Breast cancer is the most frequently diagnosed cancer among women worldwide. In recent years, mebendazole (MBZ), an orally available FDA-approved anthelmintic drug, has gained attention as a repurposing candidate in oncology due to its anticancer activity across multiple tumor types, including breast cancer; however, its clinical translation is limited by low oral bioavailability. To overcome this limitation and enhance tumor targeting, we developed a folate-functionalized mesoporous silica nanoparticle system (FOL-MSN-MBZ) for the delivery of MBZ to folate receptor-positive (FR+) breast cancer cells, including tamoxifen-resistant and triple-negative breast cancer (TNBC) models.
FOL-MSN-MBZ was synthesized by covalently grafting folic acid (FOL) onto the surface of MSNs, followed by MBZ loading through a two-step impregnation process (drug loading: 8.80%). The cytotoxic activity of free MBZ was evaluated using MTT assays. The selective efficacy of FOL-MSN-MBZ was assessed in FR+ breast cancer cell lines—MCF-7, tamoxifen-resistant MCF-7 (TamR), TamR T47D, MDA-MB-231, and MDA-MB-468—and in FR− normal 3T3-L1 fibroblasts, using cell proliferation and clonogenic assays. The efficacy of the nanosystem was further evaluated in 3D breast cancer models.
Our data demonstrate that FOL-MSN-MBZ effectively induces selective cell death in all FR+ breast cancer cell lines, while sparing normal FR− 3T3-L1 fibroblasts. The nanosystem also inhibits clonogenic potential in tumor cells and reduces spheroid size and viability in 3D breast cancer models. In contrast, free MBZ demonstrated cytotoxic effects across all tested cell lines, including the non-cancerous ones.
Our results indicate that FOL-MSN-MBZ enables targeted delivery of MBZ, inducing cytotoxicity specifically in FR+ tumor cells while sparing normal cells, suggesting that the nanosystem can reproduce the antitumoral effects of the free drug with enhanced tumor specificity. This study was sSupported by NextGenerationEU-PNRR e PRIN—Project Title “Drug repositioning as a safer and sustainable way to fight hard-to-treat cancer”—P2022T7FXB.
