Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB Hyperthermia effects on normal and tumor skin cells MACAVEI SERGIU GABRIEL (1),(2), SUCIU MARIA (2),(3),*, CRACIUNESCU IZABELL (3), BARBU-TUDORAN LUCIAN (2),(3), TRIPON SEPTIMIU CASIAN (2),(3), BALAN RADU (1) 1 Departament of Mechatronics and Machine Dynamics, Faculty of Mechanical Engineering, Technical University of Cluj-Napoca 2 National Institute of Research and Development for Isotopic and Molecular Technologies, Cluj-Napoca, Romania 3 Faculty of Biology and Geology, Babes-Bolyai University, Cluj-Napoca, Romania *Corresponding author Maria Suciu PhD. 5-7 Clinicilor Str., Cluj-Napoca, Email:[email protected]. Keywords. Cellular organelles, Structure and Function, Cell Biology. Summary tumors in magnetic resonance imaging, to targeting and treating tumors with cytostatic adsorbed on nanoparticles or hyperthermia. Due to the superparamagnetic properties of iron oxide nanoparticles, hyperthermia is becoming a real alternative to general cytostatic administration in cancer treatments (Hyperthermia in Cancer Treatment, 2016). Hyperthermia is a method of treating cancer by heating the tumor. Today there are three main types of treatments: localized, regional and general (whole body heating). The method using magnetic fluid hyperthermia consists of a combination of an inductive applicator and magnetic fluid. In this combination, there is the benefit of heating only the tumor at a field intensity 1000 times bigger than using whole body hyperthermia, and so, the effects lead to a controlled apoptosis of tumor cells more quickly and with no discomfort to the patient (Fannin, 2002; Rosenwig, 2002). Superparamagnetic iron oxide nanoparticles (SPIONs) are widely used today in multiple medical applications, one of them being hyperthermia. When SPIONs are placed into a controlled alternating magnetic field, they start to heat up and transfer this caloric energy to the adjacent media. This property of SPIONs is very desirable in case of localized tumor treatment. We used normal keratinocytes cell line and melanoma cell line to compare the effects of 50 nm naked and polyethylene glycol(PEG)-coated SPIONs in a 48 hours' time range after a hyperthermia treatment. SPIONs were produced using the oil mini-emulsion method and their effects were analyzed by colorimetric assays reflecting the mitochondrial and membrane integrity status of the cells, and by electron microscopy analyses. Results indicate that PEG-coated SPIONs have a delayed but more pronounced effect on melanoma cells than on normal cells. Introduction Materials and methods Survival rates for cancers have increased from 49% to 69% in recent statistics (Cancer Facts and Figures, 2016). These improvements are possible due to developments in medical technologies, such as nanotechnology. Iron nanoparticles were found to have many benefits in medicine, starting from visualizing Nanoparticle synthesis. For the synthesis of Fe3O4 magnetic nanoparticles, with size around 10 nm, the co-precipitation method of ferric and ferrous salts under the presence of Ar gas was used (Turcu et al., 2015). In a typical experiment 5.4 g of FeCl3 (0.1 M) and The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 11 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB 1.99 g of FeCl2 (0.05 M) were dissolved into 200 mL of distilled water. After stirring for 60 minutes, chemical precipitation was achieved at 700 °C under vigorous stirring by adding 200 ml of NH3 solution (25 %) under presence of Ar gas. The reaction system was kept at 700 °C for 2 h and the pH of the solution was maintained around 12. After the system was cooled to room temperature, the precipitates were separated by a permanent magnet and washed three times with distilled water until neutral pH. Finally, Fe3O4 magnetic nanoparticles are washed with acetone and dried in oven at 60-70 °C. The relevant chemical reaction can be expressed as follows: Fe2+ + 2Fe3+ + 8OH- →Fe3O4 + 4H2O The as prepared magnetic nanoparticles were covered in a second reaction step with polyethylene glycol (PEG) in order to obtain a uniform biocompatible shell on the magnetic nanoparticles’ surfaces. The polyethylene coated magnetic nanoparticles were synthesized in distilled water by dissolving 20 g (10 wt. %) of PEG and 1 wt. % of magnetic nanoparticles and the reaction mixture was left to react at room temperature, under vigorous magnetic stirring overnight. The product was magnetically separated and washed 3 times with distilled water and redispersed in water (10 ml). Stable colloidal suspensions of magnetic nanoparticles coated with polymer in water have been obtained. For the synthesis of 50 nm magnetic SPIONs, magnetic clusters were prepared using the oil in water mini-emulsion method (Craciunescu et al., 2016). Toluene based ferrofluid (0.5 wt% Fe3O4) was added to an aqueous solution containing the surfactant (1.795 g). The presence of PEG molecules resulted in the formation of micelles, where the surfactant molecules organized themselves with the polar end in the water phase and the non-polar end in the oil phase. The as created droplets contained the magnetic nanoparticles dispersed in toluene. To obtain a stable mini-emulsion, the twophase mixture was homogenized using an ultrasonic finger U.P. 400S, for 2 minutes. In the second step the organic phase, toluene, was evaporated under magnetic stirring (500 rpm), at 1000 C in an oil bath. The magnetic clusters were subsequently washed with methanol-water mixture (50 ml) to remove any excess of reactants and then dispersed in distilled water. A schematic representation of the multisteps synthesis procedure of magnetic clusters coated with PEG is presented in Fig. 1. Stable colloidal suspensions of magnetic clusters coated with polymer in water have been obtained. Fig. 1. Synthetic route to prepare magnetic clusters coated with PEG (adapted from Craciunescu et al., 2016; with permission). Nanoparticles characterization by TEM and EDS. Naked and PEG-coated SPIONs were applied onto carbon coated 300 mesh copper grids. Images were taken on a Hitachi STEM HD-2700 electron microscope at 200kV acceleration voltage, using an Enfinium camera from Gatan. 100 particles were measured to determine the mean distribution of nanoparticles. Hyperthermia induction method. The Resistor-Inductor-Capacitor (RLC) circuit is powered by a sinusoidal signal obtained from an Arbitrary Waveform Generator type WW2571A and a custom-made power wide band amplifier with following features: frequency range 100kHz-100MHz, power range RF 1-200W. The cell culture plates were placed in to the center of the alternating magnetic field for 20 min, at 100 Oe and 1,5MHz, and then returned to the incubator. The cell media was replaced with new one to insure the removal The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 12 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB of excess nanoparticles that would otherwise be sitting on the cell culture layer. Cell culture. We used a normal human keratinocyte cell line (HaCaT), which was a gift from dr. Alina Sesarman, ICEI ClujNapoca, and human melanoma cell line A375 from ATCC. HaCaT cells were cultured on plastic 25 cm2 dishes in DMEM supplemented with 10% fetal calf serum, 1% penicillin-streptomycin and 1% L-glutamine. A375 cells were cultured according to the producer recommendations in DMEM supplemented to 4.5 g/l glucose, 10% fetal calf serum, 1% penicillin-streptomycin and 1% L-glutamine. Cells were kept in a humidified incubator at 37 ºC and in a 5% CO2 atmosphere. When reaching 80% confluency, cells were detached from the culture plate using trypsin and were plated to the required culture surfaces. 10 μl of naked or PEG-coated SPIONs was added to the cell media in final concentrations ranging from 0.1 to 500 μg/ml. At 24 and 48 hours after the SPIONs treatment, cells were analyzed by the methods described below. MTT method. Cells were plated in 96 wells plate, using 12*103 cell/well, and left to grow for 24 hours. SPION's were added to the culture media, and 24 hours later the mitochondrial activity was assessed by 3-(4,5Dimethylthiazol-2-yl)-2,5Diphenyltetrazolium Bromide (MTT) method. For hyperthermia analysis, SPIONs were left in contact with the cells for 24 hours, then the cell media was replaced with fresh one and the cells were placed in to the magnetic field. After 24 hours, the cells were analyzed by MTT. Briefly, the MTT compound was added to each well in a final concentration of 0.5 mg/ml. Cells were returned to the incubator for 1.5 hours, after which the cell media was removed and the cells were lysed in acidified iso-propanol. The absorbance of MTT was read at 550 nm and the background at 630 nm using BioTek Synergy HT plate reader and Gen5 Plate Reader Program (Riss et al., 2016). Each concentration was tested five times and each plate contained untreated cells as positive control, vehicle controls, and negative controls (cells treated with Tween 20 2%). Data refers to mean ± standard error from at least three independent experiments. Comparison between groups was performed with student’s t-test and values of p<0.05 were considered significant; all calculations were realized in Microsoft Excel. LDH method. From the cell cultures plated for MTT, 50 μl of culture media was subtracted for the LDH analysis. The following components of the LDH test were added to a new 96 wells plate: 50 μl cell media, 50 μl 50 mM lithium lactate solution, 50 μl 200 mM tris solution at pH 8, and 50 μl NAD solution (a mixture of ionitrotetrazolium violet, phenazine metosulphate, and nicotinamide dinucleotide). The absorbance of LDH was read at 490 nm and the background at 690 nm using BioTek Synergy HT plate reader and Gen5 Plate Reader Program (Chan, Moriwaki and De Rosa, 2013). Each concentration was tested five times and each plate contained untreated cells as positive control, vehicle controls and negative controls (cells treated with Tween 20 2%). Data refers to mean ± standard error from at least three independent experiments. Comparison between groups was performed with student’s t-test and values of p<0.05 were considered significant; all calculations were realized in Microsoft Excel. Nanoparticle uptake analysis by TEM. Cells were plated on 6 mm glass cover slips in a 12 wells plate. 100 μg/ml SPIONs treated cells and hyperthermia treated cells were prepared for TEM analysis as follows: cells were fixed with 2.7% glutaraldehyde and post-fixed with 1% osmium tetroxide, dehydrated in increasing concentrations of ethanol and embedded in Epon resin. Samples were polymerized at 60 ºC until hard. Samples were trimmed and sectioned into ultrathin 50 nm sections using a Diatome diamond knife on the Leica UC6 ultramicrotome. Sections were recovered on a carbon coated 200 mesh copper grids, stained with uranyl acetate and lead citrate, and The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 13 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB analyzed in a TEM Jeol type JEM 1010 with MegaView II CCD Camera. other hand, the hysteresis losses can be estimated as it has been proposed by Yamada et al. (2006), where heat capacity Q generated by magnetite can be calculated by the formula Q= km f Dw B2 [W/ml], where: km= 2.4-10-3[W/Hz/(mgFe/ml)/T2/ml], f – exciting frequency of applied field [Hz], B - external magnetic field [T], Dw - weight density of magnetic fluid [mg Fe/ml]. As for relaxation mechanisms of ferrofluids there are two physical processes responsible for the power dissipation: Néel and Brownian relaxations (Rosenweig, 2002). Néel relaxation is connected with the fluctuation of magnetic moment direction across an anisotropy barrier and the characteristic relaxation time τNa nanoparticle system is given by the ratio of the anisotropy energy KV to the thermal energy kT as follows: τN=τoexp[KV/(kT)], where (τo≈ 10-9s). In the case of the second relaxation mechanism, the time associated with the rotation diffusion is the Brownian relaxation time: τB=4𝝅ηrh3, where rh3is the hydrodynamic radius which due to particle coating may be essentially larger than the radius of the magnetic particle core. But there are limits of the current approaches in the context of the state of the art in the field. The alternating magnetic field does not only damage cancerous tissue but also causes an unwanted non-selective heating of healthy tissue due to eddy currents. Atkinson, Brezovich, and Chakraborty (1984) proposed more than 20 years ago, based on patient discomfort, that for a loop diameter of about 30 cm the maximum limit on the product H×f=4.85×108Am−1Hz. In this product, H is the magnetic field in A/m and f is the frequency in Hz. Their test was based on the patient withstanding the treatment for more than one hour without any major discomfort. The power density in the cancer layer is about 8000 times higher with magnetic fluid Results and discussions Nanoparticles characterization by TEM and EDS The combined TEM and EDS analyses confirmed the presence of naked and PEGcoated iron oxide clusters with diameters with a mean distribution of 53±14.6nm (naked SPIONs) and 56 ±18.15 nm (PEG-coated SPIONs) respectively. Naked SPIONs have a spherical appearance and the 10 nm units of nanoparticles can be clearly distinguished. PEG-coated SPIONs, also form a shell of PEG that is visible in TEM images. Fig. 2. Naked SPIONs form stable spherical clusters with a median distribution dimension of 53±14.6 nm (A); PEG-coated SPIONs with a median distribution dimension of 56 ±18.15 nm (B); C - EDS analysis of naked SPIONs; D - EDS analysis of Peg-coated SPIONs. Hyperthermia induction method Magnetic losses in an alternating magnetic field responsible for power dissipation e.g. to be utilized for heating arise from hysteresis and/or Néel or Browian relaxation. Hysteresis losses may be determined by integrating the area of hysteresis loops, a measure of energy dissipated per cycle of magnetization. It depends on the field amplitude, the magnetic prehistory as well as the magnetic particle size domain (Herget et al., 2006). On the The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 14 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB than without it. That means that eddy currents effects are completely negligible regarding the heating of the injected magnetic fluid (Fanin, 2002). To test the effects of 50 nm SPIONs on normal and cancerous cells we employed the MTT and LDH release methods and electron microscopy analyses. Mitochondrial activity assay by MTT method. We used HaCaT cells due to the close phenotype of this cell line to the keratinocytes in the human skin (Boukamp et al., 1988) and A375 cells due to the aggressiveness of these cells that mimic the real behavior of the melanoma when it reaches stage 3 of tumor development and starts to migrate to lymph nodes (Riker et al., 2008). According to Garcia-Lopez et al. (2014) following the ISO 10993-5, using the MTT cell assay to test the viability of cells we can interpret the results as follows: above 80% no cytotoxicity, within 80%–60% weak cytotoxicity, 60%–40% moderate cytotoxicity, below 40% strong cytotoxicity. In the light of these findings, our MTT analyses results indicate that naked and PEGcoated SPIONs affect the viability of both cell types but in different ways and hyperthermia determines different results depending on cell type and the time point of the analysis. In the case of naked SPIONs melanoma cells are slightly more affected than normal keratinocytes at all tested concentrations at 24 hours. Both cell types position themselves in the 60-80% mitochondrial activity, which means that naked SPIONs induce a weak toxicity in melanoma and keratinocytes after 24 hours of exposure (Fig. 3A). After 48 hours exposure keratinocytes have an above 80% mitochondrial activity at all tested concentrations, which is equivalent to no cytotoxicity. Melanoma cells remain in the weak cytotoxicity range even at 48 hours of contact with the naked SPIONs (Fig. 3B). Fig.3. A - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs; B Normal keratinocytes and melanoma exposed for 48 hours to 50 nm naked SPIONs; C - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, MTT analysis at 24 hours post-hyperthermia. Dotted line represents IC50 for mitochondrial activity; D - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia. MTT analysis at 48 hours post-hyperthermia; E Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEG-coated SPIONs; F - Normal keratinocytes and melanoma exposed for 48 hours to 50 nm PEG-coated SPIONs; G - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, MTT analysis at 24 hours post-hyperthermia; H - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, MTT analysis at 48 hours post-hyperthermia (* indicate statistical significance, p≤0.05). After 24 hours of exposure to SPIONs (to ensure nanoparticle endocytosis - Calero et al., 2015; Osman et al., 2012) cells were placed in an alternating magnetic field, then left to recover for another 24 or 48 hours in the incubator. To ensure that the effects of hyperthermia will not be determined by SPIONs that are not in direct contact with the cells, and to offer fresh nutrients for the next 48 hours, the cell media was changed two The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 15 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB hours before the hyperthermia treatment. 24 hours after the hyperthermia treatment with the naked SPIONs the most affected were the normal keratinocytes which reached the 50% drop in mitochondrial activity at all tested concentrations after the hyperthermia treatment. mean at this point that almost all cells died or that these concentrations and time point determines a loss of cell adhesion proteins that leads to failure of cells to attach to substrates. This can determine loss of cell number during the steps of the MTT assay. Melanoma cells had a statistically relevant reduced mitochondrial activity at all tested concentrations, with a dose-dependent response (Fig. 3C). At 0.1 and 1 μg/ml naked SPIONs concentrations, melanoma cells can be included in the no cytotoxicity range, dropping in the mild cytotoxicity range for the remaining concentrations tested (10-500 μg/ml naked SPIONs). At 48 hours after the hyperthermia treatment keratinocytes recover close to normal values, placing themselves in the no cytotoxicity percent range, but melanoma cells present a dose-dependent drop in mitochondrial activity in the weak cytotoxicity range, reaching 60% mitochondrial activity at the 500 μg/ml naked SPIONs concentration (Fig. 3D). When using PEG-coated SPIONs, keratinocytes presented an inverse response to the tested concentrations, increasing mitochondrial activity with the increased concentrations, reaching 110% activity at the 100 μg/ml concentration. Melanoma cells were kept around the 80% mitochondrial activity, in the no cytotoxicity to weak cytotoxicity ranges, at all concentrations after 24 hours of exposure to PEG-coated SPIONs (Fig. 3E). After 48 hours of exposure to PEG-coated SPIONs, keratinocytes had around 80% mitochondrial activity, throughout the tested concentrations, in the no cytotoxicity - weak cytotoxicity range. Melanoma cells had a dose response drop in their mitochondrial activity, with values between 50-80% reflecting a moderate to weak cytotoxicity to PEG-coated SPIONs (Fig. 3F). If hyperthermia was applied, both cell types expressed a mild cytotoxicity, independent of concentrations, with a decreased mitochondrial activity holding Fig.4. A - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs; B – Normal keratinocytes and melanoma exposed for 48 hours to 50 nm naked SPIONs; C - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, LDH analysis at 24 hours post-hyperthermia; D - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, LDH analysis at 48 hours post-hyperthermia; E – Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEG-coated SPIONs; F - Normal keratinocytes and melanoma exposed for 48 hours to 50 nm PEG-coated SPIONs; G - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEGcoated SPIONs, then treated by hyperthermia, LDH analysis at 24 hours post-hyperthermia; H - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEG-coated SPIONs, then treated by hyperthermia, LDH analysis at 48 hours post-hyperthermia (*indicate statistical significance, p≤0.05). At 100 and 500 μg/ml keratinocytes present almost no mitochondrial activity, which can The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 16 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB around 70% at the 24 hours' time point after hyperthermia (Fig. 3G), and no more cytotoxic effects at 48 hours after the treatment (Fig. 3H). Membrane integrity assay by LDH Lactate dehydrogenizes release in cell media is an indicator of cells’ status and, depending on the calculation formulae used, one can determine the extent of growth inhibition state or necrosis (Smith et al., 2011). In our case, when normal keratinocytes and melanoma were exposed for 24 hours to 50 nm naked SPIONs, melanoma cells released a more LDH than keratinocytes at all tested concentrations at 24 hours, in a dose dependent manner, but all values remained close to normal LDH release (Fig. 4A). After 48 hours exposure both keratinocytes and melanoma cells had a dose response LDH release in the cell media, which was significantly higher from normal LDH release. After 48 hours of contact with the naked SPIONs, melanoma cells suffered from more membrane rupture and released more LDH than normal keratinocytes and entered an inhibition state (Fig. 4B). The hyperthermia treatment affected both keratinocytes and melanoma at 24 hours' time point, irrespective of the SPIONs dose, but melanoma cells were more affected, releasing 20% of the LDH released by the Tween 20% treated cells, suggesting cytotoxicity (Fig. 4C). At 48 hours after the hyperthermia treatment, keratinocytes returned to normal LDH release, showing an increased LDH release only at the 500 μg/ml concentration. Melanoma cells kept the LDH release above 20% at all tested concentrations, having an increased LDH than at the 24 hours' time point, suggesting an increased cytotoxicity (Fig. 4D). When normal keratinocytes and melanoma where exposed for 24 hours to 50 nm PEGcoated SPIONs, keratinocytes gave a lower than normal LDH release in the presence of PEG-coated SPIONs. Melanoma cells have an increased LDH release in the cell medium of up to 10 - 20%, reaching 30% at 500 μg/ml concentration, an indication of mild cytotoxicity (Fig. 4E). At 48 hours' time point, both keratinocytes and melanoma cells had a dose-dependent response to PEG-coated SPIONs. Keratinocytes had a 15% LDH release at the 50 μg/ml concentration reaching 20% LDH release at the highest concentration tested (500 μg/ml), indicating inhibition of growth. Melanoma cells also reported a dosedependent response, but at higher levels, starting from 25% at the lowest concentration (0.1 μg/ml) to 40% at the highest concentration (Fig. 4F). Hyperthermia treatment with PEG-coated SPIONs, has lead keratinocytes to display an inverse dosedependent reaction at the 24 hours' time point, in the range of growth inhibition. Melanoma cells had a higher than normal LDH release (20-25%) but not much different from the levels obtained at 48 hours of contact with the PEG-coated SPIONs (Fig. 4G). At 48 hours after the hyperthermia treatment both cell types released 20-25% LDH in the cell media independent of the nanoparticles concentrations, indicating mild cytotoxicity (Fig. 4H). Fig. 5. A - Normal keratinocytes, control (bar = 1 um); B - Normal keratinocytes exposed for 24 hours to 50 nm naked SPIONs (bar = 2 um); C - Normal keratinocytes exposed for 24 hours to 50 nm naked The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 17 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB SPIONs, then treated by hyperthermia, analysis at 24 hours post-hyperthermia (bar = 2 um); D – Normal keratinocytes exposed for 24 hours to 50 nm PEGcoated SPIONs (bar = 500 nm); E - Normal keratinocytes exposed for 24 hours to 50 nm PEGcoated SPIONs, then treated by hyperthermia, analysis at 24 hours post-hyperthermia (bar = 2 um; N-nucleus, m-mitochondrion, Ly-lysosome, black arrow indicate nanoparticles’ presence). size used (Kjellman et al., 2015), for our study we chose the 100 μg/ml 50 nm SPIONs in order to be sure that most cells will contain SPIONs, and that their effect will be visible at a morphological scale. It was shown that keratinocytes can load up with iron oxides in concentrations of up to 33 pg Fe/cell (Ito et al., 2004). 50 nm naked SPIONs applied on cells seem to have lost their round cluster form and keratinocytes have engulfed large quantities of nanoparticles. Naked SPIONs were found inside lysosomes, apparently with the crystalline form lost. Many singular nanoparticles could be seen attached to the cell membrane, decorating it along its surface (Fig. 5B). Hyperthermia affected the keratinocytes by inducing a massive cell lysis: the cytoplasm has lacked electron dense material, and mitochondria had rarefied content, and the nucleus seem to have lost content as well (Fig. 5C). In keratinocytes PEG-coated SPIONs could be found in clusters in the cytoplasm without any membrane enclosure, near-by the nucleus but not inside it. Cells appeared to have no morphological changes after 24 hours of exposure to nanoparticles (Fig. 5D). After the hyperthermia treatment with the PEGcoated SPIONs, nanoparticles can be found in lysosomes, with the iron oxides degraded to hemosiderin deposits (Oiu, Wang and Mao, 2014; Jendelova et al., 2003) or outside the cells, in the membrane proximity. Still, cells have normal morphology with large nuclei, with thin heterochromatin disposed at the nucleus periphery. Long shaped mitochondria can be seen in the cytoplasm, but few endoplasmic reticulum and ribosomes, suggesting a loss of protein synthesis (Fig. 5E). In the case of melanoma cells, 50 nm naked SPIONs induced a foam-like appearance of the cells full of lysosomal vesicles. SPIONs were found in lysosomes and also membrane free in the cytoplasm, but the cells cytoplasm was very electron-dense, suggesting high protein content (Fig. 6B). At the 24 hours' Prodan et al. (2013) using 10 nm iron oxides found similar responses to HeLa cells: the toxic effect was enhanced with increased concentration and time. In another experiment, using 9 nm iron oxide nanoparticles covered in Pluronic, a highly toxicity response was obtained in macrophage RAW 264.7 cell line (Gonzales et al., 2010). Figure 4. A - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs; B - Normal keratinocytes and melanoma exposed for 48 hours to 50 nm naked SPIONs; C - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, LDH analysis at 24 hours post-hyperthermia; D - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, LDH analysis at 48 hours post-hyperthermia; E Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEG-coated SPIONs; F - Normal keratinocytes and melanoma exposed for 48 hours to 50 nm PEG-coated SPIONs; G - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEG-coated SPIONs, then treated by hyperthermia, LDH analysis at 24 hours posthyperthermia; H - Normal keratinocytes and melanoma exposed for 24 hours to 50 nm PEG-coated SPIONs, then treated by hyperthermia, LDH analysis at 48 hours posthyperthermia (*indicate statistical significance, p≤0.05). Nanoparticle uptake analysis by TEM. Cells can phagocytose nanoparticles starting from the smallest possibly synthesized to micron sized nanoparticles (Shang, Nienhaus and Nienhaus, 2014). A good SPIONs endocytosis depends on concentrations and The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 18 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB time point after hyperthermia, naked SPIONs were found membrane free in the cytoplasm or in lysosomes, and also degraded in hemosiderin-like lysosomes. The cytoplasm has lost the electron-dense appearance, becoming very electron-transparent, with many lysosomes. Also, the nuclei had very thin heterochromatin on the margins of the nucleus membrane (Fig. 6C). cytoplasm, but the entire cytoplasm was loaded with late endosomes, lysosomes, and dyeing mitochondria, and was electrontransparent (Fig. 6E). According to Hsieh et al. (2015) PEG-coated iron oxide nanoparticles tend to escape lysosomes and enter mitochondria where they produce reactive oxygen species, inducing apoptosis. It seems that iron oxide nanoparticles are considered inert by the mitochondria and so, are no longer regulated, and accumulate in the mitochondrial lumen. This happens until the loading impairs the normal activity of the mitochondria and reactive oxygen species are produced (Dancis and Lindhal, 2013). Conclusions The naked SPIONs treatment on melanoma and keratinocyte cells affected the mitochondrial activity of both cell types, but differently: keratinocytes were not affected by the naked SPIONs except at 24 hours after the hyperthermia treatment; melanoma cells had a mild cytotoxic response at all concentrations and most times points. Melanoma cells were most affected at 48 hours after the hyperthermia treatment. Morphologically, SPIONs induce a general lysis in melanoma cells mitochondria, probably developing into slow progression apoptosis. Keratinocytes seem to react more rapidly to nanoparticles and hyperthermia, but afterwards they recover faster. Melanoma cells have a delayed reaction which can only be seen at a larger time frame, but they are affected at a higher extent than the normal cells. It is possible that the PEG coating affects the hyperthermic properties of the nanoparticles, absorbing most of the local heat energy, that would be otherwise released to the cell components by the naked SPIONs, or that the frequency or time of treatment used for PEGcoated SPIONs must be adapted for enhanced responses Fig. 6. A - Melanoma cells, control (bar = 1 um); B – Melanoma cells exposed for 24 hours to 50 nm naked SPIONs (bar = 2 um); C - Melanoma cells exposed for 24 hours to 50 nm naked SPIONs, then treated by hyperthermia, analysis at 24 hours post-hyperthermia (bar = 2 um); D - Melanoma cells exposed for 24 hours to 50 nm PEG-coated SPIONs (bar = 1 um); E Melanoma cells exposed for 24 hours to 50 nm PEGcoated SPIONs, then treated by hyperthermia, analysis at 24 hours post-hyperthermia (bar = 1 um, Nnucleus, m-mitochondrion, Ly-lysosome, black arrow indicate nanoparticles’ presence). When PEG-coated SPIONs were applied to melanoma cell culture, they kept their cluster form, and could be found inside the cells freely in the cytoplasm, or outside the cells, but drawn in clusters. The cytoplasm was electron-dense and contained many vesicles and lysosomes (Fig. 6D). After hyperthermia PEG-coated SPION clusters were located in lysosomes or free in the Acknowledgments This work was supported by the Romanian National Authority for Scientific Research and The Romanian Society for Cell Biology ©, Annals of R. S. C. B., Vol. XXI, Issue 1, 2016, Maria Suciu, pp. 11 – 21 19 Annals of R.S.C.B., Vol. XXI, Issue 1, 2016, pp. 11 – 21 Received 14 November 2016; accepted 23 November 2016. doi: 10.ANN/RSCB-2016-0017:RSCB cancer/treatment/types/surgery/hyperthermia-factsheet ISO 10993-5:2009 Biological Evaluation of Medical Devices. Part 5: Tests for In Vitro Cytotoxicity. International Organization for Standardization; Geneva, Switzerland, 2009. 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