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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2013.2175</article-id>
<article-id pub-id-type="publisher-id">ijo-44-01-0238</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Curcumin-loaded nanoparticles enhance apoptotic cell death of U2OS human osteosarcoma cells through the Akt-Bad signaling pathway</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>PENG</surname><given-names>SHU-FEN</given-names></name><xref rid="af1-ijo-44-01-0238" ref-type="aff"><sup>1</sup></xref><xref rid="fn1-ijo-44-01-0238" ref-type="fn"><sup>&#x0002A;</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>LEE</surname><given-names>CHAO-YING</given-names></name><xref rid="af3-ijo-44-01-0238" ref-type="aff"><sup>3</sup></xref><xref rid="fn1-ijo-44-01-0238" ref-type="fn"><sup>&#x0002A;</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>HOUR</surname><given-names>MANN-JEN</given-names></name><xref rid="af3-ijo-44-01-0238" ref-type="aff"><sup>3</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>TSAI</surname><given-names>SHIH-CHANG</given-names></name><xref rid="af1-ijo-44-01-0238" ref-type="aff"><sup>1</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>KUO</surname><given-names>DAIH-HUANG</given-names></name><xref rid="af4-ijo-44-01-0238" ref-type="aff"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>FU-AN</given-names></name><xref rid="af4-ijo-44-01-0238" ref-type="aff"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>SHIEH</surname><given-names>PO-CHUEN</given-names></name><xref rid="af4-ijo-44-01-0238" ref-type="aff"><sup>4</sup></xref></contrib>
<contrib contrib-type="author">
<name><surname>YANG</surname><given-names>JAI-SING</given-names></name><xref rid="af2-ijo-44-01-0238" ref-type="aff"><sup>2</sup></xref><xref ref-type="corresp" rid="c1-ijo-44-01-0238"/></contrib></contrib-group>
<aff id="af1-ijo-44-01-0238">
<label>1</label>Departments of Biological Science and Technology, China Medical University, Taichung 404;</aff>
<aff id="af2-ijo-44-01-0238">
<label>2</label>Pharmacology, China Medical University, Taichung 404;</aff>
<aff id="af3-ijo-44-01-0238">
<label>3</label>School of Pharmacy, China Medical University, Taichung 404;</aff>
<aff id="af4-ijo-44-01-0238">
<label>4</label>Department of Pharmacy and Graduate Institute of Pharmaceutical Technology, Tajen University, Pingtung, Taiwan, R.O.C.</aff>
<author-notes>
<corresp id="c1-ijo-44-01-0238">Correspondence to: Dr Jai-Sing Yang, Department of Pharmacology, China Medical University, No. 91 Hsueh-Shih Road, Taichung 40402, Taiwan, R.O.C., E-mail: <email>jaising@mail.cmu.edu.tw</email></corresp><fn id="fn1-ijo-44-01-0238" fn-type="equal">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="collection">
<month>01</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>14</day>
<month>11</month>
<year>2013</year></pub-date>
<volume>44</volume>
<issue>1</issue>
<fpage>238</fpage>
<lpage>246</lpage>
<history>
<date date-type="received">
<day>23</day>
<month>08</month>
<year>2013</year></date>
<date date-type="accepted">
<day>07</day>
<month>10</month>
<year>2013</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Curcumin has potential anticancer activity and has been shown to be involved in several signaling pathways including differentiation and apoptosis. Our previous study showed that water-soluble PLGA curcumin nanoparticles (Cur-NPs) triggered apoptotic cell death through regulation of the function of MDR1 and the production of reactive oxygen species (ROS) in cisplatin-resistant human oral cancer CAR cells. In this study, we investigated the anti-proliferative effects of Cur-NPs on human osteosarcoma U2OS cells. The morphology of Cur-NPs showed spherical shape by TEM analysis. The encapsulation efficiency of curcumin in Cur-NPs prepared by single emulsion was 90.5&#x000B1;3.0&#x00025;. Our results demonstrated that the curcumin fragments on the mass spectrum of Cur-NPs and the peaks of curcumin standard could be found on the Cur-NPs spectrum by <sup>1</sup>H-NMR spectra analysis. Cur-NPs induced anti-proliferative effects and apoptosis in U2OS cells. Compared to the untreated U2OS cells, more detectable amount of Cur-NPs was found inside the treated U2OS cells. Cur-NPs induced DNA fragmentation and apoptotic bodies in U2OS cells. Both the activity and the expression levels of caspases-3/-7 and caspase-9 were elevated in the treated U2OS cells. Cur-NPs upregulated the protein expression levels of cleaved caspase-3/caspase-9, cytochrome <italic>c</italic>, Apaf-1 and Bad and downregulated the protein expression level of p-Akt in U2OS cells. These results suggest Cur-NPs are effective in enhancing apoptosis in human osteosarcoma cells and thus could provide potential for cancer therapeutics.</p></abstract>
<kwd-group>
<kwd>curcumin nanoparticles</kwd>
<kwd>apoptosis</kwd>
<kwd>Akt</kwd>
<kwd>Bad</kwd>
<kwd>human osteosarcoma U2OS cells</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Osteosarcoma is one of the common primary malignant bone tumor diagnosed in children and teenagers (<xref rid="b1-ijo-44-01-0238" ref-type="bibr">1</xref>,<xref rid="b2-ijo-44-01-0238" ref-type="bibr">2</xref>). Current chemotherapy regimens of osteosarcoma are based on a combination of doxorubicin, methotrexate (MTX) and cisplatin (<xref rid="b3-ijo-44-01-0238" ref-type="bibr">3</xref>&#x02013;<xref rid="b6-ijo-44-01-0238" ref-type="bibr">6</xref>). Only 50&#x02013;60&#x00025; of tumors are chemosensitive, demonstrating the dismal outcome that occurs far too often in osteosarcoma (<xref rid="b7-ijo-44-01-0238" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-ijo-44-01-0238" ref-type="bibr">9</xref>). One potential strategy to overcome known chemotherapy agents in osteosarcoma is to seek out alternative anticancer agents, particularly those appearing from natural products or traditional Chinese medicine (TCM) (<xref rid="b10-ijo-44-01-0238" ref-type="bibr">10</xref>&#x02013;<xref rid="b13-ijo-44-01-0238" ref-type="bibr">13</xref>).</p>
<p>Curcumin is from the plant <italic>Curcuma longa</italic> (tumeric) and has been used in traditional Chinese medicine for thousands of years (<xref rid="b14-ijo-44-01-0238" ref-type="bibr">14</xref>&#x02013;<xref rid="b18-ijo-44-01-0238" ref-type="bibr">18</xref>). Many pharmacological effects have been reported including anti-amyloid, anti-bacterial, anti-depressant, anti-inflammatory, anti-oxidant and anticancer properties (<xref rid="b19-ijo-44-01-0238" ref-type="bibr">19</xref>&#x02013;<xref rid="b24-ijo-44-01-0238" ref-type="bibr">24</xref>). Curcumin has also been proven to affect multiple signaling pathways such as inhibiting cancer cell proliferation, inducing apoptosis or autophagy (<xref rid="b25-ijo-44-01-0238" ref-type="bibr">25</xref>&#x02013;<xref rid="b27-ijo-44-01-0238" ref-type="bibr">27</xref>), blocking cell invasion and migration (<xref rid="b28-ijo-44-01-0238" ref-type="bibr">28</xref>&#x02013;<xref rid="b31-ijo-44-01-0238" ref-type="bibr">31</xref>) and suppressing inflammatory responses (<xref rid="b19-ijo-44-01-0238" ref-type="bibr">19</xref>,<xref rid="b32-ijo-44-01-0238" ref-type="bibr">32</xref>&#x02013;<xref rid="b34-ijo-44-01-0238" ref-type="bibr">34</xref>). Phase II and III clinical trials with curcumin have advocated its use for patients with colon and pancreatic cancers (<xref rid="b35-ijo-44-01-0238" ref-type="bibr">35</xref>&#x02013;<xref rid="b41-ijo-44-01-0238" ref-type="bibr">41</xref>). The low water solubility contributed to the poor bioavailability is the primary limiting factor for the efficacy and safety of curcumin (<xref rid="b42-ijo-44-01-0238" ref-type="bibr">42</xref>&#x02013;<xref rid="b46-ijo-44-01-0238" ref-type="bibr">46</xref>). To improve the oral bioavailability of curcumin, we designed and developed Cur-NPs (PLGA nanoparticles loaded with curcumin) (<xref rid="f1-ijo-44-01-0238" ref-type="fig">Fig. 1A</xref>) (<xref rid="b42-ijo-44-01-0238" ref-type="bibr">42</xref>). The morphology of the Cur-NPs was examined by transmission electron microscopy. The produced Cur-NPs are spherical in shape with smooth surface (<xref rid="f1-ijo-44-01-0238" ref-type="fig">Fig. 1B</xref>). Our previous study showed that the Cur-NPs caused anti-proliferation effects on cisplatin-resistant human oral cancer CAR cells, but little cytotoxicity to the normal human gingival fibroblasts cells (HGF) and normal human oral keratinocyte cells (OK) (<xref rid="b42-ijo-44-01-0238" ref-type="bibr">42</xref>). The aims of this study were to characterize the properties of Cur-NPs and to investigate the molecular mechanisms triggered by Cur-NPs in human osteosarcoma U2OS cells.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Chemicals and reagents</title>
<p>Cisplatin, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), poly(D,L-lactide-co-glycolide) (PLGA, copolymer ratio 75:25, molecular weight &#x0003D; 66,000&#x02013;92,000), polyvinyl alcohol (PVA, average molecular weight &#x0003D; 30,000&#x02013;70,000) and curcumin were purchased from Sigma-Aldrich Corp. (St. Louis, MO, USA). Fetal bovine serum (FBS), L-glutamine, penicillin G and trypsin-EDTA were obtained from Life Technologies (Carlsbad, CA, USA). Caspase-3/-7 and caspase-9 activity assay kits were purchased from R&#x00026;D Systems Inc. (Minneapolis, MN, USA). The primary antibodies against caspase-3, caspase-9, Apaf-1, cytochrome <italic>c</italic>, AKT, p-AKT and BAD were obtained from Cell Signaling Technology Inc. (Beverly, MA, USA). All other antibodies used in this study and horseradish peroxidase (HRP)-conjugated secondary antibodies against rabbit or mouse immunoglobulin were purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA, USA). The enhanced chemiluminescence (ECL) detection kit (Immobilon Western Chemiluminescent HRP Substrate) was obtained from Merck Millipore (Billerica, MA, USA).</p></sec>
<sec>
<title>Cell culture</title>
<p>Human osteosarcoma U2OS cell line was obtained from the Food Industry Research and Development Institute (Hsinchu, Taiwan). Cells were maintained at 37&#x000B0;C under a humidified 5&#x00025; CO<sub>2</sub> atmosphere in 90&#x00025; McCoy&#x02019;s 5a medium (Invitrogen Life Technologist, Grand Island, NY, USA) containing 2 mM L-glutamine, 10&#x00025; fetal bovine serum (Life Technologies) and 1&#x00025; penicillin-streptomycin (100 U/ml penicillin and 100 <italic>&#x003BC;</italic>g/ml streptomycin) (Life Technologies) (<xref rid="b47-ijo-44-01-0238" ref-type="bibr">47</xref>&#x02013;<xref rid="b50-ijo-44-01-0238" ref-type="bibr">50</xref>).</p></sec>
<sec>
<title>Curcumin loaded nanoparticles</title>
<p>Curcumin-loaded PLGA nanoparticles (Cur-NPs) were prepared by using single emulsion solvent evaporation method. Cucurmin (1 mg) and PLGA (10 mg) were dissolved in dichloromethane. The curcumin and PLGA solution (1 ml) was added to 2 ml of 10&#x00025; (w/v) PVA surfactant solution to form an oil-in-water emulsion by sonication. The emulsion was carried out by setting sonication at 55 W of energy output for 3 min over an ice bath. The formed emulsion was dispersed by dropping into the 0.5&#x00025; (w/v) PVA solution and stirred for an additional 4 h at room temperature on a magnetic stir plate to allow evaporation of organic solvent. Nanoparticles were collected by centrifugation at 12,000 rpm for 30 min and washed twice with double distilled water to remove PVA and un-encapsulated curcumin. The prepared nanoparticles were collected and lyophilized (<xref rid="b42-ijo-44-01-0238" ref-type="bibr">42</xref>).</p></sec>
<sec>
<title>Size, polydispersity index (PDI) and encapsulation efficiency</title>
<p>The size and the polydispersity of prepared nanoparticles (PLGA-NPs and Cur-NPs) were measured using DLS (Zetasizer Nano ZS, 3000HS, Malvern Instruments Ltd., Worcestershire, UK). To determine the encapsulation efficiency in Cur-NPs before freeze-drying, the amount of non-encapsulated curcumin was measured the absorption value of OD<sub>450 nm</sub> by ELISA reader. The encapsulation efficiency was calculated by &#x0005B;(Total amount of curcumin- non-encapsulated curcumin)/Total amount of curcumin&#x0005D; &#x000D7; 100&#x00025; (<xref rid="b51-ijo-44-01-0238" ref-type="bibr">51</xref>).</p></sec>
<sec>
<title>Transmission electron microscopy (TEM) observation</title>
<p>The morphology of test nanoparticles was examined by TEM (Jeol, Tokyo, Japan). A dilute suspension of nanoparticles (1/10 dilution) was prepared in double distilled water. One drop of this solution was placed on the TEM grid for 10 min, washed twice with double distilled water and allowed to dry overnight. The images were observed and captured at an accelerating voltage of 120 kV under a microscope (<xref rid="b42-ijo-44-01-0238" ref-type="bibr">42</xref>).</p></sec>
<sec>
<title>NMR and mass spectra</title>
<p>NMR spectra were obtained on a Bruker 500 MHz FT-NMR (model: Avance III DPX-500) spectrometer in CDCl3. The following abbreviations are used: s, singlet; d, doublet; m, multiplet. Mass spectra were measured with a Finnigan/Thermo Quest MAT 95XL instrument (<xref rid="b52-ijo-44-01-0238" ref-type="bibr">52</xref>,<xref rid="b53-ijo-44-01-0238" ref-type="bibr">53</xref>).</p></sec>
<sec>
<title>Cell viability and apoptotic morphological features</title>
<p>The cell viability was assessed by the MTT assay. The U2OS cells were cultured in a 96-well plate at the density of 1&#x000D7;10<sup>4</sup> cells per well and were incubated with 0, 0.25, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 24 and 48 h. Then, culture medium containing 500 <italic>&#x003BC;</italic>g/ml MTT was added to each well and incubated at 37&#x000B0;C for 4 h. After incubation, the supernatant was removed. The formed blue formazan crystals in viable U2OS cells were dissolved with isopropanol/0.04 N HCl, followed by measurement of the absorbance of each well at 570 nm with the ELISA reader. All experiments were performed in triplicate. The morphological examination in Cur-NPs-treated U2OS cells was determined under a phase-contrast microscope (<xref rid="b50-ijo-44-01-0238" ref-type="bibr">50</xref>).</p></sec>
<sec>
<title>Internalization of curcumin</title>
<p>To track the internalization of Cur-NPs, U2OS cells (1&#x000D7;10<sup>6</sup>) were seeded on 6-well plates and incubated overnight. Subsequently, cells were treated with 1 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 24 h. Finally, cells were washed with PBS twice and the internalized curcumin particles were observed under a fluorescence microscope with the filter of 488-nm excitation wavelength and 520-nm emission (<xref rid="b27-ijo-44-01-0238" ref-type="bibr">27</xref>).</p></sec>
<sec>
<title>DNA fragmentation assay</title>
<p>The U2OS cells (1&#x000D7;10<sup>7</sup>) were exposed to 1 <italic>&#x003BC;</italic>g/ml Cur-NPs for 48 h. Cells were harvested, washed by PBS and then lysed in 500 <italic>&#x003BC;</italic>l lysis buffer at 4&#x000B0;C. The lysed cells were digested overnight with proteinase K (100 <italic>&#x003BC;</italic>g/ml) at 50&#x000B0;C followed by incubation with 50 <italic>&#x003BC;</italic>g/ml RNase A at 37&#x000B0;C for 1 h. DNA fragments were extracted twice with phenol/chloroform/isopropanol (24:25:1; v/v/v) and precipitated with 50&#x00025; isopropanol with glycogen (20 <italic>&#x003BC;</italic>g/ml) before being re-suspended in 100 <italic>&#x003BC;</italic>l Tris-EDTA (TE) buffer (Amresco Inc., Solon, OH, USA). Samples were electrophoresed on 1.8&#x00025; (w/v) agarose gel (Sigma-Aldrich Corp.) in 0.5X TBE buffer (Amresco Inc.) and DNA was stained with 1 <italic>&#x003BC;</italic>g/ml ethidium bromide (Life Technologies). The gel was observed and photographed under a UV lamp (<xref rid="b54-ijo-44-01-0238" ref-type="bibr">54</xref>,<xref rid="b55-ijo-44-01-0238" ref-type="bibr">55</xref>).</p></sec>
<sec>
<title>Western blot analysis</title>
<p>The U2OS cells (1&#x000D7;10<sup>7</sup>) were treated with 0, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 12 or 48 h. Cells were then harvested, lysed and the total proteins were collected by SDS sample buffer. Approximately 50 <italic>&#x003BC;</italic>g of proteins from each treatment were resolved on 10&#x00025; SDS-polyacrylamide gel electrophoresis (PAGE) and electro-transferred to the Immobilon-P Transfer Membrane (Merck Millipore). The transferred membranes were blocked with 5&#x00025; non-fat dry milk in 20 mM Tris-buffered saline/0.05&#x00025; Tween-20 for 1 h at room temperature followed by incubation with appropriate primary antibodies at 4&#x000B0;C overnight. At the end of incubation, membranes were washed with Tris-buffered saline/Tween-20 and incubated with secondary antibodies conjugated with HRP. The blots were developed by the chemiluminescence kit and then exposed to X-ray film. Each membrane was stripped and reprobed with anti-&#x003B2;-actin antibody (Sigma-Aldrich Corp.) to ensure equal protein loading during the experiments (<xref rid="b47-ijo-44-01-0238" ref-type="bibr">47</xref>,<xref rid="b56-ijo-44-01-0238" ref-type="bibr">56</xref>,<xref rid="b57-ijo-44-01-0238" ref-type="bibr">57</xref>).</p></sec>
<sec>
<title>Assays for caspase-3/-7 and caspase-9 activities</title>
<p>The U2OS cells (1&#x000D7;10<sup>7</sup>) were exposed to 1 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 0, 12, 24, 36 and 48 h. Subsequently, cells were harvested, and cell lysates were assessed in accordance with the manufacturer&#x02019;s instructions provided in the caspase-3/-7 and caspase-9 colorimetric assay kits (R&#x00026;D System Inc.). Cell lysate containing 50 <italic>&#x003BC;</italic>g proteins were then incubated for 1 h at 37&#x000B0;C with specific caspase-3/-7 substrate (DEVD-pNA) or caspase-9 substrate (LEHD-pNA) and determined by measuring OD<sub>405</sub> of the released pNA (<xref rid="b58-ijo-44-01-0238" ref-type="bibr">58</xref>&#x02013;<xref rid="b60-ijo-44-01-0238" ref-type="bibr">60</xref>).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All the statistical results are performed as the mean &#x000B1; standard error of the mean (SEM) for the indicated numbers of independent experiments. Statistical analyses of data were done using one-way ANOVA followed by Student&#x02019;s t-test and the levels of P&#x0003C;0.001 was considered significant between the treated and untreated group (<xref rid="b61-ijo-44-01-0238" ref-type="bibr">61</xref>).</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Characterization of Cur-NPs</title>
<p>In order to improve the application of curcumin, curcumin was encapsulated by PLGA to form curcumin-loaded PLGA nanoparticles (Cur-NPs) by single emulsion method (<xref rid="f1-ijo-44-01-0238" ref-type="fig">Fig. 1A</xref>). The nanoparticle form of curcumin exhibited good water-solubility and formed a transparent solution while dissolving in water. TEM was used to examine the morphology of the Cur-NPs. As shown, the Cur-NPs showed spherical shape (<xref rid="f1-ijo-44-01-0238" ref-type="fig">Fig. 1B</xref>). The size distribution of Cur-NPs in aqueous solution was measured by DLS. As shown in <xref rid="f2-ijo-44-01-0238" ref-type="fig">Fig. 2A</xref>, the size of Cur-NPs is &#x0223C;250 nm, similar to the curcumin-empty PLGA-NPs. Both nanoparticles showed small polydispersity index (PDI) (<xref rid="f2-ijo-44-01-0238" ref-type="fig">Fig. 2A</xref>), indicating their homogeneous size distribution (<xref rid="f2-ijo-44-01-0238" ref-type="fig">Fig. 2B</xref>). The encapsulation efficiency of curcumin in Cur-NPs prepared by single emulsion was 90.5&#x000B1;3.0&#x00025; (<xref rid="f2-ijo-44-01-0238" ref-type="fig">Fig. 2A</xref>).</p>
<p>In order to confirm that curcumin was unaffected after nano-technologization, mass (MS) spectroscopy of curcumin and Cur-NPs were performed and we found the curcumin fragments on MS spectrum of Cur-NPs (<xref rid="f3-ijo-44-01-0238" ref-type="fig">Fig. 3</xref>). Furthermore, the proton nuclear magnetic resonance (<sup>1</sup>H-NMR) spectroscopy was used to obtain the <sup>1</sup>H-NMR spectra of PLGA-NPs &#x0005B;poly(lactic-co-glycolic acid) nanoparticles&#x0005D;, curcumin standard and Cur-NPs (<xref rid="f4-ijo-44-01-0238" ref-type="fig">Fig. 4</xref>). Comparing <xref rid="f4-ijo-44-01-0238" ref-type="fig">Fig. 4A and B</xref>, all the peaks of curcumin standard (<xref rid="f4-ijo-44-01-0238" ref-type="fig">Fig. 4A</xref>) could be found on the Cur-NPs spectrum (<xref rid="f4-ijo-44-01-0238" ref-type="fig">Fig. 4B</xref>) with identical chemical shifts and integration. Besides the peaks of curcumin, there were some other peaks, &#x003B4;1.58&#x02013;1.62 (354H, m), 4.66&#x02013;4.93 (58H, m) and 5.17&#x02013;5.27 (89H, m), on the Cur-NPs spectrum. The chemical shifts and integration ratio (&#x0223C;4:0.6:1) of these additional peaks are identical with that of PLGA NPs, &#x003B4;1.58&#x02013;1.62 (4H, m), 4.63&#x02013;4.93 (0.6H, m) and 5.17&#x02013;5.27 (1H, m). From the careful inspections of spectral data described above, curcumin was constant and unaffected by nano-technologization.</p></sec>
<sec>
<title>Cur-NPs reduce the viability of human osteosarcoma U2OS cells</title>
<p>The U2OS cells were treated with Cur-NPs (0, 0.25, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml) for 24 and 48 h. The cells were collected and the cell viability was determined using MTT assay. Our results showed that the concentrations of 0.25, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml Cur-NPs significantly decreased cell viability in U2OS cells concentration- and time-dependently (<xref rid="f5-ijo-44-01-0238" ref-type="fig">Fig. 5A</xref>). Cellular uptake of Cur-NPs was visualized by green fluorescence of curcumin using fluorescence microscopy (<xref rid="f5-ijo-44-01-0238" ref-type="fig">Fig. 5B</xref>). Intensified fluorescence was detected in the cytoplasm and nucleus of cells treated with Cur-NPs, suggesting the amount of curcumin internalized into the cells. Our results demonstrated that Cur-NPs display the anti-human osteosarcoma U2OS cells <italic>in vitro</italic>.</p></sec>
<sec>
<title>Cur-NPs induce apoptosis in human osteosarcoma U2OS cells</title>
<p>After treatment with 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 48 h, <xref rid="f6-ijo-44-01-0238" ref-type="fig">Fig. 6A</xref> revealed apoptotic bodies in Cur-NPs-treated U2OS cells and this effect is concentration-dependent. Further results are demonstrated in <xref rid="f6-ijo-44-01-0238" ref-type="fig">Fig. 6B</xref>, which indicated that Cur-NPs induced DNA fragmentation in Cur-NPs-treated U2OS cells.</p></sec>
<sec>
<title>Cur-NPs trigger mitochondria-dependent apoptotic cell death in U2OS cells</title>
<p>To examine whether Cur-NPs induces apoptosis in U2OS cells, cells were treated with 1 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 0, 12, 24, 36 and 48 h before subjected to caspase-3/-7 and caspase-9 activities. Cur-NPs stimulated caspase-9 (<xref rid="f7-ijo-44-01-0238" ref-type="fig">Fig. 7A</xref>) and caspase-3/-7 (<xref rid="f7-ijo-44-01-0238" ref-type="fig">Fig. 7B</xref>) activities in Cur-NPs-treated U2OS cells and this effect is time-dependent. Based on these findings, we provide evidence regarding the intrinsic caspase contributing to Cur-NPs-induced apoptosis in U2OS cells.</p></sec>
<sec>
<title>Mitochondria-dependent and Akt-Bad signaling pathways were involved in Cur-NPs-induced apoptosis in U2OS cell apoptosis</title>
<p>We examined the effects of Cur-NPs on mitochondria-dependent and Akt-Bad signaling pathways in U2OS cells. The immunoblotting results showed that the protein level of p-Akt was decreased in Cur-NPs-treated U2OS cells (<xref rid="f8-ijo-44-01-0238" ref-type="fig">Fig. 8A</xref>). In contrast, the protein levels of cleaved caspase-3, cleaved caspase-9, cytochrome <italic>c</italic>, Apaf-1 and Bad were increased in Cur-NPs-treated U2OS cells (<xref rid="f8-ijo-44-01-0238" ref-type="fig">Fig. 8B</xref>). In conclusion, our data expand the current understanding of Cur-NPs treatment in U2OS cells on causing cell death through the mitochondrial-dependent caspase cascade and the Akt-Bad signaling <italic>in vitro</italic>.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>The study published by Yin <italic>et al</italic> demonstrated that Cur-NPs are effective in inhibiting the growth of human lung cancer and exhibited little toxicity to normal tissues in an established A549 xenograft mouse model (<xref rid="b42-ijo-44-01-0238" ref-type="bibr">42</xref>,<xref rid="b62-ijo-44-01-0238" ref-type="bibr">62</xref>). Our previous study also showed that the Cur-NPs used in our study caused anti-proliferation effects on CAR cells in a dose- and time-dependent manner but little cytotoxicity to the normal human gingival fibroblasts cells (HGF) and normal human oral keratinocyte cells (OK) (<xref rid="b29-ijo-44-01-0238" ref-type="bibr">29</xref>). This is the first study to investigate the anti-human osteosarcoma effects of Cur-NPs on human osteosarcoma U2OS cells. Our results showed that Cur-NPs inhibited U2OS cell proliferation (<xref rid="f5-ijo-44-01-0238" ref-type="fig">Fig. 5</xref>) and induced apoptotic cell death (<xref rid="f6-ijo-44-01-0238" ref-type="fig">Fig. 6</xref>) in a concentration- and time-dependent manner. The results in <xref rid="f7-ijo-44-01-0238" ref-type="fig">Fig. 7</xref> show Cur-NPs enhanced cell apoptosis through the activation of caspase-9 and caspase-3/-7 in U2OS cells. Our results suggested that Cur-NPs-induced apoptosis might be through the mitochondria-dependent signaling pathway, which has a connection with the activation of caspase-9 and -3.</p>
<p>Previous research has shown that mitochondrial-mediated apoptosis is regulated by the Bcl-2 family proteins (<xref rid="b63-ijo-44-01-0238" ref-type="bibr">63</xref>-<xref rid="b65-ijo-44-01-0238" ref-type="bibr">65</xref>). The Bcl-2 family includes pro-apoptotic proteins (Bax and Bad) and anti-apoptotic proteins (Bcl-2 and Bcl-xL) (<xref rid="b66-ijo-44-01-0238" ref-type="bibr">66</xref>-<xref rid="b70-ijo-44-01-0238" ref-type="bibr">70</xref>). The ratio of pro-apoptotic and anti-apoptotic proteins is thought to determine, at least in part, the susceptibility of cells to a death signal (<xref rid="b68-ijo-44-01-0238" ref-type="bibr">68</xref>,<xref rid="b69-ijo-44-01-0238" ref-type="bibr">69</xref>,<xref rid="b71-ijo-44-01-0238" ref-type="bibr">71</xref>). Previous studies have shown that the apoptotic stimuli can de-phosphorylate Bad and release Bad from the 14-3-3 protein (<xref rid="b72-ijo-44-01-0238" ref-type="bibr">72</xref>-<xref rid="b75-ijo-44-01-0238" ref-type="bibr">75</xref>). Thus, Bad will compete with Bcl-2/Bcl-xL in binding to Bax (<xref rid="b76-ijo-44-01-0238" ref-type="bibr">76</xref>&#x02013;<xref rid="b79-ijo-44-01-0238" ref-type="bibr">79</xref>). Previously, it was shown that functional Akt phosphorylated Bad at Ser136 to promote the stabilization of the mitochondrial membrane system and cell survival (<xref rid="b78-ijo-44-01-0238" ref-type="bibr">78</xref>,<xref rid="b80-ijo-44-01-0238" ref-type="bibr">80</xref>). Our results demonstrated that the protein level of p-AKT was decreased (<xref rid="f8-ijo-44-01-0238" ref-type="fig">Fig. 8A</xref>), while the protein levels of cleaved caspase-3, cleaved caspase-9, cytochrome <italic>c</italic>, Apaf-1 and BAD were increased in Cur-NPs-treated U2OS cells (<xref rid="f8-ijo-44-01-0238" ref-type="fig">Fig. 8B</xref>). The results suggest that Cur-NPs enhance apoptotic cell death of human osteosarcoma U2OS cells through the Akt-Bad signaling pathway.</p>
<p>In conclusion, Cur-NPs induce cell apoptosis in human osteosarcoma U2OS cells. The findings suggest that the major pharmacologic action of Cur-NPs is to trigger apoptotic cell death through activation of caspase-9 and caspase-3/-7 connected to mitochondria-dependent and Akt-Bad signaling pathway in U2OS cells (<xref rid="f9-ijo-44-01-0238" ref-type="fig">Fig. 9</xref>). Cur-NPs could be one of the potential compounds to be developed as a novel medicine against human osteosarcoma.</p></sec></body>
<back>
<ack>
<p>This study was supported by research grant from the China Medical University (CMU101-N2-07) to Dr Shu-Fen Peng.</p></ack>
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<sec sec-type="display-objects">
<title>Figures</title>
<fig id="f1-ijo-44-01-0238" position="float">
<label>Figure 1.</label>
<caption>
<p>(A) The schematic diagram of Cur-NPs preparation. The curcumin was encapsulated in the PLGA by single emulsion. (B) Morphology observation of Cur-NPs by TEM. The Cur-NPs show spherical shape.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g00.tif"/></fig>
<fig id="f2-ijo-44-01-0238" position="float">
<label>Figure 2.</label>
<caption>
<p>(A) The size and polydispersity index of PLGA-NPs and Cur-NPs measured by DLS. The encapsulation efficiency of both nanoparticles was determined by measuring the value of OD<sub>450 nm</sub>. (B) The size distribution of PLGA-NPs and Cur-NPs was measured by DLS.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g01.tif"/></fig>
<fig id="f3-ijo-44-01-0238" position="float">
<label>Figure 3.</label>
<caption>
<p>Mass spectra of curcumin (A) and Cur-NPs (B). The mass spectra of curcumin and Cur-NPs were determined as described in Materials and methods.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g02.tif"/></fig>
<fig id="f4-ijo-44-01-0238" position="float">
<label>Figure 4.</label>
<caption>
<p><sup>1</sup>H-NMR spectra of curcumin (A) and Cur-NPs (B). The <sup>1</sup>H-NMR spectra of curcumin and Cur-NPs were determined as described in Materials and methods.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g03.tif"/></fig>
<fig id="f5-ijo-44-01-0238" position="float">
<label>Figure 5.</label>
<caption>
<p>Effects of Cur-NPs on cell viability and cellular uptake in human osteosarcoma U2OS cells. (A) Effects of Cur-NPs on cell viability in U2OS cells for 24 and 48 h. Cells were incubated in the absence or presence of 0, 0.25, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 24 and 48 h. Cell viability on Cur-NPs-treated cells were determined using the MTT assay as described in Materials and methods. Data are presented as the mean &#x000B1; SEM in triplicate by comparing between the treated and untreated control cells. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 compared with the control value. (B) To track the internalization of Cur-NPs, U2OS cell were incubated without (control) or with Cur-NPs containing 2 <italic>&#x003BC;</italic>g/ml for 24 h. The internalized curcumin was observed under a fluorescence microscope with the filter of 488-nm excitation wavelength and 520-nm emission.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g04.tif"/></fig>
<fig id="f6-ijo-44-01-0238" position="float">
<label>Figure 6.</label>
<caption>
<p>Effects of Cur-NPs on cell morphology and DNA fragmentation in human osteosarcoma U2OS cells. (A) For morphological examination, U2OS cells were treated with 0, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 48 h. The morphological examination was determined under a phase-contrast microscope. (B) For DNA fragmentation assay, U2OS cells were treated with 0 and 1 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 48 h. Cells were harvested and then were measured for apoptosis by DNA gel electrophoresis as described in Materials and methods.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g05.tif"/></fig>
<fig id="f7-ijo-44-01-0238" position="float">
<label>Figure 7.</label>
<caption>
<p>Effects of caspase-9 (A) and caspase-3/-7 (B) activities on Cur-NPs-treated human osteosarcoma U2OS cells. Cells were treated with 1 <italic>&#x003BC;</italic>g/ml of Cur-NPs and then incubated for 24 h. The whole-cell lysates were subjected to caspase activity assay as described in Materials and methods. Each result is shown as the mean &#x000B1; SEM in triplicate by comparing between the treated and untreated control cells. <sup>&#x0002A;&#x0002A;&#x0002A;</sup>P&#x0003C;0.001 compared with the control value.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g06.tif"/></fig>
<fig id="f8-ijo-44-01-0238" position="float">
<label>Figure 8.</label>
<caption>
<p>Effects of Cur-NPs caused protein level change on mitochondria-dependent apoptosis and AKT-BAD signaling in human osteosarcoma U2OS cells. The U2OS cells were treated with 0, 0.5, 1 and 2 <italic>&#x003BC;</italic>g/ml of Cur-NPs for 0, 12 and 48 h then subjected to western blotting. The western blotting of (A) p-AKT, AKT and (B) BAD, cytochrome <italic>c</italic>, Apaf-1, caspase-3, caspase-9 protein levels in U2OS cells. The &#x003B2;-actin was detected for equivalent protein loading.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g07.tif"/></fig>
<fig id="f9-ijo-44-01-0238" position="float">
<label>Figure 9.</label>
<caption>
<p>Schematic diagram of Cur-NPs regulating the apoptotic signaling pathway in human osteosarcoma U2OS cells.</p></caption>
<graphic xlink:href="IJO-44-01-0238-g08.tif"/></fig></sec></back></article>
