Cited by 41Nanoparticle-Based Drug DeliveryRNA Interference and Gene DeliveryDrug Transport and Resistance Mechanisms

Nucleolin-Targeting AS1411 Aptamer-Modified Micelle for the Co-Delivery of Doxorubicin and miR-519c to Improve the Therapeutic Efficacy in Hepatocellular Carcinoma Treatment

Open access
Liang, Xiao, Wang, Yudi, Shi, Hui, Dong, Mengmeng, Han, Haobo, Li, Quanshun·2021·International Journal of Nanomedicine

Abstract

BACKGROUND: Multidrug resistance (MDR) has emerged to be a major hindrance in cancer therapy, which contributes to the reduced sensitivity of cancer cells toward chemotherapeutic drugs mainly owing to the over-expression of drug efflux transporters. The combination of gene therapy and chemotherapy has been considered as a potential approach to improve the anti-cancer efficacy by reversing the MDR effect. MATERIALS AND METHODS: The AS1411 aptamer-functionalized micelles were constructed through an emulsion/solvent evaporation strategy for the simultaneous co-delivery of doxorubicin and miR-519c. The therapeutic efficacy and related mechanism of micelles were explored based on the in vitro and in vivo active targeting ability and the suppression of MDR, using hepatocellular carcinoma cell line HepG2 as a model. RESULTS: The micelle was demonstrated to possess favorable cellular uptake and tumor penetration ability by specifically recognizing the nucleolin in an AS1411 aptamer-dependent manner. Further, the intracellular accumulation of doxorubicin was significantly improved due to the suppression of ABCG2-mediated drug efflux by miR-519c, resulting in the efficient inhibition of tumor growth. CONCLUSION: The micelle-mediated co-delivery of doxorubicin and miR-519c provided a promising strategy to obtain ideal anti-cancer efficacy through the active targeting function and the reversion of MDR.

AI snapshot

Written from the paper’s full text.

TL;DR

AS1411 aptamer-modified PEG-PLA micelles co-delivering doxorubicin and miR-519c were developed to target nucleolin-overexpressing hepatocellular carcinoma and reverse ABCG2-mediated multidrug resistance. In HepG2 models, MDPAS micelles improved cellular uptake, intracellular DOX accumulation, apoptosis, and tumor growth inhibition compared with free DOX or non-targeted micelles.

Key findings

  • MDPAS micelles had a hydrodynamic diameter of 315 ± 2.15 nm, remained stable over 7 days, and showed pH-dependent DOX release: 49.98% at pH 7.4 versus 88.71% at pH 5.0 after 7 days; miR-519c plasmid encapsulation efficiency was 86.53%.
  • AS1411-dependent uptake was observed in HepG2 cells: MDPAS uptake was higher than free DOX or MDP, and pretreatment with free AS1411 aptamer reduced MDPAS internalization; L02 cells showed little effect due to lower nucleolin expression.
  • miR-519c delivery decreased ABCG2 mRNA and protein, increased intracellular DOX, and enhanced anti-proliferative effects: MDP and MDPAS reduced HepG2 viability to 47.80% and 36.30%, respectively; MDPAS induced 23.99% apoptosis versus 19.78% for free DOX and increased G2 arrest to 78.35% versus 30.93% for free DOX.
  • In 3D HepG2 spheroids, MDPAS increased apoptosis to 18.22% versus 5.54% (control), 9.66% (free DOX), and 10.64% (MDP); in vivo, MDPAS more potently inhibited tumor growth and downregulated ABCG2, with no significant body-weight change or obvious major-organ pathological lesions.

Methods

  • MDPAS micelles were prepared by emulsion/solvent evaporation using DC-Chol, Mal-PEG5K-PLA21K, and mPEG5K-PLA10K, with DOX and miR-519c plasmid encapsulated and AS1411 conjugated via Michael addition; characterization included TEM, DLS, zeta potential, agarose gel electrophoresis, and DOX release.
  • In vitro studies used HepG2 and L02 cells for FACS/CLSM uptake, lysosomal escape, qPCR/Western blot/LC-MS/MS for ABCG2 and DOX, MTT viability, Annexin V-FITC/PI apoptosis, cell-cycle analysis, and 3D tumor spheroids.
  • In vivo studies used HepG2 xenografted BALB/c-nude mice: efficacy groups received free DOX, MDP, or MDPAS intravenously once weekly for 4 times at 3.0 mg/kg DOX (n=6/group); biodistribution used n=3/group at 8.0 mg/kg DOX; analyses included tumor volume, H&E, TUNEL, Ki67, ABCG2 staining/qPCR, and major-organ histology.

Limitations

  • The paper does not explicitly state limitations.
  • Evident from the text: therapeutic efficacy was tested only in the HepG2 hepatocellular carcinoma cell line and HepG2 xenograft model, without other HCC lines, patient-derived models, or orthotopic models.
  • Evident from the text: in vivo efficacy used n=6 per group and biodistribution n=3 per group, with tumor growth monitored for 28 days; no survival endpoint or long-term toxicity assessment beyond body weight and major-organ H&E is reported.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.2147/ijn.s304526

Cites

61 of 61 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

0 of 44 cited sources checked · 0 supported · 0 flagged

  • Findingown data

    MDPAS micelles possess favorable cellular uptake and tumor penetration ability by specifically recognizing nucleolin in an AS1411 aptamer-dependent manner.

    “The micelle was demonstrated to possess favorable cellular uptake and tumor penetration ability by specifically recognizing the nucleolin in an AS1411 aptamer-dependent manner.”
    Quote in the paperSubstantial claim
  • Findingreasoning

    The micelle-mediated co-delivery of doxorubicin and miR-519c resulted in efficient inhibition of tumor growth.

    “Further, the intracellular accumulation of doxorubicin was significantly improved due to the suppression of ABCG2-mediated drug efflux by miR-519c, resulting in the efficient inhibition of tumor growth.”
    Quote in the paperSubstantial claim
  • Findingown data

    The hydrodynamic diameter values of M, MDP and MDPAS micelles were 240 ± 4.99, 280 ± 2.01 and 315 ± 2.15 nm, respectively.

    “The hydrodynamic diameter values of M, MDP and MDPAS micelles were determined to be 240 ± 4.99, 280 ± 2.01 and 315 ± 2.15 nm, respectively.”
    Quote in the paperSubstantial claim
  • Findingown data

    AS1411 aptamer was successfully conjugated on the surface of MDPAS micelles.

    “Obviously, a clear band could be observed in the free aptamer group, and no bands could be detected for MDPAS micelles, indicating that AS1411 aptamer has been successfully conjugated on the surface of micelles.”
    Quote in the paperSubstantial claim
  • Findingown data

    MDPAS micelles exhibited higher cellular uptake in HepG2 cells than free doxorubicin and MDP micelles by FACS analysis.

    “In comparison to free DOX and MDP micelles, MDPAS micelles exhibited higher cellular uptake in HepG2 cells by FACS analysis (Figure 2A), indicating that AS1411 aptamer could enhance the cellular uptake efficiency of micelles by the favorable recognition ability towards nucleolin.”
    Quote in the paperSubstantial claim
  • May combine two claims. 41
  • The quote only partly states this claim. 1
  • Classified as probably not a substantial claim. 10
  • May combine two claims.

    Findingreasoning

    In L02 cells, similar red fluorescence intensity was achieved in MDP and MDPAS groups, and pre-treatment of AS1411 aptamer did not influence doxorubicin fluorescence in cytosol.

    “In L02 cells, similar red fluorescence intensity could be achieved in MDP and MDPAS groups, and the pre-treatment of AS1411 aptamer did not influence the DOX fluorescence in cytosol.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    All micelles exhibited a negatively charged state, and no substantial change of zeta potential was detected.

    “In addition, all these micelles exhibited negatively charged state, and no substantial change of zeta potential was detected.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Pre-treatment with AS1411 aptamer had almost no influence on the endocytosis of MDPAS micelles in L02 cells, owing to the lower expression of nucleolin on L02 cells.

    “Conversely, the pre-treatment with AS1411 aptamer had almost no influence on the endocytosis of MDPAS micelles in L02 cells, owing to the lower expression of nucleolin on L02 cells (Figure 2B).”
    Quote in the paperSubstantial claim
  • May combine two claims. The quote only partly states this claim.

    Findingown data

    M, MDP and MDPAS micelles exhibited a uniform and spherical nanostructure with hydrodynamic diameter ranging from 240 to 300 nm.

    “Three micelles exhibited a uniform and spherical nanostructure with hydrodynamic diameter ranging from 240 to 300 nm.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    Compared with free DOX, MDP and MDPAS micelles exhibited evident inhibition of cell proliferation, with cell viability of 47.80% and 36.30%, respectively.

    “Compared with free DOX, MDP and MDPAS micelles exhibited evident inhibition of cell proliferation, with cell viability of 47.80% and 36.30%, respectively.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In vivo, rapid tumor growth was obtained in control group, and blank micelle M showed no inhibitory effects on tumor growth.

    “Rapid tumor growth was obtained in the control group, and blank micelle M showed no inhibitory effects on the tumor growth.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In HepG2 cells, blank micelle M induced no apparent apoptosis, while free DOX induced obvious cell apoptosis with apoptotic ratio of 19.78%.

    “As shown in Figure 4C, no apparent apoptosis was obtained in HepG2 cells after the treatment with blank micelle M, while free DOX induced obvious cell apoptosis with apoptotic ratio of 19.78%.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Red fluorescence of MDPAS micelles remained in tumor after 24 h post-injection, while no visible fluorescence was shown in free DOX.

    “In addition, red fluorescence of MDPAS micelles still remained in the tumor after 24 h post-injection, while no visible fluorescence was shown in free DOX”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    Free DOX and MDP micelles reduced tumor volume, but MDPAS micelles exhibited more potent inhibition of tumor growth.

    “Though free DOX and MDP micelles could reduce the tumor volume, MDPAS micelles exhibited more potent inhibition of tumor growth”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In 3D tumor spheroids, free DOX was distributed on the surface, whereas more red fluorescence of MDP and MDPAS micelles was observed in the inner portion.

    “The 3D reconstruction and serial Z-stacks demonstrated that free DOX were distributed on the surface of tumor spheroids. In contrast, more red fluorescence of MDP and MDPAS micelles was observed in the inner portion of spheroids”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    H&E staining showed intact cellular structure in control group, whereas tumor tissues of mice treated with free DOX, MDP and MDPAS micelles exhibited obvious cell apoptosis evidenced by pyknotic nuclei and incompact cytoplasm.

    “As shown in H&E staining images, an intact cellular structure could be observed in the control group, whereas the tumor tissues of mice treated with free DOX, MDP and MDPAS micelles exhibited obvious cell apoptosis evidenced by the pyknotic nuclei and incompact cytoplasm in the cells.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    TUNEL staining demonstrated apoptosis of tumor cells could be triggered by free DOX, MDP and MDPAS micelles, while micelles containing DOX and miR-519c induced more apoptotic cells than other two groups.

    “The results demonstrated that the apoptosis of tumor cells could be triggered by the treatment with free DOX, MDP and MDPAS micelles, while the micelles containing DOX and miR-519c could induce more apoptotic cells than other two groups.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Findingown data

    In HepG2 cells, blank micelle M and free DOX did not inhibit ABCG2 mRNA expression, whereas MDP and MDPAS micelles decreased ABCG2 mRNA expression.

    “As shown in Figure 3A, blank micelle M and free DOX could not inhibit the expression of ABCG2 by qPCR analysis, whereas the micelles harboring miR-519c plasmid (MDP and MDPAS) dramatically decreased the expression of ABCG2 at the mRNA level.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Chemotherapy is the primary strategy in the treatment of hepatocellular carcinoma and exhibits significant therapeutic efficacy in the clinic.

    “Chemotherapy has been widely accepted to be the primary strategy in the treatment of hepatocellular carcinoma (HCC), exhibiting significant therapeutic efficacy in the clinic.1,2”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [1] El-Serag, 2011, N Engl J Med source

      Not checked in the free run.

    • cites [2] Sherman, 2015, Hepatology source

      Not checked in the free run.

  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Non-coding microRNAs post-transcriptionally regulate mRNA expression by targeting the 3ʹ-UTR region and play a significant role in cellular functions such as differentiation, proliferation and apoptosis.

    “Non-coding microRNAs (miRNAs) can post-transcriptionally regulate the mRNA expression by targeting the 3ʹ-UTR region, and thus play a significant role in various cellular functions such as differentiation, proliferation and apoptosis.15,16”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [15] Lu, 2018, J Allergy Clin Immunol source

      Not checked in the free run.

    • cites [16] Maiti, 2018, ACS Appl Mater Interfaces source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    The occurrence of multidrug resistance of cancer cells reduces the efficacy of chemotherapeutic drugs and has become the most crucial reason for the failure of hepatocellular carcinoma treatment.

    “Especially, the occurrence of multidrug resistance (MDR) of cancer cells can reduce the efficacy of chemotherapeutic drugs,6,7 which has become the most crucial reason for the failure of HCC treatment.”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [6] Cheng, 2020, J Colloid Interface Sci source

      Not checked in the free run.

    • cites [7] Lee, 2019, Cancer Lett source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    ABCG2 plays an important role in ABC-dependent drug efflux, is capable of transporting chemotherapeutic agents such as paclitaxel and doxorubicin, and confers drug resistance leading to high recurrence and poor survival in hepatocellular carcinoma patients.

    “Among them, ABCG2, one of the initially discovered transporters, plays an important role in the ABC-dependent drug efflux, and is capable of transporting a broad range of chemotherapeutic agents such as paclitaxel and doxorubicin (DOX), thus conferring the drug resistance and further leading to high recurrence and poor survival of patients bearing HCC.11–13”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [11] Chol, 2014, ACS Nano source

      Not checked in the free run.

    • cites [12] Orlando, 2020, Nat Commun source

      Not checked in the free run.

    • cites [13] Brackman, 2018, Clin Pharmacol Ther source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Pretreatment with AS1411 aptamer inhibits endocytosis of MDPAS micelles by blocking nucleolin expressed on the surface of HepG2 cells, revealing that internalization of MDPAS micelles in HepG2 cells is performed in an AS1411 aptamer-mediated endocytic pathway.

    “This phenomenon suggested that the pretreatment with aptamer could inhibit the endocytosis of MDPAS micelles by blocking the nucleolin expressed on the surface of HepG2 cells, therefore revealing that the internalization of MDPAS micelles in HepG2 cells was performed in an AS1411 aptamer-mediated endocytic pathway.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    AS1411 has been systemically evaluated in a Phase II clinical trial for leukemia treatment.

    “AS1411, a 26-mer DNA oligonucleotide, has been systemically evaluated in Phase II clinical trial for leukemia treatment.47”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [47] Deng, 2018, Biomaterials source

      Not checked in the free run.

  • May combine two claims.

    Interpretationreasoning

    MDPAS micelles have the potential to obtain rapid drug release and accumulation in tumor tissue.

    “These results indicated that MDPAS micelles exhibited a controlled release of drugs in a pH-dependent manner, which was potential to obtain the rapid drug release and accumulation in the tumor tissue.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Premisecitation

    Aptamers can specifically recognize various targets.

    “Aptamers, also called “chemical antibodies”, are short DNA/RNA oligonucleotides and selected by SELEX technology based on nucleic acid libraries, which can specifically recognize various targets.45,46”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [45] Zhu, 2018, Adv Drug Deliver Rev source

      Not checked in the free run.

    • cites [46] Alshaer, 2018, Adv Drug Deliver Rev source

      Not checked in the free run.

  • Classified as probably not a substantial claim.

    Premisecitation

    Polymeric micelles formed by amphiphilic block copolymers have gained attention due to their core/shell structure, excellent stability, and ideal encapsulation and delivery efficiency of hydrophobic drugs.

    “Among them, polymeric micelles formed by amphiphilic block copolymers have gained more attention due to their unique properties such as the core/shell structure, excellent stability, and ideal encapsulation and delivery efficiency of hydrophobic drugs.34–37”
    Quote in the paperSubstantial claim0 of 4 sources checked
    • cites [34] Wan, 2019, Biomaterials source

      Not checked in the free run.

    • cites [35] Upponi, 2018, Biomaterials source

      Not checked in the free run.

    • cites [36] Yang, 2018, J Control Release source

      Not checked in the free run.

    • cites [37] Hu, 2017, J Biomed Nanotechnol source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    MDPAS micelles possess favorable stability, which is beneficial for long-term storage and in vivo therapeutic applications.

    “Hence, MDPAS micelles was identified to possess favorable stability, which was beneficial to achieve the long-term storage and in vivo therapeutic applications.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Premisecitation

    The hydrophilic shell on the surface of PEG-PLA micelles hinders the adsorption of plasma proteins and avoids elimination by the reticuloendothelial system, resulting in prolonged residence time in the circulation system.

    “Also, the hydrophilic shell on the surface of PEG-PLA micelles is capable of hindering the adsorption of plasma proteins and avoiding the elimination by reticuloendothelial system, resulting in prolonged residence time in circulation system.39”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [39] Dou, 2014, Adv Healthcare Mater source

      Not checked in the free run.

  • May combine two claims.

    Premisecitation

    PEG-PLA micelles have excellent biodegradability and low toxicity.

    “Besides, the characteristics of excellent biodegradability and low toxicity will facilitate their wide applications in drug or gene delivery.42”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [42] Phan, 2016, Int J Pharm source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    All animal studies were conducted according to the Guide for the Care and Use of Laboratory Animals and approved by the Institutional Animal Ethics Committee of Jilin University.

    “All the animal studies were conducted according to the “Guide for the Care and Use of Laboratory Animals” (eighth edition, International Publication No: 978-0-309-15400-0) and approved by the Institutional Animal Ethics Committee of Jilin University (license No. SCXK-(JI) 2014–0012).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Premisecitation

    DOX is a cytotoxic drug which suffers from severe side effects such as cardiotoxicity.

    “Previous studies have confirmed that DOX is a cytotoxic drug which suffered from severe side effects such as cardiotoxicity.58–60”
    Quote in the paperSubstantial claim0 of 3 sources checked
    • cites [58] Gupta, 2018, Circ Res source

      Not checked in the free run.

    • cites [59] Zhao, 2018, Redox Biol source

      Not checked in the free run.

    • cites [60] Hu, 2021, Int J Nanomed source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    Both apoptotic routes could be activated by MDPAS micelles, thereby leading to anti-proliferative effect in cancer cells.

    “The data implied that both apoptotic routes could be activated by MDPAS micelles, thereby leading to the anti-proliferative effect in cancer cells.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    HepG2 tumor-bearing mice were randomly separated into different groups with n=6 in each group.

    “Once the tumor tissue was developed with an average volume of 100 mm3, the HepG2 tumor-bearing mice were randomly separated into different groups (n=6 in each group) and intravenously injected with free DOX, MDP micelles and MPDAS micelles once a week for 4 times, with an equal DOX dose of 3.0 mg/kg per mouse.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    MDPAS micelles possess favorable cellular internalization and lysosomal escape ability, further enhancing the co-delivery efficiency of doxorubicin and miR-519c plasmid.

    “In conclusion, these results revealed that MDPAS micelles possessed favorable cellular internalization and lysosomal escape ability, further enhancing the co-delivery efficiency of DOX and miR-519c plasmid.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    MDPAS micelles possessed excellent tumor-targeting ability and facilitated tissue penetration of DOX and miR-519c in tumor sites.

    “implying that they possessed an excellent tumor-targeting ability and facilitated the tissue penetration of DOX and miR-519c in tumor sites.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Nucleolin is over-expressed on cancer cells (including HepG2) and the AS1411 aptamer specifically recognizes it, enabling tumor targeting.
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    3D tumor spheroids mimic solid tumors more closely by sharing similar features such as spatial distribution of cells, extracellular matrix, cell adhesion, hypoxia and acidic microenvironment, and have been widely used in evaluation of anti-tumor drug delivery systems.

    “In contrast to 2D cell culture, the employment of 3D tumor spheroids could mimic the solid tumors more closely by sharing similar features such as the spatial distribution of cells, extracellular matrix, cell adhesion, hypoxia and acidic microenvironment, which has been widely used in the evaluation of anti-tumor drug delivery systems.57”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [57] Huang, 2018, J Control Release source

      Not checked in the free run.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    Experiments were conducted three times, and data were presented as mean ± standard deviation.

    “Experiments were conducted for three times, and the data were presented as mean ± standard deviation (SD).”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Interpretationreasoning

    Increased therapeutic efficacy mediated by MDPAS micelles was mainly caused by high delivery efficiency and efficient suppression of MDR effect by miR-519c.

    “The increased therapeutic efficacy mediated by MDPAS micelles was mainly caused by the high delivery efficiency as well as the efficient suppression of MDR effect by miR-519c.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Delivery of the miR-519c plasmid leads to functional miR-519c that inhibits ABCG2 expression and drug efflux.
  • May combine two claims.

    Interpretationown data

    MDPAS micelles harboring DOX and miR-519c could be successfully taken up by HepG2 cells through AS1411 aptamer-dependent manner and induce apoptosis and cell cycle arrest to achieve anti-proliferative effect.

    “Taken together, our results suggested that MDPAS micelles harboring DOX and miR-519c could be successfully uptake by HepG2 cells through the AS1411 aptamer-dependent manner and induce the apoptosis and cell cycle arrest to achieve the anti-proliferative effect”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Nucleolin is over-expressed on cancer cells (including HepG2) and the AS1411 aptamer specifically recognizes it, enabling tumor targeting.
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Caspase-8 executes cell death receptor-mediated apoptosis, whereas activation of caspase-9 is initiator of mitochondria-dependent apoptosis signaling pathway.

    “In the apoptotic pathways, caspase-8 has been identified to execute the cell death receptor-mediated apoptosis, whereas the activation of caspase-9 has been considered as the initiator of mitochondria-dependent apoptosis signaling pathway.56”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [56] Yang, 2019, Int J Nanomed source

      Not checked in the free run.

  • May combine two claims.

    Interpretationown data

    MDPAS micelles containing miR-519c plasmid could reverse MDR by inhibiting ABCG2 expression and decrease resistance of cancer cells to chemotherapeutics.

    “These results demonstrated that MDPAS micelles containing miR-519c plasmid could reverse MDR by inhibiting the ABCG2 expression and decrease the resistance of cancer cells to chemotherapeutics.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Delivery of the miR-519c plasmid leads to functional miR-519c that inhibits ABCG2 expression and drug efflux.
  • May combine two claims.

    Interpretationreasoning

    MDPAS micelles exhibited high accumulation in the nucleus, caused by the targeting ability of AS1411 aptamer to nucleolin expressed on the nucleus.

    “Besides, MDPAS micelles exhibited a high accumulation in the nucleus, which was caused by the targeting ability of AS1411 aptamer to the nucleolin expressed on the nucleus.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Nucleolin is expressed on the nucleus.
  • May combine two claims.

    Interpretationown data

    Combinational therapy mediated by MDPAS micelles could efficiently inhibit tumor growth, achieving enhanced treatment efficacy through synergistic effect of therapeutic drug and gene.

    “These results suggested that the combinational therapy mediated by MDPAS micelles could efficiently inhibit the tumor growth, achieving an enhanced treatment efficacy through the synergistic effect of therapeutic drug and gene.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Micelles significantly inhibited cell proliferation and further led to tumor growth inhibition.

    “suggesting that the micelles could significantly inhibit the cell proliferation and further lead to the tumor growth inhibition.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    Co-delivery of DOX and miR-519c plasmid could facilitate intracellular accumulation of DOX and potentially achieve a synergistic anti-cancer effect.

    “Thus, the co-delivery of DOX and miR-519c plasmid could facilitate the intracellular accumulation of DOX and potentially achieve a synergistic anti-cancer effect.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    MDPAS micelles maintained stability to prevent quick elimination in blood and possessed excellent tumor-targeting capacity.

    “Thus, these results demonstrated that MDPAS micelles maintained the stability to prevent the quick elimination in the blood and also possessed an excellent tumor-targeting capacity”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    An AS1411 aptamer-modified micelle system based on PEG-PLA was successfully developed to realize tumor-targeting co-delivery of DOX and miR-519c and anti-cancer treatment in synergistic pattern of two components.

    “In summary, an AS1411 aptamer-modified micelle system was successfully developed based on PEG-PLA to realize the tumor-targeting co-delivery of DOX and miR-519c and the anti-cancer treatment in a synergistic pattern of two components.”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationown data

    MDPAS micelle possesses prominent tumor-targeting ability via specific recognition of nucleolin over-expressed on cancer cells and efficient internalization in AS1411 aptamer-dependent pathway.

    “The MDPAS micelle has been demonstrated to possess prominent tumor-targeting ability via the specific recognition of nucleolin over-expressed on cancer cells and the efficient internalization in an AS1411 aptamer-dependent pathway.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Nucleolin is over-expressed on cancer cells (including HepG2) and the AS1411 aptamer specifically recognizes it, enabling tumor targeting.
  • May combine two claims.

    Interpretationreasoning

    Co-delivery of DOX and miR-519c by MDPAS micelle could reverse MDR effect by inhibiting ABCG2-dependent drug efflux and increasing intracellular DOX concentration, facilitating suppression of tumor growth and desirable therapeutic efficacy.

    “Meanwhile, the co-delivery of DOX and miR-519c by MDPAS micelle could reverse the MDR effect by inhibiting the ABCG2-dependent drug efflux and increasing the intracellular DOX concentration, which could facilitate the suppression of tumor growth and obtain a desirable therapeutic efficacy in cancer treatment.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: Delivery of the miR-519c plasmid leads to functional miR-519c that inhibits ABCG2 expression and drug efflux.
45 of 45
  • The paper relies on this without support.

    Micelles are unsatisfactory for clinical applications due to their limited cellular uptake efficiency and lack of tumor-targeting ability.

    “Nevertheless, the micelles are still unsatisfactory to fulfill the requirements in clinical applications due to their limited cellular uptake efficiency and lack of tumor-targeting ability.”
  • The paper relies on this without support.

    Nucleolin is expressed on the nucleus.

    “Besides, MDPAS micelles exhibited a high accumulation in the nucleus, which was caused by the targeting ability of AS1411 aptamer to the nucleolin expressed on the nucleus.”
  • The paper relies on this without support.

    Nucleolin is over-expressed on cancer cells (including HepG2) and the AS1411 aptamer specifically recognizes it, enabling tumor targeting.

    “via the specific recognition of nucleolin over-expressed on cancer cells”
  • The paper relies on this without support.

    Delivery of the miR-519c plasmid leads to functional miR-519c that inhibits ABCG2 expression and drug efflux.

    “the delivery of miR-519c plasmid could efficiently achieve the knockdown of ABCG2”
4 of 4

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • AS1411-modified micelles simultaneously deliver chemotherapeutics and genes to overcome multidrug resistance.

    “Liang et al. also used AS1411 aptamers to modify micelles to improve their targeting functions. The system simultaneously delivers chemotherapeutics and genes to overcome the multidrug resistance of tumors.256”

    From Smart nanoparticles for cancer therapy (2023) · cites this paper as [256]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Reported micelle size falls outside the stated range

    Minor

    The stated diameter range ends at 300 nm, but the subsequently reported MDPAS diameter is 315 ± 2.15 nm.

  • Biodistribution time point differs between methods and figure caption

    Minor

    The methods say tissues were collected at 24 h for the last time point, whereas the Figure 6 caption labels the last fluorescence-intensity time point as 12 h.

2 of 2

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Authors
Liang, X., Wang, Y., Shi, H., Dong, M., Han, H., & Li, Q.
Affiliations
Jilin University (CN)
Corresponding author
Li, Quanshun
Venue
International Journal of Nanomedicine
Published
2021-03
Volume
Volume 16
Pages
2569-2584
ISSN
  • 1176-9114 (ISSN-L)
  • 1178-2013
OpenAlex
W3147659779
Cited by
41
References
61
Citations by year
2026: 6 · 2025: 10 · 2024: 4 · 2023: 14 · 2022: 5 · 2021: 2
FWCI
1.63
Type
journal article
Language
en
Open access
Locations
  • International Journal of Nanomedicine (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
Funders
  • Jilin Province Development and Reform Commission (2021C041-4, 81872928, 32000897, 2020YFA0907003, 20190201288JC, 32071267)
  • National Natural Science Foundation of China (81872928, 32071267, 20190201288JC, 32000897, 2020YFA0907003, 32071267, 81872928 and 32000897, 2021C041-4)
  • People's Government of Jilin Province (20190201288JC)
  • Jilin University
Topics
  • Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
  • Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
Keywords
nucleolin, AS1411 aptamer, micelles, doxorubicin, hepatocellular carcinoma, multidrug resistance, ABCG2, drug efflux, co-delivery, gene therapy, active targeting, tumor growth inhibition
MeSH terms
Nucleolin, Animals, Antibiotics, Antineoplastic, Cell Cycle, Cell Movement, Doxorubicin, Female, Carcinoma, Hepatocellular, Humans, Liver Neoplasms, Mice, Inbred BALB C, Mice, Nude, Micelles, Oligodeoxyribonucleotides, Phosphoproteins, Tumor Cells, Cultured, Gene Expression Regulation, Neoplastic, Drug Delivery Systems, RNA-Binding Proteins, Apoptosis, Drug Resistance, Multiple, Xenograft Model Antitumor Assays, MicroRNAs, Cell Proliferation, Mice, Aptamers, Nucleotide

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.

Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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