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Wiley, Angewandte Chemie, 25(133), p. 14170-14178, 2021

DOI: 10.1002/ange.202102703

Wiley, Angewandte Chemie International Edition, 25(60), p. 14051-14059, 2021

DOI: 10.1002/anie.202102703

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Transformable Nanosensitizer with Tumor Microenvironment‐Activated Sonodynamic Process and Calcium Release for Enhanced Cancer Immunotherapy

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

AbstractDespite the promise of sonodynamic processes in cancer therapy, existing sonosensitizers often fail to regulate the generation of reactive oxygen species (ROS) against tumors, potentially leading to off‐target toxicity to normal tissues. We report a transformable core‐shell nanosonosensitizer (TiO2@CaP) that reinvigorates ROS generation and dissolves its CaP shell to release Ca2+ in an acidic tumor microenvironment (TME) under ultrasound activation. Thus, TiO2@CaP acts as a smart nanosonosensitizer that specifically induces mitochondrial dysfunction via overloading intracellular Ca2+ ions to synergize with the sonodynamic process in the TME. TiO2@CaP substantially enhances immunogenic cell death, resulting in enhanced T‐cell recruitment and infiltration into the immunogenic cold tumor (4T1). In conjunction with checkpoint blockade therapy (anti‐PD 1), TiO2@CaP‐mediated sonodynamic therapy elicits systemic antitumor immunity, leading to regression of non‐treated distant tumors and inhibition of lung metastasis. This work paves the way to development of “smart” TME‐activatable sonosensitizers with temporospatial control over antitumor responses.