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cRGD Peptide-Conjugated Pyropheophor¬bide-a Photosensitizers for Tumor Targeting in Photodynamic Therapy Wenjing Li, Sihai Tan, Yutong Xing, Qian Liu, Shuang Li, Qingle Chen, Min Yu, Fengwei Wang, and Zhangyong Hong Mol. Pharmaceutics, Just Accepted Manuscript • DOI: 10.1021/acs.molpharmaceut.7b01064 • Publication Date (Web): 05 Mar 2018 Downloaded from http://pubs.acs.org on March 6, 2018
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Molecular Pharmaceutics
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cRGD Peptide-Conjugated Pyropheophorbide-a Photosensitizers for Tumor
2
Targeting in Photodynamic Therapy
3
Wenjing Li,‡a Sihai Tan,‡b Yutong Xing,a Qian Liu,a Shuang Li,a Qingle Chen,a Min Yu,c,* Fengwei Wang,d,* Zhangyong Hong a,**
4
5
a
6
Protein Sciences, College of Life Sciences, Nankai University, Tianjin 300071, P. R.
7
China. bTianjin University of Traditional Chinese Medicine, Tianjin 300193, P. R.
8
China. cDepartment of Gynecologic Oncology, Tianjin Medical University Cancer
9
Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060,
10
State Key Laboratory of Medicinal Chemical Biology, Tianjin Key Laboratory of
P. R. China. dPeople’s Hospital of Tianjin, Tianjin 300180, P. R. China.
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*Corresponding author. Tel.: +86 022 23340123-3111.
12
**Corresponding author. Tel.: +86 022 23498707.
13
***Corresponding author. Tel.: +86 022 23003610
14
E-mail addresses:
[email protected] (M. Yu);
[email protected] (F. Wang);
15
[email protected] (Z. Hong).
16
‡
17
resin-cRGD-NH2 and cRGD peptide, HPLC chromatogram and ESI-HRMS of the
18
conjugates]. See DOI:
19
Electronic Supplementary Information (ESI) available: [Synthetic procedure for
‡These authors contributed equally to this work.
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Abstract
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Pyropheophorbide-a (Pyro) is a highly promising photosensitizer for tumor
23
photodynamic therapy (PDT), although its very limited tumor-accumulation ability
24
seriously restricts its clinical applications. A higher accumulation of photosensitizers
25
is very important for the treatment of deeply seated and larger tumors. The
26
conjugation of Pyro with tumor-homing peptide ligands could be a very useful
27
strategy to optimize the physical properties of Pyro. Herein, we reported our studies
28
on the conjugation of Pyro with a cyclic cRGDfK (cRGD) peptide, an integrin
29
binding sequence, to develop highly tumor-specific photosensitizers for PDT
30
application. To further reduce the non-specific uptake and, thus, reduce the
31
background distribution of the conjugates in normal tissues, we opted to add a highly
32
hydrophilic polyethylene glycol (PEG) chain and an extra strongly hydrophilic
33
carboxylic acid group as the linker to avoid the direct connection of the strongly
34
hydrophobic Pyro macrocycle and cRGD ligand. We reported here the synthesis and
35
characterization of these conjugates, and the influence of the hydrophilic modification
36
on the biological function of the conjugates was carefully studied. The
37
tumor-accumulation ability and photodynamic-induced cell-killing ability of these
38
conjugates were evaluated through both in vitro cell-based experiment and in vivo
39
distribution and tumor therapy experiments with tumor-bearing mice. Thus, the
40
synthesized conjugate significantly improved the tumor enrichment and tumor
41
selectivity of Pyro, as well as abolished the xenograft tumors in the murine model
42
through one-time PDT treatment.
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Molecular Pharmaceutics
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Keywords: Photodynamic therapy, Pyropheophorbide a, Integrin, Peptide
45
conjugate, Photosensitizer
46 47
1. Introduction
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Chlorophyll-a derivatives are very promising photosensitizers for photodynamic
49
therapy (PDT).1-4 Compared with the clinically used first-generation photosensitizer
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Photofrin® (Aptalis, Birmingham, AL, USA; approved in 1997; 1170 L mol-1 cm-1 of
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extinction coefficient at 630 nm),5, 6 these derivatives have obvious advantages to be
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used as photosensitizers. They always have a greater than 50% singlet oxygen
53
quantum yield and a more than thirty-fold higher extinction coefficient of Photofrin at
54
a longer absorption wavelength (>660 nm).7 Currently, several chlorophyll-a
55
derivatives have been approved by the Food and Drug Administration (FDA) or are in
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various stages of development for clinical PDT use.8 For example, verteporfin9 (also
57
known as Visudyne®, a product of Novartis pharmaceuticals) has been used clinically
58
for ocular PDT of age-related macular degeneration (AMD) worldwide since 2000,
59
although much of its intention in cancer treatment10 failed, likely due to relatively low
60
tumor-accumulation ability; Npe67,
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hydrophilic chlorophyll-a derivative mainly for the presence of an aspartyl residue,
62
has been approved in Japan (in 2004) for the treatment of early centrally located lung
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cancer; radachlorins9 (Rada-Pharma Ltd., Russia), an aqueous solution of three
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chlorins derived from chlorophyll-a, is in clinical trials for several cancer indications
8
(talaporfin, also named as laserphyrin), a
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in Russia; and HPPH10-12 (photochlor) is currently in advanced clinical trials.
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Compared with many other chlorophyll-a derivatives, pyropheophorbide-a13, 14 (Pyro)
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is one of the most interesting ones to be used as a photosensitive because of its
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relatively much higher stability and easier preparation. However, considering the
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druggability of Pyro, several problems presented seem to seriously restrict its clinical
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applications. Pyro has very limited tumor-accumulation ability and very limited water
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solubility, resulting in a relatively narrow therapeutic window and severe cutaneous
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photosensitivity due to skin accumulation.15
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The conjugation of Pyro with tumor-homing peptide ligands could be a very
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useful strategy to optimize the physical properties of Pyro.16-19 The high water
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solubility of properly selected highly hydrophilic peptide can markedly increase the
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water solubility of the whole conjugates. Additionally, the receptor-targeting
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capability of the tumor-homing peptide ligands can mediate the tumor-specific
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internalization of Pyro, thus increasing the tumor accumulation and selectivity of
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Pyro.15 A higher accumulation of photosensitizers can increase the response of the
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photosensitizers to the relatively subdued excitation light in deeper positions;20, 21 thus,
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it will be helpful for the treatment of deeply seated and larger tumors. Additionally,
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the increased tumor-tissue selectivity will also be helpful to reduce the damage to
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adjacent normal tissues.22 Both the problems of water solubility and tumor enrichment
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associated with Pyro could be solved with such conjugation.
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Herein, we studied the optimization of Pyro by conjugation with a cyclic
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cRGDfK (cRGD) peptide23-27 (Fig. 1) to solve its tumor enrichment problem and
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water solubility problem. cRGD peptide has a high binding affinity for integrin
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receptors, which are generally overexpressed in many types of tumor cells or tumor
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vessels, but has limited expression in normal cells.28-30 The conjugation of cRGD
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peptide with Pyro could be an ideal strategy to improve the tumor-accumulation
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ability and water solubility of Pyro. However, the strong hydrophobic property of the
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Pyro macrocycle in the conjugate may significantly influence the receptor affinity of
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the cRGD ligand, likely reducing the tumor selectivity of the conjugate for PDT
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therapy. Thus, we opted to add a highly hydrophilic polyethylene glycol (PEG) chain
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as the linker and a further hydrophilic carboxylic acid group to incorporation into the
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conjugate between the Pyro macrocycle and peptide ligand to avoid the direct
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connection of the strong hydrophobic Pyro macrocycle and cRGD ligand and to
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further increase the water solubility of the whole conjugate. The resulting high
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solubility characteristic of the conjugates could greatly reduce non-specific uptake as
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well as the background distribution of the conjugates in the normal tissues.31-35 While
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highly hydrophilic modification will also have its disadvantages, it may reduce the
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PDT activity of photosensitizers via reduction of the membrane attachment. Thus,
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how the incorporation of hydrophilic groups influences the biological function of the
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conjugate needs to be carefully tested and compared.
105
We reported herein the synthesis and characterization of these conjugates. Their
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tumor-accumulation ability and photodynamic-induced cell-killing ability were
107
evaluated through both in vitro cell-based experiment and in vivo distribution and
108
tumor therapy experiments with tumor-bearing mice. As a result, the optimized
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conjugate significantly improved the tumor enrichment and selectivity of Pyro, as
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well as abolished the xenograft tumors in the murine model through one-time PDT
111
treatment.
112 113 114
2. Materials and methods 2.1 Reagents
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N-Ethyl-N'-(3-dimethylaminopropyl)
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diisopropylethylamine (DIPEA), trifluoroacetic acid (TFA) and triisopropylsilane (Tis)
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were purchased from Heowns (Tianjin, China). N-Hydroxybenzotriazole (HOBt),
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2-(1H-benzotriazole-1-yl)-1,1,3,3-tetramethylhexafluorophosphate
119
N,N′-carbonyldiimidazole (CDI) were purchased from GL Biochem Ltd. (Shanghai,
120
China). Fetal bovine serum (FBS) and antibiotics (penicillin/streptomycin) were
121
obtained
122
3-Diphenylisobenzofuran (DPBF) and N,N-dimethyl-Formamide (DMF), were
123
obtained from J&K Chemical Ltd. (Beijing, China).
from
Gibco
(NY,
carbodiimide
USA).
Other
hydrochloride
chemical
(EDC·HCl),
(HBTU),
reagents,
and
including
124 125
2.2 Instruments
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The Cary 5000 spectrophotometer (Varian Co., USA) was used for UV-Vis spectra.
127
Fluorescence spectra were recorded using a Hitachi Model F-4500
128
spectrophotometer (Tokyo, Japan). Mass data were obtained using a Varian 7.0 T
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FTMS. High-performance liquid chromatography (HPLC) (Shimadzu, Japan) was
130
used for the purification and analysis of the conjugates. In vivo imaging analysis was
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performed at different time points after injection using an IVIS Lumina Imaging
132
system (IVIS Lumina II, Xenogen, USA).
133 134
2.3 Cell lines and animals
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Human glioblastoma U87-MG cells and human prostate carcinoma PC3 cells were
136
purchased from a typical culture preservation commission cell bank of the Chinese
137
Academy of Sciences (Shanghai, China). Human epidermoid carcinoma A431 cells
138
and mouse breast carcinoma 4T1 cells were obtained from the American Type Culture
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Collection. U87-MG cells, PC3 cells and 4T1 cells were grown in DMEM culture
140
medium, and A431 cells were cultured in RPMI 1640 culture medium. All media
141
contained L-glutamine and were supplemented with 10% fetal bovine serum (FBS)
142
and 1% Pen/Strep (10,000 U penicillin, 10 mg streptomycin). A solution of 0.05%
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trypsin and 0.25% EDTA in PBS was used for cell detachment.
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BALB/c nude mice (male and female, 7–8 weeks old) were provided by Beijing Vital
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River Laboratory Animal Technology Co., Ltd. The studies were carried out in
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accordance with institutional guidelines of the Committee on Animals of Nankai
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University (Tianjin, China).
148 149
2.4 Chemical syntheses
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Synthesis of resin-cRGD-Linker-NH2: The cRGD peptide on the resin with the
151
arginine side chain Pbf protected and lysine side chain amine free (resin-cRGD-NH2)
152
was prepared according to the procedure in the Supporting Information section.
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Resin-cRGD-NH2 (1.0 g, 0.5 mmol) was reacted with diglycolic anhydride (116.1 mg,
154
1.0 mmol) in 5 mL dimethylformamide (DMF) for 5 hours to yield resin-cRGD-CO2H.
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Then, resin-cRGD-CO2H was activated twice with 0.5 M CDI for 1 hour, followed by
156
agitating with 0.5 M HOBt and di-(3-aminopropyl) digol (1.1 g, 5 mmol) for 5 hours
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to
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dichloromethane and dried under vacuum.
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Synthesis of resin-cRGD-Linker-Glu-NH2: To resin-cRGD-Linker-NH2 (1.0 g, 0.5
160
mmol) in 5 mL of DMF were added Fmoc-Glu(OtBu)-OH (0.32 g, 0.75 mmol),
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HBTU (0.38 g, 0.1 mmol), HOBt (0.1 g, 0.75 mmol) and DIPEA (0.26 g, 2 mmol).
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The mixture was agitated for 5 h and was washed with DMF and dichloromethane.
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The Fmoc group was then removed with 20% piperidine in DMF, followed by
164
washing and drying under a vacuum, to produce resin-cRGD-Linker-Glu-NH2.
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Synthesis of RGD-L-Pyro 1: Resin-cRGD-Linker-NH2 (18.6 mg, 0.0093 mmol) was
166
suspended in DMF (1.0 mL) for 15 minutes before adding a mixture of Pyro (10.0 mg,
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0.018 mmol), EDC (5.4 mg, 0.028 mmol), HOBt (5.1 mg, 0.037 mmol) and DIPEA
168
(15.5 µL, 0.09 mmol) in 200 µL of DMF. The mixture was shaken overnight at room
169
temperature and was washed with DMF and dichloromethane. Cleavage and
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de-protection were performed by treatment of the dried resin with 200 µL of cleavage
171
solution (TFA/Tis/water = 95:2.5:2.5) for 40 minutes at room temperature. The
172
product was precipitated and washed four times with ether (2.0 mL) and then was
173
dried under reduced pressure to produce RGD-L-Pyro 1 (7.8 mg, 58.4%) after HPLC
174
purification.
afford
resin-cRGD-Linker-NH2,
after
being
washed
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Synthesis of RGD-L-Glu-Pyro 2: Resin-RGD-Linker-Glu-NH2 (18.6 mg, 0.0093
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mmol) was suspended in DMF (1.0 mL) for 15 minutes before adding a mixture of
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Pyro (10.0 mg, 0.018 mmol), EDC (5.4 mg, 0.028 mmol), HOBt (5.1 mg, 0.037 mmol)
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and DIPEA (15.5 µL, 0.09 mmol) in 200 µL of DMF. The mixture was shaken
179
overnight at room temperature and was washed with DMF and dichloromethane.
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Cleavage and de-protection were performed by treatment of the dried resin with 200
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µL of cleavage solution (TFA/Tis/water = 95:2.5:2.5) for 40 minutes at room
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temperature. The product was precipitated and washed four times with ether (2.0 mL)
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and was dried under reduced pressure to produce RGD-L-Glu-Pyro 2 (8.3 mg, 57.0%)
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after HPLC purification.
185 186
2.5 Photophysical and photochemical properties
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The spectroscopic properties of RGD-L-Pyro 1, RGD-L-Glu-Pyro 2 and free Pyro
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were measured according to our published procedures.36 Absorption spectra were
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recorded from 500 nm to 800 nm. Fluorescence excitation and emission spectra were
190
recorded from 500 to 800 nm upon emission at 680 nm and excitation at 670 nm using
191
a Hitachi Model F-4500 FL spectrophotometer (Tokyo, Japan). The singlet oxygen
192
quantum yield (Φ∆) of RGD-L-Pyro 1 and RGD-L-Glu-Pyro 2 was measured using
193
the singlet oxygen quencher DPBF in DMF with Pyro as a reference according to our
194
published procedure.36
195 196
2.6 In vitro photodynamic activities as determined by the MTT assay
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The in vitro PDT activities of the conjugates to αvβ3 over-expressing cancer cells were
198
investigated using αvβ3-high expression cell lines (human glioblastoma U87-MG cells,
199
human prostate carcinoma PC3 cells, and mouse breast carcinoma 4T1 cells), with
200
human epidermoid carcinoma A431 cells that have low expression of αvβ3 receptors
201
selected as a negative control. The cancer cells were seeded at a density of 5000 cells
202
per well in a 96-well plate and were cultured for 24 h in a standard humidified cell
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culture incubator (37 °C, 5% CO2) prior to PDT. Next, the cells were incubated with
204
different concentrations of the conjugates for 4 h, followed by illumination with a
205
660-nm laser (40 mW/cm2, 10 min) or incubation in the dark as controls. Four hours
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later,
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(3-[4,5-dimethyl-2-thiazolyl]-2,5-diphenyl-2-H-tetrazolium
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concentration of 0.5 mg/mL) was added, and then, the cells were cultured for another
209
4 hours. Subsequently, the resulting methylenezine crystal was dissolved with 100
210
microliters of dimethyl sulfoxide (DMSO), and the absorbance was measured at 490
211
nm. The dark toxicity test was the same as that of the above operation, except that it
212
was not illuminated. EC50 (concentration at which cell viability was decreased by
213
50%) values were calculated using GraphPad Prism software (GraphPad Software
214
Inc., San Diego, CA, USA).
100
µL
of
fresh
culture
medium
supplemented
with
bromide,
MTT final
215 216
2.7 Competitive inhibition assay
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Approximately 1× 104 PC3 cells per well were plated in a 96-well plate for 24 hours.
218
The cells were pre-incubated with 1.0 mM unmodified cRGD peptide for 2 hours.
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Next, different concentrations of conjugates or free Pyro were added in the 96-well
220
plate. Four hours later, the plates were irradiated with 660-nm light (40 mW/cm2, 10
221
min). After 24 h, MTT was added. The subsequent operation was the same as that
222
described in the in vitro photodynamic activity assay.
223 224
2.8 Confocal microscopy
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Confocal microscopy was used to monitor the cellular binding and distribution of the
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conjugates RGD-L-Pyro 1, RGD-L-Glu-Pyro 2 and free Pyro. PC3 cells were seeded
227
in a 24-well plate paved with sterile coverslips at a density of 5×104 cells/well. After
228
overnight culture, the conjugates were added to a final concentration of 1.0 µM in a
229
regular growth medium, and the cells were incubated under standard conditions for an
230
additional 4 hours. For the competition experiments, the cells were preincubated at
231
37 °C for 2 h with a 1000-fold excess (1.0 mM) of unmodified cRGD peptide before
232
addition of the conjugates. After paraformaldehyde fixation, nuclei were stained with
233
DAPI (blue fluorescence). Then the cells were washed three times with PBS buffer
234
and observed using a Leica TCS SP8 Confocal Microscope (Leica, Wetzlar,
235
Germany).
236 237
2.9 In vivo NIR optical imaging.
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Male or female BALB/c nude mice (7-8 weeks of age) received subcutaneous
239
implants consisting of 4×106 U87-MG cells, PC3 cells or A431 cells in their right
240
back. When the tumor volumes reached up to 100 mm3, the mice were divided into
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three groups, with each group injected with the conjugates RGD-L-Pyro 1,
242
RGD-L-Glu-Pyro 2 or free Pyro at a dose of 30 nmol per mouse via the tail vein. In
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vivo fluorescence analysis was performed before and after the injection at various
244
time points using the IVIS Lumina Imaging system (IVIS Lumina II, Xenogen, USA)
245
with a Cy5.5 filter (excitation: 615–665 nm, emission: 695–770 nm). If the organs
246
were imaged, the mice were euthanized at 24 h post-injection, and the tumor grafts
247
were collected for the acquisition of fluorescence images.
248 249
2.10 In vivo antitumor activity
250
The antitumor effect was verified by xenografts in nude mice. Each nude mouse was
251
subcutaneously inoculated with 4×106 PC3 cells in the right back. When the tumors
252
reached an average of approximately 100 mm3, the mice were randomly divided into
253
two groups (4 mice per group). The experimental group was administered
254
intravenously with RGD-L-Glu-Pyro 2 (30 nmol per mouse), followed by irradiation
255
(200 mW/cm2, 670 nm, 15 min) 3 hours after the injection. The control group was
256
injected with PBS similarly, followed by the same irradiation 3 hours after the
257
injection. The animals were monitored for the tumor volume and body weight for 60
258
days sequentially or until the tumor size reached 1000 mm3. The tumor size was
259
monitored every two days using a digital caliper, and tumor volumes were calculated
260
according to the formula: tumor volume (mm3) = length×(width)2/2. To observe the
261
treatment of the mice visually, the mice were imaged every two days.
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2.11 Statistical analysis
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All data are expressed as the means ± standard error of the mean (SEM), and the
265
differences were determined by Student’s t-test. P