4.7 Article

Iron oxide@chlorophyll clustered nanoparticles eliminate bladder cancer by photodynamic immunotherapy-initiated ferroptosis and immunostimulation

Journal

JOURNAL OF NANOBIOTECHNOLOGY
Volume 20, Issue 1, Pages -

Publisher

BMC
DOI: 10.1186/s12951-022-01575-7

Keywords

-

Funding

  1. Ministry of Science and Technology, Taiwan [MOST 108-2113-M-006-012-MY3, MOST 110-2113-M153-001, MOST 111-2113-M-153-001, MOST 111-2113-M-006-015, MOST 109-2314-B-039-021-MY3, MOST 110-2221-E-532-001]
  2. Taipei City Hospital (TCH)
  3. Department of Health, Taipei City Government [11001-62-004, 11101-62-007]
  4. Center of Applied Nanomedicine, National Cheng Kung University from The Featured Areas Research Center Program

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Designing a multifunctional nanoparticle that boosts programmed cell death and immunoactivation has potential as a treatment strategy for bladder cancer. In this study, cluster-structured nanoparticles were developed that could perform fluorescence, change the redox balance, and attenuate lipid peroxidation. Targeting the bladder wall and inducing cytotoxicity and ferroptosis resulted in a reprogramming of the tumor microenvironment from immunosuppressive to immunostimulatory. Intravesical instillation of these nanoparticles improved antitumor efficacy and survival rates.
The escape of bladder cancer from immunosurveillance causes monotherapy to exhibit poor efficacy; therefore, designing a multifunctional nanoparticle that boosts programmed cell death and immunoactivation has potential as a treatment strategy. Herein, we developed a facile one-pot coprecipitation reaction to fabricate cluster-structured nanoparticles (CNPs) assembled from Fe3O4 and iron chlorophyll (Chl/Fe) photosensitizers. This nanoassembled CNP, as a multifunctional theranostic agent, could perform red-NIR fluorescence and change the redox balance by the photoinduction of reactive oxygen species (ROS) and attenuate iron-mediated lipid peroxidation by the induction of a Fenton-like reaction. The intravesical instillation of Fe3O4@Chl/Fe CNPs modified with 4-carboxyphenylboronic acid (CPBA) may target the BC wall through glycoproteins in the BC cavity, allowing local killing of cancer cells by photodynamic therapy (PDT)-induced singlet oxygen and causing chemodynamic therapy (CDT)-mediated ferroptosis. An interesting possibility is reprogramming of the tumor microenvironment from immunosuppressive to immunostimulatory after PDT-CDT treatment, which was demonstrated by the reduction of PD-L1 (lower off signal to the effector immune cells), IDO-1, TGF-beta, and M2-like macrophages and the induction of CD8(+) T cells on BC sections. Moreover, the intravesical instillation of Fe3O4@Chl/Fe CNPs may enhance the large-area distribution on the BC wall, improving antitumor efficacy and increasing survival rates from 0 to 91.7%. Our theranostic CNPs not only demonstrated combined PDT-CDT-induced cytotoxicity, ROS production, and ferroptosis to facilitate treatment efficacy but also opened up new horizons for eliminating the immunosuppressive effect by simultaneous PDT-CDT.

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