Because
of the lack of specific targets, the highly aggressive
triple negative breast cancer (TNBC) is unable to benefit from endocrine
therapy or conventional targeting therapy. Even worse, current diagnostic
and therapeutic approaches have limited value for TNBC. Therefore,
developing TNBC-specific theranostic probes for accurate diagnosis
and further selective therapy will build a powerful toolbox for TNBC
management. In this contribution, we developed a sequential strategy
to enhance the specificity of TNBC theranostics. In this theranostic
system, a versatile nanoprobe (Pep-SQ@USPIO) was integrated legitimately
for the fibronectin-targeting MR imaging and CTSB-activatable fluorescence
imaging, followed with enhanced photodynamic therapy (PDT) of TNBC.
First, the fibronectin overexpressed in the extracellular matrix (ECM)
of TNBC was used as a biomarker for targeting theranostics using the
Cys-Arg-Glu-Lys-Ala (CREKA) peptide. For another, the fluorescence
and PDT capacity of self-developed squaraine photosensitizer (SQ)
were prequenched by ultrasmall superparamagnetic iron oxide (USPIO),
an MR imaging contrast agent. Once the linker, Gly-Phe-Leu-Gly (GFLG)
peptide, was selectively cleaved by TNBC-derived CTSB, the liberated
SQ photosensitizer allowed light-up fluorescence imaging and enhanced
PDT of TNBC. Remarkably, this research demonstrates that tumor-ECM-targeting
and endogenous enzyme-activated nanoprobes open a new avenue for TNBC
theranostics.