Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer

Abstract Photochemical internalization (PCI) is a promising intervention using photodynamic therapy (PDT) to enhance the activity of chemotherapeutic drugs. However, current bladder cancer treatments involve high‐dose chemotherapy and high‐irradiance PDT which cause debilitating side effects. Moreov...

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Main Authors: Bowen Sun, Juwita Norasmara Bte Rahmat, Han Joon Kim, Ratha Mahendran, Kesavan Esuvaranathan, Edmund Chiong, John S. Ho, Koon Gee Neoh, Yong Zhang
Format: Article
Language:English
Published: Wiley 2022-05-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202200731
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author Bowen Sun
Juwita Norasmara Bte Rahmat
Han Joon Kim
Ratha Mahendran
Kesavan Esuvaranathan
Edmund Chiong
John S. Ho
Koon Gee Neoh
Yong Zhang
author_facet Bowen Sun
Juwita Norasmara Bte Rahmat
Han Joon Kim
Ratha Mahendran
Kesavan Esuvaranathan
Edmund Chiong
John S. Ho
Koon Gee Neoh
Yong Zhang
author_sort Bowen Sun
collection DOAJ
description Abstract Photochemical internalization (PCI) is a promising intervention using photodynamic therapy (PDT) to enhance the activity of chemotherapeutic drugs. However, current bladder cancer treatments involve high‐dose chemotherapy and high‐irradiance PDT which cause debilitating side effects. Moreover, low penetration of light and drugs in target tissues and cumbersome light delivery procedures hinder the clinical utility of PDT and chemotherapy combination for PCI. To circumvent these challenges, a photodynamic‐chemotherapy approach is developed comprising tumor‐targeting glycosylated nanocarriers, coloaded with chlorin e6 (Ce6) and gemcitabine elaidate (GemE), and a miniaturized implantable wirelessly powered light‐emitting diode (LED) as a light source. The device successfully delivers four weekly light doses to the bladder while the nanocarrier promoted the specific accumulation of drugs in tumors. This approach facilitates the combination of low‐irradiance PDT (1 mW cm−2) and low‐dose chemotherapy (≈1500× lower than clinical dose) which significantly cures and controls orthotopic disease burden (90% treated vs control, 35%) in mice, demonstrating a potential new bladder cancer treatment option.
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spelling doaj.art-f61db4600e4545e49928e1e12f6356162022-12-22T02:37:13ZengWileyAdvanced Science2198-38442022-05-01916n/an/a10.1002/advs.202200731Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder CancerBowen Sun0Juwita Norasmara Bte Rahmat1Han Joon Kim2Ratha Mahendran3Kesavan Esuvaranathan4Edmund Chiong5John S. Ho6Koon Gee Neoh7Yong Zhang8Department of Chemical and Biomolecular Engineering College of Design and Engineering National University of Singapore Singapore 117585 SingaporeDepartment of Biomedical Engineering College of Design and Engineering National University of Singapore Singapore 117583 SingaporeDepartment of Electrical and Computer Engineering College of Design and Engineering National University of Singapore Singapore 117583 SingaporeDepartment of Surgery Yong Loo Lin School of Medicine National University of Singapore Singapore 119228 SingaporeDepartment of Surgery Yong Loo Lin School of Medicine National University of Singapore Singapore 119228 SingaporeDepartment of Surgery Yong Loo Lin School of Medicine National University of Singapore Singapore 119228 SingaporeDepartment of Electrical and Computer Engineering College of Design and Engineering National University of Singapore Singapore 117583 SingaporeDepartment of Chemical and Biomolecular Engineering College of Design and Engineering National University of Singapore Singapore 117585 SingaporeDepartment of Biomedical Engineering College of Design and Engineering National University of Singapore Singapore 117583 SingaporeAbstract Photochemical internalization (PCI) is a promising intervention using photodynamic therapy (PDT) to enhance the activity of chemotherapeutic drugs. However, current bladder cancer treatments involve high‐dose chemotherapy and high‐irradiance PDT which cause debilitating side effects. Moreover, low penetration of light and drugs in target tissues and cumbersome light delivery procedures hinder the clinical utility of PDT and chemotherapy combination for PCI. To circumvent these challenges, a photodynamic‐chemotherapy approach is developed comprising tumor‐targeting glycosylated nanocarriers, coloaded with chlorin e6 (Ce6) and gemcitabine elaidate (GemE), and a miniaturized implantable wirelessly powered light‐emitting diode (LED) as a light source. The device successfully delivers four weekly light doses to the bladder while the nanocarrier promoted the specific accumulation of drugs in tumors. This approach facilitates the combination of low‐irradiance PDT (1 mW cm−2) and low‐dose chemotherapy (≈1500× lower than clinical dose) which significantly cures and controls orthotopic disease burden (90% treated vs control, 35%) in mice, demonstrating a potential new bladder cancer treatment option.https://doi.org/10.1002/advs.202200731bladder cancerphotodynamic therapytargeted drug deliverywireless photonics
spellingShingle Bowen Sun
Juwita Norasmara Bte Rahmat
Han Joon Kim
Ratha Mahendran
Kesavan Esuvaranathan
Edmund Chiong
John S. Ho
Koon Gee Neoh
Yong Zhang
Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer
Advanced Science
bladder cancer
photodynamic therapy
targeted drug delivery
wireless photonics
title Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer
title_full Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer
title_fullStr Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer
title_full_unstemmed Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer
title_short Wirelessly Activated Nanotherapeutics for In Vivo Programmable Photodynamic‐Chemotherapy of Orthotopic Bladder Cancer
title_sort wirelessly activated nanotherapeutics for in vivo programmable photodynamic chemotherapy of orthotopic bladder cancer
topic bladder cancer
photodynamic therapy
targeted drug delivery
wireless photonics
url https://doi.org/10.1002/advs.202200731
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