Synthesis and characterization of CS-FA and TPP-TPGS
To enhance the tumor targeting of the NPs, CS-FA was obtained by FA modification of the carboxyl of CS (Scheme 1). The characteristic peak of aromatic protons in FA were at 8.00-9.00 ppm while peak of proton hydrogen of the CS was at 4.00-5.00 ppm. Ultimately, the aromatic ring of FA (8.00–9.00 ppm) and the characteristic peak of CS (4.00-5.00 ppm) existed in CS-FA, as shown in Fig. 1a, indicating successful synthesis of CS-FA.
TPP-TPGS was synthesized to further target subcellular organelle mitochondria. Fig. 1b exhibits the 1H NMR spectra of TPP-COOH, TPGS and TPP-TPGS. The characteristic peak of aromatic protons in TPP-COOH were at 7.70-7.80 ppm while peak of protons from polyethylene glycol in TPGS were at 3.54 ppm. The peak of TPGS in 3.30 ppm was caused by water in the solvent, which wasn’t the characteristic peak of TPGS [23]. The 1H-NMR spectrum of TPP-TPGS showed characteristic peaks of TPP-COOH at 7.70-7.80 ppm and peaks of TPGS at 3.54 ppm, indicating that TPP-TPGS had been successfully synthesized.
Preparation and characterization of the NPs
The preparation, delivery, lysosomal escape, mitochondrial action and anti-cancer effects of CS-FA/TT/PLGA@cela NPs were depicted in Scheme 2. CS-FA/TT/PLGA@cela NPs were prepared by single emulsion solvent evaporation method and characterized by TEM and Dynamic Light Scattering (DLS). All NPs were spherical, and had a uniform particle size of about 70-100 nm (Fig. 2a, c, Additional file 1: Fig. S1). The average diameter of CS-FA/TT/PLGA@cela NPs was approximately 100 nm, which was larger than that of TT/PLGA@cela NPs. This may be caused by the outer of CS-FA. Meanwhile, diameter of PLGA@cela NPs was larger than that of TT/PLGA@cela NPs, it may be that the existence of TPP-TPGS makes the structure more compact. In addition, the zeta potentials of PLGA@cela NPs and TT/PLGA@cela NPs were -20.2 mV and 22.3 mV (Additional file 1: Fig. S2), respectively. It indicated the positive charge of TPP-TPGS could increase the zeta potential. At the same time, the zeta potential of the CS-FA/TT/PLGA@cela NPs was extremely decreased compared with that of the TT/PLGA@cela NPs, demonstrating negatively charged CS-FA could reduce the zeta potential.
To determine the capacity of the nano-loaders, the drug loading and encapsulation efficiency were detected by UV. The drug loading and encapsulation efficiency of CS-FA/TT/PLGA@cela NPs were 36.1±2.1 % and 75.4±2.8 %, respectively. These results were not significantly different from the corresponding values of TT/PLGA@cela NPs (Additional file 1: Table S1). In addition, the NPs did not significantly change particle size (Additional file 1: Fig. S3) or zeta potential (Additional file 1: Fig. S4) at 4 °C for 15 days. The stability results provide a basis for the preservation methods of subsequent animal experiments.
Measurement of pH-triggered drug release in vitro
To investigate the correlation between the release rate in response to alkaline pH and the physicochemical properties of the drug, the pH-triggered cela release rate was measured by an in vitro drug release method. As shown in Fig. 2d, e, in a buffered medium simulating mitochondrial pH around 8.0, the TT/PLGA@cela NPs and CS-FA/TT/PLGA@cela NPs exhibited rapid release behavior, with 95% of cela released within 24 h. However, the TT/PLGA@cela NPs and CS-FA/TT/PLGA@cela NPs exhibited sustained release at pH 5.0 and 7.4 with the drug release rate 20% and 56% respectively. It confirmed that TT/PLGA@cela NPs and CS-FA/TT/PLGA@cela NPs could response to weakly alkaline pH environment of tumor cell mitochondria, reduce drug leakage in the cytoplasm and lysosome, and promote the rapid release in mitochondrial. Furthermore, TT/PLGA@cela NPs and CS-FA/TT/PLGA@cela NPs had similar release, demonstrating that CS-FA did not affect the weakly alkaline response of nanoparticle mitochondria. Consistent with the previous study of Tan et al. [19], at pH 8.0, the high solubility of cela may lead to the weak interaction between cela and the hydrophobic core of nanoparticles, which ultimately leads to the rapid release of drugs.
Cellular uptake and endocytosis pathways
CLSM can be used to study the cellular uptake of NPs. As shown in Fig. 3a, the fluorescence intensity of CS-FA/TT/PLGA@C6 NPs was significantly stronger than that of TT/PLGA@C6 NPs. It indicated that the outer CS-FA played an essential role in promoting the absorption of NPs, conferring the ability of tumor targeting. In addition, when CS-FA/TT/PLGA@C6 NPs was added to 4T1 cells that contained saturated FA, the cellular uptake efficiency of the NPs decreased due to the competitive binding of free FA on the cancer cells. This result was mainly due to the excessive free FA that could competitively block the uptake of CS-FA/TT/PLGA@C6 NPs, indicating that excessive free FA inhibited cell binding and uptake through specific competitive binding with receptor on 4T1 cell. This result demonstrated that CS-FA/TT/PLGA@C6 NPs was more conducive to the cellular uptake due to the targeting of FA.
NPs can be ingested by phagocytosis or pinocytosis. Endocytosis can occur through giant pinocytosis, endocytosis mediated by grid protein or cell membrane cave-like invagination, or independent endocytosis [24,25]. Here, various inhibitors were selected to study different absorption mechanisms [26]. Sodium azide is an active transport inhibitor with comprehensive energy consumption [27]. Methy-β-Cyclodextrin is used as a specific endocytosis inhibitor mediated by cell membrane caveolae or lipid raft [28,29]. Chlorpromazine is used to inhibit reticulin dependent endocytosis [30]. Amiloride hydrochloride is a Na+/H+ exchange inhibitor of microcytosis, while colchicine inhibits the formation of macropinocytosis [31]. As shown in Fig. 3b, co-incubation with sodium azide inhibited the uptake of CS-FA/TT/PLGA@C6 NPs in 4T1 cells (P<0.01), suggesting that cell uptake was active transport. At the same time, chlorpromazine also affected the uptake of CS-FA/TT/PLGA@C6 NPs in 4T1 cells (P<0.01). However, the fluorescence intensity of CS-FA/TT/PLGA@C6 NPs in the other inhibitors treated group was similar to that in the control group, indicating that the endocytosis mechanism of CS-FA/TT/PLGA@C6 NPs was not closely related to other ways. Therefore, clathrin-mediated endocytosis was the main endocytic pathway for CS-FA/TT/PLGA@C6 NPs, which may be related to FA mediated internalization of nanoparticles.
Assay of cytotoxicity in vitro
Inhibition of cancer by NPs was investigated in vitro by proliferation assays. The potential therapeutic efficacy of NPs was investigated in 4T1 cells by Cell Titer-Glo Luminescent Cell Viability Assay. Cela and cela-loaded NPs had concentration-dependent cytotoxicity in 4T1 cells. With the increase of cela concentration, the inhibitory effect on cancer cells increased. As shown in Fig. 3c, PLGA@cela NPs, TT/PLGA@cela NPs and CS-FA/TT/PLGA@cela NPs exhibited enhanced anticancer activity with the IC50 value much lower than free cela (Additional file 1: Table S2). At the maximum concentration of 0.5 μg/mL cela, the cell survival-rates of cela, PLGA@cela NPs, TT/PLGA@cela NPs, CS-FA/TT/PLGA@cela NPs and CS-FA/TT/PLGA NPs were 60.7%, 40.5%, 5.3%, 1.2% and 100.0%, respectively. The results showed that the cytotoxicity order of NPs: CS-FA/TT/PLGA@cela NPs > TT/PLGA@cela NPs > PLGA@cela NPs > cela > CS-FA/TT/PLGA NPs. CS-FA/TT/PLGA@cela NPs had the strongest cytotoxicity. Moreover, the cytotoxicity of CS-FA/TT/PLGA NPs in cancer cells was low, indicating that these carriers are safe and biocompatible with tissues and cells.
Lysosomal escape behavior
After the NPs are absorbed by cancer cells, they must quickly escape lysosomes to produce antitumor effects. Therefore, CLSM was used to study the interaction between the lysosomes and the NPs. As shown in the Fig. 4a, C6 fluoresced green, lysosomes were stained red, and nuclei were stained blue. When various nanoparticles were incubated with cells for 4 h, PLGA@C6 NPs were captured by lysosomes, which could be proved by the co-localization of red and green fluorescence into yellow fluorescence. In contrast, in the nanoparticle map of TT/PLGA@C6 NPs and CS-FA/TT/PLGA@C6 NPs, the yellow fluorescence weak, and the green fluorescence was dominated, indicating the escape of nanoparticles from lysosomes. It was reported that TPP escaped lysosomes quickly because its positive charge could reduce the stability of lysosomal membrane [25,32]. Our results are consistent. Moreover, compared with PLGA@C6 NPs, CS-FA/TT/PLGA@C6 NPs showed lysosomal escape behavior. The result might be that CS-FA was degraded under the acidic microenvironment of tumor, TT/PLGA@C6 NPs exposed and successfully achieved lysosomal escape [11,33-35].
Co-localization of mitochondria and oxygen consumption rates assay
After escaping from lysosomes, laser confocal was used to detect the presence of nanoparticles in mitochondria. Three different nanoparticles were incubated with 4T1 cells for 6 h, and then mitochondria were stained. C6 emitted green fluorescence, mitochondria were stained red, and nuclei were stained blue. The amalgamated yellow signal, which came from the green fluorescent C6 labeled nanoparticles colocalized with red fluorescent-tagged mitochondria, was imaged by CLSM, as shown in Fig. 4b. In the case of the treatment with PLGA@C6 NPs, the clear separation of green and red signals showed that nanoparticles were not localized to mitochondria. In contrast, in the case of the treatment with TT/PLGA@C6 NPs, CS-FA/TT/PLGA@C6 NPs, the mitochondria in the merged image were yellow, manifesting a quite good overlap between the green signal of C6 and the red signal of the mitochondria, which indicated the two NPs were located at mitochondria. It suggested that the CS-FA layer was removed from the nanoparticles to expose TT/PLGA@C6 NPs, which furnished for accurate mitochondrial targeting. Moreover, the merged yellow fluorescence of CS-FA/TT/PLGA@C6 NPs was stronger than that of TT/PLGA@C6 NPs, which might be caused by the former cells absorbing more. These delivery process resulted in specific accumulation of the nanoparticles in the mitochondrial fraction.
To further investigate the effects of CS-FA/TT/PLGA@cela NPs on mitochondrial respiration in 4T1 cells, we used the XF cell Mito stress test kit. Oligomycin (ATP coupling agent), FCCP (uncoupling agent), mycin (antimicrobial), and rotenone (mitochondrial inhibitor) were added at predetermined time points, and OCR of mitochondria at various stages was detected using an XF96 analyzer. In the concentration dependent test (Fig. 5a), OCR of 4T1 cells was affected at all concentrations. Compared with the negative control group, treatment with cela or cela-loaded NPs showed that the basal respiratory value decreased with the increase of cela concentration. After adding oligomycin, the ATP coupling efficiency of CS-FA/TT/PLGA@cela NPs treated cells was significantly lower than that of the control group and the free cela group. This result showed that nanoparticles could disrupt ATP synthesis by blocking the proton channel in F0 region and affecting the uncoupling electron transfer of ATP synthase [36]. The addition of FCCP led to the disappearance of the restriction of electron transport on the proton gradient, and the OCR increased sharply to reach the maximum oxygen consumption. However, the OCR after CS-FA/TT/PLGA@cela NPs treatment was also lower than that of other groups. Moreover, the inhibition of mitochondrial respiration TT/PLGA@cela NPs was stronger than that of PLGA@cela NPs. After treatment with 0.3 μg/mL free cela, PLGA@cela NPs, TT/PLGA@cela NPs, CS-FA/TT/PLGA@cela NPs, the coupling efficiency of cells decreased by 3% ,10%, 15% and 40% respectively, the maximum oxygen consumption of cells decreased by 54%, 58%, 62% and 85% respectively, and the respiratory reserve capacity of cells decreased by 65%, 71%, 73% and 97% respectively, compared with the negative control group. It could be found that the inhibition of CS-FA/TT/PLGA@cela NPs on mitochondrial respiration was the strongest at the concentration of 0.3 μg/mL. Meanwhile, at the concentration of 0.5 μg/mL, the same was true.
The respiration of cells treated with the NPs for 4 and 8 h was also determined. Compared with the negative control group with treatment for 4 h (Fig. 5b), free cela, PLGA@cela NPs, TT/PLGA@cela NPs and CS-FA/TT/PLGA@cela NPs decreased the coupling efficiency of cells by 1%, 18%, 40% and 48% respectively, the maximum oxygen consumption by 21%, 71%, 85% and 87% respectively, and the respiratory reserve capacity by 23%, 83%, 97% and 98% respectively. Meanwhile, with treatment for 8 h, it was also found that CS-FA/TT/PLGA@cela NPs had good inhibition on the mitochondrial respiration of cancer cells.
These results revealed that free cela could interfere with the correct function of mitochondria. The results are consistent with those reported by Tan et.al [19,35], which indicate that cela acts directly on mitochondria changing the mitochondrial membrane permeability. The results of the mitochondrial respiration test demonstrated that the inhibition of CS-FA/TT/PLGA@cela NPs on the mitochondrial respiration of cancer cells was more significant than that of free cela and PLGA@cela NPs. This result suggested that CS-FA/TT/PLGA@cela NPs exerted mitochondrial injury and damage in the respiratory function of cells, resulting in cell death.
Mitochondrial membrane potential assay
The marked event in the early stage of mitochondrial injury is the decrease of MMP [37]. JC-1 is a fluorescent which accumulates in the mitochondrial membrane in two forms (monomers or dimers), depending on mitochondrial membrane potential. To probe cela and cela-loaded NPs mediated changes in the mitochondrial membrane potential, the mitochondrial membrane potential of 4T1 cells was assessed using JC-1 detection probes [38,39]. As shown in Fig. 6, the control group cells showed strong red fluorescence with a high MMP, whereas the cells treated with CS-FA/TT/PLGA@cela NPs exhibited green fluorescence owing to the monomer form of JC-1. At the same time, PLGA@cela NPs displayed weak damage to mitochondria due to the lack of mitochondrial targeting. Besides, compared with TT/PLGA@cela NPs, damage to mitochondria of CS-FA/TT/PLGA@cela NPs was greater. This is probably because CS-FA/TT/PLGA@cela NPs were better absorbed in 4T1 cells, and a large amount caused greater damage to mitochondria. Thus, CS-FA/TT/PLGA@cela NPs treatment enhanced the depolarization of the MMP.
Apoptosis related protein expression
Western blotting was used to measure the activities of caspase3 [40]. When cells are apoptotic, caspase3 is sheared and converted into activated cl-caspase3. Therefore, as shown in Fig. 7, CS-FA/TT/PLGA@cela NPs significantly enhanced the activities of cl-caspase3 in 4T1 cells. The expression of cl-caspase3 protein in TT/PLGA@cela NPs group was lower than that in CS-FA/TT/PLGA@cela NPs group which may be due to CS-FA promoting more internalization of NPs. Moreover, the activated cl-caspase3 protein expression of the NPs treated group was higher than that of the free cela group. Bax functions as a regulator of apoptosis in cell [40]. In this study, the CS-FA/TT/PLGA@cela remarkably enhanced proapoptotic protein (Bax) expression in 4T1 cells (Fig. 7). At the level of detecting apoptotic protein, it also proved that CS-FA/TT/PLGA@cela NPs could promote tumor cell apoptosis and further inhibited tumor potential which may be due to the dual role of CS-FA and TPP-TPGS.
Antitumor effects on the breast cancer
To evaluate the antitumor effect of cela-loaded NPs, different formulations with the same dose of cela were analyzed in the breast cancer‑bearing mouse models. As shown in Fig. 8a,b, tumor growth in the treatment groups was slower than that in the control group within 14 days of treatment. Compared with that of the cela group, the tumor-inhibition rate of the TT/PLGA@cela NPs group was significantly increased, mainly due to the nanoparticles enhancing the solubility and mitochondrial localization of cela. CS-FA/TT/PLGA@cela NPs displayed the strongest antitumor activity and notably inhibited tumor growth (Fig. 8d). The highest tumor inhibition rate of 76.28% was achieved on day 14 in mice treated with CS-FA/TT/PLGA@cela NPs, which was higher than that achieved using cela or TT/PLGA@cela NPs (Fig. 8c). It corresponds to the results of in vitro experiments with the strongest cell absorption and cytotoxicity. Changes in the body weights of the mice were monitored during the treatment period. As shown in Fig. 8e, the body weights of mice in the NPs group did not change significantly at 14 days, indicating that the NPs were safe. Meanwhile, the weight of mice in the cela group decreased significantly, which should be caused by the toxicity of cela. Besides, HE staining was performed on the heart, liver, spleen, lung and kidney of mice, and the results are shown in the Fig. 9a. HE staining of the main organs of administration of NPs groups showed that none of the groups exhibited obvious damage compared with the control group, indicating the safety and nontoxicity of NPs. However, there was significant inflammatory cell infiltration in the liver and kidney in the cela group. Meanwhile, the purpose of blood routine analysis was to check whether the material cause the blood system’s abnormality. Routine blood examination was conducted 1, 7 and 14 days after administration in mice of each group. From Additional file 1: Fig. S5, for control group or nanoparticles administration group, data did not show significant difference. Nevertheless, as shown in the Additional file 1: Fig. S5, platelets decreased significantly one day after cela administration. Apparently, cela-loaded NPs reduced the toxicity by the cela and influence on other organs and extended the circulation time in the blood thus increasing cela accumulation in the tumor tissue. What is more, TUNEL assay apoptosis in tumor sections confirmed that the number of positive cells was higher in cela-loaded NPs group compared with cela group (Fig. 9b). Meanwhile, the Fig. 9b indicated that CS-FA/TT/PLGA@cela NPs induced more apoptosis than TT/PLGA@cela NPs in tumors.
CS-FA/TT/ PLGA@cela NPs could target tumor cells. After entering tumor cells, CS-FA degraded and exposed positively charged TT/PLGA@cela NPs. Then successful lysosome escape, TT/PLGA@cela NPs entered mitochondria, released cela in mitochondria. So as to induce mitochondrial apoptosis and enhance the anti-tumor effect.