Abstract

Background: Combination chemotherapy of anticancer drugs is extensively being researched since it could reduce multidrug resistance and side effects as a result of lower dosage of each drug. In this study, we evaluated the effects of doxorubicin-loaded (Dox-ACNP), thymoquinone-loaded (TQ-ACNP) and a combined doxorubicin/thymoquinone-loaded cockle shell-derived aragonite calcium carbonate nanoparticles (Dox/TQ-ACNP) on breast cancer cell line and compared with their free drugs counterpart.Methods: Cell viability using MTT assay, apoptosis with Annexin V-PI kit, morphological changes using contrast light microscope, scanning electron microscope and transmission electron microscope, cell cycle analysis, invasion assay, and scratch assay were carried out. The cell viability was evaluated in breast cancer cell line (MDA MB231), normal breast cells (MDF10A) and normal fibroblast (3T3).Results: MDA MB231 IC50 dosages of drug-loaded nanoparticle were not toxic to the normal cells. The combination therapy showed enhanced apoptosis, reduction in cellular migration and invasion when compared to the single drug-loaded nanoparticle and the free drugs. Scanning electron microscope showed presence of cell shrinkage, cell membrane blebbing, while transmission electron microscope showed nuclear fragmentation, disruption of cell membrane, apoptotic bodies, and disruption of mitochondrial cistern.Conclusion: The results from this study showed that the combined drug-loaded cockle shell-derived aragonite calcium carbonate nanoparticles (Dox/TQ-ACNP) showed higher efficacy in breast cancer cells at lower dose of doxorubicin and thymoquinone.

Highlights

  • In the last few decades, combination therapy has been more reliable than mono-therapies because cancer cells possess survival multiple pathways including uncontrolled proliferation, evasion of apoptosis, stimulation of angiogenesis and propensity for local invasion and distance metastases [1]

  • Nanotechnology has shown a great advantage in drug delivery for cancer treatment by enhancing buildup of cytotoxics in tumor tissue, specificity in tumor targeting, reducing the cytotoxics side effect on normal cells, reducing systemic side effect, increasing drug solubility, and increasing maximum tolerated dose [3, 4]

  • The cell viability studies were evaluated on MDA-MB-231 breast cancer cells using an MTT assay

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Summary

Introduction

In the last few decades, combination therapy has been more reliable than mono-therapies because cancer cells possess survival multiple pathways including uncontrolled proliferation, evasion of apoptosis, stimulation of angiogenesis and propensity for local invasion and distance metastases [1]. Combination chemotherapy comprising of two or more anticancer drugs has been shown to reduce drug resistance and side effects due to lower dosage of each drug [3]. Nanotechnology has shown a great advantage in drug delivery for cancer treatment by enhancing buildup of cytotoxics in tumor tissue, specificity in tumor targeting, reducing the cytotoxics side effect on normal cells, reducing systemic side effect, increasing drug solubility, and increasing maximum tolerated dose [3, 4]. Calcium carbonate (CaCO3) nanoparticles has got immense attention because it is the most biocompatible; this makes aragonite an excellent biological drug delivery systems of anticancer drugs [5, 6]. Combination chemotherapy of anticancer drugs is extensively being researched since it could reduce multidrug resistance and side effects as a result of lower dosage of each drug. We evaluated the effects of doxorubicin-loaded (Dox-ACNP), thymoquinone-loaded (TQ-ACNP) and a combined doxorubicin/thymoquinone-loaded cockle shell-derived aragonite calcium carbonate nanoparticles (Dox/TQ-ACNP) on breast cancer cell line and compared with their free drugs counterpart

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