Document Type : Original Articles
Authors
Department of Pharmacy Practice, K.K. College of Pharmacy, The Tamil Nadu Dr. M.G.R. Medical University, Chennai, India
Abstract
Keywords
Main Subjects
Cancer, a disease threatening human life, is caused by the disturbance of the normal cell cycle, which results in the spontaneous growth of normal and malignant cells, the lack of differentiation between the two, and consequently malignant growths (1). Chemotherapy, as one of the main therapies, is applied alone or with other approaches, such as surgery, immunotherapy, and radiotherapy (2). Nowadays, various synthetic agents are applied for cancer therapy; nevertheless, reports have confirmed that these chemical agents are associated with various adverse complications, such as harming normal cells and organs, suppressing bone marrow function, as well as causing gastrointestinal disorders and alopecia (3). Therefore, the discovery of new anti-cancer agents with high efficiency and minimal toxicity has been particularly noticed by researchers in recent years. Nanoparticles (NPs) with a size of 1-100 nm and different morphological structures displayed various therapeutic applications for the treatment of various diseases (4). Current chemical and physical approaches to the synthesis of NPs have shown some limitations in that they are time-consuming, highly toxic, and environmentally damaging (5). Currently, herbal extracts called “green synthesis” are widely applied to the synthesis of NPs since they are highly reliable, tolerable, and environmentally friendly (6, 7). Zinc (Zn), as one of the main elements in human health, is meaningfully complicated in the function of several enzymes, the synthesis of protein, DNA, and RNA, as well as the growth and proliferation of cells (8). Zn nanoparticles (ZnNPs), due to their unique properties, are broadly used for the treatment and prevention of various diseases, mainly cancer (9, 10). In recent years, in vitro and in vivo anticancer effects of ZnNPs have been reported against a wide range of cancer cells in the liver, lung, breast, and skin; however, the results have been variable due to factors such as the synthesis method, the type of study, and the type of cancer cell (11, 12). The Ehrlich tumor is well-known as a mice mammary adenocarcinoma, which is characterized as a solid model of the tumor to study the efficacy of novel anti-tumor drugs (13, 14). This experimental study was designed to assess the anti-tumor activities of green synthesized ZnNPs against the Ehrlich solid tumor (EST) in mice.
2.1. Green Synthesis of ZnNPs
ZnNPs were green synthesized using the precipitation technique with the Astragalus maximus aqueous (A. maximus) extract, based on the method described in previous studies (13, 14).
2.2. Characterization of ZnNPs
The surface plasmon resonance of ZnNPs was measured using a UV-vis spectrophotometer (Shimadzu UV2550, Japan) to check the alteration of the Ag ions to ZnNPs. The synthesis of NPs by the A. maximus extract was also confirmed by an X-ray diffraction (XRD, 2000 APD, Italy) analysis. Some physical characterizations of ZnNPs, such as size and shape, were evaluated by a scanning electron microscope (SEM) (Mira3, Czech).
2.3. Cell Culture
The Ehrlich ascites tumor cell line was prepared from the American Type Tissue Culture Collection (Manassas, USA), and the cells were adjusted into 2.5×106 cells/ml in sterile saline solution using a Neubauer hemocytometer (15).
2.4. Animals and Induction of EST in Mice
In total, 48 Balb/C mice aged 40-50 weeks with a body weight of 25-30 g were selected to induce the EST model. They were handled in line with the recommendations of the Guide for Care and Use of Laboratory Animals of the National Institutes of Health. To induce the EST model, 0.2 ml of cell suspension was intramuscularly injected into the right thigh of the mice (16).
2.5. Study Design
Five days post-injection (16), the mice were assigned to five groups (eight mice each), as follows (Suppl. 1): 1) EST mice treated with normal saline; 2) EST mice orally treated with ZnNPs 10 mg/kg/day for 14 days; 3) EST mice orally treated with ZnNPs 25 mg/kg/day for 14 days; 4) EST mice orally treated with ZnNPs 50 mg/kg/day (17) for 14 days; and 5) EST mice treated with cyclophosphamide (CYC) 50 mg/kg/day for three days (16).
2.5.1. Sample Collection
After treatment, all mice were euthanized with a mixture of ketamine (100 mg/kg) and xylazine (10 mg/kg). After that, blood samples were collected from their hearts and then centrifuged at 5000 rpm for 15 min to collect the era. Tumors were aseptically collected and weighed, and their size was documented (16).
2.6. Tumor Growth Inhibition
On day seven of therapy, the volume of tumor (VT) and the rate of tumor growth inhibition (TGI) were estimated by the Vernier caliper, according to previous studies (18).
2.7. Evaluating Tumor Markers
In this survey, the serum levels of alpha-fetoprotein (AFP) and carcinoembryonic antigen tumor (CAE) were assessed using the Mouse alpha Fetoprotein ELISA Kit (ab210969, abcam, USA) and Mouse CEA ELISA Kit (Elabscience, USA), based on the manufacturer’s protocols, respectively.
2.8. Evaluation of the Oxidative Stress Markers
Lipid Peroxidation (MDA) Assay Kit (Colorimetric/Fluorometric) (ab118970) and Nitric Oxide Assay Kit (ab272517) were used to assess the tissue level of malondialdehyde (MDA) and nitric oxide (NO) production as oxidative stress markers, based on the manufacturer’s protocols, respectively.
2.9. Evaluation of Antioxidant Enzymes
The levels of glutathione peroxidase (GPx) and superoxide dismutase enzyme activity (SOD) were determined using the Glutathione Peroxidase Assay Kit (Colorimetric) (ab102530) and Superoxide Dismutase Activity Assay Kit (Colorimetric) (ab65354), based on the manufacturer’s protocols, respectively.
2.10. Assessment of Anti-Inflammatory Cytokines
The level of tumor necrosis factor-alpha (TNF-α), as the main proinflammatory cytokine, was assessed by the Mouse TNF-α ELISA Kit (ab208348), based on the manufacturer’s protocols.
2.11. Statistical Analysis
The obtained data were analyzed using one-way ANOVA and t-tests in SPSS software (version 26.0). P<0.05 was considered statistically significant.
3.1. Characterization of Green Synthesized ZnNPs
The synthesis of ZnNPs was confirmed through the UV-vis spectral examination, with the absorption peak being in the range of 296 nm (Figure 1A). Using the XRD
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analysis, the peaks of 101, 201, 203, 300, and 112 were displayed at 26.3°, 37.1°, 46.3°, 53.9°, and 62.4°, respectively (Figure 1B). The results of the SEM analysis showed that green synthesized ZnNPs displayed a round appearance with various sizes ranging from 25 to 90 nm; however, the majority of these particles were in the size range of 45 to 55 nm (Figure 1C).
3.2. Evaluation of Body Weight
Following the treatment of EST mice with CYC and ZnNPs at 10-50 mg/kg, the body weight of the tested mice was markedly reduced (P<0.05), compared to the control group, which received normal saline (Figure 2). The maximum reduction in body weight was observed (P<0.05) in the mice treated with ZnNPs at 50 mg/kg.
3.3. Tumor Growth Inhibition
As shown in figure 3, after the treatment of EST mice with CYC and ZnNPs at 10, 25, and 50 mg/kg, the VT was dose-dependently reduced (P<0.05). The TGI values for ZnNPs at 10, 25, and 50 mg/kg were 42.4%, 54.3%, and 72.3%, respectively.
3.4. Level of Tumor Markers
The EST results showed a considerable increase in the serum amount of AFP and CEA, while after the treatment of EST mice with CYC and ZnNPs at 10, 25, and 50 mg/kg, the serum amount of AFP and CEA was dose-dependently decreased (P<0.05), compared to the control group, which received normal saline (Figure 4).
3.5. Evaluation of Oxidative Markers
The EST caused a significant increase in the MDA and NO, while after the treatment of EST mice with CYC and ZnNPs at 10, 25, and 50 mg/kg, MDA and NO values were markedly declined, compared to the control group, which received normal saline (Figure 5).
3.6. Evaluation of Antioxidant Markers
The EST caused a significant increase in GPx and SOD, whereas after the treatment of EST mice with CYC and ZnNPs at 10, 25, and 50 mg/kg, the levels of GPx and SOD were markedly increased (P<0.05) (Figure 6).
3.7. Evaluation of TNF-α level
As shown in figure 7, the inducement of EST caused a considerable rise in the TNF-α level; however, after the treatment of EST mice with CYC and ZnNPs at 10, 25, and 50 mg/kg, the TNF-α level was obviously reduced (P<0.05).
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Every year, 2.3 million new cases of breast cancer are reported in the world among adult women. Breast cancer is the first or second leading cause of female cancer deaths (19). Chemotherapy, as one of the main strategies for controlling cancer, is associated with various adverse complications, such as harming normal cells and organs, suppressing bone marrow function, as well as causing gastrointestinal disorders and alopecia (2, 3). This study aimed to assess the anti-tumor activities of green synthesized ZnNPs against the EST, a mice mammary adenocarcinoma, which is characterized as a solid model of the tumor to study the efficacy of novel anti-tumor drugs. The findings showed that ZnNPs had an absorption peak in the range of 296 nm. However, they displayed a round appearance with various sizes ranging from 25 to 90 nm, and most of these particles were in the size range of 45-55 nm. The size and morphology are the main factors affecting the stability and biological properties of synthesized NPs (6). The findings revealed that after the treatment of EST mice with CYC and ZnNPs at 10, 25, and 50 mg/kg, the VT and serum amounts of tumor markers (AFP and CEA) were dose-dependently reduced. It has been proven that NPs can be used in cancer therapy to cover active pharmaceutical agents and drugs and deliver them to the tumor location more efficiently (20). In recent years, several studies have been conducted on the anti-tumor effects of some organic and non-organic NPs, such as silver NPs, gold NPs, and polymeric NPs. However, their results have been different and sometimes contrasting due to factors including the synthesis approach, the way of use, and the type of NPs, which can affect their efficiency (21-23). Seyed et al. reported that zinc oxide-caffeic acid nanoparticles (ZnO-CA NPs) had potent in vitro anticancer effects on the human breast (MCF-7). The in vivo anticancer effects of ZnO-CA NPs against EST-bearing mice decreased vascular cell adhesion molecule 1 level by reducing the tumor size and the down-regulation of B-cell lymphoma 2 and nuclear factor kappa B gene expressions, leading to the downregulation of phosphorylated-extracellular-regulated kinase 1 and 2 protein expression, DNA fragmentation, and a recognizable peak at sub-G0/G1, indicating dead cells’ population in cancer tissues (24). Another study conducted by Ghanem showed that zinc oxide nanoparticles (ZnO NPs) and thymoquinone, alone or combined, displayed potent anticancer activity in EST by reducing tumor cell viability and ascites fluid volume, as well as the downregulation of Bcl2 protein expression, increasing Beclin 1 and INFγ, and decreasing IL-13 (25). These findings suggested that ZnNPs can control EST in mice, probably by triggering apoptosis and improving the immune system. Based on the results, ZnNPs at 10, 25, and 50 mg/kg markedly declined oxidative markers and increased the level of antioxidant enzymes (SOD and GPx), compared to the control group, which received normal saline. Considering the activity of ZnNPs on oxidant/antioxidant markers, Saddick et al. (2017) showed that ZnNPs significantly increased the mRNA expression of GST, GR, GPx, CAT, and SOD genes, yet markedly declined the mRNA expression of MDA in the brains of Oreochromis niloticus and Tilapia zillii (25). To conclude, this study reported the unveiling of the anti-tumor activity of ZnNPs green synthesized by the A. maximus extract, mainly at the dose of 50 mg/kg against EST in mice. However, further supplementary studies are required to clarify all the anti-tumor aspects of these NPs.