Breast Cancer–Targeted Doxorubicin Therapy via Folate-Conjugated Nanoliposomal Carriers

Authors

  • Tabassom Mahmoudie Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
  • Meysam Ebrahimifar Department of Toxicology, Faculty of Pharmacy, Islamic Azad University, Shahreza Branch, Shahreza, Iran.
  • Mehrshad Fekri Department of Biochemistry, NT.C., Islamic Azad University, Tehran, Iran.
  • Mozhgan Dahmardnezhad School of Medicine, Arak University of Medical Sciences, Arak, Iran.
  • Fatemeh Jamshidi Quality Control Department, Anzan Teb Azma, Tehran, Iran.
  • Fattakhov Ravshan Abdurashidovich DSc, Associate Professor of the Alfraganus University, Tashkent, Uzbekistan.
  • Yunuskhodjaeva Madina Kamalitdinovna DSc, Associate Professor of the Department of Preventive Dentistry, Tashkent State Medical University , Tashkent, Uzbekistan.
  • Khamidova Dilbar Avdunovna PhD, Associate Professor of the Postgraduate Medical Education Faculty, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Khatypova Marvara Garifovna PhD, Associate Professor of the Postgraduate Medical Education Faculty, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Khadjimetov Abdurasul Abdugafurovich PhD, Associate Professor of the Postgraduate Medical Education Faculty, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Narova Nargiza Elbekovna DSc, Associate Professor of the Alfraganus university, Tashkent, Uzbekistan.
  • Yunuskhanova Каmila Shavkatovna PhD, Assistant, Department of Advanced Training in Therapeutic Dentistry with a Course in Orthopedic Dentistry, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Lola Akhmedova PhD, Assistant, Department of Advanced Training for Mid-Level Medical Personnel, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Уоkudkhon Alimullaeva Head of the Department of Advanced Training of Medical Workers with Secondary Education, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Nargiza Kamilova PhD, Assistant, Head of the Department of Advanced Training of Medical Workers with Secondary Education, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Ruzieva Zebo Ibodilloevna Department of Advanced Medical Training, Tashkent State Medical University, Tashkent, Uzbekistan.
  • Mohammadreza Allahyartorkaman Regional Tuberculosis Reference Laboratory, Tehran University of Medical Sciences, Tehran, Iran.

DOI:

https://doi.org/10.31557/APJCC.2026.11.6.803

Keywords:

Keywords: Nanoliposome, Folic acid, Targeted drug delivery, Breast cancer, Apoptosis, Doxorubicin

Abstract

Introduction: Targeted drug delivery systems have emerged as a promising strategy to enhance therapeutic efficacy and minimize off-target toxicity in cancer therapy. In this study, folic acid–conjugated nanoliposomes (FA-NLs) were developed as a selective delivery vehicle for doxorubicin (DOX) to folate receptor–overexpressing breast cancer cells (MCF-7).

Materials and Methods: FA-NLs were synthesized using the thin-film hydration method and loaded with DOX. The nanocarriers were characterized by SEM, TEM, and DLS to determine morphology, size distribution, and zeta potential. Drug encapsulation efficiency (EE%) and in vitro release profiles at physiological and acidic pH were assessed. Cytotoxicity was evaluated via MTT assay in MCF-7 cells. Cellular uptake was analyzed using fluorescence microscopy. Apoptosis induction was quantified through Annexin V/ PI flow cytometry.

Results: FA-NLs exhibited uniform spherical morphology with a mean particle size of 182 nm (PDI: 0.24) and a negative surface charge (−34 mV). The formulation achieved high DOX encapsulation (EE%: 92%) with drug loading of 2 %, and demonstrated pH-responsive sustained release over 50 h (~90% at pH 5.2 vs ~62% at pH 7.4). In MCF-7 cells, FA-NLs enhanced anticancer activity relative to non-targeted liposomes and free DOX, with the IC₅₀ decreasing from ~20 μM (free DOX; F5) to ~7 μM (FA/FL-DOX; folate-depleted; F1) (≈2.9-fold reduction). Flow cytometry confirmed stronger apoptosis induction, including higher late apoptosis compared with conventional DOX.

Conclusion: These results demonstrate the strong potential of FA-NLs as a smart nanocarrier system to enhance intracellular uptake and apoptosis-mediated anticancer efficacy of DOX in folate receptor–positive breast cancer cells, supporting further translational evaluation for precision oncology.

Published

2026-11-01

How to Cite

Mahmoudie, T., Ebrahimifar, M., Fekri, M., Dahmardnezhad, M., Jamshidi, F., Abdurashidovich, F. R., … Allahyartorkaman, M. (2026). Breast Cancer–Targeted Doxorubicin Therapy via Folate-Conjugated Nanoliposomal Carriers. Asian Pacific Journal of Cancer Care, 11(6), 803–812. https://doi.org/10.31557/APJCC.2026.11.6.803

Issue

Section

Original Research