| Nowadays,chemotherapy is still the most commonly used treatment method because it has a high therapeutic effect on primary(metastatic)tumors.Although the therapeutic effect of small molecule anti-tumor drugs is better,the practical application of this method has certain limitations,such as poor tumor selectivity and drug resistance.The establishment of nano-drug delivery system can achieve precise and effective drug delivery,and presents the advantages of small side effects,high biocompatibility,and good bioavailability.Secondly,single chemotherapy limits the therapeutic effect of drug-resistant tumors.Multifunctional nanomaterials with two or more treatment methods are designed for co-assembly and co-delivery of drugs to achieve the combination of multiple modes of diagnosis and treatment.Both clinical practice and exploratory research have shown that a single treatment plan can not completely eradicate tumors,and it is also weak in preventing tumor metastasis.Therefore,it is very valuable to design and synthesize new nano-drug delivery materials with multimodal therapy.In this paper,manganese dioxide(Mn O2)is mainly used as the fenton reactant to encapsulate anti-tumor drugs into nano-materials.Realizing the expectation of multi-modal therapy for tumor treatment.We have designed and synthesized a new type of yolk shell structured nanoparticles(HMCMD-PEG)for combined tumor treatment of photothermal therapy(PTT),chemotherapy and chemokinetic therapy(CDT).In brief,the Mn O2 core was formed in situ in the cavity of mesoporous copper sulfide(HMCu S),and doxorubicin(DOX)is loaded through the mesopore and transported to the tumor site.,The temperature of the HMCMD-PEG aqueous solution can be from 1.83°C to 51.34°C under near-infrared light irradiation,it has a good photothermal conversion efficiency to realize PTT.Mn O2reacts with glutathione(GSH)overexpressed in cancer cells to generate Mn2+,which catalyzes endogenous hydrogen peroxide(H2O2)in tumor cells to produce highly toxic reactive oxygen species(ROS)through this fenton-like reaction to achieve CDT under NIR.The CDT effect is significantly enhanced.Cell experiments showed that after cells ingested HMCMD-PEG nanomaterials under near-infrared light irradiation,the growth inhibition rate of breast cancer cells(MCF-7)was as high as 92.18%,and the apoptosis rate was 71.24%.In addition,we have also built a dual cascade catalytic nanoplatform(PBMO-GH)based on the consumption of GSH,cascade-enhanced CDT and photothermal conversion to achieve the multi-modal therapeutic effect of the combined treatment of PTT,CDT and starvation therapy(ST).Mn O2depletes GSH in cancer cells,relieves the inhibitory effect of high concentrations of GSH on ROS generation,and enhances the fenton-like response mediated by Mn2+.On the other hand,Prussian blue decomposes H2O2 to produce oxygen,which increases the oxygen content in tumor cells.Glucose oxidase(GOD)catalyzes the consumption of glucose,achieving the effect of ST.The temperature can rise to 48.9°C under NIR(808 nm,1.0 W cm-2),which has a good PTT effect.Cell experiments and mice experiments have verified that the nano-platform has a good anti-tumor effect. |