In
the tumor microenvironment (TME), the cross-talk between tumor
cells and hepatic stellate cells (HSCs) could facilitate tumor drug
resistance and metastasis, leading to poor prognosis in the patients
with hepatocellular carcinoma (HCC). Herein, blocking the cross-talk
would be an effective antitumor strategy. In this study, nanoscale
dual-ligand-modified multifunctional liposomes (CMDLs) were prepared
for the codelivery of curcumin and metformin. To mimic a real TME,
the “HSC + HCC” cell cocultured model and “m-HSC–HCC”
coimplanted model were established to evaluate the antitumor effect
in vitro and in vivo, respectively. These models have been proven
to be more efficient for antitumor analysis than tumor cells alone.
Compared to free drugs, CMDLs well strengthened drug internalization
and drug retention in vitro. Notably, the combined drug formulations,
especially CMDLs, exhibited a greater proapoptotic effect than single
treatment groups. Furthermore, the in vivo antitumor studies showed
that CMDLs exhibited low extracellular matrix deposition, less tumor
angiogenesis, and superior anti-HCC efficacy than the other groups
in both subcutaneous H22 cells and “m-HSC + H22” coimplanted
mice models. The antitumor mechanisms revealed that the combination
therapy based on the nanoscale CMDLs could not only inhibit the activation
of HSCs by blocking the TGF-β/Smad2 pathway but also block tumor
metastasis by reversing epithelial mesenchymal transformation of HCC,
which provides a promising approach for anti-HCC therapy.