NIR diagnostic imaging of triple-negative breast cancer and its lymph node metastasis for high-efficiency

Yi Pan1,2,3, Longcai Liu1,3,4, Yichen He1,2,3

  • 1Center for Rehabilitation Medicine, Rehabilitation and Sports Medicine Research Institute of Zhejiang Province, Department of Rehabilitation Medicine, Cancer Center, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, 310014, Zhejiang, China.

PubMed
Abstract

Insights

A novel liposome-based theranostic nanosystem (ILA@Lip) effectively treats triple-negative breast cancer (TNBC) by inducing severe hypoxia. This enhances hypoxia-activated chemotherapy and suppresses tumor growth, showing promise for clinical application.

Area of Science:

  • Biomedical Engineering
  • Nanotechnology
  • Oncology

Background:

  • Triple-negative breast cancer (TNBC) is aggressive and metastasizes readily, necessitating advanced therapeutic strategies.
  • Current treatments for TNBC have limitations, highlighting the need for innovative approaches to improve patient survival rates.

Purpose of the Study:

  • To develop a liposome-based theranostic nanosystem (ILA@Lip) for diagnosing and treating TNBC.
  • To enhance the efficacy of hypoxia-activated chemotherapy in TNBC by creating a highly hypoxic tumor microenvironment.

Main Methods:

  • Prepared ILA@Lip by encapsulating IR 780 (photosensitizer), lenvatinib (anti-angiogenic), and banoxantrone (AQ4N, hypoxia-activated prodrug).
  • Utilized near-infrared (NIR) fluorescence imaging for TNBC and lymph node metastasis detection.
  • Administered ILA@Lip with 808 nm laser irradiation to induce reactive oxygen species (ROS) and hypoxia, activating AQ4N chemotherapy.

Main Results:

  • ILA@Lip demonstrated effective NIR fluorescence diagnostic imaging capabilities for TNBC.
  • Lenvatinib and laser-induced ROS significantly enhanced tumor hypoxia, promoting AQ4N conversion to its toxic form (AQ4).
  • In vivo studies showed significant suppression of tumor growth in both subcutaneous and orthotopic TNBC models with excellent biocompatibility.

Conclusions:

  • ILA@Lip is a potent strategy for creating extreme tumor hypoxia, boosting chemotherapy efficacy.
  • The developed nanosystem achieved collective tumor growth suppression and shows significant potential for clinical translation in TNBC treatment.

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