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YOUNG INNOVATORS 2009 Sustained Release Curcumin Microspheres for Inhibition of Breast Cancer Komal Shahani 1,2, Jayanth Panyam 2 1 Wayne State University 2 University of Minnesota ABSTRACT Curcumin, a dietary polyphenol, has demonstrated chemopreventive potential in vitro in several breast cancer cell lines. However, curcumin suffers from poor oral bioavailability (<1%) and short half-life in vivo, resulting in sub-optimal plasma concentration. The inability to achieve effective systemic concentration following oral administration limits curcumin’s therapeutic and preventive potential in breast cancer. We hypothesized that increased and extended systemic availability of curcumin following subcutaneous administration of a sustained release microsphere formulation will result in effective inhibition of breast cancer. Curcumin-loaded PLGA microspheres were prepared by a rapid solvent evaporation process designed in our laboratory. Microspheres were characterized for size, morphology, drug loading, and in vitro release of curcumin. Pharmacokinetics of the sustained release microsphere formulation was determined in BALB/c mice. The tumor inhibitory potential of the sustained release microsphere formulation was determined in female BALB/c nude mice bearing MDA-MB-231 (human breast adenocarcinoma) xenografts. Young Innovators 2009 ABSTRACT The rapid solvent evaporation process enabled the production of PLGA microspheres with high curcumin loading (~38% w/w; 75% encapsulation efficiency) and sustained release properties (80% release over 28 days). SEM and bright field microscopy studies of the microspheres indicated a smooth, spherical morphology and an average diameter of 22 ± 9 µm. When injected subcutaneously in BALB/c mice, a single dose of curcumin-loaded PLGA microspheres sustained curcumin blood levels for a period of 4 weeks. Interestingly, curcumin concentrations in the lungs and the brain were higher than that in blood and were similarly sustained through 4 weeks. High and sustained levels of curcumin in these organs suggest that curcumin could potentially inhibit breast cancer metastases to these organs. A single dose of curcumin microspheres injected subcutaneously significantly inhibited the growth of MDA-MB-231 tumors (compared to a single dose of blank microspheres, intraperitoneal injections of curcumin solution and vehicle control administered thrice a week, P < 0.05) over a period of 4 weeks. We have successfully demonstrated extended systemic availability of curcumin following subcutaneous administration of a sustained release microsphere formulation and established its tumor inhibitory potential in a mouse model of breast cancer. Young Innovators 2009 CURCUMIN • Dietary polyphenol derived from root of Curcuma longa (Turmeric) • Antioxidant and anti-inflammatory activities • Widely used in Indian medicine and curries • Shown to suppress, arrest, or reverse the process of carcinogenesis Young Innovators 2009 PRECLINICAL AND CLINICAL EFFICACY OF CURCUMIN • Poor oral bioavailability (< 1%) • High oral doses (8 g/day) in humans result in Cmax of < 2 M • Short half life (~28 minutes) • Limits potential in breast cancer Young Innovators 2009 PRECLINICAL AND CLINICAL EFFICACY OF CURCUMIN • Daily intraperitoneal injections of curcumin have been shown to inhibit DMBA induced mammary tumors in rats • Frequent systemic dosing is not a preferred modality for breast cancer prevention and therapy Young Innovators 2009 HYPOTHESIS • Increased and extended systemic availability of curcumin following subcutaneous administration of a sustained release microsphere formulation will result in effective inhibition of breast cancer Young Innovators 2009 METHODS • PLGA microspheres with high curcumin loading were fabricated by a rapid solvent evaporation process designed in our laboratory • Microspheres were characterized for size and morphology using bright field and scanning electron microscopy (SEM), and for drug loading and in vitro release of curcumin using HPLC • Physical state of the encapsulated drug was determined by differential scanning calorimetry (DSC) Young Innovators 2009 METHODS • Pharmacokinetics of the sustained release microsphere formulation was determined in BALB/c mice • Curcumin concentrations in blood and tissues were determined by LC-MS/MS • Tumor inhibition studies were carried out in female BALB/c nu/nu mice bearing MDA-MB-231 (human breast adenocarcinoma) xenografts • Immunohistochemistry studies were done on tumor samples. Cleaved caspase-3, Ki-67, and CD31 were used as biomarkers of apoptosis, proliferation, and angiogenesis respectively Young Innovators 2009 RESULTS • PLGA microspheres with high curcumin loading (~38% w/w; 75% encapsulation efficiency) were fabricated • Microspheres had a smooth, spherical morphology and an average diameter of 22 ± 9 µm • Curcumin loaded in microspheres maintained its crystallinity, indicated by a melting peak at 183° C in the DSC thermogram • Microspheres sustained release of curcumin in vitro over a one-month period (80% release over 28 days) Young Innovators 2009 RESULTS • In mice, a single intraperitoneal injection of curcumin solution resulted in rapid clearance (t1/2 7 hours) of curcumin from blood • Intraperitoneal injections of curcumin solution administered thrice a week resulted in peaks and troughs in curcumin blood levels • A single subcutaneous dose of microspheres sustained curcumin blood levels for a period of 4 weeks Young Innovators 2009 RESULTS • Blood levels with the microsphere formulation were similar to that seen at the end of a week following thrice a week intraperitoneal injections of curcumin solution • Curcumin levels in the lungs and the brain were 1030-fold higher than in blood through 4 weeks and were sustained • Histological evaluation of the subcutaneous tissue from vicinity of the injection site showed that presence of curcumin mitigated acute inflammatory response to PLGA microspheres Young Innovators 2009 RESULTS • In nude mice, a single subcutaneous dose of curcumin microspheres significantly inhibited growth of MDAMB-231 tumors compared to other controls over a period of 4 weeks • Intraperitoneal injections of curcumin solution administered thrice a week had no effect on tumor growth • Immunohistochemistry studies demonstrated that curcumin microsphere treatment significantly increased the number of apoptotic cells, and decreased the number of Ki-67+ and CD31+ cells Young Innovators 2009 DISCUSSION • A single intraperitoneal injection of curcumin solution resulted in rapid clearance of curcumin from blood due to its short half life • Multiple intraperitoneal injections of curcumin solution resulted in peaks and troughs in curcumin blood levels • Blood levels were highest at 30 minutes post injection followed by a decline to near detection limits within 24 hours Young Innovators 2009 DISCUSSION • A single dose of curcumin microspheres was found to sustain curcumin levels in blood for 4 weeks • Curcumin penetrates the lungs and the brain well due to its highly lipophilic nature • This observation is significant because lungs and brain are often the sites for metastases in breast cancer • High and sustained levels of curcumin achieved in these organs could potentially inhibit breast cancer metastases to these organs Young Innovators 2009 DISCUSSION • Encapsulation of curcumin in microspheres was found to cause a profound change in pharmacokinetics of the drug • Longer half life (35-fold) and mean residence time (51-fold) values observed with microsphere formulation suggest sustained availability when curcumin is formulated as microspheres • A single dose of curcumin microspheres significantly inhibited tumor growth compared to other controls Young Innovators 2009 DISCUSSION • Several mechanisms could account for the antitumor effect of curcumin microspheres • Curcumin microsphere treatment significantly enhanced apoptosis, and impaired tumor cell proliferation and angiogenesis Young Innovators 2009 CONCLUSIONS • The enhanced efficacy of curcumin microspheres appears to be related to the ability of microspheres to provide sustained curcumin exposure to tissues of interest • Overall, sustained curcumin delivery using injectable microspheres is a promising approach to breast cancer prevention and therapy Young Innovators 2009 ACKNOWLEDGMENTS • Dr. Peter Villalta, Mass Spectrometry Lab (UMN) • Diana, Brenda and Angela, RAR (UMN) • Dr. John Nelson, Characterization Facility (UMN) • Dr. Raj Suryanarayanan and Sunny, Department of Pharmaceutics (UMN) • Department of Pharmaceutical Sciences, Wayne State University • Department of Pharmaceutics, University of Minnesota Young Innovators 2009 REFERENCES • Yang KY, Lin LC, Tseng TY, Wang SC, Tsai TH. Oral bioavailability of curcumin in rat and the herbal analysis from Curcuma longa by LC-MS/MS. J Chromatogr B Analyt Technol Biomed Life Sci 2007; 853: 183-9 • Cheng AL, Hsu CH, Lin JK, et al. Phase I clinical trial of curcumin, a chemopreventive agent, in patients with highrisk or pre-malignant lesions. Anticancer research 2001; 21: 2895-900 • Thangapazham RL, Sharma A, Maheshwari RK. Multiple molecular targets in cancer chemoprevention by curcumin. Aaps J 2006; 8: E443-9 Young Innovators 2009 REFERENCES • Singletary K, MacDonald C, Wallig M, Fisher C. Inhibition of 7,12-dimethylbenz[a]anthracene (DMBA)-induced mammary tumorigenesis and DMBA-DNA adduct formation by curcumin. Cancer Lett 1996; 103: 137-41 Young Innovators 2009 BIOS/CONTACT INFO Komal Shahani received her Bachelors degree in Pharmacy and Masters degree in Pharmaceutics from the University of Mumbai, India. She earned her Doctorate degree in Pharmaceutical Sciences from Wayne State University, Detroit in August 2009. She is currently a Research Associate in the Department of Pharmaceutics at the University of Minnesota, Minneapolis. Her doctoral research focused on the use of polymeric, sustained release microparticles of dietary polyphenols for breast cancer chemoprevention. She has presented in several regional and national meetings. She is the lead author of one published paper and two others in preparation. She has been awarded the 2009 AAPS Graduate Student Symposium Award in Biotechnology. She can be contacted at [email protected] Young Innovators 2009