Colorectal cancer (CRC) is the third most common, harmful, and universal cancer and the second lethal type. In 2020, an estimated 1,880,725 people were diagnosed with colon cancer. By 2035, there may be nearly 2.5 million new cases. [1] According to the pathological characteristics of the tumor, there are various therapeutic options for CRC. The principal therapeutic strategy for mCRC (Metastatic colorectal cancer) patients is palliative chemotherapy, while non-systematic therapy (such as surgery and optional radiation and ablative techniques) is optional for patients with respectable metastatic lesions to improve survival. The early-stage primary disease typically requires laparoscopic surgery; cases involving metastases necessitate open surgery for tumor resection, and nonresectable cases typically require adjuvant radiotherapy. Neoadjuvant and palliative chemotherapies, [2] immunotherapy, [3] and tyrosine kinase inhibitor (TKI) [4] therapy are additional CRC treatments. Currently, targeted drug delivery through nanoparticles has been an emerging approach for addressing various problems associated with chemotherapeutic agents. [5–7]
Curcumin (1,7-bis(4-hydroxy-3-methoxyphenyl)- 1,6-heptadiene-3,5-dione), likewise alluded to as diferuloylmethane, comprises one of the major curcuminoids existing in the substructure of plant Curcuma longa (turmeric). [8] Curcumin has been practically studied for the majority of human diseases and is highly adequate in treating a diversity of medical conditions, including, but not limited to, cancer, arthritis, major depression, liver disease, dyslipidemia, and chronic obstructive pulmonary disease. [8–12] Curcumin has the ability to encourage a wide range of chemical reactions in living things, such as hydrolysis, enzymatic reactions, reversible and irreversible nucleophilic addition (Michael reaction), and hydrogen donation leading to oxidation. [13] Evidence demonstrates that curcumin disrupts a variety of cellular signaling pathways by directly targeting bioactive proteins or epigenetically regulating gene expression in key disease-associated signaling pathways, according to mounting evidence. [14, 15] Curcumin's therapeutic potential against CRC has been validated in a number of preclinical and clinical studies, and its effectiveness in suppressing various stages of CRC development is noteworthy. [16, 17] In spite of these advantages, curcumin suffers from some limitations in drug administration. Low solubility and bioavailability are major problems of this drug. Also, the passive distribution of curcumin, as to other chemical entities, is another important obstacle to the effective anticancer properties of this drug. The incorporation of curcumin into nanocarriers is a promising strategy to solve the mentioned problems. Nanoparticles have many important potentials to overcome these obstacles. They could increase the solubility and dissolution profile of less soluble drugs. Also, the absorption pathway of drugs may be improved using nanocarriers. However, the most attractive capability of nanocarriers is the ability to modify drug distribution in the body. [18] Since the drug is entrapped inside the nanoparticles, they can release the drug actively, and also through interaction with different organs, and biological or cell components, the fate of the drug could be changed according to treatment goals. Numerous nanocarriers were used for this strategy and among them, the conjugation of polymeric nanoparticles with magnetic cores is very advantageous.
Bioanalytical methods and biomedical applications completely rely on magnetic nanoparticles. With bio-type specimens, they encounter less background interference, making bio-type samples' magnetic susceptibilities nearly nonexistent. [19] As a result of this benefit, and biological samples can be easily accessed in the direction of the external magnetic field. Analytical tools, bioimaging, biosensors, contrast agents (CAs), hyperthermia, photoablation therapy, physical therapy applications, separation, signal markers, and targeted drug delivery (TDD) are just a few of the many biomedical applications that can now be designed into magnetic nanoparticles. [20] Iron oxide nanoparticles (IONPs) are used in most studies because of their biocompatibility, high saturation magnetization, high magnetic susceptibility, chemical stability, and innocuousness. Nickel and cobalt, two examples of IONPs with high magnetic properties, are toxic and easily oxidized. Magnetite (Fe3O4) nanoparticles (MNPs) are by far the most commonly used IONPs in biomedical applications. [21] As a result of ion transfer from Fe2 + ions to Fe3+ ions, magnetite nanoparticles have unique electrical and magnetic properties.[22] Most biomedical MNPs have superparamagnetism properties because they are smaller than 20 nm. [22] They are also widely used in this field due to their biocompatible surface chemistry, high magnetization saturation value, narrow particle size distribution (100 nm), and superparamagnetism property compared to other magnetic IONPs (M-IONPs). [19–21] In addition to targeting tumors using an external magnetic field, magnetite nanoparticles can also cause hyperthermia-induced apoptosis of cancer cells. [23] One of the most employed polymers for coating Fe3O4 is PLA which is readily oxidized and agglomerated, they are often coated with natural or synthetic polymers. [24]
Polylactic acid (PLA) is a flexible polymer that is fermented into a carboxylic acid from sustainable agricultural waste. [25–27] The lactic acid is then polymerized using a cyclic dilactone, lactide, and ring for product modification. [28] PLA and its copolymers have been utilized to encapsulate many classes of drugs, such as hormones, proteins, and chemotherapeutic agents. [29–31] Slow degradation rate and high hydrophobicity are some of the disadvantages that restrict the biomedical application of PLA. [32] On the other hand, nanoparticles can actively target tumor cells by recruiting targeting moieties that bind specifically to over-expressed receptors on cancerous cells. CD44, a transmembrane glycoprotein receptor, is abundantly expressed in tumor cells and plays an important role in tumor progression and metastasis. [33] Hyaluronic acid, a natural mucopolysaccharide found in the extracellular matrix, is a CD44 ligand that has been recently used in tumor-targeting nanoparticle formulations. The great biocompatibility, biodegradability, and hydrophilicity of hyaluronic acid make it a proper candidate for the targeted delivery of drugs and genes to tumor cells. [34]
Literature Review
Curcumin, a polyphenol derived from the turmeric plant, has shown potential in cancer treatment. It reduces inflammation, encourages cell apoptosis, and inhibits cell proliferation to demonstrate anticancer effects.[35] Nevertheless, curcumin's low bioavailability and poor water solubility restrict its efficacy. Curcumin's stability and cellular bioavailability have been enhanced through the use of nanotechnologies in order to overcome these obstacles.[36] To improve curcumin's absorption and delivery, nano-based formulations like cubosomes and nanocarriers have been created.[37] Curcumin's bioavailability, retention in target tissues, and cytotoxic effects against cancer cells have all improved with these formulations, which have demonstrated encouraging outcomes. Curcumin's anticancer properties have also been shown in clinical trials for a variety of cancers, including brain tumors, lung, breast, prostate, pancreatic, gastric, leukemia, and colorectal cancers.[38] It's common knowledge that curcumin inhibits the cell cycle and speeds up cell death in relation to colorectal cancer, two factors that can help prevent the disease from spreading. According to in vitro studies done on different cancer cell lines, curcumin stopped the growth of the cells by molecularly interacting with several targets, which in turn regulated a number of distinct signaling cascade series.[39] In line with He et al., curcumin stopped the cell cycle that was partially in the G1 phase and present in the cells, which inhibited their growth.[40]
One key feature that makes PLA useful for drug carriers is its biodegradability. PLA readily dissolves in extracellular settings.[41] Aside from this capability, the rate of degradation can be changed to accomplish a particular result. Drug carrier systems might be able to sustain a continuous release of therapeutic agents by prolonging the kinetics of this breakdown.[42] This is crucial because metabolic processes could potentially reduce the effectiveness of this therapeutic approach. It also gives the medication enough time to take effect. Through better drug delivery and fewer side effects, PLA-HA has demonstrated promise in the treatment of cancer. They can reduce toxicity and increase the effectiveness of anticancer medications like arenobufagin (ArBu), tamoxifen, docetaxel, daunorubicin, and ibuprofen.[43] Exploring new avenues for targeted treatment and overcoming multidrug resistance, nanotechnology-based chemotherapy employing nanoparticles has opened up new possibilities. In vitro, cytotoxicity against breast cancer cells has been shown for polymeric nanoparticles of polylactic acid-poly (ethylene glycol) (PLA-PEG) copolymers encapsulating a novel biosurfactant. [44]Biosurfactant has been shown to release under controlled conditions via these nanoparticles, and they are capable of actively delivering anticancer cargo to the cancer site. Biological components attached to nanoparticles can also improve their targetability to the cancerous area.
Superparamagnetic Fe3O4 NPs have drawn interest due to their versatility in applications such as localized hyperthermia therapy, target-based carriage, stem cell labeling and tracking, and magnetic resonance imaging (MRI) contrast agents. When an external alternating magnetic field is applied, it can produce heat in tumor regions through hyperthermia therapy.[45] The material of choice for generating magnetism in these nanoparticles is iron oxide. The combination of magnetic hyperthermia and chemotherapeutic drug-loaded nanoparticles has shown remarkable antitumor effects. [46]By enhancing drug targeting, solubility, and bioavailability, nanoparticles can also enhance colorectal cancer diagnosis and treatment.[47] Specifically, nanomagnetic iron oxides have demonstrated potential as drug-delivery vehicles in the context of cancer treatment.
Developing an intravenous injectable aqueous formulation of curcumin is an intriguing idea, as curcumin's bioavailability in vivo is significantly reduced when administered orally. Hydrophobic drugs' poor water solubility can be addressed with biodegradable nanodrug carriers, offering promise for future use.[48] There have been a lot of studies done on this subject to deliver curcumin conjugation with micelles, liposomes, polymeric nanoparticles, and lipid based nanoparticles. In a recent study, CUR and doxorubicin (DOX) co-encapsulated in long circulating liposomes (LCL) at a molar ratio of 1:167 significantly reduced C26 cell proliferation when compared to free DOX in vitro. It was also reported that the amount of CUR encapsulated determines the degree of the synergistic cytotoxic effects of DOX and CUR, with higher amounts of CUR resulting in greater cytotoxic effects. [49] Sesarman et al., revealed a similar result when employing the same liposomal formulation as Tefas et al. to co-deliver CUR and DOX. (LCL-CUR-DOX) in cells of C26. The increased cytotoxic activity of LCL-CUR-DOX in comparison to free CUR-DOX prompted the authors to look into the protumor mechanism causing the C26 cell cytotoxicity. In addition to slightly inhibiting NF-κB activation, LCL-CUR-DOX also inhibits most of the proteins involved in the development of tumors. In contrast to free CUR-DOX, it has less of an effect on oxidative stress reduction in vitro. This might be the result of liposomes' distinct uptake mechanism from that of free medications. The process of endocytosis allows liposomes to enter cells, facilitating a higher degree of CUR internalization. On the other hand, transmembrane diffusion is how free CUR enters the cells. [50] In an effort to enhance CUR encapsulation, Dash and Konkimalla have recently loaded CUR into hydroxypropyl-β-cyclodextrin (HP-β-CD) using polyvinyl alcohol (PVA) as a stabilizer. The solubility of CUR in water has been improved by this formulation of nano-curcumin. It was applied in combination therapy to address the issue of drug resistance resulting from overexpression of p-glycoprotein (P-gp) to DOX. Following prescreening, CUR was chosen as combinatorial agents in this study over other P-gp inhibitors because it sensitized DOX-resistant Colo205 cells at the lowest concentration of 40 µM. CUR-loaded HP-β-CD dramatically reversed DOX resistance, which was obtained by administering DOX liposomes at concentrations ranging from 0.1 to 10 µM, once it reached 40 µM.[51]
Drug delivery systems containing folate can penetrate cells through receptor-mediated endocytosis, preventing non-specific attacks on healthy tissues. Additionally, the agents can enhance cellular uptake in target cells and deliver the therapeutic agents to tumor cells. [52]According to reports, the lower micelle concentration resulting from folate conjugation can enhance the stability of the FA-copolymer micelle when compared to copolymer (PLAMPEG) alone. [53]Baek and Cho. have demonstrated that Nutlin-3a's therapeutic potential can be enhanced by folate-decorated, curcumin-loaded nanoparticles, which reverse multidrug resistance. [54]As demonstrated by Kazemi et al. (2020) and Zhang et al. (2019), also demonstrated that folate-drug delivery systems can improve drug targeting and uptake to tumor cells while also extending the drug's half-life in the body.[55, 56] Additionally, Phan et al. developed a folate-modified curcumin-loaded micelle delivery system (Cur/PLA-PEG-Fol) using poly(lactic acid)-poly(ethylene glycol) to improve curcumin's solubility in aqueous solution and increase its targeting ability. As per their research, Folate-modified micelles exhibit promise as a nanocarrier to enhance Cur's solubility, anticancer activity, and systemic targeting capabilities.[57] Therefore, we decided to use the nanotechnology-targeted drug delivery method using PLA-HA copolymer with Fe3O4 magnetic core to increase the efficiency of drug transfer and drug solubility to transfer curcumin drug and increase the efficiency of colorectal cancer treatment.
Research gap
Based on the aforementioned information, the prescribed treatment options demonstrate efficacy in the management of cancer. However, in contemporary times, with the advancement of integrated therapeutic sciences, the conventional and conventional approaches used in the past are of minimal utility in addressing critical disease, including cancer. Therefore, contemporary researchers primarily attribute to integrating diverse methodologies in order to enhance effectiveness and overcome the limitations imposed by different techniques. In recent times, several investigations have been conducted, focusing on the utilization of various chemotherapy medications in combination with different copolymers and nanoparticles. Despite the studies conducted, based on the investigations carried out by our team, until today there is no research on the simultaneous use of curcumin, PLA-HA copolymer, and Fe3O4 nanoparticles for colorectal cancer treatment, to enhance drug efficacy, biodegradability, water solubility, release kinetics, and targeted delivery.
Objective and contributions
The purpose of this work is to assess the physicochemical properties of curcumin-loaded PLA-HA/Fe3O4 MNPs and determine their level of toxicity in HCT116 colorectal cancer cells. We predict that these nanoparticles will present with the right physicochemical characteristics to facilitate drug delivery and cause cytotoxicity in HCT116 cells.