ENHANCED NIR RADIATION-TRIGGERED HYPERTHERMIA BY MITOCHONDRIAL TARGETING

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ENHANCED NIR RADIATION-TRIGGERED HYPERTHERMIA BY MITOCHONDRIAL TARGETING J. Am. Chem. Soc., 2015, 137, 3017-3023 Tanja Krainz Current Literature December 19, 2015

What is Hyperthermia? Hyperthermia (also called thermotherapy) is a type of cancer treatment in which body tissue is exposed to high temperatures up to 45 C (113 F) Local Hyperthermia (Thermal ablation): Very high temperatures can be used to destroy a small area of cells, such as a tumor (depending on location of tumor heat may be applied via needles or probes) Regional Hyperthermia : The temperature of a part of the body (limb or whole organ) can be raised a few degrees higher than normal. It helps other cancer treatments such as radiation, immunotherapy, or chemotherapy work better. Whole body Hyperthermia: Typically used to treat metastatic cancer. Temperature is being raised to 39-42 C (102-109F); sometimes even higher. Tanja Krainz @ Wipf Group Page 1 of 11 12/19/2015

Heat Sources and Common Challenges Common Sources: Focused Ultrasound Infrared sauna Microwave heating Induction heating Magnetic hyperthermia Common Challenges Controlling temperature Toxicity resulting from nanoparticles In order to achieve higher radiation to heat conversion in hyperthermia with NIR sensitive magnetic particles, the delivery of large amounts of MPs has been pursued; however, this method can increase the damage to normal cells too. Heat delivery to mitochondria may enhance hyperthermic cytotoxicity Tanja Krainz @ Wipf Group Page 2 of 11 12/19/2015

This study: Hyperthermia in Mitochondria Mitochondria are highly sensitive to heat shock, frequently causing cell death by overproduction of ROS Magnetic Nanoparticles Iron Oxide Particles: nontoxic, biocompatible, compatible with magnetic resonance imaging technology Goal: Enhance cytotoxicity for a given amount of heat by selectively delivering MPs to mitochondria with minimal side effects. Tanja Krainz @ Wipf Group Page 3 of 11 12/19/2015

Synthesis of Mito-CIO and CIO Tanja Krainz @ Wipf Group Page 4of 11 12/19/2015

Characterization of Mito-CIO a. TEM Image of Mito-CIO b. UV-Vis absorption of Mito-CIO and 2 c. TEM mapping image; (i) bright field image; (ii) iron; (iii) oxygen; (iv) nitrogen; (v) phosphorus components Tanja Krainz @ Wipf Group Page 5 of 11 12/19/2015

Photothermal Conversion Efficiency Irradiation with 740nm NIR laser at 2W/cm 2 Gradual increase of laser power over time These results demonstrate that the heat is generated by NIR irradiation of the iron-oxide based Mito-CIO with an excellent Photothermal Conversion Effieciency Tanja Krainz @ Wipf Group Page 6 of 11 12/19/2015

Photothermal Conversion Efficiency in HeLa Cells Temperature of HeLa cells loaded with Mito-CIO was monitored under constant NIR irradiation using an infrared thermal camera. 10W/cm 2 irradiation with a 740nm NIR laser rapidly elevated temperature of HeLa cells by 2.14 ± 0.25 C within 5 min These results demonstrate that Mito-CIO is capable of elevating the cell temperature upon NIR irradiation Tanja Krainz @ Wipf Group Page 7 of 11 12/19/2015

Cytotoxicity of Mito-CIO-Loaded HeLa Cells HeLa Cells were prestained with propidium iodide and calcein AM Fluorescence microscopic results reveal more rapid and extensive cell death for Mito-CIO than CIO. Cytotoxicity induced by irradiated Mito- CIO reached 89.90 ± 7.72% within 20 min. Tanja Krainz @ Wipf Group Page 8 of 11 12/19/2015

In Vivo Xenograft Tumor Imaging and Therapy using MPs Ex vivo fluorescence in various tissues: (i) liver; (ii) kidney; (iii) tumor; (iv) heart; (v) lung; (vi) spleen tissue Tanja Krainz @ Wipf Group Page 9 of 11 12/19/2015

In Vivo Xenograft Tumor Imaging and Therapy using MPs After six doses with NIR irradiation on one side of the grafted tumor region, the irradiated tumor volume in the Mito-CIO group was significantly reduced compared to the non-irradiated tumor volume Tanja Krainz @ Wipf Group Page 10 of 11 12/19/2015

Conclusion Prepared a new mitochondria-targeting iron-oxide NP with an efficient photothermal conversion efficiency Induces enhanced cytotoxicity in HeLa cells In vivo therapy clearly displays tumor suppression These findings strongly support the hypothesis that mitochondria are more susceptible to hyperthermia than ER. Tanja Krainz @ Wipf Group Page 11 of 11 12/19/2015