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  <front>
    <article-meta>
      <title-group>
        <article-title>Preparation, Characterization and Cytotoxic Studies of Cisplatin-containing Nanoliposomes on Breast Cancer Cell Lines</article-title>
      </title-group>
      <abstract>
        <p id="_paragraph-1"><bold id="bold-1">Objective: </bold>Today, cancer is one the most important challenges in modern medicine. Breast carcinoma is one type of cancer that is treated with cisplatin, a chemotherapy drug. By using liposomal nanocarriers, this study seeks to increase the therapeutic efficiency of cisplatin. <bold id="bold-2">Method: </bold>The zeta potential, particle size, and drug-release characteristics of nanoliposomal cisplatin were evaluated after it had been synthesized using the reverse phase evaporation technique. The cytotoxicity rate of nanoliposomal cisplatin was then assessed using the T-47D breast cancer cell line. <bold id="bold-3">Results: </bold>This study’s liposomal nanoparticles (NPs) had a zeta potential of -24.9 mV and a particle size of 342.3 nm. 3.51% and 79.6%, respectively, were found to be the drug loading level and amount of encapsulated drug. A significant improvement over the free drug was seen in this nanoliposome’s cytotoxic effect on the T-47D breast cancer cell line (P&lt;0.05). <bold id="bold-4">Conclusion: </bold>According to what we have discovered, cisplatin liposomal nanocarriers may prove to be a cutting-edge chemotherapy treatment for breast cancer.</p>
      </abstract>
    </article-meta>
  </front>
  <body id="body">
    <sec id="heading-fb276a78d5f9e1213d3ab50c5f1caffc">
      <title>Introduction</title>
      <p id="paragraph-1">Breast cancer is the most prevalent type of cancer that is found and is the main cause of cancer-related deaths in women worldwide [1,2]. Breast cancer mortality rates have remained largely stable over the past three decades, despite significant improvements in chemotherapy treatment [3]. Increasing age, active and passive smoking, microbial infections, and genetic predisposition are just a few of the numerous risk factors connected to breast cancer. These multifaceted risk factors have a significant impact on how cancer develops and spreads, which ultimately affects the efficiency and results of cancer therapy [4-7]. It has been acknowledged that the main difficulties or restrictions of chemotherapy treatment are the initial response to the drugs and the ensuing development of resistance, which causes relapse and the metastatic spread to vital organs like the lungs, liver, and bones [8]. A promising approach for delivering chemotherapeutics is to use nanotechnology-based materials as they improve tumor targeting, increase drug penetration into tumors, and decrease side effects [9,10]. Breast cancer is one of many malignancies for which cisplatin is frequently used as a chemotherapeutic agent [11]. The drug significantly affects cancer cells by attaching to the DNA molecule, causing apoptosis and necrosis to occur [12]. Notwithstanding, nephrotoxicity and neurotoxicity are among the side effects of cisplatin administration [13]. The creation of drug delivery systems with the intention of influencing and managing drug distribution within the body has received a lot of attention over the last few decades. One method uses nanoliposomes, which can easily pass through the interendothelial cell gap of newly formed tumor capillaries and collect inside the tumor. These nanoliposomes are packed with anticancer agents. These innate characteristics aid in boosting the concentration of anticancer medications specifically within the tumor, thereby lowering their toxicity in healthy tissues [14,15]. Researchers have had difficulty creating the ideal nanoliposome formulation for the drug cisplatin, despite prior attempts to deliver it using a variety of carriers. Researchers optimized cisplatin nanoliposomes in this study and assessed the toxicity of the nanoliposomes on breast cancer cell lines.</p>
    </sec>
    <sec id="heading-ea50c44454153e64620f0de48f3643a7">
      <title>Materials and Methods</title>
      <p id="paragraph-22a2df8dd9d2340c932d13785fb837e6">Cisplatin, cholesterol, and polyethylene glycol 3350 were obtained from Sigma-Aldrich Co., UK. Lecithin was obtained from Acros Co., Belgium. RPMI 1640 cell culture medium was obtained from Gibco Co., Germany. Additionally, the T-47D cell line was purchased from the cell bank of the Pasteur Institute in Iran.</p>
      <p id="paragraph-2" />
      <sec id="heading-23837ab4bf0c72f38d617169b56d526c">
        <title>
          <italic id="italic-06a2608aa2049592395b236877d15f13">Nanoliposomal drug preparation<italic id="italic-2"/></italic>
        </title>
        <p id="paragraph-4">The reverse phase evaporation method was used for producing liposomal nanoparticles. Briefly, 100 ml of 96% ethanol was used to dissolve 10 mg of cisplatin, 150 mg of lecithin, 60 mg of cholesterol, and 72 mg of polyethylene glycol 3350 (with a molar ratio of 55: 40: 5%). For two hours, the mixture was stirred at 140 rpm while being heated to 37 C. A rotary evaporator was used to separate the solvent following complete dissolution. In two separate additions, the resulting thin film was dissolved in 15 cc of phosphate buffer (pH 7.4). The formulations were then placed in an ultrasonic bath (Bandelin Sonorex Digitec, Germany) and sonicated for 5 minutes.</p>
        <p id="paragraph-5" />
      </sec>
      <sec id="heading-3ed62fcbfd4b6b43e5b0369aa735b5e4">
        <title>
          <italic id="italic-3">Particle size and zeta potential analysis<italic id="italic-4"/></italic>
        </title>
        <p id="paragraph-7">Four milliliters of phosphate-buffered saline (PBS) were used to dissolve one milligram of the formulation. Then, a Zetasizer (Nano ZS3600, Malvern Instruments, UK) was used to measure the zeta potential and mean diameter of the nanoliposomes as well as their absorption at 633 nm.</p>
        <p id="paragraph-8" />
      </sec>
      <sec id="heading-5a5af94ec7e7dcd8af7c2725fd863814">
        <title>
          <italic id="italic-5">Encapsulation efficiency<italic id="italic-6"/></italic>
        </title>
        <p id="paragraph-10">40 mg of the formulation were centrifuged for an hour at 4 degrees Celsius and 13,200 rpm to ascertain the rate of drug entrapment. Using a spectrophotometer (UV1800, Shimadzu Co.), the optical absorbance of the supernatant from each formulation was then measured at 220 nm. Then, using Formulas 1 and 2, the rate of drug loading and encapsulation efficiency were calculated.</p>
        <p id="paragraph-11" />
        <p id="paragraph-12">(1) Encapsulation percent=(PC-CS )/(PC ) x 100</p>
        <p id="paragraph-13" />
        <p id="paragraph-14">(2) Drug loading percent=(C )/(W ) x 100</p>
        <p id="paragraph-15" />
        <p id="paragraph-16">In Formula 1, PC: primary cisplatin and CS: cisplatin in supernatant in mg/ml</p>
        <p id="paragraph-17">In Formula 2, C: cisplatin content in the nanoliposomes and W: weight of nanoliposomes in mg/ml</p>
        <p id="paragraph-1b7ae1125845ac1fe0db6e073495094b">
          <italic id="italic-4f4f52cb75e50f18e9374e0ac8a47d30">Nanoliposomal drugstability study<italic id="italic-199abc4404230d3dccc1644bd4673a59"/></italic>
        </p>
        <p id="paragraph-6ff78fad96236328d93a74e07a58bb9a">For a month, the nanoliposomes were kept in a refrigerator at 4°C. Following this, the above-described procedure was used to determine the nanoliposome properties once more.</p>
        <p id="paragraph-3" />
      </sec>
      <sec id="heading-3d1dc559bd41866c9e51dcc89b28afd8">
        <title>
          <italic id="italic-1010fb1433f8a979c7be7eca0ab7987b">Drug release study<italic id="italic-03676f16297e830a817374d87f1fe5ef"/></italic>
        </title>
        <p id="paragraph-010c9dd406f21255442c7675c0fff198">A dialysis bag with a cut-off of 10,000 Daltons was filled with 1 ml of the liposomal drug suspension and its control in order to assess the release pattern of nanoliposomal cisplatin. The bag was then submerged in 100 ml of pH 7.4 PBS buffer and stirred for 35 hours at 140 rpm at room temperature. Then, 1 ml of the used PBS buffer was taken out and swapped out for 1 ml of brand-new PBS buffer. The samples’ optical absorbance was determined at 227 nm, and a standard curve was used to determine the concentration of the free drug. The drug release profile was finally plotted versus time.</p>
        <p id="paragraph-6" />
      </sec>
      <sec id="heading-4dbd63d00384b6f0411717904ca6086f">
        <title>
          <italic id="italic-d6ac0fd26b7e201a129a6bfdef74dc64">Cell culture<italic id="italic-e1bc4a725e073442ebf2c19b1ce1ffd2"/></italic>
        </title>
        <p id="paragraph-813c771f4dbfce0b1d75edea5fea6b2c">In RPMI 1640 medium supplemented with 10% fetal bovine serum, 100 g/ml streptomycin, and 100 U/ml penicillin, the T-47D cell line was cultured. At 37°C, 5% CO2, and 90% humidity, the cell culture was kept alive. A 96-well plate was filled with 100 of a cell suspension containing 10,000 cells for each cell culture. The plate was incubated with 5% CO2 at 37°C. The cells’ supernatant was removed after 24 hours. The cells were then treated with various concentrations of the standard cisplatin drug, control, and the nanoliposomal cisplatin formulation. After another 24 hours, this process was repeated.</p>
        <p id="paragraph-9" />
      </sec>
      <sec id="heading-2513b6643b2f3869b26c0c5787734288">
        <title>
          <italic id="italic-7">Cytotoxicity assay<italic id="italic-8"/></italic>
        </title>
        <p id="paragraph-5d10849ed8abe09003fe7cf3e29aebf3">The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay was used to test for cytotoxicity. The cells were exposed for 48 hours before the supernatant was taken out and a 100 µl solution of MTT (0.5 mg/ml) was added. After the cells had been incubated for 3 hours, the culture medium was then added with a 100 µl solution of isopropanol. After 30 minutes, a plate reader (Synergy Multi-Mode Elisa Reader, Bio-Tek, USA) was used to measure the formazan product’s optical absorbance at 570 nm. Finally, the pharm program was used to determine the IC50 value.</p>
      </sec>
      <sec id="heading-4e61dd6fee14f1784bb6611004cf4e07">
        <title>
          <italic id="italic-9">Statistical analysis<italic id="italic-10"/></italic>
        </title>
        <p id="paragraph-78463ddb86febad6ffca6c8ccd87f2a6">The SPSS software, version 11, was used to analyze the results. The results of three independent tests, each with two samples, are shown as Mean±SD. The statistical test was performed using the unpaired-samples t-test, and the significance level was set at 0.05.</p>
      </sec>
    </sec>
    <sec id="heading-6a2bf9a84b533347ae4e0ba85790147a">
      <title>Results</title>
      <sec id="heading-36430021d30c4dba4ac6c62b4cc39db4">
        <title>
          <italic id="italic-aab16a2d01f49b7fa11751940efd8149">Particle size and zeta potential analysis<italic id="italic-508f7e2c62732aa8c1a537e8322887ea"/></italic>
        </title>
        <p id="paragraph-8ef5b1791240766bc352b3acffe1923c">According to measurements, the average size of nanoliposomal cisplatin and the potential of zeta were found to be 342.3 nm and -24.9 mV, respectively, as shown in Figure 1.</p>
        <fig id="figure-panel-ac045f5807fe9406115eab389157307c">
          <label>Figure 1. The Mean Size of Nanoliposomal Cisplatin</label>
          <caption>
            <title></title>
            <p id="paragraph-dfb415a72f45d049adbc55aa62d5e0ca" />
          </caption>
          <graphic id="graphic-92e2069c87b36a229acb366ce21ef2eb" mimetype="image" mime-subtype="jpeg" xlink:href="http://waocp.com/journal/fig/cb/APJCB_V8_i2_N19_2023_Fig_1.jpg" />
        </fig>
      </sec>
      <sec id="heading-21e78efb044e5d84c42a0fdb4c87bd94">
        <title>
          <italic id="italic-2ab05ce640ad6c45e5508e54db9294be">Encapsulation efficiency and drug loading studies<italic id="italic-351d2c40448048638576c00d3e56aa4c"/></italic>
        </title>
        <p id="paragraph-a0a5481497292139a93e8de3f2f209e3">The drug loading contents and encapsulation efficiency were calculated using Formulas 1 and 2 as 79.6% and 3.5%, respectively.</p>
        <p id="paragraph-ce8bc3b59221961e3e93fb17e4b5e970" />
      </sec>
      <sec id="heading-aa868e013858d826ed623f5242d6c92f">
        <title>
          <italic id="italic-2cdee2df7cc64797c795146978ccacd1">Nanoliposomal drug stability study<italic id="italic-68f66c4cbde7f97fb7fa8aa8248cf0ad"/></italic>
        </title>
        <p id="paragraph-f75ee52347309a60817c6fe2733c4f4e">The characteristics of the nanoliposomes at the time of production and after one month of storage were compared, as shown in Table 1. </p>
        <table-wrap id="table-figure-520a8aab25cb94a6d023ddb8032d10a7">
          <label>Table 1. Physicochemical Characteristics of the Cisplatin Nanoliposomes and Its Stability one Months after Production</label>
          <caption>
            <title></title>
            <p id="paragraph-54af7850cb1423381f956e08b0fb9e8e" />
          </caption>
          <table id="table-e554ac45ab0275fe3b7e4913fa7ef6b3">
            <tbody>
              <tr>
               <td>Time</td>
               <td>Zeta potential (mV)</td>
               <td>Size (nm)</td>
               <td>Encapsulation efficiency (%)</td>
               <td>Drug loading (%)</td>
            </tr>
            <tr>
               <td>Production time</td>
               <td>-24.9±1.7</td>
               <td>342.3±18.7</td>
               <td>79.6±3.7</td>
               <td>3.5±1.1</td>
            </tr>
            <tr>
               <td>1 months after production</td>
               <td>-25.2±1.8</td>
               <td>350.5±19.2</td>
               <td>70.7±2.9</td>
               <td>3.15±1.0</td>
            </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="paragraph-b8ae82ef413d090167738de0825be4b8">Data are expressed as mean±SD of three different experiments.</p>
        <p id="paragraph-173e16ed40dd9fd9ee8cac1496eb81a7" />
        <p id="paragraph-2060f1b897ae0eec653fd2c9da25d3f6">The findings showed that when compared to the time of production, the nanoliposomes stored at 4 °C for a month did not show any appreciable changes in parameters like zeta potential, size, encapsulation efficiency, and drug loading percentage.</p>
        <p id="paragraph-8a248d138fc59d864be9a032a0eedb88" />
      </sec>
      <sec id="heading-b0f42f236dbe58be069d3dd03f969067">
        <title>
          <italic id="italic-035b0e343f0876e7a1d27941db548435">In vitro drug release studies<italic id="italic-b68a5c077e6dc859833f5207987ec559"/></italic>
        </title>
        <p id="paragraph-aa3b7bcaae367a41f132696f4d5db933">At specific time intervals of 1, 2, 4, 7, 10, 23, 27, 31, and 35 hours, the release of cisplatin into the PBS buffer was measured, as shown in Figure 2. </p>
        <fig id="figure-panel-9798e94715affcd2104b89c2d13dbb5d">
          <label>Figure 2. Cisplatin Nanoliposome Release Characteristics in vitro in PBS Buffer. The results of three different experiments, each of which was carried out in duplicate, are expressed as the mean and SD</label>
          <caption>
            <title></title>
            <p id="paragraph-92b727bb0a7475e3de4e98bbc9398d05" />
          </caption>
          <graphic id="graphic-5c074e82c5657e041d66b0df9ab81d9c" mimetype="image" mime-subtype="jpeg" xlink:href="http://waocp.com/journal/fig/cb/APJCB_V8_i2_N19_2023_Fig_2.jpg" />
        </fig>
        <p id="paragraph-05c67f166a8c811106a20966fa1ca54a">The amount released was calculated using the cisplatin standard curve. The outcomes showed that a maximum of 78.2±2% of the cisplatin contained in the nanoliposomes was released over the course of the 35-hour period.</p>
        <p id="paragraph-4f78af4f4b02261ac8c88e3175ec8417" />
      </sec>
      <sec id="heading-441e7d74f7b41dcf793cedaace24e31c">
        <title>
          <italic id="italic-beb3c785996b9d12396b9e214168da8b">Cytotoxicity assay<italic id="italic-0d939d4d7efda5179102cbb2d1d86952"/></italic>
        </title>
        <p id="paragraph-9038960996419a3946dddefacd1051ff">Following exposure of breast cell lines to both free cisplatin and its nanoliposomal formulation, as determined by the MTT assay, the IC<sub id="subscript-1">50</sub> values showed a significant decrease in a dose-dependent manner, as shown in Table 2. </p>
        <table-wrap id="table-figure-b0fe3a14b46aa70da141362f21f14c8c">
          <label>Table 2. A Comparison between IC<sub id="subscript-8db37c45ec83bd566fcb9e33f4365ec2">50</sub> Values of Cisplatin and Its Nanoliposomal Formulation in the Cell Line, T-47D</label>
          <caption>
            <title></title>
            <p id="paragraph-fcc9fd16c593a18b44146cac07497d17" />
          </caption>
          <table id="table-a68b582a8bddba4a8a2987d6ae72f9aa">
            <tbody>
               <tr>
               <td>Breast Cell Lines</td>
               <td>IC50 (µg/ml) of Cisplatin</td>
               <td>IC50 (µg/ml) of Nanoliposomal Cisplatin</td>
               <td>P value</td>
            </tr>
            <tr>
               <td>T-47D</td>
               <td>140.8±51.8</td>
               <td>58.1±22.7</td>
               <td>P&lt;0.05</td>
            </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="paragraph-8a81d9a30e4934228df4c1d35cd29043">The results of three different experiments, each of which was carried out in duplicate, are expressed as the mean +-SD.</p>
      </sec>
    </sec>
     <sec id="heading-5c6e08deea742afe05245b8b1f1e6685">
      <title>Discussion</title>
      <p id="paragraph-513124238501d62a2829bddc3a57c65a">Chemotherapy is still the mainstay treatment for various cancers. However, it has run into problems like low tumor selectivity and MDR (multidrug resistance). One creative solution to these problems is the use of nanotechnology materials for targeted drug delivery [16,17]. This study’s goals included improving cisplatin nanoliposomes and determining how toxic they were to breast cancer cell lines. The results of the study showed that cisplatin’s cytotoxic effects were increased in liposomes as opposed to in its free form. In conclusion, nanoliposome synthesis methods have proven to be an invaluable asset in improving therapeutic drugs, particularly in the area of chemotherapy [18]. Nevertheless, it is essential to carefully assess the toxicity and fate of nanoliposomes before using them for pharmaceutical applications [19]. Numerous studies have investigated the effects of different medications formulated in nanoliposomes in various cell lines. In the case of the breast cancer cell line MCF-7, Koohi Moftakhari Esfahani et al. [20] evaluated the cytotoxicity of liposomal paclitaxel. Their analysis of the drug release showed that the maximum amount of paclitaxel, or about 5.53%, was released from liposomes in just 28 hours. Additionally, their research showed that nanoliposomal paclitaxel had more cytotoxic effects than free paclitaxel. Pegylated nanoliposomal artemisinin was investigated by Dadgar et al. [21] as a potential treatment for breast cancer cell lines. They found that over a 48-hour period, the drug release amounted to roughly 5.17%. According to their research, artemisinin’s cytotoxicity displayed a greater effect when it was packaged in pegylated nanoliposomes than when it was used alone. The dialysis tubing method was used to examine the drug release profile of nanoparticles containing cisplatin. The release process first showed rapid diffusion, which was followed by a phase of slower diffusion. According to the results, the majority of drug release happened in the first four hours. It is clear that nanoliposomal cisplatin is more effective at killing breast cancer cells when compared to free cisplatin when looking at their respective cytotoxic effects. This is explained by the fact that it has a phospholipid structure similar to the bilayer membrane found in breast cell lines. Because of their structural similarity, these cells can be penetrated more easily by nanoliposomal cisplatin, which then releases the drug directly into the target cells, killing them [18]. Using the MTT method, we successfully loaded cisplatin onto liposomal nanoparticles in this study and assessed the cytotoxicity of both the free form of cisplatin and its liposomal formulation on a cell line from a human breast carcinoma. We also looked at the produced nanoparticles’ physicochemical characteristics. The ability of the liposomal nanocarrier to lengthen the drug’s half-life in the bloodstream and play a protective role can be credited for the liposomal formulation’s improved performance. The presence of polyethylene glycol during nanoparticle preparation enables them to remain hidden and stay in circulation for longer periods despite the low loading seen in this study. As a result, this prolonged time in circulation increases the effectiveness of the drug [22]. As a result, our research shows that free cisplatin does not have the same cytotoxic effects on breast cell lines as nanoliposomal cisplatin. This suggests that this formulation has the potential to be a potent substitute for upcoming chemotherapeutic strategies for the treatment of breast cancer.</p>
      <p id="paragraph-de95369119cd77da8cb1f35a883218c3" />
      <p id="paragraph-3b3318ccfadf815182ab945b66ed2ace">
        <italic id="italic-7e9a827b3e1ac9babf72be0afbbbebb0">Co-Author Contributions</italic>
      </p>
      <p id="paragraph-ca7abfc5670624495362bc00e7231913">Authors’ contribution Fateme Mohammadinezhad, Armin Talebi, Elham Saberian, Somayeh Eslami, Parizad Ghanbarikondori, and Zeinab Jabbari Velisdeh performed the experimental tests. Reza Nahavandi, and Maryam Vesal designed the nanoparticle. Ali Habiba did the drug release test. Cell culture was carried out by Azim Akbarzadeh Khiyavi and Paniz mirmoghaddam. Armin Sedighi set up and performed the work with the laboratory devices. Mohammadreza Allahyartorkaman wrote the article.</p>
    </sec>
	<sec id="heading-8e5aabc50690e8c4b16ef9619eea29f7">
      <title>Acknowledgments</title>
      <p id="paragraph-169802868a706f771f33715c73f5bd55">
        <italic id="italic-04c16dda34e478ba116d9e724b31defa">Statement of Transparency and Principals:</italic>
      </p>
      <p id="paragraph-2">· Author declares no conflict of interest</p>
      <p id="paragraph-3">· Study was approved by Research Ethic Committee of author affiliated Institute.</p>
      <p id="paragraph-4">· Study’s data is available upon a reasonable request.</p>
      <p id="paragraph-a3623411de0f56cddb9b7984ed3a1f8d" />
    </sec>
    <sec id="heading-e1bc7d13bd8c610a8690ab1c9c7df237">
      <title>References</title>
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              <given-names>M</given-names>
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          </person-group>
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  </back>
</article>