Cytotoxicity of various DOX formulations toward A549 cells and A549/Adr cells.
Notes: (A) A549 cells cultured for 48 h. (B) A549 cells cultured for 72 h. (C) A549/Adr cells cultured for 48 h. (D) A549/Adr cells cultured for 72 h. n=3; *P<0.05; **P<0.01. The error bars represent standard deviation.
Abbreviations: CUR, curcumin; DOX, doxorubicin; (DOX + CUR)–PMs, polymeric micelles loaded with DOX and CUR; ND, no difference.

Cytotoxicity of various DOX formulations toward A549 cells and A549/Adr cells. Notes: (A) A549 cells cultured for 48 h. (B) A549 cells cultured for 72 h. (C) A549/Adr cells cultured for 48 h. (D) A549/Adr cells cultured for 72 h. n=3; *P<0.05; **P<0.01. The error bars represent standard deviation. Abbreviations: CUR, curcumin; DOX, doxorubicin; (DOX + CUR)–PMs, polymeric micelles loaded with DOX and CUR; ND, no difference.

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Purpose A new type of polymeric micelle (PM) was assembled using a polyethylene glycol (PEG)-linked (PEGylated) amphiphilic copolymer and d-tocopheryl PEG1000 succinate (TPGS1000). The micelles were used to deliver doxorubicin (DOX) and curcumin (CUR) for alleviating multidrug resistance (MDR) in lung cancer cells while enhancing the therapeutic ef...

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... Prevention of DOX resistance and/or side effect has been searched to enhance DOX efficacy. A new type of nanomicelles loaded with doxorubicin and curcumin was used to attenuate DOX resistance in lung cancer cell line, A549/Adr cells [16]. Many plant extracts have also been employed to enhance DOX efficacy and decrease its drug resistance. ...
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... Suppression of lipid peroxidation processes also plays a role in the process [21,22]. In addition, quercetin has an anti-inflammatory effect [23,24] and shows its own antitumor activity [25]. Therefore, the co-administration of DOX and polyphenols with antioxidant activity such as quercetin can be assumed to limit the chemotherapeutic cardiotoxicity while maintaining its cytostatic properties. ...
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... PEG micelles have shown some ability to deliver both DOX and CUR to DOX-resistant A549/Adr cells and synergistically reverse their DOX resistance [54]. In vivo studies have confirmed that micelles have the ability to increase DOX or CUR plasma concentrations and prolong their respective circulation in the bloodstream [54]. ...
... PEG micelles have shown some ability to deliver both DOX and CUR to DOX-resistant A549/Adr cells and synergistically reverse their DOX resistance [54]. In vivo studies have confirmed that micelles have the ability to increase DOX or CUR plasma concentrations and prolong their respective circulation in the bloodstream [54]. PEG-stabilized Dox NPs also exhibit long blood circulation time, good biocompatibility and stability, fast release in acidic environment, and high accumulation in tumors. ...
... DOX is a non-selective cytotoxic drug and has many side effects [11]. Clinical use of DOX is often associated with severe side effects, namely hepatotoxicity [66,67], nephrotoxicity [10,35,47,48,[66][67][68].] and dose-dependent cardiotoxicity [28,54,55,66,67]. Chemotherapy also causes damage to normal tissues of the bone marrow, gastrointestinal tract, neurons and auditory tissues, etc. [67]. ...
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... DOX has obvious advantages due to its significant efficacy and low cost [32]. It has demonstrated potential antitumor activity against various cancer cells [21], but unlike other chemotherapeutic agents such as cisplatin, paclitaxel, docetaxel, etoposide, and oxaliplatin, the efficacy of DOX is limited due to the ability of cancer cells to acquire chemoresistance [21,27,28,32,42,43]. Doxorubicin has proven itself as a highly effective antitumor agent used for the treatment of a wide range of oncological diseases [44]. ...
... DOX has obvious advantages due to its significant efficacy and low cost [32]. It has demonstrated potential antitumor activity against various cancer cells [21], but unlike other chemotherapeutic agents such as cisplatin, paclitaxel, docetaxel, etoposide, and oxaliplatin, the efficacy of DOX is limited due to the ability of cancer cells to acquire chemoresistance [21,27,28,32,42,43]. Doxorubicin has proven itself as a highly effective antitumor agent used for the treatment of a wide range of oncological diseases [44]. ...
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... 41−45 Researchers have explored the co-delivery of DOX and CUR for the treatment of cancers, such as colon cancer, 46,47 breast cancer, 48 and lung cancer. 49 Experimental results in the literature have demonstrated that DOX and CUR have excellent synergistic effects on cancer cells. 50,51 As such, CUR and DOX are chosen as the model drugs for the MMHR. ...
... The drug release of micelles and nanomicelle-microsphere complexes was determined by dynamic membrane dialysis. One milliliter of the DOX-loaded micelle solution or the nanomicelle-microsphere complex suspension (500 µg DOX equivalent) was transferred into dialysis bags (MWCO = 3500 Da) and then immersed in 100 mL of PBS (pH 7.4, 0.01 M) containing 0.1% (v/v) Tween 80 [34]. The release system was incubated at 37 • C with stirring at 100 rpm under dark conditions. ...
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... Inhibition of tumor growth. [108] Doxorubicin (with curcumin encapsulated in U-11 targeting nanoparticle) ...
... Doxorubicin, which is notorious for its cardiotoxicity, is also challenged by multidrug resistance development [107]. These problems were improved with a nanomicelle delivery system encapsulating both doxorubicin and curcumin, which was responsible for promoting endocytosis and increasing drug-release capacity, while being harmless to the normal cells in vitro and in vivo [107][108][109]. ...
... With the proper choice of excipients, the stability of curcumin could also be improved, where the nanomaterials could protect the compound from degradation. In fact, several reports illustrated that the application of nanoformulation in curcumin combination therapy has successfully demonstrated the enhanced aqueous solubility for better delivery [195], reversing multidrug resistance [108] and ensuring the distinctive biodistribution of therapeutic agents [107,196]. On the other hand, the nanoformulation of curcumin could also be designed to target a specific site of the body, to deliver an even higher dose of the compound to the site of action, instead of distributing to other organs. ...
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... Micelle was assembled using D-tocopheryl polyethylene glycol (1000) succinate. They investigated the internalization of 17 nm NPs on A549 cell line, using series of blockers such as chlorpromazine, β-cyclodextrin, indomethacin, and quercetin to inhibit and disrupt the ClaME and CavME pathways, and in result, they have found out that the β-cyclodextrin inhibits at a greater extent in comparison to another blocker, by depletion of cholesterol in the plasma membrane, which is one of the main components for the CavME pathway [195]. Endocytosis of oleoyl alginate ester NPs of size 50 nm/120 nm, 420 nm, and 730 nm was carried out with ClaME, CavME, and macropinocytosis respectively by Caco-2 (human colon adenocarcinoma) cell line [196]. ...
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... The lower water solubility of curcumin has led to the use of methods like micelles and nanocapsules for effective permeation and release. Adriamycin resistant A549/ADR lung cancer cell line showed a reversal of resistance to doxorubicin on treatment with polymeric micelles loaded with doxorubicin and curcumin [65] . ...
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... Additionally, clinical trials have demonstrated that CUR showed negligible toxicity in humans at an administration dose of up to 12 g/day, indicating excellent biocompatibility [29][30][31]. Although codelivery of CUR and chemotherapeutic drugs has exhibited enhanced antitumor efficacy in MDR cells and animal models, the drug release behavior under specific stimuli, pharmacokinetics and systemic toxicity have not been revealed clearly [32,33]. ...
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Aim: This work aims to develop an injectable nano-drug delivery system to overcome tumor multidrug resistance (MDR). Methods: A drug delivery nanoplatform based on PEGylated PLGA with glutathione (GSH) responsivity was constructed for dual delivery of doxorubicin and curcumin (termed DCNP), and its MDR reversal efficiency was studied in vitro and in vivo. Results: The DCNPs exhibited a rapid drug release profile under high GSH concentration and could enhance the cellular uptake and cytotoxicity of doxorubicin to MDR cancer cells. Moreover, the DCNPs showed better biocompatibility, longer blood circulation and enhanced antitumor efficiency compared with free drugs. Conclusion: The GSH-responsive nanocarrier is believed to be a promising candidate for overcoming tumor MDR.