At present, metalloporphyrin compounds demonstrate three main uses as anticancer sensitizers: (1) photosensitizers, (2) photothermal conversion agents, and (3) ultrasound sensitizers. Developing efficient sensitizers for cancer with excellent controllability and biocompatibility is an important goal of oncology medicine. Because of the different structural diversity of anticancer sensitizers, such sensitizers are used for treating cancers by employing a variety of tumor treatment methods such as mature photodynamic therapy, commonly used clinically photothermal therapy and promising sonodynamic therapy. Among the many sensitizers, metalloporphyrin-complex sensitizers attract wide attention due to their excellent performance in tumor treatment and diagnosis. This review briefly describes some metalloporphyrin anticancer drugs and diagnostic agents related to photodynamic, photothermal and sonodynamic therapy, and discusses the roles of metal atoms in these drugs.
Photodynamic therapy (PDT) has received increasing attention in cancer
treatment because of its advantages such as minimally invasive and
selective destruction. With the development of PDT, impressive progress
has been made in the research of preparing photosensitizers, especially
porphyrin photosensitizers. However, the limited tissue penetration and
light energy capture efficiency of porphyrin photosensitizers have been
the two major obstacles for conventional photosensitizers. Therefore, it
is necessary to enhance the tissue penetration and improve the light
energy capture efficiency of porphyrin photosensitizers through
structural modifications. In addition, indirect excitation of porphyrin
photosensitizers using fluorescent donors (fluorescence resonance energy
transfer) has been successfully used to address these issues. In this
manuscript, we focus on how to enhance the photoenergy capture
efficiency of porphyrin photosensitizers, aiming to improve the
efficiency of singlet oxygen (1O2) production in tumor tissues and
enhance the photodynamic therapy effect of photosensitizers.
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