Abstract
Introduction
Liver cancer is one of the most lethal malignancies worldwide, with high incidence and mortality rates. 1 According to the World Health Organization, there were around 900,000 new cases and 830,000 deaths globally in 2020. 2 Early-stage liver cancer can be treated with surgical resection, radiofrequency ablation, microwave ablation, and liver transplantation.2,3 For advanced liver cancer, radiotherapy, chemotherapy, and targeted therapies are commonly used to control disease progression.4,5 However, these treatments often yield suboptimal results. For instance, chemotherapeutic agents like oxaliplatin and sorafenib frequently lead to drug resistance and severe side effects, significantly impairing patients’ quality of life.6,7 Therefore, exploring novel therapeutic approaches to enhance liver cancer treatment efficacy and reduce adverse effects is crucial.
Traditional Chinese medicine (TCM) has shown unique advantages in cancer management, particularly in mitigating side effects, improving patient constitution, and prolonging survival. Astragaloside II (ASII), a key natural product derived from Radix Astragali, is a major component of the classic TCM formula “Qi-Gui Xiao-Zheng”. 8 Recent research has highlighted anticancer properties of ASII. ASII induces autophagy and drives ovarian cancer cell death by suppressing AKT/mTOR signaling pathway. 9 In liver cancer, ASII enhances the sensitivity of cancer cells to chemotherapeutic agents such as 5-fluorouracil (5-FU) and cisplatin (DDP) by suppressing autophagy.10–12 Despite its potential, the therapeutic efficacy is limited by poor solubility, short half-life, and nonspecific tissue distribution. Thus, developing effective delivery strategies to improve bioavailability of ASII and reduce off-target effects is essential.
Nanotechnology-based drug delivery systems have been widely explored in biomedicine. These systems combine active and passive targeting strategies with nanomaterials to enhance drug accumulation at disease sites and improve drug utilization. 13 For instance, conjugating poly(lactic-co-glycolic acid) (PLGA) nanoparticles with polyethylene glycol (PEG) and loading them with paclitaxel (PTX) improves tumor targeting and prolongs circulation time. 14 However, the clinical application of nanoparticles is limited by tumor heterogeneity, the restricted enhanced permeability and retention effect, the complexity of tumor microenvironment, and the physicochemical properties of nanoparticles themselves. 15 In this context, neutrophils offer a novel perspective for nanodrug delivery. As the most abundant white blood cells in circulation, neutrophils are the first responders to inflammation and can rapidly migrate to inflammatory sites. They can stabilize drug delivery to inflamed regions by releasing neutrophil extracellular traps (NETs). Leveraging this characteristic, neutrophil-based drug carriers can precisely target and penetrate tumor-associated inflammatory regions, potentially overcoming the limitations of nanoparticle targeting and penetration in solid tumors.
Based on this background, we developed a neutrophil-based nanocarrier system, PG@AS-Neu, by encapsulating ASII within PEG-PLGA nanomicelles and loading them into neutrophils. This system exploits the natural targeting ability of neutrophils to tumor-associated inflammatory environments, enabling precise delivery of ASII to tumor sites. Once neutrophils infiltrate tumor tissues, ASII is released through the formation of NETs, specifically increasing ASII levels in the tumor microenvironment (TME). In this study, we characterized the morphology, particle size, drug encapsulation, and release profile of PG@AS-Neu. In vitro experiments were performed to evaluate biosafety of the nanocarrier and its inhibitory effects on liver cancer cells. Overall, this study presents a neutrophil-based nanodrug carrier system with promising clinical potential for liver cancer treatment.
Materials and methods
Cell culture
The human liver cancer cell line Huh-7 (CL-0120) was purchased from Procell Life Science & Technology Co., Ltd. (Wuhan, China). Huh-7 cells were cultured in DMEM complete medium supplemented with 10% fetal bovine serum (FBS), 100 μg/mL streptomycin, and 100 U/mL penicillin. Cells were maintained at 37°C in a humidified atmosphere with 5% CO2. Experiments were conducted using cells in the logarithmic growth phase.
Isolation and culture of neutrophils
Human bone marrow-derived neutrophils (IMP-H188) were purchased from SHRBIO (Nanjing, China). The purchased neutrophils were suspended in RPMI 1640 medium supplemented with 1% HEPES buffer (Gibco, USA). Freshly isolated neutrophils were seeded in 6-well plates (3 × 106 cells per well) and stimulated with 100 nM phorbol 12-myristate 13-acetate (PMA) (Sigma-Aldrich, USA) to induce the formation of NETs. 16
CCK-8 assay for cell viability
Huh-7 cells were seeded in 96-well plates (1 × 105 cells/mL), with 100 μL per well. After 24 h of incubation at 37°C and 5% CO2, cells were treated with media containing different concentrations of ASII (20, 40, 80, and 120 μM). After 24 h, 5% CCK-8 reagent (Elabscience, China) was added to each well, and cells were incubated for an additional 2–4 h. Absorbance was measured at 450 nm using a microplate reader (Thermo Fisher, USA), and cell viability and the half-maximal inhibitory concentration (IC50) of the drug were calculated.
Apoptosis detection
Cell apoptosis was assessed using an Annexin V-FITC/PI Apoptosis Detection Kit (Beyotime, China). Huh-7 cells treated with ASII or co-cultured with PG@AS-Neu (including both suspended and adherent cells) were collected by centrifugation, gently resuspended in PBS, and counted. According to the manufacturer’s protocol, 1 × 105 resuspended cells were centrifuged at 1000 rpm for 5 min, and the supernatant was discarded. Cells were resuspended in 195 μL Annexin V-FITC binding buffer, followed by the addition of 5 μL Annexin V-FITC and 10 μL propidium iodide (PI) staining solution. After gentle mixing, cells were incubated in the dark at room temperature for 10–20 min. Apoptosis levels were analyzed using a BD LSR Fortessa II flow cytometer (Agilent, USA).
Scratch wound assay
Huh-7 cells were seeded in 6-well plates (1 × 106 cells per well) and cultured for 12 h. A scratch was made using a 10 μL pipette tip, and detached cell clusters were removed by washing with PBS. After replacing the medium with serum-free medium containing ASII, cells were cultured for an additional 24–48 h (with serum-free medium without ASII as the control). Cell migration distance was photographed using an IX73 microscope (Olympus, Japan), and migration rates were calculated for statistical analysis.
Transwell assay
Transwell chambers with 8 μm pores (Corning, USA) were used for cell migration and invasion assays. For the migration assay, 1 × 105 Huh-7 cells were resuspended in 100 μL serum-free medium and added to the upper chamber. The lower chamber was filled with 600 μL medium containing 20% FBS as a chemoattractant. After 24 h of incubation, cells that migrated through the membrane were fixed with 4% paraformaldehyde for 30 min and stained with 0.1% crystal violet for 10 min. For the invasion assay, the upper chamber was pre-coated with diluted Matrigel before cell seeding. Non-migrated cells and excess dye were removed using a cotton swab, and migrated cells were photographed and counted using an IX73 microscope (Olympus, Japan).
Preparation of PG@AS-Neu
First, 40 mg of PEG-PLGA was dissolved in 2 mL of chloroform and sonicated until the solution became clear. Then, 200 μL of deionized water was added, and the mixture was sonicated for 5–10 min to form a primary emulsion. Next, 4 mL of 4% polyvinyl alcohol (PVA) solution was added, and the mixture was sonicated again for 5–10 min to form a double emulsion. The organic solvent was evaporated by stirring at room temperature for 5 h. The resulting product was collected by centrifugation at 10,000 rpm for 15 min and washed 2–3 times with deionized water to obtain blank nanomicelles.
A stock solution of ASII was prepared by dissolving 2 mg of ASII in 1 mL of DMSO. Under continuous stirring, 1 mL of the ASII stock solution was slowly added to 5 mL of blank nanomicelle solution (2 mg/mL) to obtain the PG@AS solution. The PG@AS solution was added to a neutrophil culture dish, allowing the neutrophils to uptake the PG@AS nanoparticles. After 12 h, the final PG@AS-Neu material was obtained.
Drug release
The release of ASII was quantified using high-performance liquid chromatography (HPLC). ASII was separated using a C18 column with a mobile phase of acetonitrile:water (32%:68%) and detected at a UV absorption wavelength of 203 nm. A standard curve of ASII was established using HPLC to calculate the drug loading capacity (Figure 3(a)). PG@AS-Neu was encapsulated in a dialysis bag (1000 Da) and immersed in solutions with pH 7.4, pH 5.5, and pH 5.5 + IL-6. At different time points, the solutions were collected, and the absorbance of ASII was measured using HPLC. The cumulative release percentage was calculated as follows:
Hemolysis assay
Fresh blood collected from adult Kunming mice placed in EP tube was mixed with ten volumes of 0.9% NaCl solution, shaken for several minutes, and centrifuged at 1500 rpm/min for 10 min at 4°C. The supernatant was discarded, and the red blood cells (RBCs) were resuspended in 0.9% NaCl solution. This process was repeated until the supernatant became clear, and a 2% RBC suspension was prepared. For the experimental groups, 0.5 mL of PEG-PLGA nanoparticle solutions at different concentrations was mixed with 0.5 mL of the 2% RBC suspension. Negative and positive controls were prepared by mixing 0.5 mL of the 2% RBC suspension with 0.5 mL of deionized water and 0.9% NaCl solution, respectively. The mixtures were incubated at 37°C for 0.5 h, followed by centrifugation at 1500 rpm/min for 15 min at 4°C. Hemolysis was observed and recorded.
Data analysis
All data are presented as mean ± standard deviation. Each experiment was performed in triplicate, and at least three independent experiments were conducted. Statistical analysis was performed using GraphPad Prism 7.0 (La Jolla, CA, USA) and SPSS 18.0 (SPSS, Chicago, IL, USA). One-way analysis of variance was used to determine statistical significance, with p < 0.05 (*) or p < 0.05 (#) considered statistically significant.
Results
Cytotoxic effects of ASII on liver cancer cells
As the primary active component of the nanomaterial, the inhibitory effects of ASII on liver cancer were initially investigated in vitro. As shown in Figure 1(a), treatment of Huh-7 liver cancer cells with increasing concentrations of ASII resulted in a significant dose-dependent reduction in cell viability. IC50 of ASII for Huh-7 cells was determined to be 62.69 μM, providing a critical reference for subsequent nanomaterial preparation and dosage optimization. To investigate the effects of ASII on Huh-7 cell apoptosis, Annexin V/PI staining was performed. ASII treatment significantly increased the apoptosis rate of cancer cells from 5% in the control group to 16% (Figure 1(b)). These findings indicated that ASII exhibited potent cytotoxic effects on liver cancer cells. Additionally, the impact of ASII on cancer cell migration and invasion was evaluated using scratch wound and Transwell assays. The scratch wound assay (Figure 1(c)) revealed that ASII treatment significantly inhibited cancer cell migration. At 48 h, the tumor cell migration rate in the ASII group was only 33%, significantly lower than that in the PBS group. The Transwell assay (Figure 1(d)) demonstrated that ASII treatment reduced cancer cell migration and invasion by approximately 50%. Collectively, these results indicated that ASII exerted significant cytotoxic effects on liver cancer cells and effectively inhibited their migration and invasion. ASII exhibits potent anticancer effects in vitro. (a) CCK-8 assay determining the IC50 of ASII on Huh-7 liver cancer cells. (b) Annexin V/PI staining showing apoptosis in cancer cells after ASII treatment. (c) Scratch wound assay evaluating the migratory ability and quantification of migration rates of cancer cells at 24 h and 48 h after ASII treatment. (d) Transwell assay assessing changes in cancer cell migration and invasion after ASII treatment. *p < 0.05 vs. PBS; #p < 0.05 vs. Neutrophil.
Preparation and characterization of ASII-Loaded neutrophil nanocarrier (PG@AS-Neu)
In previous experiments, we validated the cytotoxic effects of ASII on cancer cells. However, due to its poor solubility and short circulation time in vivo, ASII is rapidly metabolized and struggles to accumulate at tumor sites. To address this, we constructed PEG-PLGA nanomicelles to encapsulate ASII and utilized neutrophils for targeted drug delivery. The morphology of the PEG-PLGA nanomicelles was observed using transmission electron microscopy (TEM). As shown in Figure 2(a), the nanomicelles exhibited a large hollow hydrophobic structure, suitable for encapsulating the hydrophobic drug ASII. Figures 2(b) and 2(c) show that the nanomicelles had an appropriate hydrodynamic diameter of approximately 220.6 nm and a zeta potential of −25.1 mV. Finally, the drug-loaded nanomicelles were internalized by neutrophils to obtain the final carrier, PG@AS-Neu. Characterization of PG@AS-Neu. (a) TEM image of PEG-PLGA nanomicelles. (b) Hydrodynamic diameter of PEG-PLGA nanomicelles. (c) Zeta potential of PEG-PLGA nanomicelles.
Drug release and biosafety evaluation of the nanocarrier
Next, we evaluated the drug release performance of the nanocarrier under different conditions. First, based on the standard curve (Figure 3(a)), we calculated the encapsulation efficiency and drug loading rate of the PEG-PLGA carrier for ASII to be 82.3% and 12.6%, respectively. Additionally, the effective drug concentration in PG@AS-Neu was determined based on the uptake of PG@AS by neutrophils. As shown in Figure 3(b), under pH 7.4 conditions, the drug release rate was only 8.41% at 24 h. In contrast, under pH 5.5 conditions, the drug release rate significantly increased to 29.64% at 24 h. Notably, in the presence of inflammatory factors at pH 5.5, the release rate of ASII reached 74.32% at 24 h, indicating that the nanocarrier can selectively release drugs in inflammatory environments. To assess the biosafety of the nanomicelles, hemolysis assays were performed at different concentrations. As shown in Figures 3(c) and 3(d), no significant hemolysis was observed in any group. Even at a nanomicelle concentration of 2 mg/mL, the hemolysis rate remained below 5%, demonstrating the excellent biosafety of the prepared nanomicelles. Drug release and biosafety evaluation of PG@AS-Neu. (a) ASII standard curve. (b) Drug release profile of PG@AS-Neu. (c) Hemolysis assay of PEG-PLGA. (d) Hemolysis rate of PEG-PLGA.
Significant anticancer effects of the nanocarrier in vitro
After successfully preparing the nanocarrier PG@AS-Neu, we investigated its antitumor efficacy in vitro. Huh-7 liver cancer cells were co-cultured with neutrophils, PEG-PLGA, ASII, or PG@AS-Neu, and cell viability was assessed using the CCK-8 assay. As shown in Figure 4(a), neutrophil and PEG-PLGA treatment did not significantly affect cancer cell viability, whereas both ASII and PG@AS-Neu treatments significantly reduced cell viability. Notably, although both ASII and PG@AS-Neu exhibited potent anticancer effects, no significant difference was observed between the two groups. This suggested that the cytotoxicity of PG@AS-Neu primarily originated from ASII and that the preparation process did not compromise the anticancer activity of ASII. Similar results were observed in apoptosis assays (Figures 4(b) and 4(c)). After treatment with neutrophils, PEG-PLGA, ASII, and PG@AS-Neu, the apoptosis rates were approximately 4.6%, 4.7%, 14.1%, and 14.5%, respectively, with no significant difference between the ASII and PG@AS-Neu groups. Finally, the Transwell assay (Figure 4(d)) revealed that PG@AS-Neu treatment reduced cancer cell migration and invasion by approximately 50%. These results demonstrated that the ASII-loaded neutrophil nanocarrier exhibited potent anticancer effects in vitro, and the nanomaterial preparation process did not affect the anticancer activity of ASII. Neutrophil nanocarrier exhibits significant anticancer effects in vitro. (a) CCK-8 assay evaluating the viability of Huh-7 liver cancer cells after co-culture with PBS, Neutrophil, PEG-PLGA, ASII, or PG@AS-Neu. (b) Annexin V/PI staining showing apoptosis levels in Huh-7 cells after different treatments. (c) Quantitative flow cytometry results of apoptosis assays. (d) Transwell assay evaluating the effects of PG@AS-Neu treatment on cancer cell migration and invasion. *p < 0.05 vs. PBS; #p < 0.05 vs. Neutrophil.
Discussion
Liver cancer claims approximately 700,000 lives annually. 17 Despite the diversity of existing treatment options, their efficacy remains suboptimal, often accompanied by significant side effects. With the continuous advancements in nanomedicine, the field of cancer therapy has witnessed new opportunities, particularly in nanoparticle-mediated targeted drug delivery, which holds great potential for improving therapeutic outcomes and reducing adverse effects. We developed a neutrophil-based nanodelivery system, PG@AS-Neu, leveraging the natural tumor-targeting and penetrating abilities of neutrophils to deliver ASII, a safe antitumor drug derived from TCM. This approach aims to enhance the specific accumulation of ASII in tumor tissues, thereby improving the safety and efficacy of liver cancer treatment.
Radix Astragali, a valuable perennial legume widely distributed across Asia, Europe, and North America, has garnered significant attention in TCM for its remarkable immunomodulatory properties and ability to mitigate the side effects of cytotoxic drugs. 18 Clinically, Radix Astragali is commonly used to treat various diseases, including cardiovascular diseases, diabetes, and chronic kidney disease. 18 Specifically, Astragalus Polysacharin can increase activity of natural killer cells and cytotoxic T cells, effectively promoting immune surveillance and killing tumor cells. 18 ASII suppresses tumor cell proliferation, migration, and invasion while enhancing sensitivity of cancer cells to chemotherapeutic agents, further suppressing tumor progression.8,19 Given the potential of ASII in liver cancer treatment, we employed ASII as the primary active component in our nanodelivery system. Our findings demonstrate that the neutrophil-based nanocarrier loaded with ASII exhibits potent anticancer effects, significantly reducing the viability of Huh-7 liver cancer cells and promoting apoptosis.
Nanoparticles have been widely used for antitumor drug delivery. Most intravenously administered nanodrugs are nonspecifically deposited in the spleen and liver, with only 1% reaching tumor sites, severely limiting their clinical translation. 20 Notably, cells possess the inherent ability to sense, integrate, and respond to dynamic physiological environments, making them promising candidates as therapeutic drug carriers capable of overcoming the limitations of conventional nanodrugs. Among these cells, neutrophils are widely utilized for anticancer drug delivery due to their abundance in the human body and rapid migration to inflammatory and tumor sites. 21 We developed a neutrophil-based ASII delivery system (PG@AS-Neu) and demonstrated its potent anticancer effects in promoting liver cancer cell apoptosis. Although our study did not directly compare our system with liposomal materials, drug release rate studies and in vitro hemolysis assays confirmed that our nanomaterial could be effectively released from neutrophils and exhibited excellent biosafety.
In conclusion, this study successfully constructed a neutrophil-based nanodrug delivery system, PG@AS-Neu, providing an effective platform for the tumor-targeted delivery of ASII. The PG@AS-Neu system demonstrated excellent biosafety and significant antitumor effects in vitro, offering new insights for liver cancer treatment. However, this study has some limitations. For instance, the research was confined to in vitro experiments, and in vivo efficacy and pharmacokinetic properties of the PG@AS-Neu system remain unclear. In vivo studies are warranted to further validate therapeutic efficacy and safety.
Footnotes
Author Contributions
Conceptualization: Guangyi Gao, Xuan Jiang
Data curation: Guangyi Gao, Xuan Jiang, Jun Ma
Formal Analysis: Guangyi Gao, Xuan Jiang
Investigation: Zeai Wang
Methodology: Xuan Jiang
Project administration: Guangyi Gao
Resources: Zeai Wang, Jun Ma
Supervision: Jun Ma
Validation: Xuan Jiang, Jun Ma
Visualization: Zeai Wang, Jun Ma
Writing – original draft: Guangyi Gao, Zeai Wang
Writing – review & editing: Xuan Jiang.
Funding
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by Huai’an Science and Technology Program (No. HAB202325 & HAWJ2024014).
Declaration of conflicting interests
The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Data Availability Statement
The data in this study are available from the corresponding author on reasonable request.
