Tumor microenvironment (TME)-triggered phototheranostic platform offers a feasible strategy to improve
cancer diagnosis accuracy and minimize treatment side effects. Developing a stable and biocompatible molecular phototheranostic platform for TME-activated second near-infrared (NIR-II) fluorescence imaging-guided multimodal cascade
therapy is a promising strategy for creating desirable
anticancer agents. Herein, a new NIR-II fluorescence imaging-guided activatable molecular phototheranostic platform (IR-
FEP-RGD-S-S-S-Fc) is presented for actively targeted
tumor imaging and
hydrogen sulfide (H2 S) gas-enhanced chemodynamic-hypothermal photothermal combined
therapy (CDT/HPTT). It is revealed for the first time that the coupling distance between IR-FE and
ferrocene is proportional to the photoinduced electron transfer (PET), and the aqueous environment is favorable for PET generation. The part of
Cyclic-RGDfK (cRGDfk)
peptides can target the
tumor and benefit the endocytosis of nanoparticles. The high-concentration
glutathione (GSH) in the TME will separate the fluorescence molecule and
ferrocene by the GSH-sensitive trisulfide bond, realizing light-up NIR-II fluorescence imaging and a cascade of trimodal synergistic CDT/HPTT/gas
therapy (GT). In addition, the accumulation of
hydroxyl radicals (•OH) and down-regulation of
glutathione peroxidase 4 (GPX4) can produce excessive harmful
lipid hydroperoxides, ultimately leading to ferroptosis.