Photosensitizer-based
photodynamic therapy (PDT) has been considered
as a promising modality for fighting diverse types of cancers. PDT
directly inhibits local tumors by a minimally invasive strategy, but
it seems to be incapable of achieving complete eradication and fails
to prevent metastasis and recurrence. Recently, increasing events
proved that PDT was associated with immunotherapy by triggering immunogenic
cell death (ICD). Upon a specific wavelength of light irradiation,
the photosensitizers will turn the surrounding oxygen molecules into
cytotoxic reactive oxygen species (ROS) for killing the cancer cells.
Simultaneously, the dying tumor cells release tumor-associated antigens,
which could improve immunogenicity to activate immune cells. However,
the progressively enhanced immunity is typically limited by the intrinsic
immunosuppressive tumor microenvironment (TME). To overcome this obstacle,
immuno-photodynamic therapy (IPDT) has come to be one of the most
beneficial strategies, which takes advantage of PDT to stimulate the
immune response and unite immunotherapy for inducing immune-OFF tumors
to immune-ON ones, to achieve systemic immune response and prevent
cancer recurrence. In this Perspective, we provide a review of recent
advances in organic photosensitizer-based IPDT. The general process
of immune responses triggered by photosensitizers (PSs) and how to
enhance the antitumor immune pathway by modifying the chemical structure
or conjugating with a targeting component was discussed. In addition,
future perspectives and challenges associated with IPDT strategies
are also discussed. We hope this Perspective could inspire more innovative
ideas and provide executable strategies for future developments in
the war against cancer.