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Ultrasound-activatable transition metal complexes to potentiate sonodynamic therapy.
Lawrence Cho-Cheung Lee1, Kenneth Kam-Wing Lo1,2
1Department of Chemistry, City University of Hong Kong Tat Chee Avenue Kowloon Hong Kong P. R. China bhkenlo@cityu.edu.hk.
Chemical Science
|November 19, 2025
Summary
Transition metal complexes show promise as reactive oxygen species (ROS) sonosensitisers for sonodynamic therapy (SDT). This review highlights their potential in treating cancer, infections, and cardiovascular diseases, and discusses future clinical applications.
Area of Science:
- Biomedical Engineering
- Materials Science
- Oncology
Background:
- Sonodynamic therapy (SDT) is a non-invasive treatment using ultrasound to activate sonosensitisers, generating reactive oxygen species (ROS) for therapeutic effects.
- SDT offers advantages like deep tissue penetration and high precision, but its efficacy relies on effective ROS sonosensitisers.
- Transition metal complexes are gaining attention as potential sonosensitisers due to their high ROS generation efficiency and stability.
Purpose of the Study:
- To review recent advancements in transition metal complexes as ROS sonosensitisers for SDT.
- To explore their application in treating cancer, microbial infections, and cardiovascular diseases.
- To discuss strategies for enhancing sonosensitiser performance and integrating SDT with other therapies.
Main Methods:
- Literature review of recent studies on transition metal complexes in SDT.
- Analysis of design strategies for improving sonosensitiser performance.
- Examination of synergistic therapeutic approaches involving SDT.
Main Results:
- Transition metal complexes demonstrate significant potential as ROS sonosensitisers for SDT.
- These complexes show promise in preclinical studies for various diseases.
- Integration with other modalities can enhance therapeutic outcomes.
Conclusions:
- Transition metal complexes are promising agents for advancing SDT.
- Further research into design strategies and clinical translation is needed.
- Optimizing these sonosensitisers can improve patient outcomes in various diseases.

