. In the presence of curcumin, the nanosystem still had ability to enhance the image contrast, with the MR signal intensity significantly reduced even at the smallest Fe concentration of 10 µg/ml used in the experiment. Besides, whenever applying the NPs in the body for MRI diagnostic, it needs to consider them in the interaction with the cells of body because they could change the MRI signal. The results in our study mean that the presence of the cells did not affect the T2 MRI signal of Fe3O4/Cur@ALG. Our results were compatible with the other superparamagnetic iron oxide NPs which were reported about their ability in increasing MRI contrast (Khalkhali et al. 2015; Song et al. 2019). In addition, Fe3O4/Cur@ALG NPs showed the MRI effect when being directly injected in mice as well. At both concentrations of Fe, 50 µg/0.5 cm3 and 250 µg/0.5 cm3, the NPs increased the negative contrast of MR images at the tumor site, with the darken signal enlarged follow time and density of NPs. It worth to note that, the dark region in MRI could cause by the necrotic core in the tumor. Thus, we chose the 5th days old tumors, which were in the early of the logarithmic growth phase. Moreover, MRI image in un-treat mice revealed that there were no such necrotic cores in tested tumors. At the time of 30 minutes after the nanoparticle injection, the dark signal was maintained indicating that the nanoparticle still presented in the tumor site. Our results were consistent with the study of Sun et al. reported the remaining iron oxide nanoparticle-immobile alginate nanogels in tumor no shorter than 2 hours after injection (Khalkhali et al. 2015). However, when applying Fe3O4/Cur@ALG NPs via the tail vein, we could not observe the difference between the injected mice and the control after 1h, 6h, and 24h of injection. This may be due to the observation window in our experiment was not appropriate that the nanoparticle was already removed or not focused yet to the tumor. Nevertheless, our results suggested that these Fe3O4/Cur@ALG NPs could be applied for imaging guided therapy. For MRI diagnosis, the MNPs need to be modified to enhance the Enhanced Permeability and Retention (EPR) effect so that they could be intravenously used. Our study still had limitations. To know the remaining time of MNPs in the tumor, we should take the images after longer time, such as 1–2 hours post MNP injection. Taking MRI prior MNP injection should also be performed in every tested tumor to precisely determine the effect of MNPs in image contrast enhancement.
To apply on human, it is necessary to define the toxicity of the nanoparticle. The toxicity tests may help to determine whether the nanoparticle concentrations are high enough to cause adverse effects in organisms. The promising results of Fe3O4/Cur@ALG NPs in MR imaging and hyperthermia treatment prompted us to perform the acute and sub-chronic toxicity test. In the acute lethality test, the data showed that even at the highest dose could be used of 120 mg/kg, there were no mice died after 72h of treatment. That mean at this dose, the nanoparticle had no acute lethality on mice. We decided to choose two doses corresponded to 1/7 and 1/5 of the highest dose to test for the chronic toxicity. The purpose of sub-chronic toxicity test is to long-term measurement the effects of exposure to relatively lower, repeated and less toxic concentrations of compounds. After the intravenous injection every day in 30 days, corresponded to the total dose of 720 and 530 mg/kg/mice, 2/10 of mice were died at both used doses. For the body weight and daily activity of mice, there was no statistically significant difference between the control and the treated one (p < 0.05). Interestingly, even the mice get a large total amount of NPs, the histological analysis showed that there was only a small amount of Fe remaining in liver organ. Moreover, the tissue structures of liver and kidney were not changed in the injected mice compared to the control. To evaluate the function of liver, we measured the level of ALT and AST enzymes. These molecules are two popular indicators for the function test of liver (Jain et al. 2008). The obtained results agreed with the histological analysis with the significant increase of these enzymes in treated mice compared to the control. However, the ALT levels in treated mice were still in the normal range (25–60 U/L) (Alexiou et al. 2003). Besides, generally, AST levels three times the upper limit of the normal range (range 39–262 U/L) represent abnormal liver function. The changes seen in our studies were significantly below this limit. Particularly, after 10 minutes of injection, the levels of iron in blood of treated mice were turn back to the normal, indicating that the quick clearance of NPs form blood vessel. Previous studies mentioned about the toxicity of magnetic iron oxide NPs (IONPs) in vivo (Feng et al. 2018). Our results were similar with the report of Jain et al that the magnetic NPs made the increase of liver enzymes but still stay in the normal range. In the study of Feng et al., Polyethylenimine-coated IONPs exhibited dose-dependent lethal toxicity, with animal mortality of 100% at the tested concentration of 5 mg/kg, meanwhile there was no death mice in PEGylated-coated IONPs group at the same Fe concentration (Feng et al. 2018). It needs to be noted that in these studies, the NPs were injected only one time per treatment, which is much less frequent compared to our study with 30 times in 30 days. Taken together, the data clearly indicated that our Fe3O4/Cur@ALG NPs did not cause long-term effect to the animal when tested at high dosed in 30 days.