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.