An Active Self-Mitochondria-Targeting Cyanine Immunomodulator for Near-Infrared II Fluorescence Imaging-Guided

Jin-Feng Yu1, Yu Wen1,2, Ming Li1

  • 1School of Materials Science and Engineering, Central South University, Changsha, Hunan, 410083, China.

PubMed

Insights

A novel photosensitizer targets cancer mitochondria for enhanced photodynamic immunotherapy. This approach improves treatment of primary and metastatic cancers, offering a new strategy for advanced cancer care.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Photochemistry

Background:

  • Photodynamic therapy (PDT) shows promise for cancer treatment, but current photosensitizers (PSs) have limitations in potency, mitochondria delivery, and treating metastatic disease.
  • Effective PDT requires efficient delivery of PSs to cancer cell mitochondria and potent reactive oxygen species (ROS) generation.

Purpose of the Study:

  • To develop an active self-mitochondria-targeting heptapeptide cyanine (HCy) immunomodulator (I2HCy-QAP) for near-infrared II (NIR-II) fluorescence imaging-guided photodynamic immunotherapy.
  • To evaluate the efficacy of I2HCy-QAP in treating primary and distal metastatic cancers, including triple-negative breast cancer.

Main Methods:

  • Synthesized I2HCy-QAP by incorporating a lipophilic cationic quaternary ammonium salt with a phenethylamine skeleton (QAP) into an iodinated HCy photosensitizer.
  • Utilized NIR-II fluorescence imaging for precise guidance and assessed singlet oxygen (1O2) generation under NIR laser irradiation.
  • Investigated mitochondria-targeted damage and systemic immunogenic cell death (ICD) responses.
  • Combined I2HCy-QAP mediated PDT with anti-programmed death-1 (PD-1) antibody therapy in a triple-negative breast cancer model.

Main Results:

  • I2HCy-QAP demonstrated precise mitochondria targeting due to the QAP unit and strong NIR-II fluorescence emission.
  • Effective generation of 1O2 under NIR laser irradiation induced mitochondria-targeted damage and potent systemic ICD.
  • Combination therapy significantly inhibited primary and distal metastatic tumors, including lung metastasis, in the cancer model.
  • Achieved remarkable therapeutic efficacy against both primary and distal metastatic cancers.

Conclusions:

  • I2HCy-QAP is a high-performance NIR-II emissive cyanine immunomodulator with self-mitochondria-targeting capabilities.
  • This approach enables effective NIR-II fluorescence-guided photodynamic immunotherapy for primary and metastatic cancers.
  • The developed strategy offers a promising new concept for advanced cancer treatment by combining targeted PDT and immunotherapy.

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