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Detoxifying antitumoral drugs via nanoconjugation: the case of gold nanoparticles and cisplatin

Abstract

Nanoparticles (NPs) have emerged as a potential tool to improve cancer treatment. Among the proposed uses in imaging and therapy, their use as a drug delivery scaffold has been extensively highlighted. However, there are still some controversial points which need a deeper understanding before clinical application can occur. Here the use of gold nanoparticles (AuNPs) to detoxify the antitumoral agent cisplatin, linked to a nanoparticle via a pH-sensitive coordination bond for endosomal release, is presented. The NP conjugate design has important effects on pharmacokinetics, conjugate evolution and biodistribution and results in an absence of observed toxicity. Besides, AuNPs present unique opportunities as drug delivery scaffolds due to their size and surface tunability. Here we show that cisplatin-induced toxicity is clearly reduced without affecting the therapeutic benefits in mice models. The NPs not only act as carriers, but also protect the drug from deactivation by plasma proteins until conjugates are internalized in cells and cisplatin is released. Additionally, the possibility to track the drug (Pt) and vehicle (Au) separately as a function of organ and time enables a better understanding of how nanocarriers are processed by the organism.

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Detoxifying antitumoral drugs via nanoconjugation: the case of gold nanoparticles and cisplatin

Author: Comenge, Joan; Sotelo Goyanes, María Carmen; Romero, Francisco; Gallego, Óscar; Barnadas, Agustí; García-Caballero Parada, Tomás; Domínguez Puente, Fernando Ignacio; Puntes, Víctor F.
Publisher: PLOS
Year: 2012
DOI: 10.1371/journal.pone.0047562
Source: https://minerva.usc.es/bitstreams/de313be4-6d41-4bf5-8156-8bca015fe4dd/download
De oxi ying An i umo al D ugs ia Nanoconjuga ion: The
Case o Gold Nanopa icles and Cispla in
Joan Comenge
1,2.
, Ca men So elo
3.
, F ancisco Rome o
4
, Osca Gallego
5
, Agus ı
´Ba nadas
5
, Toma
´s
Ga cı
´a-Caballe o Pa ada
6
, Fe nando Domı
´nguez
3
*,Vı
´c o F. Pun es
1,7
*
1Ca alan Ins i u e o Nano echnology (ICN), Uni e si a Au o
`noma de Ba celona (UAB), Bella e a, Ba celona, Spain, 2In e na ional Ibe ian Nano echnology Labo a o y
(INL), B aga, Po ugal, 3Depa men o Physiology, Facul y o Medicine, San iago de Compos ela Uni e si y, San iago de Compos ela, Spain, 4Molecula Science Ins i u e,
Uni e si y o Valencia, Pa e na, Spain, 5Oncology Depa men , San Pau Hospi al, Ba celona, Spain, 6Depa men o Mo phological Sciences, School o Medicine-
Uni e si y, Clinical Hospi al, San iago de Compos ela Uni e si y, San iago de Compos ela, Spain, 7Ins i ucio
´Ca alana de Rece ca i Es udis A anc¸a s (ICREA), Ba celona,
Spain
Abs ac
Nanopa icles (NPs) ha e eme ged as a po en ial ool o imp o e cance ea men . Among he p oposed uses in imaging
and he apy, hei use as a d ug deli e y sca old has been ex ensi ely highligh ed. Howe e , he e a e s ill some
con o e sial poin s which need a deepe unde s anding be o e clinical applica ion can occu . He e he use o gold
nanopa icles (AuNPs) o de oxi y he an i umo al agen cispla in, linked o a nanopa icle ia a pH-sensi i e coo dina ion
bond o endosomal elease, is p esen ed. The NP conjuga e design has impo an e ec s on pha macokine ics, conjuga e
e olu ion and biodis ibu ion and esul s in an absence o obse ed oxici y. Besides, AuNPs p esen unique oppo uni ies
as d ug deli e y sca olds due o hei size and su ace unabili y. He e we show ha cispla in-induced oxici y is clea ly
educed wi hou a ec ing he he apeu ic bene i s in mice models. The NPs no only ac as ca ie s, bu also p o ec he
d ug om deac i a ion by plasma p o eins un il conjuga es a e in e nalized in cells and cispla in is eleased. Addi ionally,
he possibili y o ack he d ug (P ) and ehicle (Au) sepa a ely as a unc ion o o gan and ime enables a be e
unde s anding o how nanoca ie s a e p ocessed by he o ganism.
Ci a ion: Comenge J, So elo C, Rome o F, Gallego O, Ba nadas A, e al. (2012) De oxi ying An i umo al D ugs ia Nanoconjuga ion: The Case o Gold
Nanopa icles and Cispla in. PLoS ONE 7(10): e47562. doi:10.1371/jou nal.pone.0047562
Edi o : Elena A. Rozhko a, A gonne Na ional Labo a o y, Uni ed S a es o Ame ica
Recei ed July 3, 2012; Accep ed Sep embe 18, 2012; Published Oc obe 17, 2012
Copy igh : ß2012 Comenge e al. This is an open-access a icle dis ibu ed unde he e ms o he C ea i e Commons A ibu ion License, which pe mi s
un es ic ed use, dis ibu ion, and ep oduc ion in any medium, p o ided he o iginal au ho and sou ce a e c edi ed.
Funding: The au ho s acknowledge inancial suppo om he g an s ‘‘Plan Nacional’’ (MAT2009-14734-C02-01 and MAT2009-14734-C02-02) and NANOBIOMED-
CONSOLIDER (CSD2006-00012) om he Spanish Go e nmen . Also g an s VALTEC09-2-0085, VALTEC09-2-0089, and 2009-SGR-776 om he Ca alan Go e nmen .
The unde s had no ole in s udy design, da a collec ion and analysis, decision o publish, o p epa a ion o he manusc ip .
Compe ing In e es s: The au ho s ha e decla ed ha no compe ing in e es s exis .
* E-mail: e nando.domingue[email p o ec ed] (FD); [email p o ec ed] (VP)
.These au ho s con ibu ed equally o his wo k.
In oduc ion
1. NanoOncology
The global dea h a e om cance has declined only ma ginally
o e he pas se e al decades, in con as o d ama ic e e sals in
dea h a es om hea disease, s oke, and in ec ious disease o e
he same ime pe iod [1]. In his con ex , nano echnology eme ges
as a ‘‘dis up i e echnology’’ wi h a g ea po en ial o con ibu e o
imp o e cance ea men by gene a ing new diagnos ic and
he apeu ic p oduc s [2–5]. Thus, nano echnology has been
p oposed o enable esea che s o combine a se ies o ad ances;
c ea ing nanosized pa icles ha may con ain d ugs designed o
kill umo s oge he wi h a ge ing compounds designed o home
in on malignancies [6–8], and imaging agen s designed o ligh up
e en he ea lies s age o cance o moni o i s ea men [9]. Thus,
unc ionalized nanopa icles could deli e mul iple he apeu ic
agen s o umo si es in o de o simul aneously a ack mul iple
poin s in he pa hways in ol ed in cance . Howe e , despi e he
ple ho a o nanopa icles (NP), o ganic o ino ganic, and
conjuga ed chemo he apeu ic agen s which ha e shown p omising
esul s in i o, he p ecise beha io o hese conjuga es in i o is s ill
a he unknown, wi h con o e sy abou dispa i ies be ween he in
i o and in i o esul s o esul s om di e en labo a o ies. The e
a e indica ions ha small modi ica ions o he na u e o he
conjuga e ha e a s ong in luence on conjuga e in e ac ions [10],
p o ein co ona o ma ion [11,12], agg ega ion [13], deg ada ion
[14], and consequen ly biological beha io du ing he ull li e cycle
o he conjuga e inside he body [15]. By a aching he d ug o he
NP, i s physicochemical a e is modi ied. Thus, nanoca ie s can
s ongly con ibu e o modi ica ions in pha macokine ics (Table 1)
and biodis ibu ion, by leading he d ug h ough di e en
pa hways depending on he physicochemical p ope ies o he
nanoca ie (e.g., size and su ace cha ge), which is especially
appealing in he case o e y oxic d ugs [16,17]. Inside he body,
po es smalle han 1 nm ha e been epo ed in he igh junc ions
on ce ain con inuous capilla ies (including he cen al ne ous
sys em, i.e., blood-b ain ba ie , placen a and es is ba ie ) while
con inuous capilla ies (muscle, lung, skin) ha e po es o 6 nm [18].
Fenes a ed capilla ies (kidney, in es ine, some endoc ine and
exoc ine glands) ha e po es up o 50–60 nm, usually closed by a
diaph agm [18]. Finally, discon inuous capilla ies (li e , spleen,
bone ma ow) ha e po es be ween 100–1000 nm, which allow he
passage o mac omolecules be ween plasma and in e s i ium [18].
Thus, small molecules (below 6 nm, he majo i y o d ugs) leak in
PLOS ONE | www.plosone.o g 1 Oc obe 2012 | Volume 7 | Issue 10 | e47562
and ou om he blood essels and a e apidly (in minu es) clea ed
om blood ia he kidneys [19] while he passi e anspo o
mac omolecules h ough hese po ous is negligible. Thus a NP
sized be ween 6–40 nm may ollow p o ein pa hs o inally
accumula e in o gans o he mononuclea phagocy e sys em,
especially he li e and spleen, as do p o eins and p o ein
agg ega es [20], while la ge sizes o NP a e easily ecognized by
he immune sys em and also end up in li e and spleen bu wi hin
a sho e ime [21]. I is wo h no ing he e ha blood essel
pe meabili y changes in diseases such as in lamma ion and cance
[22]. In cance , he apid g ow h o umo esul s in leaky essels.
These enes a ed essels allow mac omolecules and NPs o
pe mea e h ough he umo . In addi ion, he nanopa icles a e
e ained due o he lack o a unc ional lympha ic sys em. This
e ec (Enhanced Pe meabili y and Re en ion e ec , EPR) is widely
epo ed in he li e a u e [23,24] and has been exploi ed o
passi ely accumula e nanoca ie s in umo s [4]. O he desc ibed
pa hways a e mo e complex and include he use o mig a ing
mac ophages as anspo e s o NPs and d ugs [25]. In all cases,
su ace modi ica ions allow he modi ica ion o his size-dependen
a e, o example, by making small NPs ecognizable by he
immune sys em [26] o shielding he la ge ones by means o
chemical modi ica ion such as pegyla ion [27].
Beyond oncology, small ino ganic NPs he size o a small
p o ein (5–30 nm) a e making hei way owa ds he clinic: AuNPs
a e used in cell imaging [28], a ge ed d ug deli e y [29,30], as
pho o he mal agen s o hype he mia [31], and in o he p oposed
diagnoses and he apies [32]. AgNPs display a biocidal e ec [33]
ha is cu en ly applied in comme cial p oduc s such as hospi al
equipmen and de ices. Magne ic NPs a e p esen in a ious
biomedical applica ions, e.g., he ea ly de ec ion o cance ,
diabe es, and a he oscle osis [34]. CeO
2
NPs a e being used in
biomedicine as an an ioxidan o ea diso de s caused by oxygen
adicals, such as e inal degene a ion [35] o ca diomyopa hy
[36]. Non-ino ganic nanoma e ials ha e also eached he clinics,
e.g., Doxil, which is a liposomal o mula ion (hund eds o
nanome e s in size, biocompa ible and biodeg adable) o doxo u-
bicin ha inc eases he solubili y o he ac i e ing edien and
modi ies he dosing by sus aining i o e ime.
2. The Case o Cispla in
Pla inum compounds (Figu e 1) a e a pa adigm in an icance
d ugs. Cispla in o cis-diamminedichlo opla inum(II),
[P Cl
2
(NH
3
)
2
], was o iginally syn hesized in 1845, bu no un il
1970 was i s an i umo ac i i y es ablished [37]. Today cispla in is
used o ea a ious ypes o cance s (i.e., non-small-cell lung
cance , o a ian cance , ge m cell umo s, os eosa comas, e c.),
wi h a cu e a e as high as 90% in es icula cance [38]. The
pla inum complex eac s in i o o o m adduc s wi h DNA, which
ul ima ely igge apop osis [39]. I has been p o en ha , a e
bo h passi e and ac i e cellula up ake, cispla in may eac wi h
he N
7
a om o pu ine bases in DNA [38]. Howe e , ch onic
cispla in usage esul s in esis ance ia se e al possible mechanisms
including inc eased in e ac ions wi h me allo hioneins and glu a-
hione, which deac i a e he d ug, as well as inc eased DNA epai
and/o cispla in e lux [40]. To coun e ac esis ance, which
lowe s he e iciency o cispla in signi ican ly, e y high sys emic
doses o cispla in should be adminis e ed. Un o una ely, such high
doses o cispla in esul in se e e sys emic oxici y and poo pa ien
compliance, including nausea/ omi ing, enal oxici y, gas oin-
es inal oxici y, pe iphe al neu opa hy, as henia, and o o oxici y,
which hus limi i s clinical use [40,41]. O all he oxici ies
induced by cispla in, neph o oxici y is conside ed o be he dose-
limi ing ac o [39]. Such side e ec s make i impossible o achie e
he ull bene i o he ea men in a la ge numbe o pa ien s [42].
In humans, cispla in ea men gene ally in ol es se ies o
in a enous injec ions adminis e ed e e y 3–4 weeks a a dose o
50–120 mg/m
2
(1.2–2.7 mg kg
21
). In addi ion o he undesi ed
side e ec s, he e is also a loss o d ug ac i i y in he body
associa ed wi h poo ci cula ion and poo deli e y o he umo , as
well as deac i a ion mechanisms ha i e e sibly al e he
chemis y o hese molecules be o e eaching he umo cells
[41]. Since i s disco e y, many a emp s o ind de i a i es o
cispla in ha e looked o bo h educed side e ec s and modi ied
body dis ibu ion (in o de o a ge di e en o gans), a he han
imp o ing cispla in e icacy [40,43]. He e, second-gene a ion
pla inum d ugs such as ca bopla in and oxalipla in ep esen an
imp o emen in some cance ea men s, o lung and colo ec al
espec i ely, al hough he limi a ions obse ed o cispla in ha e
no been en i ely o e come [39,40].
3. Ca ying Cispla in
Recen e o s ha e been ocused on a ge ing he umo by
using d ug deli e y sys ems o a oid he o gans o which cispla in
is oxic. As he kidney is esponsible o il a ion and emo al om
he blood o molecules smalle han 50 KDa, which co esponds
o molecula diame e s o a ound 6 nm, any la ge deli e y ehicle
will di e he d ug away om he kidney [19]. Addi ionally, NPs
accumula e in he umo due o he EPR e ec [23,24]; which is
known o be s ongly size-dependen [44,45]. The e o e, when he
a ge is a solid umo , nanome e -sized ca ie s a e expec ed o be
passi ely accumula ed on i . This case also applies when cispla in is
bound o albumin. Up o 90% o he adminis a ed cispla in is
known o bind i e e sibly o albumin [46] and hen each he
umo by EPR; howe e , his o m o cispla in is inac i e and has
no biological e ec [47]. Thus, a p ope ly designed nanoca ie
will no only anspo he cispla in o he umo , bu also p o ec i
agains plasma deac i a ion.
In his con ex , app oaches based on he encapsula ion and
anspo o cispla in ha e eme ged. S e ically s abilized polyme ic
nanopa icles, which ha e excellen s abili y in plasma, a much
longe ci cula ion ime, be e e icacy, and lowe oxici y han ee
cispla in ha e been epo ed [6,7,48,49]. Such ehicles include
lipid capsules [50] o polyme s as in P olindacH, which has a
22 kDa hyd oxyp opylme hac ilamide copolyme as a backbone
and hen a pH sensi i e glycine chela o linke [51]. O he
Table 1. Key wo ds in pha macology.
E icacy The abili y o a d ug o p oduce he desi ed he apeu ic e ec .
E iciency The abili y o a d ug o p oduce ew o no side e ec s while s ill pe o ming i s wo k.
Pha macokine ics How he body a ec s a speci ic d ug a e adminis a ion. Wha he body does o he d ug.
Pha macodynamics The s udy o he biochemical and physiological e ec s o d ugs on he body. Wha he d ug does o he body.
doi:10.1371/jou nal.pone.0047562. 001
Nanopa icles o De oxi ying An i umo al D ugs
PLOS ONE | www.plosone.o g 2 Oc obe 2012 | Volume 7 | Issue 10 | e47562
examples include soluble CNTs [52], ca bon nanoho ns [53], and
Fe
3
O
4
NPs [54]. Simila ly, Cy Immune Co p. is de eloping
AuNPs as a ca ie o TNF-aand doxo ubicin.AuNPs ha e been
ecen ly p oposed as sca olds o cispla in due o hei con olled
and ep oducible syn hesis and conjuga ion o cispla in as well as
he high loading o d ug achie ed [55]. No only cispla in, bu
o he P de i a i es, such as P (IV) p od ugs, ha e also been
loaded on AuNPs wi h main enance o he an icance e ec [56].
In closely ela ed wo k, Ren e al. [57–59] epo ed he adso p ion
o comme cial cispla in o gold colloids ia ionic in e ac ions. In
he case o adso p ion ia ionic in e ac ions on he su ace o he
nanoma e ials, an uncon olled apid libe a ion o he d ug is
obse ed as soon as he conjuga es a e dispe sed in highly ionic
media such as se um [60]. In many o he epo ed sys ems,
colloidal s abili y in he wo king en i onmen was an issue.
Ma e ials and Me hods
E hics S a emen
Mice we e ob ained om he Cen al Animal House o he
San iago de Compos ela Uni e si y (USC), a egis e ed animal
acili y ha main ains he animals unde wel a e and e hical
condi ions complying wi h he Eu opean (86/609/CEE) and
Spanish (RD223/88 and OM 13/10/89) laws on labo a o y
animal ca e and handling. In o de o amelio a e su e ing, mice
we e anaes he ized wi h 2,2,2- ib omoe hanol-2-me hyl-2-bu a-
nol (A e ineH, Sigma Ald ich) be o e xeno ansplan a ion and
be o e ecei ing he di e en ea men s epo ed he e. A e he
ea men s, mice we e eu hanized by CO
2
inhala ion. The
biological wo k ela ed o he esul s epo ed in his a icle had
he app o al o he E hical Commi ee o he USC and ollowed
he Eu opean and he Spanish legisla ions. 5 mL o blood we e
ob ained wi h in o med w i en consen om a no mal con ol
(JC, coau ho o he p esen wo k) and wi h app o al om he
E hical Commi ee o he USC.
Syn hesis and Conjuga ion o AuNP-cispla in
13 nm AuNPs we e syn hesized ollowing a seeded-g ow h
app oach and loaded wi h cispla in in a wo-s ep conjuga ion as
desc ibed in he li e a u e [61] and in he Supplemen a y
In o ma ion (Tex S1). The e a e se e al easons o using his
syn hesis: Con ol o he size is be e han ha achie ed by
classical me hods, he size dis ibu ion is e y na ow and he
concen a ion o AuNPs is highe . Mo eo e , and acco ding o ou
expe ience, he ep oducibili y is a beyond ha achie able by
using classic p o ocols. Fo mo e de ails, one can ead ou ecen
wo k [61].
In i o S abili y and pH-dependen Release
17 mL o AuNP-cispla in (2.75610
14
NP ml
–1
) we e added o
500 mL o human blood and gen ly mixed o e 24 h. Colloidal
s abili y was assayed by using DLS and UV-Vis spec oscopy. The
UV-Vis spec a o all he AuNPs in he p esen wo k we e
eco ded om 300–800 nm a 0.5 nm in e als. When needed,
app op ia e dilu ions we e pe o med o o e come he sa u a ion
limi o abso bance. The elease o cispla in in physiological
condi ions was pe o med in solu ions consis ing o 50 mM bu e
species, 120 mM NaCl, and 20% Foe al Bo ine Se um (FBS).
Bu e species we e HEPES o pH 7.6, MES o pH 6.2 and 4.4,
Glycine/HCl o pH 4.4 and 3.8 and Ace a e o pH 4.4. 100 mL
o AuNP-cispla in we e added o 900 mL o he co esponding
bu e ed solu ion and mixed o e di e ing leng hs o ime (2, 8, 24,
and 144 hou s). AuNPs we e emo ed by means o wo
cen i uga ion s eps (15 minu es, 35000 c ). The amoun o P
in he supe na an was analyzed by using ICP-MS.
P Cell In e naliza ion and DNA Accumula ion
The human lung ca cinoma de i ed cell line A549 was ob ained
om Ame ican Tissue Cul u e Collec ion (ATCC) and cul u ed in
a 1:1 mix u e o Dulbeccos Modi ied Eagles Medium (DMEM,
Sigma-Ald ich) and Hams F-12 Medium (Sigma-Ald ich), supple-
men ed o 10% ( / ) oe al bo ine se um (FBS, GIBCO-
In i ogen) and 1% ( / ) o L-glu amine, penicillin and s ep o-
mycin solu ion (GPS, Sigma-Ald ich).To quan i y P cell in e nal-
iza ion, 5610
5
cells we e pla ed in 60-mm-diame e pla es (Falcon)
and 24 hou s la e , medium was changed o ea men s dilu ed in
cul u e medium: ee cispla in o cispla in conjuga ed o AuNPs
(1.67 mg cispla in mL
21
in bo h cases). A e 0.5, 1, 3, o 24 hou s
o ea men , cells we e ypsinized and cen i uged, supe na an
was emo ed and cells we e esuspended in 0.5 mL 65% HNO
3
(Me ck). The amoun o P was de e mined by using ICP-MS
(B uke 820-MS). To quan i y cispla in bound o DNA, 10
6
cells
we e ea ed as abo e and DNA ex ac ion was pe o med by
using a comme cial ki (QIAamp DNA Blood Mini Ki ,
QIAGEN). DNA was inally esuspended in 200 mL o wa e .
Figu e 1. Di e en pla inum an icance d ugs app o ed by he FDA. The ac i e pa o each d ug is d awn in black; in all cases i is
cha ac e ized by he p esence o good lea ing g oups ha will allow he P a om o bind he a ge . In ed, he amines play a ole in he modula ion
o he ac i i y and dis ibu ion o he d ug. In he case o cispla in, he equilib ium ha spon aneously occu s inside he cell (whe e he chlo ide
concen a ion d ops om 100 mM o 4 mM) is also shown.
doi:10.1371/jou nal.pone.0047562.g001
Nanopa icles o De oxi ying An i umo al D ugs
PLOS ONE | www.plosone.o g 3 Oc obe 2012 | Volume 7 | Issue 10 | e47562
This solu ion was used o de e mine bo h he amoun o DNA and
P by using UV-Vis spec oscopy and ICP-MS, espec i ely.
TEM Cell Imaging
A549 cells we e cen i uged o 15 min a 3000 pm, ixed by
imme sion o 45 min in 2.5% glu a aldehyde in sodium
cacodyla e bu e (0.15 M, pH = 7.3), pos ixed wi h 2% osmium
e oxide in he same bu e , dehyd a ed, embedded in LRWhi e
esin, Medium G ade, and sec ioned. Sec ions we e s ained wi h
u anyl ace a e and lead ci a e and examined in a Zeiss 902
elec on mic oscope (Ca l Zeiss, F.R.G.) a 80 kV accele a ing
ol age.
Biodis ibu ion in Mice
In i o biodis ibu ion was measu ed by ea ing wo g oups o
12 emale umo -bea ing SCID mice ( h ee mice pe poin ). All
mice ecei ed a single in ape i oneal (ip) dose o 4 mg cispla in
kg
–1
mice. A 0.5, 3, 6, and 24 h a e he ea men , blood, hea ,
lungs, kidney, b ain, li e , spleen, o a ies, and umo we e
collec ed and weighed. To each o gan, p e iously weighed, we e
added 3 mL o 65% HNO
3
. The o gans we e hen kep o 3 h a
oom empe a u e in closed ubes and hen o 24 h a 60uC.
A e wa ds, 2 mL H
2
O
2
we e added o he sample and hea ed o
60uC. Finally H
2
O was added up o a inal olume o 10 mL and
il e ed wi h 0.22 mm il e s. Blood se um was dilu ed 1:20 and
measu ed by using ICP-MS. Blood cells we e esuspended in
6 mL o 65% HNO
3
and 2 mL o H
2
O
2
and hea ed in a
mic owa e o en (Miles one E hos 1) as ollows: 2 minu es a 85uC,
3.5 minu es a 135uC, and 15 minu es a 230uC. A e cooling
down, H
2
O was added up o 10 mL inal olume. The esul ing
solu ions o he abo e p ocedu es we e di ec ly measu ed using
ICP-MS o he de e mina ion o P and Au (see Supplemen a y
In o ma ion o ins umen ope a ing de ails).
Kidney His ology
P oximal ubula degene a ion was induced in mice by h ee
consecu i e ip injec ions (days 0, 3, 6) o 5 mg cispla in kg
–1
mice.
The same dosage was applied in he case o AuNP-cispla in, while
con ol mice ecei ed no ea men . Animals we e sac i iced h ee
days a e he las injec ion. Mouse kidneys and spleen we e
imme sion- ixed in 10% neu al bu e ed o malin o 24 h and
embedded in pa a in ou inely. Sec ions (4 mm hick) we e
moun ed on mic oslides and s ained wi h hema oxylin-eosin.
The specimens we e examined and pho og aphed using an
Olympus PROVIS AX70 mic oscope (Olympus, Tokyo, Japan)
equipped wi h an Olympus DP70 came a wi hou p io knowledge
o he applied expe imen al p o ocol.
The apeu ic E icacy in i o
Mice wi h se e e combined immunode iciency (SCID) be ween
8 and 14 weeks-old we e used o g ow xeno ansplan lank
umo s, one pe mouse, by subcu aneous injec ion o 20610
6
A549 umo cells. Fo moni o ing, umo s we e measu ed h ee
imes weekly and he umo olume was de e mined by he
o mula V = (A6B
2
)/2, whe e A is he la ges diame e and B is
he sho es diame e measu ed by calipe . A e ou o i e weeks,
once he umo olumes we e $100 mm
3
and mean umo size
had eached 300 mm
3
, mice we e di ided in o ou g oups o eigh
mice o ea men s, o minimize weigh and umo -size
di e ences. Tumo -bea ing mice we e ea ed by injec ion o
3 mg ee cispla in kg
–1
, 1.25 mg conjuga ed cispla in kg
–1
, and
con ols we e main ained wi hou ea men . T ea men s we e
adminis e ed in mice anes he ized by ip injec ion o 2,2,2-
ib omoe hanol-2-me hyl-2-bu anol (A e ineH, Sigma Ald ich)
wice (day 0 and 3). Mice we e moni o ed o a maximum o 10
days a e i s dose o a oid excessi e umo load, and mice weigh
and body weigh loss we e also moni o ed acco ding o good
labo a o y p ac ices o check excessi e oxici y o ea men s.
Comple e umo s o all animals we e ex ac ed and weigh ed a
endpoin o e icacy s udies.
Ano he ound o mice was s udied o a longe ea men
pe iod. Mice we e injec ed subcu aneously wi h A549-luc-C8 cells
(Calipe ); 0.5610
6
cells). Tumo s we e g own o e nine days
be o e s a ing he ea men . Tumo g ow h was moni o ed e e y
hi d day by using an in i o imaging sys em (IVISHSpec um,
Calipe ), 150 mg D-Luci e ine (kg mice)
21
was applied ip 5
minu es be o e scanning. Mice we e placed unde he CCD
came a and kep unde iso lu ane anaes hesia (1.5–2% ) du ing he
measu es. Fi e mice ecei ed h ee ip injec ions o 1.5 mg cispla in
kg
–1
, i e mice ecei ed he same amoun o cispla in conjuga ed o
AuNPs and i e mice, con ols, we e main ained wi hou
ea men .
Resul s and Discussion
AuNP Syn hesis and Func ionaliza ion
We p opose he use o cispla in a ached o 13 nm me cap-
oundecanoic acid (MUA)-capped AuNPs ia a pH-dependen
coo dina ion bond, as an e icacious an i umo d ug. The bond
be ween ca boxylic acid and P is s able unde physiologic
condi ions, bu i is b oken a acidic pH. I is well-known ha
NPs a e in e nalized ia an endocy ic pa hway [62]. Since he pH
wi hin he endosomes dec eases, he elease o cispla in a e
in e naliza ion by cells is p omo ed. The ac i e d ug (aqua ed
cispla in) is able o di use ou o he endosome and each he
nucleus. In ac , endosomal elease has been p e iously pos ula ed
as an ad anced mode o cellula deli e y [63,64]. Such p ocesses,
pH-sensi i e elease o d ugs, ha e been p oposed o en in
chemo he apy, o example, by encapsula ion o a d ug in a pH-
sensi i e polyme and subsequen elease o he d ug in he icini y
o he umo , because o he lowe pH ound he e [63]. In ou
case, he low pH a he umo (6–7) does no cause libe a ion o he
d ug. A lowe pH (<5) is needed o b eak he coo dina ion bond
be ween MUA and cispla in. Mo eo e , simul aneous moni o ing
o ehicle and d ug biodis ibu ion was possible due o he
ino ganic na u e o bo h, and his can be co ela ed o he lack o
sys emic oxici y. T acking bo h he NPs and he d ug will help in
he unde s anding how he nanoca ie s a e p ocessed by he
o ganism.
Conjuga es we e ca e ully p epa ed ega ding size, d ug
loading, su ace cha ge, and hyd ophilici y, as well as s abili y
e en a high concen a ions o AuNPs. Cispla in doses in humans
a e a ound 1–3 mg o cispla in pe kg o body weigh . Fo
ea men in mice (abou 30 g body weigh ) and aking in o
accoun ha we can load a ound 500 cispla in molecules pe NP
(which leads o he highes cispla in co e age densi y o ou
knowledge in simila NPs), we need o injec abou 750 mL o he
conjuga es solu ions wi h concen a ion o NPs as high as 0.5 mM.
The concen a ion is a se ious issue since la ge olumes canno be
injec ed in o he animals, and we can ha dly u he inc ease
conjuga e concen a ion wi hou comp omising colloidal s abili y.
Biocompa ible sodium ci a e AuNPs we e syn hesized wi h a
na ow size dis ibu ion (13.361.9 nm) and hen modi ied wi h a
MUA sel -assembled monolaye (SAM) and concen a ed by a
des abiliza ion–p ecipi a ion– esuspension p ocess (Figu e 2).
B ie ly, glycine bu e was added o dec ease he pH o 2.6 o
p o ona e MUA ca boxylic acids. A e emo ing he supe na an ,
Nanopa icles o De oxi ying An i umo al D ugs
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MUA-capped AuNPs we e esuspended in icine bu e a pH 8
concen a ing he NPs up o 2.75610
14
NP mL
–1
o a ain
easonable concen a ions o he in i o s udies. The MUA SAM
p o ided no only elec os a ic s abili y o he sys em ( -Po en ial: –
48.5 mV), bu ca boxylic g oups o u he linkage o
[P (H
2
O)
2
(NH
3
)
2
]
2+
(aqua ed cispla in). I is known ha ollowing
cispla in ([P Cl
2
(NH
3
)
2
]) adminis a ion he chlo ide ligands a e
slowly eplaced by wa e molecules, in a p ocess e med aqua ion.
The aqua ligands in he esul ing [P Cl(H
2
O)(NH
3
)
2
]
+
and
[P (H
2
O)
2
(NH
3
)
2
]
2+
a e mo e labile han Cl
–
, ac i a ing he d ug
and allowing he pla inum a om o bind o bases on DNA [39].
The [P (H
2
O)
2
(NH
3
)
2
]
2+
solu ion is ob ained by adding a solu ion
o AgNO
3
o comme cial cispla in [P (Cl)
2
(NH
3
)
2
] o p omo e he
exchange o Cl
–
o H
2
O ligands. A e pu i ica ion by ec ys al-
liza ion-washing s eps, he solid [P (H
2
O)
2
(NH
3
)
2
] (NO3)
2
was
ob ained and dissol ed in wa e be o e use. I is impo an o wo k
wi h he aqua ed o m o cispla in since H
2
O is a be e lea ing
g oup han Cl
–
and allows o ma ion o coo dina ion bonds
be ween he P molecule and he dep o ona ed MUA ca boxylic
g oups on he NP, o he wise, he comme cial cispla in molecule
will no bind co alen ly [60]. In ou con igu a ion, he eac i e
pa o he d ug is p o ec ed, which lea es he ine NH
3
moie ies
exposed o he ex e io . Thus, he d ug is p o ec ed agains plasma
deac i a ion. pH con ol is c i ical du ing he whole conjuga ion
p ocess: he pK
a
alue o a MUA SAM is epo ed o be be ween
6–8 [65], he e o e he wo king pH mus be abo e his alue o
ensu e colloidal s abili y. Howe e , a highe pH alues, aqua
ligands o he aqua ed cispla in can unde go dep o ona ion o gi e
hyd oxo complexes ha a e less eac i e (pK
a1
<5.5, pK
a2
<7.3)
[66]. Since he hyd oxyla ion eac ion is slow a pH,9, wo king a
pH 8.3 ensu es bo h colloidal s abili y and o ma ion o he
conjuga e. O he wise he conjuga e would lose elec os a ic
s abili y (a pH,pK
a
o MUA) o cispla in would be unable o
o m a coo dina ion bond (a pH.9) and i would be elec os a -
ically abso bed, and immedia ely eleased when dispe sed in high-
ionic-s eng h media such as biological luids [60].
To achie e he maximum loading o cispla in wi hou comp o-
mising colloidal s abili y, aqua ed cispla in was added in excess.
The eac ion was s opped by emo ing he excess o aqua ed
cispla in a e 25 minu es by dialysis, when su ace cha ge, as
measu ed by -po en ial, was 230.8 mV (Figu e 3d). I is
commonly accep ed ha alues abo e +/230 a e needed o
achie e colloidal s abili y [67]. This ac is in ag eemen wi h ou
obse a ions ha -po en ial alues ha a e less nega i e han –
25 mV led o des abiliza ion o he AuNPs and p ecipi a ion due
o excessi e quenching o he nega i ely cha ged ca boxylic acid
g oups by cispla in. A simila beha io was shown by C aig e al.
when using a PEG linke which has a ca boxylic e minal g oup as
well [55]. The e o e, app op ia e cispla in concen a ion and
incuba ion ime a e c ucial o main ain colloidal s abili y (Figu e 3
a, b, c). A he end, he loading o cispla in on he NP as measu ed
by induc i ely coupled plasma mass spec ome y (ICP-MS) was
42.360.8 mg P L
–1
, which ep esen s an app oxima e loading o
470 cispla in molecules pe NP. Rega ding conjuga ion, i has
been ecu en ly obse ed ha , in an excess o conjuga ing
molecule wi hou in e e ing species, homogeneous and dense
monolaye s o sel -assembled o ganic molecules can o m apidly
on he di e en NP su aces [68]; he e o e i is e en mo e
impo an o achie e homogeneous pa ial conjuga ion. I is likely
ha incuba ion o he AuNP-MUA wi h an excess o aqua ed
cispla in and hen s opping he eac ion by emo ing he excess o
cispla in by dialysis a o s he o ma ion o homogenously loaded
conjuga es.
When p epa ing NP solu ions o in i o applica ions, he
di e ence be ween NP conjuga ion solu ions and physiological
media is impo an ; he la e has highe elec oly ic concen a ion
and s ongly bu e ed pH alue. In his con ex , colloidal s abili y
in physiological media and no loss o d ug du ing i s jou ney
h ough he body should bo h be gua an eed o success o he in
i o a ge ing [16]. P io o in i o expe imen s, colloidal s abili y
was assayed in ull human blood by dynamic ligh sca e ing (DLS)
and UV-Vis spec oscopy. In DLS measu emen s, no peaks
indica ing he p esence o agg ega es in blood we e obse ed. The
12-nm shi o he AuNPs peak is due o he o ma ion o a p o ein
co ona [11]. Mo eo e , he UV-Vis spec a o AuNP–cispla in in
human blood indica ed ha AuNPs did no agg ega e in his
medium. The s eng h o he coo dina ion bond makes he link
be ween ca ie and d ug s able unde physiological condi ions.
Since his bond is pH sensi i e, inc easing he [H
+
] leads o
hyd olysis o he MUA–P bonds, eleasing he d ug in i s ac i e
o m. Only 5% o he P was eleased om he AuNPs a pH 7.6
a e 144 h, while alues as high as 40% o he P we e eached a
pH 4.4, and 67% a pH 3.8 (Figu e 4). One could expec ha he
p esence o di e en nucleophilic species, as he p esence o
p o ein, would al e he AuNP-MUA-CisP «AuNP-MUA +
CisP equilib ium. Howe e , elease seems o be independen o
he bu e ing species, as demons a ed by obse a ion o simila
beha io s in h ee di e en pH 4.4 bu e s.
P Cell In e naliza ion and DNA Accumula ion
Low cellula up ake o he d ug may limi he e icacy o a
chemo he apeu ic ea men [69], he e o e cispla in cellula
up ake and DNA binding we e employed as signs o he apeu ic
ac i i y. Adenoca cinomic human al eola basal epi helial cells
(A549) we e ea ed wi h bo h ee cispla in and cispla in
conjuga ed o AuNPs (AuNP–cispla in) a he same P concen a-
ion (1.7 mgmL
–1
). A as e up ake and highe cy oplasma ic le els
o P we e ound in he la e case (Figu e 5b). When cispla in was
conjuga ed o he AuNPs, cellula d ug con en was up o 300
imes highe a sho ime pe iods han o ee cispla in, and le els
up o 125 imes highe we e ound in he DNA a 24 h (Figu e 5b).
As can be obse ed in ansmission elec on mic oscopy (TEM)
images (Figu e 5a), AuNPs mainly eside inside esicles ha e ol e
o o m la e endosomes and endolysosomes ( esicle size and
numbe o pa icles pe esicle inc ease wi h ime). Simila ea u es
we e obse ed by con ocal mic oscopy (Figu e S2). These esicles
p o ide an acidic en i onmen ha p omo es he elease o
cispla in om he AuNPs, and i s u he escape om he
endosomes o con inue i s jou ney owa ds he DNA. No e ha
he aqua ed o m o cispla in, due o i s high labili y, is expec ed
no o a el a om he elease poin be o e eaching i s a ge o
being deac i a ed. In e es ingly, he mechanism o d ug en y in o
he cell is modi ied by conjuga ion: ee cispla in en e s he cell
mainly ia passi e di usion h ough he memb ane and by some
anspo e -media ed ou es (e.g., coppe anspo e s) [39],
whe eas cispla in a ached o AuNPs en e s ia an endocy ic
pa hway. This ac i e mechanism, oge he wi h he ca go e ec ,
allowed he apid accumula ion o cispla in. This apid accumu-
la ion o cispla in may enable us o o e come mul id ug- esis ance
mechanisms ha in ol e he o e exp ession o cispla in e lux [70]
p o eins (e.g., P-glycop o ein) o acili a e DNA- epai mecha-
nisms [40]. Addi ionally, he coa ing o he ca ie wi h se um
p o eins, mainly albumin, may also a o conjuga e up ake due o
an o e exp ession o albumin ecep o s in umo al cells [71].
Indeed, his is he claimed s a egy o enhanced up ake o
pacli axel in Ab axane [72].
Nanopa icles o De oxi ying An i umo al D ugs
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The apeu ic E iciency o AuNP–cispla in
Animal models a e pa icula ly equi ed when assaying he
he apeu ic e iciency o NPs as ehicles o d ug deli e y. Use o a
nanoca ie will lead o an inc eased blood hal -li e and a highe
accumula ion in he si e o ac ion o he d ug [73]. Thus, i is
likely ha a p ope ly designed nanoca ie should ha e a be e
esponse in i o han in i o, wi h espec o he ee d ug in e ms
o concen a ion o ac i e d ug in he o gan o in e es .
Addi ionally, issues such as umo pene abili y and oxici y migh
be modi ied as well and mus be aken in o accoun . One o he
mos common models consis s o xenog a ed umo s implan ed
subcu aneously in Se e ely Comp omised ImmunoDe icien
(SCID) mice. I umo p og ession has o be measu ed by size
(e.g., using a calipe ), ini ial umo s mus be la ge enough o be
measu able, in which case hey a e no mally poo ly i iga ed and
e en may con ain nec o ic a eas. Newe bioluminescen ech-
niques (e.g. IVIS H) a e a good al e na i e o calipe measu emen s
because hey a e mo e sensi i e and he e o e wo k p ope ly wi h
smalle umou s, bu hey depend on enzyma ic ac i i y. This
echnique has been used o ollow umo igenesis and esponse o
umo s o ea men in animal models, since he exp ession o a
bioluminescen ma ke speci ic o he implan ed umo cells is
supposed o be p opo ional o he numbe o li ing cells [74].
Howe e , en i onmen al ac o s and he apeu ic in e e ences
may cause some disc epancies be ween umo bu den and
bioluminescence in ensi y in ela ion o changes in p oli e a i e
ac i i y; his mus be aken in o accoun along wi h he di e ing
indi idual esponse o he umo and he ea men s.
In ou expe imen s, 15 umo -bea ing mice we e ea ed wi h 3
in ape i oneal (ip) injec ions o saline (con ol), ee cispla in, o
AuNP–cispla in. Doses o cispla in we e 1.5 mg cispla in kg
–1
in
bo h ea men s. No e ha di e en concen a ions a e used
h oughou he wo k. The eason o hese di e ences is he need
o explo e h ee di e en egimes: Tissue dis ibu ion, he apeu ic
window, and oxici y. In he i s case, he doses a e maximized o
ensu e de ec able le els o gold and pla inum in all issues. Fo he
he apeu ic window, we explo ed he ange o dosages which can
p e en umo g ow h e ec i ely while s aying in he sa e y ange
o he ea men (no e ha he ea men ime is much longe han
o biodis ibu ion and oxici y). O he wise, se e e cispla in-
induced oxici y would ha e led o dead animals and consequen ly
o he impossibili y o compa ing ea men s. On he o he hand,
o he oxici y assays, we ea ed he animals wi h highe
concen a ions such as a e gene ally used wi h cispla in o induce
oxici y in a sho pe iod o ime. As can be obse ed in Figu e 5d,
he conjuga ion o cispla in o he AuNPs does no a ec i s
he apeu ic e ec since bo h he sample ea ed wi h ee d ug and
ha wi h d ug conjuga ed o AuNPs showed no signi ican
Figu e 2. T ansmission Elec onic Mic oscopy (TEM) images o MUA-capped AuNPs. (a, b, c) Rep esen a i e images o AuNPs. Scale ba
ep esen s 1 mm, 200 nm, and 100 nm espec i ely. (d) A na ow size dis ibu ion (13.361.9 nm) o AuNPs is obse ed. The appea ance o he AuNPs
as syn hesized and a e concen a ion p ocess is shown in he inse in (a).
doi:10.1371/jou nal.pone.0047562.g002
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di e ences in umo g ow h, as measu ed by bioluminescence, and
bo h ea men s showed dec eased umo g ow h wi h espec o
he con ol. In a simila expe imen , bu s a ing he ea men
when umo s we e la ge enough o be measu able by calipe , he
same endencies we e main ained (Figu e S3). A he end o hese
ea men s, umo s we e ex ac ed and weighed. The a e age
weigh o umo s in bo h ea men s was 0.5960.16 g o ee
cispla in and 0.7660.20 g when conjuga ed. These alues a e
signi ican ly lowe han hose o he con ol (1.8160.54 g), wi h a
S uden ’s -dis ibu ion be ween he con ol and he ea ed mice
wi h he conjuga es o smalle han 0.05 (0.039).
Figu e 3. AuNP unc ionaliza ion. (a) UV-Vis spec oscopy o conjuga es wi h inc easing aqua ed cispla in concen a ions shows ha his
concen a ion should no exceed 0.39 mM o gua an ee colloidal s abili y. (b) When an excess o d ug was in oduced, he MUA cha ge became
p og essi ely quenched, which lead o agg ega ion o AuNPs, as deno ed by he ed-shi and u he in ensi y dec ease o SPR in ensi y in less han
one hou . (c) Red-shi o he SPR peak a he wo king condi ions: he ini ial peak o ci a e-capped AuNPs shi ed om 515 nm o 521.5 nm a e
MUA conjuga ion and o 523 nm a e cispla in conjuga ion. (d) Time e olu ion o -po en ial a e addi ion o [P (H
2
O)
2
(NH
3
)
2
]
2+
indica es he
quenching o nega i e cha ge on he MUA by he o ma ion o a coo dina ion bond be ween he ca boxylic acid g oup and aqua ed cispla in.
Conjuga es emained s able a -po en ial alues mo e nega i e han –25 mV. (e) Scheme showing he unc ionaliza ion s eps ollowed o ob ain he
cispla in deli e y sys em.
doi:10.1371/jou nal.pone.0047562.g003
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Tumo pene a ion is known o be a limi ing ac o o cance
d ug deli e y. In ac , his has been ecen ly iden i ied as he majo
limi a ion in solid umo ea men [75–77]. Despi e his ac ,
conjuga e sizes o a ound 15 nm ha e been epo ed o achie e
good pene a ion and accumula ion in he umo [24,44].
Ob iously, cispla in is smalle han he NPs and he e o e i s
pene abili y, in p inciple, could be highe . Howe e he g ea e
accumula ion o ac i e d ug when a ached o AuNPs ( he d ug is
p o ec ed agains deac i a ion by plasma p o eins) and he
possibili y o successi e ea men s (i cispla in oxici y is clea ly
educed) may o e come he lowe pene abili y o he ehicles
[75], allowing he p og essi e e osion o he umo . Ce ainly,
hese dosing s a egies could also be use ul in he case o umo
esis ance o cispla in ea men . Finally, i is also wo h no ing ha
he me allic co e o he AuNPs opens up he possibili y o
inc easing umo damage by using a combined he apy since hey
can e icien ly ac as pho o he mal he apeu ic agen s [2,78] o as
adiosensi ize s [79,80] which, oge he wi h su ge y, a e he
common s a egies used o ea cance in he clinic.
Biodis ibu ion in Mice: Co ela ion o Biodis ibu ion and
Lack o Toxici y
Inside he body, he po ous and di use on ie s o he di e en
o gans, which a e all connec ed o he blood and lympha ic
sys ems, ha e g ea ly di e ing anspo abili ies owa ds small
molecules and nu ien s, la ge p o eins, o cells. Thus, he majo i y
o d ugs a e no mally anspo ed h ough he small po es (6–
8 nm) ound in he con inuous capilla ies which a e he mos
widely dis ibu ed h oughou he o ganism [18], which causes
unwan ed side e ec s. Fo e ec i e he apy, i is necessa y o
deli e he apeu ic agen s selec i ely o hei a ge si es, a oiding
non- a ge o gans. Such selec i i y is key o an i umo al d ugs
because o hei ex eme cy o oxici y. By ehicula ing he d ug
using a nanoca ie , he dis ibu ion o he d ug is con olled by
he physicochemical p ope ies o he nanopa icle [4,17,81]
a he han hose o he d ug. No mally, small molecule d ugs ( he
majo i y o d ugs) ha e a sho plasma hal -li e and a e apidly
clea ed by he enal sys em [18], which he eby g ea ly educes he
d ug’s cu a i e e ec . Also, i escaping he kidney, NPs a e easily
endocy osed/phagocy osed, gene ally by ci cula ing monocy es o
ixed mac ophages, which leads o hei elimina ion om
ci cula ion and hei simul aneous concen a ion in o gans wi h
high phagocy ic ac i i y. Al hough se e al ac o s such as co e size
and su ace composi ion in luence he a e o he NPs inside he
o ganism, di e en ypes o NPs ha e been epo ed o be clea ed
wi hin minu es om he bloods eam wi h a ypical inal
biodis ibu ion in he spleen, li e , and kidneys [20,45,67,81–
83]. No only he NPs’ physicochemical p ope ies (e.g., size,
shape, and su ace composi ion) de e mines he inal a e o he
NPs, bu an impo an ole is played by he a ay o se um p o eins
a ac ed by he NPs ha o m he well-known p o ein co ona [11]
which ul ima ely con e s hei biological p ope ies [84]. In his
ega d, many s udies indica e ha pa icle size and su ace
chemis y (coa ing) go e n ansloca ion ac oss epi helial and
endo helial cell laye s. In pa icula , ega ding ansloca ion o
NPs, he s udies summa ized by Meh a e al. [85] and hose
pe o med by Heckel e al. [86] using in a enous adminis a ion
o albumin-coa ed gold nanopa icles in oden s demons a ed
ecep o -media ed anscy osis (albumin-binding p o eins). Simi-
la ly, polys y ene pa icles o 240 nm ansloca ed ac oss he
al eolus-capilla y ba ie when coa ed wi h leci hin, whe eas
uncoa ed pa icles did no ansloca e [87].
In ou expe imen s, g oups o 15 SCID human- umo -bea ing
mice we e used o assay he biodis ibu ion o bo h he ehicle and
he d ug. The same amoun o a high dose o ee o AuNP-bound
cispla in was adminis a ed o he mice (4 mg P (kg mice)
–1
) ia
in ape i oneal injec ion. This ou e acili a es he a ic o
pa icles om he pe i oneal ca i y o he lympha ic sys em be o e
he pa icles inally en e sys emic ci cula ion [88], om whe e
hey a e dis ibu ed o he di e en o gans. The amoun s o bo h
P and Au in blood, li e , spleen, hea , b ain, lung, kidney, o a y,
and umo we e measu ed using ICP-MS a 30 min, and 3, 6, and
24 hou s a e he injec ion (Figu e 6). I is wo h no ing ha om
he c ude eadings i is impossible o de e mine i he obse ed P
is s ill ac i e, inac i e bound o p o eins, o a ached o he NPs
wai ing o be ac i a ed. F ee cispla in is known o be emo ed
om he ci cula ion in wo s eps: an ini ial apid enal clea ance
(less han 1 h) ollowed by a slow loss om he ci cula ion o he
cispla in bound o plasma p o eins (hou s o days) [46], wi h less
han abou 3% eaching he umo al cells’ DNA. Since he long-
ci cula ing cispla in is mainly bound o p o ein and consequen ly
deac i a ed [46], nei he signi ican oxici y no he apeu ic
bene i s a e expec ed om i [47]. This apid clea ance o ee
cispla in, which is also obse ed om all o gans in ou wo k, di e s
conside ably om wha is obse ed in he case o he cispla in
bound o AuNPs. The amoun o P in blood se a eleased om
he AuNP-cispla in conjuga es (AuNPs we e emo ed by cen i-
uga ion be o e measu ing) was ini ially negligible (52.1261.9 mg
L
–1
). Howe e , once he conjuga es we e p ocessed, mainly by
phagocy ic o gans ( ide in a), he e was a slow delayed elease o
P o blood ha eached 932.256343.4 mgL
–1
a 24 h. In he es
o he o gans i is common o see an ini ial dec ease in P
concen a ion, om 30 min o 3 hou s and hen an inc ease a 6 h
and 24 h, likely o he non-conjuga ed o m as he changes o he
Au/P a ios in o gans wi h ime seem o indica e (Figu e 7); his
shows how he Au and cispla in spli and ollow di e en pa hways
a e being p ocessed by cells. The highe he a io, he less ee
cispla in is p esen . Al hough he signal om conjuga ed and non-
conjuga ed cispla in is di icul o decon olu e, wo di e en
beha io s a e clea ly obse ed: o gans whe e he a io p og es-
si ely dec eases ( hose indica ed by dashed lines) and o gans whe e
he a io inc eases ( hose indica ed by con inuous lines). No e ha
he o gans whe e his a io inc eased a e phagocy ic o gans whe e
NPs accumula e. F om hese esul s we belie e ha some
Figu e 4. Cispla in elease s. pH in physiological condi ions.
(high-ionic-s eng h media wi h 20% BSA; BSA = bo ine se um albu-
min). A neu al pH he elease was almos negligible bu i inc eased a
acidic pH alues.
doi:10.1371/jou nal.pone.0047562.g004
Nanopa icles o De oxi ying An i umo al D ugs
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Figu e 5. Cell in e naliza ion and accumula ion, and he apeu ic bene i s
in i o
.(a) Rep esen a i e TEM images showing he
in e naliza ion o pa icles a 1, 3, and 24 h. I is clea ly shown ha AuNPs we e en apped in esicles ha p og essi ely use. The cell nucleus
emained ee o AuNPs. Scale ba s ep esen 4 mm. (b, le ) Cells show g ea e amoun s o P when i en e s a ached o AuNPs han when in ee
cispla in, especially a sho ime pe iods. (b, igh ) The acidic pH alue in he endosomes p omo es he elease o cispla in. Consequen ly he DNA
a ge ing was also conside ably imp o ed by AuNP–cispla in. (c) The colloidal s abili y is gua an eed in blood whe e he p esence o agg ega es is
excluded by DLS. The 12 nm inc ease is due o he o ma ion o a so p o ein co ona. (d) Inc ease in bioluminescence measu ed by IVIS which is
p opo ional o he numbe o li ing cells in he umo . 1.5 mg cispla in (kg mouse)
–1
injec ions we e used in bo h ea men s (day 0, 19, and 34).
A ows indica e injec ion days. E o s a e s anda d e o o he mean (n = 5).
doi:10.1371/jou nal.pone.0047562.g005
Nanopa icles o De oxi ying An i umo al D ugs
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