PMID- 30538458 OWN - NLM STAT- MEDLINE DCOM- 20190107 LR - 20220330 IS - 1178-2013 (Electronic) IS - 1176-9114 (Print) IS - 1176-9114 (Linking) VI - 13 DP - 2018 TI - Nitric oxide-releasing nanoparticles improve doxorubicin anticancer activity. PG - 7771-7787 LID - 10.2147/IJN.S187089 [doi] AB - PURPOSE: Anticancer drug delivery systems are often limited by hurdles, such as off-target distribution, slow cellular internalization, limited lysosomal escape, and drug resistance. To overcome these limitations, we have developed a stable nitric oxide (NO)-releasing nanoparticle (polystyrene-maleic acid [SMA]-tert-dodecane S-nitrosothiol [tDodSNO]) with the aim of enhancing the anticancer properties of doxorubicin (Dox) and a Dox-loaded nanoparticle (SMA-Dox) carrier. MATERIALS AND METHODS: Effects of SMA-tDodSNO and/or in combination with Dox or SMA-Dox on cell viability, apoptosis, mitochondrial membrane potential, lysosomal membrane permeability, tumor tissue, and tumor growth were studied using in vitro and in vivo model of triple-negative breast cancer (TNBC). In addition, the concentrations of SMA-Dox and Dox in combination with SMA-tDodSNO were measured in cells and tumor tissues. RESULTS: Combination of SMA-tDodSNO and Dox synergistically decreased cell viability and induced apoptosis in 4T1 (TNBC cells). Incubation of 4T1 cells with SMA-tDodSNO (40 microM) significantly enhanced the cellular uptake of SMA-Dox and increased Dox concentration in the cells resulting in a twofold increase (P<0.001). Lysosomal membrane integrity, evaluated by acridine orange (AO) staining, was impaired by 40 microM SMA-tDodSNO (P<0.05 vs control) and when combined with SMA-Dox, this effect was significantly potentiated (P<0.001 vs SMA-Dox). Subcutaneous administration of SMA-tDodSNO (1 mg/kg) to xenografted mice bearing 4T1 cells showed that SMA-tDodSNO alone caused a twofold decrease in the tumor size compared to the control group. SMA-tDodSNO in combination with SMA-Dox resulted in a statistically significant 4.7-fold reduction in the tumor volume (P<0.001 vs control), without causing significant toxicity as monitored through body weight loss. CONCLUSION: Taken together, these results suggest that SMA-tDodSNO can be used as a successful strategy to increase the efficacy of Dox and SMA-Dox in a model of TNBC. FAU - Alimoradi, Houman AU - Alimoradi H AD - Department of Pharmacology and Toxicology, University of Otago, Dunedin, New Zealand. FAU - Greish, Khaled AU - Greish K AD - College of Medicine and Medical Sciences, Department of Molecular Medicine, and Nanomedicine Unit, Princess Al-Jawhara Centre for Molecular Medicine and Inherited Disorders, Arabian Gulf University, Manama, Kingdom of Bahrain, khaledfg@agu.edu.bh. AD - Department of Oncology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt, khaledfg@agu.edu.bh. FAU - Barzegar-Fallah, Anita AU - Barzegar-Fallah A AD - Department of Pharmacology and Toxicology, University of Otago, Dunedin, New Zealand. FAU - Alshaibani, Lama AU - Alshaibani L AD - College of Medicine and Medical Sciences, Department of Molecular Medicine, and Nanomedicine Unit, Princess Al-Jawhara Centre for Molecular Medicine and Inherited Disorders, Arabian Gulf University, Manama, Kingdom of Bahrain, khaledfg@agu.edu.bh. FAU - Pittala, Valeria AU - Pittala V AD - Department of Drug Science, University of Catania, Catania, Italy. LA - eng PT - Journal Article DEP - 20181120 PL - New Zealand TA - Int J Nanomedicine JT - International journal of nanomedicine JID - 101263847 RN - 0 (Antineoplastic Agents) RN - 0 (Maleates) RN - 0 (Polystyrenes) RN - 0 (S-Nitrosothiols) RN - 0 (tert-dodecane S-nitrosothiol) RN - 25300-64-5 (styrene-maleic acid polymer) RN - 31C4KY9ESH (Nitric Oxide) RN - 80168379AG (Doxorubicin) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Cell Cycle/drug effects MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Doxorubicin/administration & dosage/*pharmacology/therapeutic use MH - *Drug Liberation MH - Endocytosis MH - Female MH - Humans MH - Injections, Subcutaneous MH - Lysosomes/drug effects/metabolism MH - Maleates/chemical synthesis/chemistry MH - Mice, Inbred BALB C MH - Mitochondria/drug effects/metabolism MH - Nanoparticles/*chemistry MH - Nitric Oxide/*pharmacology MH - Permeability MH - Polystyrenes/chemical synthesis/chemistry MH - S-Nitrosothiols/chemical synthesis/chemistry MH - Triple Negative Breast Neoplasms/drug therapy/pathology PMC - PMC6251458 OTO - NOTNLM OT - SMA-tDodSNO OT - biologic barriers OT - doxorubicin OT - nanoparticles OT - nitric oxide OT - synergistic cytotoxicity COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2018/12/13 06:00 MHDA- 2019/01/08 06:00 PMCR- 2018/11/20 CRDT- 2018/12/13 06:00 PHST- 2018/12/13 06:00 [entrez] PHST- 2018/12/13 06:00 [pubmed] PHST- 2019/01/08 06:00 [medline] PHST- 2018/11/20 00:00 [pmc-release] AID - ijn-13-7771 [pii] AID - 10.2147/IJN.S187089 [doi] PST - epublish SO - Int J Nanomedicine. 2018 Nov 20;13:7771-7787. doi: 10.2147/IJN.S187089. eCollection 2018.