Kumar A, Basha SS, B M, Selvaraj V, Ghosh P, Sudhakar S. Leveraging cancer microenvironment pH shift for actuation-induced multidrug release from chitosan/carboxymethyl cellulose bilayer film.
Int J Biol Macromol 2025;
316:144701. [PMID:
40436164 DOI:
10.1016/j.ijbiomac.2025.144701]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2025] [Revised: 05/16/2025] [Accepted: 05/25/2025] [Indexed: 06/01/2025]
Abstract
In this work, we leverage the pH shift of the tumor microenvironment to achieve controlled, multidrug release from an implantable, pH-responsive bilayer film composed of chitosan (CS) and carboxymethyl cellulose (CMC). Drug release is driven by out-of-plane actuation, where curvature is induced in response to acidic pH, serving as a physiological stimulus. The kinetics of release are modulated by the degree of curvature and the rate of actuation at a given pH. This system enables programmable delivery of a combination of cisplatin (Cis), 5-fluorouracil (5-Fu), and quercetin (Que), targeting multiple cancer pathways to combat drug resistance. In vitro studies with MDA-MB-231 breast cancer cells demonstrated a four-fold increase in cytotoxicity compared to individual drugs, attributed to synergistic effects and controlled release. Additionally, ex-ovo chick chorioallantoic membrane (CAM) assays confirmed the system's antiangiogenic potential, with significant downregulation of key markers, including Vascular Endothelial Growth Factor A (VEGFA), Fibroblast Growth Factor 2 (FGF2), and Angiopoietin 1 (ANG1). Overall, this platform offers a promising strategy for site-specific, sustained delivery of combination therapies in complex cancer environments.
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