Copyright © 2012 American Scientific Publishers All rights reserved Printed in the United States of America Journal of Nanoscience and Nanotechnology Vol. 12, 2160–2168, 2012 Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots in Human Lung Adenocarcinoma Cells for Potential Photodynamic UV Therapy Applications Young Joo Choi1 , Yang Jee Kim2 , Joong Won Lee1 , Younghyun Lee1 , Yong-beom Lim3 , and Hai Won Chung1 ∗ 1 School of Public Health and Institute of Health and Environment, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 151-742, Republic of Korea 2 Chung-Ang University, Heukseok-dong, Dongjak-gu, Seoul, 156-756, Republic of Korea 3 Translational Research Center for Protein Function Control & Department of Materials Science and Engineering, Yonsei University, Seoul,by 120-749, Republic Delivered Ingenta to: of Korea Yonsei University RESEARCH ARTICLE Quantum dots (QDs) are luminescentIPnanoparticles (NPs) with promising potential in numerous : 165.132.61.49 medical applications, but there remain persistent human health and safety concerns. Although Fri, 31 Aug 2012 02:48:17 the cytotoxic effects of QDs have been extensively investigated, their genotoxic effects remain under-explored. This study scrutinized the cyto- and genotoxic effects of QDs with a Cadmium selenide/Zinc sulfide (CdSe/ZnS) core/shell, and suggests comprehensive guidelines for the application of QDs in cancer therapy. QDs were used to treat A549 cells in the presence and absence of ultraviolet A/B (UVA/UVB) irradiation. QD-induced cell death was evaluated by 3-(4,5Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT), apoptosis, and lactate dehydrogenase (LDH) assays, as well as by real-time PCR analysis of differential mRNA levels of genes, such as ataxia telangiectasia mutated (ATM), p53, and caspase-9, involved in apoptosis. The genotoxic effect of CdSe/ZnS QDs was measured in human cancer cells, for the first time, by comet and micronucleus assays. Treatment with CdSe/ZnS QDs and UVB irradiation resulted in the most severe extent of cell death, indicating strong induction of phototoxicity by CdSe/ZnS QDs in the presence of UVB. Both apoptotic and necrotic cell death were observed upon QDs and UVB combined treatment. The induction of Olive tail moments and micronuclei formation was also most significant when CdSe/ZnS QDs and UVB irradiation were combined. Our results on the genotoxic effect and mechanistic details of CdSe/ZnS QD-induced cell death suggest that UVB irradiation is the most effective method for increasing the potency of QDs during photodynamic cancer therapy. Keywords: CdSe/ZnS QDs, UVA/UVB, Apoptosis, Necrosis, ROS, DNA Damage. 1. INTRODUCTION Nanomedicine has become one of the most promising and attractive fields of nanotechnology.1–3 Nanometersized materials have unique and valuable properties, compared with conventional bulk materials, and numerous advantages accompany nano-scale biomaterials, which typically range in size from tens to hundreds of nanometers. Nanotechnology-based photodynamic therapy (PDT), one of the most promising cancer-treatment nanotechnologies, is noninvasive and fairly safe for repeated ∗ Author to whom correspondence should be addressed. 2160 J. Nanosci. Nanotechnol. 2012, Vol. 12, No. 3 administration.4 Moreover, a tumor-specific targeting strategy could be developed with appropriate functionalization of nanoparticles (NPs). PDT uses special drugs, called photosensitizing agents, and visible or near-infrared illumination at specific wavelengths to kill cancer cells. Reactive oxygen intermediates are generated during photoactivation of a photosensitizer (PS) drug, and these immediately react with and damage vital biomolecules in cell organelles, causing cell death.5 PDT was first used to treat cancer more than 100 years ago; however, in the earlier days, the administration of porphyrins and phthalocyanines induced severe side effects attributable to non-specific drug delivery and photoactivation.6 1533-4880/2012/12/2160/009 doi:10.1166/jnn.2012.5781 Choi et al. Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 2161 RESEARCH ARTICLE Quantum dots (QDs), which are inorganic semiconduc2. MATERIAL AND METHODS tor nanocrystals, have become one of the most attrac2.1. Cell Culture tive nanomaterials for bioimaging and cancer therapy. The development of QD technology has paved the way Adenocarcinoma human alveolar basal epithelial cells for using QDs as agents in medical diagnostics, cancer (A549 cells) were obtained from the Korean Cell Line diagnosis, and PDT for cancer. QD technology has been Bank (Seoul, Korea) and cultured in RPMI 1640 suppleapplied in many types of animal models such as mouse mented with filtered 10% fetal bovine serum, penicillin, and pig models.7 8 The most salient material properties and streptomycin (100 U/mL of each), at 37 C in a of QDs include their bright fluorescence emission, excephumidified atmosphere of 5% CO2 . CdSe/ZnS quantum tional photostability, large surface area, and large twodot (Lumidot™ ) was purchased from Sigma-Aldrich. photon absorption cross-section.9–12 Previous studies have shown that QDs with a Cadmium 2.2. Preparation and Characterization of selenide (CdSe) core induce cell death by increasing CdSe/ZnS QDs reactive oxygen species (ROS) and inhibiting survivalCdSe/ZnS QDs dispersed in toluene were supplied by related signaling events.13 QDs also induce apoptosis via Sigma-Aldrich (St. Louis, MO, USA). Toluene was mitochondrial-dependent pathways involving Fas upregremoved via rotary evaporation (Rotavapor R-210; Buchi ulation and lipid peroxidation in human neuroblastoma Laboratory Equipment, Zurich, Switzerland), and the QDs cells.14 15 The cytotoxicity of CdSe-core QDs is correlated were suspended in distilled water. This solution was soniwith the release of free Cd2+ . One of the most efficient Delivered by Ingenta cated for to: 30 min at 4 C before each experiment. Dynamic ways of reducing QD toxicity is to cover the CdSe core Yonsei University light scattering (DLS) is an indirect method for measurwith a Zinc sulfide (ZnS) coating layer. In the present IP : 165.132.61.49 ing particle size. Briefly, the fluctuations in scattered light study, the ZnS shell plays an important roleFri, as a31barrier Aug 2012 02:48:17 intensity, which are caused by Brownian motion of susto prevent CdSe from contacting the surrounding solvent, pended particles, are measured over time. DLS was meathus protecting the CdSe core against dissolution through sured at room temperature with an ALV/CGS-3 Compact ionization. The ZnS shell also increases the QD quantum 14 Goninometer System (Hessen, Germany) equipped with an yield. He-Ne laser operating at 632.8 nm. The scattering angle Despite the widespread use of QDs in diverse biomed was 90 . The size distribution was determined using a ical fields, including imaging, diagnosis, and PDT, a constrained regularization method. Transmission electron detailed picture of the cellular effects of Cadmium microscopy (TEM; 100CX; JEOL, Tokyo, Japan) was used selenide/Zinc sulfide (CdSe/ZnS) QDs has not been estabto determine the size and shape of the CdSe/ZnS QDs. lished. Here, we investigated the cyto-/genotoxic effects Absorption peaks of the CdSe/ZnS QDs were measured and mechanistic details of the cell death pathway induced using an ultraviolet-visible (UV-Vis) spectrophotometer in human lung adenocarcinoma cells (A549 cells) by (V-650; Jasco, Tokyo, Japan), and photoluminescence CdSe/ZnS QDs in the presence and absence of UV irraspectra were detected with a fluorescence spectrophodiation. A549 cells are commonly used in cancer studies, tometer (F-4500; Hitachi, Tokyo, Japan). The QD surincluding PDT studies.16–18 Lung cancer is the leadface charge was measured in distilled water using a ing cause of cancer deaths, with a cure rate of only zeta potential analyzer (Zeta plus; Brookhaven Instru13% and patients do not survive 2 years owing to late ments Corp., Holtsville, NY, USA). Scanning electron detection.19 20 It is reported that engineered nanoparticles, microscopy (SEM), with an energy dispersive X-ray such as silver nanoparticles (Ag NP), nano titanium diox(EDX) spectrometer as a detector (AXS; Bruker, Bad Heride (TiO2 ), and carbon nanotube (CNT), can cause lung renalb, Germany), was used to identify the major eledamage via enhanced inflammatory responses, lung funcment types in A549 cells. Cells were counterstained with tion change, and fibrosis of lung tissue, finally inducing DAPI (4, 6-diamidino-2-phenylindole)-containing mountlung cancer.21–23 ing medium to visualize cellular uptake of CdSe/ZnS To determine the conditions in which QDs can be most QDs by fluorescence microscopy (Vectorshield, Peterboreffective as a PDT photosensitizer, we tested the cytotoxough, UK). Confocal luminescence images of A549 cells icity of CdSe core/ZnS shell QDs with and without UV were obtained using a confocal microscope (Carl Zeiss, irradiation in A549 cells using MTT, lactate dehydrogeOberkochen, Germany) equipped with a 405-nm diode nase (LDH), and apoptosis assays. laser and 488-nm Ar laser. The genotoxicity induced by CdSe/ZnS QDs in human lung cancer cells was measured primarily by micronucleus 2.3. QD Cytotoxicity and comet assays. Furthermore, we analyzed differential mRNA levels of genes involved in apoptosis, to investigate The cytotoxic effects induced by the CdSe/ZnS QDs the global effect of CdSe/ZnS QDs and UV irradiation on in A549 cells were evaluated by MTT (3-[4,5dimethylthiazol-2-yl] 2,5-diphenyl-tetrazolium bromide) A549 cells. Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots assay. A549 cells were seeded in a 96-well plate at a density of 10,000 cells per well and incubated for 24 h at 37 C in a humidified atmosphere of 5% CO2 . Then, the cells were treated with CdSe/ZnS QDs at different concentrations with/without UVA or UVB irradiation. After a 24-h incubation, the cells were treated with 0.5 mg/mL MTT solution (formazan powder; Sigma Aldrich), and the plate was incubated for 4 h. The violet formazan crystals were dissolved in DMSO and the absorbance at 560 nm was measured using a microplate reader (Tecan, Männedorf, Switzerland). Choi et al. 2.7. Measurement of ROS The level of intracellular reactive oxygen species (ROS) generation was determined using 5-(and-6)-carboxy-2 , 7 -dichlorofluorescein diacetate (DCFDA; Molecular Probes, Eugene, OR, USA). A549 cells were treated with QDs for 2 h, and then they were irradiated with UVA or UVB. After 1 h, the samples were centrifuged and added with new medium containing 20 M DCFDA in the dark. The cells were incubated for 20 min at 37 C and monitored using a fluorescence spectrophotometer at 535 nm emission with an excitation wavelength of 485 nm (Tecan, Männedorf, Switzerland).27 2.4. UVA/UVB Irradiation 2.8. Measurement of Apoptosis and Necrosis Cells were plated in growth medium in a 96-well plate and exposed to UVA (2 J/cm2 or UVB (0.3 J/cm2 light, Apoptosis induced by CdSe/ZnS QDs with or without using a Bio-Link BLX irradiation system (Vilber-Lourmat, UVA or UVB irradiation was assessed using a termiMarne-la-Vallee Cdex 1, France) equipped with five 8 W nal deoxynucleotidyl transferase dUTP nick end labelUV lamps (UV-A Vilber-Lourmat T-8L with peak irradiing apoptosis Delivered by Ingenta to: assay (Cell Death Detection ELISAPLUS kit; ance at 365; UV-B Vilber-Lourmat T-8M with peak irraRoche Applied Science, Mannheim, Germany), accordYonsei University diance at 312 nm). Cell viability was determined by MTT ing to the manufacturers’ protocol. Briefly, A549 cells IP : 165.132.61.49 assay. were treated with CdSe/ZnS QDs, followed by UVA or Fri, 31 Aug 2012 02:48:17 RESEARCH ARTICLE 2.5. Single Cell Gel Electrophoresis Assay Single-cell gel electrophoresis was performed as described previously by Singh et al.24 A549 cells were treated with CdSe/ZnS QDs for 3 h, followed by UVA (2 J/cm2 ) or UVB (0.3 J/cm2 ) exposure. After being washed twice with phosphate-buffered saline (PBS), the cells were maintained at 4 C to prevent DNA repair. Slides were prepared according to the method of Singh.24 Briefly, images of 60 cells randomly selected from each sample were analyzed, using a Komet 5.5 image analysis system (Kinetic Imaging Ltd., Nottingham, UK). The Olive tail moment (OTM) of each cell was measured under a fluorescence microscope (Nikon, Tokyo, Japan) equipped with a 515- to 560 nm excitation filter and 590 nm barrier filter. UVB irradiation. After 24 h, the culture supernatant was removed, and the cells were incubated with lysis buffer. After centrifugation, an aliquot of the supernatant was transferred to a streptavidin-coated microplate well and incubated with anti-histone and anti-DNA antibodies for 2 h at room temperature, to bind nucleosomes in the supernatant. The immobilized immunocomplexes were washed three times to remove cell components and were detected by incubation with peroxidase substrate. Absorbance at 405 nm was measured using a microplate reader. Necrosis was determined by measuring LDH released into the medium by necrotic cells upon plasma membrane rupture (Cytotoxicity Detection KitPLUS , Roche Applied Science). Cells were cultured as for the apoptosis assay. Briefly, substrate reagent was incubated with the culture supernatant, and the absorbance at 490 nm was read using a microplate reader. 2.6. Cytokinesis-Block Micronucleus Assay The cytokinesis-block micronucleus (MN) assay was performed as described by Fenech.25 A549 cells were cultured in RPMI 1640 medium supplemented with 10% fetal bovine serum, incubated with CdSe/ZnS QDs for 3 h, and then irradiated with UVA or UVB. Cytochalasin B (4 g/mL; Sigma-Aldrich) was added 20 h after the start of culture, and the incubation was continued for an additional 28 h. After a total incubation period of 48 h, the cells were harvested, treated with hypotonic 0.075 M KCl solution for 1 min, and washed twice with fixative solution (methanol:acetic acid, 3:1). Air-dried cell preparations were stained with Giemsa solution (5%). In total, 1,000 binucleated cells with well-preserved cytoplasm were scored according to standard criteria.26 2162 2.9. RNA Extraction and Quantitative Real Time-Polymerase Chain Reaction (PCR) Total RNA was extracted from A549 cells treated with CdSe/ZnS QDs in the presence or absence of UVA or UVB irradiation, using an AxyPrep Multisource Total RNA Miniprep kit (Axygen Biosciences, Union City, CA, USA) according to the manufacturer’s instructions. For cDNA synthesis, total RNA was reverse transcribed using a random primer and a reverse transcription system (Promega, Madison, WI, USA). Real-time PCR was performed using an Applied Biosystems 7300 real-time PCR system (Foster City, CA, USA) and Express Start SYBR Green qPCR Supermix (Invitrogen, Burlington, ON, Canada). The synthesized primer sequences for the reactions are shown J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 Choi et al. Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots Table I. Primer sequences used for quantitative real-time PCR. Sequence (5 -3 ) Primer pair ATM p53 caspase-9 GAPDH (endogenous control) -CGAGGTGAGCGGATCACAA-; -TTGGCCCACAGCAACCTT-GTGAGCGCTTCGAGATGTTC-; -ATGGCGGGAGGTAGACTGAC-GCTCTTCCTTTGTTCATCTCC-; -CATCTGGCTCGGGGTTACTGC– -GGAAGGTGAAGGTCGGAGTCA-; -GTCATTGATGGCAACAATATCCACT- showed a potential of +4058 ± 797 mV, confirming the colloidal stability of CdSe/ZnS QDs. The shape and size of the QDs were also analyzed by TEM, which revealed that the diameter of individual CdSe/ZnS QD nanoparticles in the aggregates is approximately 4 nm (Fig. 2). The CdSe/ZnS QD particles internalized after a 4-h cell treatment were examined by EDX spectroscopy (Fig. 3). Spectral peaks demonstrated the presence of Cd, Se, Zn, and S. Cellular uptake was further confirmed by confocal 2.10. Statistical Analysis microscopy, which also showed the intracellular localizaDelivered by Ingenta to: tion of CdSe/ZnS QDs in A549 cells. Cells were treated The effects of CdSe/ZnS QDs with or without UVA University Yonsei with 8.3 g/mL QDs, and confocal Z-stack analysis of or UVB irradiation on DNA were analyzed using IP :non165.132.61.49 the 02:48:17 treated cells verified the intracellular translocation of parametric Kruskal–Wallis one-way analysis of variFri, 31 Aug 2012 ance (ANOVA) and the Mann–Whitney U test. One-way CdSe/ZnS QDs (Fig. 4). ANOVA followed by Dunnett’s or Tukey’s test was applied to analyze cell viability, ROS generation, induction of apoptosis and necrosis, and mRNA expression, using SPSS software v. 12 (SPSS Inc., Chicago, IL, USA). Linear (A) trends for the induction of apoptosis and necrosis were tested using a linear regression model. in Table I. The thermal cycling conditions were incubation at 94 C for 5 min, followed by 40 cycles of 94 C for 15 s, 55 C for 30 s, and 72 C for 30 s. Each assay was performed in triplicate, with GAPDH as an endogenous control for normalizing expression levels. Data are expressed as the ratios of ataxia telangiectasia mutated (ATM), p53, and caspase-9 to GAPDH, according to the comparative threshold cycle method (2−Ct ). 3.1. Physicochemical Characterization and Intracellular Distribution of QDs Core–shell type CdSe/ZnS QDs (particle size, 3.3 nm; em , 530 nm) was obtained from the supplier as a toluene solution. Toluene was removed by rotary evaporator to complete dryness. Then the QDs were suspended in distilled water, and the physicochemical and photophysical properties of aqueous QDs were analyzed by DLS, UV-Vis spectroscopy, steady-state fluorescence emission spectroscopy, zeta potential, and TEM. The average size of CdSe/ZnS QDs was 105 ± 1555 nm as determined by DLS, indicating that QD particles are aggregated together in aqueous environment. However, the size of QD aggregates is still in the nano-regime, which is small enough for efficient endocytic entry into cells. The UV-Vis absorption spectrum of CdSe/ZnS QDs showed broad continuous absorption at wavelengths extending from the UV to the visible range (Fig. 1(A)). The photoluminescence emission spectrum was narrow, with maximum emission at 535 nm (Fig. 1(B)). These results indicate that photophysical properties of the QDs are largely preserved in aqueous environment. The zeta potential measurement in distilled water J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 (B) Fig. 1. Characterization of CdSe/ZnS quantum dots (QDs). UV-Vis absorption spectrum of QDs (A). Photoluminescence (PL) spectrum (emission wavelength = 535 nm) of QDs. The maximum emission occurred at a wavelength of 535 nm (B). 2163 RESEARCH ARTICLE 3. RESULTS Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots Choi et al. Fig. 4. Confocal images of internalized quantum dots (QDs) in A549 cells. Magnification: ×630. 3-D Z-stack image shows the localizaFig. 2. Image of transmission electron microscope of QDs. Scale bar is tion of the QDs in A549 cells. Green, QDs; blue, cell nuclei stained with 50 nm. Magnification: × 400,000. The inset shows a higher resolution. Delivered by Ingenta to: DAPI. Arrows indicate the QDs. Agglomerates of QDs are observed. Yonsei University IP : 165.132.61.49 3.3.02:48:17 Assessment of Apoptosis and Necrosis Fri, 31 Aug 2012 RESEARCH ARTICLE 3.2. Phototoxicity of QDs in A549 Cells under UV Irradiation MTT assays were performed in A549 cells to assess CdSe/ZnS QD cytotoxicity with and without UVA or UVB irradiation. An overall dose-dependent decrease in cell viability was observed. The effect of CdSe/ZnS QD photoactivation on cell viability was more significant when the cells were irradiated with UVB than with UVA irradiation (Fig. 5). The A549 cells were more susceptible to the effect of CdSe/ZnS QDs combined with UVB irradiation (68.81% cell viability) than to the effects of CdSe/ZnS QDs plus UVA irradiation (82.01% cell viability) or CdSe/ZnS QDs (1.6 g/mL) alone (89.2% cell viability). Fig. 3. Energy dispersive X-ray (EDX) specta of CdSe/ZnS quantum dots. Confirming the presence of Cd, Se, Zn, and S. Measuring time: 5 min. High voltage: 10 keV. 2164 We next conducted apoptosis assays to investigate the mode of CdSe/ZnS QD-induced cell death in the presence or absence of UVA or UVB irradiation. We used a one-step sandwich ELISA assay in which mouse monoclonal antibodies directed against DNA and histones immunoreact with mono- and oligonucleosomes in the cytoplasmic fractions of cell lysates to colorimetrically quantify the relative level of apoptosis. This assay showed that CdSe/ZnS QDs Fig. 5. Cell viability assay for quantum dots (QDs) in the presence and absence of ultraviolet (UV) light. A549 cells were incubated in a 96-well microplate for 24 h and then treated with QDs with and without UVA/UVB. Cell viability was determined by MTT assay. Data are percentages of control, and error bars represent standard errors from triplicate experiments. Results were statistically analyzed with Dunnett’s post-hoc test (∗∗p < 001 compared with control). Letters denote significant differences among treatments using Tukey’s HSD test after one-way ANOVA (p < 005). J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 Choi et al. Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots induced A549 cell apoptosis in a dose-dependent manner (Fig. 6(A)), with a more significant increase in apoptosis generally observed in cells treated with both CdSe/ZnS QDs and UVB. Interestingly, the induction of apoptosis in the UVB-treated group was somewhat reduced at the highest QD concentration (16.6 g/mL). In contrast, the LDH assay, which is a sensitive detection method for necrotic cell death, revealed significant and consistent increases in LDH release in proportion to increases in QD concentration (Fig. 6(B)). Taken together, the results indicate that CdSe/ZnS QDs at relatively low concentrations induced apoptosis, but QDs at (A) higher concentrations had a tendency to induce necrosis, rather than apoptosis. Furthermore, UVB irradiation alone induced predominantly apoptosis in A549 cells, whereas combined treatment with CdSe/ZnS QDs and UVB induced necrosis and apoptosis. The amount of LDH released also increased significantly in a dose-dependent manner compared to that in the control (Fig. 6(B)). 3.4. DNA Damage Indicated by the Comet and MN Assays We evaluated the genotoxicity induced by CdSe/ZnS QDs with/without UVA/UVB irradiation using the comet assay, in which the extent of DNA damage is represented by the OTM (Fig. 7(A)). Significant DNA damage was evident in A549 cells treated with QDs alone (OTM: 556 ± 263, 1105 ± 461, and 1510 ± 577 for control, 4.1 g/mL (A) Delivered by Ingenta to: Yonsei University IP : 165.132.61.49 Fri, 31 Aug 2012 02:48:17 RESEARCH ARTICLE (B) (B) Fig. 6. Induction of apoptosis and necrosis in A549 cells by quantum dots (QDs) in the presence and absence of ultraviolet (UVA/UVB) light. Apoptosis was detected using a Cell Death Detection ELISA kit (A). Necrosis was evaluated by LDH assay (B). Values are percentages of control, and bars represent the standard errors from duplicate experiments. Results were statistically analyzed with Dunnett’s post-hoc test after one-way ANOVA (∗p < 005; ∗∗p < 001 compared with control). A linear relationship between QD concentration and LDH activity was analyzed using a linear regression model (B). The P value for a trend was significant for LDH release (p < 005). J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 Fig. 7. DNA damage in A549 cells treated with quantum dots (QDs) in the presence and absence of ultraviolet (UVA/UVB) light. DNA singlestrand breakage was evaluated by Olive tail moment (OTM) in a comet assay (A) and by micronuclei formation (B). MNs, micronuclei; BNCs, bi-nucleated cells. Values represent means ± standard error. Results were statistically analyzed with Kruskal-Wallis and Mann-Whitney U tests. ∗ p < 005, ∗∗∗p < 0001 compared with control. 2165 RESEARCH ARTICLE Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots Choi et al. QDs, and 8.3 g/mL QDs, respectively), cells treated with UVA irradiation (OTM: 807 ± 364, 1302 ± 500, and 1906 ± 633 for UVA alone, 4.1 g/mL QDs plus UVA, and 8.3 g/mL QDs plus UVA, respectively), and cells treated with UVB irradiation (OTM: 1235 ± 423, 1886 ± 589, and 3202 ± 866 for UVB alone, 4.1 g/mL QDs plus UVB, and 8.3 g/mL QDs plus UVB, respectively). UVB treatment alone induced considerable single-strand DNA damage, and UVB irradiation significantly enhanced the genotoxicity of CdSe/ZnS QDs. We also performed MN assays to assess the genotoxic effects of CdSe/ZnS QDs with/without UVA/UVB irradiation (Fig. 7(B)). The MN frequency in A549 control cells was 31±14 MNs per 1000 bi-nucleated cells; the frequenFig. 8. Induction of reactive oxygen species in 549 cells by quantum cies in cells treated with QDs at 1.6 g/mL and 4.1 g/mL dots (QDs) in the presence and absence of ultraviolet (UVA/UVB) light. were 35 ± 07 and 36 ± 21, respectively. Although QD Bars represent mean fluorescence intensities relative to the control, and treatment alone induced a moderate increase in MN formalines represent standard errors from triplicate experiments. Results were tion, the frequency was remarkably increased when UVA statistically analyzed by one-way ANOVA, followed by Dunnett’s postor UVB irradiation was combined with CdSe/ZnS QDs. hoc test (∗p < 005). Delivered by Ingenta to: The MN frequencies in A549 cells with UVB irradiation Yonsei University alone (40 ± 56) and with UVB irradiation plus 1.6 g/mL only were similar to the levels in control cells. The p53 IP : QDs 165.132.61.49 QDs (56 ± 14) and UVB irradiation plus 4.1 g/mL mRNA level was slightly higher in cells treated with UVB Fri, 31 Aug 2012 02:48:17 (49 ± 28) were significantly higher than the corresponding irradiation alone compared with the level in control cells. frequencies with UVA irradiation (37 ± 21, 38 ± 77, and The mRNA levels of all three genes were increased in cells 42 ± 56 for UVA alone, 1.6 g/mL QDs plus UVA, and treated with both CdSe/ZnS QDs and UVB (243 ± 11 for 4.1 g/mL QDs plus UVA, respectively). ATM, 322 ± 13 for p53, and 48 ± 345 for caspase-9) compared with the levels in control cells, but the differ3.5. ROS Measurement ences were not statistically significant. ROS induction by CdSe/ZnS QDs with and without UVA or UVB irradiation in A549 cells was analyzed by flu4. DISCUSSION orescence spectrophotometry. Intracellular ROS content increased only slightly in cells treated with CdSe/ZnS QDs with a CdSe core and ZnS shell are inorganic QDs alone; however, significant increases in ROS formasemiconductor nanocrystals with extreme photostability, tion were observed in cells irradiated with UVA or UVB a broad absorption band profile, and a narrow emission in combination with QDs. The level of ROS generation spectrum.28 They have been widely applied for molecular in cells treated with 1.6 g/mL QDs plus UVB irradibiomedical imaging and clinical therapies, and their potenation was significantly higher than the levels in control tial photo-cytotoxic effects have become a topic of considcells, UVA-irradiated cells, and QD (1.6 g/mL)-treated erable concern.29 30 In the present study, the genotoxicity UVA-irradiated cells (Fig. 8). The results indicate that and cytotoxicity of CdSe/ZnS QDs were comprehensively UV irradiation, especially UVB irradiation, enhanced ROS analyzed using several toxicological assessment methods. generation in cells treated with CdSe/ZnS QDs. The results showed that while CdSe/ZnS QD treatment alone had only a mild genotoxic effect, the genotoxicity 3.6. Expression of Apoptosis Signaling Genes and cytotoxicity of CdSe/ZnS QDs can be significantly increased when combined with UVA or UVB irradiaA549 cells were exposed to CdSe/ZnS QDs for 4 h tion. By assessing CdSe/ZnS QDs as a photosensitizer, and then to UVA (2 J/cm2 or UVB (0.3 J/cm2 irradiwe demonstrated the potential effectiveness of PDT mediation. After 24 h, the mRNA levels of apoptosis-related ated by CdSe/ZnS QDs under UVA/UVB irradiation in genes were quantified by real-time PCR using the 2−Ct lung cancer cells. The CdSe/ZnS QDs showed a broad method. To investigate whether DNA damage and ROS and continuous absorption spectrum from UV to visible generated in cells treated with CdSe/ZnS QDs plus UVA wavelengths (Fig. 1), whereas conventional photosensitizor UVB irradiation could induce apoptosis, the mRNA levers such as photofin, visudyne, and foscan absorb only els for ATM, p53, and caspase-9, which are involved in the between 630 and 700 nm.31 apoptosis signaling pathway, were analyzed (Table II). The Two possible DNA damage induction pathways were mRNA expression levels for ATM, p53, and caspase-9 in cells treated with UVA irradiation only or CdSe/ZnS QDs apparent in A549cancer cells treated with CdSe/ZnS QDs 2166 J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 Choi et al. Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots Table II. Quantitative analysis of ATM (A), p53 (B), and caspase-9 (C) mRNA level expression using by real-time PCR. Concentrations (g/mL) (-)UVA/(-)UVB (+)UVA/(-)UVB (-)UVA/(+)UVB A. Control QD 8.3 1 1.33 ± 0.17 0.81 ± 0.19 1.16 ± 0.21 1.03 ± 0.3 2.43 ± 1.1 B. Control QD 8.3 1 2.26 ± 0.44 1.8 ± 0.13 2.8 ± 0.12 2.74 ± 0.25 3.22 ± 1.3 C. Control QD 8.3 1 1 ± 004 072 ± 002 136 ± 014 108 ± 012 48 ± 345 Note: Results were statistically analyzed with one-way ANOVA, no significant differences were found in either group (p > 0.05). Values represent the means of triplicate determinations ± standard errors from independent experiments. J. Nanosci. Nanotechnol. 12, 2160–2168, 2012 2167 RESEARCH ARTICLE in the presence or absence of UVA or UVB irradiathe cell nucleus, where they interact directly with chromosomal DNA.34 35 The results from the comet and MN tion. First, ROS generation caused by CdSe/ZnS QDs assays support the pathway of DNA damage induction with/without UVA/UVB elicited DNA damage. Although through the direct interactions of CdSe/ZnS QDs with ROS generation by CdSe/ZnS QDs was lower than that DNA. When unrepaired single-strand breaks are converted by classic photosensitizers,32 QDs, nevertheless, have charDelivered by Ingenta to: into double-strand breaks, micronuclei could be generated. acteristics of a good photosensitizer, as describedYonsei above. University DNA double-strand breaks are known to activate ATM, In a previous study, CdSe-core QDs, but not ZnS-coated IP : 165.132.61.49 a serine/threonine protein kinase.36 In the present study, CdSe-core QDs, induced apoptosis via increases in ROS, Fri, 31 Aug 2012 02:48:17 there was a 2.43-fold change in ATM expression in cells cytochrome c release, and activation of caspase −9/−3.14 treated with CdSe/ZnS QDs under UVB irradiation; this However, the current study revealed that ROS induction could trigger p53 activation and ATM-dependent apoptoand caspase-9 mRNA expression increased considerably sis. It is reported that the induction of apoptosis is one in cells treated with CdSe/ZnS QDs plus UV irradiation. of the best approaches for cancer therapy.37 Importantly, CdSe/ZnS QD (1.6 g/mL) treatment alone induced only although CdSe core/ZnS shell QDs are less toxic than nona mild increase in ROS (by 17%); however, ROS increases coated CdSe core QDs, the phototoxicity of the CdSe/ZnS were significant, up to 32% or 64%, when CdSe/ZnS QDs was increased remarkably by UV irradiation. In this QDs were combined with UVA or UVB, respectively. The study, the apoptosis level was clearly higher in A549 cells caspase-9 mRNA level also increased with UVA or UVB treated with CdSe/ZnS QDs in combination with UVB irradiation (1.36 or 4.8 fold-change, respectively, comirradiation (up to four times the level with CdSe/ZnS QD pared with control). These results indicate that CdSe/ZnS treatment alone) than in cells treated with QDs and UVA QDs under UV irradiation act as a photosensitizer to gen(up to twice the level with CdSe/ZnS QD treatment alone). erate ROS. A similar trend was observed in the necrosis assay: twoROS-induced DNA damage was observed in the comet fold increase for CdSe/ZnS QDs with UVA irradiation and and MN assays. In the comet assay, CdSe/ZnS QD phothree-fold increase for CdSe/ZnS QDs with UVB irraditotoxicity induced by UV irradiation, especially UVB, ation compared with QD treatment alone. The apoptosis was statistically significant. CdSe/ZnS QD treatment with and LDH assays could detect cytotoxicity with high sensiUVA or UVB induced single-strand DNA breaks with tivity, whereas the MTT assay could not detect differences a frequency that was four or six times that in the conat high QD concentrations (>8.3 g/mL CdSe/ZnS QDs). trol, respectively, and CdSe/ZnS QDs alone induced DNA In conclusion, our results clearly demonstrate that single-strand breaks at a rate three times that in the consimultaneously treating mammalian cells with CdSe/ZnS trol. Only cells treated with QDs and UVB showed a sigQDs and UV radiation elicited genotoxic and cytotoxic nificant increase in MN formation, which is believed to effects via DNA damage, finally inducing apoptosis and be generated from double-strand breaks, compared with necrosis. We elucidated a detailed picture of cytotoxicthat in the control group (Fig. 7(B)). These results suggest ity, genotoxicity, and phototoxicity of CdSe/ZnS QD treatthat single-strand DNA damage may be repaired more effiment, UVA irradiation, and UVB irradiation, applied alone ciently in cells treated with CdSe/ZnS QDs and UVA irraor in combination. The results suggest the potential effidiation than in UVB-irradiated cells. Because UVB light cacy and general guidelines for using CdSe/ZnS QDs and has more mutagenic effect than UVA light, DNA damage UV irradiation during PDT for cancer. caused by UVB is difficult to repair, thereby causing more damage.33 Acknowledgments: This research was supported by The second possible DNA damage induction pathway Basic Science Research Program [2010-0013018;2011involves the entry of endocytosed CdSe/ZnS QDs into 0004942] through the National Research Foundation of Cyto-/Genotoxic Effect of CdSe/ZnS Quantum Dots Choi et al. 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