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Anti-Cancer Agents in Medicinal Chemistry

Editor-in-Chief

ISSN (Print): 1871-5206
ISSN (Online): 1875-5992

Research Article

Cisplatin and Probiotic Biomass Loaded Pessaries for the Management of Cervical Cancer

Author(s): Deepa Negi, Amandeep Singh, Navin Joshi and Neeraj Mishra*

Volume 20, Issue 5, 2020

Page: [589 - 598] Pages: 10

DOI: 10.2174/1871520619666191211110640

Price: $65

Abstract

Introduction: Cancer is a type of disease, in which the growth of cells is abnormal and uncontrolled. One of the most common cancers among women is cervical cancer. In India, cervical cancer is one of leading causes of cancer mortality among women 30 to 69 years of age, accounting for 17% of all cancer deaths. The work present here shows the combined effects of anticancer drug along with probiotics to circumvent the side effects associated with chemotherapy and to enhance the therapeutic effect.

Materials and Methods: Cisplatin and drug loaded pessaries were prepared by melt mold method using the blend of PEG’s (Polyethylene Glycol) and further characterized for various in vitro and in vivo parameters.

Results and Discussion: The free radical scavenging activity of probiotic Lactobacillus rhamnosus by DPPH (2,2-diphenyl-1-picrylhydrazyl) assay was observed to be 60.77μg/mL The mean weight variation, melting time, content uniformity, friability and hardness of the prepared pessary were 1.25±0.025mg, 10.86±0.64min, 99.89±0.74, 0.25%, 2.2kg/cm2. Histopathology studies presented that the developed formulation are safe for local delivery of cisplatin.

Conclusion: This study provides the basis for a combination of local delivery approach along with the beneficial effects of probiotic strain which could be better a approach for the treatment of cervical cancer.

Keywords: Cancer, probiotics, cisplatin, pessaries, local drug delivery, chemotherapy.

Graphical Abstract
[1]
Kumaraswamy, K.L.; Vidhya, M. Human papilloma virus and oral infections: an update. J. Cancer Res. Ther., 2011, 7(2), 120-127.
[http://dx.doi.org/10.4103/0973-1482.82915] [PMID: 21768696]
[2]
Arbyn, M.; Castellsagué, X.; de Sanjosé, S.; Bruni, L.; Saraiya, M.; Bray, F.; Ferlay, J. Worldwide burden of cervical cancer in 2008. Ann. Oncol., 2011, 22(12), 2675-2686.
[http://dx.doi.org/10.1093/annonc/mdr015] [PMID: 21471563]
[3]
Erginel, B.; Aydin, F.A.; Erginel, T.; Tanik, C.; Abbasoglu, S.D.; Soysal, F.G.; Keskin, E.; Celik, A.; Salman, T. Antioxidant effects of probiotics in experimentally induced peritonitis. Surg. Infect. (Larchmt.), 2016, 17(1), 114-118.
[http://dx.doi.org/10.1089/sur.2015.072] [PMID: 26784678]
[4]
Piccolo, J.; Kolesar, J.M. Prevention and treatment of chemotherapy-induced peripheral neuropathy. Am. J. Health Syst. Pharm., 2014, 71(1), 19-25.
[http://dx.doi.org/10.2146/ajhp130126] [PMID: 24352178]
[5]
Postma, T.J.; Reijneveld, J.C.; Heimans, J.J. Prevention of chemotherapy-induced peripheral neuropathy: a matter of personalized treatment? Ann. Oncol., 2013, 24(6), 1424-1426.
[http://dx.doi.org/10.1093/annonc/mdt173] [PMID: 23696616]
[6]
Jain, K.K. Nanotechnology-based drug delivery for cancer. Technol. Cancer Res. Treat., 2005, 4(4), 407-416.
[http://dx.doi.org/10.1177/153303460500400408] [PMID: 16029059]
[7]
Paharia, A.; Yadav, A.K.; Rai, G.; Jain, S.K.; Pancholi, S.S.; Agrawal, G.P. Eudragit-coated pectin microspheres of 5-fluorouracil for colon targeting. AAPS PharmSciTech, 2007, 8(1), 12.
[http://dx.doi.org/10.1208/pt0801012] [PMID: 17408212]
[8]
Verhoeven, V.; Renard, N.; Makar, A.; Van Royen, P.; Bogers, J.P.; Lardon, F.; Peeters, M.; Baay, M. Probiotics enhance the clearance of human papillomavirus-related cervical lesions: a prospective controlled pilot study. Eur. J. Cancer Prev., 2013, 22(1), 46-51.
[http://dx.doi.org/10.1097/CEJ.0b013e328355ed23] [PMID: 22706167]
[9]
Fratianni, F.; Pepe, S.; Cardinale, F.; Granese, T.; Cozzolino, A.; Coppola, R.; Nazzaro, F. Eruca sativa might influence the growth, survival under simulated gastrointestinal conditions and some biological features of Lactobacillus acidophilus, Lactobacillus plantarum and Lactobacillus rhamnosus strains. Int. J. Mol. Sci., 2014, 15(10), 17790-17805.
[http://dx.doi.org/10.3390/ijms151017790] [PMID: 25275269]
[10]
Angeles-López, M.; García-Cano Ramos, E.; Aquino Santiago, C. Hydrogen peroxide production and resistance to nonoxinol-9 in Lactobacillus spp. isolated from the vagina of reproductive-age women. Rev. Latinoam. Microbiol., 2001, 43(4), 171-176.
[PMID: 17061505]
[11]
Mahjabeen, S.; Hatipoglu, M.K.; Chandra, V.; Benbrook, D.M.; Garcia-Contreras, L. Optimization of a vaginal suppository formulation to deliver SHetA2 as a novel treatment for cervical dysplasia. J. Pharm. Sci., 2018, 107(2), 638-646.
[http://dx.doi.org/10.1016/j.xphs.2017.09.018] [PMID: 28989018]
[12]
Zawar, L.R.; Bhandari, G.S. Formulation and evaluation of sustained release ondansetron poloxamer based solid suppositories. J. Appl. Pharm. Sci., 2012, 2(7), 186-190.
[http://dx.doi.org/10.7324/JAPS.2012.2729]
[13]
Saleem, M.A.; Taher, M.; Sanaullah, S.; Najmuddin, M.; Ali, J.; Humaira, S.; Roshan, S. Formulation and evaluation of tramadol hydrochloride rectal suppositories. Indian J. Pharm. Sci., 2008, 70(5), 640-644.
[http://dx.doi.org/10.4103/0250-474X.45405] [PMID: 21394263]
[14]
Vidras, N.J.; Reid, V.E.; Bohidar, N.R.; Plakogiannis, F.M. Medicament release from suppository bases I: Physicochemical characteristics and bioavailability of indomethacin in rabbits. J. Pharm. Sci., 1982, 71(8), 945-949.
[http://dx.doi.org/10.1002/jps.2600710828] [PMID: 7120104]
[15]
Shanmugam, S.; Kim, Y.H.; Park, J.H.; Im, H.T.; Sohn, Y.T.; Kim, K.S.; Kim, Y.I.; Yong, C.S.; Kim, J.O.; Choi, H.G.; Woo, J.S. Sildenafil vaginal suppositories: preparation, characterization, in vitro and in vivo evaluation. Drug Dev. Ind. Pharm., 2014, 40(6), 803-812.
[http://dx.doi.org/10.3109/03639045.2013.788011] [PMID: 23781859]
[16]
Romar, G.A.; Kupper, T.S.; Divito, S.J. Research techniques made simple: Techniques to assess cell proliferation. J. Invest. Dermatol., 2016, 136(1), e1-e7.
[http://dx.doi.org/10.1016/j.jid.2015.11.020] [PMID: 26763463]
[17]
Jo, H.Y.; Kim, Y.; Park, H.W.; Moon, H.E.; Bae, S.; Kim, J.; Kim, D.G.; Paek, S.H. The unreliability of MTT assay in the cytotoxic test of primary cultured glioblastoma cells. Exp. Neurobiol., 2015, 24(3), 235-245.
[http://dx.doi.org/10.5607/en.2015.24.3.235] [PMID: 26412973]
[18]
Aggarwal, U.; Goyal, A.K.; Rath, G. Development and characterization of the cisplatin loaded nanofibers for the treatment of cervical cancer. Mater. Sci. Eng. C, 2017, 75, 125-132.
[http://dx.doi.org/10.1016/j.msec.2017.02.013] [PMID: 28415413]
[19]
Beevi, S.S.; Rasheed, M.H.; Geetha, A. Evidence of oxidative and nitrosative stress in patients with cervical squamous cell carcinoma. Clin. Chim. Acta, 2007, 375(1-2), 119-123.
[http://dx.doi.org/10.1016/j.cca.2006.06.028] [PMID: 16889762]
[20]
Finkel, T. Oxidant signals and oxidative stress. Curr. Opin. Cell Biol., 2003, 15(2), 247-254.
[http://dx.doi.org/10.1016/S0955-0674(03)00002-4] [PMID: 12648682]
[21]
Beckman, K.B.; Ames, B.N. Oxidative decay of DNA. J. Biol. Chem., 1997, 272(32), 19633-19636.
[http://dx.doi.org/10.1074/jbc.272.32.19633] [PMID: 9289489]
[22]
Cadet, J.; Delatour, T.; Douki, T.; Gasparutto, D.; Pouget, J.P.; Ravanat, J.L.; Sauvaigo, S. Hydroxyl radicals and DNA base damage. Mutat. Res., 1999, 424(1-2), 9-21.
[http://dx.doi.org/10.1016/S0027-5107(99)00004-4] [PMID: 10064846]
[23]
Vilenchik, M.M.; Knudson, A.G. Endogenous DNA double-strand breaks: production, fidelity of repair, and induction of cancer. Proc. Natl. Acad. Sci. USA, 2003, 100(22), 12871-12876.
[http://dx.doi.org/10.1073/pnas.2135498100] [PMID: 14566050]
[24]
Phongpaichit, S.; Nikom, J.; Rungjindamai, N.; Sakayaroj, J.; Hutadilok-Towatana, N.; Rukachaisirikul, V.; Kirtikara, K. Biological activities of extracts from endophytic fungi isolated from Garcinia plants. Immunol. Med. Microbiol., 2007, 51, 517-525.
[http://dx.doi.org/10.1111/j.1574-695X.2007.00331.x]
[25]
Jadid, N.; Hidayati, D.; Hartanti, S.R.; Arraniry, B.A.; Rachman, R.Y.; Wikanta, W. Antioxidant activities of different solvent extracts of Piper retrofractum Vahl using DPPH assay. AIP Conf. Proc., 2017.
[http://dx.doi.org/10.1063/1.4985410]
[26]
Ladas, E.J.; Jacobson, J.S.; Kennedy, D.D.; Teel, K.; Fleischauer, A.; Kelly, K.M. Antioxidants and cancer therapy: a systematic review. J. Clin. Oncol., 2004, 22(3), 517-528.
[http://dx.doi.org/10.1200/JCO.2004.03.086] [PMID: 14752075]
[27]
Sharma, A.; Arora, M.; Goyal, A.K.; Rath, G. Spray dried formulation of 5-fluorouracil embedded with probiotic biomass : In vitro and in vivo studies. Probiotics Antimicrob. Proteins, 2017, 9(3), 310-322.
[http://dx.doi.org/10.1007/s12602-017-9258-x] [PMID: 28275899]
[28]
Palma, E.; Recine, N.; Domenici, L.; Giorgini, M.; Pierangeli, A.; Panici, P.B. Long-term Lactobacillus rhamnosus BMX 54 application to restore a balanced vaginal ecosystem: a promising solution against HPV-infection. BMC Infect. Dis., 2018, 18(1), 13.
[http://dx.doi.org/10.1186/s12879-017-2938-z] [PMID: 29304768]
[29]
Wang, Y.; Wu, Y.; Wang, Y.; Xu, H.; Mei, X.; Yu, D.; Wang, Y.; Li, W. Antioxidant properties of probiotic bacteria. Nutrients, 2017, 9(5), 521.
[http://dx.doi.org/10.3390/nu9050521] [PMID: 28534820]
[30]
Rodrigues, F.; Maia, M.J.; das Neves, J.; Sarmento, B.; Amaral, M.H.; Oliveira, M.B. Vaginal suppositories containing Lactobacillus acidophilus: development and characterization. Drug Dev. Ind. Pharm., 2015, 41(9), 1518-1525.
[http://dx.doi.org/10.3109/03639045.2014.963864] [PMID: 25265366]
[31]
Boskey, E.R.; Telsch, K.M.; Whaley, K.J.; Moench, T.R.; Cone, R.A. Acid production by vaginal flora in vitro is consistent with the rate and extent of vaginal acidification. Infect. Immun., 1999, 67(10), 5170-5175.
[http://dx.doi.org/10.1128/IAI.67.10.5170-5175.1999] [PMID: 10496892]
[32]
Fontaine, E.A.; Taylor-Robinson, D. Comparison of quantitative and qualitative methods of detecting hydrogen peroxide produced by human vaginal strains of lactobacilli. J. Appl. Bacteriol., 1990, 69(3), 326-331.
[http://dx.doi.org/10.1111/j.1365-2672.1990.tb01523.x] [PMID: 2246139]
[33]
Khoo, S.M.; Porter, C.J.H.; Charman, W.N. The formulation of Halofantrine as either non-solubilizing PEG 6000 or solubilizing lipid based solid dispersions: physical stability and absolute bioavailability assessment. Int. J. Pharm., 2000, 205(1-2), 65-78.
[http://dx.doi.org/10.1016/S0378-5173(00)00485-3] [PMID: 11000543]
[34]
Realdon, N.; Ragazzi, E.; Ragazzi, E. Effect of drug solubility on in vitro availability rate from suppositories with polyethylene glycol excipients. Pharmazie, 2001, 56(2), 163-167.
[PMID: 11234347]
[35]
Yang, X.; Da, M.; Zhang, W.; Qi, Q.; Zhang, C.; Han, S. Role of Lactobacillus in cervical cancer. Cancer Manag. Res., 2018, 10, 1219-1229.
[http://dx.doi.org/10.2147/CMAR.S165228] [PMID: 29844701]
[36]
Nami, Y.; Abdullah, N.; Haghshenas, B.; Radiah, D.; Rosli, R.; Khosroushahi, A.Y. Probiotic potential and biotherapeutic effects of newly isolated vaginal Lactobacillus acidophilus 36YL strain on cancer cells. Anaerobe, 2014, 28, 29-36.
[http://dx.doi.org/10.1016/j.anaerobe.2014.04.012] [PMID: 24818631]
[37]
Sungur, T.; Aslim, B.; Karaaslan, C.; Aktas, B. Impact of Exopolysaccharides (EPSs) of Lactobacillus gasseri strains isolated from human vagina on cervical tumor cells (HeLa). Anaerobe, 2017, 47, 137-144.
[http://dx.doi.org/10.1016/j.anaerobe.2017.05.013] [PMID: 28554813]
[38]
Esfandiary, A. Abedin-do. A.; Taherian-esfahani; Z.; Ghafouri-fard, S. Intact expression of Hypoxia-Inducible Factor 1 α (HIF-1 α) gene in HeLa cell line following treatment with Lactobacilli supernatants. Iran. J. Cancer Prev., 2017, 10(2), 1-2.
[39]
Bauer, G. Lactobacilli-mediated control of vaginal cancer through specific reactive oxygen species interaction. Med. Hypotheses, 2001, 57(2), 252-257.
[http://dx.doi.org/10.1054/mehy.2000.1285] [PMID: 11461184]
[40]
Kale, V.V.; Trivedi, R.V.; Wate, S.P.; Bhusari, K.P. Development and evaluation of a suppository formulation containing Lactobacillus and its application in vaginal diseases. Ann. N. Y. Acad. Sci., 2005, 1056, 359-365.
[http://dx.doi.org/10.1196/annals.1352.017] [PMID: 16387701]
[41]
Mork, J.; Lie, A.K.; Glattre, E.; Hallmans, G.; Jellum, E.; Koskela, P.; Møller, B.; Pukkala, E.; Schiller, J.T.; Youngman, L.; Lehtinen, M.; Dillner, J. Human papillomavirus infection as a risk factor for squamous-cell carcinoma of the head and neck. N. Engl. J. Med., 2001, 344(15), 1125-1131.
[http://dx.doi.org/10.1056/NEJM200104123441503] [PMID: 11297703]

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