Construction of esterase-responsive hyperbranched polyprodrug micelles and their antitumor activity in vitro

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Construction of esterase-responsive hyperbranched polyprodrug micelles and their antitumor activity in vitro
e-Polymers 2022; 22: 513–521

Research Article

Jianxia Qiao#, Shufen Li#, Haoyu Yuan#, Yujie Wang, Jianhong Li, Peilong Wang, and
Xiao Duan*

Construction of esterase-responsive
hyperbranched polyprodrug micelles and
their antitumor activity in vitro
https://doi.org/10.1515/epoly-2022-0047                                could distribute to cell nuclei during 8 h and induce cell
received February 21, 2022; accepted May 06, 2022                      apoptosis during 48 h. Overall, these hyperbranched
Abstract: This research constructs an esterase-responsive              polyprodrug micelles prepared by one-pot method could
hyperbranched polyprodrug nano pharmaceutical and                      be esterase-responsive disrupted and release the anti-
investigates their antitumor activity. Polyprodrug micelle             tumor drugs in a high esterase environment for cancer
was prepared by one-pot method based on glutathione                    therapy in vitro. These results confirm that DOX-GSH-PEG
(GSH), doxorubicin (DOX), and polyethylene glycol (PEG)                is an effective nanomedicine in vitro and the endo-
under the catalyst of N,N-dicyclohexylcarbodiimide (DCC),              genous-based strategy with one-pot synthesis to construct
4-dimethylaminopyridine (DMAP), and 1-hydroxybenzo-                    esterase-responsive polyprodrug would probably be a pre-
triazole (HOBt). The polyprodrug was characterized by                  ferred choice in the future.
nuclear magnetic resonance (NMR), Fourier transform infrared           Keywords: doxorubicin, polyprodrug micelles, esterase-
spectrometer (FT-IR), ultraviolet-visible spectrophotometer            responsiveness, drug controlled-release, antitumor
(UV-Vis), dynamic light scattering (DLS), and transmission
electron microscope (TEM), respectively. The antitumor
activity of polyprodrug micelle was evaluated by Hela
cell and the distributions of micelles in cells were observed          1 Introduction
by fluorescent microscope. The NMR and FT-IR confirmed
that the DOX-GSH-PEG polyprodrug was successfully                      Chemotherapeutic is the most important and common
synthesized. The drug loading rate is 10.21% and par-                  method for cancer therapy in clinical application. However,
ticle size is 106.4 ± 1 nm with a narrowed polydispersity              the severe side effects on normal tissues are the major reason
(PDI = 0.145). The DLS showed that the micelles were stable            for the failure of cancer therapy (1–3). Many different smart-
during 7 days at 25°C. The drug release results showed that            responsive drug delivery systems (DDS) were reviewed by
the micelles could be esterase-responsive disrupted, and               researchers (4) and these smart-responsive DDS, including
the drug release rate could reach 43% during 72 h. Cell                pH (5), temperature (6), enzymes (7), redox-reduction (8),
uptake and cell viability demonstrated that the micelles               etc., can significantly decrease the side effects of chemother-
                                                                       apeutics to normal tissues (9–11). Meanwhile, there are still
                                                                       many challenges of nanomedicines for clinical translation
                                                                     (12,13). One of the most important factors is the massive
# These authors contributed equally to this work.
                                                                       number of un-approved biocompatible materials in DDS
                                                                       (14–17) for developing the novel nanomedicines for clinical

                                                                       use (18). Although many biocompatible materials, like poly-
* Corresponding author: Xiao Duan, Department of Pharmacy,
Changzhi Medical College, Changzhi, 046000, China,                     lactic acid (19), poly(lactic-co-glycolic acid) (20), and polyca-
e-mail: duanxiao0211@czmc.edu.cn                                       prolactone (6), showed good biocompatibility in vitro
Jianxia Qiao, Yujie Wang, Jianhong Li, Peilong Wang: Department of     and in vivo, the endogenous-based biomaterials (21–26)
Endoscopy, Heji Hospital Affiliated to Changzhi Medical College,         are the perfect carriers to construct novel nanomedicine
Changzhi, 046000, China
                                                                       for the possible clinical application. Some endogenous
Shufen Li: Department of Physiology, Changzhi Medical College,
Changzhi, 046000, China
                                                                       organic or inorganic materials (27,28) were successfully
Haoyu Yuan: Department of Pharmacy, Changzhi Medical College,          used in constructing novel nanomedicines with higher
Changzhi, 046000, China                                                biocompatibility.

   Open Access. © 2022 Jianxia Qiao et al., published by De Gruyter.      This work is licensed under the Creative Commons Attribution 4.0
International License.
Construction of esterase-responsive hyperbranched polyprodrug micelles and their antitumor activity in vitro
514        Jianxia Qiao et al.

     Glutathione (GSH) is an endogenous molecule in the           2.2 Instruments
human body. The GSH molecule could be detected in
tumor cells and normal cells, especially the tumor cells.         Vacuum freeze drier (FD-2), Ultraviolet-visible spectro-
The concentration range of GSH in different tumor cells is         photometer (UV-Vis; TU-1901), fluoro spectrophotometer
2–20 mM (29,30). GSH-based prodrug nanomedicine is                (RF-6000), Fourier transform infrared spectrometer (FT-IR)
probably the better choice for addressing the problem             (Tensor 27, Bruker), dynamic light scattering (DLS) (Malvern,
of carriers’ safety in vivo. Fortunately, the carboxyl groups     Zetasizer Nano ZSE), clean bench (SW-CJ-2FD), CO2 incubator
in GSH could be reacted with hydroxyl in DOX by east-             (CQ-80L), fluorescent inverted microscope (IX53, Olympus),
ernization reaction for constructing esterase-responsive          multifunctional enzyme marker (Infinite 200Pro, Tecan), nuclear
polyprodrug. The formation and disruption of the ester            magnetic resonance (NMR) (Bruker Avance 400 MHz), transmis-
bond could be triggered under the catalyst of enzymes             sion electron microscope (TEM) (FEI Tecnai F20).
(7,31), supporting the application of esterase-responsive
drug-releasing in drug delivery field.
     Given the main consideration of carriers’ safety in          2.3 Preparation of hyperbranched
clinical application, the hyperbranched polyprodrug micelle           polyprodrug micelle (DOX-GSH-PEG)
was fabricated with Food and Drug Administration (FDA)-
approved material of polyethylene glycol, an endogenous           The GSH (127.5 mg) and DCC (186.7 mg) were added to a
molecule of GSH and the anticancer drug of doxorubicin            round flask with 10 mL dried DMF at temperature. One
(DOX) by one-pot method. The hydroxyl and amino groups            hour later, the DOX·HCl (100 mg) and DMAP (25.3 mg)
in DOX could be reacted with carboxyl groups in GSH to            were added to the same flask for reacting for 12 h in the
form enzyme-responsive ester bonds and amido bonds.               darkroom. After that, the mPEG-NH2 (172.8 mg) and HOBt
The ultimate product of hyperbranched polyprodrug                 (9.3 mg) were added to the flask for continuously reacting
(DOX-GSH-PEG) could be assembled into nano micelle                for 5 days. The reaction solution was put into centrifuge
in water or PBS and disrupted with a high concentra-              tubes and centrifuged at high speed. Then, the superna-
tion of esterase. This endogenous-based strategy with             tant was transferred to a dialysis bag (MWCO 3500) and
one-pot synthesis to construct esterase-responsive                immersed in a beaker with 200 mL of fresh DMF (change
polyprodrug would probably be a preferred choice                  fresh DMF 3 times during 3 days). After that, the dialysis
in the future.                                                    bag was immersed in water (change fresh water multiple
                                                                  times). The reaction solution in the dialysis bag was
                                                                  centrifuged at high speed and the supernatant was fil-
                                                                  tered by a 0.45 mm membrane. The filtered solution was
2 Materials and methods                                           freeze-dried, and the red powder was obtained. The struc-
                                                                  ture of DOX-GSH-PEG was confirmed by FT-IR and NMR
2.1 Materials                                                     (yield: 40%).

Doxorubicin hydrochloride (DOX·HCl, purity 98%), dicy-
clohexylcarbodiimide (DCC, purity 98%), 4-dimethylami-            2.4 Measurement of polyprodrug micelle’
nopyridine (DMAP, purity 99%), 1-hydroxybenzotrizole                  particle and stability
(HOBt, purity 97%), and GSH (purity 98%) were pur-
chased from Macklin biocompany (Shanghai, China).                 One milligram red powder of DOX-GSH-PEG was dissolved
Amino-polyethylene-glycol monomethyl ether (mPEG-NH2,             in 3 mL of pure water under sonic conditions. Then, the
purity 95%) was purchased from Yarebio company (Shanghai,         DOX-GSH-PEG solution was filtered using a 0.45 mm mem-
China). Esterase (lyophilized powder, ≥15 units‧mg−1 solid)       brane and prepared for particle measurement. The 1 mg red
was obtained from Xianding biotech company (Shanghai,             powder of DOX-GSH-PEG was dissolved in 12 mL of pure
China). Cell counting Kit-8 (CCK-8), Hoechst 33258 Staining       water. Then, 1 mL of micelle solution was put into a vial
Kit, and trypsin cell digestion solution (0.25%) were purchased   and 1 mg esterase was put into the same vial to measure
from Beyotime Biotechnology Company (China). Fetal bovine         the micelle particles’ change. Another vial with micelle was
serum was purchased from Tianhang biotech company                 prepared without adding esterase as the control group. The
(Zhejiang, China). All other organic solvents were obtained       micelle particles’ stability was evaluated using DLS at dif-
from Fuchen chemical company (Tianjin, China).                    ferent time points.
Construction of esterase-responsive hyperbranched polyprodrug micelles and their antitumor activity in vitro
Esterase-responsive hyperbranched polydoxorubicin prodrug      515

2.5 Measurement of drug loading and drug                      media is discarded. Then, the DOX and DOX-GSH-PEG
    release                                                   were dissolved into media with 2% fetal bovine serum
                                                              and added to 96-well plate. The concentration of DOX
The standard curve of DOX was measured by UV-Vis at           in DOX-GSH-PEG is set up as 10, 20, and 40 μg·mL−1,
481 nm. The standard curve equation is A = 0.0186 C. The      respectively. The DOX-GSH-PEG group with 7.5 U‧mL−1
UV-Vis curves at 481 nm did not significantly change           esterase and without esterase and its control groups
between free DOX and DOX-GSH-PEG. Based on the curves         were set up. After the Hela cells were treated with DOX
of free DOX and DOX-GSH-PEG at 481 nm, the approxi-           and DOX-GSH-PEG for 24 and 48 h, the media were dis-
mate drug loading could be determined by the standard         carded and the fresh PBS (100 μL) with 5 μL CCK-8 was
curve equation.                                               added to the 96-well plate for continuously cultivating for
     Three groups of DOX-GSH-PEG (6 mg) were dissolved        1 h. Finally, the 96-well plate was measured by Microplate
into PBS, PBS with 2.5 U‧mL−1 esterase and PBS with           Reader at 450 nm.
15 U‧mL−1 esterase, respectively, and put into corre-
sponding dialysis bags (MWCO 3500). Then, the dialysis
bags were put into the flasks and immersed in corre-
sponding media. After that, the fixed volumes (3 mL)           3 Results and discussion
were taken out from flasks and added corresponding
fresh media (PBS with 2.5 U‧mL−1 esterase and PBS with        3.1 Synthesis and characterization of
15 U‧mL−1 esterase) to the flasks at fixed time points for
                                                                  hyperbranched polyprodrug
72 h. The absorbance of fixed volumes was measured by
UV-Vis and the drug release rate could be calculated and
                                                              The synthesis route of GSH-based hyperbranched poly-
determined depending on the standard curves of DOX. The
                                                              doxorubicin prodrug is shown in Figure 1a. In Figure 1b,
drug release experiments were conducted twice.
                                                              the characteristic peaks of ether bond (1,200 cm−1) in
                                                              mPEG-NH2 and DOX-GSH-PEG are observed. The C]O
                                                              peaks in DOX, GSH, and DOX-GSH-PEG are shown in
2.6 Cell uptake experiment                                    Figure 1b. The carboxyl groups in GSH could be reacted
                                                              with hydroxyl and amino groups in DOX to form a
Hela cells were seeded in a 24-well plate with a density of   polymer of DOX-GSH with massive ester bonds and amido
1 × 105 cells per well. Twelve hours later, the media is      bonds. The excess carboxyl groups could be on the sur-
discarded. Then, the prepared media of free DOX, DOX          face of DOX-GSH for further conjugating with mPEG-NH2
with 7.5 U‧mL−1 esterase, DOX-GSH-PEG, and DOX-GSH-PEG        to form the amphiphilic hyperbranched polyprodrug
with 7.5 U‧mL−1 esterase were added to 24-well plate for      (DOX-GSH-PEG). The NMR and FT-IR confirmed the struc-
continuously cultivating 30 min, 4 h, and 8 h, respec-        ture of DOX-GSH-PEG. We can observe the characteristic
tively. The concentration of DOX in DOX-GSH-PEG and           peak of the benzene ring (7.5–8.0 ppm) in DOX-GSH-PEG
free DOX was set up for 20 μg·mL−1. The media with the        (Figure 1c) and free DOX (Figure 1d), meaning that the
drug were discarded and the dye solution of Hoechst           DOX was conjugated with GSH in DOX-GSH-PEG. The
33258 was added to 24-well for 30 min. After that, the        characteristic peak of –CH2CH2O– (3.6 ppm) in PEG can be
cells were rinsed with fresh PBS three times. Finally, the    observed in Figure 1c compared with free DOX in Figure 1d.
distributions in cells of DOX and DOX-GSH-PEG were            These NMR and FT-IR results fully demonstrated that the
observed under inverted fluorescence microscope.               DOX-GSH-PEG was successfully synthesized.

                                                              3.2 The particle size and stability of
2.7 Cell viability experiment                                     hyperbranched polyprodrug

The Hela cell viabilities were evaluated by CCK-8 kit         The polyprodrug of DOX-GSH-PEG could be assembled
treated by DOX and DOX-GSH-PEG micelle. The detailed          into nano micelle in PBS or water. Assembled nano micelle
process: Hela cells were seeded in a 96-well plate with a     of DOX-GSH-PEG displayed a distinguished Tyndall phe-
density of 8 × 103 cells per well. Twelve hours later, the    nomenon in pure water (Figure 2a). The particle size was
Construction of esterase-responsive hyperbranched polyprodrug micelles and their antitumor activity in vitro
516         Jianxia Qiao et al.

 (a)                                                (b)

                                                     (c)                                    (d)

Figure 1: (a) Synthesis route of hyperbranched polyprodrug; (b) FT-IR spectra of DOX, GSH, PEG, and DOX-GSH-PEG; NMR spectra of
(c) DOX-GSH-PEG and (d) free DOX in DMSO-d6.

107.2 nm measured by DLS (Figure 2a) and 15 nm mea-               3.3 The drug loading and release properties
sured by TEM (Figure 2b). The significant differences in                of hyperbranched polyprodrug
particle results between DLS and TEM are attributed to
the status of hydrophilic PEG. The long chain of PEG could        To measure the drug loading of DOX in hyperbranched
be swollen in water, resulting in the bigger particles            polyprodrug, we measured the UV-Vis curves of esterase,
measured by DLS. Otherwise, the PEG would be shown                DOX, and DOX-GSH-PEG in PBS, discovering that the
in shrinkable status on dried copper-mesh measured by             absorbance peaks at 481 nm were observed and not signif-
TEM. These results were consistent with the previous              icantly changed in the curves of DOX and DOX-GSH-PEG
paper (32).                                                       (Figure 3a). Based on these results, the drug loading of
     The stability of DOX-GSH-PEG micelle was evaluated           DOX in DOX-GSH-PEG could be determined according to
by DLS. Polyprodrug micelles were measured 7 times by             the standard curve of DOX (C = A/0.0186, R2 = 0.9999).
DLS during 1 week in PBS without esterase, showing that           The drug loading of DOX in DOX-GSH-PEG is 10.21%. To
the stability of DOX-GSH-PEG micelle was pretty good in           further precisely determine the drug release rate in vitro,
non-esterase circumstances (Figure 2c). The statistical           we set up three groups of no esterase, low concentration of
particles’ data of DOX-GSH-PEG is 106.4 ± 1 nm (size)             esterase (2.5 U‧mL−1), and high concentration of esterase
and 0.145 ± 0.020 (PDI). Conversely, the DOX-GSH-PEG              (15 U‧mL−1) to evaluate the esterase-responsive drug release
micelles were responsive-disrupted in PBS with esterase           property. Esterase is an overexpressed enzyme with high
circumstances and the average particles’ size signifi-             concentration and activity in tumor cells compared with
cantly increased from 108.8 to 262.1 nm with more exten-          normal cells (33,34). The DOX-GSH-PEG micelle with mas-
sive polydisperse index during 24 h (Table 1). The increased      sive ester bonds could be disrupted in the circumstance of
particle size and more extensive polydisperse index indi-         a high concentration of esterase according to previous
cated that the partial ester bonds in hyperbranched poly-         enzyme-responsive drug delivery systems (DDS) (7,35,36).
prodrug were disrupted in esterase circumstances. These           In Figure 3b, we discovered that the DOXs were slightly
results were consistent with the drug release experiment          released from DOX-GSH-PEG micelle under the environ-
in Figure 3b.                                                     ment of pH 6.0 during 72 h without esterase and the drug
Construction of esterase-responsive hyperbranched polyprodrug micelles and their antitumor activity in vitro
Esterase-responsive hyperbranched polydoxorubicin prodrug            517

     (a)                                                              (b)

     (c)                                                              (d)

Figure 2: The particle size of DOX-GSH-PEG micelle measured by (a) DLS and (b) TEM; (c) the stability of DOX-GSH-PEG micelle in PBS during
1 week and (d) the esterase-responsive un-stability of DOX-GSH-PEG micelle in esterase environment.

Table 1: The particle size of DOX-GSH-PEG micelle in esterase          3.4 The distribution of DOX-GSH-PEG in Hela
circumstance                                                               cells
Time (h)    Z-average size (d.nm)     PDI       Temperature (°C)
                                                                       The DOX-GSH-PEG micelle (red fluoresce) could be swal-
0           108.8 ± 44.9              0.141     25.0                   lowed by cells via endocytosis and located by inverted
1           187.2 ± 162.7             0.393     25.0                   fluorescence microscope. The nuclei were dyed by Hoechst
3           187.6 ± 205.7             0.379     25.0
                                                                       33258 (blue fluoresce). The free DOX and DOX-GSH-PEG
12          224.7 ± 230.9             0.478     25.0
24          262.1 ± 1006.0            0.451     25.0
                                                                       micelle were co-cultured with Hela cells for 0.5, 4, and 8 h
                                                                       in culture media with esterase or without esterase. We
                                                                       discovered that the distribution of free DOX has no distin-
                                                                       guishable differences between the with esterase group and
release rate only reached 11%. The experiment group                    the without esterase group during 8 h (Figure 4a and b).
showed that the drug release rate reached 43% under                    Meanwhile, the distribution of DOX-GSH-PEG micelle
the high concentration of esterase environment (15 U‧mL−1)             groups with esterase or without esterase showed sig-
with pH 6.0 for 72 h and the low concentration of esterase             nificant differences. In the merged channel images of
environment (2.5 U‧mL−1) group showed that the 20% DOX                 DOX-GSH-PEG at the time point of 4 h, we can clearly
was released from DOX-GSH-PEG. These results further indi-             notice that the blue fluoresce (cell nuclei) was surrounded
cated that the DOX-GSH-PEG micelle indeed could be dis-                by red fluoresce (DOX-GSH-PEG) in the group of without
rupted in the high concentration of an esterase environment.           esterase, meaning that most of the DOX-GSH-PEG did not
Combining with the cell viability results of the DOX-GSH-PEG           distribute to cell nuclei during 4 h (Figure 4c). In the cor-
group (without esterase) at 24 and 48 h (Figure 5a), we can            responding group (4 h) of DOX-GSH-PEG with esterase,
speculate that DOXs were esterase-responsive triggered and             the partial red fluoresce overlapped with blue fluoresce,
released from DOX-GSH-PEG in tumor cells with overex-                  indicating that the partial DOXs were released from
pressed esterase, resulting in the Hela cells apoptosis.               DOX-GSH-PEG micelle in esterase circumstance in culture
518         Jianxia Qiao et al.

                                                          (a)                                                               (b)

Figure 3: (a) The UV-Vis curves of esterase, DOX·HCl, and DOX-GSH-PEG in PBS and (b) the accumulative drug release rate of DOX from
DOX-GSH-PEG in PBS (pH = 6.0) with esterase environment.

                        (a)                                            (b)

                        (c)                                            (d)

Figure 4: The distributions of (a) free DOX, (b) free DOX with esterase, (c) DOX-GSH-PEG and (d) DOX-GSH-PEG with esterase in culture
media at 0.5, 4, and 8 h (blue fluoresce means Hoechst 33258, red fluoresce means DOX).

media and more quickly distributed into cells’ nuclei. In           esterase (Figure 4d), demonstrating that the massive ester
the time point of 8 h groups, the partial blue fluoresce cannot      bonds in DOX-GSH-PEG could be disrupted in esterase
be overlapped with red fluoresce in the DOX-GSH-PEG group            circumstance and the released free DOX from disrupted
without esterase and the almost blue fluoresce was over-             DOX-GSH-PEG distributed more quickly into cell nuclei.
lapped with red fluoresce in DOX-GSH-PEG group with                  These results further confirmed that the DOX-GSH-PEG
Esterase-responsive hyperbranched polydoxorubicin prodrug       519

(a)                                                                differences of DOX-GSH-PEG between esterase group and
                                                                   without esterase group are shown in Figure 5 at the DOX
                                                                   concentration of 10 mg‧mL−1. This result strongly indicated
                                                                   that the DOXs were released in an esterase environment
                                                                   (extra addition of esterase) from DOX-GSH-PEG at 48 h
                                                                   in vitro, resulting in lower cell viability compared with
                                                                   without esterase group. The higher concentration of DOX
                                                                   in DOX-GSH-PEG (20 and 40 mg‧mL−1) between esterase
                                                                   and without esterase group showed no significant difference
                                                                   at 48 h. This result should probably be attributed to itself,
                                                                   i.e., toxicity of the DOX-GSH-PEG in higher concentrations.
                                                                   The cell viability of DOX-GSH-PEG (including 10 mg‧mL−1
                                                                   DOX) without esterase group at 48 h was 38%. The lower
                                                                   cell viability of DOX-GSH-PEG (including 10 mg‧mL−1 DOX)
(b)
                                                                   without esterase group at 48 h (38%) compared with
                                                                   DOX-GSH-PEG (including 40 mg‧mL−1 DOX) without
                                                                   esterase group at 24 h (69%) is probably attributed to
                                                                   that DOXs were released from DOX-GHS-PEG in Hela cells
                                                                   with overexpressed esterase for inducing the cell apoptosis
                                                                   (Figure 5a). To observe the cells’ status, the images were
                                                                   obtained by microscopy. We can observe that the cells
                                                                   were almost killed by free DOX at the concentration of
                                                                   5 and 10 mg‧mL−1 at 48 h. Meanwhile, the massive cells
                                                                   showed a pretty good status at the DOX concentration of
                                                                   10 mg‧mL−1 in the DOX-GSH-PEG group without esterase.
                                                                   Conversely, the shapes of the cells changed when treated
                                                                   by DOX-GSH-PEG with esterase, indicating that the esterase
                                                                   in culture media could speed up the disruption of
                                                                   DOX-GSH-PEG and the released DOXs can result in
Figure 5: (a) The Hela cell viabilities treated with DOX-GSH-PEG
during 24 and 48 h and (b) the cells’ status imaged by different    the death of massive Hela cells compared with the
concentrations of DOX and DOX-GSH-PEG with or without esterase     group of DOX-GSH-PEG without esterase in culture media
at 48 h (scale: 20×).                                              (Figure 5b).

could be disrupted in a higher esterase environment and
strongly supported the esterase-responsive drug release
properties in vitro (Figure 3b).                                   4 Conclusion
                                                                   In this article, an endogenous-based hyperbranched poly-
                                                                   prodrug was developed using the anticancer drug of DOX,
3.5 Cell viability experiment                                      endogenous molecule of GSH, and FDA-approved material
                                                                   of PEG by one-pot method. This polyprodrug micelle could
To evaluate the drug efficacy in vitro of esterase-respon-           be assembled into micelles with 106.4 ± 1 nm in PBS,
sive DOX-GSH-PEG, we added the esterase to media                   which can be stable for 1 week. The massive ester bonds
for co-culturing with Hela cells. The cell viabilities of          in polyprodrug could be responsively disrupted in a high
DOX-GSH-PEG at 24 h have no significant differences                  concentration of esterase circumstances. The drug release
between esterase group and without esterase group.                 experiment showed that the DOX can be released from
The probable reasons are the drug release rate of DOX              polyprodrug micelle and reach 43% during 72 h. Cell via-
from DOX-GSH-PEG is 30% and the released DOXs were                 bility results demonstrated that the group of DOX-GSH-PEG
distributed into cells’ nuclei after 8 h, turning out that         with esterase could significantly inhibit the growth of the
cell apoptosis cannot be instantly triggered by released           cells compared with no esterase group in 48 h and the
and nuclei-distributed DOX. While the vast cell viability          cell uptake experiment showed that the DOX-GSH-PEG
520           Jianxia Qiao et al.

could be swallowed by cells and the released DOX from                           late congestive heart failure in breast cancer survivors aged
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Author contributions: Jianxia Qiao and Shufen Li: writing                       modified mesoporous silica nanoparticles for on-demand drug
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