Synthesis of Iridium-Based Nanocomposites With Catalase Activity For Cancer PTT/PDT Therapy

The combination of photothermal therapy (PTT) and photodynamic therapy (PDT) has attracted attention due to its enhanced tumor synergetic effect. This study proposes a novel nanoenzyme-based theranostic nanoplatform, IrO 2 for the combined PTT and PDT of tumors. IrO 2 was prepared by a simple hydrolysis method and coated with a thin layer of mesoporous silica (MSN) to facilitate the physical adsorption of Chlorin e6 (Ce6). The PDA coating and IrO 2 NPs of the nanoplatform demonstrated an improved photothermal conversion eciency of 29.8 % under NIR irradiation. Further, the Ce6 loading imparts materials with the ability to produce reactive oxygen species (ROS) under 660 nm NIR laser irradiation. It was also proved that the IrO 2 NPs could catalyze the hydrogen peroxide (H 2 O 2 ) in the tumor microenvironment (TME) to generate endogenous oxygen (O 2 ), thereby enhancing the eciency of PDT. The in vitro and in vivo experiments indicated that the nanocomposites were highly biocompatible and could produce a satisfactory tumor therapeutic effect. Thus, the ndings of the present study demonstrate the viability of using theranostic nanoenzymes for translational medicine.


Introduction
Cancer is currently one of the major obstacles preventing the reduction of the global mortality rate [1,2].
Traditional cancer treatment strategies, such as chemotherapy, radiation therapy, and surgery, result in unavoidable side effects, the development of drug resistance, and ineligibility for surgery [3][4][5]. The limitations of these treatments have motivated researchers to develop new cancer treatments with relatively few side effects and a high e ciency. Near-infrared light (NIR)-induced tumor therapies, such as photothermal therapy (PTT) and photodynamic therapy (PDT), have attracted the attention of many researchers because they are highly effective, non-invasive, spatiotemporally controllable, and lead to relatively few side effects [6,7].
PDT involves the absorption of photon energy by a photosensitizing agent (PSA), resulting in the transfer of its electrons to the oxygen molecules (O 2 ) in the cancer cells. This leads to the production of a highly toxic reactive oxygen species (ROS, e.g., 1 O 2 ) that cause irreparable damage to the cancer cells [8]. A light operative dose, reasonable PSA concentration, and adequate oxygen are necessary for effective tumor ablation. In addition, the amount of O 2 directly affects the e ciency of PDT [9]. Due to the rapid and uncontrolled proliferation of tumor cells, the O 2 levels in solid tumors are inadequate, thereby reducing the therapeutic e ciency of PDT [10,11]. Thus, researchers have proposed innovative strategies to enhance the O 2 concentration in tumors [12]. Oxygen carriers, such as per uorocarbon (PFC) nanoparticles NPs, can facilitate continuous oxygen supply and have been used to enhance the O 2 concentration in tumors for PDT [13]. Enzyme-like substances with catalase activity have recently been used with PSA to counter hypoxia and enable ROS generation [14]. Researchers have discovered that the overexpression of H 2 O 2 in a tumor microenvironment (TME) can be utilized for the catalytic generation of endogenous O 2 and facilitate tumor PDT [15,16]. Nanoenzymes, in comparison with natural catalase, have a relatively low cost, high activity, and quali ed thermostability. Therefore, they can be employed to enhance the therapeutic effect of PDT [17][18][19].
PTT is an alternative phototherapy technique that can utilize the photothermal effects of photothermal transduction agents (PTAs) to raise the temperature of the surrounding environment and trigger the ablation and apoptosis of cancer cells [20,21]. The application of a PTA with high biocompatibility and e cient photothermal conversion e ciency is likely to improve the e ciency of photothermal therapy [22]. Several PTAs, such as two-dimensional (2D) materials [23], noble metal materials [24], metal chalcogenide materials [25], and conjugated polymers (e.g., polydopamine (PDA) and polypyrrole (PPy)), have been synthesized in recent years [26,27].However, owing to the poor performance of a single PTA, high-energy NIR laser irradiation or a relatively strong dose of PTA is required to obtain the desired treatment effect [28]. In addition, it is di cult to achieve satisfactory therapeutic activity by solely using PTT [29]. Thus, modern studies are focusing on dual-mode therapy combinations of PTT and PDT [30,31]. The main obstacle involves building a reasonable nanoplatform to maximize the synergistic effects of PTT and PDT to kill tumor cells.
The application of iridium oxide (IrO 2 ) has recently drawn attention due to its high biocompatibility and photothermal conversion e ciency [32]. Studies have discovered that IrO 2 has catalase (CAT)-like activity that enables it to catalyze H 2 O 2 in the TME to generate endogenous O 2 , thereby enhancing the e ciency of PDT [33]. However, few studies have utilized IrO 2 nanomaterial-based nanoplatform systems for the combined PTT and PDT treatment of tumors. An IrO 2 @MSN@PDA-BSA nanocomposite was synthesized in this study for the PTT and PDT dual-mode therapeutic treatment of tumors. IrO 2 was prepared by a simple hydrolysis method and coated with a thin layer of mesoporous silica (MSN) to facilitate the physical adsorption of Chlorin e6 (Ce6). Subsequently, PDA was coated on the surface of IrO 2 @MSN, followed by the grafting of bovine serum albumin (BSA) on the surface of IrO 2 @MSN@PDA as a stabilizer. The installation of IrO 2 @MSN@PDA-BSA (Ce6) serves several purposes. The PDA coating and For the synthesis of IrO 2 -PVP nanoparticles, rst, 0.05 g IrCl 3 and 0.1 g PVP were dissolved in 15 mL of distilled water by magnetic stirring (400 rpm) at room temperature. Then, the solution pH was adjusted to 12 using NaOH solution (2.0 M), and the mixture was allowed to react at 80° C for 12 hours with stirring. Finally, the mixture was further separated by centrifugation (12000 rpm, 5 min), and then rinsed three times with ethanol and distilled water. The sample in this experiment was freeze-dried and collected for the following usages.

Synthesis of IrO 2 @MSN NPs
For the synthesis of IrO 2 @MSN nanoparticles, the as-prepared IrO 2 -PVP NPs were dissolved in 65 mL ethanol upon ultrasonication for 30 min. Then, 2.8 mL NH 3 ·H 2 O (28%) was added dropwise and the mixture was stirred at room temperature for 30 minutes. Subsequently, 0.1 mL TEOS was dissolved in 6.5 mL ethanol and added dropwise to the mixture at a rate of 0.5 mL/min under vigorous stirring. After stirring at room temperature for 6 h, the obtained products were centrifuged and washed twice with ethanol and once with distilled water. To further remove the surfactant template of CTAB, the product was stirred with saturated ammonium nitrate ethanol solution for 12 h. The resulting product was centrifuged, and washed it with double-distilled water extensively.

Preparation of IrO 2 @MSN@PDA NPs
In this step, we dissolved 0.2 g dopamine in Tris buffer solution (40 mL, 0.01 M, pH = 8.5), and then mixed it with the as-prepared IrO 2 @MSN NPs. After stirring it at room temperature for 4 h, the color of the solution changed into dark brown because of the oxidation, and the formed PDA coated IrO 2 @MSN (IrO 2 @MSN@PDA) NPs were collected by centrifugation (8500 rpm, 5 min). The product was washed three times with ethanol and water to remove any possible remnants.

Preparation of IrO 2 @MSN@PDA-BSANPs
IrO 2 @MSN@PDA-BSA was synthesized by the amidation reaction between BSA and PDA. Speci cally, the as-prepared IrO 2 @MSN@PDA and 0.25 g BSA were added to 15 mL phosphate buffer (Na 2 HPO 4 -NaH 2 PO 4 , pH = 8.0) under 4 h of ultrasounding at room temperature. Finally, the product was conventionally centrifuged (13000 rpm, 10 min) and washed it three times with distilled water.
The supernatant containing excess Ce6 was carefully collected for the loading amount calculation of Ce6. In brief, we used UV-vis-NIR spectroscopy to read the absorbance at 404 nm of the supernatant to reckon the concentration of Ce6 as per the absorbance-concentration standard curve. The loading e ciency of Ce6 was calculated by W t /W 100% (W t and W stand for the weight of loading Ce6 and total Ce6, respectively.), and the loading percentage of Ce6 was calculated by W t /W S 100% (W t and W s stand for the weight of loading Ce6 and the weight of IrO 2 @MSN@PDA-BSA, respectively.).

Measurement of the dissolved oxygen content
In this step, the catalase-like catalytic e ciency of IrO 2 @MSN@PDA-BSA at different temperature (37°C and 80°C) was evaluated by mixing IrO 2 @MSN@PDA-BSA ( nally concentration at 200 µg/mL) with various concentration of H 2 O 2 ( nally at 5, 10, 20 and 50 µM). After the addition of H 2 O 2 , we used an oxygen probe (JPBJ-608 portable dissolved oxygen meter, Shanghai REX Instrument Factory) to monitor the dissolved oxygen content, and use a digital camera to record the bubble releasing of the reaction. At the same condition, the IrO 2 @MSN@PDA without the addition of H 2 O 2 was set as a control.

Detection of the singlet oxygen
1,3-diphenylisobenzofuran (DPBF), a classical probe for the measurement of singlet oxygen, was employed for the detection of the singlet oxygen. Brie y, 2.95 mL IrO 2 @MSN@PDA-BSA(Ce6) in dimethyl sulfoxide was mixed with 50 µL DPBF in dimethyl sulfoxide. The terminal concentration of IrO 2 @MSN@PDA-BSA(Ce6) and DPBF was 20 µg/mL and 10 µM, respectively. Then, the mixture was added with H 2 O 2 (10mM, 45 µL), while the mixture added with H 2 O (45 µL) was set as the control group.
We exposed the above solutions to a 660 nm NIR laser (0.3 W/cm 2 ) in a dark environment for 20 min, and used the Uv-vis-NIR spectrophotometer (Lambda 25, PerkinElmer, USA) to record the absorption intensity at designed time intervals.

Photothermal Conversion Performance
In order to explore the photothermal conversion performance, the as-prepared IrO 2 @MSN@PDA-BSA(Ce6) was prepared in different concentrations (0, 100, 250 and 500 µg/mL in saline). Then, 100 µL of the above samples were added in each well of a 96-well plate and exposed to the 808 nm NIR laser (1 W/cm 2 , 5 min). To investigate the power density-dependent thermal characteristics, IrO 2 @MSN@PDA-BSA(Ce6) with the concentration of 200 µg/mL was select to be irradiated with 808 nm NIR laser at different power (0.5, 0.8 and 1 W/cm 2 ) for 5 min. The photothermal stability of IrO 2 @MSN@PDA-BSA(Ce6) was also validated via the 808 nm NIR laser irradiation (0.8 W/cm 2 ) for 5 on/off cycles (laser on for 10 min and laser off for 10 min in each cycle). We use FLIR™ E60 camera (FLIR, USA) to record the temperature increment (ΔT) of the above experiment for speci c analysis.

In vitro cellular viability
In this section, L929 cells were chosen to assess the potential cellular cytotoxicity of IrO 2 @MSN@PDA-BSA in vitro. On the one hand, the CCK8 kit was performed to detect the cell viability after cultured with × × IrO 2 @MSN@PDA-BSA(Ce6). In brief, L929 cells were seeded into 96-well plate (8000 cells/well) and maintained at 37°C in a humidi ed atmosphere with 5% CO 2 . After 24 h, the medium was replaced by various concentrations (100 µL, 0, 50, 100, 250 and 500 µg/mL in RMPI1640) of IrO 2 @MSN @ PDA-BSA(Ce6). Another 24 h later, 100 µL fresh RMPI1640 with 10 µL CCK8 test solution was added in each tested well to replace the old solution and then incubated for another 2 h. Using a microplate reader to read the absorbency of each well at 450 nm to calculate cell viability. On the other hand, calcein-AM/PI Live/Dead kit was used to further determine the cytocompatibility of IrO 2 @MSN@PDA-BSA(Ce6). L929 cells were cultured and disposed of with the same as the CCK8 assay but lastly stained with calcein-AM/PI (100 µL) based on the manufacturer for 30 min at 37°C. The counterstained cellular morphology was recorded using a uorescence microscope (Olympus BX53).

In vitro tumor therapy
To study the cytotoxic effects of IrO 2 @MSN@PDA-BSA(Ce6) in vitro, HT29 cells were seeded into 96-well plates at a density of 8 × 10 3 cells/well and maintained in a humidi ed cell-incubator with 5% CO 2 at 37°C overnight for cell attachment. Then, each well was lled with 100 µL IrO 2 @MSN@PDA-BSA(Ce6) (in DMEM, 200 µg/mL) and continue culturing for 12 h. Then, we divided cells into 4 groups (n = 6). Cells in group 2 were irradiated with 808 nm laser (1 W/cm 2 , 5 min) to assess the effect of PTT. Cells in group 3 were exposed to 660 nm laser (0.3 W/cm 2 , 3 min) and cells in group 4 were treated with the medium containing H 2 O 2 (100 µmol/L) and the pH was adjusted to 6.0 with HCl. Cells in group 5 were exposed to a synergistic procedure of NIR irradiation, including 808 nm (1 W/cm 2 ) for 5 min and 660 nm (0.3 W/cm 2 ) for 3 min. Cells treated with DMEM without other intervention were set as the control (group 1). Finally, we used CCK-8 and the calcein-AM/PI Live/Dead staining to evaluate the relative viabilities of cells.

In vitro hemocompatibility
The hemocompatibility of IrO 2 @MSN@PDA-BSA(Ce6) was investigated by the typical in vitro hemolysis assay as below: fresh complete blood samples (1 mL) were collected from healthy KM mice and centrifuged (3000 rpm, 3 min, 4°C) to obtain the mouse red blood cells (mRBCs). After that, the harvested mRBCs were washed with PBS three times and reposited in PBS for further experiments. Then, the above mRBCs dispersions (0.3 mL) was mixed with 1 mL of different concentrations (100, 250 and 500 µg/mL) of IrO 2 @MSN@PDA-BSA and cultured at 37°C. Meanwhile, mRBCs dispersions (0.3 mL) were incubated with 1 mL of PBS (negative control) or 1 mL of DI water (positive control). After incubating for 4 h, the supernatant of the above mixture was gathered via centrifugation (12000 rpm, 5 min). Subsequently, we recorded the absorbance of the supernatants at 580 nm to compute the hemolysis percentage (HP) according to literature.

In vivo biocompatibility and biodistribution
To evaluate the biocompatibility and biodistribution of IrO 2 @MSN@PDA-BSA(Ce6) in vivo, the healthy KM female mice (SPF grade) were randomly sent into two groups (n = 24 per group). All animal experiments were conducted under the protocols approved by the Laboratory Animal Center of Changhai Hospital of Second Military Medical University, the policies of National Ministry of Hkiuealth. One group was intravenously (I.V.) injected with saline as a control, another group was injected with IrO 2 @MSN@PDA-BSA(Ce6) solution (250 µL, 1 mg/mL in PBS). The body weight of all experimental mice was weighed and recorded per two days. Mice were heart punctured for collect blood samples after anesthesia on 1, 7, 28 days and then were euthanized for organs collection. The blood samples were used for blood routine analysis and blood biochemical index testing in virtue of a Sysmex XS-800i automated hematology analyzer and a DxC 800 automatic biochemical analyzer. These crucial organs (heart, lung, liver, kidney, and spleen) were partly sectioned and immediately dipped in 4% polyformaldehyde for hematoxylin and eosin (H&E) staining. Besides, the remaining part of the organs was used for quantitative detection of the Silicon (Si) ion biodistribution through the Agilent 700 Series ICP-OES. Twelve hours after the injection, mice in group 1 and group 2 were irradiated with 808 nm NIR laser (1.0W/cm 2 ) for 5 min, while mice in group 3 were subjected to the 660 nm laser (0.3 W/cm 2 ) for 5 min. As the combined treatment group, the mice in group 4 and group 5 were successively exposed to 808 nm NIR laser (1.0W/cm 2 ) and 660 nm laser (0.3 W/cm 2 ) for 5 min. The FLIR E60 infrared camera was exploited to keep the record of ΔT measurement and thermal imaging during the treatments. Mice in all groups were then raised for 4 weeks, and we measured the tumor volume every 3 days. The e ciency of in vivo tumor treatment was assessed by the relative tumor volume.

Statistical analysis
All the data acquest from the above experiments were reported as mean ± standard deviation (SD) and statistically analyzed with one-way ANOVA. P values < 0.05 was regard as statistically signi cant. Data indicated with (*) deputize for p < 0.05, (**) for p < 0.01, and (***) for p < 0.001.

Synthesis and Characterization of IrO 2 @MSN@PDA-BSA
Colloidal-stable polyvinylpyrrolidone (PVP)-decorated IrO 2 NPs (PVP-IrO 2 ) were prepared through facile hydrolysis and then coated with a thin layer of MSN to carry Ce6 through physical adsorption. PDA was then coated on the surfaces of the IrO 2 @MSN particles under alkaline conditions because DA selfpolymerizes to form PDA. A BSA modi er was grafted onto the IrO 2 @MSN@PDA surface under ultrasonic conditions through an amidation reaction between the -COOH group of BSA and the -NH 2 group of PDA in a buffered solution of Na 2 HPO 4 -NaH 2 PO 4 to achieve colloidal stability (Scheme 1). The morphology of the product was analyzed using SEM and TEM. A spherical shape with an average diameter of approximately 84 ± 13 nm (Figs. 1a and b) was obtained. Therefore, we can conclude that NPs have a certain degree of aggregation, which is attributed to the interaction between the PDA and BSA that were grafted onto the NPs. The preparation of samples for SEM and TEM may have resulted in NP aggregation as well. The hydration kinetic diameter and Tyndall effect of the IrO 2 @MSN@PDA-BSA NPs in distilled water and PBS remained constant and clearly visible after 12 h of storage. This indicates that the surface-modi ed BSA endows durable colloidal stability to the IrO 2 @MSN@PDA-BSA NPs in different solutions. EDS (Fig. S1) and elemental mapping (Fig. 1d-f) con rmed the coexistence of O, Si, and Ir. Nitrogen adsorption-desorption isotherms were used to investigate the porous structure (Fig. 1g). The results indicated that the IrO 2 @MSN@PDA-BSA NPs had a high speci c surface area (149.6521 m²/g) and large pore volume (0.2 cm 3 /g). The average pore size was 5.7 nm (Fig. 1h). The XRD results of the IrO 2 @MSN@PDA-BSA NPs (Fig. 1i) did not contain typical diffraction peaks, indicating the poor crystalline state of the NPs. The chemical structure of IrO 2 @MSN@PDA-BSA NPs was determined through FTIR. The absorption peak at 1089 cm − 1 represents the tensile and asymmetric vibration of Si-O-Si (Fig. S2), indicating the existence of SiO 2 in the IrO 2 @MSN@PDA-BSA NPs. The vibration at 1422 cm − 1 is attributed to the -COOH group of BSA. The vibration signals at 1640 cm − 1 and 1500 cm − 1 are attributed to the deformation vibrations of amide I (-NH 2 ) and amide II (-NH-) of BSA, respectively. The vibration peaks of the PDA and BSA amide groups due to the stretching of the -NH-group are located at 3400 cm − 1 and 3000 cm − 1 , respectively. The peaks corresponding to the -C = C-stretching vibration of PDA is located at 1500 cm − 1 . These results collectively con rm that PDA and BSA were successfully decorated onto the IrO 2 @MSN surface.

Ce6 loading
The conspicuous pore sizes of the IrO 2 @MSN@PDA-BSA NPs are likely to facilitate guest molecule loading. A classical PSA named Ce6 was chosen as the model drug to be loaded onto the synthesized IrO 2 @MSN@PDA-BSA. It is essential to evaluate the loading performance of IrO 2 @MSN@PDA-BSA because the tumor PDT is dose-dependent. The UV-vis-NIR spectra of IrO 2 @MSN@PDA-BSA before and after the loading of Ce6 are shown in Fig. 2b respectively. The Ce6 loading ratio was calculated by dividing the weight of the loaded Ce6 with the weight of IrO 2 @MSN@PDA-BSA, which was equal to 3.8 %, 6.1 %, and 8.6 % at Ce6 concentrations of 50, 100, and 200 µg/mL, respectively (Fig. 2c) (Fig. 2e). The IrO 2 @MSN@PDA-BSA NPs possess the required thermal stability and are superior to the traditional catalase, which is vulnerable to hyperthermia (Fig. 2g). The catalytic ability of IrO 2 @MSN@PDA-BSA was satisfactory at 37°C and highly dependent on the substrate concentration (Fig. 2f). The catalytic ability of IrO 2 @MSN@PDA-BSA remained constant even after increasing the temperature to 80 °C. This thermal stability further enhances PDT e ciency in the PTT-induced high-temperature environment.
The amount of 1 O 2 contained in the solution was measured through light radiation to verify whether the O 2 generated by IrO 2 @MSN@PDA-BSA could be utilized to enhance the tumor PDT. The irradiation of the IrO 2 @MSN@PDA-BSA solution led to a reduction in the light absorption by the DPBF, thereby con rming the generation of 1 O 2 ( 1 O 2 can oxidize the probe of DPBF and catalyze its discoloring reaction). In addition, it was observed that the rate of reduction in the light absorption increased with the addition of H 2 O 2 . This con rms the ability of the IrO 2 @MSN@PDA-BSA NPs to enhance 1 O 2 generation in the presence of H 2 O 2 . The improved 1 O 2 generation indicates that IrO 2 @MSN@PDA-BSA can be used as an intelligent nanozyme system to facilitate tumor PDT in the TME.

Photothermal Conversion Performance
In addition to enhancing the tumor PDT, IrO 2 @MSN@PDA-BSA is a PTA that can be used in the PTT of tumors. The absorbance capacity of IrO 2 @MSN@PDA-BSA for wavelengths ranging from 400 to 1000 nm was rst studied. IrO 2 @MSN@PDA-BSA demonstrated a high light absorbance capacity, and the light absorbance increased with increasing NP concentration in the abovementioned wavelength range (Fig. 2i). The absorbed light was partially transformed into heat. The photothermal ability of IrO 2 @MSN@PDA-BSA was studied by varying the NIR laser power and NP concentration. The ΔT of IrO 2 @MSN@PDA-BSA increased with the increasing concentration of the solution at a xed power density, as shown in Fig. 3a. However, the ΔT of water was negligible. The ΔT values of the solutions at concentrations of 100, 250, and 500 mg/mL were 7.0, 16.4, and 30.2°C, respectively. IrO 2 @MSN@PDA-BSA was then used at a concentration of 250 mg/mL to study the impact of power density on heat production. The ΔT values of IrO 2 @MSN@PDA-BSA were 7.7, 12.6, and 16.4°C at power densities of 0.5, 0.8, and 1.0 W/cm 2 (808 nm), respectively. An E60 thermal imaging camera (FLIR Systems, Inc., USA) was used to record the concentration, irradiation, and laser-power-density-dependent temperature surges of IrO 2 @MSN@PDA-BSA (Figs. 3b and d). It was con rmed that the photothermal ability of IrO 2 @MSN@PDA-BSA was dependent on the material concentration and laser power density. The photothermal conversion e ciency and heat transfer time constant (τs) were equal to 29.8 % and 175.7 s, both of which are comparable to the values obtained for graphene and black phosphorus nanosheets (Figs. 3f and g) [34,35]. IrO 2 @MSN@PDA-BSA is considered photothermally stable because its ΔT variation during the ve rounds of NIR laser irradiation substantial (Fig. 3e).

In Vitro Biocompatibility Assay
In vitro biocompatibility, including cytocompatibility and hemocompatibility, is an essential factor in the biomedical applications of nanomaterials. Therefore, the cytocompatibility of IrO 2 @MSN@PDA-BSA(Ce6) was assessed using a CCK-8 cell viability assay and calcein-AM/PI double staining. The cell viabilities were maintained above 95 % after 24 h of co-cultivation with varying concentrations of IrO 2 @MSN@PDA-BSA(Ce6), as shown in the CCK-8 results depicted in Fig. 4a. There were no evident differences between the abovementioned sample and the control group. These trends are similar to the results of CCK-8 and calcein-AM/PI double staining, which stained the live cells and dead cells green and red, respectively ( Fig. 4b-f). This indicates that there were no obvious differences between the results of the experimental and control groups after culturing the samples for 24 h. These results indicate that the cytocompatibility of IrO 2 @MSN@PDA-BSA(Ce6) is satisfactory within experimental dosages. The hemocompatibility of IrO 2 @MSN@PDA-BSA(Ce6) was evaluated using a hemolysis assay. The HP of IrO 2 @MSN@PDA-BSA(Ce6) remained lower than 5 %, even at a high material concentration of 500 µg/mL. The HP values were equal to 0.4 ± 0.14 %, 1.2 ± 0.25 %, and 2.16 ± 0.3 % at IrO 2 @MSN@PDA-BSA(Ce6) concentrations of 100, 250, and 500 µg/mL, respectively (Fig. 4g). In addition, the mRBCs of the control and experimental groups were completely separated from the solution with relative ease, whereas the mRBCs in the positive control were completely ruptured (Fig. 4h). The hemolysis assay indicated that the NPs had a minimal impact on the structural integrity of mRBCs, thereby ensuring the safety of intravenous material injections.

In Vivo Biocompatibility and Biodistribution
The biocompatibility of IrO 2 @MSN@PDA-BSA(Ce6) in animals was also studied. The body weights of mice were measured every two days after the I.V. materials injection. The body weights of the experimental and control groups did not differ signi cantly (p > 0.05), as shown in Fig. 5a. However, the blood routine (Fig. S3) and serum biochemistry parameters (Fig. 5b) of the mice administered with IrO 2 @MSN@PDA-BSA(Ce6) were not similar to those of the control group (p > 0.05). The potential toxicity of IrO 2 @MSN@PDA-BSA(Ce6) to vital organs, such as the heart, liver, spleen, lungs, and kidneys, was also evaluated. The H&E staining of these organs demonstrated that no obvious damage was caused during the preset feeding periods (1, 7, and 28 days). This indicates that IrO 2 @MSN@PDA-BSA(Ce6) does not cause acute or chronic organ damage. The potential metabolic pathway of IrO 2 @MSN@PDA-BSA(Ce6) was then investigated by conducting an in vivo biodistribution of Si ions. The accumulation of Si in the liver and kidney one day after the injection was higher than that observed in the other organs due to the non-speci c uptake of the reticuloendothelial system. The amount of Si in the major organs gradually decreased with time. As a result, the concentration of Si in the tested organs was lower than 5 µg/g 28 days after the injection.

In Vitro PTT/PDT Tumor Therapy.
The e ciency of the combined tumor therapy in HT-29 cells and tumor-bearing nude mice was studied to realize the desirable biocompatibility of IrO 2 @MSN@PDA-BSA(Ce6) in vitro and in vivo. The HT-29 cells cultured with IrO 2 @MSN@PDA-BSA(Ce6) in the absence of light intervention did not report excessive cell death. However, the survival rate of the cells after being subjected to 808 nm NIR laser irradiation was reduced to 48.9 % (***p < 0.001, versus control, Fig. 6a) due to the excellent photothermal conversion ability of IrO 2 @MSN@PDA(Ce6). In comparison with the control group, the viability of the HT-29 cells irradiated with a 660 nm laser decreased to 65.8 % (PDT group, ***p < 0.001, versus control). The addition of H 2 O 2 to the DMEM under conditions similar to those of the PDT group drastically reduced the viability of the HT-29 cells to 17.6 % (***p < 0.001, versus control; ***p < 0.001, versus PDT). The differences in the cell viability values indicate that the co-existence of H 2 O 2 and IrO 2 @MSN@PDA-BSA(Ce6) could enhance the tumor PDT effect. This is because IrO 2 catalyzed the decomposition of H 2 O 2 to produce endogenous oxygen, which was further sensitized by the Ce6 while being irradiated by a 660 nm laser. Owing to the PTT and CAT-mimicking abilities of IrO 2 @MSN@PDA-BSA(Ce6), the HT-29 cells were almost completely dead after being irradiated by the 808 nm and 660 nm lasers successively (***p < 0.001, versus control). The results of the calcein-AM/PI live/dead staining were similar to those of the CCK-8 cell viability assay. The HT-29 cells in the control group were stained with a strong green uorescence, whereas most HT-29 cells treated with PTT, PDT, enhanced PDT, and PDT/PTT were stained red (Fig. 6b-f). This validates the in vitro therapeutic effect of IrO 2 @MSN@PDA-BSA(Ce6).

In Vivo Combined Tumor Therapy
The in vitro therapeutic effect investigation provides preliminary con rmation that IrO 2 @MSN@PDA-BSA(Ce6) is suitable for multimodal tumor therapy. This was veri ed by the tests conducted on animals.
The variations in the temperatures of the tumor-bearing nude mice that received the material injections were measured using a thermal imaging camera. The ΔT of the control group was only 4.3°C after being subjected to NIR irradiation at 808 mm (5 min), whereas ΔT for the mice injected with the I.V. and I.T. materials were 10.3°C and 20.8°C, respectively. The variation in the temperatures of the mice injected with the I.V. material also proved that IrO 2 @MSN@PDA-BSA(Ce6) could passively accumulate at the tumor site through the EPR effect. The volume of the tumors of the mice belonging to the control group increased to 9.12 times their original values after 28 days of feeding. However, the tumor volumes of the PTT group increased to 2.56 times their original values (***p < 0.001, versus control). This indicates that PTT can kill a few cancer cells while the surviving ones continue to grow. Similarly, the tumor volumes of the PDT group increased to approximately 3.42 times their original values (***p < 0.001, versus control). There was no obvious difference between the tumor volumes of the PDT and PTT groups (p > 0.05). This suggests that a single dose of PTT or PDT produces a certain therapeutic effect. However, the tumors of the mice in the combined therapy group were completely eradicated, irrespective of the material injection method (Figs. 7c and d). This con rms the superior e ciency of the combined tumor therapy of the IrO 2 @MSN@PDA-BSA(Ce6) NPs.