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Multifunctional theranostic agents have become rather attractive to realize image-guided combination cancer therapy. Herein, we develop a novel method to synthesize Bi2Se3 nanosheets decorated with mono-dispersed FeSe2 nanoparticles (FeSe2/Bi2Se3) for tetra-modal image-guided combined photothermal & radiation tumor therapy. Interestingly, upon addition of Bi(NO3)3, pre-made FeSe2 nanoparticles via cation exchange would be gradually converted into Bi2Se3 nanosheets, on which remaining FeSe2 nanoparticles are decorated. The yielded FeSe2/Bi2Se3 composite-nanostructures were then modified with polyethylene glycol (PEG). Taking advantages of the high r2 relaxivity of FeSe2, the X-ray attenuation ability of Bi2Se3, the strong near-infrared (NIR) optical absorbance of the whole nanostructure, as well as the chelate-free radiolabeling of 64Cu on FeSe2/Bi2Se3-PEG, in vivo magnetic resonance (MR)/computer tomography (CT)/photoacoustic (PA)/position emission tomography (PET) multimodal imaging was carried out, revealing efficient tumor homing of FeSe2/Bi2Se3-PEG after intravenous injection. Utilizing the intrinsic physical properties of FeSe2/Bi2Se3-PEG, in vivo photothermal & radiation therapy to achieve synergistic tumor destruction was then realized, without causing obvious toxicity to the treated animals. Our work presents a unique method to synthesize composite-nanostructures with highly integrated functionalities, promising not only for nano-biomedicine, but also potentially for other different nanotechnology fields.
With the development of material science and nanotechnology, multifunctional nanomaterials have attracted ever-increasing attention in nanomedicine, especially in cancer theranostics. On one hand, the integration of several different imaging functions into a single nano-platform would facilitate multimodal imaging and overcome the limitations of each single imaging modality, so as to achieve more precise diagnosis/prognosis of diseases such as cancer. On the other hand, many multifunctional nanomaterials are also useful in cancer treatment, either serving as drug carriers by loading with therapeutic agents, or destructing tumors with their inherent properties usually under external physical stimuli. For the latter case, nanoparticles containing high-Z elements (e.g. Au, I, Bi, and rare earth elements) which are able to interact with and absorb ionizing radiation could be utilized to enhance the efficacy of radiation therapy (RT), while those with high optical absorbance in the near infrared (NIR) region may convert photon energy into heat to induce photothermal therapy (PTT) of tumors[1d, 8]. The combination of different therapeutic strategies using multifunctional nanomedicine may offer synergistic effects in cancer treatment, so as to effectively treat tumors with decreased therapeutic doses and thus reduced side effects . Moreover, to optimize the therapeutic planning and monitor treatment responses, image-guided therapies have also been developed as a new concept to achieve highly efficient and accurate treatments of cancers[2c, 8j, 10]. Therefore, to this end, there is still much need to construct multifunctional nanostructures via simplified and reliable methods for multimodal image-guided combination tumor therapy.
Bismuth (Bi)-based nanoparticles are one of the promising candidates not only as contrast agents for X-ray computed tomography (CT) imaging, but also as sensitizing agents to enhance the efficacy of RT cancer treatment, due to the high photoelectric absorption coefficient, which is significantly higher than that of the well-known gold-based radiation sensitizers. A number of reports have also uncovered that Bi-containing nanostructures, such as Bi2Se3 nanoplates protected by poly (vinylpyrollidone), showed low in vivo toxicity and could be gradually cleared from the body overtime. Therefore, it would be interesting to develop Bi-based nanostructures integrated with other functional nano-components, so that we may realize different imaging and therapeutic functions via a synergistic manner using one single agent.
In this work, we develop a unique yet simple method to construct a new type of two-dimensional Bi2Se3 nanosheets integrated with magnetic sub-nanostructures for multimodal imaging and combination cancer therapy (Scheme 1). It is found that pre-made FeSe2 nanoparticles upon addition of Bi(NO3)3 under a high temperature would be gradually converted into Bi2Se3 nanosheets via cation exchange, obtaining FeSe2 decorated Bi2Se3 (FeSe2/Bi2S3) which is further modified with polyethylene glycol (PEG). Utilizing the intriguing physical properties of such composite nanostructure, as well as by labeling FeSe2/Bi2Se3-PEG with radioisotope 64Cu via a chelate-free method, in vivo CT, magnetic resonance (MR), photoacoustic (PA), and positron emission tomography (PET) tetra-modal imaging is conducted for tumor-bearing mice. The observed efficient tumor accumulation of FeSe2/Bi2S3-PEG allows us to further use this agent for combined PTT and RT treatments, which are based on the NIR absorbance and X-ray attenuation abilities of such nanostructure, respectively. A remarkable synergistic tumor destruction effect is achieved after intravenous (i.v.) injection of FeSe2/Bi2Se3-PEG and the followed NIR laser & X-ray irradiation. Finally, systematic in vivo toxicology evaluation uncovers no appreciable toxicity of our FeSe2/Bi2S3-PEG to the treated mice over 30 days. Our work here presents a facile cation exchange method to incorporate multiple functionalities into a single Bi-based nanoplatform, which shows great promises in cancer theranostics.
Bi2Se3 nanosheets decorated with FeSe2 nanoparticles (FeSe2/Bi2Se3) were synthesized in a mixed solvent of oleyamine (OM) and 1-octadecene (ODE) under N2 atmosphere via a one-step cation exchange method. Firstly, uniform ultra-small FeSe2 nanoparticles were synthesized after injection of Se/OM into FeCl2 dissolved in OM/ODE mixed solvent at 150 °C. As-synthesized FeSe2 nanoparticles showed uniform sizes with an average diameter of ~ 8 nm as observed under transmission electron microscope (TEM) (Figure 1A). X-ray diffraction (XRD) spectrum further confirmed the orthorhombic ferroselite structure of as-synthesized FeSe2 nanoparticles (Supporting Figure S1). Afterwards, Bi (NO3)3 dissolved in diethylene glycol (DEG) was injected into the above mixture and reacted for another 30 min at 150°C. Interestingly, in the final product, we observed small FeSe2 nanoparticles uniformly decorated on newly formed nanosheets, which had average size and thickness of ~100 nm and ~ 2.6 nm, respectively, as revealed by both TEM imaging and atomic force microscopy imaging (Figure 1B, Supporting Figure S2). X-ray diffraction (XRD) analysis was also performed to further investigate the structural information of the whole nanostructures. As showed in Figure 1C, the representative diffraction peaks matched well with the standard pattern of FeSe2 (JCPDS card No. 21-0432) and Bi2Se3 (JCPDS card No. 33-0214), suggesting the co-existence of FeSe2 and Bi2Se3 nanostructures in the obtained nano-composite. Under high-resolution TEM (HR-TEM) imaging (Figure 1B, inset), we observed clear lattice spacing at 0.305 nm and 0.26 nm, which should belong to the (1, 1, 1) plane of FeSe2 and the (0, 0, 6) plane of Bi2Se3, respectively. High-angle annular dark field scanning transmission electron microscopy (HADDF-STEM-EDS) elemental mapping also confirmed that FeSe2 nanoparticles were decorated on the newly generated Bi2Se3 nanosheets (Figure 1D, Supporting Figure S3). Moreover, in the X-ray photoelectron spectroscopy (XPS) spectra of the obtained composite-nanostructure (Supporting Figure S4), characteristic peaks of Bi, Fe, and Se were observed.
To understand the mechanism of how FeSe2 nanoparticles are transformed into FeSe2/Bi2Se3 particle-sheet composite-nanostructures, we carefully studied how the synthesis parameters would affect the formation of nanocomposites. Interestingly, we found that the density of FeSe2 nanoparticles decorated on the surface of the Bi2Se3 nanosheets could be tuned by changing the amount of added Bi(NO3)3 (Figure 2A, Supporting Figure S5). With a small amount of Bi3+ added (at the Bi : Fe ratio of 0.2 : 1), Bi2Se3 nanosheets were immediately formed with FeSe2 nanoparticles decorated on their surface. As the further increase of added Bi3+, the density of FeSe2 nanoparticles on the formed nanosheets reduced. Notably, if excess Bi3+ was added, all FeSe2 nanoparticles were completely disappeared, with only large Bi2Se3 nanosheets left. In the meanwhile, prolonging of reaction time would also be favorable for the conversion of FeSe2 nanoparticles into Bi2Se3 nanosheets. XRD spectra were also used to monitor the whole process (Figure 2B). It could be found that the intensities of FeSe2 nanoparticles decreased only by a little with small amounts of Bi3+ were added (at the Bi : Fe ratios of 0.2 : 1 and 0.5 : 1) (Supporting Figure S6a&6b). However, the FeSe2-characterstic peaks became rather weak at the Bi : Fe ratio of 1.5 : 1, and completely disappeared at the Bi : Fe ratio of 2 : 1, after reaction for 30 min at 150 °C (Supporting Figure S6c&6d), consistent with the TEM results. The exact Bi : Fe ratios in the FeSe2/Bi2Se3 composite-nanostructures were measured to be 0.21 : 1, 0.4 : 1, 0.95 : 1, 4.1 : 1, and 24 : 1 prepared with the feeding Fe to Bi ratios at 0.2 : 1, 0.5 : 1, 1 : 1, 1.5 : 1 and 2 : 1, respectively, for products obtained after 0.5 h of reaction (Figure 2C). In our followed experiments, we chose FeSe2/Bi2Se3 prepared at the feeding Bi: Fe ratio of 1 : 1 (30 min of reaction time) for further studies.
Based on the above experimental results, we proposed a mechanism for the growth of FeSe2/Bi2Se3 nanostructures as follows (Figure 2D). Firstly, when uniform FeSe2 nanoparticles are synthesized, excessive Se remains existed in the system after the reaction. After Bi3+ is added into this system, Bi2Se3 nanosheets are formed immediately due to excessive Se. However, after more Bi3+ is introduced into the reaction system, free Se would be completely consumed. After that point, those pre-made FeSe2 nanoparticles could act at a Se donor to allow the formation of Bi2Se3 nanosheets, owing to the fact that the bond dissociation energy (BDE) of Fe-Se (BDE < 239 ± 9.2) is much lower than that of Bi-Se (BDE = 280.3 ± 5.9). Such cation exchange of Fe2+ by Bi3+ in their respective selenides occurs on the interface between FeSe2 and Bi2Se3, therefore these two components are attached together in formed composite-nanostructure. Further increase of added Bi3+ would lead to the complete dissolution of FeSe2 nanoparticles, leaving pure Bi2Se3 nanosheets with large sizes in the final product. Cation exchange reaction has emerged as a new strategy for the fabrication of nanomaterials via post-synthetic chemical modification. The cations of a pre-synthesized nanocrystal can be partially or completely replaced by new guest cations, often with preservation of its size, shape, and, in some cases, even crystal structure. The observed morphology change of FeSe2/Bi2Se3 nanostructure after cation exchange may be accounted for the changes in the crystal unit cell symmetry and lattice parameters of FeSe2 and Bi2Se3 during the transformation, just like the transformation of CdSe nanorods into Ag2Se nanostructures with different morphologies [14b]. We also hypothesize that since FeSe2 and Bi2Se3 have quite different crystalline structures, FeSe2 nanoparticles would be on the surface of Bi2Se3 nanosheets instead of doping in the nanosheets.
Next, we functionalize as-made FeSe2/Bi2Se3 with a PEG-grafted amphiphilic polymer. After PEGylation, the obtained FeSe2/Bi2Se3-PEG with an average hydrodynamic size at ~140 nm exhibited great stability in various physiological solutions including saline, cell medium, and serum (Figure 3A, inset, Supporting Figure S7). Moreover, with such biocompatible PEG coating, our FeSe2/Bi2Se3-PEG showed no significant in vitro cytotoxicity to cells even under high nanostructure concentrations (Supporting Figure S8).
The physical properties of FeSe2/Bi2Se3-PEG were then studied in detail. High optical absorbance in a wide spectrum range from 700~1000 nm was observed for FeSe2/Bi2Se3-PEG (Figure 3A). The mass extinction co-efficient of FeSe2/Bi2Se3-PEG at 800 nm was measured to be 34.5 Lg−1cm−1, which was much higher than that of graphene oxide (GO, 3.6 Lg−1cm−1), reduced graphene oxide (21.1 L g−1cm−1)[8a], MoS2 nanosheets (29.2 L g−1cm−1), and WS2 nanosheets (23.8 L g−1cm−1)[8i]. As expected, owing to its high NIR absorbance, FeSe2/Bi2Se3-PEG showed a strong photothermal conversion efficiency and could be effectively heated up under exposure to an 808-nm NIR laser (Figure 3B, Supporting Figure S9). After laser irradiation for half an hour, we did not find any obvious decay in its NIR absorbance, indicating the high photo-stability of such FeSe2/Bi2Se3-PEG agent (Supporting Figure S10).
As far as the magnetic property of such composite-nanostructure is concerned, the absence of a hysteresis loop in the field-dependent magnetization measurement illustrated the superparamagnetic nature of FeSe2/Bi2Se3-PEG (Supporting Figure S11). T2-weighted MR images of a series of concentrations of FeSe2/Bi2Se3-PEG solutions acquired by a 3T MR scanner revealed the concentration-dependent darkening effect (Figure 3C). The transverse relaxivity (r2) of FeSe2/Bi2Se3-PEG was calculated to be 136.68 mM−1S−1(Figure 3D), which was higher than that of Fe3O4 (99.6 mM−1S−1), and other Fe-based clinical contrast agents (72 mM−1S−1 for Ferumoxsil, 151 mM−1S−1 for Ferrixan, and 98.3 mM−1S−1 for Ferumoxide), promising the use of FeSe2/Bi2Se3-PEG as a T2-MR contrast agent.
On the other hand, since Bismuth (Bi) processes larger X-ray absorption coefficient than that of other reported and extensively applied elements (Bi : 5.74, Au : 5.16, W : 4.44, and I : 1.94 cm−2 kg−1 at 100 keV), it is expected that FeSe2/Bi2Se3-PEG could also provide strong contrast under CT imaging. With increasing nanostructure concentrations, the CT signals of FeSe2/Bi2Se3-PEG solutions were enhanced (Figure 3E). Meanwhile, the Hounsfield Unit (HU) values of FeSe2/Bi2Se3-PEG followed a good linear relation with Bi concentrations (Figure 3F). Therefore, the inherent physical properties of FeSe2/Bi2Se3-PEG are promising to offer contrasts under a variety of imaging modalities.
Next, we would like use FeSe2/Bi2Se3-PEG as a multiple imaging contrast agent by taking advantages of its abovementioned physical properties. Magnetic resonance (MR) imaging can provide excellent soft-tissue morphological details together with functional information on lesions with high spatial resolution[2b, 20]. Mice bearing 4T1 tumors were i.v. injected with FeSe2/Bi2Se3-PEG (dose=20 mg/kg) and imaged by 3T clinical MR scanner equipped with a small animal imaging coil. Remarkable darkening effect in the tumor of injected mice was observed after 24 h (Figure 4A&4C), suggesting the high passive tumor uptake of FeSe2/Bi2Se3-PEG likely via the enhanced permeability and retention (EPR) effect of cancerous tumors.
X-ray computed tomography (CT) is featured with the advantages of high resolution, no depth limitation, and the capability for three-dimensional (3D) reconstruction. Then the in vivo CT imaging was conducted by administrating FeSe2/Bi2Se3-PEG via i.v. injection route into 4T1 tumor-bearing mice. As showed in Figure 4B, it was found that the HU values in the liver and tumor increased obviously after FeSe2/Bi2Se3-PEG injection (Figure 4C), consistent to the MR imaging results.
Photoacoustic imaging (PA), which is a relatively new biomedical imaging modality developed based on the photoacoustic effect of light-absorbers, offers remarkably increased imaging depth and spatial resolution compared to traditional in vivo optical imaging. With strong NIR absorbance, FeSe2/Bi2Se3-PEG could also serve as a contrast agent for in vivo PA imaging. Mice bearing 4T1 tumors were i.v. injected with FeSe2/Bi2Se3-PEG (2 mg/mL, 200 μL) and imaged under a PA imaging system (excitation wavelength = 800 nm). As shown in Figure 4D&4E, the initial PA signal in the tumor site before injection was rather weak. After injection of FeSe2/Bi2Se3-PEG nanostructures, the PA signal in tumor tissue became stronger over time due to the passive tumor accumulation of nanoparticles. The whole tumor was brightened up later on, indicating that a large amount of FeSe2/Bi2Se3-PEG nanoparticles were homogenously accumulated inside the tumor.
Nuclear imaging techniques such as PET offers great imaging sensitivity incomparable by other imaging modalities, and have been extensively used as a molecular imaging tool for disease diagnosis and prognosis . The majority of biomolecules or nanoparticles are labeled with isotopes with the help of chelator molecules such as 1,4,7-triazacyclononane-1,4,7-triaceti acid (NOTA) or 1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA). Reliable chelator-free radiolabeling techniques have recently emerged as a promising alternative approach to label nanoparticles in a simple way. Considering the high affinity between copper and chalcogen atoms, we thus hypothesized that our FeSe2/Bi2Se3 might be labeled with 64Cu via a chelator-free approach.
In our experiments, 64Cu labeling was straightforwardly executed by mixing 64CuCl2 with FeSe2/Bi2Se3-PEG at 37°C for 1h under constant shaking (Figure 5A). We found that 64Cu was immediately adsorbed by FeSe2/Bi2Se3-PEG as detected by thin-layer chromatography (TLC), with the labeling yield measured to be as high as 95% after 1 h of incubation (Figure 5B, Supporting Figure S12). Moreover, the 64Cu labeling in 64Cu-FeSe2/Bi2Se3-PEG was also found to be relatively stable in serum within 24 h (Figure 5C), with ~ 16 % of 64Cu released from the system. Such a highly efficient and stable chelator-free labeling method is possibly due to the anchoring of Cu2+ on the Bi defect sites of on the FeSe2/Bi2Se3 nanostructures. PET scans of 4T1 tumor-bearing mice were then performed using a microPET Inveon rodent model scanner at various time points post i.v. injection of 64Cu-FeSe2/Bi2Se3-PEG (5~10 MBq). Obvious tumor contrast was observed after injection of 64Cu-FeSe2/Bi2Se3-PEG, and reached to a rather high level in 6 hours, suggesting efficient tumor retention of those nanostructures due to the EPR effect of cancerous tumors (Figure 5D&5E), in good agreement with the previous MR/CT/PA imaging results (Supporting Figure S13) and microscope images of Prussian blue stained tumor slices (iron staining, Supporting Figure S14).
From the above results, our synthesized FeSe2/Bi2Se3-PEG could be successfully used as a MR/CT/PA/PET tetra-modal imaging contrast agent. Each imaging modality has its own unique advantages along with intrinsic limitations. For example, MRI/CT imaging have their disadvantages such as relatively low sensitivity, while PA imaging has limited depth penetration. PET imaging, although sensitive enough, is not able to provide anatomy information during imaging[2a]. To solve this problem, multimodal imaging is a powerful method that can provide more reliable and accurate detection of diseased sites. While MR and CT imaging techniques offer 3D images with anatomic information, PET imaging would be able to qualify the tumor retention of nano-agents in real-time. In the meanwhile, PA imaging with high spatial resolution may be used to investigate the detailed intratumoral distribution of nanoparticles, useful for the better prediction/understanding of therapeutic effects. Therefore, the combination of those different imaging modalities would be of great importance to provide valuable information for better therapeutic planning.
Considering the strong NIR absorbance of FeSe2/Bi2Se3, we next tested the in vitro photothermal performance of FeSe2/Bi2Se3-PEG under NIR laser exposure. 4T1 cells were incubated with different concentrations of FeSe2/Bi2Se3-PEG for 6 h and then irradiated by the 808-nm laser for 5 min at the power density of 0.8 W/cm2. Cell viability assay was conducted to determine the cancer cell killing efficiency of PTT at different concentrations of FeSe2/Bi2Se3-PEG (Figure 6A). As expected, enhanced cancer cell ablation was observed as the increase of nanoparticle concentrations. Confocal fluorescent images of Calcine AM and propidium iodide (PI) co-stained cells further confirmed the effective and specific photothermal ablation of 4T1 cells induced by FeSe2/Bi2Se3-PEG (Figure 6B), demonstrating that our FeSe2/Bi2Se3-PEG could be used as an effective PTT agent.
Next, we wondered whether FeSe2/Bi2Se3-PEG with strong X-ray attenuation ability would be able to enhance radiotherapy triggered by ionizing radiation such as X-ray. A sequence variant of histone H2A called H2AX is one of the key components of chromatin involved in DNA damage response induced by different genotoxic stresses. Phosphorylated H2AX (γ-H2AX) would be rapidly concentrated in chromatin domains around DNA double-strand breaks (DSBs) after the action of ionizing radiation or chemical agents. γ-H2AX foci could be easily detected in cell nuclei using immunofluorescence microscopy that allowed to use γ-H2AX as a quantitative marker of DSBs in various applications . Immunofluorescent images, as showed in Figure 6C, revealed low levels of γ-H2AX fluorescent spots in PBS treated after X-ray irradiation, as well as cells incubated with FeSe2/Bi2Se3-PEG in the absence of X-ray irradiation. In contrast, the cells irradiated in the presence of FeSe2/Bi2Se3-PEG exhibited a noticeably higher density of γ-H2AX foci, indicating higher number of DNA double-strand breaks. Furthermore, the clonogenic survival assay (Figure 6D, Supporting Figure S15) demonstrated a decrease of viable cell colonies after treatment with FeSe2/Bi2Se3-PEG and X-ray irradiation, compared to those receiving irradiation alone. The radiation enhancement is regarded to be the photoelectric effect and Compton scattering of Bi from FeSe2/Bi2Se3-PEG, which once engulfed by tumor cells could absorb and concentrate the radiation dose to enhance the radiation-induced cell damage.
Considering the capability of FeSe2/Bi2Se3-PEG to induce in vitro PTT and enhance in vitro RT, as well as the effective in vivo tumor retention of those nanoparticles by the EPR effect, we then would like to use FeSe2/Bi2Se3-PEG for in vivo cancer treatment, aiming at the synergistic therapeutic outcome with PTT and RT combined together. According to the above PET/PA/MRI/CT tetra-modal imaging results, we conducted PTT and RT at 24 h p.i., at which time point nanoparticles showed the highest tumor accumulation, in order to achieve the optimized therapeutic outcomes. After being i.v. injected with FeSe2/Bi2Se3-PEG for 24 h (2 mg/mL, 200 μL for each mouse), mice bearing 4T1 tumors were anesthetized and exposed to the 808-nm laser at the power density of 0.5 W/cm2. An infrared (IR) thermal mapping apparatus was used to record the temperature change in the tumor area under NIR irradiation. From mice i.v. injected with FeSe2/Bi2Se3-PEG, their tumors surface temperature rapidly increased from ~28 °C to ~46 °C within 1 min of laser irradiation and kept at this temperature for 10 min (Figure 7A&B). In comparison, the tumors on mice with PBS injection under the same irradiation condition showed no significant heating effect.
Next, the in vivo cancer treatment efficacy of combination therapy induced by FeSe2/Bi2Se3-PEG was evaluated. Mice bearing 4T1 tumors (volume ~70 mm3) were randomly divided into seven groups (n= 5 per group): (i) untreated control, (ii) Laser only, (iii) i.v. injected with FeSe2/Bi2Se3-PEG, (iv) i.v. injected with FeSe2/Bi2Se3-PEG + NIR, (v) RT only, (vi) i.v. injected with FeSe2/Bi2Se3-PEG +RT, (vii) i.v. injected with FeSe2/Bi2Se3-PEG+NIR+RT. The doses of FeSe2/Bi2Se3-PEG were fixed at 20 mg/kg in the above groups. PTT was introduced by 808-nm light irradiation with a power density of 0.5 W/cm2 for 10 min, while the X-ray radiation dose for RT was fixed at 4 Gy. As expected, i.v. injection of FeSe2/Bi2Se3-PEG with mild photothermal heating showed no appreciable effect to the tumor growth (group iv) (Figure 7C). The efficacy of RT with X-ray irradiation of tumors, although could be partly enhanced by i.v. injection with FeSe2/Bi2Se3-PEG, was still not satisfactory (group vi and vii). In marked contrast, tumors on mice after FeSe2/Bi2Se3-PEG injected and combined PTT+RT showed significantly delayed tumor growth (group vii), demonstrating the obvious advantage and synergistic effect of the combined RT & PTT in comparison to mono-therapies (Supporting Figure S16).
The anti-tumor efficacies of different treatments were further assessed by hexatoxylin and eosin H&E staining (Figure 7D). While the tumors in FeSe2/Bi2Se3-PEG treated mice were only partially destroyed after irradiating with either NIR laser (group iv) or X-ray (group vi), for the combination therapy with FeSe2/Bi2Se3-PEG + X-ray + NIR treatment, the tumor cells were severely destructed, as indicated by more vacuoles, condensed nuclei, and changed cell shapes found in this group. The synergistic therapeutic effects of the combined PTT&RT may be attributed to be as follows: The Bi atoms in the FeSe2/Bi2Se3 nanostructures possess a strong photoelectric absorbance capacity, and are able to generate numerous short-range secondary electrons under X-ray radiation to accelerate the DNA breaking. On the other hand, under the mild photothermal triggered by FeSe2/Bi2Se3-PEG, the overall tumor oxygenation status could be improved, thus leading to a radiation enhancement effect during RT.
Investigation of toxicity and clearance of new materials is important for possible medical applications. To investigate whether FeSe2/Bi2Se3-PEG would result in any side effect, we then conducted a series of experiment in vivo, including the biodistribution and blood biochemistry analysis. Healthy mice (5 per group) i.v. injected of FeSe2/Bi2Se3-PEG (2 mg/mL, 200 μL), were scarified at the 7th, 14th, and 30th day, with their main organs harvested for biodistribution study, which was based on ICP-AES measurement of Bi levels in solubilized organs (Figure 8A). The Bi levels were found to be as high as 15.5 ± 2.7 % of the injected dose per gram tissue (%ID/g) in the liver, 36.4 ± 8.7 %ID/g in the spleen, and 0.9 ± 0.3 %ID/g in the kidney at 7 days post injection (p.i.). After 30 day, the Bi levels decreased to 2.3 ±1.5 %ID/g in the liver, 5.9 ± 2.6 %ID/g in the spleen, and 0.6 ± 0.4% ID/g in the kidney. Such time-dependent clearance is similar to findings in a previous work reporting that Bi2Se3 nanoplates protected by poly (vinylpyrollidone) could be gradually metabolized by the liver and get excreted from the body overtime[12a]. Prussia blue staining of spleen slices also evidenced the gradual clearance of Fe element from mice i.v. injected with FeSe2/Bi2Se3-PEG (Figure 8B). It is proposed that nanoparticles less than 5~6 nm can be quickly cleared through the kidney while large-sized nanoparticles above 50 nm maybe undergo a much slower excretion by the liver via the bile duct into feces. It is possible that FeSe2/Bi2Se3 nanostructures after being engulfed by Kupffer cells in RES organs may be gradually decomposed into small complexes to facilitate such relatively rapid excretion, which is obviously favorable to eliminate potential long-term toxicities.
Next, we performed the standard biochemistry examination with the mice treated by the FeSe2/Bi2Se3-PEG at the different time points. The serum biochemical parameters including alanine transaminase (ALT), aspartate transaminase (AST), and blood urea nitrogen (BUN), as well as standard hematology markers, were both tested (Figure 8C&8D, Supporting Table S1). During the whole treatment, we did not find any toxicity to the mice after injection FeSe2/Bi2Se3-PEG. Finally, we collected liver, spleen, kidney, heart, and lung for H&E staining (Supporting Figure S17). No significant organ damage was observed in those organs from mice treated with FeSe2/Bi2Se3-PEG within 30 days. Considering the very little retention of Bi and Fe after 30 days, it may be reasonable to predict that such FeSe2/Bi2Se3-PEG may be a relatively safe agent to mice at our tested dose.
In summary, FeSe2/Bi2Se3 nanostructures are successfully synthesized via cation exchange in this work and used for multimodal imaging and synergistic tumor therapy. By carefully changing the amount of added Bi, the density of FeSe2 nanoparticles decorated on the surface of the Bi2Se3 nanosheets could be tuned. After PEGylation, FeSe2/Bi2Se3-PEG exhibits excellent compatibility in various physiological solutions. With a high r2 relaxivity, strong X-ray and NIR absorbance, as well as the chelate-free radiolabeling by 64Cu, such composite-nanostructure is able to offer contrasts in tetra-modal MR/CT/PA/PET imaging, which vividly illustrates efficient tumor homing of FeSe2/Bi2Se3-PEG after i.v. injection. Again utilizing the intrinsic physical properties of FeSe2/Bi2Se3-PEG, in vivo photothermal & radiation therapy with a remarkable synergistic tumor destruction effect is realized. The relatively rapid excretion with little retention after 30 days upon systemic administration, together with the observed no appreciable toxic side effect are also promising for their further in vivo applications. Therefore, our work presents a new class of two-dimensional composite-nanostructure with highly integrated functions interesting in cancer theranostics. Moreover, the general method developed in this work may be applied to the synthesis of other types of composite-nanostructures not only for applications in biomedicine, but also potentially useful in catalyst, energy storage, and other different fields.
All the chemical reagents, unless specified, were purchased and used without further purification. Iron (II) chloride tetrahydrate (FeCl2·4H2O), Bismuth (III) nitrate pentahydrate (Bi(NO3)·5H2O), Oleylamine (OM), 1-Ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC), triethylamine (TEA) and 1-octadecene (ODE) were purchased from Sigma-Aldrich. Diethylene glycol (DEG) and Senium powder (Se) were obtained from Sinopharm Chemical Reagent Co., Ltd. (China). Poly (maleic anhydride-alt-1-octadecene) (C18PMH) polymers were purchased from Sigma-Aldrich and mPEG-NH2 (MW=5K) were obtained from Biomatrik Co., Ltd (Jiaxing, China). Deionized water used in our experiments was obtained by using a Milli-Q water system.
FeSe2/Bi2Se3 nanostructures were prepared by a one-step cation exchange method. In brief, 15mL oleyl amine (OM) and 10 mL octadecene (ODE) were added to a three-necked flask (50 mL) at room temperature. The solution was heated to 120 °C under nitrogen protection and kept under this temperature for 30 min. Then 1 mmol FeCl2·4H2O was quickly added to the above solution followed by vigorous magnetic stirring for 30 min. Next, An Se/OM solution prepared by dissolving 2 mmol of Se powder in 4 ml of OM was slowly injected into the flask at 150 °C within 10 min. Then reaction was kept at 150 °C for another 30 min to generate FeSe2 nanoparticles. After that, Bi/DEG solutions prepared by dissolving Bi (NO3)3·5H2O in 4 ml of diethylene glycol (DEG) with different concentrations (0.2, 0.5, 1, 1.5 and 2 mmol) were then injected into the above flask at 150 °C within 10 min. The reaction was kept at 150 °C for another 30 min. After the reaction, the products were cooled to room temperature. To precipitate the generated FeSe2/Bi2Se3 nanostructures, excess ethanol was added. FeSe2/Bi2Se3 nanostructures were then collected by centrifugation at 14800 round-per-min (rpm) and washed repeatedly with hexane and ethanol. The final product was dispersed in ethanol and stored at 4°C for future use.
C18PMH-PEG was synthesized following a literature procedure. 4 ml stock solution of FeSe2/Bi2Se3 (5 mg/mL) was precipitated by centrifugation, washed twice with ethanol, and then dispersed in chloroform, into which another solution of 50 mg C18PMH-PEG polymer in 2 ml chloroform was added. The mixture was stirred for 4 h. After blowing-dry chloroform, the residue was readily dissolved in water. The resultant solution was centrifuged at 14800 rpm to remove large aggregates and gotten FeSe2/Bi2Se3-PEG solution.
The phase and crystallography of the products were characterized by using a PANalytical X-ray diffractometer equipped with Cuka radiation (λ=0.15406 nm). A scanning rate of 0.05 °S−1 was applied to record the patterns in the 2θ range of 10–80°. Transmission electron microscopy (TEM) images of the nanostructures were obtained using a FEI Tecnai F20 transmission electron microscope. Atomic force microscopy (AFM) images were taken by MultiMode V atomic force microscopy (Veeco, USA). X-ray photoelectron spectra (XPS) was performed on an SSI S-Probe XPS Spectrometer. UV-vis-NIR spectra were obtained with PerkinElmer Lambda 750 UV-vis-NIR spectrophotometer. The dynamic diameter of FeSe2/Bi2Se3-PEG solution was determined by a Zetasizer Nano-ZS (Malvern Instruments, UK). Concentrations of Fe and Bi were measured by inductively coupled plasma atomic emission spectroscopy (ICP-AES).
4T1 murine breast cancer cells were cultured in the standard cell culture medium recommended by American type culture collection (ATCC) supplemented with 10% FBS and 1% penicillin/streptomycin at 37°C in a 5% CO2-containing atmosphere. Cells seeded into 96 well plates at a density of 1*104 cells per well were incubated with different concentrations of FeSe2/Bi2Se3-PEG nanostructures for 24 h. Relative cell viabilities were determined by the standard 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay.
Balb/c mice were obtained from Nanjing Peng Sheng Biological Technology Co. Ltd. and used under protocols approved by Soochow University Laboratory Animal Center. The 4T1 tumors were generated by subcutaneous injection of 1*106 cells in ~30 μL serum-free RMPI-1640 medium onto the back of each female Balb/c mice.
For T2-MR imaging, tumor-bearing mice were intravenously injected with FeSe2/Bi2Se3-PEG (200μl, 2 mg/mL). T2-weighted MR images were taken on a 3T clinical MRI scanner (Bruker Biospin Corporation, Billerica, MA, USA) equipped with small animal imaging coil. T2-weighted images were acquired using the following parameters: TR 2000 ms; TE 106.4 ms; slice thickness 2.0 mm; slice spacing, 0.2 mm; matrix, 224×192; FOV 10 cm×10 cm.
For CT imaging, FeSe2/Bi2Se3-PEG solutions of different concentrations ranging from 1 to 10 mg/mL were placed in 0.5 mL tubes. Images were obtained and data were analyzed by recording the Hounsfield units (HUs) for regions of interest (ROI). CT images were reconstructed with CT values calculated from raw data using 3D-Med software. For in vivo studies, the tumor-bearing mice were anesthetized by isoflurane. Then, 200 μL of FeSe2/Bi2Se3-PEG solution (5 mg/mL) were i.v. injected. CT images were acquired before and 24 h after FeSe2/Bi2Se3-PEG administration.
PA imaging was performed with a preclinical photoacoustic computed tomography scanner (Endra Nexus 128, Ann Arbor, MI). During our experiments, anesthesia was maintained using isoflurane. The body temperature of the mice was maintained by using a water heating system at 37.5°C. 4T1 tumor-bearing mice were i.v. injected with FeSe2/Bi2Se3-PEG solution prior to imaging (2 mg/mL, 200 μL).
64Cu was produced with an onsite cyclotron (GE PETtrace). 64CuCl2 (150 MBq) was diluted in 300 μL of 0.1 M sodium acetate buffer (pH 5.5) and mixed with 30 μL of FeSe2/Bi2Se3-PEG (1 mg/mL). The reaction was conducted at 37 °C for 60 min with constant shaking. The labeling yield was determined by thin-layer chromatography (TLC) at different time points. The resulting 64Cu-FeSe2/Bi2Se3-PEG was purified by a PD-10 column using PBS as the mobile phase.
Serum stability study was carried out to ensure 64Cu is stably attached on FeSe2/Bi2Se3-PEG for in vivo PET imaging. 64Cu-FeSe2/Bi2Se3-PEG was incubated in PBS and complete serum at 37 °C for up to 24 h. At different time points, portions of the mixture were sampled and filtered through 100 kDa MWCO filters. The radioactivity that remained on the filter was measured after discarding the filtrate. The retained (i.e., intact) 64Cu on FeSe2/Bi2Se3-PEG was calculated using the equation (radioactivity on filter/total sampled radioactivity × 100%).
For PET imaging, 4T1 tumor-bearing mice (3 mice per group) post i.v injection of 5~10 MBq of 64Cu-FeSe2/Bi2Se3-PEG solution were performed using a microPET/microCT Inveon rodent model scanner (Siemens Medical Solutions USA, Inc.). Data acquisition, image reconstruction, and ROI analysis of the PET data were performed as described previously.
4T1 cancer cells at a density of 1*104 cells per well were incubated with various concentrations of FeSe2/Bi2Se3-PEG for 6 h and then irradiated by an 808-nm laser at the power density of 0.8 W/cm2 for 5 min. The cells were stained with Calcein-AM and propidium iodide (PI) for 15 min, washed with PBS, and then imaged by a Confocal fluorescence microscope (Leica).
For clonogenic assay, 4T1 cells were cultured in 6-well plate at a density of 1*103 cells per well and incubated at 37 °C for 24 h. Then the cells were treated with FeSe2/Bi2Se3-PEG (30 μg/mL). Untreated cells were used as the control. After 6 h of incubation, the cells were then received irradiation of X-ray with specified radiation doses (0, 2, 4, and 6 Gy). The cells were washed with PBS (pH=7.4) and further incubated at 37 °C for 10 days, before they were fixed with anhydrous ethanol and stained with Crystal violet (CV, Sigma-Aldrich). The resulting colonies were counted only if it contained more than 50 cells. The surviving fraction = (surviving colonies)/(cells seeded × plating efficiency). The mean surviving fraction was obtained from three parallel tests.
For γ-H2AX immunoflourescence analysis, 4T1 cells seeded in 12-well plate were incubated with FeSe2/Bi2Se3-PEG (0 or 30 μg/mL) for 6 h, and then irradiated with X-ray at the dose of 4 Gy. After 2 h of incubation, the cells were fixed by 4 % of paraformaldehyde for 10 min and then rinsed in PBS (pH=7.4). Then the cells were permeabilizated with methanol for 15 min at −20 °C and rinsed in PBS. The cells were exposed to a blocking buffer (1% BSA in PBS solution) for 1h at room temperature and subsequently further incubated with the primary antibody (mouse monoclonal anti-phospho-histone γ-H2AX, 1:500 in PBS containing 1% BSA) overnight at 4°C. After PBS washing, the cells were incubated with the secondary antibody (sheep anti-mouse Cy633, 1:500 in PBS containing 1% BSA) for 1 h at room temperature. Excess dye-labeled antibody was removed by rinsing the coverslips in PBS. Cell nuclei were stained by DAPI for 5 min at room temperature. The cells were imaged using a confocal fluorescence microscopy (Leica SP5).
To development the tumor model, 4T1 cells (1×106) suspended in 30 μL of PBS were subcutaneously injected into the back of each Balb/c mouse. After the tumor volume reached ~70 mm3, mice were randomly divided into seven groups (n = 5 per group) for various treatment: Control (i), FeSe2/Bi2Se3-PEG injected (ii), Laser only (iii), FeSe2/Bi2Se3-PEG+Laser (iv), RT only (v), FeSe2/Bi2Se3-PEG+RT (vi), and FeSe2/Bi2Se3-PEG+ Laser + RT (vii). FeSe2/Bi2Se3-PEG at the dose of 20 mg/kg was i.v. injected into mice bearing 4T1 tumors. PTT or RT treatments were conducted 24 h later, with the 808-nm NIR laser (Hi-Tech Optoelectronics Co., Ltd. Beijing, China) at the power density of 0.5 W/cm2 for 10 min, or the X-ray irradiation at the dose of 4 Gy, respectively. The tumor surface temperatures were recorded by an IR thermal camera (IRS E50 Pro Thermal Imaging Camera). The tumor sizes were measured by a caliper every the other day and calculated as the volume = (tumor length) × (tumor width)2/2. Relative tumor volumes were calculated as V/V0 (V0 was the initial tumor volume). Two days after treatment, the tumors in group (i), (iv), (vi), and (vii) were dissected to make paraffin sections for further hematoxylin and eosin (H&E) staining.
Healthy Balb/c mice were i.v. injected with FeSe2/Bi2Se3-PEG (200 μL, 20 mg/kg) and sacrificed at various time points (1 day, 7 days, 14 days, and 30 days p.i., five mice per time point) after injection. Another five healthy Balb/c mice were used as the control. Before the mice were euthanatized, blood samples (~ 1 mL) were collected and sent to Shanghai Research Center of Biomodel Organism for blood panel analysis and blood chemistry test. Major organs of those mice were harvested and divided into two halves for biodistribution measurement and histological examination, respectively. For biodistribution measurement, major organs, including liver, spleen, kidney, heart, lung, stomach, intestine, skin, muscle and bone, from mice treated with and without FeSe2/Bi2Se3-PEG solution were solubilized by aqua regia for ICP-AES measurement to determine bismuth levels in various organs. For histological examination, organs from the treated groups and the control group were fixed in 4% formalin and then conducted with paraffin embedded sections for H&E staining. The slices were examined and observed by a digital microscope (Leica QWin).
This work was supported by the National Natural Science Foundation of China (51302180, 51572180), the National “973” Program of China (2012CB932601), a Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions, and the Post-doctoral science foundation of China (2013M531400, 2014T70542, 2014M561706). L. Cheng also acknowledges the Collaborative Innovation Center of Suzhou Nano Science and Technology (Nano-CIC) for the fellowship of “Young Scientists Overseas Exchanges And Cooperation Program”. Weibo Cai was supported by the University of Wisconsin-Madison, the National Institutes of Health (NIBIB/NCI 1R01CA169365 and P30CA014520), and the American Cancer Society (125246-RSG-13-099-01-CCE).
Dr. Liang Cheng, Institute of Functional Nano & Soft Materials Laboratory (FUNSOM), Collaborative Innovation Center of Suzhou Nano Science and Technology, Soochow University, Suzhou, Jiangsu 215123, China.
Mr. Sida Shen, Institute of Functional Nano & Soft Materials Laboratory (FUNSOM), Collaborative Innovation Center of Suzhou Nano Science and Technology, Soochow University, Suzhou, Jiangsu 215123, China.
Mr. Sixiang Shi, Materials Science Program, University of Wisconsin–Madison, Madison, Wisconsin, United States.
Mr. Yuan Yi, School of Radiation Medicine and Protection & School for Radiological and Interdisciplinary Sciences (RAD-X), Jiangsu Provincial Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, Jiangsu 215123, China.
Mr. Xiaoyong Wang, Center for Molecular Imaging and Translational Medicine, School of Public Health, Xiamen University, Xiamen, Fujian 361005, China.
Dr. Guosheng Song, Institute of Functional Nano & Soft Materials Laboratory (FUNSOM), Collaborative Innovation Center of Suzhou Nano Science and Technology, Soochow University, Suzhou, Jiangsu 215123, China.
Dr. Kai Yang, School of Radiation Medicine and Protection & School for Radiological and Interdisciplinary Sciences (RAD-X), Jiangsu Provincial Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, Jiangsu 215123, China.
Dr. Gang Liu, Center for Molecular Imaging and Translational Medicine, School of Public Health, Xiamen University, Xiamen, Fujian 361005, China.
Prof. Todd E. Barnhart, Department of Medical Physics, University of Wisconsin–Madison, Madison, Wisconsin, United States.
Prof. Weibo Cai, Department of Radiology, University of Wisconsin–Madison, Madison, Wisconsin, United States.
Prof. Zhuang Liu, Institute of Functional Nano & Soft Materials Laboratory (FUNSOM), Collaborative Innovation Center of Suzhou Nano Science and Technology, Soochow University, Suzhou, Jiangsu 215123, China.