Most
treatments for spinal cancer are accompanied by serious side
effects including subsequent tumor recurrence, spinal cord compression,
and tissue adhesion, thus a highly effective treatment is crucial
for preserving spinal and neurological functionalities. Herein, trilayered
electrospun doxorubicin@bovine serum albumin/poly(ε-caprolactone)/manganese
dioxide (DOX@BSA/PCL/MnO2) nanofibers with excellent antiadhesion
ability, dual glutathione/hydrogen peroxide (GSH/H2O2) responsiveness, and cascade release of Mn2+/DOX
was fabricated for realizing an efficient spinal tumor therapy. In
detail, Fenton-like reactions between MnO2 in the fibers
outermost layer and intra-/extracellular glutathione within tumors
promoted the first-order release of Mn2+. Then, sustained
release of DOX from the fibers’ core layer occurred along with
the infiltration of degradation fluid. Such release behavior avoided
toxic side effects of drugs, regulated inflammatory tumor microenvironment,
amplified tumor elimination efficiency through synergistic chemo-/chemodynamic
therapies, and inhibited recurrence of spinal tumors. More interestingly,
magnetic resonance and photoacoustic dual-modal imaging enabled visualizations
of tumor therapy and material degradation in vivo, achieving rapid pathological analysis and diagnosis. On the whole,
such versatile hierarchical-structured nanofibers provided a reference
for rapid and potent theranostic of spinal cancer in future clinical
translations.