Luntao
Liu‡
a,
Qingqing
Li‡
a,
Lanlan
Chen
*a,
Lihong
Song
b,
Xueqiang
Zhang
b,
Hongqi
Huo
b,
Zhixin
You
b,
Ying
Wu
a,
Zongsheng
Wu
a,
Jiamin
Ye
a,
Qinrui
Fu
a,
Lichao
Su
a,
Xuan
Zhang
a,
Huanghao
Yang
a and
Jibin
Song
*a
aMOE Key Laboratory for Analytical Science of Food Safety and Biology, College of Chemistry, Fuzhou University, Fuzhou 350108, China. E-mail: chem4@163.com
bDepartment of Nuclear Medicine, Han Dan Central Hospital, Handan, 056001, Hebei, China
First published on 12th October 2022
Radiosensitizers potentiate the radiotherapy effect while effectively reducing the damage to healthy tissues. However, limited sample accumulation efficiency and low radiation energy deposition in the tumor significantly reduce the therapeutic effect. Herein, we developed multifunctional photocatalysis-powered dandelion-like nanomotors composed of amorphous TiO2 components and Au nanorods (∼93 nm in length and ∼16 nm in outer diameter) by a ligand-mediated interface regulation strategy for NIR-II photoacoustic imaging-guided synergistically enhanced cancer radiotherapy. The non-centrosymmetric nanostructure generates stronger local plasmonic near-fields close to the Au–TiO2 interface. Moreover, the Au–TiO2 Schottky heterojunction greatly facilitates the separation of photogenerated electron–hole pairs, enabling hot electron injection, finally leading to highly efficient plasmon-enhanced photocatalytic activity. The nanomotors exhibit superior motility both in vitro and in vivo, propelled by H2 generated via NIR-catalysis on one side of the Au nanorod, which prevents them from returning to circulation and effectively improves the sample accumulation in the tumor. Additionally, a high radiation dose deposition in the form of more hydroxyl radical generation and glutathione depletion is authenticated. Thus, synergistically enhanced radiotherapeutic efficacy is achieved in both a subcutaneous tumor model and an orthotopic model.
In addition to the low radiation dose deposition, the limited accumulation and uneven distribution of radiosensitizers in the tumor is another obstacle which significantly affects the radiotherapeutic efficacy. Generally, nanomedicines accumulate primarily on the tumor surface via the extravasation of fenestrated blood vessels and then penetrate deep tissues through passive diffusion. However, the harsh tumor environment (e.g., densely packed tumor cells, insufficient blood supply, and high extracellular fluid pressure) makes it difficult for samples to penetrate the inner tumor area only through passive diffusion, even causing most samples accumulate on the tumor surface to diffuse back into circulation.12,13 Although diverse new strategies (e.g., peptide-based transcellular transport, smart switching of size, shape, and surface charge of nanomedicines, and the modulation of the tumor structure and environment) have been developed to enhance sample accumulation and distribution in the tumor,14–16 the penetration ability of radiosensitizers relying on passive diffusion is not gratifying.
Artificial micro/nanomotors, since their introduction in 2005, have become a powerful dynamic tool in the biomedical field to accomplish various complex tasks at the micro- or nanoscale, including active drug delivery, antibacterial activity, in vivo imaging, and disease treatment.17–19 They can effectively convert diverse chemical energy or external stimuli into kinetic force to achieve autonomous movement, showing great promise for passing through biological barriers to facilitate tissue penetration.20–22 The motors' asymmetrical structure plays a crucial role in directional movements.23,24 For clinical applications, the Janus structure design is essential and should be as simple as possible, and the performance should be tailored to cancer applications while ensuring functional synergies among incorporated multiple components.25 At present, multifunctional micro/nanomotors are applied to treat diverse diseases such as diabetes, bacterial infections, ischemic stroke, and thromboembolism, to name a few.26–28 However, it is a significant challenge to extend the success to antitumor treatment, mainly due to their shape, composition, size, and toxic chemical fuel (e.g., hydrogen peroxide, hydrazine, bromine, and iodine).29–31 In particular, the miniaturization of artificial motors to an appropriate nanoscale, which is critical for in vivo biological applications, is a significant challenge.32 Currently, most nanomotors are fabricated through physical processing technology.33 In fact, developing robust chemical synthesis to fabricate Janus nanomotors on a large scale would be significant progress toward an actual clinical transformation of the motile system.
Photoacoustic imaging (PAI) has recently attracted considerable attention because it perfectly combines ultrasound imaging and optical imaging, with high contrast, deep tissue penetration, and sensitivity.34–39 The optical absorber absorbs the laser pulse, and the energy is converted into heat, which induces thermal expansion; then, ultrasound waves are generated. It is well-established that gold nanorods (Au NRs) are a promising NIR-II PAI contrast agent due to their tunable aspect ratio, resulting in excellent optical absorption in the NIR-II region. In addition, they are also superior radiosensitizers that generate a great deal of short-range secondary electrons (e.g., photoelectrons, diffused photons, Auger electrons, and fluorescence photons) with radiation exposure.40
The synergistic interaction between noble metals and a high dielectric semiconductor could produce extraordinary photoelectric properties. Inspired by plasmon-enhanced photocatalysis of noble metal/semiconductor hybrid nanomaterials, in this work we first constructed multifunctional photocatalysis-powered dandelion-like nanomotors composed of gold nanorods (Au NRs) and titanium dioxide nanoparticles (TiO2 NPs) (denoted as AuNR-TiO2 nanomotors) by a wet-chemistry synthesis for NIR-II photoacoustic imaging-guided synergistically enhanced cancer radiotherapy. The obtained Janus nanomotors show a unique dandelion-like structure, in which amorphous TiO2 NPs anchor on one side of Au NRs with an apparent spatial separation architecture (Scheme 1a). Thanks to the interaction between Au NRs and TiO2 components, resulting in superior optical absorption in the NIR-II window, the nanomotors could be used as a brilliant NIR-II PAI contrast agent for tracing their movement trajectory and guiding cancer therapy (Scheme 1b). The Janus nanomotors display significantly enhanced NIR-catalytic hydrogen evolution and high radiation energy deposition in the form of highly cytotoxic hydroxyl radicals (˙OH) and glutathione depletion.41 This effect can be explained because the synergistic interaction between the noble metals and the high dielectric semiconductors generates strong near-fields close to the Au–TiO2 interface, and the Au–TiO2 Schottky heterojunction effectively facilitates charge separation and migration.41,42 The generated H2 at one end of the Au NRs serves as an effective driving force to propel the nanomotor forward to facilitate cell uptake and improve sample accumulation and distribution.43,44 The excellent penetration capability of the nanomotors driven by their active motion has been confirmed in vitro and in vivo. The content of the nanomotors accumulated at the tumor site in the presence of NIR was approximately 1.8 times higher than that without NIR irradiation. Moreover, upon NIR irradiation, the nanomotor distribution in the tumor was more even. The synergistic enhancement of RT outcome of the nanomotors was authenticated in both a subcutaneous mice model and an orthotopic liver cancer model. This study presents a novel design of radiosensitizers, providing a new avenue for highly effective RT. We believe that such multifunctional Janus nanomotors will significantly promote the clinical application of RT.
The typical asymmetrical nanostructure of the nanomotor was further identified by the element distribution mapping, wherein TiO2 components are only distributed on one side of the Au NR (Fig. 1e). The statistical results of the number percentage of the products showed that the dandelion-like nanomotors, dumbbell-like nanoparticles and other shaped nanoparticles in one pot accounted for 83.5%, 11.4% and 5.1%, respectively, showing a high yield of the nanomotors (Fig. 1f and g). As shown in Fig. 1h, using this robust wet chemistry method more than 80 mL of nanomotor aqueous dispersion (OD value of ∼2.0) could be obtained by one pot, significantly conducive to the clinical application. Furthermore, the Janus AuNR-TiO2 nanomotors with different coverage percentages of TiO2 components could be controllably synthesized by controlling the feed ratio of PAA and 4-MPAA. Keeping other experimental parameters unchanged, we used PAA alone to prepare the core/shell AuNR-TiO2 nanostructure and defined it as 100% of TiO2 coverage on the surface of Au NRs. Intriguingly, the TiO2 coverage percentage was controlled from approximately 35.7 to 100% by decreasing 4-MPAA from 240 to 0 μL (Fig. 1d and S3†). This is because decreasing the feed ratio of 4-MPAA and PAA reduces the SiO2 coverage percentage of the AuNR-SiO2 nanostructure proportionately, leading to a corresponding increase in the TiO2 coverage rate of the AuNR-SiO2-TiO2 nanostructure. Herein, the asymmetrical AuNR-TiO2 nanomotors with approximately 35.7% of TiO2 coverage percentage were treated as the typical samples to carry out the following experiments. The DLS analysis shows that these nanomotors are small enough to be employed in cancer treatment with a mean hydrodynamic size of approximately 120 nm and excellent structural stability within nine days (Fig. 1i). Since the introduction of TiO2 components increases the refractive index around Au NRs, the absorption peak of the nanomotor aqueous dispersion exhibits a significant red-shift, extending to the NIR-II region (Fig. 1j). Accordingly, the PAI intensity of AuNR-TiO2 nanomotors was enhanced significantly, which is 2.5 times than that of Au NRs (Fig. S4†). The nanomotors display strong PAI signals in the NIR-II window, and their PAI signal intensity increases in a concentration-dependent manner (Fig. 1k and S5†). Additionally, the AuNR-TiO2 nanomotors under physiological mimicking conditions containing 10% FBS, PBS, or cell culture medium all showed good stability without observable aggregation and precipitation after one week (Fig. S6†).
The photocatalytic activity of the nanomotors was further identified by catalytic degradation of methylene blue (MB). The absorption intensity of MB dye at 662 nm gradually decreases as a function of NIR irradiation time, with approximately 100% of MB being degraded after 14 min of irradiation (Fig. 2d). Moreover, the degradation rate of MB dye increases in a laser power-dependent manner (Fig. S8†). The superior photocatalytic degradation performance of the nanomotors further indicates the effective separation of ecb− and hvb+. Subsequently, we investigated the photocatalysis-driven motion capability of the nanomotors in agarose hydrogel. Using MB dye as an indicator, 200 μL of nanomotors (4 mg mL−1) were dropped at the top of a cuvette filled with agarose/MB hydrogel (0.05 wt%). Then NIR laser (0.8 W cm−2) beams were irradiated vertically from top to bottom. Fig. 2e shows that parallel with an increase in the NIR irradiation rounds, the MB dye in the hydrogel is gradually degraded from top to bottom, with the color changing from blue to red. This indicates that the nanomotors move downward under the effect of the NIR laser irradiation, degrading MB dye around them simultaneously. Since five rounds of NIR irradiation were carried out (laser power: 0.8 W cm−2, each irradiation round: 10 min, and the interval: 5 min), the motion distance of the nanomotors in the cuvette was around 18.2 mm, indicating a motile velocity of approximately 5.06 μm s−1 (Fig. 2f). Additionally, it is noteworthy that no significant heat effect was observed in the AuNR-TiO2 nanomotor group after continuous irradiation for 10 min (Fig. S9†). We monitored the spectral changes of the system at a distance of 8 mm from the starting position to further study the movement behavior of the nanomotors. Note that as the NIR irradiation rounds increased, the absorption intensity of the system at 662 nm decreased gradually, and in turn, the absorption intensity at 1000 nm continuously increased (Fig. 2gand h). This further implies that the nanomotors pass through the agarose hydrogel barrier and keep moving downward driven by NIR laser beams. In contrast, the system's color and absorption spectra at a distance of 8 mm from the starting position remained almost unchanged without NIR irradiation (Fig. S10†).
A two-outlet microfluid channel was used to further evaluate the motility of the AuNR-TiO2 nanomotor by confocal laser scanning microscopy (CLSM). Nanomotors marked with fluorescent FITC-PEG-SH (green) were dropped into the left chamber of the microfluid channel, and the NIR laser beams irradiated the channel from left to right horizontally, as illustrated in Fig. S11.† Significant amounts of bright green fluorescent spots appeared in the middle and right positions of the channel upon NIR irradiation. In contrast, no significant green fluorescent signals were observed in the absence of NIR irradiation (Fig. 2i). Accordingly, the fluorescence intensity both in the middle and the right positions increased significantly upon NIR irradiation, indicating that the nanomotors successfully moved towards the right position (Fig. 2j). The velocities of the nanomotors in the left, middle, and right positions are ∼5.78, ∼4.44, and ∼3.71 μm s−1, respectively (Fig. 2k).
The above findings were evaluated based on the cellular model. Herein, 3D MCF-7 MCSs were constructed to simulate the in vivo solid tumor model and further determine the penetration ability of the nanomotors into the tumor. In Fig. 3e, apparent green fluorescence was observed at a z-axis distance of 20 μm. In the absence of NIR laser irradiation, the green fluorescence reduced significantly as a function of scanning depth, and the fluorescence almost disappeared at a scanning depth of 80 μm. In contrast, in the presence of NIR irradiation (three rounds of NIR irradiation), strong green fluorescence covered the entire spheroid even at 120 μm scanning depth, implying that active motion of the nanomotors could assist them in entering the cells and realizing deep 3D MCS penetration by cell-to-cell transport (Fig. 3f and S12†). Additionally, we investigated the mechanism of the effects of motion of the nanomotors on their enhanced penetration and intracellular distribution by means of cellular co-localization with lysosomes marked with LysoTracker Red (red), nucleus labeled with HOE3342 (blue) and nanomotors decorated with FITC-PEG-SH (green). As for the NIR irradiation group, a tremendous amount of nanomotors were distributed in both lysosomes and nucleus (Fig. 3g). The corresponding F. I. curves more clearly display that some of the green fluorescence signals (nanomotors) coincided with red fluorescence (lysosome), while some green and blue fluorescence signals coincided with each other, implying that NIR irradiation assists nanomotors in escaping from lysosomes and gathering around the nucleus. In contrast, in the absence of NIR irradiation, green fluorescence signals almost coincided with red fluorescence, indicating that most nanomotors were retained in lysosomes (Fig. 3h). The motion ability of the nanomotors could promote their escape from lysosomes and assist them in gathering around the nucleus, conducive to impairing DNA and inducing cell apoptosis.
The EPR results confirmed that the amount of ˙OH generated in the nanomotor group was significantly more than that in the Au NR and pure TiO2 NP groups, implying the superior separation of radio-induced ecb− and hvb+ (Fig. 4c). Subsequently, we further used DCFH-DA to detect ˙OH at the cellular level. DCFH-DA is a typical ROS test kit and can be hydrolyzed by esterase to generate DCFH in cells. In the presence of ROS, DCFH could be oxidized into DCF with green fluorescence. As seen in Fig. 4d, upon X-ray radiation, there was no green fluorescence in the PBS group, and weak green fluorescence was observed in the Au NR and TiO2 NP groups. In contrast, bright green fluorescence was seen in the nanomotor group. The nanomotor group exhibited a nearly six-fold increase in the ˙OH concentration than the Au NR and TiO2 NP groups, with more intense radiosensitization effects (Fig. 4e).
The live and dead cell staining and flow cytometry results intuitively demonstrated that the PBS, NIR, and X-ray groups had a negligible killing effect. In contrast, the nanomotor + X-ray group exhibited an excellent cell-killing effect (Fig. 5eand f). As for the nanomotor + NIR + X-ray group, approximately 89% of MCF-7 cells underwent apoptosis after co-incubation with nanomotors (80 μg mL−1) for 24 h, consistent with the CCK-8 cytotoxicity test results (Fig. 5c). In addition, we further evaluated the killing effect of the nanomotor + NIR + X-ray group on 3D MCSs because cell models might be associated with excessively positive treatment outcomes, whereas 3D MCSs are more similar to solid tumors.47 After three days of treatment, the 3D MCSs in the nanomotor + NIR + X-ray group dissociated, and the PI staining results demonstrated that most cancer cells were dead (Fig. 5g). In contrast, the PBS-treated group exhibited intact 3D cellular spheroids. These findings indicated that under the combination of NIR laser and X-ray irradiation, the nanomotors exhibited a superior antitumor effect on 3D MCSs.
In vivo enhanced tumor penetration of the nanomotors driven by NIR irradiation was confirmed in both a subcutaneous tumor model and an orthotopic liver cancer model by PAI. The applied NIR laser's intensity was 0.8 W cm−2, the NIR irradiation time was 8 min in each round, and the interval was 20 min. As for the subcutaneous tumor model, after intravenous administration of the nanomotors to reach peak accumulation in the absence of NIR irradiation, the nanomotors did not display apparently enhanced penetration in the tumor within 4 h based on the analysis of the PA images (Fig. S14†). In contrast, after MCF-7-tumor-bearing mice were irradiated with a NIR laser, apparent deeper penetration and more even distribution of the nanomotors could be observed in the tumor according to the PA images (Fig. 6c). The distance covered by the nanomotors toward the deep tumor site was approximately 1.5 mm after five rounds of NIR irradiation according to the changes in PAI signals (Fig. 6d). The representative 3D PA images in Fig. 6e stereoscopically exhibited the enhanced tumor penetration and more even distribution of the nanomotors driven by NIR irradiation. These PAI results indicate that the active motion of the nanomotors did facilitate their tumor penetration compared with the passive diffusion of the nanoparticles. Similarly, in an orthotopic liver cancer model, the accumulation of the nanomotors increased as a function of time after administration by intravenous injection (Fig. S15†). Compared with the initial state (at 20 h post-injection of samples), after NIR laser irradiation, enhanced penetration and more even distribution of the nanomotors were also observed, with a penetration depth of approximately 1.2 mm after five rounds of NIR irradiation (Fig. S16†). In vivo thermal infrared imaging results in Fig. S17† demonstrate that NIR laser irradiation (continuous irradiation for 12 min) did not cause large thermal gradients at the tumor site, consistent with the measurements in vitro (Fig. S9†). Thus, the interference of local thermal gradients on the motion of the nanomotors was excluded.
The tumor in mice could be precisely determined with the guidance of PAI due to the excellent imaging performance of PAI technology, assisting us in applying the NIR and X-ray irradiation. We first investigated the effect of the nanomotors' active motion on the sample biodistribution. As shown in Fig. 7b, blood and muscle had a similar sample distribution on day 1 after injection with or without NIR irradiation at the tumor site. In contrast, at the tumor site, the sample concentration with NIR irradiation was higher than that without NIR irradiation, showing an increase of approximately 1.82 times. The enhanced sample accumulation in the tumor is primarily attributed to the active motion of the nanomotors, which enhanced their penetration, thus preventing their return to circulation. Subsequently, we studied the radiotherapy efficacy of the nanomotors in detail. Compared with the PBS, NIR, X-ray, and nanomotor + NIR groups, both the nanomotor + X-ray and nanomotor + NIR + X-ray groups displayed significant tumor growth inhibition effects after 15 days of treatment (Fig. 7c). Moreover, the survival rate of the mice increased significantly upon radiotherapy (Fig. 7d). In particular, the nanomotor + NIR + X-ray group exhibited the best therapeutic efficacy among these groups, and the tumor inhibition rate reached 75.4% 15 days after treatment, consistent with the cell cytotoxic evaluation assay (Fig. 5d). The superior tumor growth inhibition effect was mainly due to two factors: (1) active motion improved sample accumulation and distribution; (2) the asymmetric Au–TiO2 heterojunction enhanced radiation dose deposition. Additionally, during the treatment, no significant body weight fluctuations were observed in the mice (Fig. 7e).
Considering the excellent tumor growth inhibition effects in the nanomotor + NIR + X-ray group, we further investigated the antitumor effects on tumor-bearing mice with a larger tumor volume (such as 145 and 320 mm3). As seen in Fig. 7fand g, the nanomotor + NIR + X-ray treatment group also exhibited excellent tumor inhibition effects after 15 days of treatment, even in the mice with a tumor volume as large as 320 mm3. Additionally, there were no significant body weight changes during treatment, and the survival rate of the mice was improved after treatment (Fig. S18 and S19†). The histological examination (H&E) results demonstrated that most tumor cells were dead without nuclei after treatment, indicating high radiotherapeutic efficacy (Fig. 7h). Furthermore, H&E staining results of the main organ slices reflected that the nanomotors did not apparently harm the main organs, including the heart, liver, spleen, lungs, and kidneys (Fig. 7i). Furthermore, the blood test revealed that the AuNR-TiO2 nanomotors did not affect the liver and kidney functions after multiple intravenous administrations, suggesting the superior biosafety of the nanomotors (Fig. S20†).
NIR-II PAI guided radiotherapy experiments were carried out in an orthotopic liver cancer model to further explore the potential of these nanomotors in clinical applications. The orthotopic liver tumor-bearing mice were established with MC38-luc cells and were assigned to three groups (n = 5 per group): PBS, nanomotor + X-ray, and nanomotor + NIR + X-ray groups. After 20 h post-injection of samples, NIR laser irradiation was applied to drive nanomotors for active penetration, and then X-ray radiotherapy was conducted. The administration time was fixed on days 1, 3, 5, and 8, and the administration dosage was 100 μL (4 mg mL−1) each time. The measurement was made when the fluorescence intensity of the tumor was >5 × 103 p s−1 cm−2 sr−1 (Fig. 8a). The first treatment experiment was set to day 1, and then the following treatments were performed at fixed times on days 3, 5, and 8.
The representative bioluminescent images of liver tumor-bearing mice and the bioluminescent and bright-field images of ex vivo intact liver from the sacrificed mice on day 20 in Fig. 8b–d show that the tumor growth inhibition effects in the nanomotor + X-ray and nanomotor + NIR + X-ray groups were much better than that in the PBS group. Furthermore, the nanomotor + NIR + X-ray group displayed the best therapeutic efficacy, and the tumor inhibition rate in this group reached 90.3% 20 days after treatment (Fig. 8e). Besides, statistical analysis demonstrated no significant changes in the body weight of orthotopic liver-bearing mice (Fig. S21†), and the survival rate of the mice was improved significantly (Fig. S22†). The tumor area and normal liver tissue were distinguished using a yellow dotted line in H&E staining images, in which densely distributed cells represented the tumor domain (Fig. 8f). The H&E staining results further confirmed that the nanomotor + NIR + X-ray group showed the best tumor growth inhibition effects. Additionally, the H&E staining analysis of main organ slices suggested that the nanomotors did not harm the main organs after treatment (Fig. S23†).
Footnotes |
† Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d2sc03036e |
‡ Luntao Liu and Qingqing Li contributed equally to this work. |
This journal is © The Royal Society of Chemistry 2022 |