Enhancement of anti arthritic effect of quercetin using thioglycolic acid-capped cadmium telluride quantum dots as nanocarrier in adjuvant induced arthritic Wistar rats

Enhancement of anti arthritic effect of quercetin using thioglycolic acid-capped cadmium telluride quantum dots as nanocarrier in adjuvant induced arthritic Wistar rats

Accepted Manuscript Title: Enhancement of anti arthritic effect of quercetin using thioglycolic acid-capped cadmium telluride quantum dots as nanocarr...

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Accepted Manuscript Title: Enhancement of anti arthritic effect of quercetin using thioglycolic acid-capped cadmium telluride quantum dots as nanocarrier in adjuvant induced arthritic Wistar rats Author: R. Jeyadevi T. Sivasudha A. Rameshkumar D. Arul Ananth G. Smilin Bell Aseervatham K. Kumaresan L. Dinesh Kumar S. Jagadeeswari R. Renganathan PII: DOI: Reference:

S0927-7765(13)00501-8 http://dx.doi.org/doi:10.1016/j.colsurfb.2013.07.065 COLSUB 5945

To appear in:

Colloids and Surfaces B: Biointerfaces

Received date: Revised date: Accepted date:

18-2-2013 27-7-2013 30-7-2013

Please cite this article as: R. Jeyadevi, T. Sivasudha, A. Rameshkumar, D.A. Ananth, G.S.B. Aseervatham, K. Kumaresan, L.D. Kumar, S. Jagadeeswari, R. Renganathan, Enhancement of anti arthritic effect of quercetin using thioglycolic acid-capped cadmium telluride quantum dots as nanocarrier in adjuvant induced arthritic Wistar rats, Colloids and Surfaces B: Biointerfaces (2013), http://dx.doi.org/10.1016/j.colsurfb.2013.07.065 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

   

Enhancement of anti arthritic effect of quercetin using thioglycolic acid-capped



cadmium telluride quantum dots as nanocarrier in adjuvant induced arthritic Wistar



rats



R. Jeyadevi a, T. Sivasudha a,*, A. Rameshkumar a,b, D. Arul Ananth a, G. Smilin Bell



Aseervatham a , K. Kumaresan c, L. Dinesh Kumar d, S. Jagadeeswari e, R. Renganathan e

6  7 

a

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b

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Department of Environmental Biotechnology, Bharathidasan University, Tiruchirappalli - 620024; Tamil Nadu, India Pesticide Residue Analysis Laboratory, Regional Plant Quarantine Station, Chennai - 600027, Tamil Nadu, India. Department of Histopathology, SRM institute for Medical Sciences, Chennai- 600026, Tamil Nadu, India.

d

Department of Biotechnology, Bharathidasan University , Tiruchirappalli - 620024; Tamil Nadu, India.

e

School of Chemistry, Bharathidasan University, Tiruchirappalli-620 024, Tamil Nadu, India

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* Corresponding author

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Dr. T. Sivasudha

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Department of Environmental Biotechnology

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Bharathidasan University

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Tiruchirappalli – 620 024,

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Tamilnadu,

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India

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Tel: 091-0431-2407088

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Fax: 091-0431-2407045

Email ID: [email protected]

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ABSTRACT

29 

In this present study, we investigated thio glycolic acid-capped cadmium telluride

30 

quantum dots (TGA-CdTe QDs) as nano carrier to study the antiarthritic activity of

31 

quercetin on adjuvant induced arthritic Wistar rats. The free radical scavenging activity of

32 

QDs-QE complex was evaluated by 2,2'-azinobis-3-ethylbenzothiazoline-6-sulphonic acid

33 

(ABTS), 2,2-diphenyl-1-picrylhydrazyl (DPPH), Nitric oxide (NO) and superoxide anion

34 

scavenging assays. Fifteen days after adjuvant induction, arthritic rats received QDs-QE

35 

complex orally at the dose of 0.2 and 0.4 mg/kg daily for 3 weeks. Diclofenac sodium

36 

(DF) was used as a reference drug. Administration of QDs-QE complex showed a

37 

significant reduction in inflammation and improvement in cartilage regeneration.

38 

Treatment with QDs-QE complex significantly (P < 0.05) reduced the expressions lipid

39 

peroxidation and showed significant (P < 0.05) increase in activities of antioxidant

40 

enzymes such as superoxide dismutase (SOD), reduced glutathione (GSH), glutathione

41 

peroxidase (GPx) catalase (CAT) levels in paw tissue.

42 

rheumatoid factor (RF), red blood cells (RBC) and white blood cells (WBC) count and

43 

erythrocyte sedimentation rate (ESR) of experimental animals were also estimated.

44 

Histology of hind limb tissue in experimental groups confirmed the complete cartilage

45 

regeneration in arthritis induced rats treated with QDs-QE complex. Based on our

46 

findings, we suggest that the QDs act as nano carrier for the drugs used in the treatment of

47 

various degenerative diseases.

48 

Keywords: Quercetin, Quantum dots, Fluorescence quenching, Nanocarrier, Anti arthritic,

49 

Radiology.

C-reactive protein (CRP),

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1. Introduction Rheumatic arthritis is one of the commonest inflammatory conditions in developing

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countries. RA is characterized by severe pain, swelling and destruction of cartilage and

55 

bone associated with impaired joint function [1]. It is a systemic autoimmune disease

56 

which mainly involves the peripheral synovial joints that causes chronic inflammation

57 

and profound tissue destruction in affected patients. The autoimmune characteristic of RA

58 

is supported by the presence of circulating rheumatoid factor (RF), C-reactive proteins

59 

and other endogenous proteins which can be detected in the serum of arthritic patients [2].

60 

Currently synthetic drugs form a major line of treatment in the management of arthritis.

61 

The conventional drug treatment of RA consists of analgesic, non-steroidal anti

62 

inflammatory drugs (NSAIDs), disease-modifying anti-rheumatic drugs (DMARDs) and

63 

corticosteroids [3]. NSAIDs elicit their effects by inhibiting COX-2 activity and blocking

64 

the downstream production of prostaglandins and offer effective therapies for RA.

65 

However, besides their high cost, prolonged use of many of these drugs is associated with

66 

severe adverse reactions such as gastric and duodenal ulcers, complications in the small

67 

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intestine and colon can occur, which cause colitis, bleeding, perforation, stricture, and chronic problems such as iron deficiency anemia and protein loss and toxicity [4]. A

68 

report also states that, NSAIDs treatment enhances joint destruction in arthritis and

69 

inhibits glycosaminoglycan synthesis [5]. Recently, there has been an increasing interest

70 

in natural food for scavenging the free radicals because of their wide acceptance.

71  72  73 

More than 4,000 natural flavonoids are distributed in the plant which has been commonly

74 

consumed as foods or medicinal herbs by humans since ancient time. Flavonoids have

75 

gained a great deal of interests due to their extensive biological properties such as

76 

antioxidant, anti proliferative and anti-inflammatory activities. Since oxidative stress is 3   

Page 3 of 35

   

implicated in the pathogenesis of chronic inflammatory diseases, modulating the cellular

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redox status by strengthening the endogenous antioxidant defenses might be an effective

79 

mechanism of disease prevention. In this regard, dietary polyphenolics generally known

80 

for their antioxidant property by neutralizing the formation of excess of reactive oxygen

81 

species, which is considered to be a key event in the pathogenesis of rheumatoid arthritis

82 

[6]. Quercetin (QE) is widely distributed in frequently consumed foods including apples,

83 

berries, onion, tea, red wine, nuts, seeds, and vegetables of the human diet [7]. QE

84 

reported to have many beneficial effects, including cardiovascular protection, anticancer

85 

activity, antiulcer activity, anti-allergic activity, cataract prevention, antiviral activity and

86 

anti-inflammatory activity [8, 9]. QE is an excellent free radical scavenging compound

87 

and reported to reduce the risk for oxidative stress related chronic diseases like arthritis,

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inflammation and diabetes [10].

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In modern biotechnology, drug delivery systems are being developed using

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nanotechnology. Currently, drug delivery systems are a rapidly growing technology within

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the areas of nanocarriers and photolabelling. Quantum dots (QDs) are a novel class of

92 

inorganic fluorophore which are gaining widespread recognition as a result of their

93 

exceptional photophysical properties [11]. Quantum dots (QDs) are nanometer-scale

94 

semiconductor crystals composed of groups II–VI or III–V elements, and are defined as

95 

particles with physical dimensions smaller than the exciton Bohr radius. Semiconductors

96 

nanoparticles (often called QDs) have attracted considerable attention in recent years due

97 

to their wide range of applications in the field of photovoltaic devices [12, 13] light-

98 

emitting diodes (LEDs) [14], fluorescence labelling [15], cell imaging [16] etc. Among

99 

various available quantum dots CdTe QDs have been widely studied as luminescence

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probes and sensors [17, 18]. Recently, Jhonsi et al. [19] investigated the photoinduced

101 

interaction between water-soluble CdTe QDs (Cadmium telluride quantum dots) and

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certain antioxidants. They found that the antioxidants quench the fluorescence of TGA-

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CdTe QDs (Thio glycolic acid - CdTe QDs) through complex formation and trapping the

104 

holes of QDs. QDs are also being explored as tools for site-specific gene and drug

105 

delivery and are among the most promising candidates for a variety of information and

106 

visual technologies; they are currently used for the creation of advance flat-panel LED

107 

(light-emitting diode) displays and may be employed for ultrahigh-density data storage

108 

and quantum information processing [14]. Our previous study has demonstrated the anti

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microbial activity of M. emerginata using thioglycolic acid-capped cadmium telluride

110 

quantum dots as a fluorescent probe [20]. Thus, in the present investigation, we have

111 

examined the enhancement of anti arthritic effect of QE using TGA-CdTe QDs through

112 

the analysis of hematological parameters, histology and radiological images of paw in

113 

adjuvant induced arthritic Wistar rats.

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2. Materials and methods

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2.1 Drugs and chemicals

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All the chemicals used in the study including the solvents were of analytical grade.

117 

Complete Freund’s adjuvant (CFA), ABTS, DPPH, butylated hydroxytoluene (BHT), 3, 3-

118 

diaminobenzidine tetrahydrochloride and quercetin were purchased from Sigma Chemical

119 

Co. (St. Louis, MO, USA). Sulphanilamide, napththylenediamine dichloride, phosphoric

120 

acid, nitroblue tetrazolium, reduced nicotinamide adenine dinucleotide, and phenazine

121 

methosulfate were purchased from Merck Chemical Supplies (Damstadt, Germany). Thio

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glycolic acid (TGA), CdCl2. 2.5 H2O (99.99 %), tellurium powder (99.997 %) and sodium

123 

borohydride (95 %) were purchased from Sigma Aldrich (St. Louis, MO, USA).

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Double distilled water was used for preparing solutions. All measurements were

127 

performed at ambient temperature.

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2.2. Synthesis and characterization of TGA capped CdTe Quantum dots

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CdTe quantum dots were synthesized by using the following method as reported

130 

earlier [19]. Typically, an aqueous solution of Cd2+ ion (1.25 × 10-2 M) and TGA (3 × 10-2

131 

M) was prepared and pH was adjusted to 8-9. Then NaHTe was added under nitrogen

132 

atmosphere. In our experiments, the typical molar ratio of Cd2+:NaHTe:TGA used was

133 

1:0.2:2.4. The resulting products were precipitated by acetone and superfluous of TGA

134 

and Cd2+ that did not participate in the reaction was removed by centrifugation at 4000

135 

rpm for 5 min. The resultant precipitate was re-dispersed in water and re-precipitated by

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acetone for more than two times, then kept at 4 °C in dark for further use. The colloidal

137 

solution can be kept for three months at room temperature without any obvious

138 

aggregation.

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The prepared TGA capped CdTe quantum dots were characterized by Steady state

139  140 

measurements. The particle size of prepared QDs was calculated from the absorption

141 

maximum (Eq.1).

D = (9.8127 x 10−7) λ3 − (1.7147 x 10−3) λ2 + (1.0064) λ − 194.84        

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(1)

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where D (nm) is the particle size of QDs and λ (nm) is the wavelength of first excitonic

144 

absorption peak of the corresponding QDs. The particle size of the prepared QDs is 2.96

145 

nm and the concentration (0.4×10-7 M) was calculated from Lambert’s Beer law.

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2.2.1 Particle size, zeta potential measurement and SEM analysis

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The size and the zeta potential of the CdTe quantum dots were determined using dynamic

148 

light scattering (DLS) and microelectrophoretic method, respectively (Zetasizer Nano

149 

Series-ZS90, Malvern Instruments). The measurements were conducted at 25 °C. The

150 

obtained values of the size were equal to an average of the three subsequent runs with 10

151 

measurements, while the zeta potential was calculated as an average from the three runs

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with 20 measurements [21].

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The morphology of the samples was examined using a scanning electron microscope

154 

(SEM) (Hitachi S-4160; FESEM). The samples were fixed with two sequential

155 

incubations with 4 % paraformaldehyde solution and with 2.5 % of glutaraldehyde

156 

solution for 30 min at 4oC following the samples were dehydrated with ethanol gradient,

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dried overnight and coated with gold film before SEM observation [22].

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2.2.2. Preparation of QE with QDs TGA-CdTe

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Freshly prepared QDs (1 ×10−6 M) were titrated by adding the appropriate amountof

161 

QE (1:1 v/v) and kept in an ultrasonic bath for 25 min to improve binding. After shaking

162 

for 1 h, the QDs-QE complex were then ultra centrifuged at 35000 rpm and washed with

163 

PBS (pH 7.4) twice to remove unbound QDs. The mixture was then vortexed well to form

164 

a homogeneous dispersion, and stored in refrigerator at 4 °C for further analyses [20]. In

165 

general, the cadmium ions on the particle surface can coordinate with both -SH and -

166 

COOH groups. Quercetin contains 5 -OH groups which strongly anchor to the surface of

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quantum dots compared to -SH in thioglycolic acid.

168 

2.2.3. Characterization of QDs

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Drug loading efficiency

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The drug loading and the drug entrapping efficiency of QDs was determined by the

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UV absorbance at 365 nm using a UV-visible spectrophotometer [23, 24]. The entrapped

172 

QE content in the QDs was calculated from the mass of the incorporated drug using the

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following equation.  

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Drug encapsulation efficiency

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encapsulated QE to the mass of the QE used for complex preparation using the following

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equation:

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The drug encapsulation efficiency was defined as the ratio of the mass of the

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A certain weight of QE was dissolved in water to obtain standard quercetin solution with

185  186 

the concentration ranging from 10 to 60 µg/ml. The absorbance was read at 365 nm in the

187 

UV spectrophotometer to obtain the linear equation which in turn used to calculate the

188 

correlation coefficient [25].

189 

2.2.4. In vitro antioxidant studies

190  191 

The in vitro antioxidant activity of QDs-QE complex was determined by their ability

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to scavenge DPPH, ABTS [26], NO and superoxide anion radicals [27]. Percentage

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inhibition was expressed in terms of IC50 value calculated by linear regression method.

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BHT was used as reference standard. 8   

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2.3. In vivo studies

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2.3.1. Animals Female albino Wistar rats (150-200 g) were obtained and housed in poly-acrylic

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cages and maintained under standard laboratory conditions (temperature 24-28 ºC, relative

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humidity 60-70 % and 12 h dark-light cycles). Animals were fed with commercial rat feed

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(Sai Durga feeds and food stocks, Chennai, India) and water, ad libitum. All the animals

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were acclimatized to laboratory conditions for 7 days before commencement of the

202 

experiment. Experimental protocols were approved by the Committee for the Purpose of

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Control and Supervision of Experiments on Animals (CPCSEA), Chennai, Tamil Nadu,

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India (BDU/IAEC/2012/26/28.03.2012).

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2.3.2. Biocompatability of QE and QDs

Quercetin, reported to be non toxic to in vivo model up to the concentration of 200

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mg/kg b.w. by Naovarat Tarasub et al. [28]. A study about quantum dots, revealed that

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QDs is non toxic in vivo model up to the concentration of 15.0 nmol over short-term (< 7

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days) and long-term (> 80 days) periods [29]. The concentration of QE and QDs used in

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this study were lesser than the above mentioned reports.

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2.3.3. Anti-arthritic studies

Animals were divided into seven groups of six each. Group 1 consisted of control

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rats, all other groups were comprised of arthritic rats. Test groups were injected with 0.1

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mL of CFA intradermally. Group 2: disease control, Group 3: treated with standard drug

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diclofenac sodium (DF) (0.3 mg/kg b.wt/day p.o.). While Group 4 and Group 5 treated

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with QDs-QE complex at a dose of 0.2 mg/kg b.wt/day p.o. and 0.4 mg/kg b.wt/day p.o.

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Group 6: treated with 1 mL of QDs (1x10-6 M) and Group 7: treated with QE at the 9   

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concentration of 5 mg/kg respectively, from day 15th to 35th of induction of adjuvant

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induced arthritis. Animals were monitored for the development of clinical arthritis using a

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vernier caliper [30]. On the 35th day, animals were anesthetized and the hind legs of the experimental

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animals of different groups were analyzed by X-ray radiography and examined for the soft

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tissue swelling, bony erosions and narrowing of the spaces between joints and then

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animals were sacrificed; blood samples and paw tissue were collected and used for

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biochemical estimations. Histopathological studies were done in hind limb joint tissues.

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Tissues were fixed in formalin, decalcified, embedded in paraffin blocks and sections

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stained with hematoxylin and eosin (H & E).

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2.3.4. Biochemical estimations

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The paw tissue homogenates (10 %, w/v) prepared in phosphate buffered saline

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(PBS containing 137 mM NaCl, 2.68 mM KCl, 10.14 mM Na2HPO4 and 1.76 mM

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KH2PO4 in 1000 mL distilled water pH 7.4) were used for antioxidant studies such as lipid

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peroxidation [31], SOD [32], CAT [33], GPx [34] and GSH [35] activities. Blood samples

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were subjected to evaluate the biochemical parameters like white blood corpuscles count,

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ESR, anti CRP and RF were done using commercial reagent kits and were performed

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according to the manufacturer’s (Nice Chemicals [P] Ltd. Cochin, Kerala, India)

238 

instructions.

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2.4. Statistical analysis

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The statistical analyses were performed using SPSS (Statistical Package for Social

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Science, SPSS Inc., Chicago, IL, USA). Significance of each group was verified with one-

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way analysis of variance (ANOVA) followed by Duncan post hoc test (P ≤ 0.05). Values

243 

obtained are means of six replicate determinations ± standard deviation.

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3. Results

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3.1. Absorption studies The UV-visible absorption spectra of QDs in aqueous solution and with QE were

247 

shown in Fig. 1. It has been observed that while increasing the concentration of QE (12–60

248 

μg in 2.5 mL), the QDs absorbance also increase. Moreover, we could find there is no shift

249 

and new peak formed. This may be due to QE is adsorbed to the surface of QDs. This

250 

reveals the formation of ground state complex between QDs and QE.

251 

3.2. Fluorescence studies

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Fluorescence quenching measurements have been widely used to analyze the various

253 

type interactions between the molecules [36, 37]. This method helps to understand QDs

254 

binding mechanisms with QE and provide clues to the nature of the binding phenomenon.

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Fig. 3. shows the emission spectrum of QDs excited at 500 nm in the absence and

256 

presence of QE. The emission intensity of QDs is quenched by raising the concentration of

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quercetin (12– 60 μg in 2.5 mL), i.e fluorescence quenching. Further, we recorded the

258 

emission spectrum of QE (to the highest concentration 60 μg in 2.5 mL) at the same

259 

excitation wavelength of QDs, it is transparent at this excitation. From this observation,

260 

we confirmed that the observed quenching is mainly due to interaction of QDs with QE

261 

and no inner filter effect or reabsorption. Hence the binding constant for this type of

262 

interaction was calculated using fluorescence quenching data by this method

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1 1 + = 0 (F -F) (F -F') 0

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1 K(F -F')[Q] 0

(4)

264 

where K is the binding constant, F0 is the initial fluorescence intensity of QDs, F′ is the

265 

fluorescence intensity of QE adsorbed QDs and F is the observed fluorescence intensity at

266 

its maximum. The plot of 1/(F0-F) versus 1/[Q] gives a straight line (Fig. 2) and from the

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    267 

slope the calculated binding constant is found to be 4.27 × 105 M-1. There is a good linear

268 

relationship between 1/(F0-F) and the reciprocal concentration of dyes.

269 

3.3. Particle size, zeta potential measurement and SEM analysis The size distribution of QDs in colloidal solution was found to be 185 nm. A negative

271 

zeta potential of about −30.2 mV was observed in the present study that pose ideal surface

272 

charge. The size and surface charge of the QDs determinethe biological activity. From the

273 

Zeta potential measurements, the particle size distribution of the QDs was found to be 16

274 

nm (Fig. 3a, b). FE-SEM images of compound loaded quantum dots were found to be

275 

spherical in shape with regular arrangement (Fig 3c). The picture shows the magnification

276 

image of uniformally arranged QDs.

277 

3.4. Charecterization of QDs

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The absorbance values of standard QE solution were determined at 365 nm. It was

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calculated using the following equation. Amount of QE and encapsulation efficiency was

280 

calculated using the obtained equation,

(4)

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Where Y is the absorbance values, and X is QE concentration. The calibration curve for

283 

the absorbance of QE was linear over the range of standard concentration of QE (10 – 60

284 

µg/ml) with a correlation coefficient of R2 = 0.995. The drug entrapped in the QDs and

285 

the QE loading efficiency was calculated using the equation 2, 3 and 5. Therefore, the

286 

encapsulation efficiency of drug loaded QDs-QE was 6.38% and the drug loading

287 

efficiency was 55.26%.

288  289 

3.5. Mechanism of quenching

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Upon excitation of CdTe QDs, it would result in the promotion of electron from its

291 

valence band to the conduction band. This results in the formation of a positively charged

292 

hole in its valence band and a free electron in the conduction band of QDs. In the absence

293 

of QE, the formed electron and hole would recombine which results in emission of

294 

fluorescence. On introducing hole acceptors (i.e. QE) to the solution of QDs the electron

295 

hole recombination process will be prevented which causes decrease in the emission

296 

intensity of QDs (i.e.) fluorescence quenching.

297 

3.6. In vitro antioxidant studies

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The percentage inhibition of ABTS and DPPH free radicals by QDs-QE complex

299 

are shown in Fig.4a and Fig. 4b respectively. QDs-QE complex significantly inhibited the

300 

ABTS and DPPH radicals in a dose-dependent manner with the IC50 values of 60 and 61

301 

µg/mL, respectively. Fig. 5a, shows the scavenging activity of nitric oxide by QDs-QE

302 

complex in a concentration dependent manner. The IC50 value of QDs-QE complex, QE

303 

and BHT to scavenge the nitric oxide radical is 40 µg/mL, 42 µg/mL and 45 µg/mL

304 

respectively. Fig. 5b shows the superoxide radical scavenging capacity of QDs-QE

305 

complex measured by the PMS-NADH superoxide generating system. QDs-QE complex

306 

was found to be an effective scavenger of superoxide anion radicals in a dose-dependent

307 

manner with an IC50 value of 20 µg/mL and thus can prevent the formation of ROS.

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3.7. CFA induced rat paw edema

310 

There was a significant increase in rat paw volume in CFA injected arthritic

311 

control rats when compared to the normal control rats. QDs-QE complex treatment at the

312 

dose of 0.2 mg/kg and 0.4 mg/kg body weight showed significant reduction in rat paw

313 

edema volume when compared with the arthritic group (Data not shown).

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3.8. Protective effect of QDs-QE complex on antioxidant enzymes There was an increased level of LPO and a decreased antioxidant enzyme activity

317 

in Group 2 rats. The declined antioxidant enzyme activity is responsible for the increased

318 

lipid peroxidation measured as thiobarbituric acid reacting substance (TBARS), which

319 

causes loss of membrane fluidity, membrane integrity, and finally loss of cell functions

320 

[38]. This peroxidative damage to membranes results in the leakage of enzymes, and

321 

metabolites to circulation. Elevated LPO saturates the level of free radicals which

322 

sequentially inhibit activities of SOD, CAT, GSH and GPx. Group 6 (1 mL of 1x10-6 M

323 

QDs administered) does not show any significant protective effect against CFA induced

324 

arthritis, whereas, administration of QE up to 4 mg/kg did not show any protective effect

325 

against arthritic induced animals. However, QE at 5 mg/kg showed mild protective effect

326 

which is comparable to Group 4 animals. QDs-QE complex attenuates their levels

327 

significantly (P ≤ 0.05) in paw tissue comparable to that of reference standard drug treated

328 

group (Table 1).

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3.9. Haematological parameters

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us

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316 

The changes in hematological parameters in adjuvant induced arthritic rats were

331  332 

shown in Table 2. There was an increase in WBC count, ESR, anti CRP and RF of

333 

arthritic rats, when compared with the control rats. The treatment with QE and QDs-QE

334 

complex in a dose dependent manner had significantly brought back the altered

335 

hematological changes in adjuvant induced arthritic animals to normal levels.

336  337 

3.10. Radiographic changes

338 

X-ray radiographs of the different treatment group animal paws taken on 25th day.

339 

Adjuvant treated rats had developed definite joint space narrowing of the joints, diffused

14   

Page 14 of 35

   

soft tissue swelling in digits, cystic enlargement of bone and extensive erosions produced

341 

narrowing or pseudo widening of all joint spaces (Fig. 6b). The standard drug diclofenac

342 

sodium treated group shows no bony destruction and swelling of the joint (Fig. 6e).

343 

Treatment with QDs-QE complex for 25 days have shown significant prevention against

344 

bony destruction by showing less soft tissue swelling and narrowing of joint spaces in a

345 

dose dependant manner (Fig. 6c and d).

cr

ip t

340 

347 

3.11. Effects of QE treatment on histological findings

us

346 

To evaluate the anti-inflammatory effects of QDs-QE complex, samples of the ankle

349 

joints from each experimental group were examined by H&E staining. Control group

350 

shown normal lobular architecture (Fig. 7a). CFA administered group shown thinning of

351 

cartilage plates, severe bone erosion, extensive infiltration of inflammatory cells into the

352 

synovial cavity, pannus formation (Fig. 7b). QDs-QE complex treated group at 0.2 mg/kg

353 

shown mild improvement cartilage regeneration, moderate edema formation and cellular

354 

infiltration (Fig. 7c). QDs-QE complex treated group at 0.4 mg/kg rats showed complete

355 

cartilage regeneration. Absence of inflammation and inflammatory cells in synovial region

356 

proved the anti-arthritic potential of QDs-QE complex (Fig. 7d). DF (positive drug)

357 

treated group exhibited almost normal histology (Fig. 7e). QD treated group shows almost

358 

similar observations of CFA treated group with extensive infiltration of inflammatory cells

359 

into the synovial cavity (Fig. 7f). QE at 5 mg/kg showed mild improvement in cartilage

360 

regeneration, moderate edema formation and cellular infiltration (Fig. 7g)

Ac ce p

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an

348 

361  362 

4. Discussion

363 

In general, QE is the highly consumed flavonoid and the richest sources of QE are tea,

364 

onions and apples. The best described property of QE is its capacity to act as antioxidant,

15   

Page 15 of 35

   

thus protecting the body against reactive oxygen species (ROS). Because of the high

366 

reactivity of the hydroxyl group of the QE, reactive oxygen species are made

367 

inactiveReactive oxygen species at the site of inflammation are reported to be involved in

368 

the pathogenesis of RA [26]. In recent years, many intense research works are focused on

369 

an electron transfer between molecular adsorbents and semiconductor nanonmaterial due

370 

to large number of practical applications. Semiconductor QDs have gained a lot of

371 

research interest in the last decade due to their existing size and shape dependent

372 

properties, photo bleaching threshold, good chemical stability, relatively narrow and

373 

symmetric luminescence bands [39-41]. The zeta potential of a nanoparticle is commonly

374 

used to characterize the surface charge property of nanoparticles. Generally, the thiol

375 

group of TGA will bind on the surface of QDs while COO− will be present as new surface

376 

groups. The presence of negatively charged COO− surface groups was confirmed by the

377 

observation of zeta potential in the negative region. In our CdTe QDs, we observed a

378 

negative zeta potential around −30.2mV which confirms the presence of negatively

379 

charged COO− surface groups. The difference between the calculated size from absorption

380 

measurements and particle size from zeta potential measurement is mainly because the

381 

latter gives the diameter of the particle along with any ligands attached to it, and solvent

382 

molecules which may be strongly associated with it. In addition, compared with organic

383 

dyes and fluorescent proteins, QDs offer several advantages, such as a narrow, symmetric

384 

emission from visible to IR wavelengths and photo-chemical stability. QDs possess

385 

dimensional similarities to biological macromolecules, such as nucleic acids and proteins

386 

thus, QDs were used to study their interactions with various biomolecules [20]. Recently,

387 

Jhonsi et al. [42] reported on the photo-induced interaction between water-soluble CdTe

388 

quantum dots and certain antioxidants. The antioxidants quench the fluorescence of TGA-

389 

CdTe QDs through complex formation, and the quenching results from antioxidants

Ac ce p

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365 

16   

Page 16 of 35

    390 

trapping the holes of the QDs. Moreover QDs also reported to be stable in the digestive

391 

tract of Wistar rats [43]. Pearson and Wood (1959) [44] reported that, rats immunized with Complete

393 

Freund’s adjuvant containing Mycobacterium tuberculosis develop arthritis. Nevertheless,

394 

their mode of action is still not completely understood. Adjuvant-induced arthritis is a

395 

widely used arthritic model for testing and developing anti-arthritic and anti-inflammatory

396 

agents. After 10 to 14 days of CFA injection, animals develop arthritis. Adjuvant arthritis

397 

animal model is very similar to human rheumatoid arthritis, resembles to pathological and

398 

serological changes, including the inflammatory mediators. In adjuvant-induced arthritis,

399 

rat model develops chronic swelling and pain in multiple joints with release of cytokines

400 

from inflammatory cells, culminating in erosion of cartilage and bone destruction causing

401 

severe disability [45]. The mechanisms of CFA induced arthritis may involve prolongation

402 

of the presence of antigens at the site of injection or more effective transport of the

403 

antigens to the lymphatic system and to the lungs, where the adjuvant promotes the

404 

accumulation of cells concerned with the immune response or by excessive production of

405 

ROS.

Ac ce p

te

d

M

an

us

cr

ip t

392 

Increase in WBC count has been suggested to be one of the characteristic

406  407 

diagnoses of arthritis. In our present study, CFA-induced arthritic animals showed

408 

elevated WBC level. QDs-QE complex treatment significantly decreased WBC, revealing

409 

its beneficial role against arthritis. RF has been regarded as the main serologic marker in

410 

inflammatory arthritis [46]. RF is an auto antibody directed against the Fc portion of IgG.

411 

RF and IgG join to form immune complexes that contribute to the progress of rheumatoid

412 

arthritis. In recent years, C-reactive protein has also been identified as important predictors

413 

both for diagnosis and prognosis of rheumatoid arthritis. C-reactive protein is a member of

414 

the pentraxin family of proteins. CRP is secreted by the liver in response to a variety of 17   

Page 17 of 35

   

inflammatory cytokines. An elevated CRP level can provide support for the presence of an

416 

inflammatory disease, like rheumatoid arthritis [47]. Our findings represent high levels of

417 

RF and CRP in arthritic rat serum. Dose-response reductions of these factors have been

418 

observed in the arthritic rats treated with QE reveals its protective effect against arthritis.

419 

The ESR count which significantly increased in arthritic control group has been

420 

remarkably decreased by QDs-QE complex and standard drug diclofenac sodium, thus

421 

justifying significant role of QDs-QE complex in arthritic conditions. Our previus study,

422 

demonstrated that, Quercetin at a higher concentration of 5 mg/kg b.w shows protective

423 

effect against CFA induced arthritis in Wistar rats. Treatment with QDs alone to arthritic

424 

rats showed no effect. So, it was suggested that QDs act as nano carrier of the active

425 

compound QE and results in better anti arthritic property even at lower concentration (0.4

426 

mg/kg b.w.). ROS in arthritis is not surprising since oxidative stress or reactive oxygen

427 

species serve as mediators of tissue damage.

428 

synovial fluid and induce depolymerization of hyaluronic acid which in turn leads to a loss

429 

of viscosity in the joints [48]. The cartilage destruction by ROS in arthritic rats treated

430 

with QDs-QE complex has strongly inhibited through increase in the levels of endogenous

431 

enzymatic antioxidants, such as SOD, CAT, GPx and non-enzymatic antioxidant GSH.

432 

The conventional drug treatment of arthritis elicits their effects by inhibiting COX-2

433 

activity and blocking the downstream production of prostaglandins. The possible

434 

mechanism of QDs-QE complex to exert anti arthritic activity might be through

435 

neutralization of various free radicals generated at the site of inflammation and by

436 

inhibiting the production of COX-2 enzyme (Fig. 8).

437 

5. Conclusion

The reactive oxygen species degrade

Ac ce p

te

d

M

an

us

cr

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415 

438 

To conclude, our results suggest that QDs-QE complex showed antioxidant and anti-

439 

arthritic effects. Absorbance and fluorescence quenching of QDs-QE was successfully 18   

Page 18 of 35

   

investigated. The anti-inflammatory effects of QDs-QE complex may be related to free

441 

radical quenching via increase in the activities of antioxidant enzymes and by inhibiting

442 

the expression of inflammatory mediators. QE alone showed anti arthritic potential only at

443 

the higher concentration, where as the QDs-QE complex exhibited anti arthritic activity

444 

even at a lower concentration. Furthermore, this study reveals that using QDs as nano

445 

carrier of QE exhibited enhanced anti arthritic effect even at a lower concentration of the

446 

drug. These findings prove the promising effect of thioglycolic acid-capped cadmium

447 

telluride quantum dots as a nano carrier to enhance the potential of anti arthritic drugs in

448 

rheumatic complications. Further studies are in progress to better understand the

449 

mechanism of action of QDs-QE complex, responsible for enhanced anti arthritic effect at

450 

lower concentration of the drug.

M

451 

Acknowledgment

d

452 

an

us

cr

ip t

440 

We thank the University Grants Commission (UGC), New Delhi, India for the

454 

financial support. S. Jagadeeswari (Ref. No: 039680/E15/2011 Dt: 17.02.2011) thanks

455 

UGC-BSR for her Research Fellowship in Science for Meritorious Students. We thank

456 

DST–FIST and UGC-Non SAP for providing other instrumental facilities.

Ac ce p

te

453 

457  458 

References

459 

[1] M. Feldmann, F.M. Brennan, R.N. Maini, Cell 85 (1996) 307-310.

460 

[2] A.K. Andersson, C. Li, F.M. Brennan, Arthritis. Res. Ther. 10 (2008) 204-212.

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[5] C.Z. Manon, T.N. de Boer, J.A.V. Roon, J.W.J. Bijlsma, F.P.J.G. Lafeber, S.C Mastbergen, Arthritis. Res. Ther. 13 (2011) 239.

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C. Bronner, Y. Landry, Agents and Actions 16 (1985) 147-151.

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[12] S. Coe, W.K. Woo, M.G. Bawendi, V. Bulovic, Nature 420 (2002) 800-803.

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[13] K. Barnham, J.L. Marques, J. Hassard, P. O’Brien, Appl. Phys. Lett. 76 (2000) 11971199.

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[14] V.L. Colvin, M.C. Schlamp, A.P. Alivisatos, Nature 370 (1994) 354-357.

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[15] D. Gerion , W.J. Parak, S.C. Williams, D. Zanchet, C.M. Micheel, A.P. Alivisatos, J.

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Am. Chem. Soc. 124 (2002) 7070-7074.

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483  484 

[17] A.S. Susha, A.M. Javier, W.J. Parak, A.L. Rogach, Colloids Surf. A: Physicochem. Eng. Aspects 281 (2006) 40-43.

485  486 

[18] J.P. Yuan, W.W. Guo, E.K, Wang, Anal. Chem. 80 (2008) 1141-1145.

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[19] M.A. Jhonsi, R. Renganathan, J. Coll. Int. Sci. 344 (2010) 596-602.

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[20] A. Rameshkumar, T. Sivasudha, R. Jeyadevi, B. Sangeetha, D. Arul Ananth, G.

489 

Smilin Bell Aseervatham, N. Nagarajan, R. Renganathan, A. Kathiravan, Colloids

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Surf. B: Biointerfaces 101 (2013) 74-82. [21] M. Adamczak, M. Krok, E. Pamuła, U. Posadowska, K. Szczepanowicz, J. Barbasz,

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P. Warszyński, Colloids and Surf. B: Biointerfaces. 110 (2013) 1-7.

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[22] G. Ciofani, L. Ricotti, C. Canale, D. Alessandro, S. Berrettini, B. Mazzolai, V.

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Mattoli, Colloids and Surf. B: Biointerfaces. 102 (2013) 312-320.

494 

[23] K.H. Huang, Z.H. Zhu, J.H. Liu, et al., Chin J Cancer. 24 (2005) 1023-1026.

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[24] E.K. Park, S.B. Lee, Y.M. Lee, Biomaterials 26 (2005) 1053-1061.

497 

[25] T. Musumeci, C.A. Ventura, I. Giannone, et al. Int J Pharm 325 (2006)172-179.

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[26] R. Jeyadevi, T. Sivasudha, A. Rameshkumar, J.M. Harnly, L.Z. Lin, J. Funct. Foods 5 (2013) 289-298.

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[29] T.S. Hauck, R.E. Anderson, H.C. Fischer, S. Newbigging, W.C. Chan, Small. 6(1) 2010 138-144. doi: 10.1002/smll.200900626.

505  506 

N. Tarasub, C. Tarasub, Watcharaporn Devakul Na Ayutthaya, T. Suramana. (2000). http://www.med.tu.ac.th/medJournal/TUmed74/TuM7_4page321.pdf.

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[27] R. Jeyadevi, T. Sivasudha, A. Rameshkumar, L. Dineshkumar, Inflamm. Res. 62

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[30] S.C. Ridge, K.M. Ferguson, N. Rath, J. Galivan, J.H. Freisheim, A.L. Oronsky, S.S. Kerwar, J. Rheumatol. 15 (1988) 1193-1197.

507  508 

[31] A.J. Buege, S.D. Aust, Meth. Enzymol. 52 (1978) 302-310.

509 

[32] J.M. McCord, I. Fridovich, J. Biochem. 244 (1969) 6049-6056.

510 

[33] H. Aebi, Meth. Enzymol. 105(1984) 121-126.

511 

[34] J.T. Rotruck, A.L. Pope, H.E. Ganther, A.B. Swanson, D.J. Hofmen, W.G. Hoekstra, Science. 179 (1973) 588-590.

512 

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[35] M.S. Moron, J.N. De Pierre, V. Mannervik, Biochim. Biophys. Acta. 582 (1979) 6768.

514 

[36] H. Wu, H. Wang, L. Xue, X. Li, J. Colloid Interface Sci. 353 (2011) 476-481.

516 

[37] Shown I, Ujihara M, Imae T, J. Colloid Interface Sci. 352 (2010) 232-237.

517 

[38] B. Halliwell, J.M.C. Gutteridge, 1989. Free Radicals in Biology and Medicine, 2nd

cr

edition. Clarendon Press, Oxford.

518 

[39] A. Kumaria, S.K. Yadava, Y. B. Pakadeb, B. Singhc, S.C. Yadava, Colloids Surf. B: Biointerfaces 80 (2010) 184-192.

520 

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519 

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515 

[40] M. Kakran, N.G. Sahoo, L. Li, Colloids Surf. B: Biointerfaces 88 (2011) 121-130.

522 

[41] K.E. Sapsford, T. Pons, I.L. Medintz, H. Mattoussi, Sensors 6 (2006) 925-953.

523 

[42] M.A. Jhonsi, E. Vaishnavi, R. Suganya, A. Kathiravan, R. Renganathan, Adv. Sci. Lett. 4 (2011) 1–6.

524 

[43] Y.F. Loginova, S.V. Dezhurov, V.V. Zherdeva, N.I. Kazachkina, M.S. Wakstein,

d

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an

521 

A.P. Savitsky, Biochem Biophys Res Commun. 419 (2012) 54-9.

te

526 

[44] C.M. Pearson, F.D. Wood, Arthritis. Rheum. 2 (1959) 440-459.

528 

[45] S. Singh, D.K. Majumdar, Int. J. Pharmacol 34(3) (1996) 218-222.

529 

[46] D.L. Scott, Rheumatology (Oxford) 39 (2000) 24-29.

530 

[47] G. Sindhu, M. Ratheesh, G.L. Shyni, B. Nambisan, A. Helen, Int. Immunopharmacol.

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527 

12 (2012) 205-211.

531  532 

[48] F.C. Arnett, S.M. Edworthy, D.A. Bloch, D.J. McShane, J.F. Fries, N.S. Cooper,

533 

L.A. Healey, S.R. Kaplan, M.H. Liang, H.S. Luthra, Arthritis. Rheum. 31 (1988) 315-324.

534  535  536  537 

22   

Page 22 of 35

    537 

Table 1 Protective effect of QDs-QE complex on TBARS, GSH and antioxidant enzymes

538 

in paw tissue sample of arthritic rats

539 

±

0.31b

2.7

Group 2 (Disease Control)

1.5

±

±

1.9

±

±

±

0.34b

2.35b

2.4± 1.03a

21.42

±

±

0.90c

te

d

29.15

31.68

1.4

Ac ce p

Group 5 ( QDs-QE complex 0.4 mg/kg b.w)

22.92 1.23a

1.63b

1.02b

b.w)

35.15

M

0.2 mg/kg

20.72 0.79d

0.11b

Group 4 ( QDs-QE complex

±

0.62a

1.82a Group 3 (DF)

36.26

CAT****

ip t

1.5

SOD***

±

±

5.79

15.44

Gpx***** ±

0.43a

cr

Group 1 (Normal Control)

GSH**

us

TBARS*

±

3.34

1.19c

0.41b

20.54±

5.58

1.06a

0.87a

18.01±

4.16

1.35b

0.86a

23.40±

5.68

1.15a

0.56a

14.16±

3.89

0.58c

0.75b

16.01±

4.16

1.35b

0.76a

an

Groups

27.19 0.36a

±

17.57 0.79c

±

26.91 1.16a

±

22.36 1.58b

±

26.82 1.05a

Group 6 (QDs alone )

Group 7 (QE 5 mg/kg)

1.8 1.02b

±

1.36d

±

18.12 1.23c

± 28.15 0.90c

±

±

21.36 1.57b

540  541 

23   

Page 23 of 35

    542  data are expressed as mean ± SD (n = 6)

543 

mean values with different superscripts are significantly different from each other as revealed by Duncan post hoc

544 

ip t

test (P < 0.05). * mmol/mg protein

546 

cr

** µg of reduced glutathione/mg protein

547 

*** U/mg of protein

548 

**** µmol of H O utilized/min/mg of protein 2 2

549 

us

545 

***** µmoles of GSH oxidized/min/mg protein

an

550  551 

M

552 

Table 2 Protective effect of QDs-QE complex on hematological parameters of adjuvant

554 

induced arthritic rats

te

d

553 

Ac ce p

555 

RBC

WBC

(millions/mm3)

(thousands/mm3)

Group 1 (Normal Control)

5.58 ± 0.65a

7.80 ± 0.38cd

3.60 ± 0.51c

Group 2 (Disease Control)

4.09 ± 0.22b

15.25 ± 0.58a

11.80 ± 1.05a

Group 3 (DF)

5.77 ± 0.63a

7.22 ± 0.78b

4.47 ± 0.85b

Group 4 (QDs-QE complex 0.2 mg/kg

4.87 ± 0.35a

10.02 ± 0.40b

7.40 ± 0.76b

Groups

ESR (mm/hr)

b.w)

24   

Page 24 of 35

   

5.78 ± 1.0 8a

7.15 ± 0.77d

3.34 ± 0.90c

b.w)

4.00 ± 1.03b

16.25 ± 0.25a

10.96 ± 1.71a

Group 6 (QDs alone)

4.67 ± 0.35a

9.02 ± 0.40b

6.40 ± 0.76b

ip t

Group 5 (QDs-QE complex 0.4 mg/kg

us

cr

Group 7 (QE 5 mg/kg)

556 

mean values with different superscripts are significantly different from each other as revealed by duncan post hoc test (P <

558  0.05).

M

559 

an

data are expressed as mean ± SD (n = 6)

557 

560 

Ac ce p

te

d

561 

25   

Page 25 of 35

   

Figure captions

562 

Fig. 1. Absorption spectrum of TGA-CdTe QDs (100 μl in 2.5 ml) in the absence and

563 

presence of Quercetin (12 μg-60 μg in 2.5 ml) in water. The arrow indicates absorbance

564 

increase with increasing concentration of Quercetin.

565 

Fig. 2. Emission spectrum of TGA-CdTe QDs (30 ul in 2.5 ml) in the absence and

566 

presence of Quercetin (12 μg − 60 μg in 2.5 ml) in aqueous solution. The arrow indicates

567 

the intensity decreases with increasing concentration of Quercetin. Blue color peak is the

568 

emission spectrum of Quercetin (60 μg in 2.5 ml) in water. Inserted figure represents the

569 

binding constant for CdTe QDs with Quercetin.

570 

Fig. 3. Direct size measurement of nanocarrier particles (quantum dots) through Dynamic

571 

light scattering and SEM analysis (a) Typical particle size distribution of QDs (b) Zeta

572 

potential of QDs (c) Scanning electron microscopy (SEM) image of QDs

573 

Fig. 4. (a) ABTS.+ radical scavenging activity and (b) DPPH radical scavenging activity of

574 

QDs-QE complex compared with butylated hydroxytoluene (BHT). Each value is

575 

expressed as the mean ± standard deviation (n=3).

576 

Fig. 5. (a) Nitric oxide (NO) radical scavenging activity and (b) Superoxide radical

577 

scavenging activity of QDs-QE complex compared with butylated hydroxytoluene (BHT).

578 

Each value is expressed as the mean ± standard deviation (n=3).

Ac ce p

te

d

M

an

us

cr

ip t

561 

579 

Fig. 6. Radiology images of hind limb of experimental rats. (a) Control rat shows normal

580 

architecture of hock joint. (b) CFA treated- the soft tissues of the hind paw have become

581 

swollen, degradation of joint capsules and cartilage. (c & d) Treatment with QDs-QE

582 

complex has shown significant prevention against bony destruction by showing less soft

583 

tissue swelling and narrowing of joint spaces in a dose dependant manner. (e).The 26   

Page 26 of 35

   

standard drug diclofenac sodium treated group shows no bony destruction or swelling of

585 

the joint. Arrows indicate the swelling and reduced edema of soft tissues in experimental

586 

groups.

587 

Fig. 7. To evaluate the anti-inflammatory effects of QDs-QE complex, samples of the

588 

ankle joints from each experimental group were examined by H&E staining. (a) Control

589 

group shown normal lobular architecture (X-40). (b) CFA administered group shown

590 

thinning of cartilage plates, extensive infiltration of inflammatory cells into the synovial

591 

cavity (X-40). (c) QDs-QE complex treated group at 0.2 mg/kg shows infiltration of

592 

inflammatory cells, mild improvement cartilage regeneration (X-40). (d) QDs-QE

593 

complex treated group at 0.4 mg/kg rats showed complete cartilage regeneration. Absence

594 

of inflammation and inflammatory cells in synovial region proved the anti-arthritic

595 

potential of QDs-QE complex (X-40). (e) DF (positive drug) treated group exhibited

596 

reduction in inflammation and almost normal histology (X-40). Arrows in control, DF

597 

(positive drug) and

598 

degradation and regeneration. (f).QDs treated group shows almost similar observations of

599 

CFA treated group with extensive infiltration of inflammatory cells into the synovial

d

M

an

us

cr

ip t

584 

Ac ce p

te

QDs-QE complex (0.4 mg/kg) treated groups indicates cartilage

cavity. (e).QE treated group exhibited regenerated cartilage and reduced the

600 

inflammation.

601 

Fig. 8. Schematic representation of the possible mechanism of antiarthritic potential of

602 

the QDs-QE complex against CFA induced arthritis.

603  604 

27   

Page 27 of 35

    604 

an

us

cr

ip t

605 

M

606  607 

d

Fig. 1

0.025

te

800

1/(F0 -F)

600

Intensity

0.02

60 μg in 2.5 ml

Ac ce p

700

0 μg in 2.5 ml

500

y = 0.0159x + 0.0068 R² = 0.9969

0.015 0.01 0.005 0.1 0.3 0.5 0.7 0.9 1.1

400

1/[Q] . 10-6 M

300 200 100 0

540

560

580

600

620

640

660

Wavelength (nm)

608 

Fig. 2

609 

28   

Page 28 of 35

    610  611  612 

(b)

M

an

us

cr

ip t

(a)

613  614 

Ac ce p

te

d

(c)

615  616  617  618 

Fig. 3

619  620  621  29   

Page 29 of 35

Ac ce p

te

d

M

an

us

cr

ip t

   

622  623 

Fig. 4

30   

Page 30 of 35

Ac ce p

te

d

M

an

us

cr

ip t

   

624  625 

Fig. 5

31   

Page 31 of 35

an

us

cr

ip t

   

M

626 

d

627  628 

te

Fig. 6

Ac ce p

629  630  631  632  633  634  635  636 

32   

Page 32 of 35

Ac ce p

te

d

M

an

us

cr

ip t

   

637  638  639  640 

Fig. 7

33   

Page 33 of 35

M

an

us

cr

ip t

   

d

641  642 

te

Fig. 8

Ac ce p

643  644  645  646 

34   

Page 34 of 35

    Highlights 

647 

Enhancement of antiarthritic effect of quercetin(QE) using quantum dots (QDs) as nanocarrier 

648 

Quantum dots enhances the efficacy of drug delivery 

649 

QDs‐QE complex has brought back the hematological changes in arthritic animals 

650 

Cartilage regeneration in arthritic rats treated with QDs‐QE complex was observed 

cr

te

d

M

an

us

 

Ac ce p

651 

ip t

646 

35   

Page 35 of 35