Photon
radiotherapy is a common tool in the armory against tumors,
but it is limited by hypoxia-related radioresistance of tumors and
radiotoxicity to normal tissues. Here, we constructed a spatiotemporally
controlled synergistic therapy platform based on the heterostructured
CuO@Graphdiyne (CuO@GDY) nanocatalyst for simultaneously addressing
the two key problems above in radiotherapy. First, the in
situ formed Z-scheme CuO@GDY heterojunction performs highly
efficient and controlled photocatalytic O2 evolution upon
near-infrared (NIR) laser stimulation for tumor hypoxia alleviation.
Subsequently, the CuO@GDY nanocatalyst with X-ray-stimulated Cu+ active sites can accelerate Fenton-like catalysis of ·OH
production by responding to endogenous H2O2 for
the selective killing of tumor cells rather than normal cells. In
this way, the sequential combination of NIR-triggered photocatalytic
O2 production and X-ray-accelerated Fenton-like reaction
can lead to a comprehensive radiosensitization. Overall, this synergism
underscores a controllable and precise therapy modality for simultaneously
unlocking the hypoxia and non-selectivity in radiotherapy.