Active Targeting Nanotheranostic System for Dual-Modality Imaging-Guided Chemo-/Photodynamic Therapy of Pancreatic Cancer
Abstract Background: Pancreatic cancer (PC) is one of the most devastating types of cancers worldwide and has a remarkably poor survival rate, emphasizing the need for more effective strategies for the diagnosis and therapy of PC. Upconversion nanoparticles (UCNPs) have gained a privileged place in the biomedical field due to their outstanding properties. Besides, epithelial cell adhesion molecule (EpCAM) as one of the key biomarkers of pancreatic cancer stem cells, is a vital target for theranostic, diagnostic, and/or therapeutic intervention in nanomedicine. In this study, the theranostic nanosystem (EpCAM-UCMSNs-MX) was formed from the mesoporous silica-coated UCNPs functionalized with anti-EpCAM monoclonal antibody, and then one anticancer drug and photosensitizer, mitoxantrone (MX), was loaded into the mesoporous silica. The nanotheranostic system was used to target caner stem cells for realizing simultaneous dual-modality MR/UCL imaging and synergetic chemotherapy and NIR-triggered PDT. Results: After conducting series of characterizations, the nanotheranostic systems own superior uniform sphericity and long-time stability. In vitro and vivo experiments show the nanocomposites have good biocompatibility and can target caner stem cells to realize simultaneous dual-modality MR/UCL imaging. Furthermore, in comparison with UCMSNs-MX and free MX, MX-loaded UCMSNs conjugated with anti-EpCAM monoclonal antibody (EpCAM-UCMSNs-MX) are efficiently endocytosed by cancerous cells and show synergetic effect with PDT in vitro. In vivo experiments reconfirm the synergistic effects observed with the combination of EpCAM-UCMSNs-MX and PDT, which results in better treatment outcomes as compared to chemotherapy or NIR irradiation alone that fail to show any noticeable systemic toxicity.Conclusions: The resulting nanotheranostics were shown to target caner stem cells to confer simultaneous dual-modality MR/UCL imaging and induced intracellular reactive oxygen species exposed to 980 nm excitation, leading to synergetic chemotherapy and NIR-triggered PDT. These results offer a promising strategy for designing a multifunctional nanotheranostic system for dual-modality imaging-guided synergistic oncotherapy.