Open Access Article
Yansong
Feng
ab,
Xiaomeng
Liu
a,
Qiqing
Li
b,
Shilin
Mei
a,
Kefan
Wu
b,
Jun
Yuan
b,
Langping
Tu
c,
Ivo
Que
d,
Filippo
Tamburini
e,
Fabio
Baldazzi
e,
Alan
Chan
e,
Luis J.
Cruz
d,
Jing
Zuo
*bf,
Changjiang
Yao
a and
Hong
Zhang
*b
aState Key Laboratory of Explosion Science and Technology, School of Mechatronical Engineering, Beijing Institute of Technology, 100081, Beijing, China
bVan’t Hoff Institute for Molecular Sciences, University of Amsterdam, Science Park 904, 1098 XH Amsterdam, The Netherlands. E-mail: h.zhang@uva.nl
cState Key Laboratory of Luminescence and Applications, Changchun Institute of Optics, Fine Mechanics and Physics, Chinese Academy of Sciences, 130033, Changchun, China
dTranslational Nanobiomaterials and Imaging, Department of Radiology, Leiden University Medical Center, 2333 ZA, Leiden, The Netherlands
ePercuros B.V., Zernikedreef 8, 2333 CL Leiden, The Netherlands
fKey Laboratory of Automobile Materials (Ministry of Education), College of Materials Science and Engineering, Jilin University, 130025, Changchun, China. E-mail: jzuo@jlu.edu.cn
First published on 29th November 2021
Collaborative therapy is regarded as an effective approach in increasing the therapeutic efficacy of cancer. In this work, we have proposed and validated the concept of upconversion lumienscence image guided synergy of photodynamic therapy (PDT) and radiotherapy (RT) for deep cancer, via a specially designed nanoplatform integrating near infrared (NIR) light activated luminescence upconversion and X-ray induced scintillation. Upon NIR light irradiation, the nanoplatform emits highly monochromatic red light solely for imaging the targeted cancer cells without triggering therapy; however, when the irradiation turns to a low dose of X-rays, scintillation will occur which induces effectively the PDT destroying the cancer cells together with X-ray induced RT. The novel theranostic nanoplatform is constructed in such a way that the interactions between the upconversion core and the outmost scintillating shell are blocked effectively by an inert layer between them. This structural design not only enables a nearly perfect excitation energy delivery (∼100% at a spectral overlapping wavelength of ∼540 nm) from the outermost scintellating layer to the surface-anchored photosensitizers and so a maximum yield of radical oxygen species, but also achieves a strong NIR induced upconversion luminescence for imaging. Since PDT and RT attack different parts of a cancer cell, this synergy is more effective in destroying cancer than a single therapy, resulting in the reduction of the X-ray irradiation dosage. As a proof of principle, the theranostic effect is validated by in vitro and in vivo experiments, exhibiting the great potential of this sort of nanoplatform in deep cancer treatment.
Recently, a new modality has emerged which uses X-rays instead of UV/Vis as the energy source to initiate PDT (i.e. X-PDT).22–24 X-PDT is suitable to treat deep cancer due to its “unlimited” penetration depth in tissue.25–27 More interestingly, utilizing X-rays as the energy source, it is possible to combine the therapeutic effects of PDT and RT (radiotherapy), achieving a “one plus one greater than two” output, since these two therapies deal with different parts of malignant tumor cells.28,29 In PDT: radical oxygen species (ROS), typically singlet oxygen, are generated that cause photocytotoxic damage of the cell membranes, whereas in RT: ionizing radiation induces cell death via nuclear DNA damage.30–33 However, this attractive synergy strategy is not yet defined as a clinical modality due to certain limitations. Firstly, the structure and composition of the nanomaterials must have the ability to convert effectively X-ray energy into UV/Vis segments which can respond to photosensitive agents.34–37 Secondly, accurately defining the NP targeted cancer locations is the prerequisite for controlling the duration and dosage of the X-ray exposure at a safe level.29,38,39 Embedding a real-time optical imaging function on the carrier is thus necessary.
To deal with these issues, employing lanthanide (Ln) fluoride nanocrystals as the host of carriers is a hopeful strategy. Benefitting from the recent progress of the synthetic protocol, the morphology, components, and structure of this type of nanomaterial are able to be well tailored,40,41 which provides abundant opportunities for the accurate optimization of the cure effect through a man-made structure design. Moreover, this nanocrystal is one of the very limited choices as a suitable host for both RT&X-PDT synergy therapy and upconversion luminescence (UCL) imaging, where the switching of the functions can be easily achieved via tuning the excitation wavelength as well as the doped Ln elements.42,43 More specifically, (1) under the excitation of X-rays, effective synergy treatment of RT and X-PDT will be achieved through constructing a nonradiative luminescence resonant energy transfer (LRET) between specific Ln (e.g., Tb3+, Gd3+) and a surface anchored photosensitizer (e.g. Rose Bengal, RB), and (2) before the treatment, employing NIR excitation will bring in real-time and innoxious UCL imaging (at the UV/Vis region) from the different Ln dopants in NPs (the combinations of Nd3+/Yb3+ and Er3+/Tm3+/Ho3+).44–46 which provides a reliable strategy for image-guided therapy in deep cancer.
In this work, we have developed a new UCL-image-guided synergistic RT&X-PDT nanoplatform (UIRPPs) based on lanthanide ion doped fluorides NaErF4
:
0.5%Tm@NaYF4@NaGdF4
:
15%Tb (Scheme 1). This structure is superior in several aspects: (i) for the first time, a core–shell–shell design is introduced to combine the two desired functions (i.e., UCL imaging and RT&X-PDT therapy) together. Furthermore, the necessity of a sufficiently thick NaYF4 medium layer (∼2.5 nm) is determined, which blocks the harmful interference between the two functional areas (i.e., the internal core and the outermost layer, respectively). (ii) The spherical shell shaped distribution of the activator of scintillation (Tb) ensures a shorter working distance in X-PDT treatment, which also increases the efficiency of LRET up to nearly 100%. (iii) A recently reported improved synthesis strategy by our group is adopted here.41 The results indicated that by minimizing the negative effect of OH− impurities inside the NPs via a “dry” solvothermal method, the UCL intensity of NPs can be improved significantly. To the best of our knowledge, our success in constructing the highly effective, ultra-small nanoplatforms (diameter of ∼17 nm) for UCL-image guided synergistic RT&X-PDT is an enlightening endeavor without precedent.
:
0.5%Tm) and the CSS are determined to be ∼9 nm (Fig. 1a) and ∼17 nm (Fig. 1b and c), respectively, from which ∼2.5 nm inert layer (NaYF4) and ∼1.5 nm thick outermost layer (NaGdF4
:
15%Tb) can be readily obtained. Furthermore, the high-resolution TEM image (HRTEM) of an individual particle (Fig. 1d) exhibits clear lattice fringes of the hexagonal phase crystal (100) plane with a spacing of 0.53 nm. From X-ray powder diffraction (XRD) (Fig. S1, ESI†), it can be seen that both the core and the CSS NPs are pure hexagonal phases. The elementary distributions of the CSS nanostructure (Fig. 1e) obtained from the high-angle annular dark field scanning transmission electron microscopy (HAADF-STEM) and scanning transmission electron microscopy with energy-dispersive X-ray spectroscopy (STEM-EDS) are in line with the NaErF4
:
Tm@ NaYF4@NaGdF4
:
Tb CSS structure.
:
0.5%Tm component as the imaging core.47 As shown in Fig. 2a, this structure is characterized by the monochromatic narrow-band upconversion red emission around 650 nm with a full width at half maximum (FWHM) of ∼11 nm under the excitation of 800 nm, 980 nm or 1530 nm. The doped Tm3+ was introduced to quench the green UCL emission (Fig. S2, ESI†). In this case, UCL spectra do not overlap with the absorption of the surface anchored photosensitizer (RB, Fig. S3, ESI†) which guarantees the invalidation of the possible side effect i.e., activating an unwanted PDT effect during the UCL imaging period. Secondly, we focused on the optimization of the inert intermediate layer thickness. Obviously, the intermediate layer (i.e., NaYF4) plays a key role not only in minimizing the harmful interactions between Er3+ ions in the core and the surface-related quenching centers, e.g. surface defects, ligands, solvent molecules etc., but also in blocking the energy transfer pathway between the interior core and the outermost X-ray active layer, thus enhancing the local density of excitation energy (Fig. 2c). As shown in Fig. 2d and Fig. S4 (ESI†), the core–shell–shell molar ratio in this Er@Y@Gd/Tb structure was varied from 1
:
0
:
3 to 1
:
4
:
3, and the optimized ratio is determined to be 1
:
3
:
3 (layer thickness is ∼2.5 nm), where the UCL intensities reach saturation with the thinnest layer. Finally, it is also worth noticing that the synthesis of CSS NPs adopts a new dry approach, which was able to exclude the residual H2O/OH− defects in NPs efficiently.41 As a result, it improves the UCL intensities by approximately 10 times (Fig. S5, ESI†), which greatly facilitates the high resolution of red imaging and low excitation power density. When the excitation switches to X-rays, the NPs exhibit the characteristic emission of Tb3+ (Fig. 2b) which overlaps reasonably well with RB absorption (Fig. S3, ESI†). The excited Tb3+ in the outmost layer can thus effectively transfer its energy to the surface anchored RB through nonradiative resonant energy transfer for PDT, partly due to the short energy transfer distance, whereas its red scintillation (e.g.5D4–7F3) can serve for imaging to in situ monitor the therapy.
To functionalize these NPs further for X-ray mediated PDT applications, the as-synthesized oleic acid (OA) capped NPs were first stirred with 0.1 M HCl to wash out the surface ligands OA, and then coated with poly(allylamine) (PAAm) to form NPs–NH2via ligand exchange. As shown in Fig. 3a and b, amino group modification increases the particle diameter and the zeta potential from ∼26 nm to ∼52 nm and from +5.5 mV to +30 mV, respectively, as determined from dynamic light scattering. These changes evidenced that amine groups were successfully anchored on the surface of NPs. Subsequently, photosensitizer RB and cancer targeting moiety folic acid (FA) were covalently conjugated with NPs–NH2 to form NPs–RB/FA, followed by surface modification with PEG succinimidyl carbonate (PEG-SC) to form UIRPPs to improve further the biocompatibility and specificity. The diameter and zeta potential of the UIRPPs are ∼77 nm and ∼+17 mV, respectively. The successful preparation of UIRPPs is further supported by FTIR spectra (Fig. 3c). The OA-capped NPs (NPs) exhibit the asymmetric and symmetric stretching vibrations of methylene around 2921 and 2854 cm−1, as well as the characteristic of the carboxylic groups around 1556 and 1462 cm−1. PAAm coating exhibits a N–H stretching vibration band around 1660 cm−1 whereas the characteristic peaks of OA disappear. Conjugation with a RB molecule brings in new bands around 1662 cm−1 (CO) and 1546 cm−1 (N–H) of secondary amide. It deserves noting that the NIR laser would not activate RB and these modifications have negligible influence on the UCL intensity and its stability, as witnessed by the ten-day trajectory of the UCL spectra of UIRPPs dispersed in water (Fig. S6, ESI†).
Regarding therapy, this multilayer structure of UIRPPs is key for an effective nonradiative energy transfer from donors inside the nanoparticles to the surface anchored PSs.36,48 The X-ray active Tb3+ ions are doped solely in the outermost layer with thickness less than 2 nm, which indicates that Tb3+ ions have a spherical shell shape distribution (the 15 mol% doping concentration of Tb3+ is optimized from the previous reports).36 This distribution is conductive to transfer energy from the excited Tb3+ to the PSs because the number of effective energy donors is maximized and the energy transfer distance is the shortest. Based on the CSS structure and high surface-to-volume ratio of NP, PSs loading efficiency is estimated up to 12% (w/w) via covalent bonding. From the emission spectra of UIRPPs (Fig. 3d), the disappearance of Tb3+ emission in the blue and green range indicates the occurrence of an effective energy transfer from Tb3+ to RB, which is also supported by the lifetime change of 5D4–7F5 transition at 540 nm (Fig. 3e), varied from 3.73 ms (without RB) to 0.04 ms (with RB). The energy transfer efficiency is calculated to be close to 100%.
In addition, one RB molecule has four iodine atoms, which would also contribute to X-ray absorption for radiotherapy. Quantification of 1O2 production of UIRPPs irradiated by NIR laser or X-rays was realized with the aid of an oxygen detector 1,3-diphenylisobenzofura (DPBF). As shown in Fig. 3f, Fig. S7 and S8 (ESI†), the DPBF consumption of 2 mg mL−1 UIRPP aqueous solution remains almost constant with time upon NIR light irradiation (800 nm, 980 nm, or 1530 nm) of 0.7 W cm−2, indicating that 1O2 generated by NIR laser irradiation in UIRPPs can be ignored. This demonstrated that RB cannot be activated with the UCL core upon NIR laser irradiation as there was no overlap between the monochromatic red UC emission and absorption of RB. On the other side, due to significant overlap between the X-ray spectrum of NPs and the absorption of RB (Fig. S3, ESI†), it is hypothesized that when nanoparticles are irradiated by X-rays, Tb can transfer energy to RB for 1O2 production. The DPBF absorption, however, does decline once UIRPPs upon X-ray irradiation, even at a low concentration (1.5 mg mL−1). 1O2 generation exhibits linear dependence on UIRPP concentration and irradiation time, signifying a constant 1O2 generation rate. These results show that to produce 1O2, NPs, RB and X-rays all need to be present, corroborating our hypothesis that 1O2 production is a result of the LRET system. Collectively, these results indicate unambiguously the very interesting application potential of UIRPPs in minimal phototoxic imaging and highly efficient X-PDT.
MTS assay has been used to evaluate the noninvasive UCL imaging and the synergistic RT&X-PDT of UIRPPs. As shown in Fig. 5a, irradiation of NIR laser (800 nm, 980 nm, or 1530 nm) does not induce the death of MCF-7 cells statistically, implying the lack of sufficient 1O2 generation. In contrast, upon a low dosage of X-ray irradiation (80 kV, 1.5 Gy), a significant dropdown of cell viability occurs and is shown in Fig. 5b. Regarding the “UIRPPs + X-ray” group, the number of the apoptotic cells has a positive relationship with the concentration of UIRPPs and the synergistic RT&X-PDT results in the apoptosis of ∼80% of the cells when incubated with 400 μg mL−1 UIRPPs. Fig. 5c shows the flow cytometry analysis of the apoptosis of MCF-7 cells experiencing synergistic RT&X-PDT, where Annexin-V-FITC is used to stain apoptotic cells and propidium iodide (PI) is used to stain necrosis cells. The two groups including the MCF-7 cells incubated with saline or UIRPPs plus the 980 nm laser irradiation and those incubated with UIRPPs plus 980 nm laser irradiation retained very high survival rates. When irradiated with X-rays, however, the apoptosis of MCF-7 cells obviously occurs. In the “NPs + X-ray” group, about 30% of the dead cells are exclusively induced by X-rays since there are no PSs in this group. However, in the “UIRPP” groups, the cell survival rate is only 38.3%, 26.5%, or 15.6% cells after irradiation with X-rays corresponding to a UIRPP concentration of 50, 100, or 200 μg mL−1, respectively. The cell death ratio of 84.4% is much higher than that of a single X-ray treatment, demonstrating the promising effect of the inherent synergistic RT&X-PDT. These data illustrate the power of the noninvasive UCL imaging and highly effective synergistic RT&X-PDT in cancer treatment, as well as the huge potential role that UIRPP may play in it.
Furthermore, the UCL imaging and antitumor efficacy were assessed in vivo. For UCL imaging, the mice were intravenously injected with 100 μL of UIRPPs at a concentration of 10 mg mL−1. 0 h, 1 h and 24 h after injection, the mice were exposed to the nontherapeutic 980 nm laser, as shown in Fig. 6a. After 1 h the mice had already exhibited UCL imaging at the tumor sites, and strong UCL imaging was observed in the tumor area after 24 h. For the X-PDT efficacy, the mice were randomly divided into 4 groups (n = 3): “PBS” control group injected with PBS; “UIRPPs” group injected with UIRPPs; “PBS + X-ray” group for the RT only; “UIRPPs + X-ray” group for the RT&X-PDT. Each mouse was injected with 65 μL of PBS or UIRPPs (10 mg mL−1) intravenously, respectively. On the basis of effective cellular inhibition in vitro, the in vivo antitumor efficacy upon X-ray irradiation was able to utilize an ultralow X-ray dose (1 Gy). As shown in Fig. 6a and b, the “UIRPPs + X-ray” group has the most significant tumor inhibition after 14 days. In addition, the “PBS + X-ray” group also had reduced tumor growth compared to the PBS control group. In contrast, tumors in the “PBS” and “UIRPPs” groups grow rapidly implying a lack of sufficient inhibition effect. There is no systemic reduction in body weight upon treatment with UIRPPs and/or X-rays (Fig. S12, ESI†). These results suggest that synergistic RT&X-PDT based on UIRPPs has an apparent inhibition effect on cancer.
Footnote |
| † Electronic supplementary information (ESI) available. See DOI: 10.1039/d1tc04930e |
| This journal is © The Royal Society of Chemistry 2022 |