Photodynamic
therapy (PDT) is expected to become a new type of
adjuvant therapy for cancer owing to its advantages, such as noninvasive,
high spatiotemporal selectivity, and fewer side effects. However,
conventional organic photosensitizers can easily aggregate in a biological
system, leading to decreased fluorescence quenching and reactive oxygen
species. Furthermore, attributed to the inherent hypoxia and immunosuppressive
properties of the complex tumor microenvironment (TME), the efficacy
of PDT is severely restricted. Given this, groundbreaking work has
constructed carrier-free self-assembled nanoplatforms (TNTP-Ra NPs)
based on the newly synthesized zwitterionic PS-TNTP that has satisfactory
image-guided PDT and offers a new vision for delivery of rapamycin
with poor water solubility. Simultaneously, the coassembled rapamycin
regulates the vigorous aerobic glycolysis of cancer cells and inhibits
the expression of PD-L1 by targeting the mTOR axis to remold hypoxia
and immunosuppression TME. Accordingly, the multifunctional nanoplatform
integrating AIEgen-mediated PDT and TME remodeling is a forward-looking
PDT design strategy.