CsI(Na)@MgO@DSPE-Folate nanoparticles (CIS@M-F) and 5-ALA are separately administered but colocalized in cancer cells to enable RDT. CIS@M-F are internalized by cancer cells through receptor-mediated endocytosis. 5-ALA is converted to PpIX, which accumulates in cancer cells’ mitochondria. When irradiated, CIS@M-F produce X-ray luminescence that activates PpIX, causing mitochondria damage. Meanwhile, CIS@M-F also afford high-Z effects that enhance RT-induced DNA damage. The two components synergize to reduce cancer cell proliferation and tumorigenicity