Abstract
Background
Combining the multimodal imaging and synergistic treatment in one platform can enhance the therapeutic efficacy and diagnosis accuracy.
Results
In this contribution, innovative Mn-doped Prussian blue nanoparticles (MnPB NPs) were prepared via microemulsion method. MnPB NPs demonstrated excellent T1 and T2 weighted magnetic resonance imaging (MRI) enhancement in vitro and in vivo. The robust absorbance in the near infrared range of MnPB NPs provides high antitumor efficacy for photothermal therapy (PTT) and photoacoustics imaging property. Moreover, with the doping of Mn, MnPB NPs exhibited excellent Fenton reaction activity for chemodynamic therapy (CDT). The favorable trimodal imaging and Fenton reaction enhanced mild temperature photothermal therapy in vitro and in vivo were further confirmed that MnPB NPs have significant positive effectiveness for integration of diagnosis and treatment tumor.
Conclusions
Overall, this Mn doped Prussian blue nanoplatform with multimodal imaging and chemodynamic/mild temperature photothermal co-therapy provides a reliable tool for tumor treatment.
Graphical Abstract
Supplementary Information
The online version contains supplementary material available at 10.1186/s12951-021-01235-2.
Keywords: MR imaging, Photoacoustic imaging, Mild temperature photothermal therapy, Chemodynamic therapy, Fenton reaction
Introduction
Photothermal therapy (PTT) is a therapeutic intervention treatment model for tumors, which employs near-infrared absorption materials to produce heat for tumor ablation [1–9]. The generated hyperthermia can effectively and rapidly ablate tumor without systemic toxicity and minimize the invasion. Nevertheless, the extreme high temperature from PTT (> 50 ℃) may bring collateral damage to surrounding normal tissues by heat diffusion. Moreover, photothermal agents with high concentration in tumor or high NIR laser intensity is required to generate hyperthermia, which may increase health risks due to drug overdose or photodamage. Recently, mild temperature hyperthermia (< 48 ℃) has attracted great attention due to the excellent tolerance and safety for surrounding tissues [10–12]. However, the weak treatment effectiveness of mild temperature hyperthermia limited the application in tumor treatment. Therefore, it is necessary to combine the mild temperature hyperthermia with another treatment model to enhance the therapeutic effect and destroy tumors effectively [13–20].
Highly reactive hydroxyl radicals can oxidize biomolecules and induce the cancer cellular necrosis and apoptosis [21–23]. Reactive hydroxyl radicals can be produced from Fenton reaction, which utilizes Fenton active agents to catalyze the conversion H2O2 [24–27]. Moreover, cancer cells could overproduce hydrogen peroxide and improve the level of hydrogen peroxide in the tumor microenvironment (TME). Hence, various of Fenton active agents containing ferrous iron [Fe(II)] or Mn iron [Mn(II)] were exploited to generate highly reactive hydroxyl radicals for treatment of tumors [28–31]. Unfortunately, the therapeutic efficacy of Fenton reaction alone is still limited due to suppressive reaction conditions in tumor, such as low concentration of Fenton active agents. Moreover, raising temperature may be conducive to Fenton reaction according to thermodynamic molecular collision theory. Hence, combination of mild temperature photothermal therapy (PTT) and chemodynamic therapy (CDT) is an option to enhance the therapeutic effect [32, 33].
Prussian blue (PB) is a type of blue dye with low cost and simple preparation, which is clinically FDA-approved drug [34, 35]. Recently, PB nanoparticles have been widely exploited for the biological and clinical application [36–38]. For example, PB nanoparticles were utilized as T1 and T2 weighted MR imaging contrast agents [39, 40]. Furthermore, due to the strong absorption in the near-infrared region (NIR), PB nanoparticles were investigated as photothermal and photoacoustics imaging agents [41–43]. Moreover, PB nanoparticles have the potential to converse H2O2 to be highly reactive hydroxyl radicals by Fenton reaction [44, 45]. However, the MRI enhancement and photothermal therapy efficiency of PB nanoparticles still needs to be improved for clinical applications. For example, the r1 and r2 of PB nanoparticles were determined to be only 0.34 and 4.88 mM−1 s−1, respectively. On the other hand, manganese has received attention due to the bioimaging and anti-cancer activities. For example, Mn2+ can shorten longitudinal relaxation time of water protons and exhibit T1W enhancement [46]. It has been reported that incorporation Mn2+ into PB nanoparticles could enhance the T1 contrast [47, 48]. Besides, manganese demonstrates catalysis in Fenton reaction by decomposing H2O2 and acquiring the hydroxyl radicals [30, 49].
Hence, we hypothesized that incorporation Mn in PB nanoparticles can improve the multimodual imaging property and enhance the therapy efficiency of PB nanoparticles. In this contribution, we employed microemulsion method to prepare Mn doped PB nanoparticles (MnPB NPs), which are applied as T1 and T2 weighted MR imaging contrast agents (Scheme 1). Moreover, MnPB NPs demonstrated NIR absorption for mild temperature hyperthermia therapy and photoacoustic (PA) imaging. Furthermore, MnPB NPs are utilized as nanocatalysts to achieve the synergistic chemodynamic/mild temperature photothermal therapy of cancer in vitro and in vivo. Collectively, MnPB NPs exhibited excellent enhancement of multi-modal imaging in tumors, and effectively inhibited the tumor growth by combination therapy under mild conditions.
Materials and methods
Materials
All reagents and solvents were commercially available and used directly without further purification unless specified. CCK-8 kits were purchased from Dojindo Chemical Technology (Shanghai) Co., Ltd. (China). Calcein AM/PI Detection Kits were purchased from NanJingKeyGen Biotech Co., Ltd. (China). Annexin V-FITC/PI apoptosis kits were purchased from MultiSciences (Lianke) Biotech Co., Ltd. (China).
Instruments
Particle size was detected by ZetasizerNano ZS (Malvern Panalytical, UK). Transmission electron microscopy (TEM) was obtained from PHILIPS TECNAI 10. UV–vis absorption spectra were measured via the Thermofisher Evolution 300 spectropolarimeter. Photoacoustic images were captured with an MSOT system (iThera Medical, Germany). Infrared thermography was captured by TiS40 infrared camera (Fluke, USA). MRI images were carried out with PharmaScan 7.0T/16 scanner (Bruker, Germany). The concentration of Mn2+ was measured by inductively coupled plasma-optical emission spectroscopy (ICP-OES, Thermo Scientific).
Preparation of MnPB NPs via microemulsion method
In a typical synthesis, Triton X-100 (20 g), hexanol (10 g) and cyclohexane (10 g) were mixed to be oil EAX. Then, 8 g EAX and 3.33 g K3[Fe(CN)6] aqueous (0.05 M) were mixed and stirred for 10 min to obtain K3[Fe(CN)6] reverse microemulsion. At same time, 8 g EAX, 0.999 g MnCl2 (0.05 M) and 2.331 g FeCl2 aqueous (0.05 M) were mixed and stirred for 10 min to obtain Mn/Fe reverse microemulsion. Mn/Fe reverse microemulsion was drop added under vigorous stirring into K3[Fe(CN)6] reverse microemulsion. After 30 min, the blue nanoparticles were finally collected by centrifugation, and washed with DI water and ethanol for several times, which was denoted as MnPB NPs.
NIR photothermal effects assessment
The NIR photothermal therapy effects of MnPB NPs were investigated as two schemes. First, 40 μg/mL MnPB NPs solution was placed in tube and irradiated under 808 nm laser with different powers (0.5, 1.0, 1.5 and 2.0 W/cm3). Second, MnPB NPs solutions with various concentration (0, 10, 20, 30 and 40 μg/mL) were placed in tubes and irradiated under 808 nm laser with the power of 2.0 W/cm3. The temperature of samples was measured via an infrared thermal imager.
Photothermal conversion efficiency measurement
The MnPB NPs solution (20 μg/mL) was exposed to 808 nm laser (1.5 W/cm2) for 10 min and stop irradiated for 10 min, four heating and cooling cycles were monitored continuously, total time is 80 min.
The photothermal conversion efficiency of MnPB NPs was calculated from the first heating and cooling curve in four cycles by Roper equation.
Fenton reaction of MnPb NPs in tube
The mixture of 0.5 mM 3,3′,5,5′-tetramethylbenzidine (TMB) and 1 mM H2O2 was added with MnPB NPs at concentration of 30, 60, and 120 μg/mL. After 30 min, The UV–vis absorption was measured. Similarly, 0.5 mM TMB, 1 mM H2O2, and 120 μg/mL MnPB NPs were mixed under different pH and measured the UV–vis absorption. After Fenton reaction, the mixture was centrifuged for the supernatant, and detected the concentration of Mn2+ by ICP-OES to calculate the release rate.
The mixture of 0.1 mM Methylene Blue (MB) and 1 mM H2O2 was also given with MnPB NPs at concentration of 120 μg/mL. After 30 min, the UV–vis absorption of the mixture was measured.
Cell culture and cell viability assessment.
Skov-3, HK2 and NIH-3T3 cells were purchased from the Shanghai Cell Bank of Type Culture Collection at the Chinese Academy of Sciences. Skov-3 cells (104 cells/well) were seeded in 96-well flat bottom plates and maintained in 1640 complete medium, and cultured overnight at 37 °C and 5% carbon dioxide. HK2 and NIH-3T3 were cultured in DMEM complete medium, and their culture environment were the same as Skov-3. Cell viability was evaluated by CCK-8 kits or Calcein AM/PI Detection kits.
Animal model
All animal experiments were conducted under the guidance of the protocols approved by the local Ethical Committee in compliance with the Chinese law on experimental animals. 5 weeks old female nude mice were provided from the Animal Center of Southern Medical University (n = 46). The mouse bearing Skov-3 tumor was established by subcutaneously injecting Skov-3 cells (1 × 107) into the right hind legs of mouse.
In vitro and in vivo T1 and T2 weighted MRI of MnPB NPs
MnPB NPs samples were prepared at the concentration of 0, 0.031, 0.063, 0.125, 0.250, and 0.500 mg/mL in 1 mL injectors and be bundling orderly for MRI.
Skov-3 cells (2 × 106) were seeded in a 75 cm2 culture bottle. When cells reached exponential growth, the culture medium was discarded, and MnPB NPs (200 μg/mL) in culture medium was added into culture bottle and incubated for 3 h. The blank control group was replaced with new fresh medium as the previous experiments. The cells were washed entirely with PBS buffer, digested with trypsin and centrifuged, then re-suspended with 0.5% agarose solution. After cooling, the MRI images were monitored by the Bruker Biospec 7.0T MR scanner.
Skov-3 tumor-bearing mouse were anesthetized by 2% isoflurane in oxygen and placed in prone position (n = 3). After 0, 12 and 24 h of intravenous injection MnPB NPs (100 μL, 10 mg/kg), the Bruker Biospec 7.0T MR scanner was used to capture the T1 and T2 images of tumor area.
The T1 value were determined using inversion recovery (IR) sequence with Rapid Acquisition with Relaxation Enhancement (RARE) readout by Bruker Biospec 7.0T MR scanner. The parameters were as follows: TR/TE = 10,000/30 ms, TI = 10, 20, 40, 80, 120, 200, 500, 1000, 1600, 2000, 2500, 3000 and 4000 ms, a field of view (FOV) of 30 × 30 mm2, matrix size = 256 × 256, RARE factor = 8. The longitudinal relaxation rate (r1) was calculated via curve fitting of R1 (s−1) vs the Fe and Mn concentration (mM). The same T1 mapping sequence and parameters were used for MnPB NPs in phantom, in cells and in tumors.
The T2 value were determined using multi slices and multi echo (MSME) sequence. The parameters were as follows: TR/TE = 2500/30 ms, TE = 90, 210, 330, 450, 570, 690, 810, 930, 1050, 1170, 1290, 1410 and 1530 ms, a FOV of 30 × 30 mm2, matrix size = 256 × 256, RARE factor = 8. The transverse relaxation rate (r2) was calculated via curve fitting of R2 (s−1) vs the Fe and Mn concentration (mM). The same T2 mapping sequence and parameters were used for MnPB NPs in phantom, in cells and in tumors.
In vitro and in vivo PA imaging of MnPB NPs
MnPB NPs samples were prepared at the concentration of 0, 10, 30, 50, 70, 90 μg/mL, respectively. PA imaging was performed on a multispectral optoacoustic tomography (MSOT) in Vision 256-TF small animal scanner (iThera Medical GmbH, Munich, Germany).
Skov-3 cells (2 × 106) were seeded in a 75 cm2 culture bottle. When cells reached exponential growth, the culture medium was discarded, and MnPB NPs (100 μg/mL) in culture medium was added into culture bottle and incubated for 3 h. The cells were washed entirely with PBS buffer, digested with trypsin and centrifuged, then re-suspended with 0.5% agarose solution. After cooling, the PA image was detected by the MSOT system.
Skov-3 tumor-bearing mice were in anesthesia by 2% isoflurane in oxygen and placed in prone position (n = 3). After 0, 6, 12 and 24 h of intravenous MnPB NPs injection (100 μL, 10 mg/kg), the MSOT system was used to captured the PA images of tumor area.
Assessment of the chemodynamic and mild temperature photothermal therapeutics effect of MnPB NPs in vitro and in vivo
For in vitro investigation: Skov-3 cells (5 × 103 cells/well) were seeded on 96-well plates and incubated overnight at 37 °C incubator. The cells were incubated with MnPB NPs for 4 h at 37 °C, and then irradiated with the 808 nm laser (1.0 W/cm2) for 5 min. After irradiation, the treated cells were incubated for another 3 h and rinsed with PBS for further cytotoxicity assay. The standard CCK-8 assay was employed to determine the relative viabilities of treated cells. To confirm the photothermal effect, after various treatment, Skov-3 cells were incubated with a mixture of calcein AM (calcein acetoxymethyl ester) and PI (propidium iodide) for live/dead cell double staining. After rinsed with PBS, the cell samples were observed by a fluorescence microscopy (FV1200-IX83, Olympus, Japan) and FACS Calibur flow cytometer and using 488 nm laser for Annexin V-FITC and 561 nm laser for PI excitation.
For in vivo assessment, when the tumor volume on the right side increased to about 100 mm3 accordingly, tumor-bearing mouse were randomly divided into six groups (n = 30), including (1) PBS: intratumoral PBS injection (100 μL). (2) H2O2: intratumoral H2O2 injection (100 μL, 400 μM). (3) MnPB NPs: intratumoral MnPB NPs injection (100 μL, 2.0 mg/kg). (4) MnPB NPs + NIR: intratumoral injection MnPB NPs (100 μL, 2.0 mg/kg), 10 min later, 808 nm laser irradiation (0.8 W/cm2, 5 min). (5) MnPB NPs + H2O2: intratumoral MnPB NPs injection (100 μL), 12 h later, intratumoral H2O2 injection (100 mL, 400 μM). (6) MnPB NPs + H2O2 + NIR: intratumoral MnPB NPs injection (100 μL, 2.0 mg/kg), 10 min later, 808 nm laser irradiation (0.8 W/cm2, 5 min), and 12 h later, intratumoral H2O2 injection (100 μL, 400 μM). The tumor sizes and body weight were recorded every other day after treatments.
Statistical analysis
All data shown in this article are from at least three independent experiments and expressed as means ± standard deviation (SD). Analysis of variance was carried on multiple group comparisons, and the result of *p < 0.05, **p < 0.01 and ***p < 0.001 were statistically significant.
Results and discussion
Preparation and Property of MnPB NPs
Microemulsion synthesis has been proved to be a convenient method for preparation nanoparticles [50, 51]. Therefore, we prepared MnPB NPs via water-in-oil (w/o) microemulsion method as shown in Fig. 1A. TEM image of the synthesized MnPB NPs is shown in Fig. 1B. It could be found that the morphology of the nanoparticles was in cubic shape. The crystallography and phase information were acquired through X-ray diffraction (XRD), which also indicated MnPB NPs were cubic (Additional file 1: Fig. S1A). The content of Mn2+ and total metal ion (Mn + Fe) in MnPB NPs (1 mg/mL) was determined to be 0.146 mM and 1.357 mM, respectively, via ICP-OES (Additional file 1: Table S1). We then investigated the UV absorption of MnPB NPs in water (Fig. 1C). The blue MnPB NPs solution exhibited absorption peak located ~ 710 nm, which is favorable for elimination tumor. Furthermore, the absorption spectrum kept unchanged after NIR irradiation (808 nm, 1.5 W/cm2) for 30 min. The dynamic light scattering (DLS) indicated MnPB NPs had an average diameter of 55 nm (Additional file 1: Fig. S1B) with zeta potential of − 26 mV and PDI of 0.21 (Additional file 1: Fig. S1C). A mass extinction coefficient of UV measured to be ~ 9.5 cm−1 mg−1 L (Additional file 1: Fig. S1D, E). Moreover, no aggregation or precipitation in MnPB NPs solution was observed in DMEM, FBS, and H2O at different pH (Additional file 1: Fig. S2), verified its excellent stability.
The photothermal conversion potential of MnPB NPs was recorded under 808 nm laser irradiation. As shown in Fig. 1D, E the temperature of MnPB NPs solution increased with time and concentrations under 808 nm laser irradiation. For example, the temperature of MnPB NPs (40 μg/mL) boosted up to 63 ℃, which is favorable for ablation of tumor cells. Moreover, MnPB NPs (20 μg/mL) also demonstrated excellent photothermal performance, which reached a temperature of about 43 ℃ at such a low concentration. As shown in Additional file 1: Fig. S3A, the temperature change curve during heating and cooling of MnPB NPs solution were consistent in every cycle. Forward looking infrared radar (FLIR) thermal imaging of MnPB NPs in cuvette at different time points between 0 and 5 min under 1.5 W/cm2 irradiation is depicted in Additional file 1: Fig. S3B. Besides, the photothermal conversion efficiency (PCE) of MnPB NPs was calculated to be ~ 47.38% (Additional file 1: Fig. S3C, S3D). All these results validated MnPB NPs could act as optional mediators for photothermal therapy.
Fenton reaction of MnPb NPs in tube
3,3′,5,5′-Tetramethylbenzidine (TMB) was utilized as indicator to evaluate the catalytic activity of MnPB NPs [52]. After mixing MnPB NPs (30, 60, and 120 μg/mL) and H2O2 with TMB, the absorbance intensity at 370 and 652 nm increased (Fig. 1F). This reaction stably occurred at various pH with the 120 μg/mL MnPB NPs (Fig. 1G). After the Fenton reaction, the release rate of Mn2+ in supernatant was detected to be 0.88% (pH = 7). Methylene blue (MB) also was utilized as an indicator to describe the generation of hydroxyl radicals. As shown in Additional file 1: Fig. S4, the absorption of MB in the group of MnPB NPs + MB + H2O2 was disappear, due to the oxidization of MB by hydroxyl radicals generated from Fenton reaction. Therefore, these results indicated MnPB NPs could efficiently convert H2O2 into hydroxyl radicals.
The PTT and CDT of MnPB NPs in vitro
The Cell Counting Kit-8 (CCK-8) experiment was carried out to evaluate the PTT and CDT property in vitro. As exhibited in Fig. 2A, MnPB NPs showed excellent biocompatibility and enough safety from the black bar chart. However, the cell viability diminished to ~ 40% after treated with MnPB NPs (200 μg/mL) plus NIR irradiation (808 nm, 1.5 W/cm2, 10 min), which confirmed the photothermal therapy effect of MnPB NPs in cells.
Moreover, upon incubation with MnPB NPs (200 μg/mL) plus H2O2 (200 μg/mL), only ~ 41% cells keep alive, which was ascribed to the CDT property of MnPB NPs. We then evaluated the cell viability of Skov-3 cell under treatment of incubation with 100 μg/mL MnPB NPs and 200 μg/mL H2O2, flowing with NIR irradiation (808 nm, 1.0 W/cm2, 10 min). To our surprise, the cell viability dropped down to 8%, which is lower compare to the 60% for PTT and 67% for CDT. The combination index (CI) between PTT and CDT was calculated to be 0.389. All these results confirmed that the strong synthetic effect of CDT and PTT of MnPB NPs.
Live/dead staining experiments were performed for further investigation the cytotoxicity and visualization of the therapeutic efficacy after various treatment (Fig. 2B). Obviously, cells treated only with MnPB NPs demonstrated bright green fluorescence with little red fluorescence. On the contrary, the cells treated by MnPB NPs (100 μg/mL) and 808 nm laser irradiation (1.0 W/cm2, 10 min) exhibited similar red emission intensity with the cells in MnPB NPs plus H2O2 group, which confirming the therapeutic effect of PTT or chemotherapy. Interesting, the brightest red emission with little green fluorescence were observed in the cells treated by MnPB NPs (100 μg/mL) + 808 nm laser irradiation (1.0 W/cm2, 10 min) + H2O2. All these results also proved the comminated effect of chemotherapy and PTT of MnPB NPs.
Finally, flow cytometry experiments were carried out to explore the incidence of apoptosis under different treatment. As depicted in Fig. 2C, the apoptotic rate of Skov-3 cells treated with PTT + CDT was determined to be 66.4%, which is superior to that in treated with PTT or CDT alone. All these data highlighted the great treatment performance of combination between PTT and CDT of MnPB NPs.
The T1 and T2 imaging property of MnPB NPs
The T1 and T2 imaging of MnPB NPs were then carried out. The T1 and T2 weighted MRI for MnPB NPs phantoms with concentration of 0–10 mg/mL were exhibited in Fig. 3. The T1W images of MnPB NPs became brighter as the concentration increases. The longitudinal and transversal relaxation ratio is linearly fitted vs the molar concentration of total metal ions and the r1 value of MnPB NPs was calculated to be 0.6693 mM−1·s−1, which is higher than r1 = 0.34 mM−1 s−1 of pure PB NPs. As demonstrated in Fig. 3A, the darkening effects for the T2 weighted MR images were clearly observed. The r2 value is measured to be 9.379 mM−1 s−1, which is larger than r2 (4.88 mM−1 s−1) of pure PB NPs. All these results verified the super MRI performance of MnPB NPs.
T1 and T2 weighted MR imaging of cells incubated with MnPB NPs were carried out to investigate the MR enhancement performance of MnPB NPs in vitro. Figure 3B depicted the brighter T1W imaging of skov-3 cells incubated with MnPB NPs with lower T1 value compare with that of cells in PBS group. Moreover, the darker T2W imaging with lower T2 value of cells treated with MnPB NPs was also observed. All these results indicated the excellent T1 and T2 MR enhancement of MnPB NPs in vitro.
Encouraged by the great MRI performance of MnPB NPs in vitro, MnPB NPs were intravenously injected into the Skov-3 tumor-bearing mouse. Next, in vivo T1 and T2 MR imaging were performed to verify the MR imaging property of MnPB NPs (Fig. 3C). Noticeable bright effect of T1W images at the tumor site was observed after injection 12 h and the quantitative MR imaging results verified that T1W signals obviously enhance in the tumor region (Fig. 3D). Meanwhile, the T2W images indicate a change of gradual dimming in the tumor after injection 12 h. To our surprise, the MRI signal in the tumor site was still noticeable even after 24 h. All the results support that MnPB NPs are feasible MRI contrast agents in living systems.
In vitro and in vivo PA imaging
Due to the strong absorption in NIR area, we wondered the performance of MnPB NPs as PA imaging agents. Therefore, PA images of phantoms with various concentrations were acquired and corresponding signal intensity were measured. As shown in Fig. 4A, MnPB NPs exhibited noticeable PA signal enhancement and the PA intensity increased with the increase of concentration, which proved that MnPB NPs are optional candidates for photoacoustic imaging.
Inspired by the strong photoacoustic signal in tube, photoacoustic imaging properties of MnPB NPs were further investigated in vitro (Fig. 4B). Skov-3 cells cultured with MnPB NPs (100 µg/mL) exhibited conspicuous PA signal, and confirmed MnPB NPs can be endocytosed by skov-3 cells for intracellular photoacoustic imaging. We also studied photoacoustic imaging performance of MnPB NPs in vivo. As shown in Fig. 4C, before the injection (0 min), a weak PA signal was observed due to oxyhemoglobin and deoxyhemoglobin. After intravenous injection of MnPB NPs, a strong photoacoustic signal in tumor region was detected(Fig. 4D). The PA intensity reached its highest value within 12 h. Then, with the prolongation of time, the PA signal in tumor gradually weakened, but in the tumor site, there was still a noticeable PA signal after 24 h. These results reasonably indicate that MnPB NPs can be potential photoacoustic imaging agents in vivo.
The PTT and CDT of MnPB NPs in vivo
A Skov-3 mice tumor model was established to investigate the effect of combination therapy. We first monitored the temperature changes of tumors during continuous irradiation with 808 nm laser (0.8 W/cm2) after injection of MnPB NPs (Fig. 5A). For example, after 10 min of irradiation, the temperature of MnPB NPs treated tumor increase from 29.3 to 49.5 °C, which is enough for ablation tumor. On the contrary, no significant temperature change of PBS treated tumor was observed under the same 808 nm laser irradiation.
Once the primary tumor size reached around 100 mm3, Skov-3 tumor-bearing mice were randomly divided into six groups: (i) intratumorally injection with PBS, (ii) intratumorally injection with H2O2, (iii) intratumorally injection with MnPB NPs, (iv) mild temperature PTT (intratumorally injection with MnPB NPs + 808 nm laser irradiation), (v) CDT (intratumorally injection with MnPB NPs + H2O2), (vi) mild temperature PTT and CDT (intratumorally injection with MnPB NPs + 808 nm laser irradiation + H2O2). The 808 nm laser irradiation was used with a power density of 0.8 W/cm2.
Obviously, treatment with PBS, MnPB NPs, and H2O2 alone exhibited little inhibition for the tumors. On the contrary, the tumors in the group of mild temperature PTT grow slowly, attributing to photothermal therapy (Fig. 5B). Moreover, CDT group also induced antitumor effects due to Fenton chemotherapy, which was similar to that in the group of mild temperature PTT. To our surprise, the tumors in the combination groups of mild temperature PTT + CDT were completely ablated, revealed that combination of these two methods achieved great therapy effect.
Finally, the tumors in each group were harvested for photographing and weighing after treatment (Fig. 5C, D). The tumor weights of the mice treated with different treatments and the photos of the tumors further confirmed the efficient of chemodynamic/mild temperature photothermal co-therapy to inhibit the tumor growth (Fig. 5E, G). Notably, the mice in the group treated with combination therapy (CDT + mild temperature PTT) survived more than 30 days, which was remarkably longer than other groups (Fig. 5F). These results indicated the advanced anti-tumor therapeutic efficacy of MnPB NPs through a combination of CDT and mild temperature PTT.
The biosecurity of MnPB NPs
To investigate the biosecurity of MnPB NPs, we first explored the cytoxicity of MnPB NPs to normal cells. HK2 and NIH-33 were chosen as normal cells. As shown in Fig. 6A, there are no significant change of cell viability even the concentration of MnPB NPs reach 0.2 mg/mL, which confirmed the excellent biocompatibility to normal cells. We also recorded the body weight of normal mice after intravenous injection of MnPB NPs or PBS. As demonstrated in Fig. 6B, the body weight changes between these two groups exhibited no significant difference. At the same time, the H&E staining photos of different organ in different groups showed no obvious inflammatory reaction and changes of morphology, especially in MnPB NPs, CDT, and PTT groups. All these results indicated that the great biosecurity of MnPB NPs and the treatment methods.
Conclusion
In this contribution, innovative Mn-doped Prussian blue nanoparticles (MnPB NPs) were prepared via a microemulsion method. MnPB NPs exhibited excellent T1 and T2 weighted MRI enhancement in vitro and in vivo, also showed robust NIR absorbance, which bring high antitumor efficacy of photothermal therapy (PTT) and provide great photoacoustics imaging enhancement. Moreover, MnPB NPs demonstrated excellent CDT efficacy. In vivo experiment verified the favorable trimodal imaging and synergistic therapy. Overall, this Mn doped Prussian blue nanoplatform can be used for multi-modal imaging and co-therapy of CDT and mild temperature PTT, which provides a reliable tool for tumor treatment.
Supplementary Information
Acknowledgements
Thanks for supporting of the Funding and all the co-workers.
Authors’ contributions
QT, GH, ZZ, LQ and RL conceived and designed the method. QT and GH performed the experiment. SY and DZ analyzed the data. QT and RL wrote the manuscript. All authors read and approved the full manuscript.
Funding
This work was supported by the National Natural Science Foundation of China (NO.81671749).
Availability of data and materials
All data generated or analyzed during this study are included in this published article.
Declarations
Ethics approval and consent to participate
Animal experiment is in accordance with the regulations of the Animal Ethical and Welfare Committee of Southern Medical University (SYXK2016-0167).
Consent for publication
All authors read, approved and consent for the publication.
Competing interests
The authors declare no competing interests in the paper.
Footnotes
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Quan Tao and Genghan He contributed equally to this study.
Contributor Information
Zhide Zhang, Email: zider@smu.edu.cn.
Li Qi, Email: qili@smu.edu.cn.
Ruiyuan Liu, Email: ruiyliu@smu.edu.cn.
References
- 1.Liu Y, Bhattarai P, Dai Z, Chen X. Photothermal therapy and photoacoustic imaging via nanotheranostics in fighting cancer. Chem Soc Rev. 2019;48(7):2053–2108. doi: 10.1039/c8cs00618k. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Murugan C, Sharma V, Murugan RK, Malaimegu G, Sundaramurthy A. Two-dimensional cancer theranostic nanomaterials: synthesis, surface functionalization and applications in photothermal therapy. J Control Release. 2019;299:1–20. doi: 10.1016/j.jconrel.2019.02.015. [DOI] [PubMed] [Google Scholar]
- 3.Liu S, Pan X, Liu H. Two-dimensional nanomaterials for photothermal therapy. Angew Chem Int Ed. 2020;132(15):5943–5953. doi: 10.1002/anie.201911477. [DOI] [PubMed] [Google Scholar]
- 4.Gao D, Chen T, Chen S, Ren X, Han Y, Li Y, et al. Targeting hypoxic tumors with hybrid nanobullets for oxygen-independent synergistic photothermal and thermodynamic therapy. Nano Micro Lett. 2021;13(1):1–21. doi: 10.1007/s40820-021-00616-4. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Gao D, Guo X, Zhang X, Chen S, Wang Y, Chen T, et al. Multifunctional phototheranostic nanomedicine for cancer imaging and treatment. Mater Today Bio. 2020;5:100035. doi: 10.1016/j.mtbio.2019.100035. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Wei D, Yu Y, Huang Y, Jiang Y, Zhao Y, Nie Z, et al. A near-infrared-II polymer with tandem fluorophores demonstrates superior biodegradability for simultaneous drug tracking and treatment efficacy feedback. ACS Nano. 2021;15(3):5428–5438. doi: 10.1021/acsnano.1c00076. [DOI] [PubMed] [Google Scholar]
- 7.Chen Y, Li L, Chen W, Chen H, Yin J. Near-infrared small molecular fluorescent dyes for photothermal therapy. Chin Chem Lett. 2019;30(7):1353–1360. [Google Scholar]
- 8.Zhang A, Hai L, Wang T, Cheng H, Li M, He X, et al. NIR-triggered drug delivery system based on phospholipid coated ordered mesoporous carbon for synergistic chemo-photothermal therapy of cancer cells. Chin Chem Lett. 2020;31(12):3158–3162. [Google Scholar]
- 9.Li J, Song S, Meng J, Tan L, Liu X, Zheng Y, et al. 2D MOF periodontitis photodynamic ion therapy. J Am Chem Soc. 2021;143(37):15427–15439. doi: 10.1021/jacs.1c07875. [DOI] [PubMed] [Google Scholar]
- 10.Gao G, Sun X, Liang G. Nanoagent-promoted mild-temperature photothermal therapy for cancer treatment. Adv Funct Mater. 2021;31:2100738. [Google Scholar]
- 11.Zhou Z, Yan Y, Hu K, Zou Y, Li Y, Ma R, et al. Autophagy inhibition enabled efficient photothermal therapy at a mild temperature. Biomaterials. 2017;141:116–124. doi: 10.1016/j.biomaterials.2017.06.030. [DOI] [PubMed] [Google Scholar]
- 12.Gao G, Jiang Y-W, Sun W, Guo YX, Jia HR, Yu X-W, et al. Molecular targeting-mediated mild-temperature photothermal therapy with a smart albumin-based nanodrug. Small. 2019;15(33):1900501. doi: 10.1002/smll.201900501. [DOI] [PubMed] [Google Scholar]
- 13.Zhou J, Li M, Hou Y, Luo Z, Chen Q, Cao H, et al. Engineering of a nanosized biocatalyst for combined tumor starvation and low-temperature photothermal therapy. ACS Nano. 2018;12(3):2858–2872. doi: 10.1021/acsnano.8b00309. [DOI] [PubMed] [Google Scholar]
- 14.Wu J, Bremner DH, Niu S, Shi M, Wang H, Tang R, et al. Chemodrug-gated biodegradable hollow mesoporous organosilica nanotheranostics for multimodal imaging-guided low-temperature photothermal therapy/chemotherapy of cancer. ACS Appl Mater Interfaces. 2018;10(49):42115–42126. doi: 10.1021/acsami.8b16448. [DOI] [PubMed] [Google Scholar]
- 15.Wang C, Xue R, Gulzar A, Kuang Y, Shao H, Gai S, et al. Targeted and imaging-guided chemo-photothermal ablation achieved by combining upconversion nanoparticles and protein-capped gold nanodots. Chem Eng J. 2019;370:1239–1250. [Google Scholar]
- 16.Fu Z, Williams GR, Niu S, Wu J, Gao F, Zhang X, et al. Functionalized boron nanosheets as an intelligent nanoplatform for synergistic low-temperature photothermal therapy and chemotherapy. Nanoscale. 2020;12(27):14739–14750. doi: 10.1039/d0nr02291h. [DOI] [PubMed] [Google Scholar]
- 17.Pan C, Ou M, Cheng Q, Zhou Y, Yu Y, Li Z, et al. Z-scheme heterojunction functionalized pyrite nanosheets for modulating tumor microenvironment and strengthening photo/chemodynamic therapeutic effects. Adv Funct Mater. 2020;30(3):1906466. [Google Scholar]
- 18.Ji X, Kang Y, Ouyang J, Chen Y, Artzi D, Zeng X, et al. Synthesis of ultrathin biotite nanosheets as an intelligent theranostic platform for combination cancer therapy. Adv Sci. 2019;6(19):1901211. doi: 10.1002/advs.201901211. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Ji X, Ge L, Liu C, Tang Z, Xiao Y, Chen W, et al. Capturing functional two-dimensional nanosheets from sandwich-structure vermiculite for cancer theranostics. Nat Commun. 2021;12(1):1–17. doi: 10.1038/s41467-021-21436-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Kong N, Zhang H, Feng C, Liu C, Xiao Y, Zhang X, et al. Arsenene-mediated multiple independently targeted reactive oxygen species burst for cancer therapy. Nat Commun. 2021;12(1):1–18. doi: 10.1038/s41467-021-24961-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Balasubramanian B, Pogozelski WK, Tullius TD. DNA strand breaking by the hydroxyl radical is governed by the accessible surface areas of the hydrogen atoms of the DNA backbone. Proc Natl Acad Sci. 1998;95(17):9738–9743. doi: 10.1073/pnas.95.17.9738. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Malins DC, Polissar NL, Gunselman SJ. Progression of human breast cancers to the metastatic state is linked to hydroxyl radical induced DNA damage. Proc Natl Acad Sci. 1996;93(6):2557–2563. doi: 10.1073/pnas.93.6.2557. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Zhu B-Z, Mao L, Huang CH, Qin H, Fan RM, Kalyanaraman B, et al. Unprecedented hydroxyl radical-dependent two-step chemiluminescence production by polyhalogenated quinoid carcinogens and H2O2. Proc Natl Acad Sci. 2012;109(40):16046–16051. doi: 10.1073/pnas.1204479109. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 24.Tang Z, Liu Y, He M, Bu W. Chemodynamic therapy: tumour microenvironment-mediated Fenton and Fenton-like reactions. Angew Chem Int Ed Eng. 2019;58(4):946–956. doi: 10.1002/anie.201805664. [DOI] [PubMed] [Google Scholar]
- 25.Qian X, Zhang J, Gu Z, Chen Y. Nanocatalysts-augmented Fenton chemical reaction for nanocatalytic tumor therapy. Biomaterials. 2019;211:1–13. doi: 10.1016/j.biomaterials.2019.04.023. [DOI] [PubMed] [Google Scholar]
- 26.Lin LS, Huang T, Song J, Ou XY, Wang Z, Deng H, et al. Synthesis of copper peroxide nanodots for H2O2 self-supplying chemodynamic therapy. J Am Chem Soc. 2019;141(25):9937–9945. doi: 10.1021/jacs.9b03457. [DOI] [PubMed] [Google Scholar]
- 27.Tian Q, Xue F, Wang Y, Cheng Y, An L, Yang S, et al. Recent advances in enhanced chemodynamic therapy strategies. Nano Today. 2021;39:101162. [Google Scholar]
- 28.Wang Y, Zhang S, Wang J, Zhou Q, Mukerabigwi JF, Ke W, et al. Ferrocene-containing polymersome nanoreactors for synergistically amplified tumor-specific chemodynamic therapy. J Control Release. 2021;333:500–510. doi: 10.1016/j.jconrel.2021.04.007. [DOI] [PubMed] [Google Scholar]
- 29.Nie X, Xia L, Wang HL, Chen G, Wu B, Zeng TY, et al. Photothermal therapy nanomaterials boosting transformation of Fe(III) into Fe(II) in tumor cells for highly improving chemodynamic therapy. ACS Appl Mater Interfaces. 2019;11(35):31735–31742. doi: 10.1021/acsami.9b11291. [DOI] [PubMed] [Google Scholar]
- 30.Lin LS, Song J, Song L, Ke K, Liu Y, Zhou Z, et al. Simultaneous Fenton-like ion delivery and glutathione depletion by MnO2-based nanoagent to enhance chemodynamic therapy. Angew Chem Int Ed Eng. 2018;130(18):4996–5000. doi: 10.1002/anie.201712027. [DOI] [PubMed] [Google Scholar]
- 31.Feng L, Xie R, Wang C, Gai S, He F, Yang D, et al. Magnetic targeting, tumor microenvironment-responsive intelligent nanocatalysts for enhanced tumor ablation. ACS Nano. 2018;12(11):11000–11012. doi: 10.1021/acsnano.8b05042. [DOI] [PubMed] [Google Scholar]
- 32.Liu G, Zhu J, Guo H, Sun A, Chen P, Xi L, et al. Mo2 C-derived polyoxometalate for NIR-II photoacoustic imaging-guided chemodynamic/photothermal synergistic therapy. Angew Chem Int Ed Eng. 2019;58(51):18641–18646. doi: 10.1002/anie.201910815. [DOI] [PubMed] [Google Scholar]
- 33.Shi Y, Zhang J, Huang H, Cao C, Yin J, Xu W, et al. Fe-doped polyoxometalate as acid-aggregated nanoplatform for NIR-II photothermal-enhanced chemodynamic therapy. Adv Healthc Mater. 2020;9(9):2000005. doi: 10.1002/adhm.202000005. [DOI] [PubMed] [Google Scholar]
- 34.Busquets MA, Estelrich J. Prussian blue nanoparticles: synthesis, surface modification, and biomedical applications. Drug Discov Today. 2020;25(8):1431–1443. doi: 10.1016/j.drudis.2020.05.014. [DOI] [PubMed] [Google Scholar]
- 35.Qin Z, Li Y, Gu N. Progress in applications of Prussian blue nanoparticles in biomedicine. Adv Healthc Mater. 2018;7(20):1800347. doi: 10.1002/adhm.201800347. [DOI] [PubMed] [Google Scholar]
- 36.Gao Y, Yu G, Xing K, Gorin D, Kotelevtsev Y, Tong W, et al. Finely tuned Prussian blue-based nanoparticles and their application in disease treatment. J Mater Chem B. 2020;8(32):7121–7134. doi: 10.1039/d0tb01248c. [DOI] [PubMed] [Google Scholar]
- 37.Zhao J, Cai X, Gao W, Zhang L, Zou D, Zheng Y, et al. Prussian blue nanozyme with multienzyme activity reduces colitis in mice. ACS Appl Mater Interfaces. 2018;10(31):26108–26117. doi: 10.1021/acsami.8b10345. [DOI] [PubMed] [Google Scholar]
- 38.Liu B, Wang W, Fan J, Long Y, Xiao F, Daniyal M, et al. RBC membrane camouflaged Prussian blue nanoparticles for gamabutolin loading and combined chemo/photothermal therapy of breast cancer. Biomaterials. 2019;217:119301. doi: 10.1016/j.biomaterials.2019.119301. [DOI] [PubMed] [Google Scholar]
- 39.Qin Z, Chen B, Mao Y, Shi C, Li Y, Huang X, et al. Achieving ultrasmall Prussian blue nanoparticles as high-performance biomedical agents with multifunctions. ACS Appl Mater Interfaces. 2020;12(51):57382–57390. doi: 10.1021/acsami.0c18357. [DOI] [PubMed] [Google Scholar]
- 40.Feng K, Zhang J, Dong H, Li Z, Gu N, Ma M, et al. Prussian blue nanoparticles having various sizes and crystallinities for multienzyme catalysis and magnetic resonance imaging. ACS Appl Nano Mater. 2021;4(5):5176–5186. [Google Scholar]
- 41.Lin X, Cao Y, Li J, Zheng D, Lan S, Xue Y, et al. Folic acid-modified Prussian blue/polydopamine nanoparticles as an MRI agent for use in targeted chemo/photothermal therapy. Biomater Sci. 2019;7(7):2996–3006. doi: 10.1039/c9bm00276f. [DOI] [PubMed] [Google Scholar]
- 42.Cai X, Gao W, Zhang L, Ma M, Liu T, Du W, et al. Enabling Prussian blue with tunable localized surface plasmon resonances: simultaneously enhanced dual-mode imaging and tumor photothermal therapy. ACS Nano. 2016;10(12):11115–11126. doi: 10.1021/acsnano.6b05990. [DOI] [PubMed] [Google Scholar]
- 43.Pang H, Tian C, He G, Zhang D, Yang J, Zhang Q, et al. NIR-absorbing Prussian blue nanoparticles for transarterial infusion photothermal therapy of VX2 tumors implanted in rabbits. Nanoscale. 2021;13(18):8490–8497. doi: 10.1039/d1nr01394g. [DOI] [PubMed] [Google Scholar]
- 44.Hang L, Li H, Zhang T, Men D, Zhang C, Gao P, et al. Au@Prussian blue hybrid nanomaterial synergy with a chemotherapeutic drug for tumor diagnosis and chemodynamic therapy. ACS Appl Mater Interfaces. 2019;11(43):39493–39502. doi: 10.1021/acsami.9b13470. [DOI] [PubMed] [Google Scholar]
- 45.Li J, Zhang F, Hu Z, Song W, Li G, Liang G, et al. Drug “Pent-Up” in hollow magnetic Prussian blue nanoparticles for NIR-induced chemo-photothermal tumor therapy with trimodal imaging. Adv Healthc Mater. 2017;6(14):1700005. doi: 10.1002/adhm.201700005. [DOI] [PubMed] [Google Scholar]
- 46.Cai X, Zhu Q, Zeng Y, Zeng Q, Chen X, Zhan Y. Manganese oxide nanoparticles as MRI contrast agents in tumor multimodal imaging and therapy. Int J Nanomed. 2019;14:8321. doi: 10.2147/IJN.S218085. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Cai X, Gao W, Ma M, Wu M, Zhang L, Zheng Y, et al. A Prussian blue-based core-shell hollow-structured mesoporous nanoparticle as a smart theranostic agent with ultrahigh pH-responsive longitudinal relaxivity. Adv Mater. 2015;27(41):6382–6389. doi: 10.1002/adma.201503381. [DOI] [PubMed] [Google Scholar]
- 48.Dumont MF, Yadavilli S, Sze RW, Nazarian J, Fernandes R. Manganese-containing Prussian blue nanoparticles for imaging of pediatric brain tumors. Int J Nanomed. 2014;9:2581. doi: 10.2147/IJN.S63472. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 49.Ranji-Burachaloo H, Gurr PA, Dunstan DE, Greg G, Qiao GG. Cancer treatment through nanoparticle-facilitated Fenton reaction. ACS Nano. 2018;12(12):11819–11837. doi: 10.1021/acsnano.8b07635. [DOI] [PubMed] [Google Scholar]
- 50.Wolf S, Feldmann C. Microemulsions: options to expand the synthesis of inorganic nanoparticles. Angew Chem Int Ed Eng. 2016;55(51):15728–15752. doi: 10.1002/anie.201604263. [DOI] [PubMed] [Google Scholar]
- 51.Gradzielski M, Duvail M, de Molina PM, Simon M, Talmon Y, Zemb T. Using microemulsions: formulation based on knowledge of their mesostructure. Chem Rev. 2021;121(10):5671–5740. doi: 10.1021/acs.chemrev.0c00812. [DOI] [PubMed] [Google Scholar]
- 52.Gong F, Yang N, Wang Y, Zhuo M, Zhao Q, Wang S, et al. Oxygen-deficient bimetallic oxide FeWOX nanosheets as peroxidase-like nanozyme for sensing cancer via photoacoustic imaging. Small. 2020;16(46):2003496. doi: 10.1002/smll.202003496. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
All data generated or analyzed during this study are included in this published article.