Abstract
Introduction. Breast cancer is the leading cause of mortality for women, and effort is being made to provide an agent which has both imaging and therapeutic effects (theranostics) which can improve the survival, economic burden, and outcomes. Methods. In this research, for the first time, we introduce a new magnetophotoluminescent quantum dot (Mn-Si-QD) capable of DOX loading. Mn-Si-QD was synthesized and evaluated by FT-IR, UV-Vis, fluorescence, SEM, and TEM. The impacts of various factors such as reaction time and reaction temperature were investigated to reach the optimum fluorescence properties. Toxicity on normal and cancerous cells was evaluated with an MTT assay. Results. The characterization analysis confirmed successful synthesis, and the MTT assay showed no cytotoxicity on normal cells and showed toxicity on cancerous cells. Magnetopotential showed no difference when compared using OmniScan. In vivo fluorescence imaging was considered and indicated the acceptable (25% ID/g) uptake on the tumor region. The biodistribution study also confirmed the accumulation of the magnetophotoluminescent quantum dot in the tumor site. Conclusion. Our research indicated that DOX-loaded Mn-Si-QD is both noninvasive and an agent that can be hopefully used in theranostics.
1. Introduction
Breast cancer is a common type of cancer in women and the second cause of cancer death in women aged 45-55 years [1]. While breast cancer is on the rise among women in industrialized countries, it is also on the rise in developing countries [2]. To extend breast cancer survival, reduce the financial burden, and additionally make strides on breast cancer results, more thought on creating methodologies to determination cancer in the early stages is required [3]. Imaging techniques present more advantages including screening, treatment, and monitoring abilities at any time, do not result in tissue destruction, are minimally invasive procedures, and provide functionality over wide periods and size ranges [4]. Different methods have been developed for breast cancer imaging such as mammography, nuclear medicine, tomosynthesis, ultrasound, and MRI [5]. Although mammography is the most common screening method, 10-30% of breast cancers can be missed [6]. In contrast, breast MR imaging is the most sensitive technique for detection and stage evaluation. It was understood that MR imaging has higher sensitivity than other imaging techniques especially in high-risk screening (about 77% to 100%). Thus, research on MR imaging agents has delighted scientists. Although the common commercial MRI contrast agent is based on Gd3+-complexes, research on nonlanthanide metal has attracted attention. Nephrogenic systemic fibrosis (NSF) and Gd3+ deposition in the brain and other organs are serious side effects that worry physicians [7]. Manganese (Mn2+), known as a nonlanthanide metal that functions as a Gd3+ alternative, which is essential in cell biology, acts as a nontoxic paramagnetic MRI contrast agent [8]. Compared to Gd3+, Mn2+ is a nutritional element that the human body requires and also exhibits all of the physical properties that Gd3+ has [9, 10]. Alhamami et al. claim that in vivo Mn2+-enhanced MRI was designed to detect early small breast tumors, with the highest sensitivity. Mn2+ describes morphology and tumor borders more obviously than Gd-DTPA [11]. In 2019, Erstad et al. compared the efficacy of Mn-PyC3A to commercial Gd-DOTA and Gd-EOB-DTPA to detect breast cancer and metastatic liver disease in murine models. Results showed that Mn-PyC3A provided comparable tumor contrast enhancement and apparently delayed phase visualization of liver metastases to the Gd3+ agents [12].
Nanotechnology is a field of science that is based on nanosized materials. It is a novel technology in which particular atomic properties are obtained and has both knowledge and commercial applications [13–15]. Due to the unique features of nanoparticles including having a small size and a high surface-to-volume ratio [16], they are used as a small probe that would allow us to spy on the whole human biological system [17, 18]. Quantum dots (QDs) are nanoscale semiconductor crystals and are nanoparticles that have been used in biological imaging since 1998 [19]. QDs have attracted much attention due to the reduced light scattering and low tissue absorption while most organic dyes do not [20]. Unfortunately, conventional QDs that are made with heavy metals showed a cytotoxic effect [21]. Therefore, for clinical applications, many factors should be considered when designing QDs, including removal of heavy metals [22], use of biodegradable materials that are completely removed from the body [23], use of environmentally safe materials [24], use of materials that are abundant in the earth to which humans have extensive exposure [25], and use of materials that emit near-infrared emission [26]. Silicon quantum dots (Si-QDs) have been considered for their beneficial features such as being abundant in the earth, nontoxic, ecologically safe, and biodegradable and having near-IR emission [26]. In this framework, Erogbogbo et al. designed the highly stable aqueous suspensions of Si-QDs. This biocompatible luminescence was used for pancreatic cancer cell imaging. They highlighted that Si-QDs should be used as a nontoxic optical probe for biomedical diagnostic [27]. One way to improve the imaging performance of this compound is to combine it with other imaging techniques such as MRI. For example, the Erogbogbo group reported the biocompatible magnetofluorescent nanoprobes. A multimodal nanoprobe that combined Si-QD with iron oxide was used to detect prostate cancer. They stated that Si-QD-based nanocarriers must be expanded to serve as a multimodal platform [28]. Although use of Si-QD-based nanocarriers has been reported in many articles, it is evident that the use of Si-QD-based nanocarriers is still in its infancy. Thus, research on Si-QD-based nanocarriers and its application in medicine is necessary. In most studies, multistep synthesis has been used to synthesize these particles; so far, there are no reports on a one-step synthesis. In this work, for the first time, we introduce the one-step methods for a therapeutic magnetosilicon quantum dot (Mn-Si-QD) agent which combines luminescence with paramagnetic behavior for breast cancer imaging. Also, we studied the ability of this compound for anticancer drug loadings that present a theranostic agent that can overcome the concerns of anticancer and heavy metal toxicity.
2. Experimental Methods
2.1. Characterization Techniques
All chemical reagents were of analytical grade and used without further purification. Manganese citrate, 2-aminoethyl-3-aminopropyltrimethoxysilane, hyaluronic acid, doxorubicin, EDC, and NHS were purchased from the Sigma-Aldrich Co. (St Louis, MO, USA). Dimethylformamide was purchased from Merk. MCF-7 and HEK-293 cell lines were obtained from the Pasteur Institute (Tehran, Islamic Republic of Iran). Fourier transform infrared spectra (FT-IR) of the powders were acquired using a PerkinElmer Spectrum BX-II spectrometer. The UV-Vis absorption spectra were recorded from 200 to 600 nm using an ultraviolet-visible spectrophotometer by Shimadzu (UV-3101PC; Japan). Both 3D and 2D fluorescence spectroscopy were done using the Nanoimager and FluoVision instruments, respectively. MRI imaging was performed using a Siemens instrument. The surface morphology of the products was investigated using scanning electron microscopy (SEM, LEO-1455VP) and transmission electron microscopy (TEM, JEM-2100). Determination of the quantum yield was performed using quinine sulfate as the control. Excitation and emission of the solution were measured using fluorescence spectroscopy. All studies were repeated three times. The studies were directed in line with the principles of declaration of the Tehran University of Medical Sciences with the following number: IR.TUMS.TIPS.REC.1398.093.
2.2. Magnetosilicon Quantum Dot Preparation
Preparation of the Mn-Si-QD is illustrated in Scheme 1. Briefly, manganese citrate (2 mmol) was dissolved in dimethylformamide (12 mL). The solution was then degassed by bubbling nitrogen. Afterwards, 2-aminoethyl-3-aminopropyltrimethoxysilane (3 mL) was added and stirred for 15 min. Then, the solution was autoclaved for 3 hours at 200 degrees centigrade. After cooling the products to room temperature, large particles were separated by centrifuge (10000 rpm, 15 min) and using a dialysis bag (0.5 kDa). Hyaluronic acid (HYA) was conjugated to synthesized nanoparticles by adding 20 mg HYA and 20 mg synthesized nanoparticles in water in the presence of EDC/NHS. The mixture was stirred for 24 hours. Finally, the product was purified by centrifuge and using a dialysis bag and then lyophilized.
2.3. Quantum Yield
Quantum yield (QY) of the Si-QD was measured using the following method; quinine sulfate (0.05 g quinine sulfate in 270 μL H2SO4 diluted in 5 mL distilled water) was used as the reference. Then, excitation and emission of the prepared solution (1 mL at different concentrations from 0.005 up to 0.01 mg/mL) were measured. Also, 1 mL of the prepared QD with the same concentration of quinine was examined. QY was then calculated using the following equation 34:
where is the QY of the testing sample, is the testing sample’s integrated emission intensity, is the refractive index, and is the optical density. , , , and are values of the referenced fluorescence dyes of known QYs.
2.4. Drug Loading and Release
DOX loading was performed by ultrasonication of 10 mg Mn-Si-QD nanoparticles in 20 mL deionized water for 15 min in 20 degrees centigrade. Then, 4 mg of DOX was dissolved in 2 mL ethanol. The two solutions were mixed together slowly, and the final mixture was stirred for 24 hours at room temperature. Finally, the final product was collected via centrifugation for 15 min and at 8000 rpm. The drug release was performed by dispersing the product in water, and UV-Vis analysis at 480 nm wavelength was conducted via the following equation:
Drug release was carried out using a dialysis bag (500-1000 kDa) at 37 degrees centigrade and and 5.5 at room temperature. Mn-Si-QD-loaded DOX was dissolved in PBS (1 : 10) and transferred to the dialysis bag. Then, 3 mL of the solution was withdrawn at various times, and 3 mL of PBS was replaced. The release of drug was specified using a UV-Vis spectrophotometer at 359 nm.
2.5. MTT Cytotoxicity Assay
MTT is a quantitative colorimetric assay for cell viability evaluation. This assay is based on the reduction of tetrazolium (MTT) into insoluble formazan using viable mitochondria. Typically, 104 cells are suspended in each 100 μL well and incubated at 37°C. Then, 20 μL of media was withdrawn and 20 μL of prepared solution (5 mg of MTT powder in 1 mL of PBS) was added to each well and incubated for 4 hours. Finally, the media in each well were removed and DMSO was added. Absorption was read at 570 nm using an ELISA reader.
2.6. MRI Properties
The Mn-Si-QD solution was prepared in 0.005, 0.01, 0.5, 1, and 2 mg/mL concentrations. For noise attenuation, for each row of product, one row of distilled water was added. MRI images were carried out, and data were analyzed using ImageJ software.
2.7. In Vivo Fluorescence Imaging and Biodistribution
For in vivo fluorescence imaging, 3 mice (22 g) were chosen and 0.3 mL of the DOX-loaded Mn-Si-QD was injected. For further investigation, a biodistribution study was performed. The mice were killed, and different organs were harvested and washed with normal saline. Blood was collected via cardiac puncture, and accumulation in each organ was measured. Percentage dose was obtained from the accumulation determined (per gram of tissue) in each organ divided by the total injection.
2.8. Statistical Analysis
Statistical analysis was done using SPSS, MATLAB Microsoft Office (2013). For quantitative data analysis, one-way analysis of variance followed by Tukey’s test was applied. was considered statistically significant.
3. Result and Discussion
3.1. Characterization of Mn-Si-QD Nanoparticle
FT-IR spectrometers were performed to determine the functional groups of the product. The FT-IR spectra of Mn citrate, hyaluronic acid, Si-QD, and Mn-Si-QD are indicated in Figures 1(a)–1(d), respectively. As can be seen in Figures 1(a) and 1(b), the wide and sharp peaks appearing at about 3500 cm-1and 1600 cm-1 belong to the OH group and the carbonyl group of the citrate, respectively. The peak that is located at about 3000 cm-1 belongs to the CH stretching. In Figure 1(c), the broad peak located at 3500 cm-1 is associated with the NH group of Si-QD. According to Figure 1(c), CH stretching at around 3000 cm-1 and the carbonyl band at around 1600 cm-1 are observed clearly. The sharp peak at about 1000 cm-1 observed in Figure 1(c) belongs to the Si-O group 35. The FT-IR spectrum of Mn-Si-QD nanoparticles is shown in Figure 1(d). The extended band around 3500 cm-1 is related to the OH/NH group. The carbonyl group appears at 1600 cm-1. The peaks at 3000 cm-1 and 1000 cm-1 are designated as stretched CH and Si-O functional groups35. Therefore, by comparing each spectrum, synthesis and modification of the Mn-Si-QD were confirmed. For further study, UV-Vis spectroscopy of Mn-Si-QD and the conjugation to HYA were analyzed. Figure 2(a) shows the peaks at 360 nm and at about 440 nm which are related to and transitions. In contrast to Mn-Si-QD, HYA conjugated to Mn-Si-QD showed reduced absorption and shifted to the lower wavelength, confirming the covalent bond between Mn-Si-QD and HYA.


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3.2. Excitation-Emission Characterization
Figure 2(b) shows the emission spectrum at different excitation wavelengths. The maximum emission occurred at 535 nm when excited at 460 nm. QY was determined as 57% using the equation mentioned in Experimental Methods. The effect of temperature and time on photoluminescence properties was considered. The data provided in Figure 3 show that both temperature and time have a direct effect on the emission wavelength. Optimum temperature and time were obtained at 203 degrees centigrade and 3.03 hours, respectively. Furthermore, study on the impact of the solvent indicated that water shifted the wavelength to the shortest and widest which is presented in Figure 4(a). Also, interaction between HYA and Mn-Si-QD had no significant effects on the fluorescence spectrum (Figure 5(b)).


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3.3. Morphological Characteristics
The elemental mapping analysis was used for determining the elemental composition of the synthesized Mn-Si-QD and quantum dot. The elemental map analysis displays the Mn, N, C, and Si elements (Figure 6). TEM and SEM images were applied to study the detail morphology and size of the samples. The results obtained from the image analysis of the TEM images which show the uniform distribution, spherical morphology, and average diameters ofandobtained for the quantum dot and HYA-Mn-Si-QD, respectively, are presented in Figure 7.

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3.4. Drug Loading and Release Measurement
DOX loading in Mn-Si-QD nanoparticle was estimated via the fluorescence spectrum. All experiments are repeated in triplicate. In Figure 7(a), drug loading leads to the formation of the FRET phenomenon by wrapping strategies which can be used as a standard for loading and releasing drugs from nanoparticles [29]. Loading of the drug on the surface of the nanoparticle resulted in an efficiency of 68% for pure Mn-Si-QDs. Due to the fact that the pH of the cancer cell environment is acidic, drug release was evaluated in both neutral and acidic pH. The release profile showed that the largest release of DOX occurred up to the first 30 hours and then became constant. Furthermore, the release pattern depends on the pH of the media. At , DOX-loaded Mn-Si-QDs showed an approximately 30% release in the first 30 hours and became constant. In contrast, at , drug release increased up to 70% (Figure 7(b)).
3.5. Cytotoxicity Assay
The toxic effect of Si-QD and Mn-Si-QD on the HEK-293 cell lines is demonstrated in Figure 8(a). Data showed that no difference was observed between the treated and control groups up to 500 μg/mL. It means that Si-QD and Mn-Si-QD had no toxic effect on the normal cell line which indicates the biocompatibility of silica quantum dots. This is due to the materials used in the synthesis of this particle. For further investigation, the cytotoxicity of DOX-loaded Mn-Si-QD and HYA-Mn-Si-QD on MCF-7 cell lines was investigated. DOX-loaded HYA-Mn-Si-QD showed a more toxic effect on MCF-7 than free DOX and DOX-loaded Mn-Si-QD which indicates the positive effect of hyaluronic acid in cellular penetration that caused the better treatment (Figure 8(b)). Interestingly, the MTT assay supports our hypothesis that the DOX-loaded HYA-Mn-Si-QD is a theranostic agent. It means that it has both therapy and imaging properties. IC50 values of free DOX, DOX-loaded Si-QDs, and Mn-Si-QDs were 1.103, 1.03, and 0.92, respectively. It can be understood that the effective dose of DOX-loaded Mn-Si-QDs was less than others. Therefore, the side effect of the drug is reduced due to the reduction of drug dosage.

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3.6. MRI Properties
For determination of magnetic properties of Mn-Si-QD, an MRI study was done (Figure 9(a)). Data showed that the signal increased by increasing the concentration. Also, Mn-Si-QD was singularly equal compared with OmniScan. In addition, the relaxation time (r1) was obtained for both Mn-Si-QD and OmniScan) 4.2 mL mg-1 s-1·and 4.06 mL mg-1 s-1, respectively) presented in Figure 9(b).

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3.7. Imaging
In vivo fluorescence imaging was done at 15, 30, and 60 min after injection. According to the in vivo fluorescence image presented in Figure 10(a), the highest accumulation of HYA-Mn-Si-QD was observed 30 minutes after injection. Up until 60 min after injection, appropriate accumulation of the probe was detected in the tumor region. High uptake in the bottom of the mouse body showed the fast excretion of the excess compound. Imaging results were matched with the biodistribution study. The biodistribution study (Figure 10(b)) demonstrated that about 25% of HYA-Mn-Si-QDs was accumulated in the tumor region. Due to the high uptake in the liver and spleen, it can be concluded that the route with the most excretion of HYA-Mn-Si-QDs was through the hepatobiliary system. But urinary system excretion is also noticeable. High uptake in the lung might be due to the nature of the nanoparticles themselves. Because most of the nanoparticles are suspended, after injection, they aggregate and accumulate in the lung and spleen.

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4. Conclusion
In this work, for the first time, we synthesized the DOX-loaded magnetophotoluminescent quantum dot. Results showed that the DOX-loaded magnetophotoluminescent quantum dot was successfully synthesized with proper magnetic and photoluminescent properties. Release behavior showed that the largest release was about 70% at pH = 5.5. The MTT assay showed no toxicity on normal cells while a toxic effect on cancer cells was obvious. In vivo imaging and biodistribution indicated that the DOX-loaded magnetophotoluminescent quantum dot had a good uptake in the tumor cell. Although the investigation supports our hypothesis that the DOX-loaded magnetophotoluminescent quantum dot can be a theranostic agent, the research is still in its fancy and more studies need to be done.
Data Availability
All data used to support the findings of this study are included within the article.
Conflicts of Interest
The authors report no conflict of interest in this work.
Acknowledgments
The Tehran University of Medical Sciences and Health Services supported this study. The authors wish to thank all the technicians who provided support during the experiments.
Supplementary Materials
The Supporting Information Results of experimental design. (Supplementary Materials)