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A Combined Chemical and Magneto-Mechanical Induction of Cancer Cell Death by the Use of Functionalized Magnetic Iron Nanowires Thesis by Aldo Isaac Martínez Banderas In Partial Fulfillment of the Requirements For the Degree of Master of Science in Bioscience King Abdullah University of Science and Technology Thuwal, Kingdom of Saudi Arabia © April 11 th , 2016 Aldo Isaac Martínez Banderas All Rights Reserved

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Page 1: A Combined Chemical and Magneto-Mechanical …repository.kaust.edu.sa/kaust/bitstream/10754/606100/1/...dispersive X-Ray spectroscopy coupled to scanning transmission electron microscopy

A Combined Chemical and Magneto-Mechanical Induction of Cancer Cell Death

by the Use of Functionalized Magnetic Iron Nanowires

Thesis by

Aldo Isaac Martínez Banderas

In Partial Fulfillment of the Requirements

For the Degree of

Master of Science in Bioscience

King Abdullah University of Science and Technology

Thuwal, Kingdom of Saudi Arabia

© April 11th, 2016

Aldo Isaac Martínez Banderas

All Rights Reserved

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EXAMINATION COMMITTEE APPROVALS FORM

The thesis of Aldo Isaac Martínez Banderas is approved by the examination committee.

Committee Chairperson: Dr. Jürgen Kosel Committee Co-Chair: Dr. Timothy Ravasi Committee Members: Dr. Jasmeen Merzaban, Dr. Hossein Fariborzi

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ABSTRACT

A Combined Chemical and Magneto-Mechanical Induction of Cancer Cell Death

by the Use of Functionalized Magnetic Iron Nanowires

Aldo Isaac Martínez Banderas

Cancer prevails as one of the most devastating diseases being at the top of death

causes for adults despite continuous development and innovation in cancer

therapy. Nanotechnology may be used to achieve therapeutic dosing, establish

sustained-release drug profiles, and increase the half-life of drugs. In this context,

magnetic nanowires (NWs) have shown a good biocompatibility and cellular

internalization with a low cytotoxic effect. In this thesis, I induced cancer cell

death by combining the chemotherapeutic effect of iron NWs functionalized with

Doxorubicin (DOX) with mechanical disturbance under a low frequency

alternating magnetic field. Two different agents, APTES and BSA, were

separately used for coating NWs permitting further functionalization with DOX.

Internalization was qualitatively and quantitatively assessed for both

formulations by confocal reflection microscopy and inductively coupled plasma-

mass spectrometry. From confocal reflection analysis, BSA formulations

demonstrate to have a higher internalization degree and a broader distribution

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within the cells in comparison to APTES formulations. Both groups of

functionalized NWs generated a comparable cytotoxic effect in MDA-MB-231

breast cancer cells in a DOX concentration-dependent manner, (~60% at the

highest concentration tested) that was significantly different from the effect

produced by the free DOX (~95% at the same concentration) and non-

functionalized NWs formulations (~10% at the same NWs concentration). A

synergistic cytotoxic effect is obtained when a low frequency magnetic field (1

mT, 10 Hz) is applied to cells treated with the two formulations that is again

comparable (~70% at the highest concentration). Furthermore, the cytotoxic effect

of both groups of coated NWs without the drug increased notoriously when the

field is applied (~25% at the highest concentration tested). Here, a novel bimodal

method for cancer cell destruction was developed by the conjugation of the

magneto-mechanical properties of the iron NWs coupled with the chemotoxic

effect of an anticancer drug. Moreover, it was demonstrated that iron nanowires

possess an outstanding biocompatibility and showed high efficacy as drug

delivery agents coupled to a high degree of cell internalization. Finally, the

proposed method benefits from the low power fields applied during treatment.

This poses much less safety risks and allows using cheaper and simpler

equipment.

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ACKNOWLEDGEMENTS

I want to express my gratitude to Prof. Jürgen Kosel and Prof. Timothy Ravasi for their support and advice during the realization of this project. Thank you both for the opportunity of being part of your research groups and for enriching my academic experience on having transmitted to me some of your expertise and knowledge.

Prof. Jürgen Kosel, thank you so much for the confidence placed in me and for encouraging me to always go further.

I want to extend my gratitude to the Madrid Institute for Advanced Studies (IMDEA) Nanoscience where part of this project was performed under the guidance of Prof. Aitziber L. Cortajarena and Dr. Antonio Aires. Thank you both for the nice opportunity of making an internship in your group.

This work is dedicated to the King Abdullah University of Science and Technology for the postgraduate education received which is an important pillar in my academic career. Thank you KAUST for giving me the opportunity to experience this amazing multicultural environment.

I dedicate this thesis to my relatives, especially to my parents and my sister, Oriana, whom have always encouraged me to pursuing my goals and taught me to never surrender in to the adversity. Thank you for making of me who I am now.

I would like to thank Mafe, Efrain and Michael for their support, patience and the time dedicated to me since I initiated my research experience at KAUST. I hope we will continue being friends even across borders and oceans. Also, many thanks to Nouf and the people from the Integrative Systems Biology group for being such a nice and supportive team.

My gratitude also goes to all my friends including: the Kaustians; Liliana, Pablo, Arturo, Gil, Natalia, Amoudi, Vlad, Aziz, Maddie, Maha, Allison, Juan, Nastia, Adrian, Ohood and many others with whom I have shared this nice experience; My lifetime friends; Gonzo, Boludo, Lecona, Sure, Maris, Yeya, Dany, Aranza, Xavier, Isak, Zara, Mario, Anuar, Josesito, Camilo, Alex, Deny, Jorge and Erick. All of you (and many others that are not mentioned here) are an important part in my life and my achievements. Thank you all.

Especially, my heartfelt gratitude is extended to my girlfriend, Anna, for the incredible moments together during this time and for making me realize that there is no unreachable goal.

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STATEMENT OF COLLABORATION

This master’s project was done in collaboration between the Madrid Institute for Advanced Studies (IMDEA), Nanoscience and Nanobiotechnology Unit associated to Centro Nacional de Biotecnología (CNB-CSIC) in Madrid, Spain and the King Abdullah University of Science and Technology in Thuwal, Saudi Arabia. Prof Aitziber Lopez Cortajarena from IMDEA and Prof. Jürgen Kosel from KAUST supervised the project. Prof. Timothy Ravasi from KAUST acted as co-supervisor.

Because of the interdisciplinary nature of this project, the experiments were performed by a group of people of different expertise.

The in-vitro alternating magnetic field generator was provided and set up for the conditions required by Dr. Francisco Terán at IMDEA. Dr. Antonio Aires provided the doxorubicin derivative employed for the functionalization of the iron nanowires.

Dr. Antonio Aires and Aldo Isaac Martínez Banderas performed the cell culture, the iron nanowires coating and functionalization, the drug release assay, the Prussian blue assay, the in vitro cell viability assays, the inductively coupled plasma mass spectrometry studies and prepared the samples for confocal light reflection microscopy imaging. Confocal reflection microscopy images were taken by Sylvia Gutiérrez Erlandsson at the Confocal Microscopy Service CNB-CSIC associated to IMDEA.

Iron Nanowires were synthesized by Aldo Isaac Martínez Banderas and José Efraín Pérez Rodríguez at KAUST. The preparation of samples for transmission electron microscopy imaging, scanning electron microscopy imaging and energy-dispersive X-Ray spectroscopy coupled to scanning transmission electron microscopy was done by José Efraín Pérez Rodríguez, Nouf Alsharif and Aldo Isaac Martínez Banderas. Images from transmission electron microscopy, scanning electron microscopy were taken by José Efraín Pérez Rodríguez, Nouf Alsharif, Aldo Isaac Martínez Banderas and Manuel Roldan Rodriguez at the Imaging and Characterization Core Lab at KAUST.

Analysis and images from the energy-dispersive X-Ray spectroscopy coupled to scanning transmission electron microscopy were done by Manuel Roldan Rodriguez at the Imaging and Characterization Core Lab at KAUST.

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TABLE OF CONTENTS

Page

TITLE PAGE ............................................................................................................ 1

EXAMINATION COMMITTEE APPROVALS FORM ...................................... 2

ABSTRACT .............................................................................................................. 3

ACKNOWLEDGEMENTS ..................................................................................... 5

STATEMENT OF COLLABORATION ................................................................ 6

TABLE OF CONTENTS ......................................................................................... 7

LIST OF ABBREVIATIONS ................................................................................... 10

LIST OF FIGURES ................................................................................................... 12

LIST OF TABLES ..................................................................................................... 14

1. Introduction ......................................................................................................... 15

1.1 Magnetic nanomaterials for cancer treatment………………………… . 15

1.2 Magnetic nanowires.…………………………………………………….. . 17

1.3 Nanowires internalization…………………………………………… ...... 20

1.4 Coating and functionalization of magnetic nanomaterials…..………… 22

1.4.1 Coating of nanomaterials ……………………………………….. .... 22

1.4.2 Functionalization of magnetic nanomaterials with an anticancer drug ............................................................................................................... 24

1.4.3 Strategies for functionalization of nanomaterials………….….. .. 25

1.5 Magneto-mechanical effects of nanomaterials…………….…………… 25

1.6 Summary……………………………………………………….. ................. 27

1.7 Objective/Motivation .................................................................................. 29

1.8 Thesis outline ................................................................................................ 30

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2. Materials and Methods....................................................................................... 33

2.1 Chemical Reagents ....................................................................................... 33

2.2 Alternating magnetic field generator ........................................................ 33

2.3 Cell culture .................................................................................................... 34

2.4 Drug derivative synthesis ........................................................................... 35

2.5 Iron nanowires synthesis ............................................................................ 35

2.6 Iron nanowires characterization ................................................................ 37

2.7 Coating of iron nanowires .......................................................................... 38

2.7.1 APTES coating of iron nanowires .................................................... 39

2.7.2 BSA coating of iron nanowires ......................................................... 39

2.7.3 Characterization of nanowires´ coating .......................................... 40

2.7.4 PEG coating of iron nanowires ........................................................ 40

2.8 Functionalization of iron nanowires ......................................................... 40

2.8.1 Activation of coated nanowires ....................................................... 40

2.8.2 Drug attachment to activated BSA- and APTES-nanowires ........ 41

2.9 Drug release of functionalized iron nanowires ....................................... 42

2.10 Iron nanowires quantification .................................................................. 43

2.10.1 Prussian blue staining assay ......................................................... 43

2.10.2 Inductively coupled plasma mass spectrometry ....................... 44

2.11 Functionalized iron nanowires internalization and drug release monitoring by confocal reflection microscopy ................................................ 46

2.12 In vitro cell viability assay in the presence of functionalized iron nanowires with/without low frequency alternating magnetic field .............. 47

2.13 Statistical Analysis ..................................................................................... 48

3. Results ................................................................................................................... 49

3.1 Iron nanowires characterization ................................................................ 49

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3.2 Coating of iron nanowires .......................................................................... 50

3.3 Colloidal stability and internalization of coated iron nanowires by Prussian blue staining assay .................................................................................................. 52

3.4 Functionalization of iron nanowires ......................................................... 55

3.5 Drug-release quantification ........................................................................ 56

3.6 Inductively coupled plasma mass spectrometry for iron nanowires quantification ........................................................................................................... 58

3.7 Functionalized iron nanowires internalization and drug release monitoring by Confocal Reflection Microscopy ...................................................................... 59

3.8 Bimodal strategy for cancer cell death induction with functionalized iron nanowires .................................................................................................................. 63

4. Discussion and Conclusions .............................................................................. 66

4.1 Discussion ..................................................................................................... 66

4.2 Conclusions ................................................................................................... 73

REFERENCES…………………………………………………………………… .. 75

PUBLICATIONS..……………………………………………………………… ... 87

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LIST OF ABBREVIATIONS

2-IT 2- iminothiolane AMF alternating magnetic field Al2O3 aluminium oxide APTES (3-aminopropyl)triethoxysilane APTES-NWs nanowires coated with (3-aminopropyl)triethoxysilane APTES-PEG-NWs nanowires functionalized with (3-

aminopropyl)triethoxysilane and polyethylene glycol APTES-NWs-DOX nanowires coated with (3-aminopropyl)triethoxysilane and

functionalized with doxorubicin BSA bovine serum albumina BSA-NWs nanowires coated with bovine serum albumina BSA-NWs-DOX nanowires coated with bovine serum albumina and

functionalized with doxorubicin CLSM confocal laser scanning microscope CrO3 chromium trioxide DMEM dulbecco’s modified eagle’s medium DNA deoxyribonucleic acid DOX doxorubicin EDX energy-dispersive X-Ray spectroscopy Fe iron FexOy iron oxide Fe2O3 iron(III) oxide FeSO4(7H2O) iron(II) sulfate heptahydrate Fe(CN)63- potassium ferricyanide Fe(CN)64- potassium ferrocyanide FBS fetal bovine serum H magnetic field HBO3 boric acid H3PO4 phosphoric acid Hz Hertz IC50 inhibitory concentration 50 ICP-MS inductively coupled plasma mass spectrometry J Joule MDA-MB-231 breast cancer cell MNP(s) magnetic nanoparticle(s) NaOH sodium hidroxide Na2SO4 sodium sulfate

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Ni niquel NP(s) nanoparticle(s) NW(s) nanowire(s) PB phosphate buffer PBS phosphate buffer saline PEG polyethylene glycol PEG-SH thiol-polyethylene glycol SEM scanning electron microscopy STEM scanning transmission electron microscopy T Tesla TEM transmission electron microscopy

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LIST OF FIGURES

Figure 1. Functionalized magnetic nanoparticle ................................................ 16

Figure 2. Superparamagnetic beads used for cell separation ........................... 17

Figure 3. Schematic representation of the force generated by a single NW when an AMF is applied ................................................................................................... 18

Figure 4. Transport of neurons by Ni NWs by and external magnetic field .. 19

Figure 5. TEM images of Ni NWs internalized at 24 and 72h .......................... 21

Figure 6. HRTEM image of a Fe NW showing its iron oxide outside layer ... 22

Figure 7. Scheme of functionalization of MNP ................................................... 23

Figure 8. Combined chemotherapeutic and hyperthermia treatment of an induced subcutaneous xenograft in the backside of a nude mice with functionalized MNP ............................................................................................... 27

Figure 9. Schematic of the bimodal strategy for cancer cell death induction with functionalized Fe NWs ........................................................................................... 28

Figure 10. In vitro alternating magnetic field generator .................................... 34

Figure 11. Synthesis of Fe NWs by a two-step anodization process ............... 37

Figure 12. General scheme of Fe NWs coating and functionalization ............ 42

Figure 13. Characterization of Fe NWs ................................................................ 50

Figure 14. TEM micrographs of APTES-NWs and BSA-NWs .......................... 52

Figure 15. Internalization and distribution of Fe NWs coated with different agents into MDA-MB-231 cells 24 h post incubation using Prussian blue staining for iron oxide detection .......................................................................................... 53

Figure 16. Release kinetics of DOX from APTES-NWs-DOX and BSA-NWs-DOX .................................................................................................................................... 57

Figure 17. Confocal reflection microscopy images from MDA-MB-231 cells incubated with APTES-NWs-DOX after 24 h and after 72 h and incubated with BSA-NWs-DOX after 24 h and after 72 h ............................................................. 60

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Figure 18. Z-stack of a MDA-MB-231 cell treated with APTES-NWs-DOX and BSA-NWs-DOX after 72 h of incubation ............................................................. 61

Figure 19. Morphology and distribution of functionalized NWs in MDA-MB-231 cells ............................................................................................................................ 62

Figure 20. Viability of MDA-MB-231 cells incubated with different formulations and with or without application of a low frequency AMF ............................... 65

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LIST OF TABLES

Table 1. Calculated Fe mass for the different NW-formulation stock solutions according to the selected concentrations of doxorubicin..................................... 45

Table 2. Correlation between the calculated and quantified concentration of Fe in the different NW-formulation stock solutions…………………………………... 58

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Chapter 1

Introduction

1.1 Magnetic nanomaterials for cancer treatment

Regardless of the continuous development and innovation in cancer therapy,

cancer prevails at the top of death causes for adults as one of the most

devastating diseases.1,2 Current cancer treatment options such as surgery,

radiation and chemotherapy are highly aggressive to the organism by their

invasiveness and side effects and additionally, the chemical agents are affected

by the development of the multidrug resistance phenotype in cancer cells.3 Most

pharmaceutical preparations have their primary targets within the cell where

they may be transported; therefore selective subcellular delivery may increase

the therapeutic efficiency and simultaneously overcome secondary effects. In this

regard, nanotechnology may be used to achieve therapeutic dosing, establish

sustained-release drug profiles,4 and increase the half-life of drugs avoiding

efflux or degradation.5

Nanomaterials possess novel structural, optical and electromagnetic

properties and their pharmacokinetic parameters may be altered according to

size, shape, and surface functionalization.4 Their vast surface area provides them

with the possibility of surface modifications for further conjugation of large

amounts of therapeutic molecules such as targeting agents and anticancer drugs

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as shown in Figure 1.3,6,7

Figure 1. Functionalized magnetic nanoparticle. Adapted from Latorre et al., 20148

In addition to their drug loading capability, the potential of

electromagnetic nanomaterials as a therapeutic agent arises from the intrinsic

properties of the magnetic core combined with the biomedical properties

generated by different surface coatings.9 These surface modifications alter the

particokinetics and toxicity in addition to surface attachment for biomolecule

binding through covalent linkages.10 The electromagnetic properties of the core

allow remote manipulation of nanomaterials through the application of an

electromagnetic field. It has been observed that magnetic nanomaterials can be

trapped, concentrated, 11-14 or used in cell separation.15-17

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Figure 2. Superparamagnetic beads used for cell separation. Adapted from Wang et al., 2004.15

Moreover, the influence of alternating fields can induce heat 18 or rotate

the nanostructures.19,20Nowadays, many kinds of nanomaterials and nanodevices

have been developed and designed being some of the most commonly utilized

quantum dots, magnetic nanoparticles (MNPs), gold NPs, carbon nanotubes,

polymers, dendrimers, liposomes and magnetic nanowires (NWs).7 Most of the

research done lately have focused in MNPs and their enhancement as a

therapeutic option for cancer.

1.2 Magnetic nanowires

NWs are anisotropic colloidal objects with submicronic diameters and lengths in

the range of 1 to 100 μm grown by electrochemical deposition in nanoporous

templates.21,22

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Recently, it has been reported that magnetic NWs offer potential

advantages over nanobeads because of their higher magnetic moments per

volume and larger surface area to volume ratios.23,24 Their magnetic moments

enable them to generate large forces and torques,24 while large aspect ratios

provide ferromagnetic NWs with large remanent magnetizations, and hence can

be used in low-field environments where the superparamagnetic beads do not

perform at all.21

Figure 3. Schematic representation of the force generated by a single NW when an AMF is applied. Adapted from Contreras et al., 2014.25

In biomedical applications, iron (Fe) and niquel (Ni) are the magnetic

materials usually used as NWs. Several studies support the efficiency and utility

of Ni NWs in diverse applications such as cell separation, manipulation, and

purification,16,17,22-24,26-28 as well as in cargoes delivering including biological

entities.29

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Figure 4. Transport of neurons by Ni NWs by and external magnetic field. Adapted from Choi et al., 2007. 17

Furthermore, they have been utilized as therapeutic agents for

hyperthermia30 and cell inflammation induction31 in cultures of human

embryonic cells. Although a large amount of evidence place Ni as a good

candidate material, an important genotoxicity and cytotoxicity effects have also

been reported in Ni-containing dust particles.32 Fe NWs have shown a good

biocompatibility and low cytotoxic effect even at high concentrations with long

incubation periods.33 A cross-comparison of Fe and Ni NWs among studies34,35

implies that Fe NWs have a lower impact in cell viability than Ni NWs at a given

concentration. However, Fe NWs tend to aggregate more, since they have a

higher remanence magnetization value.36

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1.3 Nanowires internalization

Once NWs are in close proximity to the cellular membrane, the uptake

mechanism is triggered that in turn determines the intracellular fate of the

nanostructures.34 Endocytosis has been accepted as the most common passive

mechanism for MNP uptake by different cellular types (HeLa, fibroblast, and

dendritic cells).37 It has been demonstrated that at least three types of endocytosis

occur for NPs: clathrin-mediated endocytosis, caveolin-mediated endocytosis,

and clathrin- and caveolin-independent endocytosis.38 NWs internalization by

cells has been documented over the past years for both Ni and Fe describing

different ways of entry. Regarding Ni NWs, it has been reported that the

internalization takes place through the activation of the integrin-mediated

phagocytosis pathway,24 a process in which several integrin membrane receptors

link the actin cytoskeleton to extracellular components, driving the cell

membrane to engulf the foreign particle for internalization and final degradation

as recently assessed for the Ni NWs (Figure 5) that, after being internalized by

this pathway, are dissolved in lysosomes.39,40

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Figure 5. TEM images of Ni NWs internalized at 24 and 72h. Modified from Perez et al., 2015.40

Furthermore, it has been described that Fe NWs, individually and in

clusters, exhibit a fast but continuous internalization process and two main

mechanisms for the uptake were proposed depending on the NW size, including

non-specific pynocitosis for short NWs and perforation of the pouter plasma

membrane for longer NWs.34 Likewise, after 24 hours of incubation with

polymeric NWs made of iron oxide particles, it was seen that most of them were

located in the cytosol, with a small fraction located in late endosomal/lysosomal

compartments, where, due to the lower pH, they were probably broken in

smaller pieces for further degradation.22 Moreover, uptake and intracellular

location of nanostructures have been shown to depend on several factors such as

the NW aspect ratio, cell line, NW surface charge, etc.41 Thus, more experiments

are necessary to reach a definite conclusion concerning the portals of entry of the

wires into the cells.22

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1.4 Coating and functionalization of magnetic nanomaterials

1.4.1 Coating of nanomaterials

Regardless of the synthesis method or particle morphology, metal particles will

be oxidized when exposed to air or oxygen. At room temperature, zero covalent

Fe nanoparticles exposed to air will always be covered by a thin interphase of

oxide42 and it has been well studied that iron oxide have great bicompatibility,43

therefore the low toxicity of Fe NWs may be related to the surface iron oxide

(Figure 6). This FexOy-Fe structure also has potential applications, for instance

the ionic or covalent attachment of bioactive molecules or coating reagents for

enhancing the colloidal properties and biocompatibility.21,34,44,45

Figure 6. HRTEM image of a Fe NW showing its iron oxide outside layer. Adapted from Song et al., 201034

Different coatings have been employed in recent years for improving

biocompatibility, colloidal stability and the further functionalization process of

nanomaterials including polymers such as poly(ethylene glycol) (PEG),46,47 and

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dimercaptosuccinic acid.48 Interestingly, galliumnitride NWs have been coated

with 3-Aminopropyltriethoxysilane (APTES), one of the most explored coupling

agents in the functionalization of semiconductor materials that has the ability to

covalently attach to oxidized or hydroxylated surfaces and works as an initial

step for the immobilization of biomolecules.49-52 Nevertheless, due to their

superior biocompatibility and hydrophilicity, proteins or polypeptides are

considered the most promising molecules as biocompatible coating agents for

biomedical applications.53 In this manner, bovine serum albumin (BSA) has been

covalently immobilized in MNP allowing further functionalization of an

anticancer-drug and improving their colloidal properties under physiological

conditions as well as cellular uptake of the MNP resulting in the increase of the

chemotherapeutic effect (Figure 7).54

Figure 7. Scheme of functionalization of MNP. Modified from Aires et al., 2015

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1.4.2 Functionalization of magnetic nanomaterials with an anticancer drug

As mentioned above, coating agents allow or enhance the further attachment of

biomolecules such as drugs providing nanomaterials with the capability to act as

a drug delivery system.

Currently, several anticancer chemotherapeutic agents including

doxorubicin, methotrexate and gemcitabine have been formulated with

nanodevices.8,54-59 Doxorubicin (DOX) is an anthracyline drug widely used in the

treatment of several cancers including breast, lung, gastric, ovarian, thyroid, non-

Hodgkin’s and Hodgkin’s lymphoma, multiple myeloma, sarcoma, and pediatric

cancers.54,60,61 There are two proposed mechanisms by which DOX acts in the

cancer cell; by intercalation into DNA and disruption of topoisomerase-II-

mediated DNA repair and the generation of free radicals and their damage to

cellular membranes, DNA and proteins.62 However, to reduce its systemic

toxicity and side effects, this drug is constantly under investigation to be used in

a drug carrier system that can be activated. (e.g. by heat or pH-sensitive

liposomes).63-67 An advantage of DOX is its strong visible absorption and

fluorescence emission that makes it easy to monitor during the different steps of

the functionalization strategy and has shown great efficacy in both solid and

liquid tumors, but the emergence of drug resistance and several side effects such

as heart muscle damage are important limitations for successful cancer

treatment.68

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1.4.3 Strategies for functionalization of nanomaterials

To integrate chemotherapeutics into the nanomaterials, strategies such as

covalent binding with cleavable linkages have been explored and ideally these

chemotherapeutic agents are inactivated till they are release inside the cell.69 In

this regard, different linkers sensitive to certain intracellular triggering stimulus

such as pH3,70 and the presence of some enzymes71-73, or external stimuli such as

temperature74,75 have been employed to connect and release drugs from magnetic

nanoparticles in a controlled manner.

It has been assessed that covalent bonds sensible to acid hydrolysis are a

suitable and an efficient option for attaching the drug to the magnetic

nanoparticles due to the pH difference existing between the extra and

intracellular compartments 8, commonly considering the pH of blood (7.4) and

endosomes (5.5–6.4).3,76,77 Recently, specialized functionalizing linkers have been

designed for releasing the drug without any chemical modification only when

the specific release-condition is fulfilled and have demonstrated efficiency as

cancer therapeutic agents with the extra advantage of allowing quantifying the

drug immobilized.54

1.5 Magneto-mechanical effects of nanomaterials

Studies of the alterations in cellular features due to magneto mechanical effects

from alternating magnetic fields (AMFs) have been done before. A remarkable

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decrease of viability of dendritic cells previously loaded with MNPs was

observed after 30 min of exposure to an hyperthermia-like AMF (16 mT, 260

kHz), without raising the temperature of the cell culture. Clear morphological

changes including cell membrane leakage and cell shrinkage after magnetic field

application were observed and adjudicated as the main reason for the cell

death.37

Recently, colon cancer cells were incubated with Ni NWs and exposed to

low frequency AMF (0.5 mT and 1 Hz or 1 kHz) for 10 or 30 minutes which

exerted a force on the Ni NWs, triggering a mechanical disturbance to the cells

and therefore inducing cell death in a non-chemotoxic way.25

What is more, Hilger et al., 2015 have exploited two properties of the

magnetic nanomaterials, magnetic hyperthermia and chemotherapy, combining

them for tumor cell killing. As a result, a synergic effect was produced, translated

in a strong enhancement of the cytotoxicity of the functionalized MNPs in vitro

and in vivo.55

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Figure 8. Combined chemotherapeutic and hyperthermia treatment of an induced subcutaneous xenograft in the backside of a nude mice with functionalized MNP. Modified from Kossatz et al.,

201555

1.6 Summary

In this thesis, I introduce a new bimodal strategy for cancer cell death induction

by combining the chemotherapeutic effect of DOX functionalized Fe NWs with

the mechanical disturbance exerted by them when a low frequency AMF is

applied as shown in Figure 9. The effectiveness of this approach was evaluated

through the decrease of the viability of breast cancer cells. Fe NWs were

functionalized with DOX through a pH-sensitive covalent bond to permit the

selective drug release after internalization of NWs and therefore trigger a

chemotoxic effect. A low frequency AMF induces a force over the NWs that are

interacting (internalized or attached to the plasmatic membrane) with the seeded

cells and therefore triggers cell death in non-chemotoxic way (Figure 9).

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Figure 9. Schematic of the bimodal strategy for cancer cell death induction with functionalized Fe NWs. DOX (D) functionalized NWs are internalized by phagocytosis in endosomes where the lower pH induce the release of DOX that will diffuse across the cytoplasm reaching its main

target in the nucleus where it triggers the chemotherapeutical effect. At the same time, a magneto mechanical effect is produced by the NWs when a low frequency AMF is applied generating a

synergic induction of cancer cell death.

Additionally, two different agents, APTES and BSA were separately used

for coating Fe NWs permitting further functionalization with DOX. Both NWs

formulations were evaluated and compared against each other. NWs

internalization was qualitatively and quantitatively assessed for both

formulations by confocal reflection microscopy images and inductively coupled

plasma mass spectrometry (ICP-MS) for Fe measurement, respectively.

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1.7 Objective/Motivation

To this day, cancer prevails at the top of death causes for adults regardless the

huge effort in developing new options for treatment. Furthermore, most of this

cancer treatment approaches, such as surgery; radiation and chemotherapy are

highly aggressive to the organism by their invasiveness and side effects.

Additionally, most of the pharmaceutical preparations have their primary targets

within the cell; therefore selective subcellular delivery may increase the

therapeutic efficiency and simultaneously overcome secondary effects, goals in

which nanotechnology could be an important contributor.

Recently, many studies have proposed magnetic NWs as a new

nanomaterial that offers potential advantages over nanobeads mainly because of

their morphology and magnetic properties. NWs have shown a good

biocompatibility and cellular internalization with a low cytotoxic effect, and have

been used in diverse applications such as cell separation, manipulation, and

purification as well as in cargoes delivering and hyperthermia. For biomedical

applications, Fe and Ni are the magnetic materials usually used as NWs.

In this thesis, we aim to use Fe NWs as a device for bimodal cancer cell

death induction by exploiting their capability of being functionalized with an

anticancer drug combined with their electromagnetic properties, specifically the

mechanical cell disturbance exerted by them when a low frequency

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electromagnetic field is applied. The effectiveness of the proposed model will be

evaluated in MDA-MB-231, breast cancer, cells.

Different coating reagents will be evaluated for enhancing the colloidal

properties, biocompatibility and internalization degree of Fe NWs as well as the

efficiency of functionalization with an anticancer drug and further chemotoxic

effect, comparing the performance of the different formulations at each aspect.

Fe NWs will be functionalized with a derivative of DOX trough a pH-

sensitive covalent bond to permit the selective drug release after internalization

of NWs in breast cancer cells and therefore trigger a chemotoxic effect.

1.8 Thesis outline

This thesis is structured in a manner where the order of the chapters helps the

reader to understand the main idea about what has been done along this

research project. The first chapter contains an introduction covering topics such

as the involvement of nanotechnology in cancer treatments describing some of

the main nanomaterials employed and studied by now. Emphasis is made on

magnetic NWs, their characteristics, properties and applications. Some of the

main research that has been done with magnetic NWs is presented focusing in

the NW properties that where exploited during this project. Importantly, a

summary of the thesis project is presented in this section stating the bimodal

strategy for cancer cell death induction introduced in this thesis project.

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Furthermore, the motivation/objective of this thesis project is stated at the end of

this section.

Chapter two describes the materials and method employed in this

research project starting from NW synthesis, characterization and

functionalization with an anticancer drug. Internalization studies employing

different techniques and Fe quantification techniques are also described followed

by in-vitro cell viability assays in breast cancer cells in the presence and absence

of an AMF.

Chapter three includes a profound description of the results obtained in

each of the experiments performed presenting the main charts, images and

graphs.

Chapter four is directly linked to chapter three, and meticulously

discusses the results obtained during this project at each step. The efficiency of

the combination of the magneto-mechanical effect of the Fe NW in the presence

of a low frequency AMF coupled to the chemotherapeutical effect of DOX linked

to the NWs for cancer cell induction is discussed. Furthermore, a comparison is

made between the two coating agents employed in this study regarding the

internalization degree, biocompatibility, functionalization efficiency and both

ways of cancer cell death induction in combination and separated. Finally, a

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conclusions section is presented formed by various statements of the

achievements of the thesis project.

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Chapter 2

Materials and Methods

2.1 Chemical Reagents

APTES, BSA and DOX were purchased from Sigma-Aldrich. Polyethylene glycol-

Thiol (Mw = 2000 Dalton, PEG-SH) was from Creative PEGWorks (USA). Double

distilled water was used in all experiments.

2.2 Alternating magnetic field generator

The in vitro AMF generator employed in this study (Figure 10) is a home-made

air-cooled ferrite core with a C-shape and a gap of 16 mm, coiled with Litz wires.

The AMF generator is part of an LCR resonant circuit allowing to independently

adjusting the frequency and intensity. The core gap allows placing NUNC(TM) 4

well dishes (inner well diameter is 10 mm) in an AMF. The AMF direction is

perpendicular to the wells, and its intensity gradient is about 10% from the

center of the well to the external border. Before the in vitro studies, we checked

that the AMF generator does not heat up the cell media under the conditions

employed in this study. The applied AMF was 1 mT and 10 Hz.

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Figure 10. In vitro alternating magnetic field generator (A) and four- well plate placed in the 16 mm gap of the C-shape magnetic coil (B).

2.3 Cell culture

MDA-MB231 cell line was purchased from American Type Culture Collections

(Manassas, VA, USA). MDA-MB231 cell line was grown as monolayer in

Dulbecco’s Modified Eagle’s Medium (DMEM) supplemented with 10% fetal

bovine serum (FBS), 2 mM L-glutamine, 0.25 μg/mL fungizone, 100/mL units of

penicillin and 100 µg/mL of streptomycin. All reagents were purchased from

GIBCO. Cell lines were maintained in an incubator at 37 ºC in a humidified

atmosphere of 95% air and 5% CO2.

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2.4 Drug derivative synthesis

A DOX derivative [(5-Maleimidovaleroyl) hydrazone of Doxorubicin] was

synthesized as previously described,78 using as precursor 5-aminovaleric acid

instead of 6-aminocaproic acid, to functionalize the coated NWs with DOX.

1H NMR (400 MHz, MeOD, δ): 7.92 (bd, lH), 7.81 (t, lH), 7.55 (d, lH), 6.57 (m,

2H), 5.51 (m, lH), 5.07 (m, lH), 4.54 (d, lH), 4.25 (m, lH), 4.06 (s, 3H), 3.61-2.7 (m,

5H), 2.55-2.26 (m, 4H), 2.20-1.90 (m, 3H), 1.62-1.25 (m, 10 H); HRMS (ESI) m/z:

[M + H]+ calcd for C36H41N4O13, 727.7226; found, 727.3628.

2.5 Iron nanowires synthesis

The Fe NWs were fabricated by chemical electrodeposition into nanoporus alu-

mina membranes as explained in previous studies.25,35,79-81. A 99.99 % pure

aluminum substrate (Goodfellow, London, UK) was cleaned with acetone,

isopropanol and deionized water followed by an electropolishing process for

even its surface. As represented in Figure 10, a two-step anodization of the

polished aluminum was carried out with 0.3 M oxalic acid at 4°C applying a

voltage of 40V to a sealed cell containing the Al film applying constant stirring

which resulted in the growth of a porous anodic alumina (Al2O3) template with

hexagonally highly ordained nanopores with diameters from 30 to 40 nm. The

first anodization process last for 24h creating set of random pores, (Figure 10A1

and 10A2) whereas that the second one has duration of 4h yielding pores with

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parallel orientation (Figure 10C1 and 10C2). Between the anodization processes,

the cell was washed with deionized water and then filled with an aqueous

solution of 0.4 M phosphoric acid (H3PO4) and 0.2 M chromium trioxide (CrO3)

to remove the alumina layer at a temperature of 30 ᵒC and constant agitation

(Figure 10B1 and 10B2). Dendrites are synthesized in order to connect the bottom

of the pores with the Al for the electrodeposition of a Fe solution allowing the

flow of current (Figure 10D1 and 10D2). As represented in Figure 10E1, Fe NWs

were grown into the alumina template by pulsed electrodeposition to deposit the

Fe with current pulses limited to 60 mA employing an solution composed by 0.5

M iron(II) sulfate heptahydrate (FeSO4(7H2O)), 0.5 M sodium sulfate (Na2SO4),

0.4 M boric acid (HBO3) and 0.1g/100 mL of ascorbic acid. The NWs’ length of

~7 µm was controlled by the deposition time (1.5 h). Thereafter, the template

containing the NWs (Figure 10E2) was dissolved with 1 M sodium hydroxide

(NaOH) in an Eppendorf tube for for 20 min and the alumina membrane was

removed. The NaOH solution was changed every hour for four times with the

help of a magnetic rack (DynaMag™-2; Life Technologies, Carlsbad, CA, USA).35

Finally, the NWs were collected with the magnetic rack and rinsed thoroughly

with ethanol for 10 to 15 times with 10-second sonication steps in between and

leaving the released NW´s suspended in 1 mL of absolute ethanol.

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Figure 11. Synthesis of Fe NWs by a two-step anodization process. A. First anodization of the Al disk (1) and SEM image of the non-ordered nanopores formed (2). B Etching of the alumina layer revealing the ordered domains on the Al substrate (1) and SEM image (2). C Second anodization

process obtaining highly ordered pores with narrow diameter size distribution (1) and SEM image (2). D. Formation of dendrites through reduction of the alumina layer (1) and image

magnification (2) for allowing the flow of current in the next step. E. Fe NWs formation after pulsed chemical electrodeposition (1) and Al disk showing the deposition area (2).

2.6 Iron nanowires characterization

The morphology, length and diameter of the Fe NWs were investigated by

scanning electron microscopy (SEM) and transmission electron microscopy

(TEM) (SEM: Quanta 3D; FEI Company, Hillsboro, OR, USA; and TEM: Tecnai

BioTWIN; FEI Company). Energy-dispersive X-Ray spectroscopy (EDX) was

used for determining the chemical composition of NWs (scaning TEM (STEM)

Tecnai BioTWIN; FEI Company). Images were analyzed using ImageJ software

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as previously described.25 For TEM imaging, fresh samples were prepared in

which NWs were released from the alumina template and rinsed several times

with ethanol with sonication periods of ten seconds. For SEM imaging sonication

steps were skipped to prevent fragmentation of the NWs. Likewise, the NWs

were quantified using the methodology described by Contreras et al., 2015 in

which the amount of pores in determined area were quantified from SEM

images, and extrapolated to the total deposition area based on the assumption

that every pore contains a NW. The assumed correlation is that 225 NWs are

contained in 2.06E-8 cm2. The deposition area was determined using ImageJ

software from where the number of NWs was obtained for further Fe mass

calculation. The calculated mass of one Fe NW of a length of ~7 µm and a radius

of 17 nm is 4.88 x 10-11 mg. This calculated Fe mass was used for the preparation

of the NW stock solutions for the further experiments of coating and

functionalization.

2.7 Coating of iron nanowires

Fe NWs were coated with different agents through the formation of covalent

bonds between the coating agent and the iron oxide (Fe2O3) interphase that

surrounds the NWs, which is formed after releasing the NWs from the alumina

template as explained in Figure 11.

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2.7.1 APTES coating of iron nanowires

Fe NWs were coated with (3-aminopropyl)triethoxysilane (APTES) (Figure 11A1)

by adding 0.0946g of APTES per each 100-300 mg of Fe to the NWs suspended in

ethanol with a final volume of 5 mL in a falcon tube and sonicated for 1h. Since

basic catalysis is required for the reaction, 200 μL of miliQ water and 10 μL of

NaOH 1M were added, followed by a second 1h sonication process. Finally, the

NWs were washed five times with 1 mL absolute ethanol and stored at room

conditions in an Eppendorf tube. For further functionalization steps, APTES

coated NWs (APTES-NWs) were washed three times with phosphate buffer (PB)

10 mM and pH 7.0, in sterile conditions.

2.7.2 BSA coating of iron nanowires

For bovine serum albumin (BSA) coating (Figure 11A2), NWs were suspended in

PB, 10 mM and pH 7.4, to a final volume of 2.5 mL in a glass vial and added with

0.8 mg of BSA/mg of Fe, followed by 1.5 of sonication. The BSA coated NWs

(BSA-NWs) were washed three times with PB and stored at 4°C in sterile

conditions. The amount of albumin attached to the NWs was determined from

Bradford assay of the supernatant containing BSA that remained in solution after

coating process.

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2.7.3 Characterization of nanowires´ coating

The morphology of BSA and APTES coated NWs was analyzed by TEM (TEM:

Tecnai BioTWIN; FEI Company). For electron imaging, fresh samples were

prepared in which NWs were released from the alumina template and rinsed

several times with ethanol with sonication periods of ten seconds in between the

washes followed by the respective coating methods for each sample.

2.7.4 PEG coating of iron nanowires

NWs were also coated with thiol-poliethilen glycol (PEG-SH) (50 μmol PEG/g

Fe) (Figure 11C). In this case, NWs have to be first coated with APTES and

further activation with 2-Iminothiolane (2-IT) (Figure 11B) and aldrithiol (Figure

11C) as previously described,54 to finally react with PEG-SH (2 kD) giving

APTES-PEG-NWs.

2.8 Functionalization of iron nanowires

2.8.1 Activation of coated nanowires

For the functionalization of the coated NWs, the free primary amino groups

present on APTES and BSA were activated by the addition of 2-IT at a

concentration of 500 μmol/g of Fe that adds thiol moieties (sulfhydryl groups)

(Figure 11B) for further attachment of the drug, which was modified in a

different way for the addition of a sulfhydryl group as previously described.8

The activation of the coated NWs was evaluated by quantifying the content of

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sulfhydryl groups by the addition of aldrithiol, a molecule composed of two

pyridines joined by a disulfide bond (Figure 11C). The free sulfhydryl of the

activated NWs reacts with the disulfide bound of the aldrithiol, releasing a 2-

pyridinethione that was quantified (λmax = 343 nm, ε343 nm = 8080 L mol-1 cm-1)

with a UV/Vis and fluorescence spectrophotometer (Synergy H4 microplate

reader, BioTek) using 96-well plates as previously described.54 The activation

process was done in sterile conditions.

2.8.2 Drug attachment to activated BSA- and APTES-nanowires

Activated BSA and APTES coated NWs were suspended in 1 mL of phosphate

buffered saline (PBS) of pH 7.4. DOX derivative 1 mM in dimethylformamide

was added to reach 80 μmol of DOX/g Fe (Figure 11D). The sample was

incubated overnight at 37°C in slow oscillation to maintain the particles in

suspension. Both formulations of functionalized NWs (APTES-NWs-DOX and

BSA-NWs-DOX) were retained with the magnetic rack and washed 3 times with

PBS solution. From the functionalization supernatant, the covalently

immobilized DOX onto thiolated NWs was indirectly determined by

quantification of free DOX in solution (λmax = 495 nm) by UV/Vis

spectrophotometry and compared to the result given from solution of free DOX

at the same concentration. All functionalization processes were carried out under

sterile conditions and the DOX solution used was filtered through a 0.22-μm

strainer.

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Figure 12. General scheme of Fe NWs coating and functionalization. (A1) Fe NWs were coated with APTES, APTES-NWs or (A2) BSA, BSA-NWs (B) Introduction of free thiol groups by the

addition of 2-IT in APTES-NWs and BSA-NWs, both represented by the presence of free amino groups. C. Evaluation of the thiol groups introduction efficiency and coating of APTES-NWs with

PEG, APTES-PEG-NWs. D. Functionalization of APTES-NWs and BSA-NWs with a DOX derivative generating the formulations APTES-NWs-DOX and BSA-NWs-DOX.

2.9 Drug release of functionalized iron nanowires

The release of DOX from the functionalized NWs is based on the pH sensibility

of the drug derivative linker. The amount of DOX released was quantified by

measuring the fluorescence of DOX released in solution (λexc = 495 nm, λem =

520–750 nm) at regular time intervals after passing 0.5 mg of functionalized NWs

from PBS solution of pH 7.4 to acetate buffer solution of pH 5.0 at 37 ºC. The

values were compared to the ones from a reference sample of functionalized

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NWs suspended in PBS solution of pH 7.4. The same process was done for

APTES and BSA coated NWs.

2.10 Iron nanowires quantification

In order to quantify the amount of NWs contained in the NW-formulation stock

solutions that are added to the seeded cells and also the NWs that interact (get

internalized or attached to the membrane) with the incubated cells, Prussian blue

staining and inductively coupled plasma mass spectrometry (ICP-MS) for Fe

quantification were performed.

2.10.1 Prussian blue staining assay

The presence and distribution of Fe NWs in MDA-MB-231 cells was assessed by

Prussian blue staining assay, comparing different coating agents. The oxidation

state of Fe in the oxide interphase surrounding the NWs was also determined in

this assay. 40000 cells/well were seeded in cover slips put in a 24 well and

incubated for 24h at 37 ºC, 5% of CO2 to reach confluence. The incubated cells

were treated separately with 0.05 mg Fe/mL of non-coated Fe NWs, APTES-

NWs, APTES-NWs-PEG and BSA-NWs and compared to a control group of cell

without treatment. Before the treatment, NWs were washed 3 times with PBS

solution and suspended in fresh medium in sterile conditions. Each one of these

samples of Fe NWs was added with an amount of 0.01 mg Fe/well in duplicates

and incubated for 24h more at 37 ºC and 5% CO2. After this second incubation

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period, the cells were washed with PBS three times, fixed with

paraformaldehyde and added with 1 mL of 4% potassium ferrocyanide

(Fe(CN)64-; containing Fe2+) or potassium ferricyanide (Fe(CN)63-, containing

Fe3+) together with 1 mL of 4% HCl for the acid catalysis (all Panreac Química)

and incubated for 30 min at room conditions. Thereafter, each well was washed 3

times with miliQ water and counter stained with Neutral Red 0.5% (2-5 min).

Finally, the cover slips were washed 3 times with miliQ water, taken out from

the 24 well plate and dried at room conditions for 1h. Once dried, the cover slips

containing the cells were putted over microscope slides adding depex mounting

media (Sigma-Aldrich) for further observation in bright field microscopy.

2.10.2 Inductively coupled plasma mass spectrometry

The quantification of Fe NWs in the NW-formulation stock solutions was

performed by ICP-MS directly from an aliquot of each formulation before being

added to the cells. Each DOX-NW stock solution was prepared from selected

fixed concentrations of DOX (1 and 3 µM), which in conjunction with the DOX

immobilization percentage obtained from the UV/Vis spectrophotometry studies

(65% of immobilization for APTES-NWs; ~50 μmol DOX/g Fe and 32% for BSA-

NWs; ~25μmol DOXO/g Fe), indicated the amount of NWs (mg of Fe) that have

to be added to each solution as shown in Table1. 30% more was considered for

covering possible loss during the coating and functionalization process.

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Table 1. Calculated Fe mass for the different NW-formulation stock solutions according to the selected concentrations of doxorubicin

NW-formulation stock solution

DOX (µM) mg of Fe (30% more added)

DOX_1 0.5

DOX_2 1

NW-APTES_1

0.02275 NW-APTES_2

0.06825

NW-APTES-DOX_1 1 0.02275 NW-APTES-DOX_2 3 0.06825

NW-BSA_1 0.032 NW-BSA_2 0.096

NW-BSA-DOX_1 1 0.032 NW-BSA-DOX_2 3 0.096

The results obtained from the ICP measurements of the stock solutions

were directly used for performing the quantification of Fe NWs in MDA-MB-231

cells, comparing different coating agents. 40000 cells/well were seeded and

incubated for 24 h to reach confluence in the mentioned conditions. The cells

were treated with NWs formulations 26 µg Fe/mL, 1.3 µM of DOX for APTES-

NWs-DOX and 28 µg Fe/mL, 0.73 µM of DOX for BSA-NWs-DOX (values

obtained from the quantification of the NW-stock solution formulation) and

incubated for 24 h at 37 ºC, 5% CO2. The cells were washed twice with PBS and

incubated for 10-15 min with 500 µL of Tripsin at 37 ºC. Unattached cells of each

treated group were collected in Eppendorf tubes and counted by bright field

microscopy in a Neubauer chamber. The Eppendorf tubes were centrifuged at

10000 rpm for 20 min and the supernatant discarded carefully. 300 µL of 37%

HCl was added to the cell pellet and the resultant suspension was sonicated for

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30 minutes at 40 ºC. Finally, 2700 mL of bi-distilled water were added. The Fe

concentration was determined by measuring the sample using an ICP-MS,

NexION 300XX (Perkin Elmer) (n = 4).

2.11 Functionalized iron nanowires internalization and drug release monitoring

by confocal reflection microscopy

The internalization of the different Fe NWs formulations was assessed using

confocal reflection microscopy. Two 4-well plates were added with cover slips,

seeded with 25000 cells/well and incubated for 24 h to reach confluence in the

mentioned conditions. Cells were treated with the NWs formulations (28 µg

Fe/mL and 0.73 µM of DOX for BSA-NWs-DOX, 26 µg Fe/mL and 1.3 µM of

DOX for APTES-NWs-DOX) and incubated for 24 h and 72 h at 37 ºC, 5% CO2.

Cells were washed twice with PBS and fixed with 500 µL/well of the solution

containing 4% of paraformaldehyde and 0.5% of triton 100x for 5min at room

conditions followed by a second incubation period of 10-15 minutes with a

solution containing only 4% paraformaldehyde removing first the previous

solution. Thereafter, the fixing media was removed and the cells incubated with

500 µL of DAPI 300 nM for 5 min covering the plates from light. Finally, cells

were washed twice with PBS solution, dried at room conditions and put on

microscope slides with Fluoroshield™ for observation with a TCS Leica SP5

confocal laser scanning microscope (CLSM) using a confocal reflection mode.

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Intracellular focal plane independent images as well as intracellular z-stacks

were taken from samples incubated 24 and 72 h with NWs formulations.

2.12 In vitro cell viability assay in the presence of functionalized iron nanowires

with/without low frequency alternating magnetic field

To assess cell death induction, cells were cultured on a 4-well plate at a density

of 2.5 x 104 cells per well in 500 µl of DMEM containing 10% FBS. After 24 h, the

growth medium was removed and the cells were incubated for 24 h at 37 ºC in

the presence of different concentrations of free DOX (0.5 and 1 µM), APTES-NWs

(8.7 and 26 µg Fe/mL), APTES-NWs-DOX (8.7 µg Fe/mL, 0.44 µM of DOX and

26 µg Fe/mL 1.3 µM of DOX), BSA-NWs (9.3 and 28 µg Fe/mL) and BSA-NWs-

DOX (9.3 µg Fe/mL, 0.25 µM of DOX and 28 µg Fe/mL, 0.73 µM of DOX). The

NWs’ concentration tested in this experiment was found by ICP-MS from the

stock NWs’ formulations, as previously described. As controls, non-treated cells

and empty wells were used. After incubation, cells were washed three times with

PBS and then maintained in 0.5 mL of DMEM containing 10% FBS at 37ºC and

5% CO2 incubator. Then, the magnetic field was applied for 10 minutes

maintaining a temperature of 37°C. A homemade equipment described before

was used for the generation of an electromagnetic field with a strength

(amplitude) of 1 mT and a frequency (ν) of 10 Hz. After 72 h of postincubation,

the medium was replaced with of DMEM containing 10% FBS and 10% of

Resazurin dye (1 mg/ml PBS). Cells were maintained at 37ºC and 5% CO2

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incubator for 6 h and then, a Synergy H4 microplate reader was used to

determine the amount of Resazurin by measuring the absorbance of the reaction

mixture (excitation 540 nm, emission 590 nm). 600 µl of 10% of Resazurin dye

was added to empty wells as a negative control. The viability of the cells was

expressed as the percentage of absorption of treated cells in comparison with

control cells (without NWs). All experiments were carried out in two sets of

quadruplicates, one set with the AMF and one without it.

2.13 Statistical Analysis

All the data obtained from the in vitro cell viability assay were plotted and

statistically analyzed using the software package GraphPad Prism version 5.0 for

Windows. All samples were compared using a one-way ANOVA and Bonferroni

post-hoc test (*P < 0.05, **P < 0.01, and ***P < 0.001). Only significant differences

among the samples are indicated in the charts.

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Chapter 3

Results

3.1 Iron nanowires characterization

Fe NWs were fabricated by electrodeposition into alumina membranes produced

by a two-step anodization process as explained in Chapter 2. NWs were released

from the alumina and their morphology (Figure 12A and 12B) and chemical

composition (Figure 12C and 12D) were analyzed showing a core of solid Fe

surrounded by an iron oxide (Fe2O3) interphase. The Fe NWs presented an

average length of 6.4+/-1.3 µm and a diameter of 30 to 40 nm (Figure 12A and

12B).

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Figure 13. Characterization of Fe NWs. A. SEM image of Fe NWs on top of a silicon wafer

substrate, the inset corresponds to the NWs length distribution. Scale bar = 10 µm. B. TEM image of a single Fe NW. Scale bar = 50 nm. C. Scanning TEM image of a single Fe NW indicating its Fe2O3 surrounding layer (1) and core (2). Scale bar = 50 nm. D. Point EDX spectra showing the

composition analysis of fabricated Fe NWs at its surrounding layer (1) and core (2).

3.2 Coating of iron nanowires

The Fe NWs were functionalized with three different biocompatible coatings

(APTES, BSA and APTES-PEG) to improve their stability under physiological

conditions (Figure 11 in Chapter 2).

APTES and BSA were covalently attached to the NWs by the reaction with

the iron oxide interphase (Fig. 11A1 and 11A2). Both coating agents were added

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in excess to the Fe NWs samples as described in Chapter 2. A Bradford assay of

the supernatant after coating process indicated an immobilization of 410 µg

BSA/mg de Fe. The presence of the BSA coating on the NWs’ surface was also

verified by TEM imaging that showed a homogenous layer of protein around the

NW that is absent in non-coated NWs (Figure 13A and 13B).

These two coating reagents provide the NW with free primary amino

groups that were used for the introduction of free thiol groups by the addition of

2-IT generating thiol moieties (Figure 11B). This process was evaluated by the

quantification of the 2-pyridinethione released from the reaction between the free

thiol groups and alditriol, added in excess, as exemplified in Figure 11C

The addition of alditriol also serves as an activation step, in which

disulfide bonds onto the APTES-NWs were introduced. The functionalization of

APTES-NWs with PEG was achieved by the formation of disulfide bonds

between the reactive thiol of the thiol-PEG and the activated sulfhydryl groups

of the modified APTES-NWs (Figure 11C). The process led to NWs bearing

approximately 50 µmol of PEG /g Fe.

The evaluation of the thiol moeites showed that ~65 μmol of 2-

pyridinethione/g Fe were immobilized in APTES-NWs and 32 μmol of 2-

pyridinethione/g Fe for BSA-NWs, showing an efficient activation for further

functionalization.

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Figure 14. TEM micrographs of APTES-NWs (A) and BSA-NWs (B). The scale bars correspond to 50 nm.

3.3 Colloidal stability and internalization of coated iron nanowires by Prussian

blue staining assay

In order to determine which coating improved the NWs colloidal stability and

the cellular internalization in MDA-MB-231 breast cancer cells, a Prussian blue

staining assay for iron oxide detection was performed. To this end, MDA-MB-231

breast cancer cells were incubated with the three different coated Fe NWs at 0.05

mg Fe/mL for 24 h at 37ºC, followed by several washes with PBS and slides

where prepared for bright field imaging as explained in Chapter 2 (Figure 14).

Furthermore, by the use of two types of cyanide iron salts, we were able to

determine the oxidation state of the Fe contained in the iron oxide interphase

(Figure 14E).

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Figure 15. Internalization and distribution of Fe NWs coated with different agents into MDA-MB-231 cells 24 h post incubation using Prussian blue staining for iron oxide detection. (A) Fe NWs without coating. (B) APTES-NWs. (C) BSA-NWs. (D) APTES-PEG-NWs. Samples A to D where

added with potassium ferrocyanide (Fe(CN)64-; containing Fe2+). (E) Fe NWs without coating added with potassium ferricyanide (Fe(CN)63-, containing Fe3+). Scale bar = 10 µm.

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From images in Figures 14A, 14B, 14C and 14D, blue stained NWs are

present in all the samples treated with potassium ferrocyanide (Fe(CN)64-) while

the sample treated with potassium ferricyanide (Fe(CN)63-) remain the same or

showed an slightly brown tonality (Figure 4E). In this manner, it was assessed

that Fe3+ is contained in the oxide interphase surrounding the NWs. Explained

more in detail, in the one hand, the Fe(CN)64- solution contains Fe2+ and will

react with Fe3+when present in the NWs outside layer producing a dark blue

precipitate called Prussian Blue as observed in Figures 14A, 14B, 14C and 14D

and is represented by the next reaction.

K+(aq) + Fe3+(aq) + [Fe(CN)6]4-(aq) <==> KFe[Fe(CN)6](s)

Contrastingly, when Fe2+ is present in the outside layer this reaction won’t

occur presenting no appreciable change or slightly brown coloration in the

coloration of the NWs.

On the other hand, Fe(CN)63- containing Fe3+ will give a dark blue

coloration if Fe2+ is present and although this precipitate is known as Turnbull's

blue, it is identical with Prussian blue which is represented in the next reaction.

K+(aq) + Fe2+(aq) + [Fe(CN)6]3-(aq) <==> KFe[Fe(CN)6](s)

In this case, if Fe3+ is present in the iron oxide interphase of the nanowires

an slightly brown coloration or no change is observed as obtained in Figure 14E.

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In this manner the presence of Fe3+ in the outside layer or interphase is

assessed by two different chemical reactions.

Interestingly, a difference in the morphology, size and distribution of NW

agglomerates can be observed between the different coatings (Figures 14B, 14C

and 14D), when compared to the non-coated NWs (Figure 14A). Thereby, the

three coating agents reduced the size of the agglomerates and increased the

homogeneous distribution of the NWs across the sample. The effect is more

pronounced for APTES-NWs and BSA-NWs (Figure 14B and 14C) than for

APTES-PEG-NWs (Figure 14D). Regarding the internalization, we found BSA

and APTES coating agents increased the internalization of the NWs, while

APTES-PEG-NWs seemed to remain outside the cells attached to the plasmatic

membrane.

3.4 Functionalization of iron nanowires

Based on the previous results, BSA-NWs and APTES-NWs were selected

for further functionalization with DOX to evaluate their potential on cancer cell

death induction by combining the chemotherapeutic effect with the magneto-

mechanical one. The coated Fe NWs were functionalized with DOX through a

pH-sensitive covalent bond to permit the selective drug release after

internalization of the NWs. As stated in Chapter 1, covalent bonds sensible to

acid hydrolysis are a suitable and efficient option for attaching drugs to magnetic

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nanoparticles due to the pH difference existing between the extra (pH 7.4) and

intracellular compartments (pH 5.5–6.4 in endosomes).3,8,77,82 The

functionalization was achieved first introducing free thiol groups on the coated

NWs by the reaction between 2-IT and the amine groups of the coated NWs as

previously explained. Then, DOX was immobilized on the activated NWs by the

reaction of the free thiols and the maleimide group of the DOX derivative (Figure

11D) and the success of the functionalization was evaluated

spectrophotometrically. In this manner, 65% of immobilization was quantified

for APTES-NWs, which is approximately 50 μmol DOX/g Fe and 32% for BSA-

NWs that counts for ~25μmol DOXO/g Fe. It was noted that almost double the

amount of DOX was immobilized in APTES-NWs.

3.5 Drug-release quantification

Before performing in vitro cytotoxicity experiments, I studied the release of DOX

from the functionalized NWs through the pH-sensitive covalent bond that allows

the selective release of the unmodified drug in intracellular conditions. DOX was

released from the two groups of DOX functionalized NWs after transfer them

from PBS pH 7.4 to acetate buffer pH 5.0 (Figure 15) in a time dependent manner.

Fluorescence spectrophotometric measurements showed that 80% of DOX was

released from APTES-NWs-DOX and BSA-NWs-DOX after 4 h, and reached a

total release after 10 hours as shown in the release kinetics (Figure 15). In

contrast, no appreciable release was observed in the control experiments where

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the functionalized NWs remained in PBS solution, which confirms the stability of

the nanoformulations.

Figure 16. Release kinetics of DOX from APTES-NWs-DOX and BSA-NWs-DOX with (pH 7.4, empty circles, crosses and solid line; pH 5.0, black squares, empty triangles and dashed line).

Both formulations of functionalized NWs release 80% of the drug at 4h and present a complete release after 8 h of incubation in acetate buffer pH 5. Functionalized NWs in PBS solution pH 7.4

were used as control.

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3.6 Inductively coupled plasma mass spectrometry for iron nanowires

quantification

The concentration of Fe was quantified directly from aliquots of each one of the

NW-formulation stock solutions by ICP-MS as previously explained in Chapter

2. The values obtained for each stock solution are presented in Table 2 which also

includes the calculated concentrations derived from the values presented in

Table 1 contained in Chapter 2. From the ICP values obtained and the

immobilization percentage, the concentration of DOX can be recalculated.

Table 2. Correlation between the calculated and quantified concentration of Fe in the different NW-formulation stock solutions.

NW-stock solution

DOX Fe concentration

calculated (µg Fe/mL)

Fe concentration ICP values

(µg Fe/mL) DOX (µM ) adjusted

DOX_1 0.5 0.5 DOX_2 1 1

NW-APTES 2

32.5 8.7 NW-APTES 3

97.5 26

NW-APTES-D2

1 32.5 8.7 0.44

NW-APTES-D3

3 97.5 26 1.3

NW-BSA 2 45.7 9.3 NW-BSA 3 138.6 28

NW-BSA-D2 1 45.7 9.3 0.25 NW-BSA-D3 3 138.6 28 0.73

In order to quantify the amount of Fe NWs that interact with the seeded

breast cancer cells, ICP-MS measurements were also carried out on cells

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incubated with NWs for 24h, washed several times and lysed. The results

showed no significant difference in the total amount of Fe from the cells

incubated with APTES-NWs (31±5 pg Fe/cell) and BSA-NWs (26±3 pg Fe/cell).

These results represent a total internalization of 19% and 15% for APTES-NWs

and BSA-NWs when compared with the values obtained from the stock

solutions.

3.7 Functionalized iron nanowires internalization and drug release monitoring

by Confocal Reflection Microscopy

The NWs internalization and the selective intracellular drug release in breast

cancer cells were evaluated through confocal microscopy studies. Images of

intracellular focal planes were acquired after 24 and 72 h of incubation with

APTES-NWs-DOX (Figures 16A and 16B) and BSA-NWs-DOX (Figures 16C and

16D). The red fluorescence of DOX permits its intracellular imaging. From

Figures 16B-I and 16D-I, the emergence of red fluorescence derived from the

presence of DOX after 72h (Figure 16B and 16D) is notorious when compared

with 24h (Figs. 16A-I and 16C-1). At 72h the DOX fluorescence signal overlaps

with the nucleus stained with DAPI (panel III), as shown in Figures 16B and 16D.

In all the conditions, functionalized NWs were observed as white structures, due

to their capability of reflecting light in the reflection mode used to acquire the

images (Figure 16, panels II).

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Figure 17. Confocal reflection microscopy images from MDA-MB-231 cells incubated with APTES-NWs-DOX after 24 h (A) and after 72 h (B) and incubated with BSA-NWs-DOX after 24 h

(C) and after 72 h (D). Four different channels: I. Red fluorescence of DOX, II. Light reflected from the Fe NWs, III. DAPI nuclear staining, and IV. DIC. M. shows the merged image. Scale bars

= 10 µm.

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Furthermore, intracellular Z-stacks were acquired to substantiate and

compare the uptake and internalization of both NW formulations (Fig.17A and

17B). In all the conditions NWs were observed at the same focal plane as the

nuclear staining, confirming their intracellular localization.

Figure 18. Z-stack of a MDA-MB-231 cell treated with (A) APTES-NWs-DOX and (B) BSA-NWs-DOX after 72 h of incubation. Scale bar is 10 µm.

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A different distribution of the NWs clusters is observed for both

formulations. APTES-NWs-DOX (Figure 18A) were less distributed within the

field, when compared to BSA-NWs-DOX (Figure 18B) that showed a broad

distribution across the cell appearing in different focal planes of the Z-stack

(Figure 17B). Morphological and quantity differences are also appreciated in both

formulations. BSA-NWs-DOX agglomerated in less compact clusters and

presented a needle-like shape while more compact clusters with a round shape

were produced by APTES-NWs-DOX. This observation is perceived in greater

detail in Figure 18A and 18B that show broader field images of an intracellular

focal plane denoted by the presence of the nucleus. Additionally, a larger

amount of BSA-NWs-DOX is observed in Figure 18A, indicating a higher degree

of internalization when compared to APTES-NWs-DOX (Figure 18B).

Figure 19. Morphology and distribution of functionalized NWs in MDA-MB-231 cells. (A) Cells treated with APTES-NWs-DOX after 24 h of incubation. (B) Cells treated with BSA- NWs-DOX

after 24 h of incubation. Scale bars are 25 µm.

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3.8 Bimodal strategy for cancer cell death induction with functionalized iron

nanowires

The ability of BSA-NWs-DOX and APTES-NWs-DOX to induce cancer cell death

by combining the selective drug release with the mechanical disturbance upon

the application of a low frequency AMF was examined on MDA-MB 231 cells by

Alamar Blue (in vitro cell viability) assay (Figure 19). For standardizing this test,

drug concentration was equalized for both groups of NW-formulation stock

solutions employing the selected concentrations (1 and 3 µM) of DOX, as shown

in Table 1 and Table 2. A correlation between the calculated and quantified

concentration of Fe (by ICP-MS) in the NW-formulation stock solutions is

represented in the Table 2 from which the DOX concentration value was

adjusted. It can be noted that due to the difference immobilization percentage of

both groups of formulations, BSA-NWs-DOX_1 and BSA-NWs-DOX_2 contain

approximately the half of DOX content of APTES-NWs-DOX_1 and APTES-

NWs-DOX_2.

A first important observation is that applying a low frequency AMF of 1

mT and 10 Hz to cells without NWs did not affect the cell viability. Similarly, the

cytotoxic effect produced by the free drug was not affected by the AMF at the

two DOX concentrations tested (0.5 and 1 µM) (Figure 19).

Fe NWs coated with APTES or BSA did not reduce the cell viability. On

the other hand, a significant cytotoxic effect emerged when the AMF was applied

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to cells that were incubated with NWs. A decrease of ~14% and 23% in cell

viability was observed for APTES-NWs_1 (8.7 µg of Fe/mL) and APTES-NWs_2

(26 µg of Fe/mL). A higher cytotoxic effect, showing a decrease of ~21% and 28%

in cell viability, was generated by BSA-NWs_1 (9.3 µg of Fe/mL) and BSA-

NWs_2 (28 µg of Fe/mL) for similar amounts of Fe (Figure 9).

In the case of DOX-functionalized NWs, the cytotoxic effect due to the

DOX release showed a decrease of approximately 32% and 54% in cell viability

for APTES-NWs-DOX_1 (8.7 µg of Fe/mL, 0.44 µM DOX) and APTES-NWs-

DOX_2 (26 µg of Fe/mL, 1.3 µM DOX), respectively. For the BSA-coated NWs a

decrease of 31% and 58% in cell viability was determined for BSA-NWs_1-DOX

(9.3 µg of Fe/mL, 0.25 µM DOX) and BSA-NWs_2 (28 µg of Fe/mL, 0.73 µM

DOX), respectively (Figure 19).

Finally, an additive effect of the cytotoxicity was observed when an AMF

was applied to cells treated with both formulations of DOX-functionalized NWs.

An additional decrease of ~10% in cell viability was observed for APTES-NWs-

DOX_1 (8.7 µg of Fe/mL, 0.44 µM DOX) and APTES-NWs-DOX_2 (26 µg of

Fe/mL, 1.3 µM DOX), and an additional decrease of ~15% and 8% in cell

viability, was observed by BSA-NWs_1-DOX (9.3 µg of Fe/mL, 0.25 µM DOX)

and BSA-NWs-DOX_2 (28 µg of Fe/mL, 0.73 µM DOX). These experiments were

performed using similar amounts of Fe but less amounts of DOX in the case of

BSA-NWs-DOX. The synergic cytotoxic effect was statistically equal for both

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formulations, leading to a final decrease in cell viability of ~45% and 69% for

APTES-NWs-DOX, and ~48% and 73% for BSA-NWs-DOX (Figure 19).

Figure 20. Viability of MDA-MB-231 cells incubated with different formulations and with or

without application of a low frequency AMF. APTES-NWs: 8.7 µg Fe/mL (APTES-NWs_1), 26 µg Fe/mL (APTES-NWs_2). APTES-NWs-DOX: 8.7 µg Fe/mL and 0.44 µM of DOX (APTES-NWs-

DOX_1), 26 µg Fe/mL and 1.3 µM of DOX (APTES-NWs-DOX_2). BSA-NWs: 9.3 µg Fe/mL (BSA-NWs_1), 28 µg Fe/mL (BSA-NWs_2). BSA-NWs-DOX: 9.3 µg Fe/mL and 0.25 µM of DOX (BSA-

NWs-DOX_1), 28 µg Fe/mL and 0.73 µM of DOX (BSA-NWs-DOX_2). Free DOX: 0.5 µM (DOX_1) and 1 µM (DOX_2). (*p < 0.05, **p < 0.01, and ***p < 0.001).

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Chapter 4

Discussion and Conclusions

4.1 Discussion

Fe NWs were successfully coated with to different agents, APTES that is an

aminosile and BSA, a 583 aminoacid protein. Both agents were covalently

attached to the Fe2O3 interphase that surrounds the Fe0 core of the NWs and is

formed immediately after being released form the aluminum-oxide alumina

template and get in contact with O2 from the air. From the TEM image in figure

12B, the presence of this interphase can be distinguished, being a layer of ~8nm

observed at both sides of the Fe NWs which slightly differs from the dimensions

described by Song et al, 2009.34 Moreover, a TEM image of a nanowire coated

with BSA in Figure 13B showed an amorphous and non-uniform layer of

surrounding the Fe NW.

Both coatings provided Fe NWs with free amino groups, necessary for the

functionalization process that were further activated with 2-IT. This activation

process provided the NWs with thiol moieties that were necessary for the

attachment of the drug derivative.

The evaluation of the activation process showed that ~65 and ~32 μmol of

2-pyridinethione/g Fe were immobilized for APTES-NWs and BSA-NWs,

respectively. This number correlates with the amount of drug that can be

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potentially immobilized. From these values, it was already noted that BSA-NWs

were provided with approximately half of the thiol moieties needed for the

functionalization of the anticancer drug. Furthermore, this difference in the

activation could be addressed to the fewer amount of free amino groups

available for activation provided on the BSA coating, probably related to the

bigger size of BSA, as a protein, and also due to the conformational changes that

it may suffer during the functionalization process where amino groups could be

hidden inside of the protein.

From the Prussian blue staining assay (Figure 14) and the point EDX

(Figure 12C and 12D), the composition of the interphase surrounding the Fe

NWs was assessed, demonstrating the presence of an Fe oxide layer in which

Fe3+ but not Fe2+ was observed, in contrast to the findings by Song et al. 2009 in

which they suggest an FeO layer.28 Furthermore, APTES-NWs and BSA-NWs

showed a higher degree of internalization when compared to non-coated NWs

while APTES-PEG-NWs appeared not to be internalized at all, as described by

Sharma et al, 2015.83 The colloidal properties of the NWs were improved by the

coating process due to the fact that smaller clusters of NWs were observed for

APTES-NWs, BSA-NWs and APTES-NWs-PEG together with a broader

distribution across the field when compared to the non-coated NWs. A higher

internalization level can be noted as an insight of the higher biocompatibility of

BSA over APTES (Figure 14).

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Based on their better colloidal properties and outstanding

biocompatibility, BSA-NWs and APTES-NWs were selected for further

functionalization with DOX. Functionalized NWs are the product of the

attachment of the DOX derivative to the activated NW. The design and synthesis

of the DOX derivative is reported by Latorre et al, 2014 in which DOX is added to

a designed liker that allows its attachment to the activated NWs.8 The

immobilization of DOX was a successful process that directly represents the

values obtained from the thiol moieties quantification acquiring ~50 and ~25

μmol of DOX/g Fe for APTES-NWs-DOX and BSA-NWs-DOX, respectively,

which in turn represent the 65% and 32% of the drug derivative added. This

suggests a ratio 2:1 in the amount of drug attached in both formulations. The

design of the linker in the DOX derivative allows the drug release through the

acid hydrolysis of the amide bond, that directly attaches the drug to the linker

and permit the release of the DOX without any modification.8,54,55 Amide bonds

are sensible to acid hydrolysis and therefore, a decrease in the pH of the media

will induce the release of DOX without any modification in one step. In this

manner, DOX was released from the functionalized NWs when passed to an

acidic environment having a complete release after 8h for both formulations

similarly to what has been observed for MNP.8,54,55 No significant difference in

the release kinetics of both formulations was perceived in Figure 15.

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From the Fe quantification in both of the Fe NWs stock solutions, the ICP-

MS output revealed a loss of NWs up to 62% and 71% for APTES-NWs and BSA-

NWs, respectively during the functionalization process. Additionally, no

significant difference in the quantified Fe from the seeded cells after 24h of

incubation with the two different formulations presenting 31±5 pg Fe/cell for

APTES-NWs and 26±3 pg Fe/cell for BSA-NWs. It is worth to mention that these

values refer not only to internalized NWs, but also to the NWs embedded or

stuck in the extracellular structures surrounding the plasmatic membrane.

The NWs internalization and the selective intracellular drug release in

breast cancer cells were assessed through confocal microscopy studies. The

fluorescent properties of DOX allowed its intracellular imaging for tracking its

movement inside of the breast cancer cells (Figure 16). After 24h of incubation no

signal from DOX was perceived for both formulations in contrast with the

intense signal observed in the images of cells after 72h of incubation with

APTES-NWs-DOX and BSA-NWs-DOX. These results indicate the efficient

release and nuclear localization of the chemotherapeutic agent. Z-stacks from

cells incubated 72 h with both formulations confirmed the internalization of both

formulations (Figure 17). Both formulations of NWs appeared as clusters located

mainly around the nucleus and were present in different focal planes of the Z-

stacks. A higher level of detail in the distribution and morphology of the NW

clusters across a broader field at the nuclear focal plane can be appreciated in

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Figure 18. BSA-NWs-DOX were more distributed across the field and also

agglomerated in less compact clusters and presented a needle-like shape.

Moreover, a higher degree of internalization was observed for BSA-NWs-DOX

denoted by the larger amount of functionalized NWs observed at the nucleus

focal plane. Finally, the potential of BSA-NWs-DOX and APTES-NWs-DOX on

cancer cell death induction by combining the chemotherapeutic with the

magneto-mechanical effect was evaluated in MDA-MB-231 cells (Figure 19). Both

formulations of functionalized Fe NWs generated a comparable cytotoxic effect

in MDA-MB-231 cells that was significantly different from the effect produced by

the free DOXO and non-functionalized NWs formulations. For both of the

conditions stablished for the in-vitro cell viability assay, which are the presence

and absence of the low frequency AMF (1 mT and 10 Hz), non-treated cells were

used as a negative control were no change of the cell viability was observed at

the conditions tested. In comparison with the reported inhibitory concentration

50 (IC50) of 25 nM for DOX in MDA-MB-231 cells84, high drug concentrations (0.5

and 1 µM) were used to assess an appreciable decrease of the cell viability as free

drug, effect that was taken as a comparison point of cell viability decrease and

that was also not affected when the low frequency AMF was applied.

A very low affection of the cell viability was caused by Fe NWs coated

with APTES or BSA, although a slightly higher cytotoxic effect was produced by

BSA-NWs. Contrastingly, a significant cytotoxic effect emerged when the AMF

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was applied to cells that were incubated with both formulations of coated NWs

that was higher in the cells incubated with BSA-NW at the two concentrations

tested.

Theoretically, higher amounts of Fe mass were added for BSA

formulations due to the lower immobilization percentage being the apparent

reason of this, nevertheless ICP-mass assays for Fe quantification substantiate

that practically the same amount of Fe was added for both NWs formulations

Thus, this slightly difference can be attributed to a higher internalization level,

broader distribution of the BSA-NWs insinuated from the Prussian blue images

and then corroborated in the confocal reflection images. In general, these results

confirm the high degree of biocompatibility of Fe NWs and the possibility to kill

cancer cells by magneto-mechanical stimulation. They also suggest that BSA is a

more efficient coating agent with respect to killing of cancer cells by this method.

It is important to mention again that the magneto-mechanical effect is carried out

by the active contribution of both, internalized and embedded NWs.

As described in Chapter 3, the cytotoxic effect due to the DOX release

from DOX-functionalized NWs showed a decrease of approximately 32% and

54% in cell viability for APTES-NWs-DOX_1 and APTES-NWs-DOX_2,

respectively. For the BSA-coated NWs a decrease of 31% and 58% in cell viability

was determined for BSA-NWs-DOX _1 and BSA-NWs-DOX_2, respectively.

These results show the efficacy of the selective intracellular drug release and the

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cytotoxic effect of the DOX. Moreover, they imply that Fe NWs are highly

effective as drug carriers. Although the BSA-NWs carry less amount of DOX than

the APTES-NWs, the cell viability reduction is about the same. This indicates a

higher efficacy of the BSA-NWs, which might be related to a more efficient

internalization as found in the confocal microscopy study.

As a final point, an additive reduction of the cell viability was observed

when the AMF was applied to the cells treated with both formulations of DOX-

functionalized NWs.

An additional decrease of ~10% in cell viability was observed for APTES-

NWs-DOX_1 and APTES-NWs-DOX_2, and an additional decrease of ~15% and

8% in cell viability was observed by BSA-NWs_1-DOX and BSA-NWs-DOX_2.

As mentioned previously in Chapter 3, these experiments were performed

using similar amounts of Fe but less amounts of DOX in the case of BSA-NWs-

DOX and the synergic cytotoxic effect was statistically equal for both

formulations, leading to a final decrease in cell viability of ~45% and 69% for

APTES-NWs-DOX, and ~48% and 73% for BSA-NWs-DOX. Taking into account

that BSA-NWs-DOX had 1.8 times less amount of DOX/Fe a significant increase

in the effective cytotoxicity was detected for the BSA-NWs-DOX, which we

attribute to their higher stability and cellular internalization.

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In this regard, confocal reflection images from cells treated with both NWs

formulations in Figure 18 clearly exhibit a higher degree of internalization for the

BSA-coated functionalized NWs reflected by the larger amount of NWs present.

This higher internalization level coupled to the broader distribution within the

cell and the morphological differences observed such as clustering in smaller and

less compact agglomerates of the BSA formulations supports the difference in the

cytotoxicity in both chemical and magneto-mechanical ways, separately and

when combined.

4.2 Conclusions

In this thesis, a novel method for bimodal cancer cell destruction was developed

by combining the intrinsic magneto-mechanical properties of Fe NWs coupled to

the chemotherapeutic effect performed by an anticancer drug attached to the

NWs. The Fe NWs and the two different coating agents employed, APTES and

BSA, demonstrated to be highly biocompatible. The coatings also proved to be

efficient for the further pH sensitive functionalization of NWs with a

chemotherapeutic agent. The NWs were readily internalized and turned out to

be very efficient carriers for drug delivery. Due to their magnetic properties, such

remotely controllable drug carriers could have advantages over other methods.

The BSA-NWs formulations displayed a higher internalization degree and a

broader distribution within the cells in addition to bunch in smaller and less

compact clusters, making it a more efficient candidate for the induction of cell

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death. Furthermore, the functionalized NWs generated a large cytotoxic effect in

MDA-MB-231 cells. The combination of the chemotoxic and magneto-mechanical

treatment modes was found to have synergistic effects, making the proposed

method an attractive option for new cancer therapies. Compared to

hyperthermia-based methods, the magneto-mechanical treatment mode requires

only low field strengths and low frequencies. This is not only relevant from a

safety point of view, but it also reduces the power consumption by several orders

of magnitude, making it very efficient in terms of costs and technical

implementation.

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PUBLICATIONS

From this master thesis project the publication cited bellow was generated.

Martínez-Banderas, A.I., Aires, A., Perez, J.E., Alsharif, N., Teran, FJ., Cadenas

J.F., Kosel, J. & Cortajarena, A.L. Functionalized magnetic nanowires for

chemical and magneto-mechanical induction of cancer cell death. Submitted to

Scientific Reports, (2016).