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Gene & Protein in Disease                                                    Cyanine and cancer therapy




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            Figure 6. (A-H) Different small molecule cyanine compounds. These compounds can induce cancer cell apoptosis through PDT, thus exerting anti-tumor activity.

              Wezgowiec et al. proposed the discovery of two cyanine   G0/G1 phase cell cycle arrest and reducing ATP levels.
            compounds,  namely  IR-775 (Figure  6D)  and  IR-786   These  findings indicate that  IR-783 holds  promise as  a
            (Figure  6E), which have been demonstrated to act on   potential new drug for breast cancer treatment [214] . On the
            MCF-7/WT cells through PDT without inducing any side   other hand, Tang et al. and Hou et al. observed that IR-783
            effects on these cells. These compounds hold promise as   reduces the activity of MDA-MB-231 cells and facilitates
            antitumor agents capable of inducing cancer cell apoptosis   apoptosis in breast cancer cells by inducing mitochondrial
            through PDT [210] . In addition, IR-786 demonstrates potential   fragmentation [215,216] . In addition, certain studies have
            as a molecular probe for fluorescent biological imaging [211] .  demonstrated that IR-783 exhibits cancel cell uptake and
                                                               accumulation, targeting brain, prostate, and colon tumors,
              Cai  et al. designed and synthesized three lysosome-  with minimal toxicity to normal tissues [217-219] . Furthermore,
            targeted fluorescent probes, namely, HCL 1 (Figure  6F),   IR-783 can reduce the activity of cancer cells through both
            HCL 2 (Figure  6G), and HCL 3 (Figure  6H), based on   PTT and PDT [220,221] . With its broad-spectrum anticancer
            the structure of Cy7. Lysosomes play a critical role in   activity and specificity for prostate, bladder, and breast
            cell survival and apoptosis. On irradiation, both HCL 1   cancer, IR-783 holds promise as a promising NIRF dye [222,223] .
            and HCL 3 are capable of producing ROS and inducing
            cell apoptosis. Meanwhile, HCL 2 exhibits effective tumor   Cao et al. modified the indocyanine green derivative
            targeting and demonstrates a PDT effect in vivo [212] .  Cy7  with  a  heavy  atom  iodine  to  form  a  new  NIR  dye
                                                               called CyI. Through PPT and PDT, CyI can rapidly and
              PTT, which incorporates both PDT and PTT, has emerged   simultaneously generate ROS and heat, inducing increased
            as a tumor ablation method for treating various types of   cancer cell apoptosis and a higher inhibition rate in deep
            cancer. PDT can enhance the sensitivity of tumor cells to PTT   tumors. Importantly, while maintaining its fluorescence
            by modulating the  tumor  microenvironment.  In  contrast,   characteristics, CyI can be used for non-invasive in vivo
            the heat produced by PTT can increase blood flow, enhance   imaging [188] .
            oxygen supply, and increase the therapeutic efficacy of PDT.
            Therefore, the combined therapy of PDT and PTT can induce   Sun  et al. synthesized the near-infrared fluorescent
            apoptosis of cancer cells by producing high temperature or   small molecule compound IR-817 through the oxidation-
            ROS, thereby exerting an anti-tumor effect [213] .  reduction reaction of IR-808 and choline, providing
                                                               an integrated approach to diagnosis and treatment
              IR-783, a NIF heptamethine cyanine dye with cancer-  (Figure  7B). IR-817 exhibits maximum absorption and
            targeting properties, exhibits anticancer effects (Figure 7A).   emission peaks at 764 nm and 790 – 820 nm, respectively,
            On one hand, as reported by Li  et al., IR-783 inhibits   within  the  NIR  region  (700  –  900  nm).  The  anti-tumor
            the proliferation and migration of breast cancer cells.   mechanism of IR-817 involves promoting the expression of
            It  exerts  a  dose-  and  time-dependent  inhibitory  effect   BAX and inhibiting the expression of Bcl-2 protein, thereby
            on MDA-MB-231 and MCF-7 cancer cells by inducing   increasing the BAX/Bcl-2 ratio and further triggering the


            Volume 2 Issue 4 (2023)                         10                       https://doi.org/10.36922/gpd.2486
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