Mao Yingxuan, Du Xinling, Wang Weidong, Dong Tianxiu, Zhu Mingwei, Niu Jiamei, Li Mingming, Jiang Jian, Han Linlin, Yang Xiuhua
Department of Ultrasound, The First Affiliated Hospital of Harbin Medical University, Harbin, 150001, People's Republic of China.
Department of Ultrasound, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150001, People's Republic of China.
Int J Nanomedicine. 2025 Sep 10;20:11081-11097. doi: 10.2147/IJN.S536620. eCollection 2025.
The advent of nanotechnology has enabled photothermal therapy (PTT) to emerge as a novel, noninvasive modality for thermal ablation of hepatocellular carcinoma (HCC). However, the thermal stress induced by PTT can trigger autophagy in tumor cells, contributing to treatment resistance. Consequently, a promising strategy to enhance PTT efficacy involves concurrently disrupting tumor cell autophagy, given that autophagy overactivation can ultimately induce cell death.
MPN was designed for precise magnetic resonance imaging (MRI) diagnosis of HCC and guidance of PTT for HCC. PTT-mediated heating accelerated nuciferine release from the MPN. The released nuciferine then promoted autophagosome formation and autophagic degradation, thereby enhancing PTT efficacy via autophagy overactivation.
MPN successfully encapsulated melanin and loaded nuciferine, exhibiting favorable encapsulation efficiency and drug-loading capacity. Upon 808 nm near-infrared (NIR) irradiation, MPN exhibited excellent photothermal conversion efficiency and robust stability. In vitro experiments confirmed that nuciferine effectively promoted autophagosome maturation in HCC cells, with enhanced autophagy induction observed when it was combined with PTT. Furthermore, MPN exhibited high MRI contrast. In vivo studies validated its selective accumulation in HCC tumors, enabling safe and effective thermal ablation and subsequent suppression of post ablation HCC growth via autophagy overexpression.
MPN enhanced the T1-weighted MRI signal for accurate tumor localization and demonstrated superior photothermal properties. Moreover, MPN potentiated PTT by inducing autophagy overactivation in HCC cells, thereby enhancing ablation efficacy and inhibiting post-PTT tumor growth.
纳米技术的出现使光热疗法(PTT)成为一种用于肝细胞癌(HCC)热消融的新型非侵入性方法。然而,PTT诱导的热应激可触发肿瘤细胞自噬,导致治疗抵抗。因此,鉴于自噬过度激活最终可诱导细胞死亡,增强PTT疗效的一个有前景的策略是同时破坏肿瘤细胞自噬。
设计了MPN用于HCC的精确磁共振成像(MRI)诊断及HCC的PTT引导。PTT介导的加热加速了MPN中荷叶碱的释放。释放的荷叶碱随后促进自噬体形成和自噬降解,从而通过自噬过度激活增强PTT疗效。
MPN成功包裹了黑色素并负载了荷叶碱,表现出良好的包封率和载药能力。在808 nm近红外(NIR)照射下,MPN表现出优异的光热转换效率和强大的稳定性。体外实验证实,荷叶碱有效地促进了HCC细胞中自噬体的成熟,当与PTT联合使用时,自噬诱导增强。此外,MPN表现出高MRI对比度。体内研究验证了其在HCC肿瘤中的选择性积累,能够通过自噬过表达实现安全有效的热消融并随后抑制消融后HCC的生长。
MPN增强了T1加权MRI信号以实现准确的肿瘤定位,并表现出优异的光热性能。此外,MPN通过诱导HCC细胞自噬过度激活增强了PTT,从而提高了消融疗效并抑制了PTT后肿瘤生长。