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Reactive and Functional Polymers
journal homepage: www.elsevier.com/locate/react
Vitamin-E/lipid based PEGylated polymeric micellar doxorubicin to
sensitize doxorubicin-resistant cells towards treatment
Omkara Swami Muddineti, Sri Vishnu Kiran Rompicharla, Preeti Kumari, Himanshu Bhatt,
Balaram Ghosh, Swati Biswas
⁎
Department of Pharmacy, Birla Institute of Technology & Science-Pilani, Hyderabad Campus, Jawahar Nagar, Shameerpet, Hyderabad 500078, Telangana, India
ARTICLE INFO
Keywords:
Vitamin E
PEG
P-glycoprotein
DOPE
Multi-drug resistance
ABSTRACT
Multiple drug resistance (MDR) hampers therapeutic outcome of many anti-cancer drugs, including doxorubicin
(Dox) by reducing their intracellular concentration at sub-therapeutic level. Vitamin-E/derivatives proved to
sensitize cancer cells towards treatment by inhibiting MDR proteins. Here, previously synthesized α-tocopheryl
succinate (α-TOS), poly(ethylene glycol) (PEG) and dioleoyl Phosphatidyl ethanolamine (DOPE) conjugated star
shaped amphiphilic polymer, where three polymeric components were attached via lysine linker, was used to
prepare micelles (VPM) to load the MDR-inducing chemotherapeutic agent, Doxorubicin. The micelles were
subjected to physico-chemical characterizations, including hydrodynamic radius and polydispersity index (PDI)
to assess formation of stable nanoparticles, zeta potential to measure the surface charge, encapsulation efficiency
and drug loading to check effectivity of the nanocarrier system to carry the payload. Dox-loaded VPM (Dox-
VPM) was evaluated in Dox resistant human colon carcinoma, SW 620-R and human breast adenocarcinoma,
MDA MB-231-R cell lines. Dox-VPM demonstrated a particle size of 141.2 ± 0.78 nm with Dox-loading effi-
ciency as 14.2 ± 0.19%. Time and concentration dependent cellular uptake was observed for Dox-VPM in both
the cell lines. Dox-VPM exhibited significant cytotoxic action to both the resistant cancer cells. Dox-VPM ex-
hibited superior therapeutic efficacy, which warrants further investigation of this nanomedicine in Dox-resistant
cancers.
1. Introduction
Chemotherapy is considered to be the mainstay of cancer treatment
administered alone or in combination with two main anticancer treat-
ment modalities, including radiation and surgery. However, treatment
with majority of existing chemotherapeutic agents is limited by the
development of multiple drug resistance in the treated cancer cells
upon chronic drug administration, which is due to the over-expression
of various ATP-binding cassette proteins as drug efflux transporters,
including P-glycoproteins (P-gp), multiple drug resistant proteins
(MRP1) and breast adenocarcinoma receptor protein (BCRP) [1,2].
Over-expression of P-gp on the cancer cell surface causes drug efflux
from inside the cells causing reduction in cellular drug concentration to
the sub-therapeutic level [3,4]. Various anticancer drugs, including
anthracyclins such as doxorubicin (Dox), vinca alkaloids such as vin-
cristine, taxanes such as paclitaxel, camptothecin such as topotecan,
and miscellaneous drugs such as mitoxantrone, imatinib, methotrexate
are P-gp substrates. So far, many P-gp inhibitors were reported such as
α-tocopherol, pluronics, tween 80 and cremophor EL which act via
various mechanisms that include inhibition of activity of ATPase en-
zyme, change in membrane fluidity and reduced binding with the cell
membrane by competitive inhibition of substrate [5,6].
Synergistic delivery of anticancer drug and P-gp inhibitor is a fa-
vorable approach for the treatment of MDR cancer [7–9]. Various nano-
formulation strategies have been reported such as polymer-drug con-
jugates, micelles, phospholipid based liposomes and lipid based nano-
particles for co-delivery of P-gp inhibitor and anti-cancer drugs, which
demonstrated enhancement of therapeutic efficacy and less side effects
of cancer chemotherapy [2,10–14]. Among all the nanocarriers, mi-
celles showed promising results in inhibition of MDR owing to their
small size, high stability, good biocompatibility, and flexible to modify
with various targeting ligands [15].
Recently, vitamin-E based nanocarriers are being broadly in-
vestigated and utilized in drug delivery owing to the several advantages
associated with vitamin-E [2]. Incorporation of vitamin-E as one of the
components in the drug delivery systems improves the hydrophobicity
of the core resulting in higher drug loading and enhances the bio-
compatibility of the carrier. Moreover, the great advantage comes from
https://doi.org/10.1016/j.reactfunctpolym.2018.10.012
Received 22 September 2018; Received in revised form 26 October 2018; Accepted 27 October 2018
⁎
Corresponding author.
E-mail address: swati.biswas@hyderabad.bits-pilani.ac.in (S. Biswas).
Reactive and Functional Polymers 134 (2019) 49–57
Available online 01 November 2018
1381-5148/ © 2018 Elsevier B.V. All rights reserved.
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