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Global Translational Medicine                               Graphene oxide in cancer drug delivery applications



            14.1%, respectively. The release of luteolin was significantly   while  the  release  rate  was  considerably  reduced  at  the
            higher at pH 5. The anti-cancer effect of MG and NH2-MIL-  physiological pH of 7.4. 63
            101(Fe)@GO@Drugs was superior compared to metal-     Another study reports the synthesis of a nanocomposite
            organic framework and GO alone.  This enhancement was   consisting of hesperidin and rGO using gamma radiation.
                                       59
            observed by the inhibition of tumor cell migration, increased   Cytotoxicity studies conducted through the MTT assay
            reactive oxygen species generation, and upregulation of   assessed the anticancer effects of rGO on Wi38, CaCo2,
            caspase-3 and caspase-9 expression. 59             and HepG2 cell lines. The results demonstrated that rGO

              Fluorinated GO (FGO) was synthesized by          treatment effectively inhibited the JNK/SMAD4/MMP2
            functionalizing  fluorinated  graphene  nanosheets  signaling pathway, indicating its potential as a cancer
            with  FA  pre-linked  to  amino-polyethylene  glycol   treatment.
            (PEG). This modification allowed FGO to specifically   An innovative nanocomposite hydrogel consisting
            target  cancer  cells  through  FA  receptors  while  also   of carboxymethyl cellulose (CMC)/starch/rGO was
            enhancing its solubility. The FGO-PEG-FA nanocarrier   synthesized and encapsulated in double nanoemulsions
                                                                                                            64
            effectively encapsulated the anticancer drugs DOX and   (Figure  1). This pH-responsive delivery system was
            camptothecin, enabling their combined use for enhanced   developed to  effectively deliver  curcumin,  an  antitumor
            cancer treatment. Photoluminescence was applied to   drug. The drug release was controlled through a water/oil/
            FGO, making it an effective sensor for monitoring drug   water nanoemulsion that enclosed the nanocarrier, with
            loading through the inner filter effect. Moreover, near-  bitter almond oil acting as the membrane. The drug loading
            infrared (NIR) absorbance enabled FGO to function   and entrapment efficacy were significantly improved
            as a photothermal therapy (PTT) agent. The effect of   compared to previously described curcumin delivery
            FGO-PEG-FA on cell viability was greater than that of   methods  The nanocarriers exhibited pH-responsive
                                                                      64
            FGO,  suggesting  that  surface  modification  enhances   behavior, with curcumin being released more rapidly at
            the biocompatibility of FGO. Minimal cytotoxicity of   lower pH levels, as shown in in vitro release experiments.
            both FGO-PEG-FA and FGO was observed in normal     The MTT assays demonstrated elevated toxicity of the
            (BEAS-2B) and cancer (HeLa) cells, even at elevated   nanocomposites toward MCF-7 breast cancer cells
            doses of 150  μg/mL. Under NIR irradiation, the GO   compared to CMC, CMC/rGO, or free curcumin. Flow
            nano-platform demonstrated significant enhancement   cytometry confirmed the induction of apoptosis in
            in inhibiting cancer growth, even at low dosage levels,   MCF-7 cells. 64
            compared to unbound DOX and control samples without
            NIR irradiation. 60,61                               The dimensions and configurations of different GO
                                                               preparations play distinct roles in cancer treatment. One
              Nanocarriers of caffeic acid (CA) were synthesized   study assessed how size and surface chemistry influence
            using a hydrofluoric acid-free approach using Fe-based   the in vivo behavior of graphene, significantly enhancing
            metal-organic frameworks (β-CD-GO@MIL-100[Fe])     the effectiveness of graphene-based photothermal cancer
            functionalized  with  β-cyclodextrin-conjugated  GO   therapy. The researchers developed nano rGO (nrGO)
            (β-CD-GO) (referred to as BGw-MF).  Results indicated   conjugated with  a non-covalent  PEG coating.  NRGO-
                                           62
            that BG0.5-MF exhibited the highest loading efficiency,   PEG effectively targeted tumors through the enhanced
            with a value of 56.44 ± 2.25% for a 2 w/w ratio of CA in   permeability and retention effect. Due to significant
            an alkaline environment (pH 9). In addition, the release   passive tumor uptake and robust NIR absorption, nRGO-
            pattern of BG0.5-MF-CA for CA was tightly regulated,   PEG demonstrated remarkable efficacy as a photothermal
            with approximately 57.07 ± 2.01% released at pH 5 and   agent, achieving effective  in vivo tumor destruction at
                                                     62
            48.04 ± 1.44% at pH 7.4 over a period of 8 days.  This   an ultra-low laser power density of 0.15  W/cm , which
                                                                                                       2
            suggests  that  enhanced  release  in  tumor  regions  could   is significantly lower than the power densities typically
            potentially improve therapeutic effectiveness. Significant   employed in in vivo PTT using other nanomaterials. 65
            toxicity to A549 lung cancer cells and a cell viability of   In another study, four distinct types of GO were developed:
            68 ± 2% were observed in in vitro cytotoxicity studies of   Micrometer-sized GO (MGO; 1089.9 ± 135.3  nm),
            BG0.5-MF-CA, while no evident toxicity was observed in   submicrometer-sized GO (SGO; 390.2 ± 51.4  nm),
            normal HEK293 cells at a dose of 400 μg/mL. 62
                                                               nanometer-sized GO (NGO; 65.5 ± 16.3 nm), and graphene
              A pH-responsive drug delivery system was developed   quantum dots. SGO and NGO significantly induced
                                          63
            by loading 5-fluorouracil onto GO.  The formulation   apoptosis, whereas MGO did not, and no detectable
            exhibited controlled release of the anticancer drug at an   necrosis was observed. Moreover, SGO and NGO were
            acidic pH of 5.8, representative of the tumor environment,   found to significantly induce autophagy. 66,67


            Volume 3 Issue 3 (2024)                         6                               doi: 10.36922/gtm.4602
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