Abstract

Au-Fe3O4 nanoheterodimers (NHD) were functionalized with the natural and synthetic anticancer drugs caffeic acid (CA), quercetin (Q) and 5-fluorocytidine (5FC). Their X-radiation dose-enhancing potential and chemotherapeutic efficacy for bimodal cancer therapy were investigated by designing multicellular tumor spheroids (MCTS) to in vitro avascular tumor models. MCTS were grown from the breast cancer cell lines MCF-7, MDA-MB-231, and MCF-10A. The MCF-7, MDA-MB-231 and MCF-10A MCTS were incubated with NHD-CA, NHD-Q, or NHD-5FC and then exposed to fractionated X-radiation comprising either a single 10 Gy dose, 2 daily single 5 Gy doses or 5 daily single 2 Gy doses. The NHD-CA, NHD-Q, and NHD-5FC affected the growth of X-ray irradiated and non-irradiated MCTS in a different manner. The impact of the NHDs on the glycolytic metabolism due to oxygen deprivation inside MCTS was assessed by measuring lactate secretion and glucose uptake by the MCTS. The NHD-CA and NHD-Q were found to act as X-radiation dose agents in MCF-7 MCTS and MDA-MB-231 MCTS and served as radioprotector in MCF-10A MCTS. X-ray triggered release of CA and Q inhibited lactate secretion and thereupon disturbed glycolytic reprogramming, whereas 5FC exerted their cytotoxic effects on both, healthy and tumor cells, after their release into the cytosol.

Highlights

  • Breast cancer is the most common cancer in women with over 2 million new cases in 2018 according to the World Cancer Research Fund International

  • We determined the respective drug-loading content (DLC) from the ultraviolet–visible (UVVis) absorption spectra of the NHD-5FC, NHD-Q and NHD-caffeic acid (CA) dispersed in ethanol at a concentration of 40 μg/mL (SI Figure S1)

  • X-ray irradiation dose-enhancing potential and chemotherapeutic efficacy for bimodal cancer therapy were investigated in multicellular tumor spheroids (MCTS)

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Summary

Introduction

Breast cancer is the most common cancer in women with over 2 million new cases in 2018 according to the World Cancer Research Fund International. A typical radiotherapy plan includes daily fractions of 2 Gy, which are administered five times per week, until a maximum total dose of 50 Gy is reached [1,2,3]. Administration of the radiation dose in smaller fractions enables the reoxygenation of hypoxic cells, redistribution of cells through the cell cycle and repair and repopulation of normal tissue [3,4]. Major obstacles for successful radiotherapy are the intrinsic radiation resistance of cell subpopulations of the tumor and the radiation resistance acquired during therapy. Tumor niches and microenvironment as well as apoptosis and autophagy are key determinants for cancer radio-resistance [5,6]

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