Combinational
cancer therapy has been considered as a promising strategy to achieve synergetic
therapeutic effects and suppression of multidrug resistance. Herein, we adopted a combination of
methotrexate (MTX), an
antimetabolite acting on cytoplasm, and
10-hydroxycamptothecin (
HCPT), an
alkaloid acting on nuclei, to treat
cancer. Given the different solubilities, membrane permeabilities, and anticancer mechanisms of both drugs, we developed a dual-targeting delivery system based on 1,2-distearoyl-sn-glycero-3-phosphoethanolamine-hyaluronic
acid (a principal
ligand of CD44 receptors)-MTX (a selective
ligand of
folate receptors) nanoparticles, which was exploited to carry
HCPT-MTX conjugate for synergistically boosting dual-drug co-delivery. The
HCPT-MTX conjugate was synthesized by a blood-stable yet intracellularly hydrolysable
ester bond. The core-shell-corona
DSPE-HA-MTX nanoparticles encapsulating
HCPT-MTX (
HCPT-MTX@DHM) exhibited high drug entrapment efficiency (∼91.8%) and pH/
esterase-controlled release behavior. Cellular uptake studies confirmed significant increase in the efficiency of selective internalization of
HCPT-MTX@DHM via CD44/
folate receptors compared with those of
DSPE-HA nanoparticles encapsulating
HCPT-MTX (
HCPT-MTX@DH), both drugs, or each individual drug. Furthermore, in vivo near-infrared fluorescence and photoacoustic dual-modal imaging indicated that DiR-doped
HCPT-MTX@DHM nanoparticles efficiently accumulated at the
tumor sites through passive-plus-active targeting. Finally, the synergistic active targeting and synchronous dual-drug release at a synergistic drug-to-drug ratio resulted in highly synergetic
tumor cell-killing and
tumor growth inhibition in MCF-7
tumor-bearing mice. Therefore,
HCPT-MTX@DHM nanoparticles can be an efficient and smart platform for
tumor-targeting
therapy.