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CHITOSAN MODIFIED POLY(LACTIC-CO-GLYCOLIC) ACID NANOPARTICLES INTERACTION WITH NORMAL, PRECANCEROUS KERATINOCYTES AND DENTAL PULP CELLS 22 that hinders their employment for biomedical applications. 5-6 In order to improve PLGA NP proprieties, several research groups have tried to cover the polymers with a chitosan coating. Chitosan is obtained from chitin which is a positively charged polysaccahride found in crustaceans. 28 Chitosan contains many amino and hydroxyl groups, thus it can bind effectively to negatively charged substances (such as the cells membranes) via electrostatic interactions or hydrogen bonding, thus improving the intracellular uptake. 9 Chitosan by itself is known to strongly adhere to negatively charged surfaces due to its high charge density at pH< 6.5. 29 The advantages of modifying the surface of PLGA NPs with a mucoadhesive polymer, such as chitosan, may potentially include the inversion of zeta potential, the ability to promote cellular adhesion and retention of the delivery system at the target site. 30 In order to fabricate polymeric NPs for future dental applications, we have tested the positive charged chitosan coated PLGA NPs (PLGAChi NPs) on oral cavity cells. NPs interaction with the oral epithelial cells was assessed by cytotoxicity measurements. After 24h of incubation with PLGAChi NPs (20 μg/ mL NPs and 200 μg/mL NPs) no significant statistic differences were observed in the viability of samples and controls (Fig. 8). PLGA Chi NPs were biocompatible to all the tested cell lines: NOKs and POE9i cells. We found no association between the significant increase in the cell uptake of chitosan containing NPs and cell toxicity, at the tested concentrations. Due to PLGA and chitosan’s well known biodegradability and biocompatibility, it was expected that NPs made of chitosan and PLGA would be well tolerated by the cells. Our results are in agreement with other comparable studies. Following a 2015 experiment, S. Alqahtani stated that chitosan covered PLGANPs did not affect the viability of Caco-2 cells. 31 Caco-2 cells displayed a viability above 95%, even after incubation for one day with a higher concentration of NPs than it was used in our study: 500 μg/mL PLGAChi NPs. 31 Moreover, chitosan covered NPs did not contribute additional toxicity to colorectal cancer cells after 3 days of exposure at a 75 μM solution of NPs. 32 The viability of the cells incubated with chitosan NPs remained at about 90 % relative to the untreated cells on day 1 and at about 89 % on day 3. 32 Another recent study also found that the surface modification of PLGA NPs with chitosan did not show any significant diffference in cytotoxicity of PLGA NPs. 6 The results indicated that A549 cell lung carcinoma cells exhibited around 80 % cell survival as compared to positive controls (10 % cytotoxic) for the following concentrations of PLGAChi NPs: 0.25, 0.5, 0.75, 1,1.25, 1.5, 1.75 and 2 mg/mL. 6 Other investigators have reported PLGAChi NPs to be safe even at much higher concentrations of 20 mg/mL. 33-35 In addition, other research groups revealed interesting cytotoxicity results of chitosan NPs effect on human skin keratinocytes HaCaT cells. Tretinoin containing chitosan solid lipid NPs were not cytotoxic to HaCaT cells even at the highest concentration 500 μg/mL used, which led to around 5 % less viability compared with the control. 36 Also lecithin/chitosan NPs can be applied to skin cells at concentrations up to 200  µg/mL without inducing plasma membrane damage or cell viability decrease. 37 Similarly, in a recent study, HaCaT cells exposed to melatonin containing lecithin/chitosan NPs in a concentration of chitosan of 1.25-20 μg/mL for 2 hours showed no relevant cytotoxicity. 38 However, a significant reduction in the cell viability of HaCaT cells was observed in the case of cells treated with NPs at a chitosan concentration of 20 μg/mL. 38 Chitosan-alginate NPs did not have a toxic effect on human monocytes but there was mild toxicity to skin keratinocytes at higher concentration of NPs. 29 Moreover, chitosan and PLGA NPs loaded with chlorexidine dihydrochloride in vitro toxicity evaluation on human gingival fibroblasts was between 20 % and 60 % in all experimental conditions. 9 Poly-γ-glutamic acid/glycol chitosan NPs incorporating p-phenylenediamine (PDA) showed lower cytotoxicity against HaCaT human skin keratinocyte cells than PDA alone. 39 Interestingly, PDA-incorporated NPs showed reduced apoptosis and necrosis reaction in HaCaT cells. 39 A possible explanation for the chitosan NPs high biocompatibilty could be that chitosan is much more cytotoxic in a free soluble form than when it is incorporated into NPs, due to the fact that in the case of NPs, a significant portion of the positive amino groups of chitosan are engaged in electrostatic interractions. 38, 40 To confirm PLGAChi NPs efficiency in intracellular penetration, the cellular internalization of PLGAChi NPs conjugated with fluorescein was investigated by fluo