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. 2021 Oct 27;13(21):5389. doi: 10.3390/cancers13215389

Table 2.

Delivery of chemotherapeutics using silk-based particles.

Drug Silk Source Preparation Method Particle Size Characterization Functionalization/Surface Modification Target/
In Vitro/
In Vivo Model
Outcome/Findings Ref
Doxorubicin B. mori silk fibroin Desolvation with acetone 100 nm SEM, DLS, Zeta potential
Drug loading/release
Cellular uptake (CLSM)
Cytotoxicity
Breast cancer/
MCF-7
MCF-7-ADR/ND
pH-dependent drug release up to 6 days
Enhanced endocytic uptake and lysosomal accumulation
[174]
Nanoprecipitation with acetone 106 nm
Size, Zeta potential
SEM
Encapsulation efficiency
Cytotoxicity
Breast cancer/
MDA-MB-231/
ND
Simple, quick and reproducible method of particle preparation
High drug encapsulation efficiency
Sustained drug release
[175]
Electrospraying with PVA blends 600–1800 nm DLS, Zeta potential
SEM, TEM
Drug loading/release
Cytotoxicity (MTT)
Apoptosis assay
In vivo study
Breast cancer/
MDA-MB-231/
tumor xenograft in mice
Very good monodispersity
High drug encapsulation efficiency
Controlled drug release for 72h
External ultrasound triggered and accelerated drug release
[176]
Silk/PVA phase separation within microfluidics device 2.8–6.8 µm SEM
Drug loading/release
Cytotoxicity (MTT)
Macrophage activation
Cellular uptake (CLSM)
Neuroblastoma/
KELLY
THP-1/
ND
High drug loading capacity and efficiency
pH-dependent drug release
Sustained drug release over 23 days
Uptake by THP-1 monocytes
Macrophage activation in response to silk particle exposure
[177]
Salting-out with potassium phosphate 530 nm Size, SEM, Zeta potential, FTIR,
BET analysis (porous structure)
Cytotoxicity (CCK-8)
Cellular binding and internalization (FCM, CLSM)
FA-conjugated Cervical cancer/
HeLa/
ND
FA-targeted and pH-responsive particles
Controlled drug release up to 32 h
Enhanced internalization in cancer cells overexpressing FA receptor
Higher cytotoxicity against HeLa cells than particles without functionalization
[178]
Acetone nanoprecipitation 116 nm DLS, Zeta potential, SEM, FTIR, Drug loading/release
Macrophage activation
Cytotoxicity (MTT)
Cellular uptake (CLSM)
PEGylated silk Breast cancer/
MCF-7/
ND
Increased particle stability
Increased clearance time than non-modified particles
High drug entrapment efficiency and release capacity
pH-dependent drug release over 14 days
[179]
A. pernyi silk fibroin Ion-induced self- assembly 100–500 nm Size, Zeta potential, SEM, FTIR, XRD,
Drug release
Cytotoxicity (Alamar blue)
Liver cancer/
HepG-2/
ND
Self-assembly induced by cations (Na+, Ca2+, and Ce3+)
RGD-containing silk fibroin material
pH-sensitive and sustained drug release up to 11 days
[180]
Self-assembly 30–1000 nm SEM, FTIR, XRD
Drug loading/release
ND pH-sensitive and sustained release for over 23 days [181]
A. mylitta silk fibroin Desolvation with acetone 150–170 nm TEM, DLS, Zeta potential
Drug loading/release
Cellular binding and internalization (FCM, CLSM)
Cytotoxicity (MTT)
Macrophage activation
FA-conjugated Breast cancer/ MDA-MB-231/
ND
Capable of sustained drug release up to 21 days
Selective cancer cells targeting
Enhanced cellular binding and uptake via endocytosis than non-functionalized particles
[182]
B. mori silk sericin-chitosan Two-step crosslinking with chitosan and EDC 200–300 nm Drug loading/release
Zeta potential
Cytotoxicity (CCK-8)
Hemolysis assay
Plasma coagulation assay
In vivo studies
Breast cancer/
MCF-7 and
Liver cancer/
HepG-2/
tumor xenograft in mice
Excellent colloidal stability
Stable in the absence of cryoprotectants
Biocompatible in animal study
Low systemic toxicity of the released drug
[44]
A. pernyi silk sericin Silk-templated hydroxyapatite (HAp) mineralization 1.2 µm SEM, TEM, DLS,
FTIR, XRD
Drug loading/release
Cryo-SEM
Cytotoxicity (Alamar blue)
Cellular uptake (CLSM)
Breast cancer/
Bcap-37 and
Cervical cancer/
HeLa/
ND
Uniform and porous microparticles
pH-responsive characteristic due to the presence of pH-responsive HAp Controlled and sustained release of drug
[46]
Bioengineered silk (SELP) Self-assembly with hydrophobic Dox 50–142 nm DLS, Drug loading/release
Cytotoxicity (MTT)
Cellular binding (FCM) and uptake (CLSM)
Cervical cancer/
HeLa/
ND
Fabricated and loaded with an aqueous process under mild conditions
Simple method to control particle size
High uptake of the nanoparticles by the cancer cells
Internalization of the nanoparticles through endocytosis
[37]
Bioengineered N. clavipes spider silk (MS1) Salting-out with potassium phosphate 300–400 nm Size, Zeta potential,
SEM, FTIR,
Drug loading/release
Cellular binding (FCM) and uptake (CLSM)
Cytotoxicity (MTT)
H2.1 and H2.2 peptides-conjugated (anti-Her2) Breast cancer/
SKBR-3 and
Ovarian cancer/
SKOV-3/
ND
pH-dependent drug release up to 15 days
Enhanced targeted binding to Her2-overexpressing cells
Enhanced internalization into targeted cancer cells
Higher toxicity towards cancer cells than control cells
No cytotoxic
[88,89]
In vivo studies (toxicity, biodistribution, efficiency) H2.1 peptide-conjugated Breast cancer/ murine D2F2 and D2F2E2/
tumor in mice
Enhanced tumor-specific targeting in vivo than non-functionalized particles
No systemic toxicity as compared to free Dox
Suppression of cancer cell growth in vivo
[90]
Bioengineered N. clavipes spider silk (MS1, MS2) Salting-out with potassium phosphate <400 nm Size, SEM,
Drug loading/release
Cellular binding (FCM) and uptake (CLSM)
Cytotoxicity (MTT)
H2.1 peptide/ DOX binding peptide-conjugated Breast cancer/
SKBR-3/
ND
pH-dependent drug release up to 7 days
Double functionalization of silk spheres for controlled Dox delivery into Her2-positive cancer cells
Enhanced targeted binding and internalization into Her2-overexpressing cells
Higher drug-loading capacity, binding per cell and cytotoxic effect compared
with control spheres, Higher toxicity towards cancer cells than control cells
[125]
Paclitaxel B. mori silk fibroin Desolvation with ethanol and freezing 270–520 nm Size, Zeta potential, FTIR, HRSEM, TEM
Drug loading/release
ND Easy and mild method of particle preparation
Particles with controllable shape and size
Drug release for over 9 days
[183]
Desolvation with ethanol 158–206 nm Size, Zeta potential, TEM, FTIR, XRD,
Drug loading/release
Cellular binding (microscopy)
Cytotoxicity (MTT)
Apoptosis assay
In vivo studies (toxicity, efficiency)
Gastric cancer/
BGC-823 and
SGC-7901/
Tumor xenograft in mice
Sustained drug release for 100 h
Drug-induced cytotoxicity when incorporated into nanoparticles
Excellent antitumor efficacy in mice
No systemic toxicity
[184]
Desolvation with ethanol 100–600 nm Size, Zeta potential
TEM
Drug loading/release
Cellular uptake (CLSM)
Cytotoxicity
Cervical cancer/
HeLa and
Liver cancer/
HepG-2/
ND
Dual drug loading (Ptx, Dox)
Controlled and sustained drug release for over 7 days
High cellular uptake via endocytosis
Suppression of cancer cell growth in vitro
[185]
Desolvation with acetone 115 nm DLS, SEM, FTIR
Drug loading (UHPLC-MS/MS)
Cytotoxicity (MTT)
Pancreatic cancer/
CFPAC-1/
ND
The drug-encapsulation in nanoparticles did not influence its cytotoxicity profile
High dose-dependent cytotoxic activity of drug-loaded nanoparticles
[186]
Desolvation with ethanol 186 nm Size, Zeta potential, FTIR, TEM, Cytotoxicity (MTT)
Cellular binding (fluorescence microscopy)
In vivo study (biodistribution, efficiency)
Anti-iRGD-EGFR-conjugated Cervical cancer/
HeLa/
Tumor xenograft in mice
High drug content and loading efficiency
Enhanced tumor-specific targeting in vitro and in vivo than non-functionalized particles
Good antitumor effect
[187]
A. mylitta silk sericin Self-assembly with pluronic surfactants 100–110 nm DLS, TEM
Fluorescence microscopy
Cytotoxicity (MTT)
Apoptosis assay (FCM, CLSM, western blot)
Breast cancer/
MCF-7/
ND
High loading of hydrophobic drug
Stable in aqueous solution
High cellular uptake
Efficient cytotoxicity towards cancer cells when loaded with drug
[43]
Cisplatin B. mori silk fibroin Electrospraying 59 nm SEM, DLS, FTIR
Drug loading/release
Cytotoxicity (MTT)
Apoptosis assay (FCM)
Lung cancer/
A-549/
ND
Drug release for more than 15 days
Internalization into cancer cells
Sustained and efficient killing of cancer cells
Low toxicity in fibroblasts
[188]
Spray-drying/spray-freeze-drying
and crosslinking with genipin
10.8–22.75 µm DLS, SEM, AFM, XRD
Aerosolization (NGI)
Drug release
Cytotoxicity (CCK-8, PicoGreen)
Cell migration and invasion
Lung cancer/
A-549/
ND
Drug loading with or without cross-linking showing different
release profiles
Drug delivery directly to the lungs via powder inhalers
Enhanced cytotoxicity when drug was delivered using the cross-linked particles
[189]
Precipitation with ionic liquids and high-power ultrasounds 173 nm DLS, TEM, XRD
Drug loading/release
Cytotoxicity (MTT)
Apoptosis assay (flow cytometry)
Ovarian cancer/
A-780 and
A-780-cisR and
Breast cancer/
SK-BR-3, MCF-7 and
MDA-MB-231/
ND
Efficient loading with Pt(IV) prodrug PtBz
High cellular uptake
Overcame drug resistance to cisplatin
[190]
5-Fluorouracil B. mori silk fibroin Desolvation with acetone 278.2–364.9 nm Drug loading/release
Cytotoxicity (CCK-8)
Degradation
Cellular uptake (CLSM)
In vivo studies (toxicity, biodistribution, efficiency)
cRGDfk and Ce6-conjugated Gastric cancer/
MGC-803/
tumor xenograft in mice
Targeted drug delivery and PDT
Active tumor targeting
Together with laser irradiation, the drug-loaded particles reduced the tumor burden
Biocompatibility and safety in vivo
[127]
Desolvation and crosslinking with genipin 217 nm TEM, DLS, FTIR
Drug loading/release
Apoptosis assay (FCM)
In vivo studies (toxicity, efficacy)
Murine breast cancer/
4T1/
tumor-bearing mice
Binary drug loading (5-FU and curcumin), High loading efficacy
Improvement in the cytotoxic activity and bioavailability compared with free drugs
Toxic effect toward cancer cells in vitro and in vivo
The anticancer effect observed may be induced by the apoptosis of cells via the generation of cellular ROS
[191]
Desolvation with acetone 220 nm DLS, Zeta potential, SEM, TEM, FTIR, XRD,
Drug loading/release
Cytotoxicity (MTT)
Breast cancer/
MCF-7
Colon cancer/
HT-29
High loading efficiency
Controlled and sustained drug release
Enhanced cytotoxic effect on cancer cells
[192]
B. mori pupa protein (Pp) Desolvation with ethanol 162 nm FTIR, Size, Zeta potential
Drug loading/release
Cytotoxicity (hemolysis assay, MTT)
In vivo studies (toxicity, biodistribution, efficacy,)
Lymphoma/
DAL/
tumor-bearing mice
Particles that are easy to prepare, modify, with good biocompatibility and bio-adhesivity
High entrapment efficiency and capacity
Sustained drug release
Anticancer efficiency in vivo without causing toxicity in the healthy tissue
[193]
FUDR B. mori silk fibroin Desolvation with ethanol and freezing 210–510 nm Size, Zeta potential, SEM, TEM, Drug loading/release
Cytotoxicity (MTT)
Cellular uptake (CLSM)
Cervical cancer/ HeLa/
ND
Controllable shape and size, without apparent aggregation
Drug release time over 2 days
Cancer cells growth inhibition
Similar curative effect to kill or inhibit Hela cells to the free drug
[194]
Methotrexate B. mori silk fibroin Suspension-enhanced dispersion by
supercritical CO2 (SEDS)
112 nm FTIR, SEM
Drug loading/release
Cellular uptake (CLSM)
Skin from guinea pig High drug loading efficiency
Magnetic nanoparticles for transdermal drug delivery
Improved penetration of drugs across the skin
[195]
B. mori silk fibroin-albumin Desolvation with acetone and crosslinking with glutaraldehyde 152–176 nm TEM, DLS, Zeta potential, FTIR, Drug loading/release
Cellular uptake (CLSM)
Cytotoxicity (MTT, hemolysis assay)
Breast cancer/
MDA-MB-231/
ND
Silk-albumin conjugates
High drug loading efficiency
Sustained drug release over 12 days
[109]
Gemcitabine B. mori silk fibroin Desolvation with DMSO 302 nm DLS, SEM, Zeta potential
Cytotoxicity (MTT)
Cellular uptake (CLSM)
In vivo studies (biodistribution, toxicity, efficiency)
SP5-52 peptide-conjugated Lung cancer/
LL/2/
tumor-bearing mice
Targeted delivery to lung cancer cells
Higher cellular uptake and cytotoxicity in cancer cells in vitro than non-modified particles
Increased accumulation in lung tissue than non-modified particles
The improved therapeutic outcome in vivo and minimized systemic toxicity than free drug
[124]

PVA, poly(vinyl alcohol); DLS, dynamic light scattering; SEM, scanning electron microscopy; TEM, transmission electron microscopy; AFM, atomic force microscopy; FTIR, Fourier-transform infrared spectroscopy; XRD, X-ray diffraction; CLSM, confocal laser scanning microscopy; FCM, flow cytometry; EDC, ethylcarbodiimide; FA, folic acid; PEG, polyethylene glycol; HAp, hydroxyapatite; SELP, silk-elastin-like polymer; Dox, doxorubicin; Ptx, paclitaxel; 5-FU, 5′-fluorouracil; FUDR, floxuridine; Ce6, chlorin e6; PDT, photodynamic therapy; ROS, reactive oxygen species; DMSO, dimethyl sulfoxide.