Early evaluation and prediction of the radiotherapy effect
against
tumors are crucial for effective radiotherapy management. The clinical
approach generally relies on anatomical changes in tumor size, which
is unable to promptly reflect clinical outcomes and guide a timely
adjustment of therapy regimens. To resolve it, we herein develop a
self-assembled organic probe (dCyFFs) with caspase-3 (Casp-3)-activatable
near-infrared (NIR) fluoro-photoacoustic signals for early evaluation
and prediction of radiotherapy efficacy. The probe contains an NIR
dye that is caged with a Casp-3-cleavable substrate and linked to
a self-assembly initiating moiety. In the presence of Casp-3, the
self-assembled probe can undergo secondary assembly into larger nanoparticles
and simultaneously activate NIR fluoro-photoacoustic signals. Such
a design endows a superior real-time longitudinal imaging capability
of Casp-3 generated by radiotherapy as it facilitates the passive
accumulation of the probe into tumors, activated signal output with
enhanced optical stability, and retention capacity relative to a nonassembling
small molecular control probe (dCy). As a result, the probe enables
precise prediction of the radiotherapy effect as early as 3 h posttherapy,
which is further evidenced by the changes in tumor size after radiotherapy.
Overall, the probe with Casp-3-mediated secondary assembly along with
activatable NIR fluoro-photoacoustic signals holds great potential
for evaluating and predicting the response of radiotherapy in a timely
manner, which can also be explored for utilization in other therapeutic
modalities.