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Table 1 Emerging strategies of enhanced PDT for bladder cancer

From: Emerging photodynamic/sonodynamic therapies for urological cancers: progress and challenges

Photosensitizers

Biological model

Strategy

Result

Refs.

ALA

Subcutaneous 253 J B-V in nude mice

Combination with DFX to increase PpIX accumulation

Enhancing ALA-PDT-induced cell apoptosis

[38]

HSA-MnO2-Ce6 NPs

Orthotopic MB-49 in C57BL/6 mice

Catalyzing the decomposition of H2O2 to generate oxygen; serving as a good contrast reagent for MRI

Improved therapeutic efficacy and prolonged lifetime of mice compared to controls

[39]

HSA-Ce6/NTZ/FCS NPs

Orthotopic fLuc-T24 in nude mice

Intravesical instillation; reduced tumoral oxygen consumption; enhanced transmucosal ability

Dramatically enhanced orthotopic bladder tumors ablation

[40]

PorGal8

Subcutaneous UM-UC-3luc+ in nude mice

Targeting galectin-1

PDT-mediated tumor shrinkage and downregulation of E-cadherin

[41]

ChlGal8

Subcutaneous HT-1376 in nude mice

Targeting galectin-1; better photochemical and photophysical properties

Improved efficacy after repeated PDT in resistant cells

[42]

PLZ4-nanoporphyrin

Orthotopic and subcutaneous PDX in NSG mice

Targeting αVβ3 integrin; combination with PTT and chemotherapy

Orthotopic PDX bladder tumors elimination after intravesical light irradiation

[43]

Gd-PEG-R3

Subcutaneous T24 in nude mice

Targeting αVβ3 integrin; “off–on” responsive theranostic agents

Selective bladder tumor suppression; enhanced in vivo MRI signal upon binding

[44]

Porphyrin-DNA NPs

Subcutaneous 5637 in nude mice

Hydrophobicity-dependent DNA and PSs release

Light-dependent tumor suppression

[45]

TNP/DOX/ZnPC

5637 in nude mice

Combination with DOX-based chemotherapy

Higher tumor suppression compared to PDT alone or chemotherapy alone

[46]

BITT@BSA-DSP NPs

Subcutaneous MB49 in C57BL/6 mice

Combination with PTT, chemotherapy and AIEgens-based NIRFI; reduction-responsive drug delivery

Efficient visualization of tumor regions and significant tumor suppression

[47]

Ppa-hydrazone-DOX NPs

Subcutaneous PDX in NSG mice

Combination with PTT and chemotherapy to overcome drug resistance; pH-responsive drug delivery

Eradication of DOX- and GDC-resistance tumors

[48]

Poly (OEGMA)-PTX prodrug@Ce6

Subcutaneous PDX in nude mice

Combination with PCI and chemotherapy; enzyme-responsive drug delivery

Complete tumor eradication after two-stage irradiation

[49]

17-AAG-loaded nanoporphyrin

Subcutaneous PDX in NSG mice

Combination with NIRFI, PTT and HSP90-targeted therapy

Superior anti-cancer efficacy with downregulation of HIF-1α, Akt, Erk and Src, and upregulation of HSP70

[50]

Panitumumab-IR700 conjugates

Subcutaneous UM-UC-5 and UM-UC-3 in nude mice

EGFR-targeted NIR-PIT

EGFR surface expression-dependent tumor suppression by cell necrosis

[51]

Erlotinib-PS

Subcutaneous UM-UC-3 and T24 in SCID mice

EGFR-targeted PIT; combination with PET imaging for fluorescence-guided PDT

Long-term cure for EGFR-positive tumors; PET imaging ability

[52]

Pan-IR700 + tra-IR700

Subcutaneous SW780 in nude mice

Combination of EGFR- and HER2-targeted NIR-PIT

Strongest tumor suppression compared to either agent alone

[53]

Anti-CD47-IR700

Subcutaneous GFP-luciferase transfected 639 V in NSG mice

CD47-targeted NIR-PIT

Prominent tumor suppression and prolonged survival by 5 rounds of treatment

[54]

  1. ALA 5-Aminolevulinic acid; DFX Deferoxamine; PpIX Protoporphyrin IX; NP Nanoparticle; PS photosensitizer; HSA Human serum albumin; Ce6 Chlorin e6; MRI Magnetic resonance imaging; NTZ Nitazoxanide; FCS Fluorinated chitosan; PDX Patient-derived xenograft; NSG NOD scid gamma; PTT Photothermal therapy; PEG Polyethylene glycol; TNP Thermal-responsive nanoparticle; DOX Doxorubicin; ZnPC Zinc phthalocyanine; BSA Bovine serum albumin; AIEgens Aggregation-induced emission luminogens; NIRFI Near-infrared fluorescence imaging; Ppa Pheophorbide a; GDC GDC-0941; PTX Paclitaxel; PCI Photochemical internalization; 17-AAG 17-allylamino-17-demethoxygeldanamycin; HSP Heat shock protein; HIF-1α Hypoxia-induced factor 1α; Akt protein kinase B; Erk Extracellular signal-regulated kinase; IR700 IRDye700Dx; EGFR Epidermal growth factor receptor; NIR Near-infrared; PIT Photoimmunotherapy; SCID Severe combined immunodeficient; PET Positron emission tomography; pan Panitumumab; tra Trastuzumab