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Photodynamic therapy (PDT) is traditionally ineffective for deeply embedded tumors due to the poor penetration depth of the excitation light. Chemiluminescence resonance energy transfer (CRET) has emerged as a promising mode of PDT without external light. To date, related research has frequently used endogenous hydrogen peroxide (H₂ O₂ ) and oxygen (O₂ ) inside the solid tumor microenvironment to trigger CRET-mediated PDT. Unfortunately, this significantly restricts treatment efficacy and the development of further biomedical applications because of the limited amounts of endogenous H₂ O₂ and O₂ . Herein, a nanohybrid (mSiO₂ /CaO₂ /CPPO/Ce6: mSCCC) nanoparticle (NP) is designed to achieve synergistic CRET-mediated PDT and calcium (Ca²⁺ )-overload-mediated therapy. The calcium peroxide (CaO₂ ) formed inside mesoporous SiO₂ (mSC) with the inclusion of the chemiluminescent agent (CPPO) and photosensitizer (Ce6) self-supplies H₂ O₂ , O₂ , and Ca²⁺ allowing for the subsequent treatments. The Ce6 in mSCCC NPs is excited by chemical energy in situ following the supply of H₂ O₂ and O₂ to produce singlet oxygen (¹ O₂ ). The nanohybrid NPs are coated with stearic acid to avoid decomposition during blood circulation through contact with aqueous environment. This nanohybrid shows promising performance in the generation of ¹ O₂ for external light-free PDT and the release of Ca²⁺ ions for Ca²⁺ -overloaded therapy against orthotopic hepatocellular carcinoma.
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Chen et al. (2022) studied this question.
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