Decorative Multi-Walled Carbon Nanotubes by ZnO: Synthesis, Characterization, and Potent Anti-Toxoplasmosis Activity

Abstract

Toxoplasmosis may become a fatal disease in immunodeficient, diabetic patients, pregnant women, and infants. Hence, the diligent search for new effective treatment is among the major concerns worldwide. The well-dispersed multi-walled carbon nanotubes lined with ZnO (ZnO-MWCNT), graphene oxide (GO-NPs), and zinc oxide (ZnO-NPs) were successfully synthesized through rapid and facile hydrothermal arc discharge technique (HTADT). The antiparasitic effects of ZnO-NPs, GO-NPs, and ZnO-MWCNT were investigated in mice infected with Toxoplasma gondii. The percent of tachyzoites reduction were detected. The observed results demonstrated that ZnO-MWCNT revealed a significant reduction in the parasite count reached 61% in brain tissues, followed by liver (52%), then spleen (45%). The assessments of antiparasitic, inflammatory, and anti-inflammatory cytokines confirmed the superior activity of ZnO-MWCNT as antiparasitic agent, which paves the way for the employment of ZnO-MWCNT as a treatment for the acute RH strain of T. gondii infection in vivo.

1. Introduction

Over the past decade, carbon nanostructures have been used in a medical of field due to controlled- and sustained-release properties, subcellular size, and biocompatibility with tissue and cells, which is why CNTs have become one of the major achievements in the field of nanotechnology [1,2,3]. According to several studies, single-walled carbon nanotubes (SWCNTs) showed high antibacterial effects [4]. The SWCNTs size play a significant influence in inhibiting several pathogenic microorganisms [4]. Indeed, when the size of the carbon nanomaterials (CNMs) reduced, their surface-to-volume ratio increased, causing a stronger interaction with the microorganisms’ cell wall, and therefore a more effective action would be noticed [5]. The association of carbon nanotubes (CNTs) with microbes and the disruption of their metabolic operations, cellular membrane, and morphology were the major reported mechanisms of action [6]. Graphite is a naturally occurring, and crystalline two-dimensional carbon material. Graphene and graphene oxide (G and GO) produce reactive oxygen species (ROS) that leads to physical and chemical oxidation of microorganisms’ cell membranes and cell walls, resulting in microbial mortality and reduced resistance [7].

Another relevant topic is the antibacterial properties of CNM composites with biopolymers and NPs such as CuO, Ag, TiO₂, and ZnO, etc. [8,9] However, because of their toxicity, these NPs must be used under standardized precautions [10,11]. Polymers, magnetic NPs, and CNMs can be utilized as carriers or supporters to alleviate this problem, and they can possibly improve the antimicrobial action of the synthesized NPs as well [12]. CNTs, GO, and fullerene nanostructures, in particular, were considered ideal particles for masking the detrimental impacts of NPs [4]. Given their chemical groups and strong dispersion capabilities, CNMs have high functionalization potentials [13]. Synergistic antimicrobial properties are quite essential in the pharmaceutical industry. CNMs, for example, work well with nanoparticles, e.g., CNTs-chitosan, CNTs-Ag [14], GO–Ag [15], C60-ZnO, and C60-CuO [16].

The production procedure had a significant impact on the nanomaterial quality [17]. Arc discharge approaches are known to create nanometals from metal electrodes successfully [18]. Temperature [19], pressure [20,21], electrode shape [18], gap between electrodes [22], current [19], applied voltage [23], type of power supply [23], and dielectric media have a significant impact on the nanoparticle size and shape yields [24].

Toxoplasma gondii is an obligate intracellular pathogenic parasite that can infect all warm-blooded animals (including humans) and induce Toxoplasmosis [25]. The seropositive rates in humans started from 10% to reach over 90%. Ingestion of oocysts (from a cat’s faeces or undercooked meat), preceeded by the emergence of sporozoites and bradyzoites from the consumed oocysts. The emerged sporozoites and bradyzoites will penetrate the human intestinal cells, where they will be transformed into tachyzoites [26]. Through the blood or lymphatic system, the tachyzoites will subsequently disseminate to other organs. As a result, tachyzoites can produce an acute (AI) or chronic (CI) infection [27]. During the acute infection stage of the highly virulent RH strain, serum Th1 cytokines (e.g., interleukin (IL)-12, IL-18, interferon (IFN), and tumor necrosis factor (TNF) usually increase, followed by mice mortality after 8 to 10 days post-infection [28]. IL-12, TNF-β, and IFN-α, for example, have been shown to reduce the parasite development (both in vivo and in vitro) [29].

The objective of this research was to find a suitable solution to the increased toxoplasmosis infection hazard. HTADT was used to synthesize Zn, C metal oxides, as well as their composites by combining with multi-walled carbon nanotubes (ZnO-MWCNT), in order to combat Toxoplasma gondii infection. This study also aimed to determine the synthesized nanoparticles morphology (using a high-resolution transmission electron microscope HR-TEM), crystallinity (using an X-ray diffraction analyzer XRD), and chemical bonds (using a Fourier transform infrared spectrometer FTIR).

2. Materials and Methods

2.1. Nanoparticles Synthesis

The highly pure Zn and C nanoparticles were synthesized by the arc discharge method according to the designed system shown in Figure 1. As emphasized from Figure 1, the system includes the electrode, alternating current, power supply, voltage employed, vessel capacity, rotating speed, pH, electrode gap, and discharge period. The voltage used was 70 V with an acceptable current of 15 A to ensure a continuous arc discharge to improve the quality and quantity of the nanoparticles. Another important factor was the cylindrical cathode’s spinning speed (950 rpm), which accelerated the metal clusters formation and prevented the condensation on the cathode surface. This variable has an important role on particle size characteristics and stability. To increase the yield, the cathode was taken in bigger dimensions in relation to the anode. Then each sample was characterized by using JEOL JEM-2100 high resolution transmission electron microscope (HRTEM, at Alexandria University in Egypt, Model JEOL-JSM-6360LA),, X-ray diffraction analyzer, (JEOL Ltd., Egypt Japan University of Science and Technology, Alexandria, Egypt), and Fourier-transform infrared at (Egypt Japan University of Science and Technology, Alexandria, Egypt).

2.2. Parasite

T. gondii RH virulent strain was maintained in Pharos University in Alexandria by sequential intraperitoneal transmission of tachyzoites (provided from parasitology laboratory, Theodor Bilharz Research Institute, Giza, Egypt) in Swiss Albino mice. Phosphate buffered saline was used to cleanse the peritoneal fluid (PBS). To infect the mice, a portion of the gathered peritoneal fluid was applied to the haemocytometer, and the tachyzoites number was calibrated.

2.3. Drugs Preparation

Animal Grouping and Experimental Design

The study included fifty male Swiss Albino mice that were bred in the lab (6–8 weeks old and 20–25 g weight). The mice were divided into five experimental and control groups (10 mice/group). Except for the uninfected control group mice, each mouse was injected intraperitoneally with the RH strain at a dosage of 2500 tachyzoites/100 µL. The mice were split into the following groups:

• Group I: Negative control, each mouse received 100 μL normal saline for seven days.
• Group II: Positive (Infected untreated) control, each mouse received 100 μL normal saline (the vehicle of the used drugs) orally by gavage needle starting from the day of infection for seven days.
• Group III: Infected mice received 100 μL of ZnO-NPs at a dose of 10 mg/kg/day orally by gavage needle starting from the day of infection for seven days.
• Group IV: Infected mice received 100 μL of GO-NPs at a dose of 10 mg/kg/day orally by gavage needle starting from the day of infection for seven days.
• Group V: Infected mice received 100 μL of ZnO-MWCNT a dose of 10 mg/kg/day orally by gavage needle starting from the day of infection for seven days.

The mice were anaesthetized and sacrificed by cervical dislocation on the 8th day.

For parasitological research, peritoneal exudates, liver, spleen, and brain tissues were collected from all the classified groups, whereas liver, spleen, and brain tissues were gathered and preserved in 10% formalin for histological examination. Each mouse’s peritoneal exudate was preserved in glutaraldehyde for morphological examinations with scanning electron microscope (SEM). The mice’s blood (5 mL) was taken through the retro-orbital plexus and centrifuged at 4000 g for 20 min to separate the serum used in inflammatory-marker analyses.

Evaluation of the treatment efficacy:

All the experimental groups were subjected to the following:

2.4. Parasitological Study

2.4.1. Estimation of the Parasite Count

Tachyzoites were enumerated in each Giemsa-stained liver, spleen, and brain impressions. Each mouse’s organ was inspected using oil immersion lens, and the mean of ten separate fields was recorded, followed by the mean for each subgroup [30].

Parasite Percent Reduction (%R)

The percentage reductions in the parasite count in the peritoneal exudate, liver, spleen or brain were recorded according to the following Equation (1):

$$\%\mathrm{R}=\mathrm{C}-\mathrm{E}/\mathrm{C} \times 10$$

(1)

where %R: Reductions percentage, C: Parasites count in infected untreated group and E: Parasites count in the treated groups [31].

2.4.2. Morphological Study of T. gondii Tachyzoites

On the sacrifice day, the peritoneal exudates of all the experimental treated and control groups were collected, fixed in glutaraldehyde, and prepared for SEM examination of the parasites’ ultrastructure.

2.5. Inflammatory Biomarkers

Cytokines levels namely (TNF-α, IL-10, IL-6, and IL-1B) in T. gondii-infected mouse serum were determined according to the manufacturer’s instructions and through the use of enzyme-linked immunosorbent assay (ELISA) kits (R&D Systems, Minneapolis, MN, USA). At 450 nm, the response was measured using a microplate reader (Absorbance 96, Byonoy, Hamburg, Germany) [26].

2.6. Histopathological Study

Specimens from diverse organs (brain, liver, and spleen) were fixated in 10% formalin, dehydrated in successive grades of ethanol, rinsed in xylol, and then imbedded in paraffin wax. Staining of each specimen was utilized by Ehrlich’s hematoxylin and eosin (H&E) stain [26].

2.7. Statistical Analyses

Mean ± SD was tabulated for each result. SPSS version 20 was used for the data analysis while ANOVA F-test was used to elaborate the difference between the quantitative variables among experimental groups.

3. Results and Discussion

3.1. Nanoparticles Fabrication

As shown in Figure 2, three different materials were characterized (a) represented MWCNT decorated by Zn-metal, (b) ensured the formation of MWCNT with small diameters, while, (c) & (d) showed GO in nano scale of 5 nm in diameter and 200 nm in length, and (d) & (e) ZnO-NPs displayed hexagonal shape with particle size less than 10 nm.

Figure 2a represented small Zn-NPs size surrounding MWCNT compared with our previous work [32] which may be due to the change of some physical parameters such as rotational speed of the cathode and voltage of power supply [18,33]. On the other hand, Figure 2b showed that MWCNT inner radius was smaller than the previous work despite of their larger outer radius (compared with others).

All nano products were further characterized by XRD as shown in Figure 3a all peaks of nano ZnO were similar to standard diffraction data (JCPDS Card no.; 36–1451), which was combined with two major peaks of MWCNTs at 2θ = 25.9° and 2θ = 42.37° corresponding to the reflection planes (002) & (100), respectively (and were similar to the standard diffraction data (JCPDS Card no.; 01–0646)), which confirmed the formation of ZnO-MWCNTs. The second diffraction peak displayed in (Figure 3b) showed 2θ = 9.9° in the XRD pattern of graphite oxide samples belonging to the (001) reflection and diffraction peak at 2θ = 42.0° corresponding to (100) to prove the excellent GO synthesis without impurities [34]. It was clear from Figure 3c that the X-Ray diffraction pattern showed 2θ values at 31.84°, 34.52°, 36.38°, 47.64°, 56.7°, 63.06°, 68.1°, and 69.18°. All the mentioned peaks were considered evident peaks indexed as the Zinc oxide wurtzite structure (JCPDS Data Card No: 36-1451) [35].

FTIR was done for each sample to confirm their chemical bond and to get more information about their structure as shown in Figure 4a representing the ZnO-MWCNT [32], (b) GO-NPs [34], and (c) for ZnO-NPs [36,37]. Each noticed peak in Figure 4 was compared with previous reported values to ensure the chemical structure of the prepared nano materials as tabulated in

Table 1. Show the results of FTIR for nano products prepared by.

ZnO-MWCNT		GO-NPs		ZnO-NPs
Frequency (cm−1)	Band Refer to	Frequency (cm−1)	Band Refer to	Frequency (cm−1)	Band Refer to
3390	-OH	3420	-OH	3398	-OH group
2935	-C=H			2912	-C=H
1571	-C=C	2900	-C=H	2845	-OH group
1483	-C-H	2300		1561	-C=C
1304	-OH	1715	-C=O	1461	-C=O
1108	-C=O			1018	-C=O
800	-C-H	1625	-C=C	721	Zn-O
616	Zn-O			533	Zn-O
508	Zn-O	1070	-C-C

.

3.2. Parasitological Study

3.2.1. Parasite Count and Percent Reduction (%R)

The mean tachyzoites count in all groups revealed that the parasite count reduction in liver was the highest compared to other organs with percent reduction in parasite count reached 41, 27 and 52% for groups III, IV, and V respectively (statistically significant difference compared to the infected untreated group).

There was a statistically significant reduction in parasite count in all treated groups and infected untreated group in all organs (

Table 2. The parasite count and the percentage reduction in the organs of RH infected mice.

Groups		Liver (n = 10)	Spleen (n = 10)	Brain (n = 10)
Group II a	Mean ± SD	16.7 ± 0.67 b,c,d	9.7 ± 0.67 b,c,d	2.8 ± 0.60 b,c,d
Group III	Mean ± SD	9.9 ± 0.9 a,c,d	6.1 ± 0.99 a,c	1.3 ± 0.46 a,c
	R1%	41	37	54
Group IV	Mean ± SD	12.2 ± 1.14 a,b,d	7.6 ± 0.97 a,b,d	2 ± 0.45 a,b
	R2%	27	22	29
Group V	Mean ± SD	8 ± 1.05 a,b,c	5.3 ± 0.82 a,c	1.1± 0.54 a,c
	R3%	52	45	61
	F	146.1	48.1	20.2
	p	<0.001	<0.001	<0.001

^a Significant with subgroup II; ^b Significant with subgroup III; ^c Significant with subgroup IV; ^d Significant with subgroup V.

, Figure 5). As for treated mice, the lowest mean tachyzoites count and the highest percent reduction were detected in mice receiving ZnO-MWCNT in all the tested organs.

These results were inconsistent with previous study that showed that ZnO-NPs had considerable prophylactic benefits against chronic toxoplasmosis in mice, with oral treatment of ZnNPs at dosages of 32.5, 75, and 150 mg/kg that led to reducing the parasite burden and even controlling the toxoplasmosis infection totally. These findings demonstrated that ZnNPs boosted the innate immune system, which might explain their potent preventive effects [38]. On the contrary, Swedin [39] reported that SWCNT did not affect the T. gondii parasitic count in the various tested organs in comparison to the infected untreated mice group.

GII: RH infected control group, GIII: infected group received ZnO-NPs, GIV: infected group received GO-NPs, GV: infected group received ZnO-MWCNT. R1 percentage of reduction in infected group taken ZnO-NPs, R2 percentage of reduction in infected group taken GO-NPs, R3 percentage of reduction in infected group taken ZnO-MWCNT. n: initial number of mice in the subgroup, SD: standard deviation, F: F test (ANOVA) and p ≤ 0.05 (statistically significant).

3.2.2. Morphological Study of T. gondii Tachyzoites

Scanning electron microscopic study showed normal smooth surfaces of T. gondii tachyzoites collected from the peritoneal exudates of infected untreated mice. While, tachyzoites from treated groups showed complete distortion in the parasite surface (Figure 6). SEM micrographs with different magnification were added as Supplementary Data (Figure S1).

3.3. Inflammatory and Anti-Inflammatory Cytokines in Infected and Treated Groups

Inflammatory and anti-inflammatory cytokines (TNF-α, IL-10, IL-6, and IL-1B) assessments were used to evaluate the inflammatory processes in response to T. gondii infection and the used treatments. According to Hwang et al. [29], T. gondii acute infection resulting in an increased inflammatory and anti-inflammatory cytokine expressions, as well as activation and proliferation of microglial cells.

Table 3. Inflammatory response of the infected and non-infected mice groups.

Mice Groups	TNF-ɑ (ng/mL)	IL-10 (ng/mL)	IL-6 (pg/mL)	IL-1β (ng/mL)
Group I (Normal)	1.91 ± 0.41	1.32 ± 0.19	395.43 ± 0.82	1.45 ± 0.52
Group II (Infected untreated)	3.23 ± 0.58	2.36 ± 0.25	637.90 ± 0.29	11.24 ± 0.33
Group III (ZnO)	2.03 ± 1.07	1.65 ± 0.31	539.83 ± 1.03	9.43 ± 0.97
Group IV (GO)	2.60 ± 0.27	2.11 ± 0.22	548.64 ± 0.30	7.47 ± 0.29
Group V (ZnO-MWCNT)	2.00 ± 0.38	1.49 ± 0.93	450.80 ±0.64	6.12 ± 0.83

proved that the inflammatory and anti-inflammatory cytokine concentrations were notably higher in infected untreated mice, which indicated the progression of the acute infection (AI). Group V (ZnO-MWCNT treated group) showed an impressive reduced inflammatory response and cytokine concentrations that were reliably close to those of healthy (uninfected) mice. Hojyo and Fukada [40] mentioned that the anti-inflammatory cytokines such as interleukins of IL-1b, IL-6, and tumor necrosis factor alpha (TNF-α) were affected by zinc nanoparticles remedy. It also played a major role in distinguishing natural killer cells (NK cells) from major histocompatibility (MHC) class 1 primary cells. Zinc (Zn) is also necessary for the proper balance of T cell subsets. On the other hand, Swedin et al. [39] declared that pre-exposure to SWCNT does not enhance or suppress the early immune response to T. gondii in mice.

3.4. Histopathological Studies

3.4.1. Brain

Microscopic examination of H&E stained cerebral cortex sections from the frontal area of Group I (control) revealed the cerebral cortex’s well-known normal structure. Neurons, notably pyramidal and granule cells, as well as neuroglial cells, were abundant inside these layers. The neuropil, a pink-stained background, was a tangle of neuronal and glial cells.

When the infected untreated group was investigated, it revealed significant multifocal histological abnormalities in the cerebellum when compared to the control healthy group. As a result of the parasitic infection, many vacuoles of varied sizes grew between and inside many cells in all the cerebellum layers, resulting in a huge cerebral infract.

Compared to the previous results, the treated groups (III and IV) showed an improvement in brain histological features and decreased number of vacuoles and few unconnected cerebral infracts. The lower the number of cerebral infracts, the better the therapy, as seen in the ZnO-NPs-treated group in comparison to the GO-NPs-treated group.

Cerebral examination of the ZnO-MWCNT-treated group revealed that a small number of vacuoles had vanished. It also revealed typical neuron architecture with central big vesicular nuclei having one or more nucleoli diffusing in spongy matrix, as well as peripheral dispersion of Nissl granules suggesting the synergistic impact of ZnO nanoparticles and carbon nanotubes (Figure 7).

3.4.2. Liver

H&E stained samples of the control group’s liver exhibited normal hepatic architecture with a minor dilated central vein.

On the other hand, the liver sector of the infected untreated group displayed dilated central veins and congested hepatic sinusoids, making the liver seemed more perforated. The cytoplasm of certain hepatocytes was vacuolated. Furthermore, minor multifocal infiltrations of inflammatory cells were seen between hemorrhage regions, accompanied by unclear cell borders.

The treated groups improved the histopathological results significantly, as evidenced by decreased congestion of blood sinusoids in the GO-NPs-treated group with cellular infiltration. In addition, the ZnO-NPs-treated group had a substantial decrease in the number of clogged blood sinusoids, indicating the higher efficacy of zinc oxide than graphite in the hepatocytes.

Furthermore, the results of Group 5 demonstrated maintained hepatic architecture. Hepatocytes were distributed in a radial pattern from central veins, with rounded vesicular nuclei centrally positioned and divided by blood sinusoids. There was still some dilation in the central vein. There were no necrotic foci found (Figure 7).

3.4.3. Spleen

The splenic architecture of the control group was described as clearly demarcated white and red pulp with continuous trabecular throughout the tissues. The typical pattern of periarteriolar lymphoid sheaths (PALS) and lymphoid follicles was also seen in the white pulp.

The infected untreated group revealed big, clogged blood vessels as an indication of spleen injury, which was followed by tissue degeneration. Moreover, the borders between regions of white pulp and red pulp weren’t totally observed, which was crucial evidence of the damage degree.

Some symptoms of inflammation were observed in the GO-NPs-treated group, which was concerning output considering the pro-inflammatory boost of the pancreatic white pulp (producing inflammatory mediators). Furthermore, blood vessel congestion remained noticeable. The traditional borders between the WP segments were gradually eroding.

Both groups IV and V showed normal patterns of red and white palp with normal marginal zone and lymphatic follicles, comparable to the control group.

The most surprising observation was the non-significant difference between the ZnO-NPs-treated group and the ZnO-MWCNT-treated group, which has crucial scientific implications, which may be explained by the fact that graphite nanoparticles have little or no impact on the splenic tissue (Figure 7). Other photomicrographs were added as a Supplementary Data (Figure S2).

4. Conclusions

The well-dispersed multi-walled carbon nanotubes lined with ZnO (ZnO-MWCNT), graphene oxide (GO-NPs), and zinc oxide (ZnO-NPs) were successfully synthesized through the arc discharge method. The formed nanoparticles were characterized by transmission electron microscope, IR and XRD analyses which ensured the formation of ZnO-MWCNT with small diameters. This is the first work to assess the antiparasitic effect of the synthesized ZnO-MWCNT against Toxoplasma gondii infection in mice. The lowest mean tachyzoites count in all the tested organs was observed in mice received ZnO-MWCNT. T. gondii infection resulted an increased level of inflammatory cytokines, as well as activation and proliferation of microglial cells while ZnO-MWCNT-treated group showed a significant reduction and regulation of the tested cytokines. Histopathological study of ZnO-MWCNT-treated group revealed almost normal cell architecture, which proved the ZnO-MWCNT efficacy and safety.