Conventional
radiotherapy has a pivotal role in the treatment of
glioblastoma; nevertheless, its clinical utility has been limited by radiation resistance. There is emerging evidence that upregulated
heat shock protein A5 (HSPA5) in
cancer cells maintains or restores the homeostasis of a cellular microenvironment and results in
cancer resistance in various treatments. Therefore, we describe a bioresponsive nanoplatform that can deliver a HSPA5 inhibitor (
pifithrin-μ, PES) and radiosensitizer (
gold nanosphere, AuNS), to expand the synergistic
photothermal therapy and
radiotherapy, as well as to monitor the progression of
cancer therapy using computer tomography/magnetic resonance imaging. The nanoplatform (PES-Au@PDA, 63.3 ± 3.1 nm) comprises AuNS coated with the photothermal conversion agent
polydopamine (PDA) for enhanced
radiotherapy and
photothermal therapy, as well as PES (loading efficiency of PES approximately 40%), a small molecular inhibitor against HSPA5 to amplify the pro-apoptotic unfolded protein response (UPR). The reported nanoplatform enables
hyperthermia-responsive release of PES. Results from in vitro and in vivo studies demonstrate that PES-Au@PDA can specially activate pro-apoptotic UPR cascades, leading to remarkably improved
radiotherapy and
photothermal therapy efficiencies. Considered together, a versatile
theranostic nanosystem is reported for promoting the synergistic radiophotothermal
therapy by selectively activating pro-apoptotic UPR cascade pathways.