metformin-loaded bsa nanoparticles in cancer therapy: a new perspective for an old antidiabetic drug
TRANSCRIPT
ORIGINAL PAPER
Metformin-Loaded BSA Nanoparticles in Cancer Therapy: A NewPerspective for an Old Antidiabetic Drug
Pinkybel Jose • K. Sundar • C. H. Anjali •
Aswathy Ravindran
� Springer Science+Business Media New York 2014
Abstract Clinical and experimental data suggest that there
is a strong association between type II diabetic mellitus and
pancreatic cancer. The present study focuses on exploring the
anticancer and antidiabetic properties of metformin-loaded
bovine serum albumin nanoparticles (BSA NPs) on (Mia-
PaCa-2) pancreatic carcinoma cell lines. Albumin nanopar-
ticles were synthesized using coacervation method and the
average size of the particles was found to be 97 nm. The
particles were stable and showed a spherical morphology with
narrow size distribution. We investigated the impact of two
stages characterized in type II diabetes mellitus (hyperglyce-
mia and hyperinsulinemia) on the proliferation of MiaPaCa-2
cells and compared the inhibitory effects of bare metformin to
that of MET-BSA NPs. Further, different concentrations of
insulin and glucose were added along with bare metformin,
bare BSA, and metformin encapsulated BSA carrier on Mia-
PaCa-2 cells to check the strong association between type II
diabetes and pancreatic cancer. The results revealed that
MET-BSA NPs showed more toxicity when compared with
drug and carrier individually.
Keywords BSA, MiaPaCa-2 � Hyperglycemia �Hyperinsulinemia � Pancreatic cancer
Introduction
Ground-breaking research is being conducted, the world
over, in the field of nanotechnology [1, 2]. One of the most
critical outputs is the development of new materials on the
nanometer scale [3]. Slow progress in the treatment of
several diseases has resulted in an increased need for a
multidisciplinary methodology termed drug delivery sys-
tems [4, 5]. The compelling features of this approach are
enhanced specificity, in terms of drug targeting and
delivery as well as minimum amount of nanoparticle usage.
Nanoparticles are utilized in drug delivery systems,
because their surface to mass ratio is much larger than that
of other particles [6]. These particles also have an effect on
the following properties: increasing the stability of drugs,
higher payload capacity, prolonged blood circulation times,
reduced toxicity to healthy tissues, and improved antitumor
efficiency [3]. Nanocarrier composed of materials, such as
proteins, polysaccharides, polymers, and liposomes offers a
number of advantages making it an ideal drug delivery
vehicle [7–15].
Serum proteins serve as an apt material for nanoparticle
formation as it is naturally found in the blood, non-toxic,
biodegradable and non-immunogenic properties [16].
Serum albumin is the most abundant protein in the circu-
latory system and is chiefly responsible for the mainte-
nance of blood pH [17]. Bovine serum albumin (BSA) is a
transport protein capable of binding many exogenous and
endogenous drugs reversibly. In this study, BSA was
chosen as the nanocarrier owing to its easy availability and
biocompatible nature [18]. Seven types of medications are
commonly used to treat diabetes: insulin, biguanides (i.e.,
metformin hydrochloride), sulfonylurea’s (e.g., glyburide,
glipizide), meglitinides (i.e., repaglinide), phenylalanine
derivatives (i.e., nateglinide), alphaglucosidase inhibitors
(i.e., acarbose, miglitol), and thiazolidinediones (i.e.,
pioglitazone and rosiglitazone). Metformin hydrochloride,
a biguanide agent for the treatment of type II diabetes is
prescribed to about 120 million people worldwide [19, 20].
P. Jose � K. Sundar � C. H. Anjali � A. Ravindran (&)
Center for Nanotechnology and Advanced Biomaterials
(CeNTAB), School of Chemical and Biotechnology, SASTRA
University, Tirumalaisamudram, Thanjavur 613401, Tamilnadu,
India
e-mail: [email protected]
123
Cell Biochem Biophys
DOI 10.1007/s12013-014-0242-8
Metformin was utilized in this study as it has been proved
to be the only antidiabetic drug that prevents the cardio-
vascular complications of diabetes [21, 22]. Even though
this biguanide is used as the first line therapy for Type II
diabetes mellitus, it may also increase the risk of vitamin
B12 deficiency and folate deficiency. Increase in homo-
cysteine concentrations, an independent risk factor for
cardiovascular disease especially among Type II diabetes
mellitus with metformin has also been reported [23]. Hence
the current study focuses on overcoming the existing
drawbacks of metformin hydrochloride by encapsulating it
in a BSA nanocarrier.
According to the recent reports, pancreas is generally
exposed to substantial hyperinsulinemia for years in patients
with type II diabetes mellitus. This suggests that insulin may
be involved in the association between long-standing dia-
betes and pancreatic cancer [24], and the factors associated
with abnormal glucose metabolism may play an important
role in the pancreatic cancer [25]. Even though the antidia-
betic properties of metformin are well explored, the over-
looking the anticancer properties of metformin are still in its
infancy. Hence in the absence of prior reports, our study aims
to explore the antidiabetic and anticancer properties of
metformin encapsulated BSA NPs. We have mimicked the
different stages of type II diabetes mellitus with various
combinations of insulin and glucose to see the cancer pro-
liferation, and the direct effect of bare and MET-BSA NPs on
the apoptosis of pancreatic cells.
Materials and Methods
BSA (fraction V, minimum 98 %), 25 % glutaraldehyde
solution and mannitol used as a cryoprotectant were pur-
chased from Sigma Aldrich, India. Metformin Hydrochloride
powder used for the experiments was of pharmaceutical grade.
MTS (3-(4, 5-dimethylthiazol-2-yl)-5-(3-carboxymethoxy-
phenyl)-2-(4-sulfonyl)-2H-tetrazolium) and propidium iodide
were purchased from Sigma–Aldrich. Dulbecco’s modified
Eagle’s medium (DMEM), DMEM without glucose, human
insulin solution, D glucose solution, and fetal bovine serum
(FBS) were supplied by Invitrogen. Human pancreatic cancer
cell line (MiaPaCa-2) was obtained from National Center for
Cell Sciences, Pune, India. Ethanol and acetone were used as
desolvating agents. Phosphate buffered saline (PBS) was
prepared from NaH2PO4 and Na2HPO4. Distilled deionized
water was used for performing experiments.
Maintenance of Cell Lines
Pancreatic cancer cells (MiaPaCa-2) were cultured in
DMEM containing 10 % FBS, 100 unit/mL penicillin G,
and 100 lg/mL streptomycin at 37 �C in a 5 % CO2
humidified atmosphere.
Preparation of Bare and Metformin-Loaded BSA
Nanoparticles
BSA NPs were prepared by coacervation method [26].
BSA was first dissolved in deionized water and incubated
at room temperature. The pH of the solution was adjusted
to 8.0, and ethanol was added drop wise at a controlled rate
under stirring conditions. The coacervate so formed was
cross-linked with glutaraldehyde and kept for stirring for
24 h to form stable nanoparticles. The resulting nanopar-
ticles were centrifuged, and pellets obtained were freeze
dried out using mannitol as a cryoprotectant. Lyophiliza-
tion was done to get fine powder of BSA NPs. Metformin-
loaded BSANPs were also prepared by the same method in
which metformin was incubated with BSA for 24 h before
stirring. Various parameters were altered in order to
understand the factors affecting the properties of the
nanoparticles prepared. Optimization of BSA NPs was
done by varying the pH of the solution, % of glutaralde-
hyde added for cross linking, and rate of ethanol added for
promoting coacervation. Best parameters were selected to
synthesize BSA NPs of minimum size [27].
Physicochemical Characterization of the Particles
Following Encapsulation
The hydrodynamic size and zeta potential of nanoparticles
were determined by Malvern Zeta sizer 3000HS (Malvern
Instruments Ltd., UK). The surface morphology of the drug
encapsulated and bare nanoparticles were analyzed using
Field Emission Scanning Electron Microscopy (JEOL,
JSM-6360, scanning electron microscope, Japan) at 15 kV.
All fluorescence measurements were recorded with LS 55
Fluorescence Spectrometer (Perkin Elmer) to elucidate the
nature of interaction of drug and the carrier. FT-IR spectra
of the drug-loaded and unloaded particles were examined
using KBr pellet (1 % (w/w) of product in KBr) with a
resolution of 4 cm-1 on Perkin Elmer Spectrum RXI
Fourier Transform Infrared spectrophotometer.
Drug Encapsulation Efficiency and Drug Release
Kinetics
Following synthesis, the drug encapsulation efficiency of
the carrier was estimated by the ratio of measured and
initial amount of metformin encapsulated in nanoparticles.
For drug release kinetics, the MET-BSA NPs suspension
containing 10 mg of metformin was kept for dialysis by
immersing it into 20 mL of PBS at pH 7.4. Samples were
stirred at 37 �C, and PBS was replaced with fresh medium
Cell Biochem Biophys
123
at definite time intervals. The released drug was quantified
at 232 nm using UV–Vis spectrophotometer.
Cell Proliferation Assay
Anticancer Property of Metformin on Cancer Cells
For the in vitro studies, 10,000 cells/well were seeded in
96-well plates in quadruplicate and treated with different
concentrations of bare metformin, bare BSA and metfor-
min-loaded BSA NPs. MTS assay was performed, and the
number of living cells following the respective treatments
was quantified by measuring the absorbance of formazan,
using 1420-040 Victor3 Multilabel Counter (Perkin Elmer,
USA) at 490 nm [28, 29].
The surviving fraction of cells was calculated by the
formula:
% of surviving cells ¼ OD of test sample
OD of control� 100
The control sample reading was obtained from the
untreated wells; the reading was a mean of four wells. All
treated wells were assayed at least in quadruplicate, and
results were expressed as mean percent surviving cells
[30].
Measurement of Reactive Oxygen Species
The fluorescent dye 6-carboxy 20,70-dichlorodihydro-
fluorescein diacetate was used to determine reactive oxy-
gen species (ROS) which is a natural byproduct of normal
metabolism of oxygen. The cultured cells were treated with
5 lM DCF dye in PBS, and change in fluorescence was
recorded at 490 nm using Tecan fluorescence plate reader
[31].
Hemocompatibility of the Drug-Loaded Nanoparticles
The hemocompatibility of the metformin-loaded BSA NPs
can be studied using hemolysis test. Blood was drawn from
a healthy volunteer and transferred to the tube containing
anticoagulant solution of EDTA and incubated with 0.9 %
physiological saline for 37 �C. MET-BSA NPs were added
to the diluted blood and kept for incubation at 37 �C for
60 min. Blood with distilled water was taken as positive
control, and 0.9 % saline with blood was taken as negative
control. Samples were centrifuged at 3,000 rpm for 5 min
after incubation.
Cell Uptake Studies
The cellular internalization of metformin-loaded BSA NPs
by cancer cells were evaluated by fluorescent microscopy
using propidium iodide staining. Propidium iodide is a polar
dye and highly soluble in water [32]. The cells were seeded in
a density of 10,000 cells/well in a 96-well plate. After 24 h
of cell attachment, the media was removed, and the wells
were carefully washed with PBS. MET-BSA NPs of different
concentration (in triplicates) was added along with media
into these wells and incubated for 24 h. Later, propidium
iodide was added to each well. After 15–20 min, cells were
washed with PBS, and cells were fixed in 5 % paraformal-
dehyde followed by a final PBS wash. The cells were then
mounted on to glass slides with distyrene plasticizer xylene
as the mountant, and then dead cells were viewed under the
fluorescence microscope. The extent of dead cells obtained
after treatment with bare metformin was compared with BSA
entrapped metformin.
Checking the Impact of Glucose and Insulin on Cancer
Cells
The impact of glucose and insulin was checked on Mia-
PaCa-2 cancer cell line since cancer promotes hypergly-
cemia and hyperinsulinemia, characterized by type II
diabetes [33, 34]. In this study, pancreatic cancer cells
(MiaPaCa-2) were chosen at a density of 10,000 cells per
well and cultured in DMEM with 10 % FBS. Different
concentrations of insulin and glucose were added to
DMEM without glucose to mimic the different stages of
type II diabetes (normal, prediabetic, overt diabetic, and
late diabetic) with 0.5 % to replace the original DMEM
after 24 h. 20 lL of MTS solution was added to each well
after 72 h of incubation [35]. The absorbance was mea-
sured using 1420-040 Victor3 Multilabel Counter (Perkin
Elmer, USA) at 490 nm after incubating the plate in the
dark conditions for 2 h.
Results and Discussion
Preparation and Characterization of Nanoparticles
In order to understand the factors affecting the properties of
NP prepared from the coacervation procedure, series of
experiments were performed by controlling the BSA con-
centration, the pH of coacervation medium, and the non-
solvent/water ratio during NP formation [36, 37]. According
to Weber et al., and Langer et al., the amount and rate of
addition of the solvent, pH, and the concentration of glu-
taraldehyde added, critically affect the coacervation process.
The concentration of BSA was varied from 10–30 mg/mL
under different pH conditions (4, 8, and 10). As shown in
Fig. 1, a gradual reduction in NP size was observed when the
BSA concentration was 20 mg/mL. The polydispersity
index of BSA nanoparticles was recorded to be 0.041 which
Cell Biochem Biophys
123
indicated a uniform size distribution of the particles. The
average hydrodynamic size of the particles varied from 97 to
120 nm with a zeta potential value of 32.5 mV (Fig. 1).
Following encapsulation with metformin an increase in
hydrodynamic size to 127 nm and zeta potential value of
39.3 mV was recorded. Since metformin is insoluble in
acetone, ethanol was used to promote coacervation, and our
results revealed that the amount of ethanol added influenced
the particle size. Narrow size distribution of the particles was
obtained when the rate of addition of ethanol was 0.8–1 mL/
min. Glutaraldehyde was used as a cross linker since it
exhibited high reactivity toward the amino groups of albu-
min nanoparticles [38, 39]. Since cross linking was not seen
at low concentrations of glutaraldehyde, 100 lL of 8 %
glutaraldehyde was optimum to form stable protein nano-
particles. By varying the protein and drug ratio, particles
were synthesized, and less size was obtained when 20 mg of
BSA, and 15 mg of metformin was used. Thus after opti-
mizing the parameters, MET-BSA NPs were synthesized
with pH 8, the rate of ethanol added at 0.8–1 mL/min, 8 %
glutaraldehyde, and 10:20 mg of drug: protein ratio.
The scanning electron microscopic analysis revealed
spherical morphology of the BSA NPs before and after
encapsulation with the drug metformin as shown in Fig. 2.
These results were very well in accordance with results
obtained after hydro dynamic size and zeta potential
measurements. In order to understand the nature of binding
of the drug to the BSA NPs fluorescence spectroscopy was
carried out. There are mainly two types of fluorophores in
BSA namely, tryptophan and tyrosine residues [40, 41].
When excited at 280 nm, both tryptophan and tyrosine
residues exhibited fluorescence quenching whereas at
293 nm, only tryptophan residues excited [42]. The sig-
nificant difference in the quenching of serum albumin
fluorescence at 280 and 293 nm showed that both residues
play an important role in the molecular interaction of BSA
and metformin (Fig. 3).
FT-IR analysis of nanoparticles in Fig. 4 showed peaks
at 935 and 800 cm-1 corresponding to the N–H wagging of
metformin and BSA, respectively. MET-BSA NPs were
observed with the spectra at 901 and 879 cm-1. This
clearly shows the presence of metformin is encapsulated by
BSA NPs.
Drug Encapsulation Efficiency and Drug Release
Kinetics of the Nanoparticles
Various concentrations of drug were taken and checked for
the entrapment efficiency. The concentration of the drug
was varied from 5–20 mg of BSA. Maximum entrapment
efficiency (92 %) was found at 10:20 mg of drug:BSA.
Encapsulation efficiency decreases as drug concentration
increases. The drug release profiles of metformin-loaded
nanoparticles were also investigated. Metformin-loaded
nanoparticles were tested for drug release at 37 �C in PBS
at pH 7.4. Within 24 h, 50 % of the drug released and rest
of the drug got released within 72 h. The release profile
showed that the pharmacologically active drug was
released in a slow and sustained manner (Fig. 5).
Fig. 1 Data show the optimization of process parameters
Fig. 2 SEM images of BSA NPs. a Before and b after encapsulation with metformin
Cell Biochem Biophys
123
Cytotoxicity Studies
Cell Proliferation of Cancer Cells by Insulin and Glucose
Epidemiologic evidence suggests that patients with diabe-
tes are at a significantly higher risk of developing many
types of cancers, particularly cancers of the pancreas,
breast, liver, esophagus, and colons [30]. According to the
recent reports, cancer patients with diabetes are predomi-
nantly type II in nature [30, 31]. As Type II diabetes is
characterized by increased glucose and insulin levels, the
effect of these components on the progression of MiaPaCa-
2 cells were studied [43, 44]. Our results revealed that there
was a considerable increase in cancer proliferation with
increase in insulin (0.01–5 lg/mL) and glucose
(1,000–4,000 mg/mL) levels (Fig. 6). The growth of can-
cer cells was accelerated at a high glucose concentration of
4,000 mg/L and insulin concentration of 5 lg/mL These
results were supported by the findings of Han et al. [31]
who reported that high glucose levels promoted cell pro-
liferation through the regulation of expression of glial cell
line-derived neurotropic factor and RET in pancreatic
cancer cells. Hence our studies were consistent with the
above findings [45].
Further in order to check the effect of antidiabetic drug
(metformin) on the growth of pancreatic cancer cells, we
examined the impact of different concentrations (10, 20,
100 lg/mL) of BSA NPs, BSA-loaded and unloaded met-
formin on the proliferation of MiaPaCa2 cells in culture
Fig. 3 Fluorescence quenching
of BSA NPs by metformin at
280 and 293 nm
Fig. 4 Curves show the FT-IR spectra of bare metformin and
MET-BSA NPSFig. 5 Curve shows the in vitro drug release pattern of metformin
from the BSA NPs
Cell Biochem Biophys
123
Fig. 6 Cellular toxicity of
different concentrations of
a insulin, b glucose, and
c combination of glucose and
insulin on MiaPaCa2 cells
Fig. 7 Graph shows the impact of various concentrations of a drug ? carrier, b drug, and c carrier on MiaPaCa2 cells
Cell Biochem Biophys
123
media containing 0.1 and 5 lg/mL of insulin and 2,000 and
4,000 mg/mL of glucose, respectively. We found that
metformin inhibited MiaPaCa2 cell proliferation in all
studied combinations of glucose and insulin tested whereas
BSA NPs exhibited little or no toxicity (Fig. 7). Interest-
ingly, MET-BSA NPs showed a dose-dependent inhibition
in proliferation in all combinations of glucose and insulin
tested. However, BSA alone which acted as a control did
not exhibit any growth inhibition with respect to control
following cell viability assay [44].
Anticancer Properties of Metformin-Loaded BSA
Nanoparticles
Cell proliferation assay was done to estimate the cell via-
bility in cancer cells seeded with the drug, carrier, and drug
with carrier. Cell viability decreases with increasing the
concentrations of metformin, BSA NPs, and MET-BSA
NPs. The MET-BSA NPs showed significantly higher
toxicity than the bare drug and carrier. Metformin activates
AMPK pathway, a major sensor for the energetic status of
the cell, which has been proposed as a promising thera-
peutic target in cancer [46]. One possible reason why
MET-BSA NPs show higher toxicity may be due to the
enhanced signaling of AMPK pathway by the sustained
release of metformin from MET-BSA NPs. Figure 8a
shows the cell viability of the drug, BSA NPs and MET-
BSANPs.
Possible Mechanism—Reactive Oxygen Species (ROS)
ROS-free radicals production is one of the primary
mechanisms of nanoparticle toxicity. ROS increase is
thought to play an important role in maintaining cancer
phenotype due to their stimulating effects on cell growth
and proliferation, genetic instability and senescence eva-
sion. An increased ROS in cancer cells is often consid-
ered as an adverse factor. Higher levels of ROS can also
cause cellular damage, depending on the levels and
duration of ROS stress. [47]. In the present study, we
incubated different concentrations of the nano formula-
tions with the cell lines. After an incubation time of about
48 h, the cells were analyzed using a fluorescent plate
reader Tecan. The ROS produced in the cells incubated
with the test samples were calculated with respect to the
blank cells. A double-fold increase in production of ROS
was noted in the case of MET-BSA NPs when compared
to equivalent concentrations of metformin and BSA NPs.
Although the ROS production is not the primary cause for
the cytotoxicity, a significant amount contributes to the
toxic effects caused to the cells. The fold increase in ROS
production with respect to the concentrations of the drug
can be seen in Fig. 8b.
Fig. 8 Graph a shows viability
of pancreatic carcinoma cells
(MiaPaCa-2) after 48 h of
exposure to 10, 15, 20, 50, and
100 lg/mL MET-BSA NPs,
metformin and BSA NPs as
determined by MTS assay.
Percent relative viability is
expressed relative to the control.
b The ROS production
following treatment of various
concentrations of drug,
drug ? carrier, and carrier on
MiaPacCa-2 cells
Fig. 9 Blood compatibility with MET-BSA NPs, normal saline
diluted with ant coagulated blood (negative control) and distilled
water with anticoagulated blood (positive control)
Cell Biochem Biophys
123
Haemocompatibility Studies
MET-BSA NPs of different concentrations were incubated
with the blood samples, and the results were observed. Our
results clearly demonstrated that there was no lysis of the
RBC’s in the supernatant in all the incubated samples
which demonstrated that nanoformulation is perfectly
suitable for the circulation in blood. No adverse reactions
were observed between the serum proteins and the surface
of the nanocarrier (Fig. 9). Distilled water which was used
as a positive control produced the complete lysis of the red
blood cells (RBC’s). 0.9 % NaCl (physiological saline)
used as the negative control did not show any hemolysis or
toxicity to the RBC’s hence the percentage of lysis is 0.
The blood samples incubated with the nano formulations
showed results similar to that of saline, and hence it can be
concluded that the formulation was haemocompatible in
nature and did not induce thrombus formation.
Cell Uptake Studies
Internalization of the drug nanoparticles and its effect on
cancer cells can be seen in Fig. 10. The fluorescent marker
propidium iodide (PI) was used to see the dead cells. PI
staining was done on drug, BSANPs and MET-BSANPs
incubated in Mia PaCa-2 cells. Cytotoxic studies of bare
metformin were compared to that of MET-BSANPs. The
amount of dead cells was more in MET-BSANPs when
compared to that of bare metformin, which reveals the
efficacy of the drug-loaded carrier [32].
Conclusion
Metformin-loaded BSA NPs were synthesized using
coacervation method. The as synthesized nanoparticles
were spherical with a uniform size distribution. Pharma-
cological release kinetics of MET-BSA NPs was slow and
in a sustained manner. The cell proliferative toxic effects
exhibited by MET-BSA NPs were significantly high when
compared to bare metformin. Furthermore the production
of more ROS in MET-BSA NPs shows the efficacy of the
drug encapsulated in the carrier in terms of toxicity.
Additionally, the hemolysis assay done on normal human
RBC’s suggests the safe encapsulation of MET-BSA NPs.
The addition of glucose and insulin to MiaPaCa-2 cells
showed a dose-dependent inhibition of proliferation in cells
with MET-BSA NPs. Interestingly, bare BSA NPs did not
exhibit any growth inhibition in cancer cells. The propi-
dium iodide-stained MET-BSA NPs revealed the presence
of more dead cells than bare metformin, which also add to
the aforementioned high toxic effects of MET-BSA NPs.
Prospectively, this study can be used for a better under-
standing of the anticancer properties of metformin.
Fig. 10 Images show the cellular uptake image of MiaPacCa-2 cells after PI staining with metformin (a, b) and MET-BSA NPs (c, d)
Cell Biochem Biophys
123
Acknowledgments Authors would like to acknowledge Depart-
ment of Science and Technology for providing the external funding to
carry out the project entitled, ‘‘Biocompatibility of surface modified
and unmodified Graphene oxide nanoparticles’’ (NO:SR/FT/LS-18/
2012). We would also thank Centre for Nano Technology &
Advanced Biomaterials (CeNTAB) and Centre for Advanced
Research in Indian System of Medicine (CARISM), SASTRA Uni-
versity for providing the facilities to carry out this project.
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