Overcoming barriers in photodynamic therapy harnessing nano-formulation strategies

Jianlei Xie, Yingwei Wang, Wonseok Choi, Paramesh Jangili, Yanqi Ge, Yunjie Xu, Jianlong Kang, Liping Liu, Bin Zhang, Zhongjian Xie, Jun He, Ni Xie, Guohui Nie, Han Zhang, Jong Seung Kim

Research output: Contribution to journalReview articlepeer-review

52 Citations (Scopus)

Abstract

Photodynamic therapy (PDT) has been extensively investigated for decades for tumor treatment because of its non-invasiveness, spatiotemporal selectivity, lower side-effects, and immune activation ability. It can be a promising treatment modality in several medical fields, including oncology, immunology, urology, dermatology, ophthalmology, cardiology, pneumology, and dentistry. Nevertheless, the clinical application of PDT is largely restricted by the drawbacks of traditional photosensitizers, limited tissue penetrability of light, inefficient induction of tumor cell death, tumor resistance to the therapy, and the severe pain induced by the therapy. Recently, various photosensitizer formulations and therapy strategies have been developed to overcome these barriers. Significantly, the introduction of nanomaterials in PDT, as carriers or photosensitizers, may overcome the drawbacks of traditional photosensitizers. Based on this, nanocomposites excited by various light sources are applied in the PDT of deep-seated tumors. Modulation of cell death pathways with co-delivered reagents promotes PDT induced tumor cell death. Relief of tumor resistance to PDT with combined therapy strategies further promotes tumor inhibition. Also, the optimization of photosensitizer formulations and therapy procedures reduces pain in PDT. Here, a systematic summary of recent advances in the fabrication of photosensitizers and the design of therapy strategies to overcome barriers in PDT is presented. Several aspects important for the clinical application of PDT in cancer treatment are also discussed.

Original languageEnglish
Pages (from-to)9152-9201
Number of pages50
JournalChemical Society Reviews
Volume50
Issue number16
DOIs
Publication statusPublished - 2021 Aug 21

ASJC Scopus subject areas

  • Chemistry(all)

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