E
Pang‡
a,
Rong
Huang‡
a,
Shaojing
Zhao
a,
Ke
Yang
a,
Baoling
Li
a,
Qiuxia
Tan
a,
Siyi
Tan
b,
Minhuan
Lan
*a,
Benhua
Wang
*a and
Xiangzhi
Song
*a
aHunan Provincial Key Laboratory of Micro & Nano Materials Interface Science, College of Chemistry and Chemical Engineering, Central South University, Changsha, P. R. China. E-mail: minhuanlan@csu.edu.cn; benhuawang@csu.edu.cn; xzsong@csu.edu.cn
bHuazhi medical laboratory Co., Ltd, 618 Heping Road, Changsha, 410125, P. R. China
First published on 11th November 2022
Phototherapeutic agents with near-infrared (NIR) fluorescence, strong reactive oxygen species generation and photothermal conversion capabilities are highly desirable for use in cancer therapy. Herein, a water-soluble NIR croconaine dye (TCR) with a thiophene-croconaine rigid core and two symmetric alkyl chains was designed and synthesized. TCR exhibits intense NIR absorption and fluorescence that peaked at 780 and 815 nm, respectively, with a high molar extinction coefficient of 1.19 × 105 M−1 cm−1. Moreover, TCR has a high photothermal conversion efficiency of 77% and is capable of generating hydroxyl radicals (OH˙) under 735 nm laser irradiation. Based on these outstanding properties, TCR has proven its application in NIR fluorescence imaging-guided synergistic photothermal/photodynamic therapy of cancer.
Imaging-guided phototherapy can realize accurate cancer diagnosis, thereby improving the selectivity in cancer treatment.6 Various phototheranostics integrating fluorescence imaging and therapeutic functions have been reported.7 Some reported fluorescent inorganic nanomaterials can generate reactive oxygen species (ROS) and heat under laser excitation.8 However, their clinical use is limited due to the issues of non-degradation, poor biocompatibility, low ROS generation or photothermal conversion efficiency (PCE).9 Organic photosensitizers, including porphyrins, hypocrellins, and phthalocyanines, exhibit deep red fluorescence, high singlet oxygen quantum yield, and acceptable biodegradation and have been approved for clinical use.10 However, most of them have the following drawbacks: (i) poor water solubility and easy aggregation in living systems; (ii) weak photothermal effects due to a low PCE; and (iii) short excitation and emission wavelengths. More importantly, their molar absorption coefficient in a phototherapeutic window (650–900 nm) is low (Table S1, ESI†).11–13 Hence, developing efficient phototheranostics with good water solubility, high ROS generation and PCE, and strong absorption/emission in the therapeutic window is highly desirable.
Croconium (CR) dyes have strong absorption in the NIR region with a really high molar absorption coefficient (∼105 M−1 cm−1).14,15 Because of their excellent photobleaching resistance, thermal stability and spectral tunability, the CR dyes have been widely used in biomedical sensing, PTT, and photoacoustic imaging.16 Smith et al. prepared a pH-responsive CR dye with a high PCE for ratiometric photoacoustic imaging by trapping the CR dye in a tetralactam macrocycle.17 Li et al. synthesized shape-controlled CR-based A1094@DSPE-PEG2000 micelles, which have absorption in the NIR-II region and show good photothermal conversion and photoacoustic imaging capabilities.18 Chen et al. assembled CR dyes with human serum albumin via hydrophobic interaction to form stable nanoparticles for photoacoustic imaging.19
However, most of the previous CR dyes were assembled with foreign water-soluble materials. Although some CR dyes exhibited good photothermal conversion capability, no examples were reported in ROS generation. Herein, we designed and synthesized a new CR dye (TCR) using aminothiophene as the donor, which contained a triethylene glycol chain to improve the water solubility (Scheme 1). Aqueous TCR solution possesses strong NIR absorption and fluorescence that peaked at 780 and 815 nm, respectively. Remarkably, TCR has a high PCE of 77%, and is capable of generating OH˙ under 735 nm laser irradiation. The heat and OH˙ could effectively terminate DNA replication, force the cytoskeleton to collapse, inhibit proliferation and enable ablation of tumor cells. Herein, the application of TCR in NIR fluorescence imaging-guided photothermal/photodynamic therapy of cancer was firstly demonstrated.
Scheme 1 Molecular structure of TCR and its application in photothermal and photodynamic therapy of cancer. |
A = ε × b × c | (1) |
(2) |
(3) |
(4) |
(5) |
The photothermal conversion capability of TCR was investigated by using a 735 nm laser. As shown in Fig. 2a and b, the temperature changes of TCR showed dependence on concentration and laser power, i.e., under a laser power of 1.0 W cm−2, the temperature of TCR solution (9.6 μM) rapidly increased to 67 °C within 10 min, which was sufficient to trigger cancer cell death. In addition, the corresponding infrared thermal images shown in Fig. 2c further confirmed the outstanding photothermal conversion ability of TCR. The PCE of TCR at 735 nm was calculated to be 77%, which exceeded those of most of the reported CR dyes (Table S2, ESI†).21,22 Moreover, TCR also exhibited superior photostability. As shown in Fig. 2d, after 6 cycles of laser irradiation for 10 min and cooling down to the initial temperature, the heating rate of TCR remained constant, while indocyanine green (ICG) had decomposed substantially.
Then the ROS-generating capacity of TCR was investigated by using 9,10-anthracenediyl-bis(methylene) dimalonic acid (ABDA) and terephthalic acid (TA) to capture the singlet oxygen and OH˙, respectively. As revealed in Fig. 2e, no obvious absorbance reduction was observed in TCR-ABDA mixed solution when exposed to 735 nm laser irradiation. In contrast, the fluorescence intensity of TCR-TA mixed solution gradually increased with prolonged irradiation time (Fig. 2f), while in the absence of TCR, the fluorescence of aqueous TA solution showed no obvious variations (Fig. S14, ESI†). The above results suggested that TCR could generate OH˙ under laser irradiation. Interestingly, this is the first example to show that CR dyes could generate OH˙.
The OH˙ generation of TCR was further investigated by using 2′,7′-dichlorodihydrofluorescein diacetate (DCFH-DA) as an ROS trapper, which emits green fluorescence upon reacting with ROS.23 As shown in Fig. 3a, green fluorescence was obviously detected in cells of the TCR + laser group, while no fluorescence signal was observed in the other three groups, confirming the ability of TCR to efficiently produce OH˙ under laser irradiation. Considering the high PCE and excellent OH˙ generation capability, the phototheranostic properties of TCR were further studied. As shown in Fig. 3b, the cell viability of 4T1 cells incubated with TCR or TCR + Vitamin C (Vc) under dark conditions exceeded 95%, even at a high concentration of 9.6 μM. In contrast, the cell viability in the TCR + laser group exhibited dependence on the TCR concentration, with a sharp decrease after 10 min of laser irradiation. The half-maximal inhibitory concentration (IC50) was calculated to be ∼4.8 μM. These results reveal that TCR has excellent biocompatibility and high phototoxicity. To further verify the photodynamic activity of TCR, 4T1 cells were co-incubated with TCR and Vc and then exposed to laser irradiation. Interestingly, the cell viability of the TCR + Vc + laser group was higher than that of the TCR + laser group, suggesting that OH˙ produced by the excited TCR was also effective in killing cancer cells. Similarly, TCR also exhibits phototoxicity to normal cells (HUEVC) (Fig. S15, ESI†).
The phototherapeutic effect of TCR on 4T1 cells was further investigated by using calcein-AM and propidium iodide (PI) as staining dyes for the live and dead cells, respectively.24 As shown in Fig. 3c, cells were incubated with TCR followed by laser treatment emitted strong red fluorescence, while cells from the other three control groups emitted green fluorescence, indicating that TCR had little effect on the activity of cells, and that 735 nm laser-treated TCR was effective in killing cancer cells. To further understand the mechanism of cell death, flow cytometry assay was carried out to analyze apoptotic and necrotic cells.25 As shown in Fig. 4a, in the absence of laser irradiation or TCR, no significant early apoptosis, late apoptosis or necrosis was observed. However, after exposure to NIR laser irradiation, TCR induced 27.80% of the early apoptotic cells and 66.25% of the later apoptotic/necrotic cells, while the control group maintained a high cell viability. The above results demonstrated that TCR could induce apoptosis or necrosis of tumor cells by producing efficient photothermal effects and OH˙.
Considering the significance of cancer cytoskeletal junctions for migration, the changes of the cytoskeleton after different treatments were subsequently explored. FITC-labeled phalloidin was used to label filamentous actin (F-actin) in 4T1 cells.26 As shown in Fig. 4b, the cytoskeleton of 4T1 cells in the three control groups still showed a homogenous and well-distributed morphology, however, the TCR + laser group showed obvious fragments of filamentous cell structures, indicating that the cytoskeletal filaments collapsed after TCR + laser treatment. Therefore, visualization of the cell death process proved the phototherapeutic effect of TCR. Cell proliferation is the basis for living organisms’ growth, development, reproduction, and inheritance. 5-Ethynyl-2′-deoxyuridine (EdU) is a pyrimidine analogue that is incorporated into the DNA double-strand during DNA synthesis. The specific reaction between EdU and fluorescent dye YF488® can generate green fluorescence.27 To demonstrate TCR's ability to inhibit cancer cell growth under laser irradiation, the cells’ proliferative status was examined. As shown in Fig. 4c, PBS and TCR treated groups had no significant effect on cell proliferation in the absence of laser irradiation, while no green fluorescence signal was observed in the TCR + laser group, indicating that TCR effectively interrupted cell proliferation by inhibiting DNA synthesis.
Next, we evaluated the performance of TCR-guided phototherapeutics by in vivo imaging of tumor-bearing mice. As shown in Fig. 5a, no fluorescence was observed after intratumoral injection of PBS. In contrast, an intense red fluorescence signal was detected in the tumor region after intratumoral injection of TCR solution. Guided by the intense NIR fluorescence imaging, the treatment was conducted on 4T1 tumor-bearing mice. As shown in Fig. 5b and Fig. S16 (ESI†), the temperature of the tumor site did not change in the absence of laser irradiation, and there was only a slight increase in the temperature of the tumor site after injection of PBS under laser irradiation. In contrast, after injection of TCR solution, the temperature of the tumor site gradually increased as the laser irradiation time increased, and after 10 minutes, the temperature of the tumor site was close to 70 °C, which was sufficient to effectively ablate the tumor cells. In addition, the ability of TCR to inhibit tumor growth was investigated. 4T1 tumor-bearing mice were randomly divided into four groups: (1) PBS, (2) PBS + laser, (3) TCR, and (4) TCR + laser. As shown in Fig. 5c, tumors in groups 1–3 grew rapidly and malignantly, indicating that PBS only, PBS + laser, or TCR only had negligible effects on tumor growth. The TCR + laser group, however, effectively inhibited the tumor growth with no significant recurrence in the following 14 days, demonstrating the excellent therapeutic effect of TCR on tumors. In addition, no obvious weight change was observed in the corresponding groups, implying negligible toxicity of TCR on the mice (Fig. 5d). To verify the proliferation inhibition effect of TCR on tumors, tumor sections were evaluated.28 Hematoxylin and eosin (H&E) and Ki67 staining of tumor sections showed that TCR induced more areas of necrosis and significantly inhibited tumor proliferation after laser irradiation (Fig. 5e).
Based on the excellent performance of TCR, we further investigated the in vivo physiological safety of TCR by quantitative fluorescence analysis of the in vivo metabolic processes in major organs (i.e., heart, liver, spleen, lungs, and kidneys) and tumor of 4T1 tumor-bearing mice. After intravenous injection of TCR (200 μL, 9.6 μM) into 4T1 tumor-bearing mice, the major organs of the mice were excised at different time points (0, 1, 2, 4, 8 and 12 h). As shown in Fig. 6a and Fig. S17 (ESI†), strong NIR fluorescence was observed in the liver and kidneys after 1 h, with a maximum intensity in the liver after 4 h. Clearance and metabolism of TCR from the liver and kidneys were observed at the 12th h, demonstrating that the metabolic pathway of TCR was primarily through the liver, with the kidneys serving as a secondary metabolic modality. Furthermore, histological evaluation showed no damage to the major organs of mice after the TCR treatment, indicating its excellent safety (Fig. 6b). Moreover, blood tests for liver and kidney functions are shown in Table S3 (ESI†). No statistically significant difference was found in all 10 markers between mice treated with saline and TCR, verifying the good biocompatibility of TCR.
Footnotes |
† Electronic supplementary information (ESI) available. See DOI: https://doi.org/10.1039/d2tb01772e |
‡ These authors contributed equally to this work. |
This journal is © The Royal Society of Chemistry 2022 |