Research Article |
Corresponding author: Israa Al-Ani ( ialani@ammanu.edu.jo ) Academic editor: Denitsa Momekova
© 2024 Farah Al-Sahlawi, Israa Al-Ani, Mohamed El-Tanani, Hafiz Aadil Farooq.
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Citation:
Al-Sahlawi F, Al-Ani I, El-Tanani M, Farooq HA (2024) Preparation and evaluation of biological activity of ZSM-5 nanoparticles loaded with gefitinib for the treatment of non-small cell lung carcinoma. Pharmacia 71: 1-12. https://doi.org/10.3897/pharmacia.71.e112449
|
Background: Gefitinib (GEF) is a tyrosine kinase inhibitor that has proven good efficacy against Non-small cell Lung Carcinoma (NSCLC). It has low solubility and dissolution rate and low oral bioavailability. This work aimed to improve efficacy by loading on ZSM-5 silica nanoparticles and testing the prepared delivery system on A-549 lung cancer cells.
Methods: ZSM-5 was synthesized in the laboratory and different methods of loading GEF on the nanoparticles were used, then the system was characterized by X-ray diffraction, Fourier Transport Infra-Red (FTIR), and drug release and dissolution.
Results and conclusion: GEF-loaded nanoparticles (NPs) showed prolonged release of GEF over 12 hours with an improved biological efficacy expressed by the decrease in IC50 compared to free GEF (P < 0.001) using 3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide (MTT) assay. Also, there was a significant decrease in migration and colony formation ability of the GEF-loaded NPs on A-549 lung cancer cells. In conclusion, loading GEF onto ZSM-5 NPs resulted in a lower IC50 and improved biological action toward A-549 cells.
ZSM-5, Gefitinib, Non-small lung cell carcinoma
Throughout the world, lung cancer (LC) is a serious health issue. Each year, more than 1.6 million new cases of LC are identified. Every year, it accounts for over 1.4 million cancer deaths (
Tyrosine kinases regulate signaling cascades, deoxyribonucleic acid (DNA) repair, and programmed cell apoptosis, all of which are important for cell proliferation (
A number of experiments were conducted to improve the solubility and dissolution rates of GEF, such as the complex formation between GEF and cucurbit 8-urils, which demonstrated an enhanced GEF dissolution rate (
Inorganic zeolite nanocarriers, which are a member of the aluminosilicate mineral family, have recently attracted attention as drug delivery systems in pharmaceutical research for several pharmaceutical medications (
Zeolites, especially ZSM-5 can be employed as inorganic drug delivery systems. The system was utilized successfully to produce controlled release fluorouracil and 6-mercaptopurine (
For a number of reasons, sustained release formulations have the potential to increase the bioavailability of class 2 APIs like Gefitinib (GEF) (
Maintaining Steady Drug Levels Despite Class 2 APIs’ Poor Solubility and Permeability, They Always Work. Traditional immediate-release formulations cause a sharp increase and subsequent drop in plasma concentration because of the drug’s quick absorption. Because of possible insufficient drug dissolution and gastrointestinal (GI) tract permeation time, this may reduce medication efficacy. The medication concentration in the blood is more reliably kept constant by sustained-release formulations, which release the drug slowly and consistently over time. This can improve class 2 active pharmaceutical ingredient (API) uptake (
Peaks and valleys in drug concentration are lessened with sustained release formulations, which is particularly helpful for class 2 APIs with variable absorption. Improved medication exposure and effectiveness as well as decreased risk of adverse effects due to dosing variations are all possible with prolonged-release formulations (
As a result of the drug’s gradual release, class 2 APIs like Gefitinib have more time to break down and be absorbed from the GI tract’s absorptive surfaces. This is especially helpful for medications that don’t dissolve well in water (
Increased adherence is especially important for patients using oral medicines. Dosing intervals for sustained-release formulations are often longer than those for quick-release formulations. This may improve patient compliance with the treatment plan, which in turn increases the class 2 API’s bioavailability (
Some class 2 APIs have their bioavailability drastically lowered due to extensive first-pass metabolism in the liver. The steady release of the medication over time in sustained release formulations reduces the amount of first-pass metabolism, so that more of the drug reaches the systemic circulation without being broken down by the liver (
It is less likely that the gastrointestinal mucosa will be irritated by the medicine, which is important since certain class 2 APIs may irritate the mucosa and cause side effects that may reduce drug absorption. Sustained-release formulations, which gradually release the medicine into the body, may assist alleviate this problem by lowering the peak drug concentration in the digestive system (
Sustained release formulations have the potential to increase the therapeutic impact while decreasing the likelihood of either hazardous or subtherapeutic medication concentrations by keeping drug levels within a tighter, ideal therapeutic window (
Depending on the drug’s physicochemical qualities and pharmacokinetics, not all class 2 APIs will gain the same advantages from sustained-release formulations. The efficacy of sustained-release formulations for a given API is generally evaluated via formulation development and bioequivalence studies. Bioavailability and therapeutic effects may be improved by striking a good balance between the release rate and absorption properties (
The aim of this study was to achieve a regulated release of GEF, enhancement of solubility, and improve its pharmacological efficacy through its encapsulation in ZSM-5 NPs and evaluation of this suggested delivery system.
The drug release and the cytotoxic activity of the loaded drug samples were assessed in comparison to the native GEF. The interactions between the GEF and the host and the properties of the ZSM-5 surface were to be used to explain the findings. To our knowledge, this is the first time ZSM-5 nanoparticles have ever been used to encapsulate GEF.
Chemicals for analysis and synthesis were as follows: Gefitinib (GEF) (Tokyo Chemical Industrial/Japan), Dimethylsulfoxide (DMEM) (ChemCruz/USA), Dulbecco’s phosphate-buffered saline (Euro-Clone S.p.A/Italy), Trypsin-EDTA 1X in PBS (Euro-Clone S.p.A/Italy), Formic acid (Sigma-Aldrich/China),Methanol (Sigma-Aldrich/France), MTT [3-(4,5-Dimethylthiazol-2-yl) (Thermo-Fisher Scientific/USA), Penicillin-Streptomycin Solution (Euro-Clone S.p.A/Italy), Tetrapropylammonium hydroxide, Tetraethyl orthosilicate, and Trifluoroacetic acid (Sigma-Aldrich),Tween 80 (Janssen Chemica/USA). And the Chemicals for nanoparticle synthesis were: Terapropylammonium hydroxide, Sodium hydroxide, Aluminum sulfate anhydrous.
High-performance liquid chromatography with LC solution software (Model: KMC-130SH) (Shimadzu/ Japan) was used to analyze GEF. The Mobile phase of the analysis of GEF is composed of (Trifluoroacetic acid Orthophosphoric acid mixture each 0.1% in deionized water): methanol (1:1). The column used was EC 250/4.6 Nuclerdur 100 C18 at temperature (30 °C. The injection volume was 10 µl, the flow rate was 1 ml/min, and lambda max was set at 246 nm (Faivre et al. 2011). The linearity and calibration curve was obtained in the range of 5–30 µg/ml range. Serial dilutions were made from a stock solution of 1000 µg/ml in methanol using the mobile phase. Regression and R2 were calculated using the software of the instrument.
The synthesis of ZSM-5 nanoparticles was prepared as follows: 12.5 g of terapropylammonium hydroxide was dissolved in 50 mL of deionized water. Then 12.0 g of tetraethyl orthosilicate was added dropwise to the reaction flask at room temperature. The flask was placed in a water bath with vigorous shaking for 24 hours at 80 °C. In a separate flask, 0.24 g sodium hydroxide and 0.722 g aluminum sulfate anhydrous were mixed in 4 ml deionized water and poured into the previous mixture. The mixture was placed in acid digestion vessels for forty-eight hours at 170 °C. Finally, the obtained nanoparticles were washed twice with distilled water, filtrated, and calcined in a furnace for 6 hours at 500 °C (
GEF was loaded onto the prepared ZSM-5 nanoparticles using solvent evaporation, kneading, adsorption, and physical dry mixing (
In the solvent evaporation method, 0.05g of GEF was dissolved in 15 mL of methanol, and then, in a conical flask, 0.05 g of ZSM-5 was added. The rationale for using methanol as the solvent is its capacity to effectively dissolve GEF and provide a uniform combination with ZSM-5. Drug-loaded nanoparticles are left behind because methanol’s volatile nature makes evaporation simple. Materials that dissolve easily in organic solvents may be used using this technique. The mixture was kept for 24 hours with continuous stirring at 40 rpm at room temperature. Then the heat was applied (40 °C) for 24 hours at the same stirring rate to evaporate the solvent. Then the sample was transferred to a container and kept in the desiccator.
For the kneading method, 0.05 g of each GEF and ZSM-5 were weighted and mixed in a porcelain mortar. The vehicle was prepared from methanol and phosphate buffer in a ratio of 1:1 (pH 3). The kneading process uses a pH 3 combination of phosphate buffer and methanol. This mixture is chosen to make a paste that will distribute GEF and ZSM-5 uniformly. Methanol helps to generate a paste for uniform drug and carrier integration, and the pH of 3 is used to preserve the stability of GEF throughout production. The solvent was added drop by drop until a paste was formed. Trituration was continued for one hour; then, the sample was kept in an oven at 40 °C for 24 hours for drying. The powder was sieved through a 0.305-mm mesh and kept in the desiccator until used.
Physical mixing used the same procedure as kneading but without solvent. Direct blending of GEF with ZSM-5 requires just dry mixing, which is accomplished physically without the need for a solvent. This approach simplifies the loading procedure by removing the need for a solvent during the drug’s integration with the carrier. Dry mixing was achieved for one hour manually. The sample was sieved and kept in the desiccator until used.
In the adsorption method, 0.01g of GEF was mixed with 0.01 g of ZSM-5 and 25 ml of distilled water. To take use of the hydrophilic properties of ZSM-5, distilled water is used as the solvent in the adsorption process. Water ensures that the medication and carrier are stable by facilitating the adsorption of GEF onto the nanoparticles without the need for organic solvents. The mixture was stirred for 24 hours at 40 rpm and filtered using filter paper. The powder was centrifugated at 4000 rpm for 5 minutes and then dried.
The kneading method was performed using different ratios of GEF to the carrier. 1:1, 1:2, and 1:3 ratios were prepared using the same procedure to investigate the effect of the drug-to-carrier ratio on the loading efficiency of GEF.
The FTIR spectrum for ZSM-5was recorded over the range 400–4000 cm-1. The samples were analyzed using the Fourier infrared spectrophotometer (IR Prestige-21, Shimadzu Europa GmbH) using the KBr disc. IRsolution FTIR control software supports FDA 21 CFR Part 11 compliance and provides a resolution of 2 cm-1. GEF, unloaded ZSM-5 NPs and the loaded NPs were investigated.
The XRD patterns were acquired using an X-ray diffractometer (Shimadzu XRD-7000, Japan) equipped with a CuK radiation source and a Ni filter operating at 40 kV/30 mA in the range 2° 2 ≤ 60°. The scanning speed was 2° per minute, and the sampling pitch was 0.02°. The obtained PXRD data were analyzed with the X’Pert HighScore Plus 2.2 software using search-match operations to completely identify the inorganic crystal structure. Also, GEF, unloaded ZSM-5 NPs and the loaded NPs were investigated.
To record the SEM of the loaded ZSM-5 nanoparticles, a sample piece was transferred into an adhesive carbon and cleaned with N2 gas. The morphology and chemical composition of samples were investigated by a Phenom XL G2 scanning electron microscope (Thermo Fisher Scientific) coupled with an AXS EDS system. The SEM images were collected at 0.06–0.04 mbar with a 15 kV accelerating voltage. BET samples were recorded using an N2 adsorption-desorption analyzer (Autosorb IQ, Quantachrome Instruments version 5.21, Boynton Beach, FL, USA).
For pH measurement, 100 mg of the prepared loaded NPs were suspended in 100 mL of distilled water, and the pH of the solution was measured by a pH meter. Also, the NPs size was measured by Zetasizer (Malvern, Worcestershire, UK). The nanoparticles sample of 10 mg was suspended in 10 mL of deionized water, and the suspension was diluted 125-fold using deionized water before measurement.
Percent GEF loaded on ZSM-5 NPs was measured by suspension of 0.05g of the loaded GEF nanoparticle powder in 25mL methanol with sonication to extract the drug completely from the nanoparticles. The solution was filtered and diluted with a solvent composed of (35:65 acetate buffer: methanol) pH 3, and the concentration of GEF was measured using the developed HPLC analysis method. Percentage drugs loaded on the NPs was calculated using the following equation (
%Drug loading = (Weight of drug in nanoparticles)/ (Weigh of nanoparticles) × 100%
Characterization of the crystalline structure of the loaded NP was done using X-ray diffraction, and FTIR investigated the detection of binding of the drug to the carrier. The spectrum of free GEF and GEF-loaded NPs were taken, and results were compared with the free carrier.
GEF release from the loaded nanoparticle was studied using USP apparatus II in phosphate buffer pH 6.8 (
Since pH 6.8 is often used to simulate the gut pH in release experiments, it is possible that the formulations were intended for oral delivery. The small intestine is often where medication absorption occurs, and its pH range is 6.8. It is crucial to examine release profiles at various pH settings, including the stomach’s acidic environment (pH 1.2), considering the thorough assessment of drug release.
Based on the result of the test, the release test was repeated for 12 hours. The same amount of the loaded NPs was used in each of the 6 jars to perform the test and the same conditions were used. Samples were withdrawn at 20 min, 40 min to detect any possible burst effect, Then 1, 2, 3, 4, 6, 8, 10, and 12 hours.
IC50 was determined using the MTT Cell Proliferation Assay as follows: In a 96-well plate, 10,000 cells of the A-549 cell line were cultured in 100 l of DMEM medium in each well, and then the plate was placed in a CO2-incubator at 37 °C for 24 hours. After removing the medium from the wells, different doses (i.e., 100 nM, 200 nM, 300 nM, 500 nM, and 700 nM) of GEF, ZSM-5, GEF-ZSM-5 loaded nanoparticles (prepared by the kneading method), and DMSO (as a negative control) were prepared in 100 l medium and added to the wells. The plate was incubated in a humidified 5 percent CO2 incubator at 37 °C for 4 hours. Next, 85 l of medium was discharged from each well, and 50 l of DMSO was added. Then, after 10 minutes, the absorbance was recorded at 590nm using a Biotech 96-well plate reader. Finally, the IC50 value was determined using Prism-GraphPad.
In this test, 250,000 cells of A-549 were seeded in each well of a 12-well plate in 2 mL DMEM medium and incubated at 37 °C in 5% CO2 and 95% humidity for 24 hours. A straight-line scratch from the top to the end of each well was produced using a sterile tip, then the media was discarded and the cells were washed using phosphate buffered saline (PBS). After that, 1 mL of media was added to each well, and each of the three wells was treated using 0.5 IC50, IC50, and 2 IC50 of the ZSM-5-GEF-loaded nanoparticle. Up to 2 mL of media was added to each well. DMSO and media were used as controls. A photo was taken using a Nikon camera on days one and two, and the area of migration was measured using Motic Images Plus version 2.0; finally, the motic area was calculated using the equation below (Haggag et al. 2022).
In a 12-well plate, 200 cells of A-549 were seeded in 2 mL of medium in each well and incubated for 24 hours in a 5% CO2 incubator at 37 °C. After 24 hours, the media in each well were replaced with 1 mL fresh media, and the cells in 3 wells were treated using 0.5 IC50, IC50, and 2 IC50 of free GEF, respectively. While the cells in the other three wells were treated using 0.5 IC50, IC50, and 2 IC50 of loaded GEF. DMSO and media were used as controls. After that, up to 2 mL of media was added to each well. Then the plate was incubated in a 5% CO2 incubator at 37 °C for seven days. After seven days, the colonies in each well were counted and recorded.
All statistical analysis results were performed using GraphPad Prism 8 via Two-way ANOVA. The results were presented as mean ± SD. Statistical significance was represented as *P < 0.05, **P < 0.01, and ***P < 0.001.
HPLC was used to determine how much gefitinib is contained inside the nanoparticles and how much medicine will be released. At a retention time (RT) of 1.626 minutes, a peak corresponding to GEF was seen. The peak was sharp and highly resoluted. Pure GEF concentrations were measured and used to create the calibration curve shown in Fig.
No deviations from the method described by Hodali and Marzouqa (Hodali & Marzouqa, 2016) were made during the synthesis of ZSM-5 nanoparticles. Drying for 4 hours at 100 degrees Celsius was more than enough time to ensure a well dried out final product. When heated to 500 degrees Celsius for 24 hours, the material is reduced to a white powder. The finished powder was then stored in a desiccator, away from any possibility of dampness.
For the FTIR analysis, the spectra shown in Fig.
The results clearly depict changes to representative GEF peaks in the spectrum of the loaded carrier vibration. The carbonyl peak (C=C, C=N) at the higher frequency indicates intermolecular interactions between the GEF and the ZSM-5 nanocarriers. The O-H of the nanocarrier is overlaid with the N-H peaks of the GEF in the spectrum. Hydrogen bonding interactions between hydrogen donor ZSM-5 and hydrogen receiver GEF may have contributed to the observed results. Furthermore, there were a lot of hydrophobic interactions between the carbon rings, the surface zeolite, and the bridging oxygen. The same hypothesis was supported by a recent study by Narayan et al. that showed favorable interactions between the MCM-41 surface and the antibiotic 5-fluorouracil through hydrogen bond donors and acceptors (
The XRD spectrum of ZSM-5 (Fig.
Drug encapsulation into the nano carrier ZSM-5 is the cause of the sharp two peaks at 18.6 and 19.2 of crystalline GEF disappearing from the drug-loaded ZSM-5 diffractogram, while the fundamental peaks of ZSM-5 are retained and have minimal peak strength. It is noteworthy that the presence of GEF in the amorphous phase may increase GEF’s solubility and dissolution rate, which are responsible for the lowering of the peaks of loaded ZSM-5. These findings support the Zarshenas groups’ observation that the XRD pattern of 5-fluorouracil-loaded ZSM-5 demonstrates full encapsulation within ZSM-5 and the absence of loose crystalline 5-fluorouracil (Zarshenas et al. 2022).
Scanning Electron Microscope (SEM) photo shows the morphology of the prepared NPs (Fig.
Fig.
The pH of the ZSM-5 nanoparticle suspension was 7.71±0.05, close to the pH of biological fluids. (Trumer et al. 2012) reported the pKa of GEF 5–7, which means the above pH 7 GEF mostly exists in its unionized form which is the biologically favored species.
The average particle size of the ZSM-5 NPs was between 100–200 nm, with a polydispersity index (PDI) equal to 0.265 (Fig.
The percent yield of the NPs and loading efficiency of GEF are represented in Table
Nanocarriers | % Percent yield | Loading efficiency |
---|---|---|
Physical adsorption method | 60% | 22% |
Kneading method 1:1 | 75% | 80% |
Kneading method 1:2 | 73.3% | 80% |
Kneading method 1:3 | 75% | 80% |
Physical Mixing method | 60% | 79% |
Solvent evaporation method | 50% | 76% |
The kneading procedure has the highest loading effectiveness (80%). However, physical mixing produced an extremely close result (79%). These two techniques are mixed with force. This technique works well for inserting medications into zeolite nanoparticles. In this procedure, a known volume of a concentrated medication solution is employed that is roughly equivalent to the nanocarrier’s pore volume. The medication then diffuses into the pores as a result of capillary action. Additionally, this technique demonstrated how many impregnations could fill pores and improve drug loading concentration. The kneading approach is more effective than the other conventional loading processes, according to our research. The key benefits of the kneading method include high loading capacity, minimal solvent use, and suitability for expensive drugs. As a result, the ratio of drug to carrier had little effect on loading efficiency, implying that the pores were almost filled with drug. This result is consistent with that of the work by (
Samples prepared by kneading method in the ratio of 1:1 were chosen to complete the studies.
The GEF release from the loaded ZSM-5NPs is represented in the dissolution profile shown in Fig.
The results of the dissolution test for 12 hours are represented in Fig.
The typical profiles of release obtained from ZSM-5 nanoparticles may be caused by diffusion through the ZSM-5 nanoparticle, transport through water-filled pores, or the initial high release. It also has to do with the process of interfacial diffusion between the solid surface nanoparticle and the dissolution medium. In the latter scenario, the release rate is thought to be proportional to the difference between the drug concentration at the time of analysis in the phosphate buffer media and the drug concentration in the core of the nanocarrier (Godugu et al. 2015). In comparison to the free drug, the loaded GEF was released slowly over a 60-minute. with 35% of the loaded drug being released. When performing the test for 12 hours, the slow release of GEF followed a zero-order pattern with a correlation of 0.999 between 1–12 hrs with a total 80% of drug release. Armando et al. suggested these mechanisms in their research. Since the free drug gave 68% dissolution in the first 5 min. the sink condition was mostly achieved, and the NPs might be a good candidate for prolonged action.
GEF from the loaded NPs dissolves much more slowly than pure GEF. This is as a result of the GEF’s regulated release made possible by the NPs. Just 20% of the GEF from the loaded NPs had dissolved after an hour, compared to 50% of the pure GEF. Only 30% of the GEF from the loaded NPs had dissolved after two hours, compared to 70% of the pure GEF. Over the time of study, the GEF from NPs release showed an almost zero-order controlled pattern of release.
There are several reasons why this regulated release of GEF may be advantageous. First, it may contribute to the body’s ability to retain a steady level of GEF, which may result in more successful therapy. Because the medication is not delivered all at once, it may also lower the chance of adverse effects. Thirdly, since the medication doesn’t need to be taken as often, it may increase patient compliance.
All things considered, the dissolution profile of both pure GEF and GEF from the loaded NPs demonstrates that the NPs provide a regulated release of the medication. Improved patient compliance, a lower chance of adverse effects, and more effective therapy are just a few advantages of this.
Results of the MTT assay, colony formation, and migration assays are shown in Fig.
Comparing our prepared blank ZSM-5 nanoparticle to the drug-loaded ZSM-5 nanoparticle, the cellular studies showed that our prepared blank ZSM-5 nanoparticle is safe and biocompatible. The GEF medication had an IC50 of 704.1 nM compared to 518 nM for the GEF-loaded ZSM-5 nanoparticle in the cell viability MTT experiment. Intriguingly, as shown in Fig.
The innovative GEF encapsulation using ZSM-5 increased antitumor activity as an appropriate drug delivery mechanism, which was confirmed by the MTT results. Additionally, ZSM-5 nanoparticles frequently cover up a drug’s undesirable side effects and may enhance their pharmacokinetics and bioavailability (Haeri et al. 2014).
Due to differences in cellular processes uptake compared to the free pharmaceuticals, incubation for 24 hours might not provide the drug-loaded ZSM-5 nanoparticle with the best effect time (
For the migration test, GEF does not significantly affect cells’ migration. Fig.
A colony assay was used to study the growth rate of A-549 cells after treatment and the effect of proliferation without a drug. The average number of colonies was noticed, and growth was recorded according to the treatment plan after 13 days of seeding. Fig.
Colony test of untreated A-549 cells in a control. utilizing free gefitinib and ZSM- 5-gefitinib-loaded utilizing kneading technique 1:1 w/w, 12 IC50 stands for half dosage of the half maximum inhibitory concentration, IC50 for the half maximum inhibitory concentration, and 2 IC50 for double dose of the half maximum inhibitory concentration. Comparisons between each dosage and the control were made. The findings were shown as mean SD. The signs for statistical significance were *P 0.05, **P 0.01, and ***P 0.001.
The results of the closure assay show that the drug-loaded ZSM-5 nanoparticle continues to act after 48 hours. The closure rate was significantly slower for drug-loaded ZSM-5 nanoparticles than for free drugs, showing that GEF-loaded ZSM-5 nanoparticles were more effective at inhibiting cancer cell migration than free GEF drugs as a result of the new formulation’s improved physiochemical properties and increased cytotoxicity effect on A549 cell lines. After treating A549 cell lines with IC50 and 2 IC50 concentrations and comparing the free drug with a drug-loaded ZSM-5 nanoparticle, the best closure percentage and meaningful results were obtained. By using these doses, a GEF drug-loaded ZSM-5 nanoparticle completely stopped cell migration with nearly no closure percentage. These findings verified the higher cytotoxicity of GEF-loaded ZSM-5 nanoparticles against A549 cell lines to suppress lung cancer metastasis and validated the MTT findings (
Additionally, the colony formation assays (Fig.
GEF was encapsulated in ZSM-5 NPs using the kneading method successfully with superior loading efficiency. The proposed delivery system showed prolonged release of GEF following zero-order kinetics of release for 12 hours which might be of noticeable advantage in decreasing side effects of the drug. Beside the statically improved efficiency against A549 cell lines, expressed by decreased IC50 using MTT assay accompanied by significant decrease in colony formation for 13 days in colony formation test, the results suggested a promising delivery system for GEF for treating NSCLC patients.
All authors contributed to the study conception and design. All authors contributed to the material preparation and data collection and writing the manuscript. All authors read and approved the final manuscript.
The authors are thankful to the staff of Pharmacological and Diagnostic Research Center (PDRC) in Al-Ahliyya Amman University.