Department of Orthopedics, Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, 030032, China.
Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital, Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University, China.
Adv Healthc Mater. 2024 Sep;13(23):e2401060. doi: 10.1002/adhm.202401060. Epub 2024 Jun 14.
Photothermal therapy (PTT) is a promising approach for treating tumors that offers multiple advantages. Nevertheless, its practical use in clinical settings faces several limitations, such as suboptimal delivery efficiency, uneven heat distribution, and challenges in predicting optimal treatment duration. In addition, the localized hyperthermia generated by the PTT method to induce cell apoptosis can result in the production of excessive reactive oxygen species (ROS) and the release of inflammatory cytokines, which can pose a threat to the healthy tissues surrounding the tumor. To address the above challenges, this work designs an integrated H delivery nanoplatform for multimodal imaging H thermal therapy. The combination of the second near-infrared window (NIR-II) fluorescence imaging (FL) agent (CQ4T) and the photothermal and photoacoustic (PA) properties of TiC (TC) enables real-time monitoring of the tumor area and guides photothermal treatment. Simultaneously, due to the acid-responsive H release characteristics of the nanoplatform, H can be utilized for synergistic photothermal therapy to eradicate tumor cells effectively. Significantly, acting as an antioxidant and anti-inflammatory agent, TiC-BSA-CQ4T-H (TCBCH) protects peritumoral normal cells from damage. The proposed technique utilizing H gas for combination therapies and multimodal imaging integration exhibits prospects for effective and secure treatment of tumors in future clinical applications.
光热疗法(PTT)是一种有前途的治疗肿瘤的方法,具有多种优势。然而,它在临床环境中的实际应用面临着一些限制,例如输送效率不理想、热量分布不均匀以及难以预测最佳治疗持续时间等问题。此外,PTT 方法产生的局部高热诱导细胞凋亡会导致过多的活性氧(ROS)的产生和炎症细胞因子的释放,这可能对肿瘤周围的健康组织构成威胁。为了解决上述挑战,本工作设计了一种用于多模式成像和 H 热疗的集成 H 输送纳米平台。第二个近红外窗口(NIR-II)荧光成像(FL)剂(CQ4T)和 TiC(TC)的光热和光声(PA)特性的结合,实现了肿瘤区域的实时监测和光热治疗的指导。同时,由于纳米平台具有酸响应性的 H 释放特性,H 可以用于协同光热治疗,有效地消灭肿瘤细胞。重要的是,TiC-BSA-CQ4T-H(TCBCH)作为抗氧化剂和抗炎剂,可以保护肿瘤周围的正常细胞免受损伤。该技术利用 H 气体进行联合治疗和多模态成像的整合,为未来临床应用中有效和安全的肿瘤治疗提供了前景。