Mater Today Bio. 2022 Jun;15 100316
Although as a mainstay modal for cancer treatment, the clinical effect of radiotherapy (RT) does not yet meet the need of cancer patients. Developing tumour-preferential radiosensitizers or combining RT with other treatments has been acknowledged highly necessary to enhance the efficacy of RT. The present study reported a multifunctional bioactive small-molecule (designated as IR-83) simultaneously exhibiting tumour-preferential accumulation, near-infrared imaging and radio/photodynamic/photothermal therapeutic effects. IR-83 was designed and synthesized by introducing 2-nitroimidazole as a radiosensitizer into the framework of heptamethine cyanine dyes inherently with tumour-targeting and photosensitizing effects. As results, IR-83 preferentially accumulated in tumours, suppressed tumour growth and metastasis by integrating radio/photodynamic/photothermal multimodal therapies. Mechanism studies showed that IR-83 accumulated in cancer cell mitochondria, induced excessive reactive oxygen species (ROS), and generated high heat after laser irradiation. On one hand, these phenomena led to mitochondrial dysfunction and a sharp decline in oxidative phosphorylation to lessen tissue oxygen consumption. On the other hand, excessive ROS in mitochondria destroyed the balance of antioxidants and oxidative stress balance by down-regulating the intracellular antioxidant system, and subsequently sensitized ionizing radiation-generated irreversible DNA double-strand breaks. Therefore, this study presented a promising radiosensitizer and a new alternative strategy to enhance RT efficacy via mitochondria-targeting multimodal synergistic treatment.
Keywords: ALT, alanine aminotransferase; AST, aspartate amino transferase; CLSM, confocal laser scanning microscope; CREA, creatinine; DSBs, DNA double-strand breaks; GSH, glutathione; H&E, hematoxylin and eosin; HO-1, heme oxygenase 1; Heptamethine cyanine dyes; LLC, Lewis lung carcinoma; MMP, mitochondrial membrane potential; NADPH, nicotinamide adenine dinucleotide phosphate; NIR, near-infrared; NMR, nuclear magnetic resonance; NSCLC, non-small cell lung cancer; Near-infrared imaging; Nrf2, nuclear factor erythroid-derived 2-like 2; OXPHOS, oxidative phosphorylation; PBS, phosphate-buffered saline; PDT, photodynamic therapy; PI, propidium iodide; PLT, Platelet; PSs, photosensitizers; PTAs, photothermal agents; PTT, photothermal therapy; Phototherapy; RBC, red blood cell; ROS, reactive oxygen species; RT, radiotherapy; Radiosensitizer; Radiotherapy; SER, sensitizer enhancement ratio; SOSG, Singlet oxygen sensor green; WBC, white blood cell