Breast cancer is a commonly diagnosed cancer among women in the United States. It is estimated that 230,480 women were diagnosed with, and 39,520 women died from, breast cancer in 2011 in the United States.
1 Basal-like breast cancer accounts for 15% of all breast cancers and has a poor prognosis. The majority of these cancers are referred to as triple-negative breast cancers because they do not over express estrogen receptor, progesterone receptor, or human epidermal growth factor receptor 2.
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3 Chemotherapy is an effective option to treat such cancers; however, chemotherapy is always associated with several sets of side effects.
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7 To overcome/avoid issues with side effects, natural compounds which are used as daily food ingredients may be an alternative option.
Among many food ingredients, curcumin (CUR), a natural diphenol extracted from the ground rhizomes of
Curcuma longa, possesses a number of potentially beneficial biological characteristics including anticancer and chemoprevention properties.
8 MDA-MB-231 cancer cells are one example of a triple-negative breast cancer and are highly metastatic in nature. CUR can effectively upregulate p53, p21, and p27 and downregulate cyclin E; thus, cell cycle arrest occurs at the G1 phase in these cancer cells.
9 CUR also decreases cell viability and anchorage independency of MDA-MB-231 cancer cells by induction of apoptosis and inhibits constitutive STAT3 signaling.
10 Another study confirmed that CUR enhances cellular localization and phosphorylation, induces DNA damage and modulates BRCA1 in triple-negative breast cancer cells.
11 Additionally, synergistic antiproliferation effects of CUR were observed when used in conjunction with chemotherapeutic drugs or radiation.
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14 A recent review article suggests the specific role of CUR towards cancer cells versus normal cells.
15 Specifically, CUR does not show significant toxicity towards normal human cells. However, successful implementation of CUR into the clinical arena must overcome issues related to its solubility, degradation in physiological medium, and rapid metabolism.
16 This can be achieved through advanced drug delivery systems.
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17 Recent studies demonstrate CUR entrapped or encapsulated in nanocarriers, such as polymer nanoparticles, nanoassemblies, and self-assemblies, can enhance internalization/localization and thus induce cytotoxicity and apoptosis in cancer cells.
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22 Similarly, CUR nanoformulations (nanomedicine of CUR) based on conjugate, emulsion, lipid, polymer, and gel nanoparticles have been proposed for improving therapeutic benefits and sensitization for chemotherapy and radiation.
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23Magnetic nanoparticles (MNPs; mostly iron oxide nanoparticles) are widely used in various medical applications. MNPs have been utilized as nanocarriers for drugs, contrast imaging agents in magnetic resonance imaging (MRI), in local hyperthermia, and magnetic targeting.
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25 However, high aggregation of MNPs is a common problem. High surface-to-volume ratios and van der Waals forces trigger opsonization and therefore, present a major obstacle for biomedical applications. This phenomenon can be altered by engineering the surface of the MNPs through various stabilizer coatings including surfactants and synthetic and natural polymers.
25 Additionally, some reports suggest that some polymer coatings on the surface of MNPs can change the contrast imaging properties appropriate for both T
1 and T
2 imaging.
26Advances in cancer nanotechnology increase the use of novel therapeutic strategies such as nanotheranostics, which utilize individualized diagnostic therapy.
27 The interest here was to develop a magnetic nanoformulation without compromising its basic imaging and drug delivery characteristics. To date, a wide variety of modalities have been formulated with MNP platforms that contribute not only to drug delivery but also exhibit photothermal therapy, thermosensitive chemotherapy, and visible/luminescence/near infrared/multimodal imaging.
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29 Such nanoformulation applicability relies on the design and stabilizer coatings which provide biocompatibility, high therapeutic drug loading capability, stability in biological milieu, and proper intracellular uptake by cancer cells. Crosslinked dextran-coated MNPs are recognized as an example of a nanoplatform with multiple functions.
30 The engineered structure of this formulation maintains a targeting feature and diagnostic imaging properties for MRI, optical, and positron emission tomography modalities. Many important formulations have been developed and the iron oxide nanocore stabilized with a double layer coating has frequently proved to be feasible for theranostic purposes.
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32 However, these formulations usually exhibit a higher hydrodynamic diameter in aqueous medium (≥250 nm) which limits their use as efficient therapeutic carriers for medicinal applications. Therefore, herein, a rationally designed MNP with improved features was developed. This formulation was composed of an iron oxide core coated with β-cyclodextrin (CD) and pluronic F68 polymer (polyethylene oxide-co-polypropylene oxide-co-polyethylene oxide) that allows loading of anticancer drugs (in this study, CUR). This formulation was examined for its anticancer properties, magnetic targeting, and MRI in triple-negative breast cancer (MDA-MB-231) cells.