Citation
Mohammed, Albalawi Fahad
(2023)
Synthesis and in-vitro toxicity evaluation of anticancer drugs-loaded chitosan nanoparticles as therapeutic nanocarriers for the treatment of hepatocellular carcinoma.
Doctoral thesis, Universiti Putra Malaysia.
Abstract
Hepatocellular carcinoma (HCC) is among the most common liver cancers
globally with more than 600,000 new patients diagnosed annually. The
limitations of chemotherapy in treating HCC include poor aqueous solubility, nonspecific
targeting of anticancer drugs, low retention of drugs in the tumor, and
multi-drug resistance. The development of innovative intervention tools for early
diagnosis and treatment has gained exceptional interest in HCC management.
However, HCC is a multifactorial disease that requires a combination of
treatment plans rather than a single therapeutic agent targeting only a single
target. The complication of the disease, such as liver cirrhosis, limits surgical and
therapeutic options due to liver malfunction might result in alteration of the safety
profiles of systemic agents. Thus, multi-target inhibitors (MTIs) and multi-drug
inhibitors (MDIs) that combine several drugs to inhibit numerous pathways are
vital in treating HCC, but they may induce systemic toxicity due to liver
malfunction. The concept of employing nanoparticles (NPs) in delivering multitarget
inhibitors (MTIs) and multi-drug inhibitors (MDIs) has a strong potential in
the therapeutic strategy and offers impressive outcomes to address HCC.
Chitosan nanoparticles (ChNPs) have a great potential to be used as a drug
delivery system in HCC therapy over conventional drug therapy. Furthermore,
the anti-HCC drug-loaded ChNPs can lessen the dosage amount and duration
of treatment and could resolve the problems of low and poor compliance,
therefore, significantly reducing the side effects. In this work, encapsulated,
single-loaded, and dual-loaded FDA-approved anti-HCC drugs (small molecule
kinase inhibitors); cabozantinib (CBZ) and sorafenib (SF), and the antimetabolite
drug, 5-fluorouracil (5FU) into chitosan NPs, were synthesized for better efficacy
on HCC treatment with fewer drug side effects. These novel nanocarriers
enhanced effective permeation through the cells, better stability in the
bloodstream, and demonstrated controlled release capability of the
encapsulated drugs, resulting in more potent multitarget inhibitors for HCC
treatment. In this study, the ionic gelation technique was used to synthesize
chitosan NPs, loaded with MTIs and MDIs, via a crosslinking agent, sodium
tripolyphosphate (TPP) with various Ch to TPP ratios (1:1.25, 1:2.5, 1:5, 1:10,
1:20). Subsequently, the impact of the amount of TPP on the reaction yield,
particle size, entrapment efficiency, anticancer activities, and in-vitro drug
release was explored. The increase in the TPP concentration led to a smaller
particle size. The chitosan nanocarriers were found to be uniform in size with
high drug loading and encapsulation efficiency. At the ratio of 1:2.5, ChNPs with
single-loaded MTI were found to be in the range of 100 nm in their mean particle
size distribution (PSD), compared to around 50 nm for dual drug-loaded ChNPs.
The encapsulation efficiencies for single-loaded drugs are in the range of 40-
50% compared to 50-70% for the dual-loaded. The XRD and FTIR of chitosan
nanoparticles revealed an amorphous nature, which confirmed that the crystal
structure of the drug was tapered. All the drugs from all the nanocarriers systems
underwent a sustained release as evident in the in-vitro release study, as
indicated by the TGA/DTG thermograms. Overall, the majority of the drugs show
90-100% release within the first 120 hours for all the samples. The cytotoxicity
of these synthesized nanodelivery systems was evaluated by In Vitro study using
normal human dermal fibroblast adult cells (HDFa) cells and human liver
hepatocellular carcinoma (HepG2) cell lines. The nanocarriers system for the
MTIs and MDIs showed low toxicity to the normal humandermal fibroblast adult
cells (HDFa). The single- and dual-loaded drug systems exhibited anticancer
effects, which were better achieved with MDIs compared to MTIs. Conclusively,
CS/TPP concentration is one of the most important factors in optimizing the
formulation for the development of anti-HCC nanocarriers. Dual drug-loaded
CSNP systems are a novel and promising approach to enhancing therapeutic
efficacy and reducing the deleterious effects of MDIs and MTIs. Findings from
this work could lead to a new generation of nanodrug delivery systems of tailormade
multifunctional properties with better efficacy and accuracy.
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