Pancreatic ductal
adenocarcinoma (PDAC), as one of the most malignant
tumors with dense desmoplastic stroma, forms a specific matrix barrier
to hinder effective diagnosis and therapy. To date, a paramount challenge
is in the search for intelligent nanotheranostics for such hypopermeable
tumors, especially in breaking the PDAC-specific physical barrier.
The unpredictable
in vivo
behaviors of nanotheranostics,
that is, real-time tracking where, when, and how they cross the physical
barriers and are taken up by tumor cells, are the major bottleneck.
Herein, we elaborately design sequence-activated nanotheranostic TCM-U11&Cy@P
with dual-channel near-infrared fluorescence outputs for monitoring
in vivo
behaviors in a sequential fashion. This nanotheranostic
with a programmable targeting capability effectively breaks through
the PDAC barriers. Ultimately, the released aggregation-induced emission
(AIE) particle TCM-U11 directly interacts with PDAC cells and penetrates
into the deep tissue. Impressively, this fluorescent nanotheranostic
intraoperatively can map human clinical PDAC specimens with high resolution.
We believe that this unique sequence-activated fluorescent strategy
expands the repertoire of nanotheranostics in the treatment of hypopermeable
tumors.