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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1265440</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2023.1265440</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>A pH-responsive bi-MIL-88B MOF coated with folic acid-conjugated chitosan as a promising nanocarrier for targeted drug delivery of 5-Fluorouracil</article-title>
<alt-title alt-title-type="left-running-head">Akbar et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2023.1265440">10.3389/fphar.2023.1265440</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Akbar</surname>
<given-names>Muhammad Usman</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1370820/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>Khattak</surname>
<given-names>Saadullah</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1086179/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khan</surname>
<given-names>Malik Ihsanullah</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/2410584/overview"/>
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<contrib contrib-type="author">
<name>
<surname>Saddozai</surname>
<given-names>Umair Ali Khan</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1083893/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/Writing - review &#x26; editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ali</surname>
<given-names>Nemat</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1897537/overview"/>
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</contrib>
<contrib contrib-type="author">
<name>
<surname>AlAsmari</surname>
<given-names>Abdullah F.</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1681049/overview"/>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zaheer</surname>
<given-names>Muhammad</given-names>
</name>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Badar</surname>
<given-names>Muhammad</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Gomal Center of Biochemistry and Biotechnology</institution>, <institution>Gomal University</institution>, <addr-line>Dera Ismail Khan</addr-line>, <country>Pakistan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Henan International Joint Laboratory of Nuclear Protein Regulation</institution>, <institution>School of Basic Medical Sciences</institution>, <institution>Henan University</institution>, <addr-line>Kaifeng</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute of Molecular Biology and Biotechnology</institution>, <institution>The University of Lahore</institution>, <addr-line>Lahore</addr-line>, <country>Pakistan</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Department of Preventive Medicine</institution>, <institution>Institute of Bioinformatics</institution>, <institution>Henan Provincial Engineering Center for Tumor Molecular Medicine</institution>, <institution>School of Basic Medical Sciences</institution>, <institution>Henan University</institution>, <addr-line>Kaifeng</addr-line>, <country>China</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Department of Pharmacology and Toxicology</institution>, <institution>College of Pharmacy</institution>, <institution>King Saud University</institution>, <addr-line>Riyadh</addr-line>, <country>Saudi Arabia</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Department of Chemistry and Chemical Engineering</institution>, <institution>Syed Babar Ali School of Science and Engineering</institution>, <institution>Lahore University of Management Sciences (LUMS)</institution>, <addr-line>Lahore</addr-line>, <country>Pakistan</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/112301/overview">Pranav Kumar Prabhakar</ext-link>, Lovely Professional University, India</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1975239/overview">Bhupinder Kumar</ext-link>, Hemwati Nandan Bahuguna Garhwal University, India</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/612622/overview">Farhat Parween</ext-link>, National Institutes of Health (NIH), United States</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2390685/overview">Mohammad Zafaryab</ext-link>, Alabama State University, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Muhammad Zaheer, <email>muhammad.zaheer@lums.edu.pk</email>; Muhammad Badar, <email>mbadar@gu.edu.pk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>06</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>14</volume>
<elocation-id>1265440</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>07</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>08</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Akbar, Khattak, Khan, Saddozai, Ali, AlAsmari, Zaheer and Badar.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Akbar, Khattak, Khan, Saddozai, Ali, AlAsmari, Zaheer and Badar</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Cancer has remained one of the leading causes of death worldwide, with a lack of effective treatment. The intrinsic shortcomings of conventional therapeutics regarding tumor specificity and non-specific toxicity prompt us to look for alternative therapeutics to mitigate these limitations. In this regard, we developed multifunctional bimetallic (FeCo) bi-MIL-88B-FC MOFs modified with folic acid&#x2014;conjugated chitosan (FC) as drug delivery systems (DDS) for targeted delivery of 5-Fluorouracil (5-FU). The bi-MIL-88B nanocarriers were characterized through various techniques, including powder X-ray diffraction, scanning electron microscopy, energy-dispersive X-ray, thermogravimetric analysis, and Fourier transform infrared spectroscopy. Interestingly, 5-FU@bi-MIL-88B-FC showed slower release of 5-FU due to a gated effect phenomenon endowed by FC surface coating compared to un-modified 5-FU@bi-MIL-88B. The pH-responsive drug release was observed, with 58% of the loaded 5-FU released in cancer cells mimicking pH (5.2) compared to only 24.9% released under physiological pH (5.4). The <italic>in vitro</italic> cytotoxicity and cellular internalization experiments revealed the superiority of 5-FU@bi-MIL-88B-FC as a highly potent targeted DDS against folate receptor (FR) positive SW480 cancer cells. Moreover, due to the presence of Fe and Co in the structure, bi-MIL-88B exhibited peroxidase-like activity for chemodynamic therapy. Based on the results, 5-FU@bi-MIL-88B-FC could serve as promising candidate for smart DDS by sustained drug release and selective targeting.</p>
</abstract>
<kwd-group>
<kwd>metal-organic framework</kwd>
<kwd>folic acid -chitosan</kwd>
<kwd>stimuli responsive</kwd>
<kwd>drug delivery</kwd>
<kwd>targeted therapy</kwd>
<kwd>anticancer</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Pharmacology of Anti-Cancer Drugs</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>The emergence of nanomedicine as a next-generation technology has brought a revolution in battling diseases, particularly cancer (<xref ref-type="bibr" rid="B102">van der Meel et al., 2019</xref>). Cancer, for decades, has remained the leading cause of death worldwide after cardiovascular disease (<xref ref-type="bibr" rid="B29">Dibden et al., 2020</xref>). Despite advances in early diagnosis and associated treatments, current anticancer therapies rely heavily on invasive surgical procedures, radiotherapy, and chemotherapy (<xref ref-type="bibr" rid="B27">Das et al., 2020</xref>). These procedures are endemic to the problems of unwanted toxicity, insufficient drug delivery, premature drug degradation, and cancer recurrence due to incomplete eradication (<xref ref-type="bibr" rid="B99">Ulldemolins et al., 2021</xref>). The field of nanomedicine tries to mitigate such limitations by using smart nanodevices to transport therapeutic molecules specifically to cancer cells reducing off-target side effects (<xref ref-type="bibr" rid="B6">Akbarzadeh et al., 2021</xref>; <xref ref-type="bibr" rid="B70">Manzari et al., 2021</xref>; <xref ref-type="bibr" rid="B94">Surekha et al., 2021</xref>; <xref ref-type="bibr" rid="B15">B&#xe4;umer et al., 2022</xref>). Drug delivery systems based on nanodevices have become increasingly popular due to their advantages of improved drug loading, stable transfer of drugs to the target site, and reduced dosage requirement (<xref ref-type="bibr" rid="B59">Li Y. et al., 2022</xref>; <xref ref-type="bibr" rid="B105">Wang et al., 2022a</xref>; <xref ref-type="bibr" rid="B116">Yu et al., 2022</xref>; <xref ref-type="bibr" rid="B83">Rana et al., 2023</xref>). In this regard, various nanomaterials have been explored as drug delivery systems comprising carbon nanotubes (CNTs), liposomes, hydrogels, Layered double hydroxides (LDHs), dendrimers and metal-organic frameworks (MOFs) (<xref ref-type="bibr" rid="B41">Hesse et al., 2013</xref>; <xref ref-type="bibr" rid="B24">Chen et al., 2020</xref>; <xref ref-type="bibr" rid="B121">Zhang et al., 2020</xref>; <xref ref-type="bibr" rid="B12">Anisimov et al., 2022</xref>; <xref ref-type="bibr" rid="B113">Yang et al., 2022</xref>; <xref ref-type="bibr" rid="B123">Zhao et al., 2023</xref>). Among others, MOFs, due to their exceptional characteristics, have recently gained much attention for their potential in gas sorption, catalysis, sensing, and drug delivery (<xref ref-type="bibr" rid="B77">Okur et al., 2021</xref>; <xref ref-type="bibr" rid="B2">Abbas et al., 2023</xref>; <xref ref-type="bibr" rid="B76">Oh et al., 2023</xref>; <xref ref-type="bibr" rid="B114">Ye et al., 2023</xref>). MOFs are crystalline materials formed by self-assembling inorganic (metal ion/clusters) and organic linkers through coordination chemistry (<xref ref-type="bibr" rid="B103">Vodyashkin et al., 2023</xref>). They are highly diverse structures with tunable surface chemistry, adjustable pores, and high surface areas reaching up to 10,000&#xa0;m<sup>2</sup>/g (<xref ref-type="bibr" rid="B3">Adegoke and Maxakato, 2021</xref>; <xref ref-type="bibr" rid="B9">Altintas et al., 2022</xref>; <xref ref-type="bibr" rid="B115">Yin et al., 2022</xref>). Moreover, through pre or post-synthetic modifications, MOFs can respond to various stimuli (pH, temperature, redox reaction, and ATP) (<xref ref-type="bibr" rid="B104">Wang et al., 2020</xref>; <xref ref-type="bibr" rid="B93">Sun and Davis, 2021</xref>). Upon encountering such stimuli, MOFs undergo structural alterations allowing them to release their encapsulated drug molecules (<xref ref-type="bibr" rid="B122">Zhao et al., 2021</xref>). Various MOFs such as MIL-101 (MIL &#x3d; Material Institute Lavoisier), UiO-66 (UiO &#x3d; University of Oslo), and ZIF-8 (ZIF &#x3d; Zeolite Imidazolate Framework) have been successfully deployed in the past as stimuli-responsive smart DDS for chemotherapy (<xref ref-type="bibr" rid="B1">Ab&#xe1;nades L&#xe1;zaro et al., 2020</xref>; <xref ref-type="bibr" rid="B53">Karimi Alavijeh and Akhbari, 2020</xref>; <xref ref-type="bibr" rid="B112">Yan et al., 2020</xref>). The metal nodes in MOFs also act as catalytic centers performing peroxidase-like (POD) reactions to induce reactive oxygen species (ROS) mediated stress in cancer cells for chemodynamic therapy (<xref ref-type="bibr" rid="B28">Di et al., 2023</xref>). In this regard, mixed-metal MOFs have shown higher POD performance than mono-metallic MOFs due to the excellent M<sup>III</sup>/M<sup>II</sup> cycling frequency and efficient electron transfer capability (<xref ref-type="bibr" rid="B68">Lyu et al., 2017</xref>; <xref ref-type="bibr" rid="B108">Wen et al., 2021</xref>). The performance of MOFs for drug delivery applications could also be improved by making MOFs-composites through surface modification or encapsulating MOFs in biodegradable materials (e.g., Biopolymers) (<xref ref-type="bibr" rid="B35">Ge et al., 2022</xref>).</p>
<p>Compared to other polymers used for biodegradable coatings in targeted DDS, chitosan (CS) has recently attracted much attention due to its cationic character, biodegradable nature, pH sensitivity, efflux pump inhibition, and higher cellular permeability (<xref ref-type="bibr" rid="B4">Aibani et al., 2021</xref>; <xref ref-type="bibr" rid="B88">Sathiyaseelan et al., 2021</xref>). The repeated amine groups found in the structure of CS are responsive towards tumor microenvironment mimicking acidic media and cause swelling of the system to release loaded cargo (<xref ref-type="bibr" rid="B67">Lv et al., 2016</xref>; <xref ref-type="bibr" rid="B23">Chen et al., 2017</xref>). The tumor specificity of the DDS modified with CS could further be improved by functionalizing it with active targeting ligands like folic acid (FA) (<xref ref-type="bibr" rid="B74">Nemati et al., 2021</xref>). Since FA receptors are exclusively overexpressed in most tumor cells, CS functionalization with FA could help DDS internalize into the cells through receptor-mediated endocytosis (<xref ref-type="bibr" rid="B46">&#x130;nce et al., 2020</xref>). However, the application of CS-based DDS as stand-alone nanocarriers is limited due to their rapid degradation and higher swelling degree leading towards pre-mature drug release (<xref ref-type="bibr" rid="B81">Peers et al., 2020</xref>). Thus, making a composite of CS with other materials is termed beneficial to improve the system&#x2019;s overall efficiency (<xref ref-type="bibr" rid="B30">El Leithy et al., 2019</xref>).</p>
<p>5-Fluorouracil (5-FU) is a pyrimidine analog anticancer drug that exerts its cytotoxic effects through DNA/RNA incorporation, causing apoptosis in cancer cells (<xref ref-type="bibr" rid="B38">Guo et al., 2020</xref>). However, it has a rapid degradation rate (5&#x2013;10&#xa0;min) which hampers its broad clinical efficacy (<xref ref-type="bibr" rid="B65">Longley et al., 2003</xref>). The non-specific nature of the 5-FU and lack of suitable carriers further aggravate the situation by causing side effects such as diarrhea, cardiac toxicity, mucositis, dermatitis, and myelosuppression (<xref ref-type="bibr" rid="B20">Chang et al., 2012</xref>). Therefore, encapsulation of 5-FU in suitable carriers to avoid unnecessary side effects has been in focus (<xref ref-type="bibr" rid="B101">Valencia-Lazcano et al., 2023</xref>). For this, FeCo based bi-MIL-88B nanocarriers were synthesized in the current study due to their flexible structure, high surface area, and biocompatible nature of the components (<xref ref-type="bibr" rid="B44">Horcajada et al., 2012</xref>). The bi-MIL-88B nanocarriers exhibited a higher 5-FU loading capacity of 29.8wt%. After loading, these nanocarriers were coated with FA-conjugated CS (FC) to endow them with an extra-gated obstruction in premature drug release and folate receptor-associated cellular uptake. The pH-responsive 5-FU release was realized against the tumor-mimicking environment (pH &#x3d; 5.2) and a normal physiological environment (pH &#x3d; 7.4). The <italic>in vitro</italic> cytotoxicity and cellular uptake of the FC-coated bi-MIL-88B were checked against HEK-293 (FR negative) and SW480 (FR positive) cell lines. Moreover, the Fe<sup>III</sup> and Co<sup>II</sup> based trinuclear clusters in MIL-88B act as catalytic centers for <italic>in situ</italic> peroxidase-like activity.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<p>All the chemicals used in the study were of analytical grade and used as received. Iron (III) nitrate nonahydrate (Fe(NO<sub>3</sub>)<sub>3</sub>&#xb7;9H<sub>2</sub>O), Cobalt (II) nitrate hexahydrate (Co(NO<sub>3</sub>)<sub>3</sub>&#xb7;6H<sub>2</sub>O), Sodium acetate trihydrate (CH<sub>3</sub>COONa&#xb7;3H<sub>2</sub>O), Terephthalic acid, 5-Fluorouracil (5-FU), N, N-dimethylformamide (DMF), 3,3&#x2032;,5,5&#x2032;-Tetramethylbenzidine (TMB), Phosphate buffer saline (PBS) tablets, Chitosan (CS), Folic Acid (FA), 1,1&#x2032;-Dioctadecyl-3,3,3&#x2032;,3&#x2032;tetramethyl indocarbocyanine perchlorate (Dil), N-hydroxysuccinimide (NHS), 1-ethyl-3-(3-dimethyl aminopropyl) carbodiimide (EDC), dimethyl sulfoxide (DMSO), and Glacial acetic acid used were manufactured of Sigma-Aldrich. Roswell park memorial institute (RMPI-1640) medium, 3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide (MTT), L-glutamine, Penicillin-Streptomycin (pen-strep), Alexa fluor&#x2122; 488 Phalloidin and Fetal bovine serum (FBS), were manufactured of Gibco, Invitrogen.</p>
<sec id="s2-1">
<title>2.1 Characterization</title>
<p>A powder X-ray diffraction (PXRD) pattern was obtained to perform crystal structure analysis using BRUKER (D2 Phaser) with Ni-filtered Cu-K&#x3b1; irradiation (&#x3bb; &#x3d; 1.5406 &#xc5;) over 2&#x3b8; range from 5&#xb0; to 50&#xb0;. FEI NOVA Nano 450 scanning electron microscope (SEM) equipped with an energy dispersive X-ray spectroscope (EDX) was used to analyze the morphology of the samples. The samples&#x2019; Zeta potential (ZP) was obtained through Zetasizer (Nano ZS, Malvern) at room temperature in water. N<sub>2</sub> adsorption-desorption isotherm was obtained to Brunauer-Emmett-Teller (BET) surface area and porous makeup of the samples using Quantachrome Nova 2200e. Infrared studies were performed using Bruker Alpha Platinum ATR between the 500&#x2013;4,500&#xa0;cm<sup>-1</sup> range. Thermogravimetric analysis (TGA) was obtained through the TA instrument under an N<sub>2</sub> atmosphere in a temperature ranging from 10&#xb0;C to 600&#xb0;C with a heat ramp of 10&#xb0;/min. UV-Vis spectrophotometry was used to characterize drug loading/release and TMB oxidation studies by Shimadzu UV-1800 spectrophotometer. The cellular uptake fluorescence studies were performed through confocal laser scanning microscope (CLSM) model ZEISS LSM&#x2014;880, Jena, Germany.</p>
</sec>
<sec id="s2-2">
<title>2.2 Synthesis of bi-metallic cluster</title>
<p>The synthesis of bi-metallic acetate cluster FeCo(<italic>&#x3bc;</italic>
<sub>3-</sub>O) was performed using a previously reported method with slight modifications (<xref ref-type="bibr" rid="B87">Sanchez-Lievanos et al., 2020</xref>). Briefly, 0.022&#xa0;mol (3&#xa0;g) of CH<sub>3</sub>COONa.3H<sub>2</sub>O were dissolved in 5&#xa0;mL of deionized water and was called solution-A. On the other hand, a solution-B of Fe and Co was prepared by dissolving 0.0014&#xa0;mol (0.571&#xa0;g) of Fe(NO<sub>3</sub>)<sub>3</sub>.9H<sub>2</sub>O and 0.007&#xa0;mol (2.07&#xa0;g) of Co(NO<sub>3</sub>)<sub>3</sub>.6H<sub>2</sub>O in 5&#xa0;mL of deionized water and was kept on stirring after filtration. Later, solution-A was added dropwise into the thoroughly stirred solution-B, and the mother mix was kept on stirring for 24&#xa0;h at room temperature. After 24&#xa0;h of stirring, the light brown precipitates were collected through filtration and washed thrice with small amounts of water and ethanol. After washing, the collected product was kept to air dry at room temperature.</p>
</sec>
<sec id="s2-3">
<title>2.3 Synthesis of bi-MIL-88B</title>
<p>To synthesize bi-MIL-88B MOFs from pre-synthesized FeCo-<italic>&#x3bc;</italic>
<sub>3</sub>O clusters, equimass of Terephthalic acid (100&#xa0;mg) and FeCo-<italic>&#x3bc;</italic>
<sub>3</sub>O (100&#xa0;mg) were separately dissolved in vials containing 9&#xa0;mL of DMF each through sonication. After dissolution, the terephthalic acid solution was added into the FeCo-<italic>&#x3bc;</italic>
<sub>3</sub>O containing solution under stirring. An additional 1&#xa0;mL of the glacial acetic acid as a modulating agent was added to the mother solution. The whole mixture was homogenously dissolved and inserted into a Teflon-lined autoclave for incubation at 120&#xb0;C for 24&#xa0;h. After 24&#xa0;h of reaction, bi-MIL-88B MOF precipitates were isolated through centrifugation and later washed thrice with DMF and distilled ethanol to remove any unreacted linker present in the structure.</p>
</sec>
<sec id="s2-4">
<title>2.4 Preparation of folic acid-conjugated chitosan (FC)</title>
<p>The folic acid conjugated chitosan (FC) was synthesized using a previously reported method (<xref ref-type="bibr" rid="B45">Hu et al., 2017</xref>). In this method, amine groups of CS were conjugated to the FA by NHS-EDC chemistry. Briefly, a solution of FA (0.16&#xa0;mmol, 7, 150&#xa0;mg) was prepared through dissolution in 40&#xa0;mL of anhydrous DMSO at room temperature. After that, NHS (3.36&#xa0;mmol, 380&#xa0;mg) and EDC (3.36 mmol, 645&#xa0;mg) were added to the solution and stirred for 2&#xa0;hours at room temperature. The solution turned into red brown colored ester solution of DMSO containing activated FA. In the second step, a solution of CS was prepared by dissolving 60&#xa0;mg of CS in 15&#xa0;mL of sodium acetate buffer (pH &#x3d; 7.4) containing 0.1&#xa0;M acetic acid. Later, the activated FA solution of DMSO was added dropwise into the CS solution at room temperature under dark conditions. The solution was allowed to stir for 24&#xa0;h. After this time, the pH of the solution was adjusted to 9.0 through the slow addition of 0.1&#xa0;M sodium hydroxide. In the end, the obtained mixed solution was dialyzed in PBS for 3&#xa0;days to remove phosphoric acid salt, and finally, FC conjugates were obtained through freeze drying.</p>
</sec>
<sec id="s2-5">
<title>2.5 Drug loading</title>
<p>Before drug loading, bi-MIL-88B nanocarriers were activated under vacuum for 24&#xa0;h at 100&#xb0;C to eliminate some of the coordinated solvent molecules occupying the pores. Briefly, 100&#xa0;mg of bi-MIL-88B were dispersed into a 30&#xa0;mL concentrated 5-FU (6,000&#xa0;ppm) solution in ethanol. The solution was put on an orbital shaker at room temperature for 48&#xa0;h. After that, the drug-loaded 5-FU@bi-MIL-88B MOFs were isolated through centrifugation and the supernatant was analyzed for the remaining drug. The drug loading capacity (DLC) and drug loading efficiency (DLE) of the nanocarriers were determined using a calibration curve of 5-FU in ethanol (&#x3bb;<sub>max</sub> &#x3d; 265&#xa0;nm) (<xref ref-type="sec" rid="s10">Supplementary Figure S8</xref>) according to the following formulas (<xref ref-type="bibr" rid="B79">Parsaei and Akhbari, 2022a</xref>);<disp-formula id="e1">
<mml:math id="m1">
<mml:mrow>
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<mml:mn>100</mml:mn>
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<label>(1)</label>
</disp-formula>
<disp-formula id="e2">
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</mml:math>
<label>(2)</label>
</disp-formula>
</p>
</sec>
<sec id="s2-6">
<title>2.6 Fabrication of 5-FU@bi-MIL-88B-FC</title>
<p>To prepare the final composite, FC (20&#xa0;mg) was dissolved in 4&#xa0;mL of an acetic acid solution (pH 6.0) under stirring for 24&#xa0;h to form a homogenous solution. After that, the homogenous FC solution was added to the saturated ethanolic solution of 5-FU (20&#xa0;mL) containing 100&#xa0;mg 5-FU@bi-MIL-88B dispersed nanocarriers. Finally, the master mix was stirred at room temperature for 24&#xa0;h. Later, the resultant FC-coated drug carriers were collected through centrifugation and rinsed twice with ethanol and ultrapure water. After rinsing, the final products were allowed to dry at room temperature under a vacuum for 24&#xa0;h.</p>
</sec>
<sec id="s2-7">
<title>2.7 Drug release</title>
<p>The pH-responsive drug release from samples was realized against TME (pH 5.2) and physiological environment (pH 7.4) mimicking PBS solutions. Briefly, 60&#xa0;mg of 5-FU@bi-MIL-88B and 5-FU@bi-MIL-88B-FC were dispersed in a dialysis bag (3.5&#xa0;kDa MWCO) containing a small amount of PBS. Later, the dialysis bag containing drug-loaded nanocarriers was placed in a beaker containing 60&#xa0;mL of PBS (pH 5.2 and 7.4). The drug release was performed through dialysis at 37&#xb0;C under mild stirring. At predetermined intervals, 1&#xa0;mL of the dialysate solution was pipetted out and replaced with the same amount of fresh PBS to maintain the total volume constant. The withdrawn samples were analyzed through a UV-Vis spectrophotometer, and the concentration of the released drug was determined according to the calibration curve of 5-FU in PBS (<xref ref-type="sec" rid="s10">Supplementary Figure S9</xref>). The experiments were performed in duplicate and the final results were plotted through averaging. The following equations were used to obtain the cumulative 5-FU release percentage:<disp-formula id="equ1">
<mml:math id="m3">
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<mml:mn>100</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
<p>Where Rt denotes the 5-FU concentration released at time t and Rf represents the total amount of 5-FU loaded on the nanocarriers.</p>
</sec>
<sec id="s2-8">
<title>2.8 Cell culture</title>
<p>Human embryonic kidney cells (HEK-293 cells) and human colon cancer (SW480 cells) were obtained from The University of Lahore (UOL) Cell Culture Collection (UCCC). The cells were cultured in RMPI-1640 media supplemented with 1% Pen-strep (100 IU/ml penicillin and 100&#xa0;&#x3bc;g/mL streptomycin), 10% Hi-FBS, and 2&#xa0;mM&#xa0;L-glutamine in a humidified incubator with 5% CO<sub>2</sub> at 37&#xb0;C.</p>
</sec>
<sec id="s2-9">
<title>2.9 Cell cytotoxicity assay</title>
<p>The <italic>in vitro</italic> cytotoxicity of the 5-FU, bi-MIL-88B, 5-FU@bi-MIL-88B and 5-FU@bi-MIL-88B-CS was evaluated by the MTT assay. Briefly, the HEK293 and SW480 cells were seeded in a 96-well plate at a 1 &#xd7; 10<sup>4</sup> density and incubated for 24&#xa0;h in a CO<sub>2</sub> incubator at 37&#xb0;C. After 24&#xa0;h, the cell culture medium was removed and different concentrations of the test samples (7.81&#x2014;500&#xa0;&#x3bc;g/mL) dissolved in the culture medium supplied to the cells and allowed for 48&#xa0;h of incubation. After incubation, 10&#xa0;&#x3bc;L of MTT (12&#xa0;mM) reagent was further supplied to each well and the cells were further incubated for another 4&#xa0;h. Later, the medium was removed and DMSO (100&#xa0;&#x3bc;L) was added to each well. The absorbance was recorded by PerkinElmer Enspire 2300 multimode reader at 570&#xa0;nm. The experiments were conducted in triplicated and the final results were presented through averaging. The IC<sub>50</sub> values were calculated by a non-linear regression model using GraphPad Prism 8 (San Diego, United States).</p>
</sec>
<sec id="s2-10">
<title>2.10 Cellular uptake studies</title>
<p>Confocal laser scanning microscopy was used to study the cellular uptake of nanocarriers. For CLSM imaging, SW480 cells at a density of 3 &#xd7; 10<sup>4</sup> were seeded and grown on a glass coverslip in a 24-well plate for 24&#xa0;h. After incubation for a predetermined time, the original medium was replaced with fresh medium containing Dil@bi-MIL-88B and Dil@bi-MIL-88B-CS (80&#xa0;&#x3bc;g/mL) and incubated for an additional 12&#xa0;h. Dil was used as a fluorescent probe to detect the internalization of the nanocarriers. Later, cells were washed twice with PBS and fixed through 4% formalin. The DAPI and Alexa flour 488 phalloidine were used to stain the nuclei and cytoskeleton of the cells. Finally, the cells were visualized under CLSM.</p>
</sec>
<sec id="s2-11">
<title>2.11 Peroxidase-like activity</title>
<p>The peroxidase-like property of synthesized nanocarriers was studied through the TMB oxidation methodology. Briefly, 5&#xa0;mL of PBS (pH 5.2) was prepared by adding different amounts of bi-MIL-88B (0, 10, 20, 40, 60, and 80&#xa0;&#x3bc;g/mL), H<sub>2</sub>O<sub>2</sub> (1&#xa0;mM) and TMB (0.25&#xa0;mM) and allowed to incubate for 10&#xa0;min at 37&#xa0;&#xb0;C. After that, samples were analyzed through a UV-Vis spectrophotometer at 652&#xa0;nm wavelength related to the oxidized form of the TMB. Moreover, mechanistic studies on the performance of bi-MIL-88B nanocarriers were performed by varying the temperature (30&#xb0;C&#x2014;60&#xb0;C) and pH (4&#x2014;8) of the solution with concentrations of TMB (0.25&#xa0;mM), H<sub>2</sub>O<sub>2</sub> (1&#xa0;mM) and bi-MIL-88B (50&#xa0;&#x3bc;g/mL) kept constant.</p>
</sec>
<sec id="s2-12">
<title>2.12 Statistical analysis</title>
<p>The statistical analysis carried out in the study was performed through GraphPad Prism 8.0. The MTT data were shown as mean &#xb1; standard deviation. The statistically significant values of different groups were obtained through the Kruskal-Wallis test, followed by Dunn&#x2019;s multiple comparison analysis. The degree of significance of the treated groups against the control is represented as &#x2a;&#x2a;&#x2a;&#x2a;<italic>p</italic> &#x2264; 0.0001, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x2264; 0.001, &#x2a;&#x2a;<italic>p</italic> &#x2264; 0.01, and &#x2a;<italic>p</italic> &#x2264; 0.05.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>3 Results and discussions</title>
<sec id="s3-1">
<title>3.1 Synthesis and characterization of bi-MIL-88B</title>
<p>The bi-metallic (FeCo) bi-MIL-88B MOFs were synthesized using a previously published two-step secondary building unit (SBU) approach (<xref ref-type="bibr" rid="B48">Iqbal et al., 2021</xref>). A FeCo-<italic>&#x3bc;</italic>
<sub>3</sub>O trinuclear cluster with metal ions connected to central oxygen (<italic>&#x3bc;</italic>
<sub>3-</sub>O) in a trinuclear fashion was synthesized in the first step (<xref ref-type="bibr" rid="B5">Akbar et al., 2022</xref>). These metal ions are stabilized through the coordinated acetate ligands and solvent molecules at their terminal positions. In the second step, FeCo-<italic>&#x3bc;</italic>
<sub>3</sub>O cluster is reacted with the terephthalic acid as the organic ligand. During the reaction, the terephthalic acid attaches to the metal ions by replacing the acetate ligands in a dissociative manner to form a bi-MIL-88B MOFs (<xref ref-type="bibr" rid="B64">Liu et al., 2016</xref>). Compared to SBU route, mixed-metal MOF synthesis through conventional one-pot synthesis or postsynthetic modifications (PSMs) method is tricky and results in mixed phase MOFs with unwanted altered physico-chemical properties (<xref ref-type="bibr" rid="B56">Li et al., 2013</xref>). Moreover, these methodologies provide less control over the reproducibility of the same MOFs and often generate unwanted metal oxides or even amorphous structures (<xref ref-type="bibr" rid="B109">Wongsakulphasatch et al., 2015</xref>). While, the SBU route exhibits certain advantages over others as the concentration of metals in the final MOFs can be precisely controlled avoiding the generation of unwanted metal oxides. Moreover, stable incorporation of the pre-synthesized mixed-metal SBU into the final MOF allows excellent reproducibility with predictable incorporation of the second metal (Co) with stoichiometric ratio of Fe and Co (2 : 1) (<xref ref-type="bibr" rid="B82">Peng et al., 2017</xref>). The synthetic approach of bi-MIL-88B, drug loading, FC coating, and mechanism of action are illustrated in <xref ref-type="scheme" rid="sch1">Scheme 1</xref>.</p>
<fig id="sch1" position="float">
<label>SCHEME 1</label>
<caption>
<p>Synthetic scheme of 5-FU@bi-MIL-88B and folate receptor (FR) mediated endocytosis in SW480 (FR positive) cells.</p>
</caption>
<graphic xlink:href="FPHAR_fphar-2023-1265440_wc_sch1.tif"/>
</fig>
<p>The SEM analysis was performed to observe the morphological features of the synthesized samples. As seen in <xref ref-type="sec" rid="s10">Supplementary Figures S1A, B</xref>, the FeCo clusters exhibited a jumble of rocks type appearance having undefined morphology. However, upon reaction with the organic linker, the resulting bi-MIL-88B MOFs revealed hexagonal rod-like morphology resembling the pure MIL-88B MOFs reported in the literature (<xref ref-type="fig" rid="F1">Figures 1A, B</xref>) (<xref ref-type="bibr" rid="B18">Cai et al., 2016</xref>). The average size of the bi-MIL-88B was around 338 &#xb1; 30&#xa0;nm, evaluated through average aspect ratio and size distribution analysis by DLS method (<xref ref-type="fig" rid="F1">Figure 1D</xref>; <xref ref-type="sec" rid="s10">Supplementary Figure S5</xref>). The EDX, elemental map and ICP-OES analysis was performed to analyze the elemental composition of the FeCo-cluster and bi-MIL-88B. The EDX spectra and elemental maps showed the homogenous distribution of Fe and Co ions having a stoichiometric ratio of Fe to Co (2 : 1) in the synthesized cluster (<xref ref-type="sec" rid="s10">Supplementary Figures S1D, S2A</xref>) and bi-MIL-88B (<xref ref-type="fig" rid="F1">Figure 1C</xref>; <xref ref-type="sec" rid="s10">Supplementary Figure S2B</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>
<bold>(A&#x2013;B)</bold> SEM images; <bold>(C)</bold> Elemental Maps; <bold>(D)</bold> Size distribution chart of bi-MIL-88B nanocarriers; <bold>(E)</bold> PXRD pattern of simulated and experiment bi-MIL-88B; <bold>(F)</bold> FT-IR spectra of terephthalic acid and bi-MIL-88B.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g001.tif"/>
</fig>
<p>Moreover, the ICP-OES analysis also revealed the homogenous distribution of Fe and Co in both samples with a ratio of 2:1 (<xref ref-type="sec" rid="s10">Supplementary Figure S1</xref>). The presence of a similar stoichiometric ratio of both metals in the bi-MIL-88B indicates that the FeCo clusters retained their structural traits in the final product without any deformities. FT-IR analysis was performed to evaluate the major linkages in the samples. In the case of monometallic Fe-based MIL-88B, the Fe<sub>3</sub>O trinuclear cluster in the structure exhibits metal-oxygen bond vibrations around 600&#xa0;cm<sup>-1</sup>. However, when one Co is incorporated into the cluster, the D<sub>3h</sub> symmetry of Fe<sub>3</sub>O breaks into C<sub>2v</sub>, evident by the emergence of two new vibrational stretching around 734&#xa0;cm<sup>-1</sup> and 528&#xa0;cm<sup>-1</sup> related to FeCo-O bonds in the cluster (<xref ref-type="sec" rid="s10">Supplementary Figure S3</xref>) (<xref ref-type="bibr" rid="B47">Iqbal et al., 2019</xref>). The vibrational bands found around 1,590&#xa0;cm and 1,420&#xa0;cm<sup>-1</sup> in the cluster are related to the carboxyl groups of the coordinated acetate ligands (<xref ref-type="bibr" rid="B120">Zhang et al., 2012</xref>). The vibrational stretching in bi-MIL-88B MOFs found at 1,592&#xa0;cm<sup>-1</sup> and 1,386&#xa0;cm<sup>-1</sup> were related to -COO stretching of the coordinated linker (<xref ref-type="bibr" rid="B63">Liu et al., 2013</xref>).</p>
<p>The PXRD analysis revealed the crystal structure and phase purity of the samples. The characteristic peaks of the synthesized FeCo cluster&#x2019;s PXRD pattern matched well with the simulated one (<xref ref-type="sec" rid="s10">Supplementary Figure S1C</xref>) (<xref ref-type="bibr" rid="B87">Sanchez-Lievanos et al., 2020</xref>). The bi-MIL-88B exhibited highly crystalline phase purity with distinctive peaks at 9.3&#xb0;, 10.2&#xb0;, and 11.6&#xb0; related to 002, 100, and 101 planes also found in the simulated MIL-88B MOF (<xref ref-type="fig" rid="F1">Figure 1F</xref>) (<xref ref-type="bibr" rid="B42">Horcajada et al., 2008</xref>). The porous makeup of the bi-MIL-88B nanocarriers was studied by N<sub>2</sub> adsorption-desorption analysis at 77K (<xref ref-type="sec" rid="s10">Supplementary Figure S4A</xref>). The BET-specific surface area of the bi-MIL-88B was 86&#xa0;m<sup>2</sup>/g with an average pore diameter and volume of 1.9&#xa0;nm and 0.21 cc/g (<xref ref-type="sec" rid="s10">Supplementary Figure S4B</xref>). The lower surface area of the nanocarriers could be due to shrinkage of the structure upon solvent removal during thermal activation (<xref ref-type="bibr" rid="B69">Ma et al., 2013</xref>). The bi-MIL-88B MOFs have a flexible structure and tend to shrink/expand on the removal/addition of the guest molecules, known as a reversible breathing effect (<xref ref-type="bibr" rid="B19">Cao et al., 2022</xref>).</p>
</sec>
<sec id="s3-2">
<title>3.2 Fabrication of 5-FU@bi-MIL-88B-FC</title>
<p>SEM analysis was used to study the morphological changes after the drug impregnation and subsequent FC coating. As shown in <xref ref-type="fig" rid="F2">Figure 2</xref>, bi-MIL-88B, 5-FU@bi-MIL-88B, and 5-FU@bi-MIL-88B-FC, the drug-loaded and FC-coated nanocarriers exhibited similar morphology to the unmodified MOFs. However, 5-FU@bi-MIL-88B reflects some swelling crystals due to the drug impregnation and reversible expansion. After FC coating, 5-FU@bi-MIL-88B-FC showed less aggregation than 5-FU@bi-MIL-88B, which aggregated upon drug impregnation (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>SEM images of bi-MIL-88B <bold>(A, B)</bold>; 5-FU@bi-MIL-88B <bold>(C, D)</bold>; and 5-FU@bi-MIL-88B-FC <bold>(E, F)</bold>.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g002.tif"/>
</fig>
<p>The FT-IR studies further confirmed the incorporation of the 5-FU and the final synthesis of the FC-coated composite. As seen in the FT-IR spectra of 5-FU (<xref ref-type="sec" rid="s10">Supplementary Figure S6</xref>), the vibrational peaks around 1,245&#xa0;cm<sup>-1</sup> and 1740&#xa0;cm<sup>-1</sup> are related to the C&#x2014;N and C&#x2014;O stretching, and the peaks between 800&#xa0;cm<sup>-1</sup> to 540&#xa0;cm<sup>-1</sup> represent C&#x2014;F deformations (<xref ref-type="bibr" rid="B25">Chowdhuri et al., 2016</xref>). The characteristic peaks of 5-FU, when compared with bi-MIL-88B, can also be seen in the drug-loaded 5-FU@bi-MIL-88B samples confirming the successful drug incorporation. After the drug encapsulation, the second step involved the synthesis of folic acid&#x2013;conjugated chitosan (FC) and subsequent composite 5-FU@bi-MIL-88B-FC. The synthesis of FC can be verified by comparing the FT-IR spectra of CS, FA and final conjugated FC. As seen in <xref ref-type="sec" rid="s10">Supplementary Figure S7</xref>, in the FT-IR spectrum of CS, the peaks at 3,360&#xa0;cm<sup>-1</sup>, 2922&#xa0;cm<sup>-1</sup> and 2875&#xa0;cm<sup>-1</sup> are attributed to the N&#x2014;H and asymmetric/symmetric vibrations of C&#x2014;H groups. The peaks around 1,060&#xa0;cm<sup>-1</sup> represent C&#x2014;O stretching, and vibrational bands around 1,322&#xa0;cm<sup>-1</sup> and 1,650&#xa0;cm<sup>-1</sup> are related to C&#x2014;N and C&#x3d;O bonds in the CS. While the peak at 1,154&#xa0;cm<sup>-1</sup> represents asymmetric stretching modes of C&#x2014;O&#x2014;C in the CS spectrum (<xref ref-type="bibr" rid="B22">Chen et al., 2011</xref>; <xref ref-type="bibr" rid="B8">Al-Nemrawi et al., 2022</xref>). Whereas the characteristic peaks at 1,695&#xa0;cm<sup>-1</sup>, 1,480&#xa0;cm<sup>-1</sup>, 1,230&#xa0;cm<sup>-1</sup> and 1,170&#xa0;cm<sup>-1</sup> in the FT-IR spectra of FA are attributed to C&#x3d;O, C&#x3d;C, C&#x2014;O, and C-N vibrational stretching. The 830&#xa0;cm<sup>-1</sup> and 750&#xa0;cm<sup>-1</sup> bands represent aromatic rings&#x2019; out-of-plane C&#x2014;H bond stretching (<xref ref-type="bibr" rid="B80">Parsaei and Akhbari, 2022b</xref>). Most of the characteristic peaks of CS and FA are observed in the FT-IR spectra of FC, which confirms the conjugation of FA to the CS in the final product (<xref ref-type="sec" rid="s10">Supplementary Figure S7</xref>) (<xref ref-type="bibr" rid="B21">Chanphai et al., 2017</xref>). Moreover, the characteristic peaks of FC conjugates are also visible in the 5-FU@bi-MIL-88B composite confirming the successful coating of the 5-FU@bi-MIL-88B nanocarriers with the FC (<xref ref-type="fig" rid="F3">Figure 3A</xref>). The influence of the 5-FU encapsulation and FC coating on the structural properties of the bi-MIL-88B was observed through the PXRD analysis. According to <xref ref-type="fig" rid="F3">Figure 3B</xref>, no significant alteration in the PXRD patterns of the 5-FU@bi-MIL-88B and 5-FU@bi-MIL-88B-FC was observed compared to the pure bi-MIL-88B. A minor decrease in the diffraction angle of the peak related to the 101 plane from 11.6 to 11.2 can be attributed to the pore expansion by 5-FU loading due to the reversible breathing effect (<xref ref-type="bibr" rid="B43">Horcajada et al., 2011</xref>). The reduction in the overall peak intensities of the 5-FU@bi-MIL-88B-FC nanocarriers could be due to the external coating by the FC (<xref ref-type="bibr" rid="B90">Shi et al., 2018</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>
<bold>(A)</bold> FT-IR spectra; <bold>(B)</bold> PXRD patterns; <bold>(C)</bold> Zeta potential values; and <bold>(D)</bold> TGA patterns of the samples.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g003.tif"/>
</fig>
<p>The ZP of the nanocarriers plays an essential role in deciding the stability and adhesion to the cells (<xref ref-type="bibr" rid="B49">Ishihara et al., 2015</xref>). The ZPs of the CS, FA, FC, 5-FU, bi-MIL-88B, 5-FU@bi-MIL-88B, and 5-FU@bi-MIL-88B were 0.47, &#x2212;22.1, &#x2212;9.83, &#x2212;10.7, &#x2212;3.52, &#x2212;19.9 and &#x2212;30.5 respectively (<xref ref-type="fig" rid="F3">Figure 3C</xref>). The positive ZP of CS is due to the cationic amino groups, and the negative ZP of the FA can be ascribed to the anionic carboxyl groups of FA (<xref ref-type="bibr" rid="B91">Song et al., 2013</xref>). The shift to the higher negative ZP value after the FC coating of 5-FU@bi-MIL-88B can be related to the anionic properties of the FC conjugates. The higher ZP values for nanocarriers are beneficial as the highly charged particles tend to repulse each other limiting agglomeration. A lower ZP value results in coagulation due to the weaker repulsion force being overtaken by the attraction force between the charged particles. Moreover, nanoparticles are found in stabilized dispersions with an optimal ZP value of &#x2212;30&#xa0;mV (<xref ref-type="bibr" rid="B86">Samimi et al., 2019</xref>). The surface charge of the nanocarriers also plays a significant role in the cellular uptake of the nanocarriers. The nanocarriers with cationic character are usually internalized into the cell via caveolae-mediated endocytosis and micropinocytosis. While the nanocarriers with anionic features mainly tend to internalize through clathrin/caveolae-mediated endocytosis pathways (<xref ref-type="bibr" rid="B32">Foroozandeh and Aziz, 2018</xref>; <xref ref-type="bibr" rid="B71">Mazumdar et al., 2021</xref>). The TGA analysis further provided insights into the degradation patterns of the samples. As shown in <xref ref-type="fig" rid="F3">Figure 3D</xref>, the bi-MIL-88B nanocarriers before the 5-FU incorporation exhibited two significant weight loss regions. The first weight loss below 280&#xb0;C is attributed to the removal of coordinated solvent molecules in the structure (<xref ref-type="bibr" rid="B33">Gandara-Loe et al., 2020</xref>). The second considerable weight loss from 320&#xb0;C to 480&#xb0;C represents the decomposition of the organic linker and structural disintegration (<xref ref-type="bibr" rid="B84">Rojas et al., 2018</xref>). The drug-loaded 5-FU@bi-MIL-88B nanocarriers exhibited a weight loss pattern similar to the TGA of both 5-FU and bi-MIL-88B. The initial weight loss regions found in unloaded MOFs related to solvent molecules were not observed in the TGA of 5-FU@bi-MIL-88B, indicative of the pores filed with 5-FU molecules (<xref ref-type="bibr" rid="B89">Sheta et al., 2018</xref>). The initial weight loss till 320&#xb0;C in the 5-FU@bi-MIL-88B is related to the decomposition of 5-FU molecules. In contrast, the second significant weight loss follows the pattern of linker decomposition similar to the unloaded MOFs. The 5-FU loaded nanocarriers coated with the FC exhibited a mixture of weight loss patterns identical to the TGA pattern of FC and 5-FU@bi-MIL-88B, which indicates the synthesis of FC-coated 5-FU@bi-MIL-88B composites (<xref ref-type="bibr" rid="B73">Nejadshafiee et al., 2019</xref>). Through the characterizations of SEM, FT-IR, PXRD, ZP, and TGA, the incorporation of the 5-FU and the subsequent coating by FC over the bi-MIL-88B nanocarriers was verified. Through the UV-Vis spectrophotometry analysis, the DLC and DLE of the nanocarriers were found to be 29.8% and 18.2%.</p>
</sec>
<sec id="s3-3">
<title>3.3 Drug release</title>
<p>The <italic>in vitro</italic> 5-FU release was investigated in two PBS mediums with variable pH mimicking the cancer cell environment (pH 5.2) and typical physiological environment (pH 7.4). The concentration of the 5-FU released from the nanocarriers was calculated by correlating the results with the 5-FU calibration curve in PBS (<xref ref-type="sec" rid="s10">Supplementary Figure S9</xref>). The drug release behavior of 5-FU@bi-MIL-88B was compared with the FC-coated 5-FU@bi-MIL-88B-FC to examine the influence of the external coating on the release properties.</p>
<p>The 5-FU release profiles of uncoated and coated bi-MIL-88B are shown in <xref ref-type="fig" rid="F4">Figure 4</xref>. Generally, MOF-based drug delivery systems follow a two-step drug release pattern (<xref ref-type="bibr" rid="B58">Li et al., 2020</xref>). The first stage, rapid/burst release, is due to the drug molecules loosely bound to the surface of the nanocarriers. The quick release stage is followed by more sustained release related to nanocarriers&#x2019; structural modifications and departure of the drug molecules from the pores (<xref ref-type="bibr" rid="B75">Oh et al., 2015</xref>; <xref ref-type="bibr" rid="B51">Jiang et al., 2016</xref>). The 5-FU@bi-MIL-88B and 5-FU@bi-MIL-88B-FC followed a similar two-phase drug release kinetics pattern. A typical parabola of burst release during the first stage can be observed in all samples, with slight changes in both PBS (5.2 and 7.4). In the first 4&#xa0;hours, 5-FU@bi-MIL-88B showed 23.8% and 37.9% of the 5-FU release in pH 5.2 and 7.4 (PBS). The drug release amounts reached 86.7% and 46.4% after 48&#xa0;h in the second stage.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>5-FU release pattern from <bold>(A)</bold> 5-FU@bi-MIL-88B; and <bold>(B)</bold> 5-FU@bi-MIL-88B-FC at different pHs (5.2 and 7.4).</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g004.tif"/>
</fig>
<p>In contrast to the uncoated 5-FU@bi-MIL-88B, the FC-coated 5-FU@bi-MIL-88B-FC exhibited a much-controlled release kinetics of 5-FU in both PBS mediums simulating cancer microenvironment (pH &#x3d; 5.2) and physiological environment (7.4). The FC-coated nanocarriers showed only 24.9% of drug release even after 48&#xa0;h in the PBS of pH &#x3d; 7.4, which could be beneficial to mitigate the unwanted toxicity of the drug to the normal cells. The lower release of the 5-FU from the 5-FU@bi-MIL-88B-FC nanocarriers under a physiological environment can be ascribed to the lower pKa (6.5) of the free amino groups in the CS. These groups lose their charge due to deprotonation at higher pHs and turn CS into an insoluble biopolymer shell. The insoluble coating act as a barrier to the premature release of the drug molecules. Moreover, the higher 5-FU release from the FC-coated nanocarriers in acidic PBS (pH &#x3d; 5.2) compared to the physiological pH (7.4) is due to the protonation of the amine groups making the CS more soluble (<xref ref-type="bibr" rid="B95">Taghavi et al., 2017</xref>; <xref ref-type="bibr" rid="B66">Lu et al., 2019</xref>). Interestingly, the 5-FU@bi-MIL-88B-FC showed much sustained and slower release than their counterparts (5-FU@bi-MIL-88B) in the acidic pH (5.2). Only 58% of the 5-FU was released from the FC-coated nanocarriers compared to the uncoated ones, with 86% of the drug released during the same period. Due to the rapid degradation rate, chemotherapies based on free 5-FU administration lead to many issues, such as rapid cancer progression, metastasis and drug resistance (<xref ref-type="bibr" rid="B124">Leelakanok et al., 2018</xref>). Therefore, sustained release from the FC-coated 5-FU@bi-MIL-88B-FC could be helpful to overcome these challenges by a prolonged drug presence at the tumor site with target specificity of the carriers (<xref ref-type="bibr" rid="B7">Ali et al., 2023</xref>).</p>
<p>The structural stability of 5-FU@bi-MIL-88B-FC was examined by immersing the samples in PBS of pH (5.2 and 7.4) for 4&#xa0;days. According to the SEM images (<xref ref-type="fig" rid="F5">Figures 5A, B</xref>), the nanocarriers immersed at a pH of 7.4 showed little or no difference in morphology, consistent with CS&#x2019;s insoluble character at pHs above 6.5 (<xref ref-type="bibr" rid="B62">Liu et al., 2012</xref>). However, 5-FU@bi-MIL-88B-FC immersed in acidic media (pH &#x3d; 5.2) showed complete degradation of the morphological traits resulting in distorted shape, indicating the drug release in acidic media due to structural breakdown (<xref ref-type="fig" rid="F5">Figures 5C, D</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>SEM images of 5-FU@bi-MIL-88B-FC after 4&#xa0;days of immersion in PBS <bold>(A, B)</bold> of pH 7.4 and <bold>(C, D)</bold> pH 5.2.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g005.tif"/>
</fig>
<p>PXRD analysis was obtained from these PBS (5.2 and 7.4) immersed samples further to analyze the structural alterations of nanocarriers under different pH. <xref ref-type="fig" rid="F6">Figure 6</xref>., compares the PXRD pattern of PBS-immersed nanocarriers with the pure bi-MIL-88B. The nanocarriers soaked in PBS of pH 7.4 maintained most of the characteristic peaks reflected in the PXRD pattern of the pure bi-MIL-88B, supporting the good stability of MOF under physiological conditions also observed in SEM analysi. However, the PXRD pattern of the samples immersed under acidic pH (5.2) exhibited a loss of characteristic peaks of the parent MOFs indicating structural decomposition and instability. Moreover, the degradation of MOF in PBS could also be attributed to the strong affinity of phosphate ions present in the PBS towards the exposed metal sites in the MOF&#x2019;s structure (<xref ref-type="bibr" rid="B57">Li et al., 2017</xref>). Evident from the pxrd pattern of samples immersed in acidic pH, the extra peaks found arround 17, 26, 32&#xb0; and 46&#xb0; (2theta) indicate the presence of Fe and Co phosphates due to their strong interaction (<xref ref-type="bibr" rid="B16">Beale and Sankar, 2002</xref>; <xref ref-type="bibr" rid="B117">Yuan et al., 2016</xref>).</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>PXRD pattern of experimental bi-MIL-88B and immersed samples in PBS (pH 7.4 and 5.2).</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g006.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 <italic>In Vitro</italic> cytotoxicity and cellular uptake studies</title>
<p>
<italic>In vitro</italic>, the cytotoxicity profile of the samples was investigated to evaluate the efficacy of the FC-conjugated system for targeted 5-FU delivery. For this purpose, different concentrations (7.81&#x2013;500&#xa0;&#x3bc;g/mL) of 5-FU, bi-MIL-88B, 5-FU@bi-MIL-88B and 5-FU@bi-MIL-88B-FC were administered to the HEK-293 (FR-negative) and SW480 (FR-positive) cell lines. As seen in <xref ref-type="fig" rid="F7">Figure 7A</xref>, 5-FU showed higher cytotoxic effects towards both cell lines due to its non-specific nature (<xref ref-type="bibr" rid="B10">Alvarez et al., 2012</xref>). The IC<sub>50</sub> value of 5-FU and other treated agents are mentioned in <xref ref-type="table" rid="T1">Table 1</xref>. The unloaded and uncoated bi-MIL-88B MOFs showed considerable biocompatibility against HEK-293 cell lines with an IC<sub>50</sub> value calculated at 342&#xa0;&#x3bc;g/mL (<xref ref-type="fig" rid="F7">Figure 7B</xref>). Moreover, 5-FU-loaded 5-FU@bi-MIL-88B nanocarriers exhibited concentration-dependent toxicity in HEK-293 and SW480 cells. The non-selective cytotoxicity behavior of 5-FU@bi-MIL-88B, if applied without FC coating, could lead to unwanted cytotoxicity against normal cells (<xref ref-type="fig" rid="F7">Figure 7C</xref>) and cause failure of the whole system. The FC-coated 5-FU@bi-MIL-88B-FC exhibited selective toxicity against the FR-positive SW480 cells only with an IC<sub>50</sub> of 136&#xa0;&#x3bc;g/mL. A slightly higher IC<sub>50</sub> value of FC-coated nanocarriers was observed compared to the free 5-FU against SW480 cells. It is because the free drug is readily available to the system to exert its effects during a short incubation time. In contrast, the encapsulated drug molecules are released slowly into the system and require more time to show their full efficacy (<xref ref-type="bibr" rid="B37">Gu et al., 2012</xref>). Moreover, 5-FU@bi-MIL-88B-FC showed very low toxicity towards the FR-negative cell lines (HEK-293), demonstrating the potential of the synthesized DDS to be effectively applied for targeted drug delivery against FR-positive cancer cell lines (<xref ref-type="fig" rid="F7">Figure 7D</xref>).</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Cell viability results of HEK-293 and SW480 against different concentrations (7.81&#x2013;500) of <bold>(A)</bold> 5-FU; <bold>(B)</bold> bi-MIL-88; <bold>(C)</bold> 5-FU@bi-MIL-88B and <bold>(D)</bold> 5-FU@bi-MIL-88B-FC. The degree of significance between the control and treatment groups for each cell line is denoted by &#x2a;&#x2a;&#x2a;&#x2a;<italic>p</italic> &#x2264; 0.0001, &#x2a;&#x2a;&#x2a;<italic>p</italic> &#x2264; 0.001, &#x2a;&#x2a;<italic>p</italic> &#x2264; 0.01, and &#x2a;<italic>p</italic> &#x2264; 0.05.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g007.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Estimated IC<sub>50</sub> values of different treatment groups against HEK-293 and SW480 cells.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th colspan="5" align="center">Treatment groups (&#x3bc;g/mL)</th>
</tr>
<tr>
<th align="center">Cell line</th>
<th align="center">5-FU</th>
<th align="center">bi-MIL-88B</th>
<th align="center">5-FU@bi-MIL-88B</th>
<th align="center">5-FU@bi-MIL-88B-FC</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="center">HEK-293</td>
<td align="center">108</td>
<td align="center">342</td>
<td align="center">184</td>
<td align="center">N.A</td>
</tr>
<tr>
<td align="center">SW480</td>
<td align="center">113</td>
<td align="center">482</td>
<td align="center">301</td>
<td align="center">136</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>N.A: not accountable.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>To further support the observation of enhanced and selective toxicity of FC-coated nanocarriers against FR-positive SW480 cancer cells, the carbocyanine dye (Dil) labeled Dil@bi-MIL-88B and Dil@bi-MIL-88B-FC MOFs were used as a fluorescent probe. The Dil fluorescence intensity was measured using the excitation wavelength of 550&#xa0;nm and an emission peak at 564&#xa0;nm. The cellular uptake based on the Dil fluorescence intensity is shown in <xref ref-type="fig" rid="F8">Figure 8A</xref>. The higher fluorescence intensity in cells treated with Dil@bi-MIL-88B-FC, compared to non-FC conjugated Dil@bi-MIL-88B, indicates the enhanced cellular uptake due to the FC shell. The cytoplasm was stained with alexa fluor 488 phalloidin, and the nucleus was stained with DAPI. Moreover, the increaed in the mean fluorescence intensity (MFI) by 1.8 to 2.4- fold for cells treated with Dil@bi-MIL-88B-FC compared to Dil@bi-MIL-88B further corroborated to the excellent cellular uptake of FC functionalized nanocarriers. These results suggest that the FC coating facilitates folate receptor-mediated cellular uptake and is essential in developing targeted DDS (<xref ref-type="bibr" rid="B92">Stella et al., 2000</xref>; <xref ref-type="bibr" rid="B91">Song et al., 2013</xref>).</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>
<bold>(A)</bold> Cellular internalization results of Dil@bi-MIL-88B (top) and Dil@bi-MIL-88B-FC (bottom) against SW480 cells visualized through CLSM. Red fluorescence (Dil), Green (Alexa fluor 488 stained cytoplasm), Blue (DAPI stained nuclei) and Merge (Overlay image); <bold>(B)</bold> Quantification of the MFI of Dil per cell via ImageJ. Data is shown in mean &#xb1; SD (n &#x3d; 10). &#x2a;&#x2a;&#x2a;&#x2a;<italic>p &#x3c; 0.0001</italic>.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g008.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 Peroxidase-like activity</title>
<p>Inspired by the peroxidase (POD) like activity of the different transition metals such as Fe, Mn, Cu, and Co, and their use in chemodynamic therapy, we examined the POD activity of our nanocarriers through the TMB oxidation test (<xref ref-type="scheme" rid="sch2">Scheme 2</xref>) (<xref ref-type="bibr" rid="B17">Bokare and Choi, 2014</xref>). Due to their altered metabolic pathways, the cancer cells are known to have higher levels of reactive oxygen species (H<sub>2</sub>O<sub>2</sub>, <sup>1</sup>O<sub>2</sub>, <sup>&#x2022;</sup>OH) production (<xref ref-type="bibr" rid="B36">Giacosa et al., 2021</xref>). This over-expressed ROS production is utilized by cancer cells for various purposes, such as drug resistance, tumor pathogenesis, and metastasis (<xref ref-type="bibr" rid="B50">Ishikawa et al., 2008</xref>; <xref ref-type="bibr" rid="B26">Chun et al., 2021</xref>). The bi-MIL-88B MOFs, due to their trinuclear oxo cluster with terminal coordinatively unsaturated sites (CUS), are capable of decomposing H<sub>2</sub>O into highly toxic <sup>&#x2022;</sup>OH radicals (<xref ref-type="bibr" rid="B110">Xiao et al., 2023</xref>). These <sup>&#x2022;</sup>OH radicals are highly potent and can oxidize any macromolecules that come in contact with them (<xref ref-type="bibr" rid="B60">Li H. et al., 2022</xref>).</p>
<fig id="sch2" position="float">
<label>SCHEME 2</label>
<caption>
<p>The peroxidase-like activity of bi-MIL-88B nanocarriers.</p>
</caption>
<graphic xlink:href="FPHAR_fphar-2023-1265440_wc_sch2.tif"/>
</fig>
<p>Similar results were observed in the current study; when the system contained only H<sub>2</sub>O<sub>2</sub> and TMB, no catalytic reaction was observed regarding TMB oxidation (<xref ref-type="fig" rid="F9">Figure 9A</xref>). However, by adding different concentrations of the bi-MIL-88B, the colorless TMB started to convert into a blue-colored oxidized form (detected at 652&#xa0;nm wavelength), indicating the POD potential. Furthermore, mechanistic studies were performed to evaluate the performance of bi-MIL-88B nanocarriers under variable pH and temperature. As seen in <xref ref-type="fig" rid="F9">Figure 9B</xref>, an increase in the pH from 4 to 8 reduced the production of oxidized TMB, indicating our nanocarriers&#x2019; safety at physiological pH (7.4). Higher catalytic activity in the samples in an acidic pH medium suggested the cancer cell-specific POD performance. The catalytic performance also increased by increasing the system&#x2019;s temperature (<xref ref-type="fig" rid="F9">Figure 9C</xref>). The increased activity with higher temperatures benefits our developed DDS, as cancer cells usually have higher internal temperatures than normal cells (<xref ref-type="bibr" rid="B100">Vahed et al., 2017</xref>). The enhanced POD performance under rising temperature can be related to the altered entropy of the reaction constant and reduced activation energy needed for the catalytic reaction (<xref ref-type="bibr" rid="B13">&#xc5;qvist et al., 2017</xref>). Based on the multidimensional therapeutic ability, 5-FU@bi-MIL-88B-FC present excellent potential in the field of multifaceted targeted therapies. Some of the MOF based carriers functionalized through FA for targeted therapies are mentioned in <xref ref-type="table" rid="T2">Table 2</xref>.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>
<bold>(A)</bold> TMB oxidation with different concentrations of bi-MIL-88B; <bold>(B)</bold> Effect of temperature and <bold>(C)</bold> pH on the POD activity of bi-MIL-88B; <bold>(D)</bold> Digital photograph of TMB color change during the oxidation process.</p>
</caption>
<graphic xlink:href="fphar-14-1265440-g009.tif"/>
</fig>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>List of reported MOF based nanocarriers functionalized with folic acid for targeted therapy.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">MOF</th>
<th align="left">Functionalization</th>
<th align="left">Drug</th>
<th align="left">Loading capacity</th>
<th align="left">Stimuli</th>
<th align="left">Therapy</th>
<th align="left">Reference</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">ZIF-67@ZIF-8</td>
<td align="left">Iron oxide, FA</td>
<td align="left">Quercetin</td>
<td align="left">50&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT, CDT</td>
<td align="left">
<xref ref-type="bibr" rid="B78">Pandit et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">BioMOF-101</td>
<td align="left">FA</td>
<td align="left">Curcumin</td>
<td align="left">99.42&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B11">Alves et al. (2023)</xref>
</td>
</tr>
<tr>
<td align="left">MOF-808</td>
<td align="left">FA - CS</td>
<td align="left">Quercetin</td>
<td align="left">43&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B80">Parsaei and Akhbari (2022b)</xref>
</td>
</tr>
<tr>
<td align="left">Zr-MOF</td>
<td align="left">FA</td>
<td align="left">Bufalin</td>
<td align="left">17.4&#xa0;wt%</td>
<td align="left">pH, GSH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B119">Zeng et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">PCN-224</td>
<td align="left">FA</td>
<td align="left">Camptothecin, Doxorubicin</td>
<td align="left">10,7 and 6.8&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B111">Xie et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">Fe-MIL-88@ZIF-8</td>
<td align="left">FA</td>
<td align="left">Doxorubicin, MnOx</td>
<td align="left">43.2&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT, CDT</td>
<td align="left">
<xref ref-type="bibr" rid="B118">Zeng et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">Zn-MOF</td>
<td align="left">FA - CS</td>
<td align="left">Methotrexate</td>
<td align="left">78&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B54">Khatibi et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">UiO-66-NH2</td>
<td align="left">FA</td>
<td align="left">Oxaliplatin</td>
<td align="left">29.3&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B39">Hashemzadeh et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">ZIF-8</td>
<td align="left">FA</td>
<td align="left">miR-491&#x2013;59</td>
<td align="left"/>
<td align="left">pH</td>
<td align="left">Gene regulation</td>
<td align="left">
<xref ref-type="bibr" rid="B52">Ju et al. (2021)</xref>
</td>
</tr>
<tr>
<td align="left">UiO-66</td>
<td align="left">FA&#x2013; Pluronic F127 and SiO<sub>2</sub>
</td>
<td align="left">Doxorubicin</td>
<td align="left">5.6&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B98">Trushina et al. (2022)</xref>
</td>
</tr>
<tr>
<td align="left">Fe-MOF-5-NH2</td>
<td align="left">FA, 5-FAM</td>
<td align="left">5-FU</td>
<td align="left">35&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT</td>
<td align="left">
<xref ref-type="bibr" rid="B34">Gao et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">Bi-MIL-88B</td>
<td align="left">FA&#x2014;CS</td>
<td align="left">5-FU</td>
<td align="left">29.8&#xa0;wt%</td>
<td align="left">pH</td>
<td align="left">CT, CDT</td>
<td align="left">This study</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>As it is crucial for the effectiveness of any therapy that drug accumulation should be in the target sites rather off-target (<xref ref-type="bibr" rid="B31">Farooq et al., 2019</xref>; <xref ref-type="bibr" rid="B85">Saddozai et al., 2020</xref>). In case of leakage to healthy tissue, adverse effects in terms of cellular cytotoxicity could be observed, leading to severe complications (<xref ref-type="bibr" rid="B97">Torchilin, 2010</xref>; <xref ref-type="bibr" rid="B40">He et al., 2020</xref>). Several factors, such as the physicochemical properties of drug molecules and tumor biology, can affect passive targeting. Therefore, these issues can be addressed by functionalizing drug-loaded nanocarriers with targeting ligands (<xref ref-type="bibr" rid="B14">Attia et al., 2019</xref>; <xref ref-type="bibr" rid="B96">Tesauro et al., 2019</xref>). FA is the most commonly used ligand for MOFs&#x2019; surface functionalization to obtain FR-receptor targeting (<xref ref-type="bibr" rid="B72">Muhamad et al., 2018</xref>). In addition to active targeting, MOF-based nanocarriers utilizing intrinsic components of TME to generate ROS stress for a synergistic therapeutic effect along with chemotherapy present a new class of intelligent nanomaterials for efficient anticancer properties (<xref ref-type="bibr" rid="B106">Wang C. et al., 2022</xref>; <xref ref-type="bibr" rid="B107">Wang et al., 2022c</xref>; <xref ref-type="bibr" rid="B61">Liang et al., 2023</xref>). In this regard, bi-MIL-88B-FC can be effectively utilized as a potential DDS for multidimensional targeted chemotherapy and chemodynamic therapy based on mechanistic insights into the catalytic performance and drug release kinetics.</p>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>4 Conclusion</title>
<p>In this study, 5-FU@bi-MIL-88B-FC nanocarriers were synthesized for tumor-specific targeted drug delivery. The nanocarriers presented a higher 5-FU loading capacity of 29.8&#xa0;wt%. Moreover, surface modification through the FA conjugated CS (FC) endowed these carriers with exceptional cell targeting and sustained drug release properties. The presence of an extra polymer coating provided a gated effect in improving the controlled release of the loaded drug and evasion of premature leakage. The 5-FU@bi-MIL-88B-FC exhibited pH-responsive drug release with higher concentrations of the 5-FU released under the tumor-mimicking environment (pH 5.2). The cytotoxicity profile and folate receptor-mediated cellular uptake was investigated against HEK-293 (FR-negative) and cancer SW480 (FR-positive). The results showed FR-positive cancer cell-specific cytotoxic effects of 5-FU@bi-MIL-88B-FC against the SW480 cells with sufficient internalization efficacy. Moreover, the peroxidase-like activity due to the catalytic sites provides these nanocarriers an extra feature to be tested for a full-fledged multidimensional anticancer therapy. The sufficient short-time stability, stimuli-responsive drug release, POD mimicking character and active targeting of FR-positive tumor cells with FA binding make these nanocarriers promising DDS for multifunctional tumor therapy.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s10">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Ethics statement</title>
<p>Ethical approval was not required for the studies on humans cell lines in accordance with the local legislation and institutional requirements because only commercially available established cell lines were used. No potentially identifiable images or data are presented in this study.</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>MA: Data curation, Formal Analysis, Investigation, Methodology, Writing&#x2013;original draft. SK: Writing&#x2013;review and editing. MK: Writing&#x2013;review and editing. US: Writing&#x2013;review and editing. NA: Funding acquisition, Writing&#x2013;review and editing. AA: Funding acquisition, Writing&#x2013;review and editing. MZ: Investigation, Project administration, Supervision, Writing&#x2013;review and editing. MB: Conceptualization, Formal Analysis, Funding acquisition, Methodology, Project administration, Supervision, Writing&#x2013;review and editing.</p>
</sec>
<ack>
<p>The authors acknowledge LUMS and Gomal University for providing technical support for the investigations into the project. The authors also extend their gratitude to The University of Lahore and Henan University for providing technical assistance in the project. And the authors acknowledge and extend their appreciation to the Researchers Supporting Project Number (RSPD2023R940), King Saud University, Riyadh, Saudi Arabia for funding this study.</p>
</ack>
<sec sec-type="COI-statement" id="s8">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s10">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fphar.2023.1265440/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fphar.2023.1265440/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
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