Qu Botao, Wang Qian, Zhou Yuxin, Ning Xiaogang, Wang Qian, Zhou Ziyi, Bai Peirong, Zhang Ruiping
Third Hospital of Shanxi Medical University, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Taiyuan, 030032, China.
School of Forensic Medicine, Shanxi Medical University, Taiyuan, 030001, China.
Mater Today Bio. 2025 Mar 20;32:101691. doi: 10.1016/j.mtbio.2025.101691. eCollection 2025 Jun.
A promising approach for treating intractable cancers has been presented by photodynamic therapy (PDT). However, the limited penetration depth of PDT and suboptimal monotherapy efficacy of PDT significantly restrict its clinical applications. In this study, we constructed an acidic tumor microenvironment (TME)-activated carrier-free nanoplatform (HMME-Fe-Thal, abbreviated as HFT) through self-assembly of iron ions, photosensitizer hematoporphyrinmonomethyl ether (HMME) and anti-angiogenesis drug thalidomide (Thal). Near infrared (NIR) triggers PDT behavior before the degradation of the HFT nanoplatform. Subsequently, the HFT nanoplatform degrades, releasing Thal for chemotherapy, iron ions for chemodynamic therapy (CDT), which reinforce the therapeutic benefits of PDT synergistically. Moreover, the iron ions released by HFT degradation turn on the MRI signal, which can suggest the most appropriate time for PDT, divide the treatment into two stages (First-stage: PDT, Second-stage: CDT/chemotherapy), and gradually achieve cascade-amplified tumor therapy. In this sense, HFT modulates TME and leads to a "butterfly effect" of CDT/chemotherapy/glutathione (GSH) depletion for enhanced PDT efficacy. This strategy compensates the deficient shadow penetration and poor treatment efficacy from PDT monotherapy. This work presents the selection and rational design of HFT constructed by endogenous components for tumor regression, and greatly push nanomaterials towards the development of PDT application.
光动力疗法(PDT)为治疗难治性癌症提供了一种很有前景的方法。然而,PDT有限的穿透深度和次优的单一疗法疗效显著限制了其临床应用。在本研究中,我们通过铁离子、光敏剂血卟啉单甲醚(HMME)和抗血管生成药物沙利度胺(Thal)的自组装构建了一种酸性肿瘤微环境(TME)激活的无载体纳米平台(HMME-Fe-Thal,缩写为HFT)。近红外(NIR)在HFT纳米平台降解之前触发PDT行为。随后,HFT纳米平台降解,释放Thal用于化疗,释放铁离子用于化学动力学疗法(CDT),二者协同增强PDT的治疗效果。此外,HFT降解释放的铁离子开启MRI信号,这可以提示PDT的最合适时间,将治疗分为两个阶段(第一阶段:PDT,第二阶段:CDT/化疗),并逐步实现级联放大的肿瘤治疗。从这个意义上说,HFT调节TME并导致CDT/化疗/谷胱甘肽(GSH)消耗的“蝴蝶效应”,以增强PDT疗效。该策略弥补了PDT单一疗法穿透不足和治疗效果差的缺陷。这项工作展示了由内源性成分构建的用于肿瘤消退的HFT的选择和合理设计,并极大地推动了纳米材料在PDT应用方面的发展。
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