Endogenous HS-Activated Orthogonal Second Near-Infrared Emissive Nanoprobe for Ratiometric Fluorescence Imaging of Metformin-Induced Liver Injury.

Metformin as a hypoglycemic drug for antidiabetic treatment has emerged as a multipotential drug for many disease treatments such as cognitive disorders, cancers, promoting weight loss. However, overdose uptake may upregulate the hepatic HS level, subsequently leading to serious liver injury and toxicity. Therefore, developing intelligent second near-infrared (NIR-II) emitting nanoprobes by using endogenous HS as a smart trigger for noninvasive highly specific monitoring of the metformin-induced hepatotoxicity is highly desirable, which is rarely explored. Herein, an endogenous HS activated orthogonal NIR-II emitting myrica rubra-like nanoprobe based on NaYF:Gd/Yb/Er@NaYF:Yb@SiO coated with Ag nanodots was explored for highly specific ratiometrically monitoring of hepatotoxicity. The designed nanoprobes were mainly uptaken by the liver and subsequently converted to NaYF:Gd/Yb/Er@NaYF:Yb@SiO@AgS sulfuration reaction triggered by the overexpressed endogenous HS in the injured liver tissues, finally leading to a turn-on orthogonal emission centered at 1053 nm (irradiation by 808 nm laser) and 1525 nm (irradiation by 980 nm laser). The designed nanoprobe presents a high detection limit down to 0.7 nM of HS. More importantly, the highly specific ratiometric imaging of the metformin-induced hepatotoxicity was successfully achieved by using the activatable orthogonal NIR-II emitting probe. Our results provide an NIR-II ratiometric fluorescence imaging strategy for highly sensitive/specific diagnosis of hepatotoxicity levels induced by metformin.