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Dual-path modulation of hydrogen peroxide to ameliorate hypoxia for enhancing photodynamic/starvation synergistic therapy.

Abstract
The common existence of hypoxia within the tumor microenvironment severely restricts the efficacy of photodynamic therapy (PDT), which is attributed to the fact that the PDT process is strongly oxygen (O2) dependent. Here, a multifunctional composite (named CPCG), which combines polyethylene glycol (PEG) functionalized cerium oxide nanoparticles (CeO2) with photosensitizer chlorin e6 (Ce6) and glucose oxidase (GOx), is reported for generating O2 within the tumor microenvironment by the dual-path hydrogen peroxide (H2O2)-modulated ways to ameliorate hypoxia, thereby enhancing the PDT efficiency. This process is realized based on the dual enzyme-like activity of CeO2. The first modulated way is to transform the superoxide anion (O2˙-) into H2O2 by the superoxide dismutase-like activity of CeO2. The second modulated way is to decompose glucose into H2O2 through the catalysis of GOx. Subsequently, H2O2 generated from the above dual modulated ways can further produce O2via the catalase-like activity of CeO2. Additionally, the depletion of glucose could impede the nutrient supply to obtain starvation therapy. Both in vitro and in vivo experiments indicate that the CPCG composite could enhance the efficacy of photodynamic/starvation synergistic therapy. Therefore, this strategy offers great potential to modulate the O2 level in the tumor microenvironment for better therapeutic outcomes, and can act as a promising candidate in photodynamic/starvation synergistic therapy.
AuthorsXinhe Liu, Jing Liu, Shangyu Chen, Yuxin Xie, Quli Fan, Jiahong Zhou, Jianchun Bao, Tianxiang Wei, Zhihui Dai
JournalJournal of materials chemistry. B (J Mater Chem B) Vol. 8 Issue 43 Pg. 9933-9942 (11 11 2020) ISSN: 2050-7518 [Electronic] England
PMID33034312 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Chlorophyllides
  • Photosensitizing Agents
  • Porphyrins
  • Cerium
  • phytochlorin
  • ceric oxide
  • Hydrogen Peroxide
  • Glucose Oxidase
Topics
  • Animals
  • Cerium (therapeutic use)
  • Chlorophyllides
  • Female
  • Glucose Oxidase (therapeutic use)
  • HeLa Cells
  • Humans
  • Hydrogen Peroxide (therapeutic use)
  • Mice, Inbred BALB C
  • Nanoparticles (therapeutic use)
  • Neoplasms (drug therapy, metabolism, pathology)
  • Photosensitizing Agents (therapeutic use)
  • Porphyrins (therapeutic use)
  • Tumor Hypoxia (drug effects)
  • Tumor Microenvironment (drug effects)

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