Recent advances in NIR-II fluorescence imaging-guided type-I photodynamic therapy

Heng Li1,2, Leilei Tian1

  • 1Department of Materials Science and Engineering, Southern University of Science and Technology, 1088 Xueyuan Blvd., Nanshan District, Shenzhen, Guangdong 518055, P. R. China,. tianll@sustech.edu.cn.

Chemical Communications (Cambridge, England)
|November 10, 2025
PubMed

Insights

Near-infrared-II (NIR-II) fluorescence imaging-guided photodynamic therapy (PDT) offers improved deep-tumor treatment. This review details advanced NIR-II PDT materials and their potential for enhanced cancer care.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Materials Science

Background:

  • Phototheranostics integrate imaging and therapy for cancer diagnosis and treatment.
  • Conventional short-wavelength phototheranostic materials face limitations in deep-seated tumor treatment due to poor tissue penetration and tumor hypoxia.
  • Long-wavelength-activated type-I photodynamic therapy (PDT) with near-infrared-II (NIR-II) fluorescence shows promise for deep tumors.

Purpose of the Study:

  • To review cutting-edge advances in NIR-II fluorescence imaging (FLI)-guided PDT materials.
  • To emphasize molecular design strategies and their impact on phototheranostic performance.
  • To discuss challenges and future prospects for NIR-II emissive photosensitizers.

Main Methods:

  • Literature review of recent research on NIR-II FLI-guided PDT materials.
  • Analysis of molecular design principles for effective photosensitizers.
  • Evaluation of phototheranostic performance in preclinical studies.

Main Results:

  • NIR-II FLI-guided PDT systems demonstrate enhanced tissue penetration and high detection sensitivity.
  • These systems exhibit less oxygen-dependent reactive oxygen species generation, crucial for hypoxic tumor environments.
  • Advanced molecular design strategies are key to optimizing phototheranostic efficacy.

Conclusions:

  • NIR-II FLI-guided PDT is an ideal platform for treating deep-seated tumors.
  • Further development of NIR-II emissive photosensitizers is crucial for clinical translation.
  • This approach holds significant potential for advancing precision cancer therapy.