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Gene & Protein in Disease                                       Photothermal therapy of pentamethine cyanine



            CRC incidence rate and mortality rate are among the top   was the only contrast medium authorized by the U.S. Food
            three in the world . Surgical treatment, radiotherapy, and   and Drug Administration. Therefore, the development of
                          [3]
            chemotherapy are the principal clinical treatment methods   new photosensitizers based on the intrinsic multifunctional
            of CRC . However, the common chemotherapeutic drugs,   characteristics of their chemical structure, which do not
                  [4]
            such as fluorouracil and oxaliplatin, have predictable   rely on nanopolymer materials and do not need complex
            hepatotoxicity [5,6] .  Therefore,  it  is  urgent  to  develop  an   chemical connections, significantly improved the potential
            effective and low-toxicity drug for CRC treatment.  of clinical transformation and application, and promoted
              The combination of advanced optical technology and   the prospects of tumor optical therapy.
            tumor treatment provides non-invasive  in  vivo imaging   In the present study, recognizing the potential of cyanine
            and treatment (optical diagnosis and therapy) employing   fluorophore, a unique water-soluble pentamethine cyanine-
            non-ionizing radiation, which brings new understanding   derivative, 1-(4-carboxybenzyl)-2,3,3-trimethylindoleninium-
            and technological innovation to biomedicine, and is   5-sulfonate bromide (CY5-664), was designed and synthesized
            expected to achieve precise treatment of tumors [7,8] .   to investigate the photosensitive activity and to explore its
            Tumor phototherapy is a method of treating cancer with   potential  applications as NIR photosensitizer for CRC
            specific wavelength excitation photosensitizer, including   diagnosis and therapy. An excellent molar extinction
            photothermal therapy (PTT) and photodynamic therapy   coefficient,  a  relatively  higher  quantum  yield,  and  good
            (PDT) [9,10] .  PTT,  based  on  the  theory concerning  the   photostability are exhibited in CY5-664 aqueous solutions.
            absorbed light for heat conversion, has tremendous   CY5-664 inhibits cell viability and exhibits excellent PTT
            potential for efficacious cancer therapy, compared   activity in two types of CRC cell lines in a dose-dependent
            with traditional treatment modalities such as surgery,   manner under NIR laser irradiation. Moreover, it is retained
            radiation therapy, and chemical therapy, due to the non-  preferentially in tumors and significantly inhibits tumor
            invasive therapeutic intervention and precise spatial-  growth in the BALB/c nude mice xenografts bearing
            temporal selectivity [11,12] . PDT is another new strategy   DLD-1  cells under NIR laser irradiation with negligible
            for cancer therapy, accompanied by photosensitizers and   organ toxicity. Therefore, for the 1  time, we found the novel
                                                                                         st
            laser activation. The laser energy is transferred to the   small molecular derivative of cyanine CY5-664 against CRC,
            surrounding oxygen by photosensitizer and highly active   which may be high efficiency and low-toxicity PTT material
            singlet oxygen is produced to kill cancer cells . However,   for image-guided CRC therapy in clinical application.
                                                [13]
            the low oxygen content of the tumor microenvironment
            limits the extensive application of oxygen-dependent   2. Materials and methods
            PDT . Compared with oxygen-dependent PDT, PTT is
                [14]
            oxygen-independent and, therefore, may serve as a more   2.1. Chemicals and reagents
            promising cancer therapy approach. PTT photosensitizer   CY5-664 was synthesized according to the predetermined
            effectively converts the laser energy into thermal energy   synthetic route, and the synthetic routes were shown in
            through absorbing energy in the near-infrared (NIR)   Figure 1A.  H NMR spectra were recorded on a Bruker
                                                                        1
            region and taking advantage of the sensitivity of cancer   AMX-400  spectrometer  (400  MHz;  Bruker,  U.S.A.).
            cells  toward  heat  to  induce  hyperthermia  and  promote   Mass spectral analysis was performed using an MALDI-
            cancer cell necrosis and apoptosis [15,16] .       TOF  mass spectrometer (Applied Biosystems/MDS Sciex,
              Tremendous efforts have been made to obtain high   Foster City, CA, U.S.A.). Fluorescence measurement was
            efficiency and low-toxicity PTT materials. Although a   performed using a Cary Eclipse spectrofluorimeter (Agilent
            large number of polymeric and inorganic nanomaterials   Technologies, U.S.A.) with 5  nm excitation and emission
            have  been  studied  in  the  application  of  PTT,  such  as   slit widths. Absorption spectra were measured using a Jasco
            gold nanoparticles , metal sulfide nanoparticles ,   V-550 spectrophotometer (JASCO International Co., Japan).
                                                        [18]
                            [17]
            and carbon nanomaterials , there are still tremendous   All reagents used for the experiments were of analytical
                                 [19]
            challenges to clinically apply these PTT materials due to the   grade. HSP70 and β-actin antibodies were purchased from
            complex synthetic process, the raised concerns regarding   Servicebio Co. Ltd. (Wuhan, China). MTT assay kit was
            biocompatibility, and the unsolved biosafety problem [16,20] .   purchased from Solarbio Co. Ltd. (Beijing, China). Singlet
            In contrast, NIR heptamethine cyanine fluorophore such   oxygen sensor green (SOSG) detection kit was purchased
            as indocyanine green (ICG) recently received increasing   from Maokangbio Co. Ltd. (Shanghai, China).
            attention in PTT  because of excellent  biocompatibility,   2.2. Cell lines and cell culture
            non-immunogenicity, high fluorescence and photothermal
            conversion efficiency, photostability, tumor-homing, and   As previously described , human CRC cell lines such as
                                                                                  [23]
            commercial-scale production [11,21,22] . Up to the present, ICG   HCT-116 and SW480 were obtained from the cell culture

            Volume 1 Issue 1 (2022)                         2                       https://doi.org/10.36922/gpd.v1i1.87
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