Skip to main content

Advertisement

Log in

Development of β-elemene and Cisplatin Co-Loaded Liposomes for Effective Lung Cancer Therapy and Evaluation in Patient-Derived Tumor Xenografts

  • Research Paper
  • Published:
Pharmaceutical Research Aims and scope Submit manuscript

Abstract

Purpose

β-elemene and cisplatin combined chemotherapy currently is one of the most important settings available for lung cancer therapy in China. However, the clinical outcome is limited by their pharmacokinetic drawbacks. On the other hand, most of nanomedicines have failed in clinical development due to the huge differences between heterogeneous clinical tumor tissues and homogenous cell-derived xenografts. In this work, we fabricated a β-elemene and cisplatin co-loaded liposomal system to effectively treat lung cancer.

Method

In vitro cytotoxicity of co-loaded liposomes was studied by MTT, trypan and Hoechst/PI staining, and western blot in A549, A549/DDP, and LCC cells. In vivo antitumor efficacy was evaluated in cell-derived and clinically relevant patient-derived xenografts.

Results

Co-loaded liposomes were more cytotoxic to cancer cells, especially than the combination of single-loaded liposomes, benefiting from their simultaneous drug internalization and release. As a result, they exhibited desirable therapeutic outcome in both cell-derived and patient-derived xenografts.

Conclusion

β-elemene and cisplatin co-loaded liposomes are a clinically promising candidate for effective lung cancer therapy.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

Abbreviations

β-ELE:

β-elemene

CDX:

Cell-derived xenograft

Chol:

Cholesterol

DDP:

Cisplatin

LPs:

Liposomes

PC:

Phosphatidylcholine

PDX:

Patient-derived xenograft

References

  1. Cheng L, Huang FZ, Cheng LF, Zhu YQ, Hu Q, Li L, et al. GE11-modified liposomes for non-small cell lung cancer targeting: preparation, ex vitro and in vivo evaluation. Int J Nanomedicine. 2014;9:921–35.

  2. Perez-Herrero E, Fernandez-Medarde A. Advanced targeted therapies in cancer: drug nanocarriers, the future of chemotherapy. Eur J Pharm Biopharm. 2015;93:52–79.

    Article  CAS  Google Scholar 

  3. Li X, Gao C, Wu Y, Cheng CY, Xia W, Zhang Z. Combination delivery of Adjudin and doxorubicin via integrating drug conjugation and nanocarrier approaches for the treatment of drug-resistant cancer cells. J Mater Chem B. 2015;3(8):1556–64.

    Article  CAS  Google Scholar 

  4. Wei Y, Pu X, Zhao L. Preclinical studies for the combination of paclitaxel and curcumin in cancer therapy (review). Oncol Rep. 2017;37(6):3159–66.

    Article  CAS  Google Scholar 

  5. Landesman-Milo D, Ramishetti S, Peer D. Nanomedicine as an emerging platform for metastatic lung cancer therapy. Cancer Metastasis Rev. 2015;34(2):291–301.

    Article  CAS  Google Scholar 

  6. Rebecca S, Jiemin M, Zhaohui Z, Ahmedin J. Cancer statistics, 2014. CA Cancer J Clin. 2014;64(1):9–29.

    Article  Google Scholar 

  7. Zappa C, Mousa SA. Non-small cell lung cancer: current treatment and future advances. Transl Lung Cancer R. 2016;5(3):288–300.

    Article  CAS  Google Scholar 

  8. Fang YY, Kang YH, Zou H, Cheng XX, Xie T, Shi LY, et al. Beta-elemene attenuates macrophage activation and proinflammatory factor production via crosstalk with Wnt/beta-catenin signaling pathway. Fitoterapia. 2018;124:92–102.

    Article  CAS  Google Scholar 

  9. Zhu T, Li X, Luo L, Wang X, Li Z, Xie P, et al. Reversion of malignant phenotypes of human glioblastoma cells by β-elemene through β-catenin-mediated regulation of stemness-, differentiation- and epithelial-to-mesenchymal transition-related molecules. J Transl Med. 2015;13(1):356.

  10. Chen MW, Zhang JM, Yu SQ, Wang SP, Zhang ZJ, Chen JQ, et al. Anti-lung-Cancer activity and liposome-based delivery systems of beta-Elemene. Evid Based Complement Alternat Med. 2012;2012:1–5.

  11. Chen J, Wang R, Wang T, Ding Q, Khalil A, Xu S, et al. Antioxidant properties of novel dimers derived from natural β-Elemene through inhibiting H2O2-induced apoptosis. ACS Med Chem Lett. 2017;8(4):443–8.

    Article  CAS  Google Scholar 

  12. Zou S, Wang C, Cui Z, Guo P, Meng Q, Shi X, et al. β-Elemene induces apoptosis of human rheumatoid arthritis fibroblast-like synoviocytes via reactive oxygen species-dependent activation of p38 mitogen-activated protein kinase. Pharmacol Rep. 2016;68(1):7–11.

    Article  CAS  Google Scholar 

  13. Zhang G-N, Ashby CR, Zhang Y-K, Chen Z-S, Guo H. The reversal of antineoplastic drug resistance in cancer cells by β-elemene. Chin J Cancer. 2015;34(3):45.

    Article  Google Scholar 

  14. Shi F, Yang G, Ren J, Guo T, Du Y, Feng NP. Formulation design, preparation, and in vitro and in vivo characterizations of beta-Elemene-loaded nanostructured lipid carriers. Int J Nanomedicine. 2013;8:2533–41.

    Article  Google Scholar 

  15. Li QDQ, Wang GD, Zhang MC, Cuff CF, Huang L, Reed E. Beta-Elemene, a novel plant-derived antineoplastic agent, increases cisplatin chemosensitivity of lung tumor cells by triggering apoptosis. Oncol Rep. 2009;22(1):161–70.

    Article  CAS  Google Scholar 

  16. Wang B, X-x P, Sun R, Li J, X-r Z, L-j W, et al. Systematic review of β-Elemene injection as adjunctive treatment for lung cancer. Chin J Integr Med. 2012;18(11):813–23.

    Article  CAS  Google Scholar 

  17. Lee WH, Loo CY, Traini D, Young PM. Inhalation of nanoparticle-based drug for lung cancer treatment: advantages and challenges. Asian J Pharm Sci. 2015;10(6):481–9.

    Article  Google Scholar 

  18. Xing H, Hwang K, Lu Y. Recent developments of liposomes as Nanocarriers for Theranostic applications. Theranostics. 2016;6(9):1336–52.

    Article  CAS  Google Scholar 

  19. Bozzuto G, Molinari A. Liposomes as nanomedical devices. Int J Nanomedicine. 2015;10:975–99.

    Article  CAS  Google Scholar 

  20. Eloy JO, Petrilli R, Topan JF, Antonio HMR, Barcellos JPA, Chesca DL, et al. Co-loaded paclitaxel/rapamycin liposomes: development, characterization and in vitro and in vivo evaluation for breast cancer therapy. Colloids Surf B Biointerfaces. 2016;141:74–82.

    Article  CAS  Google Scholar 

  21. Kushwah V, Katiyar SS, Dora CP, Kumar Agrawal A, Lamprou DA, Gupta RC, et al. Co-delivery of docetaxel and gemcitabine by anacardic acid modified self-assembled albumin nanoparticles for effective breast cancer management. Acta Biomater. 2018;73:424–36.

    Article  CAS  Google Scholar 

  22. Li Y, Sun J, Chen QP, Chen ZP, Zhu L. Fast drug release of liposome-gold conjugation under light irradiation and the comparison with liposome-gold hybrid. Nanosci Nanotech Let. 2017;9(6):982–7.

    Article  Google Scholar 

  23. Wang FF, Chen L, Zhang R, Chen ZP, Zhu L. RGD peptide conjugated liposomal drug delivery system for enhance therapeutic efficacy in treating bone metastasis from prostate cancer. J Control Release. 2014;196:222–33.

    Article  CAS  Google Scholar 

  24. Li Y, Lu A, Long M, Cui L, Chen Z, Zhu L. Nitroimidazole derivative incorporated liposomes for hypoxia-triggered drug delivery and enhanced therapeutic efficacy in patient-derived tumor xenografts. Acta Biomater. 2019;83:334–48.

    Article  CAS  Google Scholar 

  25. Šentjurc M, Vrhovnik K, Kristl J. Liposomes as a topical delivery system: the role of size on transport studied by the EPR imaging method. J Control Release. 1999;59(1):87–97.

    Article  Google Scholar 

  26. Qu MH, Zeng RF, Fang S, Dai QS, Li HP, Long JT. Liposome-based co-delivery of siRNA and docetaxel for the synergistic treatment of lung cancer. Int J Pharm. 2014;474(1–2):112–22.

    Article  CAS  Google Scholar 

  27. Boggara MB, Faraone A, Krishnamoorti R. Effect of pH and ibuprofen on the phospholipid bilayer bending modulus. J Phys Chem B. 2010;114(24):8061–6.

    Article  CAS  Google Scholar 

  28. Yao C, Jiang J, Tu Y, Ye S, Du H, Zhang Y. β-Elemene reverses the drug resistance of A549/DDP lung cancer cells by activating intracellular redox system, decreasing mitochondrial membrane potential and P-glycoprotein expression, and inducing apoptosis. Thoracic Cancer. 2014;5(4):304–12.

    Article  CAS  Google Scholar 

  29. Ormerod MG, Sun XM, Brown D, Snowden RT, Cohen GM. Quantification of apoptosis and necrosis by flow cytometry. Acta Oncol. 1993;32(4):417–24.

    Article  CAS  Google Scholar 

  30. Wu XS, Xie T, Lin J, Fan HZ, Huang-Fu HJ, Ni LF, et al. An investigation of the ability of elemene to pass through the blood-brain barrier and its effect on brain carcinomas. J Pharm Pharmacol. 2009;61(12):1653–6.

  31. Park K. Facing the truth about nanotechnology in drug delivery. ACS Nano. 2013;7(9):7442–7.

    Article  CAS  Google Scholar 

  32. Chen H, Zhang W, Zhu G, Xie J, Chen X. Rethinking cancer nanotheranostics. Nat Rev Mater. 2017;2:17024.

    Article  CAS  Google Scholar 

  33. Park K. Questions on the role of the EPR effect in tumor targeting. J Control Release. 2013;172(1):391–1.

    Article  CAS  Google Scholar 

  34. Cho H, Lai TC, Tomoda K, Kwon GS. Polymeric micelles for multi-drug delivery in cancer. AAPS PharmSciTech. 2015;16(1):10–20.

    Article  CAS  Google Scholar 

  35. Choi SY, Lin D, Gout PW, Collins CC, Xu Y, Wang Y. Lessons from patient-derived xenografts for better in vitro modeling of human cancer. Adv Drug Deliv Rev. 2014;79-80:222–37.

    Article  CAS  Google Scholar 

  36. Wang Y, Sun S, Zhang Z, Shi D. Nanomaterials for Cancer precision medicine. Adv Mater. 2018;30(17):e1705660.

    Article  Google Scholar 

Download references

Acknowledgments and Disclosures

The work was supported by the National Natural Science Foundation of China (81,401,506 and 61,571,245), Natural Science Foundation of Jiangsu Province of China (BK20161283), Jiangsu Province “Six Summit Talent” Foundation (2016-YY-061), Applied Basic Research Project Foundation of Nantong (MS12016024 and MS22016066), and Jiangsu Overseas Visiting Scholar Program for University Prominent Young & Middle-aged Teachers and Presidents.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Zhongping Chen.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(DOCX 3119 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Cao, M., Long, M., Chen, Q. et al. Development of β-elemene and Cisplatin Co-Loaded Liposomes for Effective Lung Cancer Therapy and Evaluation in Patient-Derived Tumor Xenografts. Pharm Res 36, 121 (2019). https://doi.org/10.1007/s11095-019-2656-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s11095-019-2656-x

KEY WORDS

Navigation