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. 2023 Mar 21;13(6):1974–2014. doi: 10.7150/thno.80887

Table 2.

Combination therapies based on CDT in recent years.

Therapeutic agents CDT agent Material Shape and size (nm) In vitro In vivo Cell viability
(c [μg/mL])
Enhanced strategies Ref, year
CDT- chemotherapy
Dox Fe2+ Dox@Cu2O-PEG NCs Spherical cluster, 78.36 MCF-7 MCF-7 15% (2) Self-supplying H2O2 52, 2020
CPT Fe2+/ Fe3+ MIL53@F-@cancer cell membranes Hexagonal,
120
MCF-7 Hep 22 27% (100) CPT replenishes H2O2, cancer cell membrane endows immune escaping 54, 2022
BTZ Hemin-Zn complexes He-Zn@HA-BTZ Quadrilateral, 140-150 MDA-MB-231 MDA-MB-231 25% (2.5 uM) Self-supplying Fenton catalyst and H2O2, repolarizing macrophages from M2 to M1 55, 2022
β-lapa Cu2+ β-lapa@Cu-PMs Spherical core-shell, 120 SMMC-7721, A549,4T1 SMMC-7721 10% (200) Heightening intracellular H2O2, GSH dominated copper transfer 57, 2022
(Oxa(IV) Mn2+ HSA-Oxa(IV) - HSA- Mn2+/GOD Spherical, 140 4T1,
MCF-7, B16F10
4T1 IC50: 4.33 The conversion of the Oxa(IV) into Oxa(II) was beneficial for the consumption of GSH, GOD upregulated the H2O2 level 58, 2022
CDT-PDT
Ce6 Mn2+ MnO2-doped CeO2 load with Ce6 Rod, length:130 width:15 HeLa Lewis 15.6% (Ce6: 8) Ce6 induced oxygen starvation triggers the generation of H2O2 69, 2022
TPyP Mn2+ H-MnO2@TPyP@Bro Hollow sphere, 240 MCF-7 MCF-7 20% (300) Producing O2, Bro promotes the accumulation of H-MnO2@TPyP@Bro 77, 2022
4-DCF-MPYM Cu2+ CaO2-FM@Cu-ONS@HC Sphere, 120.4 HeLa, 4T1, COS-7 4T1 10% (100) O2/H2O2 self-sufficient 78, 2022
Fe/Mn-ZIF-8 Fe2+/Mn2 lanthanide-doped NPs @Fe/Mn-ZIF-8 Sphere, 75.4 HeLa U14 10.2% (500) Dual doping of Fe2+/Mn2+ decreases the bandgap of the ZIF-8 photosensitizer/ GSH depletion 84, 2022
CDT-PTT
Carbon dots Fe2+/ Fe3+ RCDs@MIL-100 Polyhedral, 180 4T1, HC11 4T1 5% (1000) GSH depletion/ hyperthermal-enhanced CDT 89, 2022
BODIPY Fe2+ (BODIPY)-Fe (III) Spherical, 40 HeLa HeLa 10% (50) Outstanding Fenton catalytic performance/ strong NIR-II absorbing ability 91, 2020
CuS Cu2+ Cu-MOF [Cu- (bpy)2(OTf)2] Square, side lengths 1.2 μm CT-26 CT-26 19.1% (500 uM) H2S consumption, CuS generated in situ, smaller CuS enhances Fenton-like reaction 96, 2022
CoS QDs CoS QDs CoS QDs 5.8 nm LO2, A431, MDA-MB-231, 4T1 4T1 4T1:20% (1 mM) A431:40% (1 mM) Regulating the photothermal conversion efficiency, promoting the Fenton catalytic capability, hyperthermal-enhanced CDT 100,
2022
CDT-SDT
Fe-porphyrin Fe2+ MMSN@Au-Fe(TPP)@LM Spiky, 302.2 ± 1.4 HUVEC, B16F10 B16F10 20% (200) Producing H2O2, US augmentes cascade-catalytic 112, 2022
Ce6 Cu2+ Cu/CaCO3@Ce6 Approximately spherical 4T1 4T1 <10% (100) self-supply of oxygen, Ca2+ overloading-sensitizes CDT/SDT, GSH deprivation 114, 2022
TiO2/Ti3C2 Cu2+ Ti3C2/CuO2/BSA Nanosheet,189 U87 U87 <40% (Ti:50 μg/mL) In situ generation of sonosensitizers, H2O2 generation, enhanced separation of e-and h+ 118, 2022
BaTiO3 Cu2+ Cu2-xO-BTO Cubic, 162.3 ± 3.5 NIH-3T3, 4T1 4T1 18.9% (400) Continuous accumulation of electrons and holes, electron-hole pairs separation and migration 119, 2022
Au NPs Mn2+ Au-MnO NPs Snowman, 20 MCF-7 97H <40% (200) Generation smaller Au NPs in situ, numerous cavitation nucleation sites 121, 2020
CDT-RT
CaO2/Fe3+/ ZIF-8) Fe2+/ Fe3+ CaO2/Fe3+/ ZIF-8 Spherical, 45.52 patient-derived cancer cells patient-derived cancer cells <25% (200) Self- sufficient H2O2, O2 125, 2020
Hf-BPY Fe2+ (Hf-BPY-Fe) Octahedral, 100 HeLa HeLa 24.5% (80 ppm) Electron-rich environment accelerates the reduction from Fe3+ to Fe2+ 131, 2020
SnS2/Fe3O4 Fe2+/ Fe3+ SnS2@Fe3O4 NPs Hetero-geneous nanoparticle HeLa, HUVECs HeLa 40% (90) X-ray enhances Fe2+/Fe3+ cycling for CDT 134, 2021
SPIONCs Fe2+ SPIONCs Spherical-like, 60-200 NCI-H460 H460 28.9% (90) Increasing the production of H2O2 136, 2022
CDT-MHT
iron oxide Fe2+ GOD/iron oxide nanocatalysts flower-like PC3 PC3 <10% (100) Down-regulate HSP expression, supplying abundant H2O2 148, 2020
Fe3O4 Fe2+ Fe3O4 Nanospheres, 300 4T1 4T1 <40% (100) Suppressing the expression of HSP70 and HSP90, heat facilitates CDT 149, 2020
MnFe2O4 Fe2+ Ir@ MnFe2O4 NPs: 11.24 ± 1.11 nm HeLa HeLa 14% (400) depletion of GSH, Enhanced cell sensitivity to MHT 150, 2020
CDT-immunotherapy
αPDL1 Fe2+/ Fe3+ GOx/αPDL1/OEGCG/Fe3+/POEGMA-b-PTKDOPA 110.3 ± 7.2 4T1 4T1 10% (GOx: 1 U/mL) Producing H2O2, enhanced immunogenic cell death 161,2022
Bacterium substrate Au@Pt E. coli/Au@Pt core-shell,575 HeLa, COS-7, HepG2, B16-F10 B16-F10 IC50 :0.6 ppm Weaken the GSH, tumor targeting ability of bacteria 164, 2021
Ferrocene - MOF/Vk3 Fe2+ Ferrocene - MOF/Vk3 150.2 ± 22.6 L929, 4T1 4T1 15% (Vk3:100) Vk3- mediated H2O2 producing, promoting DC maturation 165, 2023
MnOx Mn2+ MnOx- ovalbumin Nanospikes 4T1 4T1 30% (800) Ultrahigh loading efficiencies for ovalbumin and tumor cell fragment 168, 2020
CDT-ST
GOD Mn2+ Mn3O4/GOD co-loaded organosilicon Spherical, 50 3T3, SMMC-7721 SMMC-7721 12.7% (75) supplying O2 and H2O2 174, 2023
Au NPs ZIF-67 (Co2+) ZnO2@Au@ZIF-67 Spherical, 60 4T1, NIH/3T3, HUVEC 4T1 <10% (4) generating O2 and H2O2 175, 2023
LOX, TA-Fe (III) Fe2+ PFOB/ LOX-TA- Fe (III) core-shell,182 ± 13 4T1, CT26, MCF-10A 4T1 20% (LOX: 1.2) dual-depletion of lactate and ATP, O2 and H2O2 self-supply 181, 2021
CDT-GS
NO Cu2+, Mo4+ Mo/Cu9S5/ L-Arginine Spherical with huge cavity 4T1, L929 4T1 30% (200) Depletion of GSH, ultrasound enhances NO release, NO inhibits protective autophagy 184, 2022
CO Mn2+ MnCo@UiO-67-bpy@GOx Spherical, 90 HeLa, L929 MCF- 7 HeLa 7% (160) Producing H2O2, accelerating CO release 185, 2022
H2S Fe2+ FeS@BSA Spherical, 50 Huh7, WRL-68 Huh7 20% (20) H2S induced H2O2 amplification 186, 2020
CDT-GT
siS100A4 Mn2+ ErNPs@MnO2-siS100A4-RGD Spherical, 50 MDA-MB-231, MCF-10A MDA-MB-231 10% (20) GSH-depletion, superior tumor-targeting 197, 2021
DNAzyme Cu2+ DNAzyme-Cu2+-TA Spherical, 200 4T1 4T1 25% (200) depletion of GSH, ultra-high loading capacity 205, 2021
CDT-OT
CaCO3 Fe2+ calcium-and iron-doped silica loaded with DHA Spherical, 80 MDA-MB-231, 4T1 4T1 10% (200) Fe2+ interacted with DHA to generate C-centered radicals to amplify CDT 209, 2022
CDT-based other combinations
ITT Cu2+ CaO2-CuO2@HA Spherical,120 4T1, CT26, B16F10, L929 4T1 17.5% (120) H2O2 self-supplying, GSH depletion 212, 2022
EDT W5+ POM@ZIF-8 Spherical, 210 HeLa HeLa 30% (100) Enhanced ROS levels 214, 2022
CDT in combination with trimodal therapy
CDT- chemotherapy-PTT Fe2+ Mitoxantrone- -GOx@γ-Fe2O3 Spherical, 86.2 4T1 4T1 10% (11.52) H2O2 amplification 216, 2022
CDT-ST- chemotherapy Mn2+ zeolitic-imidazolate- framework@MnO2/Dox Polygonal,230 HeLa, HUVEC HeLa 30% (200) Reducing the recombination rate of e- and h+, Producing O2 217, 2022