Qian Ruijie, Guo Yawen, Gao Xuemei, Ren Jianzhuang, Jiang Dawei, An Rui, Wang Ruihua, Duan Xuhua, Han Xinwei
Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Department of Immuno-Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang 050011, China.
Asian J Pharm Sci. 2025 Aug;20(4):101070. doi: 10.1016/j.ajps.2025.101070. Epub 2025 May 27.
Cerenkov radiation (CR) can serve as a source of internal light to overcome the limited tissue penetration of external light in conventional photodynamic therapy (PDT). However, insufficient luminescence intensity hinders the clinical application of CR-PDT. Here, we developed a glutathione-responsive biomimetic nanoplatform by fusing cancer cell membranes and liposomes loaded with photosensitizer hematoporphyrin monomethyl ether (HMME) and a radiation energy amplifier Eu, named HMME-Eu@LEV. Colloidal Eu converts γ-radiation and CR from radioisotopes into fluorescence to enhance anti-tumor effects. Sequential administration ensures co-localization of HMME-Eu@LEV and radiopharmaceutical F-fluorodeoxyglucose (FDG) at the tumor site, triggering enhanced CR-PDT and immunogenic cell death. Our observations indicated that luminescence resonance energy transfer between Eu and HMME was efficient, and Cerenkov luminescence from Eu@LEV+FDG was approximately 5.6-fold higher in intensity than that from FDG alone. As a result, abundant ROS were generated, and macrophages in the tumor microenvironment were polarized from M2 to M1. In addition, the immunosuppressive tumor microenvironment could be reversed by promoting the maturation of dendritic cells and infiltration of cytotoxic T lymphocytes. The activated immune system effectively inhibited the growth of primary tumors and spread of distant metastases. Our work demonstrates the feasibility of CR-PDT without an external light source and the critical role of nanomaterials in personalized medicine.
切伦科夫辐射(CR)可作为一种内部光源,以克服传统光动力疗法(PDT)中外部光组织穿透有限的问题。然而,发光强度不足阻碍了CR-PDT的临床应用。在此,我们通过融合癌细胞膜和负载有光敏剂单甲醚血卟啉(HMME)及辐射能量放大器铕(Eu)的脂质体,开发了一种谷胱甘肽响应性仿生纳米平台,命名为HMME-Eu@LEV。胶体铕将来自放射性同位素的γ射线和CR转化为荧光,以增强抗肿瘤效果。顺序给药确保HMME-Eu@LEV与放射性药物F-氟脱氧葡萄糖(FDG)在肿瘤部位共定位,引发增强的CR-PDT和免疫原性细胞死亡。我们的观察表明,铕和HMME之间的发光共振能量转移是有效的,并且Eu@LEV+FDG的切伦科夫发光强度比单独的FDG高出约5.6倍。结果,产生了大量活性氧,肿瘤微环境中的巨噬细胞从M2型极化到M1型。此外,通过促进树突状细胞成熟和细胞毒性T淋巴细胞浸润,可逆转免疫抑制性肿瘤微环境。激活的免疫系统有效抑制了原发性肿瘤的生长和远处转移的扩散。我们的工作证明了无需外部光源的CR-PDT的可行性以及纳米材料在个性化医学中的关键作用。
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