In this study, we designed, formulated,
and investigated the potential
antitumor activity of a folate receptor (FR)-mediated double-targeted
drug delivery system. The system comprised of the FR ligand folic
acid (FA), glycine-phenylalanine-leucine-glycine (Gly-Phe-Leu-Gly,
GFLG), which can be specifically cleaved by cathepsin B, and the anticancer
drug mitomycin C (MMC). The antitumor effect of FA-GFLG-MMC was compared
to that of MMC. 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium
bromide assay revealed that FA-GFLG-MMC has a significantly higher
inhibitory effect on HeLa, SiHa, and PC9 cells (high FR expression)
than that on 16HBE and A549 cells (low FR expression). Furthermore,
FA-GFLG-MMC inhibited cancer cell proliferation in a dose-dependent
manner. Free MMC was toxic to both cancer and normal cells. Apoptosis
of the HeLa, SiHa, and PC9 cells was higher than that of the A549
cells; however, the apoptotic effect on 16HBE cells was minimal. Proapoptotic
protein bcl-2-associated X-protein (BAX) and antiapoptotic protein
BCL-2 play critical roles in cellular defense and apoptotic signal
transduction. BAX/BCL-2 ratio is used to determine the intensity of
an apoptotic signal and assess whether a cell will survive or undergo
apoptosis. BAX and BCL-2 expression in cells treated with 5 μM
FA-GFLG-MMC was studied by Western blotting. FA-GFLG-MMC increased
the BAX/BCL-2 ratio in HeLa, SiHa, and PC9 cells. The results show
that FA-GFLG-MMC can effectively inhibit tumor cell proliferation
by inducing apoptosis. Therefore, the system developed can enhance
the delivery of anticancer drugs to cancer cells and thereby reduce
their toxic effects on normal cells.