Abstract

The combination of photodynamic therapy and radiotherapy has given rise to a modality called radiodynamic therapy (RDT), based on reactive oxygen species-producing radiosensitizers. The production of singlet oxygen, O2(1Δg), by octahedral molybdenum (Mo6) clusters upon X-ray irradiation allows for simplification of the architecture of radiosensitizing systems. In this context, we prepared a radiosensitizing system using copper-free click chemistry between a Mo6 cluster bearing azido ligands and the homo-bifunctional linker bis-dPEG11-DBCO. The resulting compound formed nanoparticles, which featured production of O2(1Δg) and efficient cellular uptake, leading to remarkable photo- and radiotoxic effects against the prostatic adenocarcinoma TRAMP-C2 cell line. Spheroids of TRAMP-C2 cells were also used for evaluation of toxicity and phototoxicity. In vivo experiments on a mouse model demonstrated that subcutaneous injection of the nanoparticles is a safe administration mode at a dose of up to 0.08 g kg–1. The reported results confirm the relevancy of Mo6-based radiosensitizing nanosystems for RDT.
Short abstract
The combination of photodynamic therapy and radiotherapy has given rise to a modality called radiodynamic therapy (RDT), based on reactive oxygen species-producing radiosensitizers.
Introduction
Photodynamic therapy (PDT) is a minimally invasive modality for the treatment of several malignancies.1 Its principle lies in producing reactive oxygen species (ROS), mostly singlet oxygen, O2(1Δg), by a photosensitizer upon visible light irradiation. Still, the conventional PDT treatment is limited to tumors located at the surface or a few millimeters under the skin or inside cavities because of the limited penetrability of visible light through tissues.2 To overcome this obstacle, several alternative ways of excitation have been employed such as infrared irradiation exciting two-photon absorbing photosensitizers,3 chemiluminescent nanoparticles able to excite photosensitizers in situ,4 or X-ray irradiation to activate ROS-producing radiosensitizers.5 The latter-named alternative of activation is probably the most promising because X-rays can reach deep-seated tumors. The clinical translation of this modality is facilitated by available equipment originally developed for radiotherapy treatment.5 Radiodynamic therapy (RDT) was first introduced in the form of a complex system composed of scintillating nanoparticles which transfer light energy to porphyrinic photosensitizers immobilized within the pores of a mesoporous silica shell covering the nanoscintillator.6 Since then, several other groups have reported promising results regarding the use of RDT against cancer.7,8 Recently, our group reported the production of O2(1Δg) by octahedral molybdenum (Mo6) cluster complexes upon X-ray irradiation.9
These metallic aggregates surrounded by eight iodine inner ligands and six apical ligands form long-lived triplet states when excited by X-rays, electrons, or UV–visible light. Thus, the formed triplet states relax via red-NIR phosphorescence10 or energy transfer to molecular oxygen to form O2(1Δg) with high quantum yields, making Mo6 clusters exclusively type II photosensitizers.11,12 These properties have led to various applications in PDT,13−20 photoinactivation of bacteria,21−24 and recent studies have shown the potential of these clusters for RDT.25−28 The direct administration of Mo6 clusters is complicated by their coordination instability in aqueous media, which leads to the displacement of apical ligands by water molecules, causing the formation of large aggregates, and worsening sensitizing and cellular uptake properties.13 The hydrolytic process can be mitigated via the attachment of bulky hydrophobic apical ligands; however, these clusters display poor water solubility, thus limiting their deposition at tumor sites.14 PEGylation has proven to be a successful strategy for the stabilization of therapeutic molecules and nanoparticles in an aqueous medium. It can significantly reduce the uptake by the reticuloendothelial system and increase their circulatory half-time, as well as providing high colloidal stability in a biological medium.29
Herein, we designed a radiosensitizing system using copper-free click chemistry between a Mo6 cluster bearing azido ligands and the homo-bifunctional linker bis-dPEG11-DBCO (Figure 1). The composition was confirmed using 1H and 13C NMR and ICP–MS, the colloidal stability and zeta potentials of phosphate-buffered saline (PBS) dispersions were studied by dynamic light scattering, and the phosphorescence and photosensitizing activities were analyzed using luminescence spectroscopy. The biological activity of the nanoparticles in the context of PDT and RDT was evaluated against TRAMP-C2 cells and TRAMP-C2 spheroids, and the in vivo acute toxicity was studied in a mice model.
Figure 1.

Schematic representation of the copper-free click chemistry reaction between Na2[Mo6I8(N3)6] (2) and the homo-bifunctional linker bis-dPEG11-DBCO, yielding Na2[Mo6I8(N3)6(bis-dPEG11-DBCO)∼2] (1). Color coding: molybdenum in blue, iodine in magenta, carbon in gray, nitrogen in dark yellow, and oxygen in red. Sodium counterions and hydrogen atoms have been omitted for clarity.
Results and Discussion
Preparation and Characterization
The PEGylated cluster (1) was prepared by copper-free click chemistry using a similar procedure as previously reported.16 In brief, Na2[Mo6I8(N3)6] (2) was allowed to react with 2 molar equivalents of the homo-bifunctional linker bis-dPEG11-DBCO in DMSO at room temperature for 4 days, and a purification procedure was carried out in order to remove unreacted cluster and linker molecules (see Experimental section). Note that a higher linker-to-cluster ratio led to extensive cross-linking of Mo6 clusters, resulting in the formation of insoluble aggregates. The reaction between 2 and the linker was monitored by 1H and 13C NMR and revealed the presence of approximately 7% of an unreacted DBCO fragment as estimated from 1H NMR, probably originating from molecular fragments where only half of the organic linker has reacted (Figure S1, Supporting Information). In obtained material 1, acetylene peaks originally observed in 13C NMR spectra (δC = 108.2 and 114.3 ppm) were replaced by two additional downfield signals characteristic for aromatic carbons (δC = 125–145 ppm), indicating the formation of triazolate moieties. As previously reported, triazolate-containing Mo6 complexes show coordination of the central nitrogen atom of the triazolate heterocycle to molybdenum atoms of the cluster core.30
The composition of 1 was evaluated by ICP–MS, evidencing a mass content of 13.75 wt % of molybdenum corresponding to 45.12 wt % of 2. Thus, the approximate chemical formula of compound 1 is Na2[Mo6I8(N3)6(bis-dPEG11-DBCO)∼2]. TEM imaging of a water dispersion of 1 revealed nanoparticles with a mean size of 161 ± 92 nm, highlighting the high degree of cross-linking between the clusters. These nanoparticles were composed of Mo, I, and N as demonstrated by HAADF elemental mapping (Figure 2). Measurement of 1 (0.1 mg mL–1) in PBS by dynamic light scattering evidenced good colloidal stability of the nanoparticles with a mean size by number of 168 ± 54 nm (Z-average = 204 nm, PDI = 0.14) comparable to that observed by microscopy, and an average zeta potential of −8.9 ± 2.3 mV (Figure S2, Supporting Information). No significant changes in the size distribution and zeta potential were observed for the nanoparticles after 8 days in PBS, highlighting the colloidal stability in this medium (Figure S2, Supporting Information).
Figure 2.
TEM images of 1 in the bright field (A, B) with the corresponding particle size distribution (C), and in the dark field (D) with the Mo, I (E), and N (F) HAADF elemental mapping.
The photophysical properties of 1 were studied in PBS at a concentration of 0.1 mg mL–1 and are summarized in Table 1. The absorption spectrum of a PBS dispersion of the nanoparticles was typical of Mo6 clusters with broad absorption bands in the UV/blue region and an onset at approximately 500 nm (Figure 3A). When excited at 400 nm, the dispersion displayed a broad red-NIR phosphorescence band originating from Mo6 clusters, with a maximum located at 686 nm, quantum yield of 0.21 ± 0.02, and lifetime of 77 μs in argon-saturated PBS (Figure 3B,C). Note that the phosphorescence decay curve could be fitted by a single exponential function, indicating homogeneous luminescence properties within the population of PEGylated clusters. A decrease in the phosphorescence quantum yield to 0.07 ± 0.01 and of the lifetime to 23 μs was observed in air-saturated PBS, indicating efficient quenching of the emissive triplet states by oxygen. The stability of the photophysical properties was evaluated by comparing photophysical parameters of fresh and 8 days old PBS dispersions of 1. It revealed no significant changes in these parameters, highlighting the long-term stability in this medium (Figure S3, Supporting Information), as opposed to 2, which was previously reported to undergo hydrolysis in aqueous medium.31
Table 1. Photophysical Properties of 1 in PBS at Room Temperaturea.
| sample | λL (nm) | ΦL | Φair | τL (μs) | τair (μs) |
|---|---|---|---|---|---|
| 1, fresh | 686 | 0.21 ± 0.02 | 0.07 ± 0.01 | 77 | 23b |
| 1, 8 days in PBS | 687 | 0.20 ± 0.02 | 0.07 ± 0.01 | 76 | 23b |
λL—phosphorescence maximum (λexc = 400 nm); τL and τair—phosphorescence lifetimes in oxygen-free PBS and amplitude average lifetimes in air-saturated PBS, respectively (λexc = 405 nm, λem = 700 nm); ΦL and Φair—phosphorescence quantum yields in oxygen-free and air-saturated PBS, respectively (λexc = 320–400 nm, experimental error of ΦL is ±0.01).
Biexponential decay.
Figure 3.
(A) Absorption spectra of 1 in PBS. (B) Phosphorescence emission spectra of 1 in air- (red) and argon- (black) saturated PBS, excited at 400 nm. (C) Phosphorescence decay kinetics at 700 nm of 1 in air- (red) and argon- (black) saturated PBS, excited at 405 nm.
The efficient quenching of the triplet states by oxygen observed for the PBS dispersions of 1 suggested the production of O2(1Δg). This feature was confirmed by measuring its NIR phosphorescence at 1274 nm (Figure 4A). While it was not possible to obtain the quantum yield of the production of O2(1Δg) due to light scattering caused by the nanoparticles, the fraction of the formed excited states quenched by oxygen in the air atmosphere PTO2 (PTO2 = 1 – τair/τL) was equal to 0.70, suggesting an efficient production of O2(1Δg).
Figure 4.
(A) Phosphorescence signal of O2(1Δg) produced by 1 in oxygen-saturated PBS, excited at 400 nm. (B) Formation of ROS in the full medium kept in dark (left) or irradiated (1 min, 460 nm, right) probed with 10 μM DCF-DA in the presence of 90 μg mL–11 (blue bar) and the absence of 1 (the control, green bar); fluorescence intensity relative to the non-irradiated control, ns indicates nonsignificant signals, and * represents statistically significant differences according to the Student’s t-test (p < 0.05).
As the basis of the PDT treatment is the induction of intracellular oxidative stress by photosensitized ROS, we further evaluated the formation of ROS using a 2′,7′-dichlorofluorescein diacetate (DCF-DA) probe in the full medium used for following in vitro biological experiments (Figure 4B). The illumination of the probe in the medium clearly led to the oxidation of DCF-DA, indicating that the O2(1Δg) produced by the nanoparticles of 1 can oxidize substrates and should induce intracellular oxidative stress.
Uptake and Cellular Localization
The biological activity of 1 was evaluated using prostatic adenocarcinoma cells TRAMP-C2. Indeed, prostate cancer remains one of the most prevalent and deadly cancer worldwide and is frequently treated with radiotherapy, and clinical studies also demonstrated the benefits of its treatment with PDT.32,33 Generally, a photo/radiosensitizer should be internalized or attached to cell membranes for the successful PDT/RDT treatment because the action radius of ROS is limited by their short lifetimes. Our previous work demonstrated low or no phototoxicity of photosensitizers, which are unable to enter cells or associate with their membranes.13,16 In the case of 1, the flow cytometry measurements showed a linear dose- and time-dependent cellular uptake of 1 in TRAMP-C2 cells (Figure 5A,B), suggesting the good internalization of 1.
Figure 5.
Uptake and localization of 1: Uptake in TRAMP-C2 cells of (A) 1 in the concentration range of 0.1–0.4 mg mL–1, 2 h incubation. (B) 1 at a concentration of 0.4 mg mL–1, incubation time range 0.5–2 h. The results were normalized to the highest response. (C I−III) Colocalization of 1 in HeLa cells [I—lysosomes stained with LysoTracker Green (green), II—1 (red), and III—merge], C IV—intracellular localization of 1 (red) in TRAMP-C2 cells with plasmatic membranes stained with WGA-FITC (green), and C V—colocalization of 1 (red) with lysosomes (green) in TRAMP-C2 cells. White bars represent 10 μm.
The intracellular localization of 1 was investigated with spinning disc confocal fluorescence microscopy (Figure 5C). This technique demonstrated the presence of compound 1 in the cell cytoplasm. Since TRAMP-C2 cells bear a relatively smaller cytoplasm volume when compared to other cell lines, the lysosomal localization of 1 was first confirmed with HeLa cells with a large volume of the well-visible cytoplasm. Next, precise analysis of colocalization in TRAMP-C2 cells using a specific fluorescent probe, LysoTracker Green, revealed that 1 is readily sequestered by lysosomes, which agrees well with previously reported results on colocalizations of some Mo6-based photosensitizers.14,15 Lysosomes can safely store even the indigestible material while their damage upon irradiation releases proteases, which trigger apoptosis, a regulated and safe form of cell death.34
Toxicity and Phototoxicity
No signs of dark toxicity toward TRAMP-C2 cells were observed in the presence of 1 at a concentration as high as 1.3 mg mL–1 ([Mo6] ∼ 300 μM), while its precursor, pure azido-cluster 2, showed cytotoxic effects with an IC50 of 0.41 ± 0.01 μg mL–1 (220 ± 5 μM) (Figure 6A). On the other hand, 1 showed a high phototoxic effect after illumination with 460 nm light with an IC50 of 3.2 ± 0.1 μg mL–1 (0.75 ± 0.02 μM in Mo6), while the phototoxic effect of 2 was approximately 2 orders of magnitude worse with an IC50 of 102 ± 4 μg mL–1 (54 ± 2 μM) (Figure 6B). Clearly, connecting 2 via the linkers not only led to a decrease in inherent dark toxicity but also severely increased phototoxicity of the nanoparticles made of 2. Even more, the photodynamic effect of 1 surpassed that of common photosensitizers such as Foscan (IC50 = 1.8 μM) or typical chemotherapy agents such as cisplatin (IC50 = 2.4 μM) used for prostate cancer therapy.35,36
Figure 6.
Toxicity toward TRAMP-C2 cells in the full media with indicated concentrations of 1 and 2: (A) dark toxicity, 2 h loading, measured 24 h after incubation. (B) Phototoxicity, 2 h loading, illuminated with 460 nm light (18 mW cm–2, 15 min), viability measured 24 h after illumination.
The phototoxicity of 1 is comparable to that of the most efficient Mo6-based nanosystems, such as cluster-loaded PLGA nanoparticles.19,37 However, in contrast to these systems, 1 had no dark toxicity at high Mo6 concentrations. Several molecular Mo6 photosensitizers showed even lower IC50 values for phototoxicity. In these cases, very low water solubilities disqualify them from in vivo experiments.13,16
Formation of ROS
The primary purpose of a photosensitizer in PDT is to increase the production of ROS, including O2(1Δg), in the cellular environment, to impose oxidative stress and finally to induce cell death, resulting in the eradication of tumor tissues.38 However, cancer cells resist oxidative stress and programed cell death, complicating the original simple premise.39 We have already shown above that 1 photo-oxidizes DCF-DA, an ROS probe, in dispersion. In this line, the measure of oxidative stress imposed by 1 in TRAMP-C2 cells was also investigated. Cells were treated with 1 and irradiated with 460 nm light, and then the post-PDT concentrations of ROS in cells were evaluated upon the addition of DCF-DA and careful removal of the medium. The results showed an increased formation of ROS with an increased concentration of 1 in illuminated cells, but not in the dark (Figure 7). It indicates oxidative stress following the PDT treatment, in line with the phototoxic effects reported above.
Figure 7.

Formation of ROS in TRAMP-C2 cells incubated for 2 h with indicated concentrations of 1, then left in the dark (black) or illuminated with 460 nm light for 15 min (blue), and finally treated with 10 μM DCF-DA for 30 min. * represents statistically significant differences according to the Student’s t-test (p < 0.05).
Cell Death Mode
In the presence of ROS, cells can undergo conventional programed death (apoptosis) or necrosis. In recent years, nonconventional modes of cell death possibly induced by PDT, such as paraptosis, necroptosis, ferroptosis, etc., have been described.40 After PDT treatment with 1, cells were not permeable to propidium iodide (PI), which is typically impermeable to living cells. Over time, the intensity of the signal of PI-positive cells increased (Figure 8A), which indicated the progress of cell decease. The dying cells exhibited specific morphological changes, such as cell swelling and rounding (Figure 8B,C). Additionally, the mitochondrial network fragmented (Figure S4) and lipid droplets aggregated (Figures 8C and S4). Staining with PI and annexin-V, and flow cytometry, commonly used for the apoptotic cell death assay, revealed that only 4% of cells are considered apoptotic (16% necrotic), compared to 2% (6% necrotic) in the nontreated control cell group. Nevertheless, more than 50% of the cell population after PDT treatment moved to the Q1 area in the fluorescence-activated cell sorting (FACS) diagram (Figure 8D), suggesting the occurrence of ferroptosis.41 Ferroptosis is a nonapoptotic peroxidation-driven cell death mode, which is iron-dependent, and the cells undergo lipid peroxidation caused by ROS. During this mode cells are rounding and swelling due to the exchange of Ca2+ ions and water between the cell and environment.40 Thus, Mo6-based photo/radiosensitizers can act as ferroptosis inducers. Further research is needed to explore this aspect in more details.
Figure 8.
Cell death mode of TRAMP-C2 cells after the PDT treatment with 1: (A) PI and SYTO-9 staining (white bar represents 100 μm) (left) and changes in Pearson’s colocalization coefficient over time (right). (B) Zoomed swelling of cells, SYTO-9 positive cells (green arrow), and SYTO-9 and PI positive cells (red arrow). (C) Holotomographic reconstruction of morphological changes in detail (white bar represents 20 μm) and lipid droplet aggregation (black, white arrow). (D) Flow cytometry analysis of cells stained with annexin-V and PI.
Spheroid Toxicity and Phototoxicity
Three-dimensional cultures represent suitable in vitro models of in vivo hypoxia, lactic acidosis, and cell–cell interactions, helping to comprehensively improve knowledge of clinical applicability before translating the research to in vivo studies.42 Our previous work demonstrated that the PDT effect of Mo6 clusters is significantly modified by lactic acidosis (increased sensitivity of cells) and hypoxia (decreased efficiency of PDT), which is relevant to in vivo conditions.27 Therefore, the spheroids of TRAMP-C2 cells were grown for 24 h in the presence of 1, ranging from 50 to 200 μM (in Mo6), then left in the dark or irradiated with 460 nm light. No dark toxicity was observed at these concentrations, while a growth arrest and loss of metabolic activity of the spheroids were evidenced after irradiation (Figure 9). These results suggest the potential of 1 to deactivate cancer cells under the more relevant conditions.
Figure 9.
(A) Microscopic images of 24 h-old spheroids formed by TRAMP-C2 cells together with indicated concentrations of 1 taken before irradiation and 24 h or 48 h after irradiation with 460 nm light (18 mW cm–2, 15 min). (B) Toxicity of indicated concentrations of 1 toward 24 h-old TRAMP-C2 spheroids kept in the dark (black) or after irradiation with 460 nm light (18 mW cm–2, 15 min) (blue) measured after 48 h as the cell viability using the resazurin metabolic test.
Radiotoxicity
Since our previous studies on Mo6 clusters demonstrated their synergistic effects on cell proliferation arrest upon X-ray irradiation,25−27 we investigated the potential of 1 as an RDT sensitizer. For the radiotoxicity evaluation, TRAMP-C2 cells were incubated with 1 for 2 h at a nontoxic concentration of 1.3 mg mL–1 and irradiated with an equivalent of typical radiotherapeutic X-ray doses (2, 4, or 6 Gy). Cells were then seeded at 5% confluence, and their proliferation was determined after 72 h. A noticeable increase in the radiotoxic effect was observed for the cells incubated with 1. Under these conditions, the dose-enhancement factor reached approximately 1.9, leading to a significant decrease in the irradiation dose necessary to achieve the desired antiproliferative effect (Figure 10). While the magnitude of the radiotoxic effect was similar27 or significantly better25,26 compared to the already published Mo6 materials, the benefit of the presented nanoparticles of 1 lies in the possibility to modify them by tumor-targeting groups (peptides or aptamers) in a simple click reaction exploiting the remaining unreacted azido ligands.
Figure 10.

Radiotoxicity of 1 at a concentration of 1.3 mg mL–1 toward TRAMP-C2 cells incubated for 2 h and irradiated with indicated X-ray doses. Control bars represent the same experiments performed in the absence of 1.
The radiosensitizing effect of 1 is not as pronounced as its phototoxicity, and, therefore, higher concentrations are needed. This feature is due to the weaker ability of X-rays to produce triplet states of Mo6 when compared with that of UV/visible light. However, the deeper penetration of X-rays over UV/visible light in tissues allows for the treatment of solid tumors unreachable by light. Also, radiotherapy is a widespread modality; thus, the clinical application of RDT could be facilitated by the pre-existing infrastructure. Note that the mechanisms at play in RDT and PDT are different. Mo6 clusters are type II photosensitizers, so they can be excited by UV/visible light to the excited singlet states followed by intersystem crossing to the triplet states, which in turn transfer energy to surrounding molecular oxygen to produce O2(1Δg) in high quantum yields. X-rays do not only induce the formation of O2(1Δg) via the limited formation of the triplet states of Mo6 but also generate electrons (e.g., photoelectrons, Auger electrons, and secondary electrons) due to the presence of high-Z atoms in 1 and interaction with water molecules. These energetic electrons diffuse through tissues, interact with biomolecules and water molecules, and locally produce increased concentrations of free radicals including ROS.
In Vivo Toxicity
To analyze the toxic effects in vivo, B6 male mice were injected subcutaneously with 1. No signs of whole or organ toxicity and no changes in body weight were observed for any amount of 1 used in the range 0.1–2 mg per mouse (4–80 mg kg–1), 8 days after injection compared to the control group (Figure 11). No significant changes in the blood count were found in the groups treated with 1, compared with the control. All parameters were within the range of expected values for B6 mice (Table S1, Supporting Information). Splenocytes were analyzed by flow cytometry for a percentage of important selected immune cell populations CD4, CD8, CD11b+/Gr-1+ (myeloid-derived suppressor cells), and activated CD8+ immune cells (CD69+). Nanoparticles 1 did not affect the percentage of the basic immune cell population and did not affect CD8+ cell activation compared to that of untreated controls (Table S2, Supporting Information). Molybdenum content at the injection site and in the selected tissues determined by ICP–MS showed a dramatic increase in all the analyzed organs of the treated animals compared to controls. The highest accumulation, documented also by the yellow staining (Figure S5, Supporting Information), was consistently observed at the injection site. Lower values were observed in the liver, gallbladder, and kidney, the organs responsible for the detoxication. The molybdenum levels in phagocyte-rich organs, lungs, and spleen were lower, but orders of magnitude higher than in controls, suggesting relatively high mobility of 1 in the animal organism (Table S3, Supporting Information). No observed toxicity, the fact that both Mo and I are biogenic elements, high stability of the cluster core, and the presence of high amounts of Mo in the sites of Mo excretion (kidney and gallbladder) indicate that 1 is well tolerated even at such extreme doses and may not express any toxicity in the long term.43 This conclusion is in line with a finding that other octahedral transition metal clusters, made of non-biogenic elements (Re and Te), displayed toxicity at an order of magnitude higher than those employed in our study.44 We also previously demonstrated no toxicity of Mo6-based nanoparticles to mice and the occurrence of an increased Mo content in liver and kidney tissues. In that study, however, we employed different ligands with no ability to be further modified, and, most importantly, the resulting nanoparticles were not stable in biological medium, and, as a result, the total applied doses were lower.27
Figure 11.
Effects of 1 in vivo: weight of mice after subcutaneous injection of 1. Control mice were injected with a physiological saline solution only.
Materials and Methods
Reagents and General Procedures
Compound Na2[Mo6I8(N3)6] (2) was prepared according to a previously published procedure.31 Molybdenum, iodine, sodium azide, bis-dPEG11-DBCO (DBCO = dibenzocyclooctyne), dimethyl sulfoxide (anhydrous) (DMSO), and phosphate-buffered saline (10× concentrate, BioPerformance Certified) were obtained from Sigma-Aldrich and used as received.
Preparation of 1
Bis-dPEG11-DBCO (50 mg, 44 μmol) was dissolved into 2 mL of DMSO, and the resulting solution was added dropwise to 2 mL of a DMSO solution of Na2[Mo6I8(N3)6] (42 mg, 22 μmol) under magnetic stirring. The reaction mixture was left to stir at room temperature for 4 days, and then 45 mL of diethyl ether was added to trigger precipitation. The orange solid was dissolved in 2 mL of dichloromethane, 45 mL of acetone was added, and the orange solid was separated by centrifugation (10,000 rpm/5 min). This procedure was repeated, and the orange solid was washed twice with 40 mL of diethyl ether and dried under reduced pressure.
Instrumental Techniques
NMR spectra were recorded on a JEOL Delta spectrometer (JEOL, Japan) (1H 600 MHz and 13C{1H} 151 MHz). Chemical shifts are given relative to tetramethylsilane (TMS) and referenced to the residual solvent signal (d6-DMSO: 1H 2.50 ppm; 13C 39.5). NMR assignments were supported by additional 2D-NMR experiments (gCOSY, HSQC, and HMBC). Images of the nanoparticles were acquired with a FEI Talos transmission electron microscope (Thermo Fisher Scientific, USA). The molybdenum content was determined by inductively coupled plasma mass spectrometry (ICP–MS, PerkinElmer, Concord, ON, Canada). The size distribution and zeta potentials in PBS were determined by dynamic light scattering on a particle size analyzer, Zetasizer Nano ZS (Malvern, UK). UV–vis absorption spectra of the solutions were recorded on a PerkinElmer Lambda 35 spectrometer. Phosphorescence properties were analyzed on an FLS1000 spectrometer (Edinburgh Instruments, UK) using a cooled PMT-980 photon detection module (Edinburgh Instruments, UK). Singlet oxygen phosphorescence was measured on a Fluorolog 3 spectrometer (Horiba Jobin Yvon, UK) using a Hamamatsu H10330-45 photomultiplier (Hamamatsu, Japan). The FLS1000 spectrometer was also used for time-resolved phosphorescence measurements (λex = 405 nm, VPLED Series), and the recorded decay curves were fitted to exponential functions by the Fluoracle software (v. 2.13.2, Edinburgh Instruments, UK). Phosphorescence quantum yields were recorded using a Quantaurus QY C11347-1 spectrometer (Hamamatsu, Japan). Dispersions were saturated with air or argon to ensure different oxygen concentrations for phosphorescence analyses.
Toxicity, Phototoxicity, and Radiotoxicity
Mouse prostatic adenocarcinoma cells (TRAMP-C2) were cultured in Dulbecco’s modified Eagle’s medium (DMEM medium, Sigma-Aldrich) supplemented with 5% FBS, 5% Nu-serum (Corning), 2 μg mL−1 insulin, and 10 mM trans-dehydro-androsterone (the full medium) at 37 °C in the atmosphere containing 5% of CO2. Experiments were performed 24 h after seeding. First, the full medium was exchanged for the full medium, which was phenol red-free. The clusters were dissolved in water, diluted to the required concentration and added into the full medium (phenol red-free) with cells. After 2 h, cells were irradiated or kept in the dark. Irradiation was performed with a 12 × 10 W LED source (Cameo) placed 25 cm from cells at 460 nm for 15 min (18 mW cm–2, in all cases below) or an X-RAD 225XL X-ray source (Precision X-RAY, Inc.) with an upper energy limit of 225 keV calibrated using a mouse phantom to determine the equivalent irradiation dose. The resazurin assay was used for the cell viability analysis after 24 h (phototoxicity) or cell proliferation when the cells were 10 times diluted and incubated for 72 h. In control experiments, the experimental conditions were the same; however, cells were treated only with the medium without 1.
Confocal Microscopy
TRAMP-C2 or HeLa cells were seeded into a 96-well plate with a glass bottom (Cellvis). The next day, cells were treated with 1 in the fresh full medium (phenol red-free) for 2 h and then washed and stained with LysoTracker Green (Thermo Fisher Scientific) or Wheat germ agglutinin-FITC conjugate (WGA-FITC, Thermo Fisher Scientific). A spinning disc confocal microscope (Revolution XD, Andor) was used with an excitation wavelength of 405 nm for monitoring 1 (emission 700 nm) or 488 nm for monitoring lysosomes and cytoplasmatic membranes (both emission at 525 nm). To observe the intracellular changes in the cell structure after exposure to light, cells were first seeded in MatTek glass bottom dishes. The following day, cells were treated with a solution containing 1 and fresh phenol-red full media and then incubated for 2 h. Then, they were illuminated at 460 nm (18 mW cm–2) for 15 min. Four hours after the illumination, cells were stained with DAPI (Thermo Fisher Scientific) and another dye, TMRE (Thermo Fisher Scientific), Nile Red (Thermo Fisher Scientific), or Lysotracker Green (Thermo Fisher Scientific). Finally, cells were examined under the confocal microscope.
Cell Death Mode
To conduct live/dead staining, we first seeded TRAMP-C2 cells in MatTek glass bottom dishes. Next day, cells were incubated with 1 in fresh full medium, phenol red-free, for 2 h and illuminated for 15 min at 460 nm (18 mW cm–2). Then, the medium was exchanged for the fresh one, and cells were stained with propidium iodide (PI) and SYTO-9 Green Fluorescent Nucleic Acid Stain (both Thermo Fisher Scientific) at different times after illumination (up to 24 h) and analyzed using confocal microscopy. Alternatively, cells were not stained with PI or SYTO-9, and holotomographic microscopy (Nanolive) was performed. To conduct PI/annexin-V staining and flow cytometry analysis, cells were seeded in a 12-well plate. Next day, cells were incubated with 1 for 2 h in the full medium (phenol red-free) and illuminated at 460 nm (15 min). After the next 4 h, the wells were washed with PBS, trypsinized, again washed with PBS, stained with PI/annexin-V according to the manufacturer’s protocol for the Dead Cell Apoptosis Kit (Invitrogen) and analyzed by flow cytometry (BD FACSaria III).
Spheroids
Spheroids of TRAMP-C2 cells were grown on a 96-well Ultra-Low Attachment (ULA) surface (Corning). The trypsinized suspension of cells was added to the wells with indicated concentrations of 1 (50, 100, and 200 μM in Mo6). After 24 h of incubation in a CO2 chamber, the full medium was exchanged for a fresh one (phenol red-free) and illuminated for 15 min with 460 nm light (18 mW cm–2). After 24 or 48 h, the viability was measured by using the resazurin assay.
Uptake of 1
TRAMP-C2 cells were seeded into 12-well plates. After 24 h, cells were treated with indicated concentrations of 1 for indicated times, then washed with PBS, trypsinized, and analyzed by flow cytometry (BD FACSaria III). The excitation wavelength was set to 405 nm, and emission was recorded within 655–685 nm.
ROS Level in Medium
A 96-well plate was filled with the full medium (phenol red-free) and mixed with 1. DCF-DA (10 μM) was added, and fluorescence was immediately measured. The plates were irradiated for 1 min at 460 nm, and then corresponding fluorescence emissions were measured. Excitation/emission wavelengths were 488/525 nm.
ROS Level in Cells
TRAMP-C2 cells were seeded in a 96-well plate in full medium. The next day, the medium was replaced with the fresh full medium (phenol red-free) and incubated for 2 h with 1 (0, 3, 6, and 12 μM). After that, cells were irradiated with 460 nm light for 15 min (18 mW cm–2) or kept in the dark; DCF-DA (10 μM) was added, and the plates were kept in an incubator for 30 min. Then, the medium was carefully aspirated, and the fluorescence emissions were measured. Excitation/emission wavelengths were 488/525 nm.
Mice
C57BL/6 (B6) male mice, 6–8 weeks old, were obtained from AnLab Co., Praha, Czech Republic. Experimental protocols were approved by the Institutional Animal Care Committee of the Institute of Molecular Genetics of the Czech Academy of Sciences, Praha. See the Supporting Information for more details.
Conclusions
We have prepared an Mo6 cluster compound using a copper-free click chemistry reaction between Na2[Mo6I8(N3)6] and the homo-bifunctional ligand bis-dPEG11-DBCO. The resulting compound Na2[Mo6I8(N3)6(bis-dPEG11-DBCO)2] formed slightly negatively charged nanoparticles of approximately 160 nm in diameter. The nanoparticles displayed intensive red phosphorescence, efficiently quenched by oxygen, producing O2(1Δg). The photophysical properties were unchanged over a week in PBS, highlighting the long-term stability of the nanoparticles in this physiological medium. The biological activity of the compound was tested in TRAMP-C2 prostatic adenocarcinoma cells. The compound internalized into lysosomes, displayed low dark toxicity and an intensive phototoxic effect upon 460 nm irradiation, even in the presence of fetal bovine serum. This feature was in line with the posttreatment intracellular oxidative stress evidenced with the help of the DCF-DA fluorescent probe. Similarly, the compound displayed strong phototoxicity and low dark toxicity against TRAMP-C2 cell spheroids. The combination significantly enhanced the radiotoxic effects of X-rays against TRAMP-C2 cells with a dose enhancement factor of approximately 1.9, resulting in a lower dose required to achieve the desired antiproliferative effect. Finally, the compound was tested in vivo in B6 mice, and its subcutaneous injection did not trigger any acute toxic effect at doses of up to 2 mg per mouse (∼0.1 g kg–1). Overall, this Mo6 compound constitutes a promising photo- and radiosensitizer for the treatment of prostatic cancer. Further experiments are planned to increase its specificity toward cancer cells by using the remaining unreacted azido groups for the grafting of aptamer/peptide that targets preferentially receptors overexpressed at the surface of prostatic cancer cells.
Acknowledgments
This research work was supported by the Czech Science Foundation (no. 21-11688S). We are grateful to Jakub Tolasz for the acquisition of TEM images and the HAADF elemental mapping.
Supporting Information Available
The Supporting Information is available free of charge at https://pubs.acs.org/doi/10.1021/acs.inorgchem.4c00084.
NMR characterizations of bis-dPEG11-DBCO and compound 1, dynamic light scattering results including size distribution by number and by intensity and zeta potential of 1 in PBS, phosphorescence spectra and decay kinetics at 700 nm of fresh and 8 days old 1, confocal microscopy images of TRAMP-C2 cells after treatment with 1, effects of 1 in vivo including count of mice treated with 1, spleen immune populations of mice injected with 1, and photographs of mice, molybdenum content in tissues determined by ICP–MS 8 days after injection of the indicated amount of 1, and additional details for in vivo toxicity studies, flow cytometry, and ICP–MS (PDF)
The authors declare no competing financial interest.
Supplementary Material
References
- Algorri J. F.; Ochoa M.; Roldán-Varona P.; Rodríguez-Cobo L.; López-Higuera J. M. Photodynamic Therapy: A Compendium of Latest Reviews. Cancers 2021, 13, 4447. 10.3390/cancers13174447. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gunaydin G.; Gedik M. E.; Ayan S. Photodynamic Therapy-Current Limitations and Novel Approaches. Front. Chem. 2021, 9 (9), 691–697. 10.3389/fchem.2021.691697. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brown S. Two photons are better than one. Nat. Photonics 2008, 2, 394–395. 10.1038/nphoton.2008.112. [DOI] [Google Scholar]
- Fan N.; Li P.; Wu C.; Wang X.; Zhou Y.; Tang B. ALP-Activated Chemiluminescence PDT Nano-Platform for Liver Cancer-Specific Theranostics. ACS Appl. Bio Mater. 2021, 4, 1740–1748. 10.1021/acsabm.0c01504. [DOI] [PubMed] [Google Scholar]
- Wang G. D.; Nguyen H. T.; Chen H.; Cox P. B.; Wang L.; Nagata K.; Hao Z.; Wang A.; Li Z.; Xie J. X-Ray Induced Photodynamic Therapy: A Combination of Radiotherapy and Photodynamic Therapy. Theranostics 2016, 6 (13), 2295–2305. 10.7150/thno.16141. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chen W.; Zhang J. Using Nanoparticles to Enable Simultaneous Radiation and Photodynamic Therapies for Cancer Treatment. J. Nanosci. Nanotechnol. 2006, 6, 1159–1166. 10.1166/jnn.2006.327. [DOI] [PubMed] [Google Scholar]
- Zhang G.; Guo M.; Ma H.; Wang J.; Zhang X.-D. Catalytic Nanotechnology of X-Ray Photodynamics for Cancer Treatments. Biomater. Sci. 2023, 11, 1153–1181. 10.1039/D2BM01698B. [DOI] [PubMed] [Google Scholar]
- Sun W.; Zhou Z.; Pratx G.; Chen X.; Chen H. Nanoscintillator-Mediated X-Ray Induced Photodynamic Therapy for Deep-Seated Tumors: From Concept to Biomedical Applications. Theranostics 2020, 10, 1296–1318. 10.7150/thno.41578. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kirakci K.; Kubát P.; Fejfarová K.; Martinčík J.; Nikl M.; Lang K. X-Ray Inducible Luminescence and Singlet Oxygen Sensitization by an Octahedral Molybdenum Cluster Compound: A New Class of Nanoscintillators. Inorg. Chem. 2016, 55, 803–809. 10.1021/acs.inorgchem.5b02282. [DOI] [PubMed] [Google Scholar]
- Maverick A. W.; Najdzionek J. S.; MacKenzie D.; Nocera D. G.; Gray H. B. Spectroscopic, Electrochemical, and Photochemical Properties of Molybdenum(II) and Tungsten(II) Halide Clusters. J. Am. Chem. Soc. 1983, 105, 1878–1882. 10.1021/ja00345a034. [DOI] [Google Scholar]
- Kirakci K.; Kubát P.; Dušek M.; Fejfarová K.; Šícha V.; Mosinger J.; Lang K. A Highly Luminescent Hexanuclear Molybdenum Cluster – A Promising Candidate toward Photoactive Materials. Eur. J. Inorg. Chem. 2012, 2012 (19), 3107–3111. 10.1002/ejic.201200402. [DOI] [Google Scholar]
- Kirakci K.; Kubát P.; Langmaier J.; Polívka T.; Fuciman M.; Fejfarová K.; Lang K. A Comparative Study of the Redox and Excited State Properties of (nBu4N)2[Mo6X14] and (nBu4N)2[Mo6X8(CF3COO)6] (X = Cl, Br, or I). Dalton Trans. 2013, 42 (19), 7224. 10.1039/c3dt32863e. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Zelenka J.; Rumlová M.; Cvačka J.; Ruml T.; Lang K. Cationic Octahedral Molybdenum Cluster Complexes Functionalized with Mitochondria-Targeting Ligands: Photodynamic Anticancer and Antibacterial Activities. Biomater. Sci. 2019, 7 (4), 1386–1392. 10.1039/C8BM01564C. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Demel J.; Hynek J.; Zelenka J.; Rumlová M.; Ruml T.; Lang K. Phosphinate Apical Ligands: A Route to a Water-Stable Octahedral Molybdenum Cluster Complex. Inorg. Chem. 2019, 58 (24), 16546–16552. 10.1021/acs.inorgchem.9b02569. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Zelenka J.; Křížová I.; Ruml T.; Lang K. Octahedral Molybdenum Cluster Complexes with Optimized Properties for Photodynamic Applications. Inorg. Chem. 2020, 59 (13), 9287–9293. 10.1021/acs.inorgchem.0c01173. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Kubáňová M.; Přibyl T.; Rumlová M.; Zelenka J.; Ruml T.; Lang K. A Cell Membrane Targeting Molybdenum-Iodine Nanocluster: Rational Ligand Design toward Enhanced Photodynamic Activity. Inorg. Chem. 2022, 61 (12), 5076–5083. 10.1021/acs.inorgchem.2c00040. [DOI] [PubMed] [Google Scholar]
- Brandhonneur N.; Hatahet T.; Amela-Cortes M.; Molard Y.; Cordier S.; Dollo G. Molybdenum cluster loaded PLGA nanoparticles: An innovative theranostic approach for the treatment of ovarian cancer. Eur. J. Pharm. Biopharm. 2018, 125, 95–105. 10.1016/j.ejpb.2018.01.007. [DOI] [PubMed] [Google Scholar]
- Brandhonneur N.; Boucaud Y.; Verger A.; Dumait N.; Molard Y.; Cordier S.; Dollo G. Molybdenum cluster loaded PLGA nanoparticles as efficient tools against epithelial ovarian cancer. Int. J. Pharm. 2021, 592, 120079. 10.1016/j.ijpharm.2020.120079. [DOI] [PubMed] [Google Scholar]
- Verger A.; Dollo G.; Martinais S.; Molard Y.; Cordier S.; Amela-Cortes M.; Brandhonneur N. Molybdenum-Iodine Cluster Loaded Polymeric Nanoparticles Allowing a Coupled Therapeutic Action with Low Side Toxicity for Treatment of Ovarian Cancer. J. Pharm. Sci. 2022, 111, 3377–3383. 10.1016/j.xphs.2022.09.010. [DOI] [PubMed] [Google Scholar]
- Solovieva A. O.; Vorotnikov Y. A.; Trifonova K. E.; Efremova O. A.; Krasilnikova A. A.; Brylev K. A.; Vorontsova E. V.; Avrorov P. A.; Shestopalova L. V.; Poveshchenko A. F.; Mironov Y. V.; Shestopalov M. A. Cellular internalisation, bioimaging and dark and photodynamic cytotoxicity of silica nanoparticles doped by {Mo6I8}4+ metal clusters. J. Mater. Chem. B 2016, 4 (28), 4839–4846. 10.1039/C6TB00723F. [DOI] [PubMed] [Google Scholar]
- Beltrán A.; Mikhailov M.; Sokolov M. N.; Pérez-Laguna V.; Rezusta A.; Revillo M. J.; Galindo F. A photobleaching resistant polymer supported hexanuclear molybdenum iodide cluster for photocatalytic oxygenations and photodynamic inactivation of Staphylococcus aureus. J. Mater. Chem. B 2016, 4 (36), 5975–5979. 10.1039/C6TB01966H. [DOI] [PubMed] [Google Scholar]
- Vorotnikova N. A.; Alekseev A. Y.; Vorotnikov Y. A.; Evtushok D. V.; Molard Y.; Amela-Cortes M.; Cordier S.; Smolentsev A. I.; Burton C. G.; Kozhin P. M.; Zhu P.; Topham P. D.; Mironov Y. V.; Bradley M.; Efremova O. A.; Shestopalov M. A. Octahedral molybdenum cluster as a photoactive antimicrobial additive to a fluoroplastic. Mater. Sci. Eng. C 2019, 105, 110150. 10.1016/j.msec.2019.110150. [DOI] [PubMed] [Google Scholar]
- Felip-León C.; Arnau del Valle C.; Pérez-Laguna V.; Isabel Millán-Lou M.; Miravet J. F.; Mikhailov M.; Sokolov M. N.; Rezusta-López A.; Galindo F. Superior performance of macroporous over gel type polystyrene as a support for the development of photo-bactericidal materials. J. Mater. Chem. B 2017, 5 (30), 6058–6064. 10.1039/C7TB01478C. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Nguyen T. K. N.; Grasset F.; Uchikoshi T.; Zelenka J.; Kubát P.; Ruml T.; Lang K. Electrophoretically Deposited Layers of Octahedral Molybdenum Cluster Complexes: A Promising Coating for Mitigation of Pathogenic Bacterial Biofilms under Blue Light. ACS Appl. Mater. Interfaces 2020, 12 (47), 52492–52499. 10.1021/acsami.0c19036. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Zelenka J.; Rumlová M.; Martinčík J.; Nikl M.; Ruml T.; Lang K. Octahedral molybdenum clusters as radiosensitizers for X-ray induced photodynamic therapy. J. Mater. Chem. B 2018, 6 (26), 4301–4307. 10.1039/C8TB00893K. [DOI] [PubMed] [Google Scholar]
- Kirakci K.; Pozmogova T. N.; Protasevich A. Y.; Vavilov G. D.; Stass D. V.; Shestopalov M. A.; Lang K. A water-soluble octahedral molybdenum cluster complex as a potential agent for X-ray induced photodynamic therapy. Biomater. Sci. 2021, 9 (8), 2893–2902. 10.1039/D0BM02005B. [DOI] [PubMed] [Google Scholar]
- Koncošová M.; Rumlová M.; Mikyšková R.; Reiniš M.; Zelenka J.; Ruml T.; Kirakci K.; Lang K. Avenue to X-ray-induced photodynamic therapy of prostatic carcinoma with octahedral molybdenum cluster nanoparticles. J. Mater. Chem. B 2022, 10 (17), 3303–3310. 10.1039/D2TB00141A. [DOI] [PubMed] [Google Scholar]
- Pozmogova T. N.; Sitnikova N. A.; Pronina E. V.; Miroshnichenko S. M.; Kushnarenko A. O.; Solovieva A. O.; Bogachev S. S.; Vavilov G. D.; Efremova O. A.; Vorotnikov Y. A.; Shestopalov M. A. Hybrid system {W6I8}-cluster/dsDNA as an agent for targeted X-ray induced photodynamic therapy of cancer stem cells. Mater. Chem. Front. 2021, 5 (20), 7499–7507. 10.1039/D1QM00956G. [DOI] [Google Scholar]
- Jokerst J. V.; Lobovkina T.; Zare R. N.; Gambhir S. S. Nanoparticle PEGylation for imaging and therapy. Nanomedicine 2011, 6 (4), 715–728. 10.2217/nnm.11.19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mironova A. D.; Mikhailov M. A.; Brylev K. A.; Gushchin A. L.; Sukhikh T. S.; Sokolov M. N. Phosphorescent complexes of {Mo6I8}4+ with triazolates: [2 + 3] cycloaddition of alkynes to [Mo6I8(N3)6]2–. New J. Chem. 2020, 44, 20620–20625. 10.1039/D0NJ04259E. [DOI] [Google Scholar]
- Kirakci K.; Kubát P.; Kučeráková M.; Šícha V.; Gbelcová H.; Lovecká P.; Grznárová P.; Ruml T.; Lang K. Water-soluble octahedral molybdenum cluster compounds Na2[Mo6I8(N3)6] and Na2[Mo6I8(NCS)6]: Syntheses, luminescence, and in vitro studies. Inorg. Chim. Acta 2016, 441, 42–49. 10.1016/j.ica.2015.10.043. [DOI] [Google Scholar]
- Wang L.; Yang H.; Li B. Photodynamic Therapy for Prostate Cancer: A Systematic Review and Meta-Analysis. Prostate Int. 2019, 7, 83–90. 10.1016/j.prnil.2018.12.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilkins A.; Parker C. Treating Prostate Cancer with Radiotherapy. Nat. Rev. Clin. Oncol. 2010, 7, 583–589. 10.1038/nrclinonc.2010.135. [DOI] [PubMed] [Google Scholar]
- Kessel D.; Reiners J. J. Photodynamic Therapy: Autophagy and Mitophagy, Apoptosis and Paraptosis. Autophagy 2020, 16, 2098–2101. 10.1080/15548627.2020.1783823. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Petri A.; Yova D.; Alexandratou E.; Kyriazi M.; Rallis M. Comparative characterization of the cellular uptake and photodynamic efficiency of Foscan® and Fospeg in a human prostate cancer cell line. Photodiagn. Photodyn. Ther. 2012, 9, 344–354. 10.1016/j.pdpdt.2012.03.008. [DOI] [PubMed] [Google Scholar]
- Dhar S.; Gu F. X.; Langer R.; Farokhzad O. C.; Lippard S. J. Targeted Delivery of Cisplatin to Prostate Cancer Cells by Aptamer Functionalized Pt(IV) Prodrug-PLGA–PEG Nanoparticles. Proc. Natl. Acad. Sci. U.S.A. 2008, 105, 17356–17361. 10.1073/pnas.0809154105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Verger A.; Dollo G.; Brandhonneur N.; Martinais S.; Cordier S.; Lang K.; Amela-Cortes M.; Kirakci K. PEGylated Poly(Lactic-Co-Glycolic Acid) Nanoparticles Doped with Molybdenum-Iodide Nanoclusters as a Promising Photodynamic Therapy Agent against Ovarian Cancer. Mater. Adv. 2023, 4, 3207–3214. 10.1039/D3MA00206C. [DOI] [Google Scholar]
- Mishchenko T.; Balalaeva I.; Gorokhova A.; Vedunova M.; Krysko D. V. Which Cell Death Modality Wins the Contest for Photodynamic Therapy of Cancer?. Cell Death Dis. 2022, 13, 455. 10.1038/s41419-022-04851-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zelenka J.; Koncošová M.; Ruml T. Targeting of Stress Response Pathways in the Prevention and Treatment of Cancer. Biotechnol. Adv. 2018, 36, 583–602. 10.1016/j.biotechadv.2018.01.007. [DOI] [PubMed] [Google Scholar]
- Riegman M.; Sagie L.; Galed C.; Levin T.; Steinberg N.; Dixon S. J.; Wiesner U.; Bradbury M. S.; Niethammer P.; Zaritsky A.; Overholtzer M. Ferroptosis Occurs through an Osmotic Mechanism and Propagates Independently of Cell Rupture. Nat. Cell Biol. 2020, 22, 1042–1048. 10.1038/s41556-020-0565-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wu C.; Zhao W.; Yu J.; Li S.; Lin L.; Chen X. Induction of Ferroptosis and Mitochondrial Dysfunction by Oxidative Stress in PC12 Cells. Sci. Rep. 2018, 8, 574. 10.1038/s41598-017-18935-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hamilton G.; Rath B. Applicability of Tumor Spheroids for In Vitro Chemosensitivity Assays. Expert Opin. Drug Metab. Toxicol 2019, 15, 15–23. 10.1080/17425255.2019.1554055. [DOI] [PubMed] [Google Scholar]
- Lener J.; Bíbr B. Effects of molybdenum on the organism (a review). J. Hyg., Epidemiol., Microbiol., Immunol. 1984, 28 (4), 405–419. [PubMed] [Google Scholar]
- Krasilnikova A. A.; Solovieva A. O.; Ivanov A. A.; Trifonova K. E.; Pozmogova T. N.; Tsygankova A. R.; Smolentsev A. I.; Kretov E. I.; Sergeevichev D. S.; Shestopalov M. A.; Mironov Y. V.; Shestopalov A. M.; Poveshchenko A. F.; Shestopalova L. V. Comprehensive Study of Hexarhenium Cluster Complex Na4[{Re6Te8}(CN)6] – In Terms of a New Promising Luminescent and X-Ray Contrast Agent. Nanomed. Nanotechnol. Biol. Med. 2017, 13, 755–763. 10.1016/j.nano.2016.10.016. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.








