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. 2025 Jul 11;15(16):8012–8030. doi: 10.7150/thno.112781

Table 1.

Design strategies for hypoxia-targeted probes.

Categories Mechanism Representative Probes Imaging Devices Advantages Disadvantages Recent Innovations References
Physical Direct oxygen sensing via luminescence quenching PpyPt NPs, PtTFPP/PtOEP, Rhenium-diimine complex, Ir-BTPHSA complex, Ir-PVP, RHyLI, PtG4 PLI, CLI Real-time
Quantitative
Available to detect cyclic hypoxia
Poor biocompatibility
Low penetration depth
Visible/NIR-I only
NIR-II probes Upconversion nanoparticles 13,14,15,72,73,74,85
Biological Enzyme-activated (NTRs, AzoRs) or Receptor-targeted
(CAIX)
HDSF, X4, CNO,
3-azo-conjugated BODIPY,
Hypoxia-targeted radiotracers (18F-FMISO,18F-FAZA,18F-HX4),
CAIX-800, 99mTc-PHC-102
FMI, PAI, PET/CT, SPECT High specificity
Good stability
Easy accessibility
Off-target activation
Limited sensitivity
Multimodal strategies 16,17,18,19,38,42,43,68,69,70,71,106
Chemical Detection of hypoxia-relevant chemical compounds
(pH, H2O2, H2S)
Ir-D, Au@Pt-Se NPs, CD-950, MB-m-borate, QN-Naph, DNNC, AGNPs, Ir-NP, SiRho-SHD-NTR, Ir-BTPHSA FMI, PAI, PLI High sensitivity
Good specificity
High SNR
Real-time and rapid response
Cross-reactivity
Complex synthesis
Low penetration depth
Dual-lock probes Ratiometric imaging Self-calibrated probe platforms 24,25,26,27,29,30,31,32,67,72

NIR: near-infrared; CAIX: carbonic anhydrase IX; NTRs: nitroreductases; AzoRs: azoreductases; PLI: phosphorescence lifetime imaging; CLI: Cherenkov luminescence imaging; PAI: photoacoustic imaging; FMI: fluorescent molecular imaging; H2O2: hydrogen peroxide; H2S: hydrogen sulfide; 18F-FMISO: 18F-Fluoromisonidazole; 18F-FAZA: 18F-fluoroazomycin arabinoside; 18F-HX4: 18F-flortanidazole; PET/CT: positron emission tomography/computed tomography; SPECT: single photon emission computed tomography; SNR: signal-to-background ratio.