1
Systemic delivery of cationic liposome-mediated siRNA EGFR enhances therapeutic 1
efficacy in a human colorectal cancer model 2
3
Damian Kaniowski1,2*, Anna Boguszewska-Czubara3, Katarzyna Ebenryter-Olbińska2, Katarzyna Kulik2, Justyna 4
Suwara2, Artur Wnorowski 1,,4, Jakub Wójcik 1, Barbara Budzyńska 6, Agnieszka Michalak 6, Algirdas Ziogas 1,7, 5
Barbara Nawrot1,2, Olga Swiech1,5* 6
1 Biotechna S.A., Dobrzanskiego 3, 20-262 Lublin, Poland 7
2 Centre of Molecular a nd Macromolecular Studies, Polish Academy of Sciences ( CMMS PAS), Sienkiewicza 8
112, 90-363 Lodz, Poland 9
3 Department of Medical Chemistry, Medical University of Lublin, Chodzki 4A, 20-093 Lublin, Poland 10
4 Department of Biopharmacy, Medical University of Lublin, 20-093 Lublin, Poland 11
5 Faculty of Chemistry, University of Warsaw, Pasteura 1, 02093 Warsaw, Poland 12
6 Independent Laboratory of Behavioral Studies, Medical University of Lublin, 20-093 Lublin, Poland 13
7 Faculty of Fundamental Sciences, Vilnius Tech University, Vilnius, Lithuania 14
*correspondence:
[email protected],
[email protected] 15
16
Key words: cationic lipids; control release; therapeutic nucleic acids; siRNA, EGFR; targeted delivery; 17
colorectal cancer 18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
2
Abstract 34
The clinical translation of RNA interference (RNAi) therapeutics remains limited by i nefficient 35
delivery and cancer -target accumulation . Here, we report the development of a new cationic 36
liposome (CLP) nanocarrier engineered for delivery and controlled-release of small interfering RNA 37
(siRNA) targeting the epidermal growth factor receptor (EGFR) in human colorectal cancer. CLPs 38
were synthesized from ethylphosphocholine-based lipids and PEGylated components, with folic acid 39
(FA) tissue -specific ligand and fluorophore labe lling. These nanocarriers exhibited robust 40
physicochemical stability across a broad pH and temperature range, efficient siRNA complexation, 41
and nuclease-protection of siRNA. Functional studies revealed that CLP -siEGFR achieved effective 42
cytosolic siRNA cargo release and EGFR silencing in vitro, proving to be more effective th an 43
conventional lipid -based transfection systems. In human xenograft models, intravenously 44
administered CLP -siEGFR showed enhanced tumor localization, prolonged siRNA retention, and 45
significant tumor growth suppression, accompanied by marked downregulation of EGFR. 46
Importantly, systemic dosing was well-tolerated, with no evidence of hepatotoxicity, nephrotoxicity, 47
or hematological abnormalities. These results position CLP nanocarriers as an effective platform for 48
targeted RNAi therapeutics, offering translational potential for precision oncology applications. 49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
3
1. Introduction 70
Colorectal cancer (CRC) is the third most diagnosed malignancy worldwide, with projections 71
estimating an alarming rise to 3.2 million new cases and 1.6 million fatalities by 2040 .1 Notably, up 72
to 25% of patients with CRC are diagnosed with stage I V disease, while up to 50% of those initially 73
presenting with early-stage CRC progress to metastatic disease over time. The prognosis for stage 74
IV CRC remains dismal, with a 5 -year survival rate of only 12.5% in the United States and 15.4% in 75
Europe.2,3 These statistics highlight a critical unmet clinical need for therapeutic strategies that 76
combine high drug delivery efficacy with a favorable safety profile to effectively address the growing 77
burden of colorectal cancer.4 78
Epidermal growth factor receptor (EGFR) aberrant in colorectal cancer is predominantly driven by 79
protein overexpression, which is observed in approximately 35% to 50% of patients. Numerous 80
studies have established a statistically significant c orrelation between EGFR overexpression and 81
adverse prognostic outcomes .5 The EGFR signalling pathway is integral to cancer progression, 82
leading to the development and clinical introduction of several targeted therapies, including 83
cetuximab and panitumumab.6 These monoclonal antibodies competitively bind to the extracellular 84
domain of EGFR , preventing receptor tyrosine kinase phosphory lation and activation. 7 This 85
mechanism suppresses cell growth, induces apoptosis, and promotes cell cycle arrest . Moreover, 86
EGFR activation can promote tumor growth by promoting VEGF upregulation through a 87
hypoxia‑independent mechanism. 8 Additionally, cetuximab can stimulate antibody -dependent 88
cellular cytotoxicity, contributing to immunogenic cell death and enhancing the immune -mediated 89
effects of therapy. 8,9 These targeted therapies have demonstrated substantial efficacy in s elected 90
subsets of CRC patients, significantly slowing disease progression .10,11 Comprehensive preclinical 91
research on the mechanisms of resistance to anti-EGFR monoclonal antibodies has underscored the 92
critical need for the development of new and EGFR-targeted therapies.12 93
Despite advances in the development and clinical application of 1 st, 2 nd and 3 rd generation EGFR 94
tyrosine kinase inhibitors (TKIs), drug resista nce remains a significant challenge. Clinical trials have 95
highlighted issues such as inadequate tumor accumulation, limited penetration into solid tumor 96
masses, and impediments posed by the tumor microenvironment.13 97
To overcome current limitations in clinical translation, therapeutic nucleic acids represent a 98
powerful strategy for targeted therapy. Small interfering RNAs (siRNAs) are short double -stranded 99
RNA molecules, typically 19 -25 base pairs in length, capable of integrating into the RNA -induced 100
silencing complex (RISC) to induce sequence -specific silencing of target mRNA.14 To date, several 101
siRNA-based therapeutics have received FDA approval for clinical use, targeting gene expression in 102
rare metabolic and cardiovascular disorders. These include Patisiran (Onpattro) for hereditary 103
transthyretin-mediated amyloidosis (hATTR); Givosiran (Givlaari) for acute hepatic porphyria (AHP); 104
Lumasiran (Oxlumo) and Nedosiran (Rivfloza) for primary hyperoxaluria type 1 (PH1); Inclisiran 105
(Leqvio) for lowering LDL cholesterol in patients with atherosclerotic cardiovascular disease 106
(ASCVD); and Vutrisiran (Amvuttra), also for hATTR and Fitusiran (Qfitlia) for hemophilia.15,16 These 107
therapies utilize either lipid nanoparticle or N-acetylgalactosamine ligand ( GalNAc)-conjugate 108
delivery systems to achieve targeted, durable gene silencing via RNAi.17 Despite siRNA therapeutic 109
potential, several significant challenges persist for the in vivo application of siRNA, including off-110
target effects, inefficient delivery with poor cellular uptake, and activation of immune responses, all 111
of which hinder their clinical feasibility.18 These obstacles highlight the need for more efficient and 112
targeted delivery systems to enhance the effectiveness of siRNA -based therapies. Various delivery 113
technologies and strategies, including lipophilic conjugates, cationic polyme r- or micelle-based 114
carriers, protein -antibody conjugates, and modifications to the size and structure of the siRNA 115
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
4
molecule itself, are under development. These approaches have demonstrated robust efficacy in 116
different animal models, with some platforms a dvancing toward clinical translation .14,19,20,21 Lipid 117
nanoparticle delivery was the first successful strategy for gene silencing in human and enabled the 118
approval of the first siRNA-based therapeutic.22,23 119
Despite clinical progress, the use of RNAi nanomedicines in the treatment of solid tumors remains 120
limited by low tumor accumulation and inefficient intracellular transport 24. Quantitative meta -121
analyses indicate that on average only about 0.7% of the injected dose (ID) of nanoparticles 122
accumulates in solid tumors, with a median of 0.6% ID, highlighting limitations related to 123
heterogeneous vascular permeability and clearance by the mononuclear phagocyte system .25,26 A 124
second, well-recognized bottleneck is endosomal entrapment. Image-based single-cell tracking has 125
shown that only about 1 -2% of inter nalized siRNA molecules escape from endosomes into the 126
cytosol, with the vast majority remaining trapped and ultimately degraded in endo -lysosomal 127
compartments.27 128
Polyethylene glycol (PEG) -lipids are widely used to minimize aggregation and opsonization; 129
however, they introduce the well-known ‘PEG dilemma’. While PEG prolongs systemic circulation, 130
excessive surface shielding can impede cellular uptake and endosomal escape. Furthermore, 131
repeated administration may lead to the accelerated blood clearance (ABC) phenomenon .28,29 132
Beyond PEG density, the terminal-group chemistry of PEG is emerging as a tunable parameter that 133
can modulate interfacial charge, protein corona composition, and tumor retenti on. Evidence from 134
reviews and studies on targeted liposomes indicates that functional PEG end-groups (e.g., folate or 135
thiol-reactive moieties) can enhance tumor cell interaction compared to inert methoxy-PEG.30,31 136
Building upon this rat ionale, we employed our proprietary PEG-functionalized cationic liposome 137
(CLP) platform (WIPO WO2023022615 ). Incorporation of PEG -NH₂ lipids combined steric 138
stabilization with enhanced electrostatic association of siRNA, preserving a positive surface charge 139
without inducing aggregation and enabling release modulation through surface chemistry . This 140
system enabled selective accumulatio n of siRNA inhibitor within colorectal tumor tissue, resulting 141
in efficient EGFR gene silencing and significant tumor growth inhibition. The CLP formulation was 142
well tolerated in vivo, with no evidence of systemic toxicity. These findings support the new CLP 143
platform as a promising candidate for further preclinical translation in RNAi -based precision 144
oncology and clinical translation. 145
146
147
148
149
150
151
152
153
154
155
156
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
5
2. Results 157
158
2.1. Design and optimization of cationic liposomes for RNAi-based applications 159
Cationic liposomes (CLP) developed in thi s study were formulated using saturated cationic 160
ethylphosphocholines (EPC) in combination with saturated neutral lipids (DPPC and DMPC) and 161
polyethylene glycol (PEG)-modified lipids bearing a terminal primary amine group. EPCs are cationic 162
derivatives of phosphatidylcholine, where the phosphate oxygen's negative charge is neutralized by 163
the addition of an ethyl group. This modification results in a compound that is chemically stable, 164
biodegradable, and composed entirely of biological metabolites linked by ester bonds. The CLP were 165
synthesized via the conventional thin -film hydration method, followed by extrusion to ensure 166
uniform size distribution (Figure 1A). This approach enabled the preparation of liposomes with a 167
diverse range of lipid compositions, var ying in charge, fatty acid chain length, and surface 168
modifications with either a targeting folic acid-ligand (FA) or a Cyanine 7 dye (Cy7). For this study, 169
cationic liposomes CLP and folic acid -modified cationic liposomes (CLP-FA) were selected as 170
representative formulations, incorporating EPC lipids and PEG -modified lipids with terminal amine 171
functionality (Figure 1B). These formulations were developed and described in our patent 172
applications (PCT.PL2022.000046; WO 2023/022615 A1). The synthesi zed CLPs, CLPs-FA, and their 173
Cy7-labeled counterparts exhibited small hydrodynamic sizes and low polydispersity indices (PDI), 174
indicative of a monodisperse population. Notably, the incorporation of DSPE-PEG(2000)-folate lipid 175
and 1,2-distearoyl-sn-glycero-3-phosphoethanolamine conjugated with Cyanine 7 (18:0 Cy7-PE) 176
lipid did not induce significant alterations in either size or PDI. 177
To assess the stability of the liposomal formulations, temperature profile analysis and 178
physicochemical evaluations across a p H range of 4.0 to 8.0 were conducted (Figure 1C). Both CLP 179
CLP-FA liposomes demonstrated stability across a wide range of pH values and temperatures (Figure 180
1D, 1E). Stability assessments revealed that the hydrodynamic sizes of CLP and C LP-FA remained 181
constant, with PDI values consistently belo w 0.1, in PBS buffers ranging from pH 4.0 to 8.0 (Figure 182
1D, 1E, respectively). Furthermore, these parameters remained unchanged at room temperature 183
(25°C) and after one week of incubation at 37°C, underscoring the structural integrity of the 184
liposomes under physiological conditions relevant for intravenous administration. The thermal 185
stability of the liposomes was further examined across a temperature range of 4°C to 44°C (Figure 186
1F). Throughout this range, PDI values remained below 0.1, and no significant size variations were 187
observed, suggesting the absence of lipid bilayer phase transitions in the selected lipid composition. 188
These findings confirm that CLP and CLP-FA maintain their structural integrity under physiologically 189
relevant conditions. Long-term stability studies have shown that both CLP and CLP-FA remain stable 190
under long-term storage conditions (Figure S1 A-C). 191
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
6
192
193
194
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
7
Figure 1. Engineering the composition of cationic liposomes for the delive ry of siRNA. Schematic 195
representation of the synthetic procedure for CLPs liposomes ( A); a pie chart showing the percentage 196
composition of individual lipids ( B); stability studies (C); changes in hydrodynam ic radius (size, empty bars) 197
and PDI (filled bars) of CLP and CLP-FA in electrolytes with varying pH levels (pH 4 .0 to 8.0) at 25°C or after 198
incubation at 37°C for up to 168h (7 days) (D, E); the temperature profile of liposomes across a range of 4°C 199
to 44°C. The size (upper empty rectangles and circles) and PDI (lower filled rectangles and circles) (F). 200
201
2.2. RNAi-based therapeutic targeting of EGFR in colorectal cancer 202
Kaplan-Meier survival analysis demonstrated that colon cancer patients with high EGFR expression 203
exhibited significantly poorer prognosis compared to those with low EGFR expression, highlighting 204
the clinical relevance of targeting this receptor as a potential therapeutic strategy (Figure 2A). The 205
extracellular domain of EGFR is currently targeted by monoclonal antibodies (e.g., cetuximab) in 206
clinical settings; however, these therapies have shown limited efficacy i n certain patient cohorts.32 207
To address this limitation, we designed a small interfering RNA (siRNA) specifically targeting the 208
mRNA of EGFR within the sequence encoding domain III (L2 ) of EGF R, which is critical for ligand 209
(EGF) binding (Figure 2B). To evaluate efficacy , siRNA EGFR (siEGFR) inhibitors were chemically 210
unmodified or modified with 2′-O-methyl (siEGFR2′-OMe) at the ribose 2′-position, and with or without 211
additional terminal stabil ization using phosphorothioate -modified ( siEGFRPS) internucleotide 212
linkages (Figure 2C). All sequences and chemical modification patterns of the oligonucleotides used 213
are presented in Figure 2D. siRNA compounds were purified from reaction mixtures using standard 214
HPLC procedures and characterized by electrospray ionization quadrupole time -of-flight mass 215
spectrometry (ESI-Q-TOF MS) (Figure S2). 216
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
8
217
218
219
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
9
220
Figure 2. Design and characterization of siRNA targeting EGFR ligand-binding domain. Kaplan-Meier curves 221
for overall survival of human colon cancer (GDC TCGA COAD) according to human EGFR categorized by gene 222
expression RNAseq using UCSC Xena database. Survival time is presented in days; p values are related to Log-223
rank test results ( A), homodimer structure of human EGFR based on UniProt: P00533 with EGF binding 224
domain III. Screened siEGFR targets mRNA within the coding region of this domain (nucleotides mRNA 321-225
334; red) (B); Chemical modification patterns abbreviations: 2'-O-methyl (2' -OMe) - navy blue , ‘_’ - 226
phosphorothioate bonds (PS) - red, phosphodiester bonds (PO) - black, ribonucleic acid (RNA) – blue, 6-227
carboxyfluorescein dye (FAM) and Cyanine5 dye (Cy5) (C) and table of all RNA sense (s) and antisense (as) 228
sequences (D). 229
230
231
2.3. Cationic liposome-mediated siRNA delivery overcomes the limitations of endosomal 232
escape 233
CLP have long been recognized as highly effective gene delivery v ehicles, demonstrating efficient 234
biodegradability, biocompatibility, and high nucle ic acid encapsulation rate .33,24 Zeta po tential 235
analysis provided further mechanistic insights into siRNA-lipid interactions (Figure 3A). The surface 236
charge of CLP nanoparticles was monitored following the addition of either unmodified siEGFR 237
(more hydrophilic) or modified siEGFR 2’-OMe (more hydrophobic, Figure 3B). Pristine CLPs exhibited 238
a zeta potential of +66.7 mV. Upon complexation with siRNA at increasing siRNA:CLP mass ratios 239
(1:100, 1:50, 1:20, 1:10), a progressive reduction in zeta potential was observed for both siRNA 240
variants. Notably, the decrease was consistently less pronounced for 2′-O-methyl modified siRNA, 241
ranging from ~8% at a 1:100 ratio (+58.2 mV vs. +63.9 mV for unmodified and modified siRNA, 242
respectively) to ~25% at a 1:10 ratio (+28.9 mV vs. +39.0 mV, respectively) in Figure 2C. PDI analysis 243
confirmed the colloidal stability of the formulations. Both unmodified and modified siRNA induced 244
only minor increases in PDI (0.07 to 0.19), excluding aggregation and supporting the interpretation 245
that siRNA is incorporated within the CLP interior and outer PEG layer without extensive 246
interparticle bridging (Figure 3C). Comparable zeta potential trends were observed for folate -247
modified CLPs (Figure S1 A -C), indicating that siRNA binding follows a conserved mechanism 248
independent of surface functionalization. 249
Quantitative binding assays using 5′-[32P]-labeled siRNA and CLPs were performed to determine the 250
stoichiometry of siRNA -CLP interactions (Figure 3D) . Subsequently, the binding of negatively 251
charged [32P]-siRNA to positively charge CLP was evaluated using PAGE analysis in both directions -252
from the negative to the positive terminal to visualize the single RNA or siRNA mobility and in the 253
reverse direction to observe the complex (Figure 3D) . The results indicated that the [32P]-siRNA 254
exhibited optimal binding to CLP at a charge mass ratio of 1 :10 (Figure 3 E). The commercial 255
transfection reagent Lipofectamine 2000 was used as a positive control (Figure 3E). 256
Endosomal escape refers to the crucial process by which nucleic acid -loaded nanoparticles are 257
released from endosomes-acidic compartments with a pH ranging from 5.5 to 6.5 -into the cytosol, 258
which maintains a neutral pH of approximately 7.4.34 siRNA release from the CLP-siRNA formulation 259
was assessed using acidified solutions that closely mimic the conditions of endosomal -lysosomal 260
pathway (Figure 3F ). Our results demonst rated that the CLP platform efficiently releases siRNA 261
within the endosomal pH range of 5.5 to 6.5 after 30 min of incubation (Figure 3G). Moreover, the 262
CLP-siRNA complex remains stable at pH 4.0 and 7.4. Next, we evaluated the binding efficiency of 263
chemically modified siRNAs (2′ -OMe, PS, and 2′ -OMe/PS) to the cationic folic acid -liposome (CLP-264
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
10
FA) platform and found comparable binding affinity to tha t of unmodified siRNA EGFR (Figure 3H). 265
Heat map analysis revealed that both modified and unmodified siRNAs are re leased from CLP or 266
CLP-FA within the pH range of 5.5 to 6.0, but n ot at other pH levels (Figure 3I). Interestingly, the 267
release duration of siRNA was extended to 4-hours in the CLP-FA platform compared to unmodified 268
CLP (Figure 3I). To confirm that CLP doe s not degrade unmodified siRNA across sequences (EGFR 269
and scrambled), stability analyses were conducted after 7 days of incubation at 4°C and 37°C using 270
PAGE under release conditions ( pH 5.5). As shown in Figure 3J, the CLP platform supports siRNA 271
stability over one week across temperatures. 272
273
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
11
274
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
12
275
Figure 3. siRNA-loaded cationic liposomes facilitate efficient endosomal e scape-associated intracellular 276
delivery. Scheme of the study on siRNA binding to CLP cationic liposomes and readouts (A); Effect of siRNA 277
loading at different ratios on the zeta potential of CLP (B); hydrodynamic radius (size, empty bars) and PDI 278
(filled bars) after siRNAs addition on the CLP ( C); Schematic showing binding of 5′ -[³²P]-labeled siRNA to 279
cationic CLPs, analyzed by PAGE in both directions (D); 5′-[32P]-labeled siRNA binding to CLP or Lipofectamine 280
2000 (L2000) at various mass ratios (w:w), sEGFR and asEGFR are single -stranded siRNA c omponents (E); 281
Schematic of pH-dependent siRNA release from CLP nanocarriers (lanes 2, 4, 6 and 8) and control siRNA (lanes 282
1, 3, 5, 7) across physiological and endosomal conditions (pH 7.4, blue; 6.0, green; 5.5, orange; 4.0, red) (F, 283
G); Binding efficiency of chemically modified (2′-OMe, PS, and 2′-OMe/PS) and subsequently 5′-[32P]-labeled 284
siRNAs to CLP-FA after 30 min incubation (H); Heat Map of siRNA release from CLP and CLP-FA at pH 4.0-7.4 285
over time were calculated by densitometry (I); CLP-siRNA complex stability was evaluated after 7 days of 286
incubation at 4 °C and 37 °C (lanes 1-4) at pH 7.4 and under controlled-release conditions at pH 5.5 (lanes 2 287
and 4) (J); Analysis were performed using 15% PAGE under non-denaturing conditions. 288
289
2.4. CLP-mediated EGFR siRNA delivery effectively reduces colorectal cancer growth 290
To evaluate uptake of the siRNA-CLP formulation by human colorectal cancer Caco -2 cells , we 291
generated a fluorescently labeled EGFR -targeting siRNA (CLP-FA-siEGFRFAM). Prior to experiments, 292
we assessed binding of siEGFRFAM to CLPs and confirmed stable complex formation for up to 24 h 293
(Figure S3B). Fluorescence microscopy confirmed the efficient and selective uptake of CLP -FA-294
siEGFRFAM by Caco-2 cells in vitro after 30 minutes of incubation, i n contrast to normal mouse 295
fibroblasts (MEF-WT) (Figure 4B). The control experiment include d transfection of siEGFR FAM using 296
Lipofectamine demonstrated comparable uptake of labeled siRNA (Figure S3A). Comprehensive 297
evaluation of Cy5-labeled CLP-siEGFR2′-OMe demonstrated concentration-dependent uptake in Caco-298
2 cells (Fig ure 4C) and confirm ed complete carrier loading (Figure S3B). Both CLP and CLP-FA 299
platforms without siRNA cargo showed no cytotoxicity after 48 h of incubation in Caco -2 cells, 300
normal human co lon epi thelial cells (CCD -841CoN) (Figure 4D) and macrophages (Fig ure S3C), 301
relative to the positive control. Next, to evaluate the EGFR gene-silencing activity of CLP-FA-siEGFR, 302
we used a dual fluorescence assay ( DFA) previously developed in our laborator y.35,36,37 We 303
confirmed that the CLP platform efficiently inhibited the EGFR target by approximately 65% using 304
modified si EGFR ( 2’-OMe and PS) and unmodified siRNA in Caco -2 cells , compared to the CLP -305
scrambled negative control (CLP-SCR), as shown in Figure 4F. In contrast, CLP-FA-siEGFR showed 306
slightly reduced potency but still suppressed EGFR expression by 40% in Caco-2 cells relative to CLP-307
SCR (Figure 4G). In both platforms, GFP-targeting siRNA served as a positive control and effectively 308
reduced EGFR -GFP fluorescence in Caco -2 and A431 cells (Figure S3 D-E), while naked panel of 309
siRNAs were transfected using Lip ofectamine (Figure S3 F -G). Furthermore, flow cytometry 310
demonstrated that CLP -siEGFR2′-OMe markedly reduced EGFR expression in colon cancer cells 311
compared to CLP-SCR (Figure 4H). EGFR inhibitor and CLP-ASO served as positive controls38 (Figure 312
4H and S3H, respectively). To further validate targe t-specific inhibition, we us ed EGFR-313
overexpressing A431 cells, confirming the efficacy of CLP-siEGFR2’-OMe (Figure 4I). Finally, treatment 314
with CLP-siEGFR2′-OMe significantly increased apoptosis in Caco-2 cells, resulting in a reduction in cell 315
survival compared to CLP-SCR (Figure 4J-L). 316
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
13
317
318
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
14
319
Figure 4. CPL-siRNA complexes achieve targeted EGFR silencing in colorectal cancer cells in vitro. Uptake of 320
CLP-FA-siEGFR via folate receptor (FR) -mediated endocytosis in cancer cells, and the mechanism of action 321
through the RNA-induced silencing complex (RISC) (A); Intracellular localization of CLP-FA-siEGFRFAM (100 nM) 322
visualized by fluorescence microscopy (×40 magnification) after 30min incubation with Caco-2 and MEF-WT 323
cells. The nucleus was stained with DAPI (blue), and the endoplasmic reticulum (ER) with ER-Tracker Red (B); 324
Delivery of the CLP-Cy5siEGFR2’-OMe to assess concentration -dependent uptake ( C) Cell viability after 48 h 325
incubation with empty CLP and CLP-FA (10–200 µg/mL), compared to the Staurosporine positive control (STS, 326
1 μM) (D); Schematic of the treatment utilizing a DFA tool (pEGFP-EGFR/DsRED) in Caco-2 cells. Cells were 327
co-transfected with pEGFP -EGFR (green) and pDsRED -N1 (red) plasmids using Lipofectamine 200 0, then 328
treated with CLP-delivered siRNAs. After 48h, EGFP-EGFR/DsRED fluorescence was measured and normalized 329
to untreated plasmid -transfected controls (C -Control, set to 100%) 35,36,37 (E); Silencing activity of tested 330
EGFR-targeted siRNAs (10-200 nM) delivered via CLP (F) and CLP -FA (G), in comparison to scrambled (CLP-331
SCR); Inhibition of EGFR expression by CLP-siEGFR2′-OMe (100 nM) in Caco-2 and A431 cells, assessed by flow 332
cytometry after 48 h incubation ( H-I); Representative Annexin V/Aqua staining (apoptosis/necrosis) flow 333
cytometry panels of Caco-2 cells treated with CLP-siEGFR2′-OMe (100 nM) for 48 h (J), with quantified apoptosis 334
(K) and cell survival (L). EGFR inhibitor (PD153035, 1 µM) served as a positive control (H-L). 335
336
2.5. CLP-siEGFR2’-OMe is safe and well tolerated in mice 337
To assess the translation of our CLP-siEGFR2’-OMe in vitro effects into an in vivo setting and to get 338
more insight into the biodistribution and potential off-target toxicity, we monitored the delivery of 339
CLP-siEGFR2’-OMe into the tumors and also different organs. Organ weights of the heart, lungs, liver, 340
kidneys, spleen, and brain showed no significant differences across treatment groups, indicating no 341
apparent organ toxicity (Figure 5 A). Serum biochemical analysis revealed stable levels of liver 342
enzymes (CK, ALAT, ASPAT) and kidney function markers (urea, creatini ne), suggesting preserved 343
hepatic and renal function (Figure 5B). Additionally, hematological parameters-including red blood 344
cells (RBC), white blood cells (WBC), and platelets (PLT) -remained within normal physiological 345
ranges in PBS group (Figure 5C). These findings confirm that systemic administration of CLP-siEGFR²′-346
OMe formulation does not induce detectable toxicity, supporting its safety for further preclinical 347
mouse model. 348
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
15
349
Figure 5 . Assessment of biochemical , safety and hemocompatibility after CLP-siEGFR²′OMe treatment in 350
mice. Mice received seven intravenous administrations (i.v.) of the tested compounds at a dose of 2 mg/kg. 351
Analyses were performed two days after the final dose . Organ weights (heart, lung, liver, kidney, spleen, 352
brain) showed no s ignificant changes across treatment groups ( A); Serum biochemical markers (CK, ALAT, 353
ASPAT, urea, creatinine) remained within normal ranges, indicating no hepatic or renal toxicity ( B); 354
Hematological parameters (RBC, WBC, PLT) were unaffected, supporting o verall safety ( C). Biochemical 355
parameters (CK: 100-1000 U/L; ALAT: 20-80 U/L; ASPAT: 50-200 U/L; UREA: to 2500-5000 µmol/L; creatinine: 356
18-53 µmol/L) and hematological parameters (RBC: 7-11 ×10⁶/µL; WBC: 1-4 ×10³/µL; PLT: 500-1200 ×10³/µL) 357
remained within the normal reference ranges for NOG mice. Data shown as mean ± SD (n = 6; female mice). 358
In vivo experiments were conducted in accordance with GLP standards. 359
360
361
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
16
362
2.6. CLP-mediated delivery enhances the therapeutic efficacy of siRNA in vivo 363
Clearance kinetics from the bloodstream significantly influence the rate and extent of tissue 364
distribution, with higher tissue exposure often correlating with increased tissue accumulation.39 In 365
this context, we sought to evaluate the impact of the CLP platform on the in vivo clearance kinetics 366
of siRNA, with the objective of enhancing delivery to tumor. A 2 mg/kg dose of either CLPCy7 or CLP-367
FACy7 without siRNA 2’-OMe cargo, naked Cy5siRNA2’-OMe and CLP -Cy5siRNA2’-OMe formulation were 368
intravenously administered to NOG mice bearing Caco -2 xenografts . Whole body imaging was 369
performed at multiple time points post-injection using an IVIS bioluminescence system (Figure 6A). 370
Subsequently, we confirmed that the CLP-Cy5siEGFR2′-OMe had enhanced accumulation in tumor 371
xenografts and demonstrated sustained retention over time, as compared to the naked Cy5siEGFR2′-372
OMe, when administered at the same dose (Figure 6B, E, F) and (Figure S4 A, B). Tissue biodistribution 373
studies confirmed efficient delivery of CLP-Cy5siEGFR2′-OMe to the intestine with subsequent clearance 374
through the liver and kidneys (Figure S4 C-G). 375
To determine whether the enhanced tumor accumulation of the CLP-siEGFR2′-OMe formulation 376
translated into functional modulation of target gene expression, mice bearing human colon cancer 377
xenografts were treated intravenously with 2 mg/kg of the tested compounds for 7 consecutive days 378
(Figure 6 G). Tumors harvested two days after the final treatment showed a significant mass 379
reduction in the CLP-siEGFR2′-OMe group compared to the scrambled group (CLP-SCR2′OMe), as shown 380
in Figure 6H and 6I . Furthermore, western blot analysis confirmed effective target gene silencing, 381
demonstrating a marked decrease in EGFR protein levels in tumors treated with CLP-delivered 382
siEGFR2′-OMe relative to the scrambled control (Figure 6 J, K), but not in the liver (Figure S4 H) . In 383
contrast, naked siEGFR2′-OMe demonstrated no measurable impact on EGFR expression or tumor 384
progression. In vivo safety assessment confirmed that new CLP-siEGFR2′-OMe formulation was well 385
tolerated in mice following repeated intravenous administration (2 mg/kg) over 9 days, with no 386
significant changes in body weight (Figure S4I). These findings confirm the efficacy of the CLP 387
platform in mediating targeted siRNA delivery and EGFR gene silencing in a preclinical colon cancer 388
model. 389
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
17
390
391
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
18
392
Figure 6. Enhanced in vivo EGFR gene inhibition via CLP-enabled siRNA delivery in mice. Graphical study 393
outline illustrating the use of bioluminescence imaging (IVIS) (A); Representative IVIS images of mice treated 394
with 2 mg/kg of CLPCy7, CLP-FACy7, Cy5siEGFR2′-OMe, or CLPCy5siEGFR2′-OMe over time ( B); Quantitative IVIS 395
analysis shows sustained signal intensity over time following administration of the tested compounds in 396
tumor-bearing NOG mice (C-F); Schematic diagram of the treatment regimen: intravenous (i.v.) 397
administration in Caco-2 tumor-bearing NOG mice for 7 consecutive days (G); Tumor volume measurements 398
(H) and tumor weight at endpoint ( I); Western blot analysis of EGFR expression and α -tubulin as a loading 399
control (n=3), was performed independently in the Caco-2_NOG model, (J, K). Error bars represent mean ± 400
SD (n=6 per group; female mice). In vivo experiments were conducted in accordance with GLP standards. 401
402
3. Discussion 403
The development of effective delivery systems remains the principal barrier to the clinical 404
translation of RNA interference therapeutics for solid tumors.40 In this study, we demonstrate that 405
PEGylated cationic liposomes (CLPs), with or without folic acid (FA) functionalization, enable 406
efficient delivery of EGFR-targeted siRNA inhibitor to human colorectal cancer, resulting in robust 407
gene silencing and significant tumor growth inhibition while maintaining a favorable safety profile. 408
Our findings show n that CLP composed of saturated ethylphosphocholine derivatives, neutral 409
phosphatidylcholine derivatives, and PEGylated lipids bearing terminal amine groups can be 410
reproducibly synthesized using thin-film hydration and extrusion (Figure 1 A). Both unmodified and 411
folic acid-modified liposomes (FA-CLPs) exhibited uniform size distribution, low polydispersity, and 412
high stability across a wide range of pH and temperature conditions, during incubation at 37 °C, and 413
under lon g-term storage (Figure 1 B -F). This physicochemical robustness positions EPC -based 414
systems as a valuable alternative to commonly used DOTAP - and ionizable lipid-based carriers for 415
nucleic acid delivery.41 416
Next, the m echanistic in vitro analyses confirmed effici ent siRNA complexation and protection by 417
CLPs, as indicated by gradual ζ-potential reduction, preserved colloidal stability, and validated siRNA 418
binding by PAGE analysis (Figure 3 A-E). Importantly, the complexes remained stable at physiological 419
pH while enabling controlled siRNA release at pH 5.5-6.5 (Figure 3 F, H), consistent with the critical 420
role of endosomal escape in effective RN A delivery .42,43,24 Other studies have shown that 421
encapsulation of therapeutic PD-L1 siRNA and an EGFR-targeting short peptide within cationic PEI-422
LNPs has been reported to enhance stability, enable controlled release, a nd improve transfection 423
efficiency in EGFR-positive lung cancer.44 424
A key improvement of this work is the incorporation of DSPE-PEG(2000)-NH₂ lipids, which improves 425
colloidal stability and prolongs systemic circulation of the CLP platform. However, PEGylation is 426
associated with the well-known ‘PEG dilemma’, as it can reduce cellular uptake and limit endosomal 427
escape28,29. In our system, these effects are mitigated by an optimized lipid composition (Figure 1B), 428
together with ligand -mediated targeting and pH -control release, enabling efficient intracellular 429
delivery despite the presence of a PEG corona. Moreover, t his design provided steric stabilization 430
typical of PEGylation while enabling additional electrostatic binding of anionic siRNA without 431
inducing aggregation and while maintaining a net positive surface charge (Figure 3 D, G, E ). These 432
findings highlight an underexplored role of PEG end -group chemistry in nucleic acid delivery 433
systems. The observed effects are consistent with evidence showing that functionalized PEG 434
influences surface ch arge, protein corona formation, and nanoparticle stability in biological 435
environments.45 Furthermore, the combined presence of PEG -amine groups and folic acid ligands 436
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
19
modulated release kinetics without affecting particle size or disparity, underscoring the importance 437
of surface chemistry in balancing serum stability with pH-dependent release (Figure 3 F, H). 438
Moreover, se lective uptake of CLP -FA-siEGFRFAM formulation by Caco -2 human colorectal cancer 439
cells compared to fibroblasts (Figure 4 A, B) validates our targeting strategy based on differential 440
folate receptor (FR) expression. FR is over expressed in approximately 80% of colorectal 441
adenocarcinomas while showing limited expression in normal tissues, making it an attractive target 442
for selective drug delivery.46 Microscopic analysis confirmed cellular uptake within 30 min, 443
consistent with the rapid receptor -mediated endocyt osis reported for folate -conjugated 444
nanoparticles (Figure 4 B, S3A). 445
The concentration-dependent uptake obser ved with Cy5 -labeled CLP-siEGFR2′-OMe (Figure 4 C) and 446
efficient carrier loading (Figure 3 G, S3 B) indicate that chemical modifications do not interfere with 447
CLP formation or cellular internalization. No significant cytotoxicity was observed in cancer cells, 448
normal colon epithelial cells, or macrophages at therapeutic concentrations of empty CLPs (Figure 449
4 D, S3 C) addresses a longstanding concern regarding cationic lipid formulations i n clinical 450
settings.47 451
Incorporation of 2′-O-methyl ribose modifications and phosphorothioate internucleotide linkages in 452
siRNA was essential for effective gene s ilencing in the CLP system (Figure 2 C, D and 4 E -G). Dual 453
fluorescence assa ys demonstrated that CLP -siEGFR2′-OMe retained approxim ately 65% target 454
inhibition, comparable to unmodified siRNA (Figure 4 F, G ), indicating preserved RISC loading and 455
target recognition.48 An in-depth flow cytometry analysis confirmed significant EGFR inhi bition in 456
Caco-2 cells (Figure 4 H), likely reflecting altered endosomal trafficking following receptor-mediated 457
uptake. These findings are consistent with reports showing that extensively modified siRNAs can 458
maintain full RNAi activit y in vivo .49 EGFR-amplified A431 cells were used as a positive co ntrol, 459
confirming siRNA specificity and broader applicability of the CLP p latform across EGF R-460
overexpressing cancer models (Figure 4 I ). Consistent with previ ous studies using boron cluster -461
modified antisense oligonucleotides (B-ASOs) targeting the same EGFR mRNA fragment38,35,37, CLP-462
delivered siEGFR also reduced target expression and promoted apoptosis in cancer cells (Figure 4 F-463
L). The efficient gene silencing observed with CLP formulations may indicate successful endosomal 464
escape, a key rate -limiting step for lipid -based siRNA delivery (Figure 4 F-I). Although endosomal 465
escape was not directly visualized, functional EGFR inhibition measured by flow cytometry and DFA 466
tool (Figure 4 E-I), confirmed that sufficient siRNA reached the cytoplas m to engage the RNAi 467
machinery. Recently, Mitchell et al. reported the development of an EGFR antibody-conjugated lipid 468
nanoparticle (aEGFR -LNP) platform, enginee red to enhance mRNA delivery to EGFR-expressing 469
placental cells for the treatment of pregnancy -related complications.50 Agnello et al. investigated 470
the therapeutic potential of anti-EGFR and aptamer-functionalized nanostructures in triple-negative 471
breast cancer (TNBC) .51 In addition , LNPs were targeted to EGFR ( αEGFR-LNP) using a well -472
established anti-EGFR antibody (cetuximab) to enable delivery of siRNAs against HPV in head and 473
neck squamous cell carcinoma (HNSCC). The resulting αEGFR-LNP-siHPV formulation improved anti-474
tumor activity, enhanced silencing of HPV targets, and increased apoptosis in EGFR -expressing 475
HNSCC cell lines compared to non-targeted LNPs.52,24 476
Furthermore, biodistribution studies demonstrated favorable pharmacok inetic properties of CLP -477
siEGFR2′-OMe (Figure 6 A -F). Whole-body imaging revealed c learance over 24 h for both CLP Cy7 and 478
CLP-FACy7, indicating prolonged circulation compared with naked siRNA, which is rapidly eliminated 479
by renal filtration (Figure S4 C-G). Heatmap analysis showed more efficient siRNA release from CLP 480
than CLP-FA at endosomal pH 5.5, likely due to steric hindrance imposed by the folate ligand in vitro 481
study (Figure 3 H). Consistently, CLP-Cy5siEGFR2′-OMe exhibited enhanced tumor accumulation in mice 482
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
20
and prolonged rete ntion compared with naked siRNA (Fig ure 6 B-F and S4 A-B), reflecting the 483
combined contributions of passive and active targeting.53,24 484
Significant tumor mass reduction following seven consecutive daily administrations of CLP-siEGFR2′-485
OMe provides proof -of-concept for therapeutic efficacy (Figure 6 H-I). Western blot analysis 486
confirmed downregulation EGFR protein levels in tumor but not in normal tissue (Figure 6 J-K and 487
S4 H), indicating on -target gene silencing rather than nonspecific effects. The administered dose 488
falls within the range used in clinical siRNA studies, supporting translational relevance.54 489
The absence of body weight loss after treatment (Figure S4 I) and normal organ function markers 490
(Figure 5 A-C) indicate the drug was well -tolerated. This is notable given that hepatotoxicity has 491
limited some lipid nanoparticle formulations with high positive charge density.55 492
Overall, CLP -siEGFR2′-OMe achieves tumor -selective delivery, functional gene silencing, and 493
therapeutic efficacy in a human colorectal cancer xenograft model without detectable systemic 494
toxicity. These findings establish a strong preclinical foundation for lipoplex -mediated siRNA 495
delivery to solid tumors and support further development toward clinical translation. 496
497
498
4. Material and Methods 499
Oligonucleotides were synthesized by phosphoramidite solid -phase method using LCA CPG solid 500
support and commercial phosphoramidites (Glen Research, USA, for phosphoramidite 6 -FAM, 501
ChemGenes, USA, for all other phosphoramidites). Hyacinth BMT activator was purchased from 502
empBiotech GmbH (Berlin, Germany), C18 SepPak cartridges from Waters Corp., (Miliford, MA, 503
USA), anhydrous acetonitrile (J.T. Baker brand) and ammonium hydroxide (30%, J.T. Baker brand) 504
from Avantor Performance Materials (Center Valley, PA, USA). 505
Negative ion electrospray mass spectra were obtained on a Synapt G2 Si high -resolution mass 506
spectrometer (Waters) equipped with a quadrupole -time-of-flight mass analyzer (Waters Corp., 507
Miliford,MA, USA). Data collected in a continuous mode was deconvolved using the MaxEnt1 508
algorithm. UV absorption measurements were performed using a Jasco V -770 UV−VIS/NIR 509
spectrophotometer (Jasco Int., Easton, MD, USA). RP-HPLC analyzes were performed on a Shimadzu 510
Prominence HPLC system (Kyoto, Japan) using Kinetex 5 µm C-18 column (100 Å, 250 mm × 4.6 mm 511
column, Phenomenex). Analysis conditions for cyanine 5 labelled oligonucleotides s -Cy5EGFR2’-OMe 512
and s-Cy5scrambled2’-OMe: buffer A - 0.1 M CH 3COONH4, pH 6.7; buffer B: CH 3CN flow: 1 mL / min. 513
Gradient of buffer B: 0 → 2 min 0%, 2 → 25 min 0-48%, 25 → 30 min 48- 60%, 30 → 35 mins 60-0%. 514
UV detection was performed at λmax 260 nm (and at 494 nm for FAM-labelled RNA and at 646 nm 515
for Cy5 -labelled RNA ), and the amount of compound was defined in optical units (OD) at the 516
wavelength of 260 nm. 517
Cationic liposomes were formulated using 1,2-dimyristoyl-sn-glycero-3-ethylphosphocholine (EPC), 518
1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC), 1,2 -dimyristoyl-sn-glycero-3-phosphocholine 519
(DMPC), and 1,2 -distearoyl-sn-glycero-3-phosphoethanolamine-N-[amino(polyethylene glycol) -520
2000] (DSPE -PEG(2000)-NH₂). For targeted form ulations, 1,2 -distearoyl-sn-glycero-3-521
phosphoethanolamine-N-[folate(polyethylene glycol) -2000] (DSPE -PEG(2000)-Folate) was added. 522
Fluorescently labeled liposomes were prepared using 1,2 -distearoyl-sn-glycero-3-523
phosphoethanolamine conjugated with Cyanine 7 (18:0 Cy7 PE). 524
All lipids were purchased from Avanti Polar Lipids (Alabaster, AL, USA) and used without further 525
purification. Ultrapure Milli-Q water (DNase-free and RNase-free grade) was used for all liposome 526
preparation and nucleic acid handling procedures. 527
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
21
4.1. Synthesis of RNA oligonucleotides 528
All RNA oligonucleotides were synthesized at CMMS PAS on 0.1 µmol scale using GeneWorld 529
DNA/RNA synthesizer H6 (K&A Laborgeraete GbR, Schaafheim, Germany) with standard protocols.56 530
The synthesis of oligonucleotides (s -EGFR, as-EGFR, s-scrambled, as-scrambled, s-GFP, as-GFP, s-531
EGFR2’-OMe, as-EGFR2’-OMe) was carried out in the DMT -on mode, so that it was possible to separate 532
them as pure 5’-protected RNAs according to the described procedure.57 Then, upon removal of the 533
DMT group, oligoribonucleotides were additionally purified by RP -HPLC, desalted on SepPak 534
columns and subjected to the mass spectrometry analysis . For oligonucleotides with 535
phosphorothioate bonds (s-EGFRPS, as-EGFRPS, s-EGFRPS/2’-OMe, as-EGFRPS/2’-OMe), the procedure was 536
modified, as the fists step of deprotection/purification, the β-cyanoethyl protecting groups were 537
removed from phosphorus in internucleotide linkages by washing the bed with piperidine in 538
acetonitrile. Subsequent steps followed the standard protocol for the other oligonucleotides. For 539
fluorescently labelled 5’-FAM-antisense strand (as-FAMEGFR), 5’-FAM-sense strand (s-FAMEGFR) and 540
5’-Cy5-sense strands (Cy5 -EGFR2’-OMe, Cy5-scrambles2’-OMe) oligonucleotides, the cuts off from the 541
bed were carried out by routine procedure and compounds were directly purified by RP -HPLC 542
(conditions described above). All the retention times and MS data obtained for the synthesized 543
oligonucleotides are summarized in Table 1. 544
4.2. Synthesis of CLP, CLP-FA, CLPCy7, CLP-FACy7 liposomes. 545
All liposomes were prepared using the thin -film hydration metho d followed by Bangham et al .,58 546
with our patented components (PCT.PL2022.000046 and WO2023/022615). An appropriate masses 547
of lipids, was dissolved in 2 mL of analytical -grade chloroform. The solution was thoroughly mixed 548
using a vortex mixer. The lipid -chloroform mixture was then transferred to a single round -bottom 549
flask, and the chloroform was evaporated using a rotary evaporator set to 45°C, forming a thin lipid 550
film. Next, 4 mL of sterile saline solution was added to the flask, which was tightly sealed and 551
incubated at 30°C overnight (12 hours) to hydrate the lipid film. After hydration, the lipid layers 552
were vortexed until the entire lipid film detached from the flask walls. The suspension was further 553
incubated for an additional 6 hours at 40°C with continuous shaking. The lipid vesicles were then 554
extruded through a 0.1 µm membrane filter, passing through the membrane 20 times to achieve 555
uniform size. The schematic of the procedure for the preparation of CLPs, CLPs-FA liposomes, and 556
their fluorescently labeled counterparts (CLPsCy7, CLPs-FACy7) is presented in Figure 1A. The liposome 557
fractions were subsequently combined and dia lyzed against ultrapure water for 16 hours using 558
Float-A-Lyzer G2 Dialysis Device membrane MWCO 100kD. The external solution was replaced 559
twice, at 2 and 4 hours. After dialysis, the liposomes were filtered through sterile PTFE syringe filters 560
with a pore size of 0.2 µm. The resulting liposomes were prepared for binding with nucleic acids in 561
subsequent experiments. 562
4.3. Physicochemical characteristic of CLP and CLP-FA liposomes. 563
Dynamic light scattering (DLS) and zeta potential analyses were performed using a Zetasizer Ultra 564
instrument (Malvern Panalytical, UK) equipped with ZS Xplorer software. Measurements were 565
conducted at 25 °C after 30 s equilibration. For size and polydispersity analysis, samples were placed 566
in disposable sizing cuvettes (ZEN0040), with t he material type set to “liposomes” and dispersant 567
set to water. Data were processed using the multiple narrow modes algorithm. For zeta potential 568
measurements, 800 µL of liposome suspension was transferred into a folded capillary zeta cell 569
(DTS1070, Malvern Panalytical). Measurements were carried out under identical conditions (25 °C, 570
30 s equilibration). 571
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
22
4.4. Preparation of CLP-siRNAs for measurements. 572
Cationic liposomes (CLP and CLP -FA) were prepared as described above and dialyzed against 573
ultrapure water. U nmodified siRNA (siEGFR) and ch emically modified siRNA (siEGFR 2’-OMe) were 574
mixed with the liposomes to obtain defined siRNA:CLP mass ratios of 1:100, 1:50, 1:20, and 1:10 575
(w/w). The mixtures were incubated for 30 minutes at room temperature to allow comple x 576
formation. Unless otherwise noted, measurements were performed at 25°C. Two formulation 577
variants were analyzed in parallel (CLP and CLP-FA). 578
4.5. Formation of [32P]-siRNA-lipoplex complex analyzed by PAGE 579
To 0.1 OD of the RNA strand s (sense and antisense) dis solved in 15 µL of Milli -Q water [32P-γ] ATP 580
(37.0 MBq, 1.00 mCi), T4 polynucleotide kinase (1 µL, 10,000 units / mL), and 2 µL of phosphorylation 581
reaction buffer supplied by the kinase manufacturer (final volume 20 µL). The reaction mixture was 582
then incubated at 37 °C for 1 hour. The next step was to inactivate the kinase by incubating the 583
reaction mixture at 85°C for 3 minutes. [32P]-siRNA was assembled by combining solutions of each 584
strand of [32P]-RNA radiolabelled in a 1: 1 molar ratio in sterile milliQ water to a final volume of 20 585
µL. The mixture was heated at 85°C for 5 min, then slowly cooled to room temperature for 1 h. 586
The radiolabeled duplex [32P]-siRNA solution was added to the lipoplex solution (CLP, CLP-FA) in the 587
defined weight ratio (1:1, 1:2.5, 1:10, 1:20), followed by incubation at room temperature for 30 min. 588
After this incubation time, the samples were applied to a 15% polyacrylamide gel (PAGE) under non-589
denaturing conditions (without the addition of urea). The electrophoresis was performe d at room 590
temperature with a voltage of 300 -400 V / cm and a current of 60 mA for 30 minutes. Then, 591
electrophoresis gels were developed autoradiographically on diagnostic membranes. 592
4.6. Preparation of pH buffers for [32P]-siRNA release studies from lipoplex complexes 593
A buffer with pH 4.0 was prepared based on NaOAc sodium acetate and acetic acid (150 mM) in 594
10 ml mQ water. NaOAc was combined with acetic acid to obtain a buffer pH 4.0. In this case, it was 595
not possible to use the buffer prepared on the basis of PBS, due to the different buffer capacity of 596
this solution. The remaining buffers (5.5, 6 .0, 7.4) were made based on Na 2HPO4 and NaH 2PO4 597
(150 mM) in 10 ml mQ water. By combining the two solutions in different proportions, buffers with 598
a higher pH were obta ined (5.5, 6 .0, 7.4). The pH of the solutions was confirmed by the 599
potentiometric method by measuring with a pH-meter. 600
4.7. Release of [32P]-siRNA cargo from the formulation 601
Labeled 32P-siRNA was coated with li poplex (CLP, CLP -FA) in a mass ratio of 1:10, incubation 30 602
minutes, at room temperature. Then added to the [32P]-siRNA (controls) alone as well as the coated 603
systems. In the next step, the samples were incubated with pH buffer (4.0, 5.5, 6 .0, 7.4) for 30 604
minutes, 1 hour, 2 hours and 4 hours at room temperature. Then, mixed with loading buffer (without 605
EDTA) was added to the samples and a double PAGE analysis was performed from the anode (+) to 606
the cathode (-) and inversely as well. 607
4.8. Stability studies of siRNA against lipoplex after 7-day incubation 608
Unmodified siEGFR and scrambled labeled and assembled according to the above procedures were 609
coated with CLP lipoplex in the ratio 1:10 followed by incubation for 30 minutes at room 610
temperature. After this time, the samples were incubated at 37°C or 4°C, and after 7 days their 611
electrophoretic analysis was performed (15% PAGE, non -denaturing conditions) either in the form 612
of a siRNA -lipoplex complex or after release of oligonucleo tides (f rom the siRNA -lipoplex 613
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
23
formulation after the addition of 10 -fold excess, i.e. 15 µL of phosphate buffer at pH 5.5). Prior to 614
loading on the gel, 5 µL of loading buffer without EDTA was added to the samples and 615
electrophoretic analysis was performed. 616
4.9. Cell viability 617
Caco-2 and CCD -841CoN cells were seeded in 96 -well plates and incubated overnight to allow 618
attachment. The culture medium was then replaced with fresh medium containing varying 619
concentrations of empty CLP or CLP -FA lipoplex (ranging from 10 to 200 µg/mL). Staurosporine (1 620
µM) was used as a positive control for cell death. After 48 h of incubation, the MTT assay was 621
performed as described in our previous work .35 Viability of differentiated THP -1 and RAW 264 .7 622
macrophages was assessed using MTS assay. Cells were treated with lipoplexes as described above. 623
Cell viability was determined using the CellTiter 96 AQueous One Solution Cell Proliferation Assay 624
(MTS) from Promega (Madison, WI, USA). Following 24 hours of treatment, 10 µL of the MTS reagent 625
was added directly to each well containing 100 µL of culture medium. The plates were incubated at 626
37°C for 3 h in a humidified, 5% CO2 atmosphere. The absorbance of the soluble formazan product 627
was measured at 490 nm, with a read at λ = 640 for background subtraction, using a BioTek Cytation 628
5 platform ( Agilent, Santa Clara, CA, USA). For both assays, cell viability was calculated as a 629
percentage relative to the untreated control cells (set to 100%). 630
4.10. Assessment of inhibitory activity of siRNAs coated with CLP lipoplexes 631
CaCo-2 and A431 cells were cultured according to the ATCC procedure. On the day before 632
microscopic observations, cells were seeded in black 96 -well plates (clear bottom) at 15 × 10 3 cells 633
in 100 μL of c omplete medium per well and left overnight at 37°C and 5% CO 2. After overnight 634
incubation, full medium was removed from the cells and replaced with OPTI -MEM base medium. 635
Transfection was carried out using commercial Lipofectamine 2000 reagent (Invitrogen) in a ratio of 636
2:1 (2 µL Lipofectamine 2000 per 1 µg nucleic acid) according to manufacturer's protocol. In the dual 637
fluorescence assay (DFA) CaCo -2 cells were transfected with pDsRed -N1 reporter plasmid (30 638
ng/well) and pEGFP -EGFR plasmid (100 ng/well). Th en, appropriate siRNAs (10 -200 nM) were co -639
transfected, delivered to cells with the tested lipoplexes CLP or CLP -FA or as a control with a 640
commercial transfection reagent (Lipofectamine 2000) according to the manufacturer's protocol. 641
After 5 hours of incubation, the transfection mixture was withdrawn from each well and cells were 642
flooded with 200 µL of fresh culture medium containing antibiotics. After 48 h of incubation at 37 643
°C in 5% CO 2, cells were washed twice with PBS buffer (no Ca 2+and Mg2+) and lysed overnight with 644
NP-40 buffer (150 mM NaCl, 1% IGEPAL, 50 mM Tris-HCl pH 7.0 and 1 mM PMSF) at 37°C. Prepared 645
cell lysates were used to determine the level of fluorescence were determined using a FLUOstar 646
Omega reader (BMG LABTECH). Flow cytometry was performed as previously described.38 647
4.11. Western Blotting 648
Total protein was extracted from excised equivolume tissue samples. Tissues were homogenized in 649
ice-cold 1 × Cell Lysis Buffer [Cell Signaling Technology (CST), Danvers, MA, USA] supplemented with 650
a phenylmethanesulfonyl fluoride (1 mM, Merck) and 1 × Protease and Phosphatase Inhibitor 651
Cocktail [Thermo Fisher Scientific (TFS), Waltham, MA, USA] using a using Bio -Gen PRO200 652
Homogenizer (PRO Scientifi c, Oxford, CT, USA). The lysates were centrifuged at 18,188 × g for 10 653
min at 4°C. Protein concentrations were determined in the obtained supernatants usi ng the BCA 654
Protein Assay (TFS). Equal amounts of protein were denatured at 95°C for 5 min in Laemmli sample 655
buffer, separated by 8 -12% PAGE in MES -SDS buffer (90 V for 10 min and 120 V for 60 m in), and 656
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
24
transferred onto PVDF membranes (TFS) using the iBlot2 (TFS) system (20 V for 1 min, 23 V for 4 657
min, and 25 V for 2 min). Membranes were blocked with 3% non-fat dry milk (Merck) in Tris-buffered 658
saline with 0.1% Tween 20 (TBST) for 1 h. After a single rinse with 1 × TBST, the membranes were 659
incubated overnight at 4°C with primary antibodies against EGFR (rabbit, AbCam, Cambridge, UK, 660
#AB52894) or α-tubulin (rat, TFS, #MA180017). Following four washes with TBST, membranes were 661
incubated with anti -rabbit [HRP -conjugated from CST, #7074] or anti -rat (AlexaFluor555 -662
conjugated, #4417) secondary antibodies. After 1 h of incubation at room temperature the 663
membranes were rinsed with 1 × TBST. All antibodies were diluted in 1 × TBST with 3% BSA at 1:2000 664
for primaries and at 1:10000 for secondaries. 665
When necessary, protein bands were visualized using Westar Supernova ECL reagent (Cyanagen, 666
Bologna, Italy). Image acquisition was performed on an Azure c400 (Azure Biosystems Inc., Dublin, 667
CA, USA). Densitometric analysis was performed on sub -saturated images using ImageJ 1.54f 668
software (National Institutes of Health, Bethesda, MD, USA), with EGFR band intensities normalized 669
to the loading control (α-tubulin). 670
4.12. In vivo study 671
Six-week-old female NOG -F mice (strain NOD.Cg -Prkdc^scid Il2rg^tm1Sug/JicTac) were obtained 672
from Taconic Biosciences and used for xenograft experiments. This strain represents a highly 673
immunodeficient model lacking functional T, B, and NK cells and is widely used fo r human tumor 674
xenograft studies. Upon arrival, animals were subjected to a 7-day quarantine, followed by handling 675
and habituation, in full compliance with GLP standards prior to the initiation of experimental 676
procedures. 677
Mice were housed in groups of five per cage under specific pathogen-free conditions with controlled 678
environmental parameters (temperature 20–24 °C, relative humidity 45–65%, 12 h light/dark cycle, 679
and 15 air changes per hour). Animals had free access to a standard rodent diet (Altromin) and water 680
ad libitum. Environmental enrichment, including nesting material and shelters, was provided to 681
promote natural behaviors and reduce stress. All animal procedures were performed in accordance 682
with national regulations for the care and use of laboratory animals and were approved by the Local 683
Ethical Committee for Animal Experiments (approval no. 90/2023). For xenograft implantation, 684
Caco-2 cells were detached at logarithmic growth phase using trypsinization, collected and 685
centrifuged to obtain a pellet. The cell pellet was resuspended in sterile phosphate-buffered saline 686
(PBS). Cell number and viability were determined using a hemocytometer and the suspension was 687
adjusted to the required concentration. Immediately prior to implantation, cells were prepared at a 688
density of 2 × 10⁶ cells per injection in PBS and kept on ice until administration. 689
Female NOG mice bearing Caco-2 xenografts were monitored until tumor volumes reached 50-100 690
mm³. Mice were randomly assigned to five groups (n = 6 per group): PBS, naked siEGFR2’OMe, empty 691
CLP, CLP-SCR2’OMe and CLP-siEGFR2’OMe. Treatments were administered via tail vein injection of siRNA 692
dose of 2 mg/kg body weight and ten -fold more for CLP. Groups receiving treatment were 693
administered formulations three times at defined intervals of 48h. Body weight and tumor volume 694
were recorded at each administration and at subsequent time points. Forty -eight hours after the 695
last injection, animals were euthanized by decapitation. Blood (200 µL) was collected into EDTA -696
containing tubes for immediate hematological analysis. Samples were centrifuged (3000 rpm, 10 697
min, 4 °C) to separate plasma; 50 µL plasma was frozen at -80 °C, while the remainder was used for 698
biochemical analyses. Organs, including brain, heart, lungs, liver, kidneys, and spleen, were excised, 699
weighed, and frozen on dry ice. Tumors were excised, weighed, photographed, and frozen for 700
subsequent analyses. 701
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
25
4.13. Treatment and in vivo imaging 702
Female NOG mice bearing Caco -2 xenografts were randomly assigned to fou r treatment groups (n 703
= 8): CLPCy7, CLP-FACy7, Cy5siRNA2’-OMe and CLPCy5siRNA2’-OMe. The dosing was 2 mg/kg body weight for 704
siRNA and ten -fold higher for CLP formulations. Control animals were left untreated and were 705
included solely as reference to assess background tissue auto-fluorescence. This allowed accurate 706
interpretation of fluorescence si gnals from experimental groups. Formulations were administered 707
via tail vein injection. In vivo fluorescence imaging was p erformed using an IVIS Spectrum 708
(Perkinelmer) imaging system at wavelengths appropriate for Cy5 and Cy7 dye. Tumor and 709
biodistribution imaging were conducted at 0, 6, 12, 18 and 24 hours post -injection. Mice were 710
anesthetized with isoflurane (3 –4% induction, 1.5% maintenance, oxygen flow 1 L/min) during 711
imaging. Images were acquired from both dorsal and ventral sides, and tails were covered to 712
eliminate fluorescence from the injection site. 713
4.14. Blood Hematology and Serum Biochemistry Assessment 714
Blood samples were collected from euthanized mice into EDTA -containing tubes. Hematological 715
analysis was performed using an automated hematology analyzer Abacus Junior Vet 5 following the 716
manufacturer’s instructions. The following parameters were evaluated: White Blood Cells (WBC), 717
Red Blood Cells (RBC) and Platelets (PLC). All measurements were performed in duplicate, and 718
instrument calibration and quality controls were verified prior to analysis to ensure accuracy and 719
reproducibility. 720
Plasma was separated by centrifugation at 3000 rpm for 10 minutes at 4 °C, and serum was collected 721
for biochemical analysis. Serum markers were quantified using commercial kits from Cormay 722
following the manufacturer’s protocols. All measurements were performed on a UV –Vis plate 723
reader (Synergy H1, BioTek) with appropriate blanks and calibration curves. 724
Creatine Kinase MB (CK -MB): CK-MB activity was determined using the Liquick Cor -CK-MB 30 kit 725
(Cormay). The assay is based on a coupled enzymatic reaction in which CK -MB catalyzes the 726
conversion of creatine phosphate and ADP to creatine and ATP. The generated ATP is subsequently 727
utilized in auxiliary reactions leading to NADPH formation, and the change in absorbance at 340 nm 728
is measured spectrophotometrically. 729
Alanine Aminotransferase (ALAT): ALAT activity was measured using the Liquick Cor -ALAT 60 kit 730
(Cormay). The method is based on the conversion of alanine and α -ketoglutarate to pyruvate and 731
glutamate. Pyruvate is subsequently reduced to lactate in the presence of lactate dehydrogenase, 732
accompanied by oxidation of NADH to NAD⁺. The decrease in absorbance at 340 nm is proportional 733
to ALAT activity. 734
Aspartate Aminotransferase (ASAT): ASAT activity was determined using the Liquick Cor-ASAT 60 kit 735
(Cormay). The reaction involves transamination of aspartate and α -ketoglutarate to oxaloacetate 736
and gl utamate. Oxaloacetate is subsequently reduced in a coupled enzymatic reaction involving 737
NADH, and the decrease in absorbance at 340 nm is monitored. 738
Urea: Urea concentration was measured using the Liquick Cor -UREA 60 kit (Cormay). In this 739
enzymatic assay, urea is hydrolyzed by urease to ammonia and carbon dioxide. The produced 740
ammonia participates in a subsequent enzymatic reaction generating a chromogenic product, which 741
is measured spectrophotometrically at 520–550 nm. 742
Creatinine: Creatinine levels were de termined using the Liquick Cor -CREATININE 60 kit (Cormay). 743
The assay is based on the Jaffe reaction, in which creatinine reacts with picrate ions in an alkaline 744
environment to form a colored complex. The intensity of the color, measured 745
spectrophotometrically at 490–510 nm, is proportional to the creatinine concentration. 746
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
26
All assays were calibrated and validated prior to analysis using appropriate calibration and quality 747
control reagents, including CORMAY CK -MB CALIBRATOR, CORMAY MULTICALIBRATOR LEVEL 1, 748
LEVEL 2 and quality control sera (CORMAY SERUM HP, CORMAY SERUM HN). These reagents were 749
used to verify the accuracy and reliability of the analytical methods according to the manufacturer’s 750
recommendations. All measurements were performed in duplicate to ensure reproducibility. 751
4.15. Statistical Analysis 752
An unpaired Student t-test was used to calculate 2-tailed P-values to estimate statistical significance 753
between 2 treatment groups. One -way analysis of variance and Bonferroni post -test were used to 754
assess differences between multiple groups and in tumor growth kinetics, respectively. Statistically 755
significant P-values were indicated in the figures compared to untreated or PBS groups). Data are 756
presented as mean±SD (n=3 -6); *P < 0.05, **P < 0.01, ***P < 0.001, ** **P < 0.0001 by one -way 757
ANOVA with Bonferroni’s correction post hoc test. Data were analyzed using Prism software version 758
10 (GraphPad Software). 759
760
761
5. Conflict of Interest 762
O.S. is an inventor on the international patent application s PCT.PL2022.000046 and 763
WO2023/022615 (RNA binding and stabilizing cationic liposome, its application and method of 764
loading the liposome with emetine) covering the design of lipid formulations. D.K. directs the design 765
and execution of preclinical studies at Biotechna S.A company. A.Z serves on the board , and B.N. 766
provides strategic leadership at Biotechna S.A., actively guiding the organization’s growth and 767
direction. No potential conflicts of interest were declared by other authors. 768
769
770
6. Acknowledgments 771
This research was funded by the Medical Research Agency (Poland) under the project implemented 772
by Biotechna S.A., grant no. 2022/ABM/06/00005. The authors thank Anna Maciaszek (CMMS PAS) 773
for the s ynthesis of oligonucleotides, Ewelina Wielgus (CMMS PAS) for the mass spectrometric 774
analysis. 775
776
777
778
779
780
781
782
783
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
27
784
7. References 785
1. Morgan, E. et al. Global burden of colorectal cancer in 2020 and 2040: incidence and mortality 786
estimates from GLOBOCAN. Gut 72, 338 LP – 344 (2023). 787
2. Siegel, R., DeSantis, C. & Jemal, A. Colorectal cancer statistics, 2014. CA Cancer J Clin 64, 104–788
117 (2014). 789
3. Cardoso, R. et al. Overall and stage -specific survival of patients with screen -detected 790
colorectal cancer in European countries: A population-based study in 9 countries. Lancet Reg 791
Heal - Eur 21, 100458 (2022). 792
4. Siegel, R. L., Miller, K. D., Fuchs, H. E. & Jemal, A. Cancer statistics, 2022. CA Cancer J Clin 72, 793
7–33 (2022). 794
5. Dosso, S. De. EGFR signaling in colorectal cancer : a clinical perspective. 21–38 (2015). 795
6. Liu, J., Zhou, Q., Xu, J., Wang, J. & Zhang, Y. Detection of EGFR express ion in patients with 796
colorectal cancer and the therapeutic effect of cetuximab. 21, 95–100 (2016). 797
7. Misale, S., Di Nicolantonio, F., Sartore -Bianchi, A., Siena, S. & Bardelli, A. Resistance to Anti -798
EGFR Therapy in Colorectal Cancer: From Heterogeneity to Convergent Evolution. Cancer 799
Discov 4, 1269–1280 (2014). 800
8. Khan, K. et al. Targeting EGFR pathway in metastatic colorectal cancer- tumour heterogeniety 801
and convergent evolution. Crit Rev Oncol Hematol 143, 153–163 (2019). 802
9. Khan, K. H. et al. Longitudinal Liquid Biopsy and Mathematical Modeling of Clonal Evolution 803
Forecast Time to Treatment Failure in the PROSPECT -C Phase II Colorectal Cancer Clinical 804
Trial. Cancer Discov 8, 1270–1285 (2018). 805
10. Roh, J. K. et al. Cetuximab and Chemotherapy as Initial Tr eatment for Metastatic Colorectal 806
Cancer. (2009). 807
11. Loree, J. M. et al. Expanded Low Allele Frequency RAS and BRAF V600E Testing in Metastatic 808
Colorectal Cancer as Predictive Biomarkers for Cetuximab in the Randomized CO.17 Trial. Clin 809
Cancer Res 27, 52–59 (2021). 810
12. Pedersen, M. W. et al. Sym004: a novel synergistic anti -epidermal growth factor receptor 811
antibody mixture with superior anticancer efficacy. Cancer Res 70, 588–597 (2010). 812
13. Tariq, A. et al. Exploring 4th generation EGFR inhibitors: A rev iew of clinical outcomes and 813
structural binding insights. Eur J Pharmacol 997, 177608 (2025). 814
14. Tang, Q. & Khvorova, A. RNAi -based drug design: considerations and future directions. Nat 815
Rev Drug Discov 23, 341–364 (2024). 816
15. Traber, G. M. & Yu, A. -M. RN Ai-Based Therapeutics and Novel RNA Bioengineering 817
Technologies. J Pharmacol Exp Ther 384, 133–154 (2023). 818
16. Lu, D., Dou, F. & Gao, J. Fitusiran: The first approved siRNA therapy for hemophilia via 819
reducing plasma antithrombin levels. Drug Discov Ther 19, 131–132 (2025). 820
17. Xiao, B. et al. Development, opportunities, and challenges of siRNA nucleic acid drugs. Mol 821
Ther Nucleic Acids 36, (2025). 822
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
28
18. Lee, S.-Y. et al. A theranostic micelleplex co -delivering SN-38 and VEGF siRNA for colorectal 823
cancer therapy. Biomaterials 86, 92–105 (2016). 824
19. Gary, D. J. et al. Influence of Nano -Carrier Architecture on in Vitro siRNA Delivery 825
Performance and in Vivo Biodistribution: Polyplexes vs Micelleplexes. ACS Nano 5, 3493–3505 826
(2011). 827
20. Chen, Y. & Huang, L. Tumor-targeted delivery of siRNA by non-viral vector: safe and effective 828
cancer therapy. Expert Opin Drug Deliv 5, 1301–1311 (2008). 829
21. Kim, S. H., Jeong, J. H., Lee, S. H., Kim, S. W. & Park, T. G. PEG conjugated VEGF siRNA for anti-830
angiogenic gene therapy. J Control release Off J Control Release Soc 116, 123–129 (2006). 831
22. Adams, D. et al. Patisiran, an RNAi Therapeutic, for Hereditary Transthyretin Amyloidosis. N 832
Engl J Med 379, 11–21 (2018). 833
23. Hoy, S. M. Patisiran: First Global Approval. Drugs 78, 1625–1631 (2018). 834
24. Yang, F. & Scott, T. A. Advances in lipid nanoparticles delivering genetic medicines for solid 835
cancers. Mol Ther Nucleic Acids 37, (2026). 836
25. Cheng, Y. -H., He, C., Riviere, J. E., Monteiro -Riviere, N. A. & Lin, Z. Meta -Analysis of 837
Nanoparticle Delivery to Tumors Using a Physiologically Based Pharmacokinetic Modeling and 838
Simulation Approach. ACS Nano 14, 3075–3095 (2020). 839
26. Wilhelm, S. et al. Analysis of nanoparticle delivery to tumours. Nat Rev Mater 1, 16014 (2016). 840
27. Gilleron, J. et al. Image-based analysis of lipid nanoparticle –mediated siRNA delivery, 841
intracellular trafficking and endosomal escape. Nat Biotechnol 31, 638–646 (2013). 842
28. Hatakeyama, H., Akita, H. & Harashima, H. The polyethylenegly col dilemma: advantage and 843
disadvantage of PEGylation of liposomes for systemic genes and nucleic acids delivery to 844
tumors. Biol Pharm Bull 36, 892–899 (2013). 845
29. Pan, J. et al. Emerging strategies against accelerated blood clearance phenomenon of 846
nanocarrier drug delivery systems. J Nanobiotechnology 23, 138 (2025). 847
30. Suk, J. S., Xu, Q., Kim, N., Hanes, J. & Ensign, L. M. PEGylation as a strategy for improving 848
nanoparticle-based drug and gene delivery. Adv Drug Deliv Rev 99, 28–51 (2016). 849
31. Kesharwani, P. et al. PEGylated PLGA nanoparticles : unlocking advanced strategies for cancer 850
therapy. (2025). 851
32. Ríos-hoyo, A., Monzonís, X., Vidal, J., Linares, J. & Montagut, C. Unveiling acquired resistance 852
to anti -EGFR therapies in colorectal cancer : a long and winding road. 1 –12 (2024) 853
doi:10.3389/fphar.2024.1398419. 854
33. Hattori, Y. et al. Optimal combination of cationic lipid and phospholipid in cationic liposomes 855
for gene knockdown in breast cancer cells and mouse lung using siRNA lipoplexes. Mol Med 856
Rep 26, 253 (2022). 857
34. Hu, Y. -B., Dammer, E. B., Ren, R. -J. & Wang, G. The endosomal -lysosomal system: from 858
acidification and cargo sorting to neurodegeneration. Transl Neurodegener 4, 18 (2015). 859
35. Ebenryter-Olbińska, K. et al. Versatile Method for the Site-Specific Modification of DNA with 860
Boron Clusters: Anti -Epidermal Growth Factor Receptor (EGFR) Antisense Oligonucleotide 861
Case. Chemistry 23, 16535–16546 (2017). 862
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
29
36. Sierant, M. et al. Specific Silencing of L392V PSEN1 Mutant Allele by RNA Interference. Int J 863
Alzheimer’s Dis 2011, 809218 (2011). 864
37. Gudanis, D. et al. Formation of an RNA Quadruplex -Duplex Hybrid in Living Cells between 865
mRNA of the Epidermal Growth Factor Receptor (EGFR) and a G -Rich Antisense 866
Oligoribonucleotide. Cells vol. 9 (2020). 867
38. Kaniowski, D. et al. EGFR-targeted antisense oligonucleotides modified with boron clusters 868
offer an innovative approach to cancer chemo-radiotherapy. (2025). 869
39. Choung, S., Kim, Y. J., Kim, S., Park, H. -O. & Choi, Y. -C. Chemical modification of siRNAs to 870
improve serum stability without loss of efficacy. Biochem Biophys Res Commun 342, 919–871
927 (2006). 872
40. Hu, B. et al. Therapeutic siRNA: state of the art. Signal Transduct Target Ther 5, 101 (2020). 873
41. Kulkarni, J. A., Cullis, P. R. & van der Meel, R. Lipid Nanoparticles Enabling Gene Therapies: 874
From Concepts to Clinical Utility. Nucleic Acid Ther 28, 146–157 (2018). 875
42. Hamelmann, N. M., Paats, J. -W. D. & Paulusse, J. M. J. Cytosolic Delivery of Single -Chain 876
Polymer Nanoparticles. ACS Macro Lett 10, 1443–1449 (2021). 877
43. Wittrup, A. & Lieberman, J. Knocking down disease: a progress report on siRNA therapeutics. 878
Nat Rev Genet 16, 543–552 (2015). 879
44. Yang, G. et al. Construction of PEI -EGFR-PD-L1-siRNA dua l functional nano -vaccine and 880
therapeutic efficacy evaluation for lung cancer. Thorac Cancer 13, 2941–2950 (2022). 881
45. Ikeda, Y. & Nagasaki, Y. Impacts of PEGylation on the gene and oligonucleotide delivery 882
system. J Appl Polym Sci 131, (2014). 883
46. Scaranti, M., Cojocaru, E., Banerjee, S. & Banerji, U. Exploiting the folate receptor α in 884
oncology. Nat Rev Clin Oncol 17, 349–359 (2020). 885
47. Mizrahy, S., Hazan-halevy, I., Dammes, N., Landesman-milo, D. & Peer, D. Current Progress in 886
Non-viral RNAi-Based Delivery Strategies to Lymphocytes. Mol Ther 25, 1491–1500 (2017). 887
48. Egli, M. & Manoharan, M. Chemistry, structure and function of approved oligonucleotide 888
therapeutics. Nucleic Acids Res 51, 2529–2573 (2023). 889
49. Hassler, M. R. et al. Comparison of partially and fully chemically-modified siRNA in conjugate-890
mediated delivery in vivo. Nucleic Acids Res 46, 2185–2196 (2018). 891
50. Geisler, H. C. et al. EGFR-targeted ionizable lipid nanoparticles enhance in vivo mRNA delivery 892
to the placenta. J Control release Off J Control Release Soc 371, 455–469 (2024). 893
51. Agnello, L. et al. Optimizing cisplatin delivery to triple -negative breast cancer through novel 894
EGFR aptamer-conjugated polymeric nanovectors. J Exp Clin Cancer Res 40, 239 (2021). 895
52. Kampel, L. et al. Therapeutic inhibitory RNA in head and neck cancer via functional targeted 896
lipid nanoparticles. J Control release Off J Control Release Soc 337, 378–389 (2021). 897
53. Sindhwani, S. et al. The entry of nanoparticles into solid tumours. Nat Mater 19, 566–575 898
(2020). 899
54. Zhang, M. M., Bahal, R., Rasmussen, T. P. & Zhong, X. HHS Public Access. 1 –29 (2022) 900
doi:10.1016/j.bcp.2021.114432.The. 901
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
30
55. Akinc, A. et al. The Onpattro story and the clinical translation of nanomedicines containing 902
nucleic acid-based drugs. Nat Nanotechnol 14, 1084–1087 (2019). 903
56. Sanghvi, Y. S. A status update of modified oligonucleotides for chemotherapeutics 904
applications. Curr Protoc nucleic acid Chem Chapter 4, Unit 4.1.1-22 (2011). 905
57. Nawrot, B. & Sochacka, E. Preparation of short interfering RNA containing the modified 906
nucleosides 2-thiouridine, pseudouridine, or dihydrouridine. Curr Protoc nucleic acid Chem 907
Chapter 16, 16.2.1-16.2.16 (2009). 908
58. Bangham, A. D., Standish, M. M. & Watkins, J. C. Diffusion of univalent ions across t he 909
lamellae of swollen phospholipids. J Mol Biol 13, 238–252 (1965). 910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
31
935
936
937
938
939
940
941
942
943
944
945
946
947
Supplementary 948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
32
966
967
968
Figure S1. Physicochemical characterization of CLP and CLP -FA lipoplexes with and without siRNA. Zeta 969
potential (A); hydrodynamic radius (B); and polydispersity index (PDI) (C) of empty lipoplexes and lipoplexes 970
loaded with siRNA EGFR2′OMe (5 or 10 μg, as shown ), measured immediately after preparation and after 5 971
days of storage. 972
973
974
975
976
977
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
33
978
979
Figure S2 . ESI-Q-TOF mass spectra of unmodified and chemically modified siRNA strands (sense and 980
antisense), including PS, 2′ -O-methyl, and PS/2′ -O-methyl variants, as well as fluorophore -labeled 981
oligonucleotides. Measured masses are consistent with theoretical values. 982
983
984
985
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
34
986
Figure S3. Properties and Activity of EGFR-targeting siRNA lipoplexes. Fluorescence microscopy images (×40 987
magnification) of Caco-2 cells treated with Lipofectamine 2000 -complexed siEGFRFAM (100nM, green dots), 988
demonstrating intracellular localization after 30min incubation; nuclei stained with DAPI (blue) and the 989
endoplasmic reticulum stained with ER -Tracker RED (A); native 15% PAGE analysis confirming complete 990
loading of Cy5-labeled siEGFR into CLP lipoplexes (B); cell viability of THP-1-derived human macrophages and 991
RAW264.7 mouse macrophages following CLP (0.1-200 µg/mL) treatment with IC50 value, assessed after 48 992
h by MTT assay ( C); control GFP silencing in Caco -2 and A431 cells tre ated with CLP- or CLP-FA-formulated 993
siRNA-GFP at the indicated concentrations by DFA ( D-E); EGFR silencing mediated by Lipofec tamine 2000-994
formulated siRNAs in Caco -2 and A431 cells after 48 h by DFA tool (F-G); EGFR expression o n Caco-2 cells 995
following treatment with emp ty CLP, CLP -siRNA EGFR, and CLP -ASO EGFR formulations (100 nM, 48 h; 996
positive controls), compared with the EGFR inhibitor PD153035 (1µM), as determined by flow cytometry. 997
998
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
35
999
Figure S4. In vivo biodistribution and tumor accumulation of CLP-siEGFR formulations. Quantification of 1000
siRNA Cy5EGFR2’-OMe, Cy5EGFR2’-OMe encapsulated in CLP, and CLP alone in tumor tissue at 6, 12, and 24 hours 1001
post-intravenous injection (2mg/kg) by IVIS (A); Comparative accumulation of CLP-Cy5EGFR2’-OMe and siRNA 1002
Cy5EGFR2’-OMe (2mg/kg) in tumors at the indicated time points (B); Biodistribution of empty CLP Cy7 in major 1003
organs of mice at 6, 12, and 24 hours post -injection (C-D); Organ-specific accumulation of siEGFR Cy5 at the 1004
same time points (E); Biodistribution and accumulation of CLP-Cy5EGFR2’-OMe (2mg/kg) in mouse organs over 1005
6, 12, and 24 hours by IVIS (F-G); EGFR expression in liver and CaCo-2 xenografts, assessed by western blot, 1006
following treatment with indicated compounds (2 mg/kg, intravenous) (H); Body weight of mice monitored 1007
post-treatment, indicating systemic tolerability (I). Data are presented as mean ± SD. 1008
1009
.CC-BY-NC 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted March 31, 2026. ; https://doi.org/10.64898/2026.03.29.715100doi: bioRxiv preprint
Text is read by the "Ask this paper" AI Q&A widget below.
Extraction quality varies by source — PMC NXML preserves structure
cleanly, OA-HTML may include some navigation residue, and OA-PDF can
have broken hyphenation. The publisher copy
(via DOI)
is the canonical version.