Photodynamic therapy
(PDT) and photothermal therapy (PTT)
have
gained considerable attention as potential alternatives to conventional
cancer treatments. However, these approaches remain limited by low
solubility, poor stability, and inefficient targeting of many common
photosensitizers (PSs) and photothermal agents (PTAs). To overcome
the aforementioned limitations, we engineered biocompatible and biodegradable
tumor-targeted upconversion nanospheres with imaging capabilities.
The multifunctional nanospheres consist of a sodium yttrium fluoride
core doped with lanthanides (ytterbium, erbium, and gadolinium) and
the PTA bismuth selenide (NaYF4:Yb/Er/Gd,Bi2Se3) enveloped in a mesoporous silica shell that encapsulates
a PS, chlorin e6 (Ce6), within its pores. NaYF4:Yb/Er converts
deeply penetrating near-infrared (NIR) light to visible light, which
excites Ce6 to generate cytotoxic reactive oxygen species (ROS),
while Bi2Se3 efficiently converts absorbed
NIR light to heat. Additionally, Gd enables magnetic resonance imaging
of the nanospheres. The mesoporous silica shell is coated with DPPC/cholesterol/DSPE-PEG
to retain the encapsulated Ce6 and prevent serum protein adsorption
and macrophage recognition that hinder tumor targeting. Finally, the
coat is conjugated to the acidity-triggered rational membrane (ATRAM)
peptide, which promotes specific and efficient internalization into
malignant cells in the mildly acidic microenvironment of tumors. The
nanospheres facilitated tumor magnetic resonance and thermal and fluorescence
imaging and exhibited potent NIR laser light-induced anticancer effects in vitro and in vivo via combined ROS production
and localized hyperthermia, with negligible toxicity to healthy tissue,
hence markedly extending survival. Our results demonstrate that the
ATRAM-functionalized, lipid/PEG-coated upconversion mesoporous silica
nanospheres (ALUMSNs) offer multimodal diagnostic imaging and targeted
combinatorial cancer therapy.