Cervical cancer is the fourth cause of cancer death in women. Curcumin has antineoplastic properties. Furthermore, curcumin may be used as a photosensitizing agent in Photodynamic Therapy. This study aimed to investigate the effects of Photodynamic Therapy in cellular viability using curcumin-nanoemulsion as a photosensitizing drug in cervical carcinoma cell lines. The empty nanoemulsion presented very low cytotoxicity in all cell lines analyzed. Additionally, the incubation with curcumin-nanoemulsion at 20 μM of curcumin showed more than 80% of cell viability for cell lines. Nanoemulsions were shown to be internalized inside cells by fluorescence microscopy and were observed in the intracellular environment for up to 36 hours after incubation with cell lines. In addition, after the Photodynamic Therapy we observed a high phototoxic effect of the curcumin-nanoemulsion with less than 5% of viable cells after irradiation. This was accompanied by an increase in caspase-3/caspase-7 activities after cell treatment with curcumin-nanoemulsion and Photodynamic Therapy, suggesting cell death by apoptosis. We conclude that the curcumin-nanoemulsion formulation behaves as a photosensitizing drug in Photodynamic Therapy and shows potential as an alternative treatment to cervical lesions using an endoscopic diode fiber laser setup for in situ activation or cavity activation using a diffuse fiber delivery system.

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The PDT induced apoptosis in high APE1 expressive HeLa cells, and the blockage of BER by MX increased its effects.

Lawsone is a biomolecule that belongs to the naphthoquinone class found in henna leaves. This quinone is widely used in cosmetic products being considered the oldest coloring agent applied for dyeing hair. Moreover, biological activities have been attributed to lawsone such as antibacterial, antifungal, and anticancer. However, these activities are mostly limited due to its low aqueous solubility and chemical instability. In this context, this study aimed to develop nanoemulsion containing lawsone (NE-law) and assess its in vitro cytotoxicity against cervical carcinoma cells. Emulsion phase inversion method was used to prepare nanoemulsion formulations (NE1, NE2, NE3, NE4, and NE-law). Following the formulation development, NE1 formulation was chosen to incorporate lawsone, presenting average droplet size about 45 nm with narrow size distribution (PdI <0.1) and negative zeta potential ( -13 mV). In TEM analyses, droplets were visualized with irregular spherical shapes, high homogeneity, and without aggregation. The incorporation efficiency of lawsone into NE was higher than 90 %, and in vitro release profile of this naphthoquinone from formulation was gradual and regular throughout the experiment. Nanoemulsified lawsone improved in vitro cytotoxicity on cervical carcinoma cells compared to free lawsone. Therefore, we prepared a stable lawsone-loaded NE using a reproducible emulsification method.

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