ZINC OXIDE NANOPARTICLES FOR LIVER CANCER: ADVANCES IN SYNTHESIS, MECHANISMS, DELIVERY, AND TRANSLATIONAL CHALLENGES

Authors

  • S MANZOOR Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author
  • M NOUMAN Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author
  • MZ SALEEM Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author
  • GZ JAHANGIR Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author
  • S YOUNAS Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author
  • B NAZIR Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author
  • HM SHEHZAD Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan Author

DOI:

https://doi.org/10.64013/bbasrjlifess.v2026i1.57

Abstract

The usage of zinc oxide (ZnO) nanoparticles as multifunctional therapeutic drugs for treating hepatocellular carcinoma (HCC) has been increasingly gaining recognition due to the cytotoxic nature of these nanomaterials, possibilities of surface functionalization, and their capacity for incorporation into other delivery systems. The current article highlights progress made (in years 2023-2025) in environmentally friendly and engineered production of ZnO nanoparticles, including plant-based and doped versions thereof, explains the molecular mechanisms of antitumor activity of ZnO NPs involving generation of ROS, release of Zn2+, apoptosis, and ferroptosis induction, and immunomodulation, and describes novel nano-formulations based on ZnO NPs, such as pH-sensitive vehicles, films, scaffolds, and quantum dots. The present paper also touches upon the problem of the toxicity of ZnO NPs and challenges in moving this technology from bench to clinic.

Downloads

Download data is not yet available.

Author Biographies

  • S MANZOOR, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

  • M NOUMAN, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

  • MZ SALEEM, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

  • GZ JAHANGIR, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

  • S YOUNAS, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

  • B NAZIR, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

  • HM SHEHZAD, Centre for Applied Molecular Biology (CAMB), University of the Punjab, Lahore, Pakistan

    NA

References

Abaza, A., Mahmoud, G., Hegazy, E., Amin, M., Shoukry, E., and Elsheikh, B. (2018). Cytotoxic Effect of Chitosan Based Nanocomposite Synthesized by Radiation: In Vitro Liver and Breast Cancer Cell Line. Journal of Pharmacy and Pharmacology 6. DOI: https://doi.org/10.17265/2328-2150/2018.04.002

Akinboyewa, L. O., Afolabi, A. F., Adekoya, M. A., Olusola, O. I., and Oluyamo, S. S. (2025). Synthesis, Characterization and Potential Drug Delivery Applications of Polymer-Coated Zinc Oxide Nanoparticles for Cancer-Targeted Therapy. Research Square. DOI: https://doi.org/10.21203/rs.3.rs-7602894/v1

Allam, R. M., El-Nasr, N. M. E. A., Elbaset, M. A., Saleh, D. O., and El-Seidy, A. M. A. (2025). Unveiling the potency of ZnO and CuO nanocomposites in combating hepatocellular carcinoma by inducing cell death and suppressing migration. Scientific Reports 15, 15477. DOI: https://doi.org/10.1038/s41598-025-97395-4

Anjum, S., Hashim, M., Malik, S. A., Khan, M., Lorenzo, J. M., Abbasi, B. H., and Hano, C. (2021). Recent Advances in Zinc Oxide Nanoparticles (ZnO NPs) for Cancer Diagnosis, Target Drug Delivery, and Treatment. Cancers 13, 4570. DOI: https://doi.org/10.3390/cancers13184570

Badawy, M., Salah, M., and Abdel‐Hamid, G. (2023). Anticancer approach of zinc oxide nanocomposite prepared by gamma radiation via induction of apoptosis and PGC‐1α pathways in hepatocellular carcinoma in rats. Applied Organometallic Chemistry 38. DOI: https://doi.org/10.1002/aoc.7294

Bezerra, J. B., Matos, R. S., Zucolotto, B., Pedra, P. P., and Ferreira, N. S. (2019). Effects of different complexing agents on the physical properties of ZnO nanoparticles. Materials Science and Technology 35, 231-239. DOI: https://doi.org/10.1080/02670836.2018.1558598

Cai, Y., Wang, W., Jiao, Q., Hu, T., Ren, Y., Su, X., Li, Z., Feng, M., Liu, X., and Wang, Y. (2024). Nanotechnology for the Diagnosis and Treatment of Liver Cancer. International Journal of Nanomedicine, 13805-13821. DOI: https://doi.org/10.2147/IJN.S490661

Chen, H., Luo, L., Fan, S., Xiong, Y., Ling, Y., and Peng, S. (2021). Zinc oxide nanoparticles synthesized from Aspergillus terreus induces oxidative stress-mediated apoptosis through modulating apoptotic proteins in human cervical cancer HeLa cells. Journal of Pharmacy and Pharmacology 73, 221-232. DOI: https://doi.org/10.1093/jpp/rgaa043

Chevallet, M., Gallet, B., Fuchs, A., Jouneau, P. H., Um, K., Mintz, E., and Michaud-Soret, I. (2016). Metal homeostasis disruption and mitochondrial dysfunction in hepatocytes exposed to sub-toxic doses of zinc oxide nanoparticles. Nanoscale 8, 18495-18506. DOI: https://doi.org/10.1039/C6NR05306H

Chong, W. J., Wright, P., Simunec, D. P., Jayashree, S., Liew, W., Heazlewood, C., Trinchi, A., Kyratzis, I. L., Li, Y., and Shen, S. (2025). A comprehensive study on the biodegradability, biocompatibility, and antibacterial properties of additively manufactured PLA-ZnO nanocomposites. Smart Materials in Manufacturing 3, 100069. DOI: https://doi.org/10.1016/j.smmf.2024.100069

Conte, M., Vighetto, V., and Cauda, V. (2026). Zinc oxide nanoparticles from drug delivery to immunomodulation: progress and challenges. Expert Opinion on Drug Delivery ahead-of-print, 1-13. DOI: https://doi.org/10.1080/17425247.2026.2638409

Guo, Y., and Morshedi, M. (2025a). Cutting-edge nanotechnology: unveiling the role of zinc oxide nanoparticles in combating deadly gastrointestinal tumors. Frontiers in Bioengineering and Biotechnology 13, 1547757.

Guo, Y., and Morshedi, M. (2025b). Cutting-edge nanotechnology: unveiling the role of zinc oxide nanoparticles in combating deadly gastrointestinal tumors. Frontiers in Bioengineering and Biotechnology Volume 13 - 2025. DOI: https://doi.org/10.3389/fbioe.2025.1547757

Hassan, A., Al-Salmi, F. A., Abuamara, T. M., Matar, E. R., Amer, M. E., Fayed, E. M., Hablas, M. G., Mohammed, T. S., Ali, H. E., and Abd El-Fattah, F. M. (2022). Ultrastructural analysis of zinc oxide nanospheres enhances anti-tumor efficacy against Hepatoma. Frontiers in oncology 12, 933750. DOI: https://doi.org/10.3389/fonc.2022.933750

Hassan, H. F. H., Mansour, A. M., Abo‐Youssef, A. M. H., Elsadek, B. E., and Messiha, B. A. S. (2017a). Zinc oxide nanoparticles as a novel anticancer approach; in vitro and in vivo evidence. Clinical and Experimental Pharmacology and Physiology 44, 235-243.

Hassan, H. F. H., Mansour, A. M., Abo‐Youssef, A. M. H., Elsadek, B. E. M., and Messiha, B. A. S. (2017b). Zinc oxide nanoparticles as a novel anticancer approach; in vitro and in vivo evidence. Clinical and Experimental Pharmacology and Physiology 44, 235-243. DOI: https://doi.org/10.1111/1440-1681.12681

Hussein, M. O., and Abdulhameed, A. S. (2025). Multifaceted Insights into Chitosan Polymer/Pomegranate Peel Extract/ZnO Nanocomposite: Characterization, Hepatocellular Cancer Treatment, and Antioxidant Activity. ChemistrySelect 10. DOI: https://doi.org/10.1002/slct.202502063

Jindal, S., Giripunje, S., and Kondawar, S. (2019). Electronic and Optical Properties of Size-Controlled ZnO Nanoparticles Synthesized by a Facile Chemical Approach. Iranian Journal of Chemistry & Chemical Engineering-international English Edition 38, 11-20.

Johny, L. M., Nirmala Jothi, N. S., and Sagayaraj, P. (2017). Facile Synthesis, Formation Mechanism and Optical Properties of ZnO Nanostructures. pp. 313-326. springer nature. DOI: https://doi.org/10.1007/978-3-319-44890-9_29

Khafaga, D. S., Eid, M., Mohamed, M. H., Abdelmaksoud, M. D., Afify, M., El-Khawaga, A. M., and Abdelhakim, H. K. (2024). Enhanced anticancer activity of silver doped zinc oxide magnetic nanocarrier loaded with sorafenib for hepatocellular carcinoma treatment. Scientific Reports 14, 15538. DOI: https://doi.org/10.1038/s41598-024-65235-6

Kim, A. R., Ahmed, F. R., Jung, G. Y., Cho, S.-W., Kim, D.-I., and Um, S. H. (2013). Hepatocyte Cytotoxicity Evaluation with Zinc Oxide Nanoparticles. Journal of Biomedical Nanotechnology 9, 926-929. DOI: https://doi.org/10.1166/jbn.2013.1495

Kitchin, K. T., Richards, J. A., Robinette, B. L., Wallace, K. A., Coates, N. H., Castellon, B. T., Grulke, E. A., Kou, J., and Varma, R. S. (2020). Biochemical Effects of Silver Nanomaterials in Human Hepatocellular Carcinoma (HepG2) Cells. Journal of nanoscience and nanotechnology 20, 5833-5858. DOI: https://doi.org/10.1166/jnn.2020.17858

Lebaka, V. R., Ravi, P., Reddy, M. C., Thummala, C., and Mandal, T. K. (2025). Zinc Oxide Nanoparticles in Modern Science and Technology: Multifunctional Roles in Healthcare, Environmental Remediation, and Industry. Nanomaterials 15, 754. DOI: https://doi.org/10.3390/nano15100754

Mohammed, M., Adam, T., Ihmedee, F., Mohammed, A., Al_Essa, S. A. K., and Betar, B. (2024). Zinc oxide nanoparticles: A comprehensive review on its synthesis, anticancer and drug delivery applications. 2024(2) 2, 185-202. DOI: https://doi.org/10.61268/c40js505

Murali, S., Kumar, S., Koh, J., Seena, S., Singh, P., Ramalho, A., and Sobral, A. J. F. N. (2019). Bio-based chitosan/gelatin/Ag@ZnO bionanocomposites: synthesis and mechanical and antibacterial properties. Cellulose 26, 5347-5361. DOI: https://doi.org/10.1007/s10570-019-02457-2

Pei, X., Jiang, H., Xu, G., Li, C., Li, D., and Tang, S. (2022). Lethality of Zinc Oxide Nanoparticles Surpasses Conventional Zinc Oxide via Oxidative Stress, Mitochondrial Damage and Calcium Overload: A Comparative Hepatotoxicity Study. International Journal of Molecular Sciences 23, 6724. DOI: https://doi.org/10.3390/ijms23126724

Pieretti, J. C., Horne, T. L., García-Villasante, N., Seabra, A. B., and Muntané, J. (2024). Zinc-Based Nanoparticles, but Not Silicon-Based Nanoparticles, Accumulate in Mitochondria and Promote Cell Death in Liver Cancer Cells. International Journal of Nanomedicine 19, 12409-12420. DOI: https://doi.org/10.2147/IJN.S474643

Ryu, W.-I., Park, Y.-H., Bae, H. C., Kim, J. H., Jeong, S. H., Lee, H., and Son, S. W. (2014). ZnO nanoparticle induces apoptosis by ROS triggered mitochondrial pathway in human keratinocytes. Molecular & Cellular Toxicology 10, 387-391. DOI: https://doi.org/10.1007/s13273-014-0043-6

Sahai, A., and Goswami, N. (2015). Structural and optical investigations of oxygen defects in zinc oxide nanoparticles. Vol. 1667, pp. 050023. Cornell University. DOI: https://doi.org/10.1063/1.4917664

Sarwar, K., Nazli, Z.-I. H., Munir, H., Aslam, M., and Khalofah, A. (2025). Biosynthesis of zinc oxide nanoparticles using Moringa oleifera leaf extract, probing antibacterial and antioxidant activities. Scientific Reports 15, 20413. DOI: https://doi.org/10.1038/s41598-025-08839-w

Sharma, A., Gorey, B., and Casey, A. (2018). In vitro comparative cytotoxicity study of aminated polystyrene, zinc oxide and silver nanoparticles on a cervical cancer cell line. Drug and Chemical Toxicology 42, 9-23. DOI: https://doi.org/10.1080/01480545.2018.1424181

Tadinada, S. M., Lai, M. B., Idikuda, V., Mukka, K., Singh, R. M., Pfau, J., Bhushan, A., Leung, S., and Lai, J. C. K. (2013). Zinc Oxide Nanparticles Induce Apoptosis and Necrosis in Hepatocellular Carcinoma HepG2 Cells. The FASEB Journal 27. DOI: https://doi.org/10.1096/fasebj.27.1_supplement.1106.5

Tseriotis, V.-S., Ampazis, D., Karachrysafi, S., Papamitsou, T., Petrakis, G., Kouvelas, D., Mavropoulos, P., Lallas, K., Sič, A., Fouskas, V., Stergiou, K., Pavlidis, P., and Arnaoutoglou, M. (2025). ZnO-Based Nanoparticles for Targeted Cancer Chemotherapy and the Role of Tumor Microenvironment: A Systematic Review. International Journal of Molecular Sciences 26, 8417. DOI: https://doi.org/10.3390/ijms26178417

Ur-Rehman, N., Khalid, A. D., Sharif, M., Hadi, F., Abid, F., Zahra, M., Fatima, Z., Ahmad, I., and Elhindi, K. M. (2025). Improved cytotoxic and optical characteristics of silver-doped TiO2 nanoparticles on human liver cancer cells. Digest Journal of Nanomaterials and Biostructures 20, 327-339. DOI: https://doi.org/10.15251/DJNB.2025.201.327

Wang, X.-H., Wang, Z., Zhang, J., Qi, H.-X., Chen, J., and Xu, M. (2016). Cytotoxicity of AgNPs/CS composite films: AgNPs immobilized in chitosan matrix contributes a higher inhibition rate to cell proliferation. Bioengineered 7, 283-290. DOI: https://doi.org/10.1080/21655979.2016.1197683

Wasly, H. S., El-Sadek, M. S. A., and Henini, M. (2018). Influence of reaction time and synthesis temperature on the physical properties of ZnO nanoparticles synthesized by the hydrothermal method. Applied Physics A 124. DOI: https://doi.org/10.1007/s00339-017-1482-4

Xi, Z.-Y., Fan, C.-Y., Jiang, Y.-Y., Xi, X.-R., Nie, G.-Y., Zhu, S., Zhang, J.-J., and Xu, L. (2025). Nanocatalytic system releases overloaded zinc ions and ROS to induce Znproptosis and interrupt cell cycle through inhibiting Akt/mTOR pathway. Theranostics 15, 4734-4762. DOI: https://doi.org/10.7150/thno.107025

Yang, R., Wu, R., Mei, J., Hu, F.-R., and Lei, C.-J. (2021). Zinc oxide nanoparticles promotes liver cancer cell apoptosis through inducing autophagy and promoting p53. European Review for Medical & Pharmacological Sciences 25.

Downloads

Published

17-06-2026

How to Cite

MANZOOR, S., NOUMAN, M., SALEEM, M., JAHANGIR, G., YOUNAS, S., NAZIR, B., & SHEHZAD, H. (2026). ZINC OXIDE NANOPARTICLES FOR LIVER CANCER: ADVANCES IN SYNTHESIS, MECHANISMS, DELIVERY, AND TRANSLATIONAL CHALLENGES. Journal of Life and Social Sciences, 2026(1), 57. https://doi.org/10.64013/bbasrjlifess.v2026i1.57

Most read articles by the same author(s)