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Abstract
<p xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" class="first" dir="auto"
id="d991137e148">Multifunctional nanoagents with photodynamic therapy (PDT) and photothermal
therapy
(PTT) functions have shown great promise for cancer treatment, while the design and
synthesis of efficient nanoagents remain a challenge. To realize nanozyme-enhanced
PDT-PTT combined therapy, herein we have synthesized the Ce6@CuS-Pt/PEG nanoplatforms
as a model of efficient nanoagents. Hollow CuS nanospheres with an average diameter
of ∼ 200 nm are first synthesized through vulcanization using Cu2O as the precursor.
Subsequently, CuS nanospheres are surface-decorated with Pt nanoparticles (NPs) as
nanozyme via an in-situ reduction route, followed by modifying the DSPE-PEG5000 and
loading the photosensitizer Chlorin e6 (Ce6). The obtained Ce6@CuS-Pt/PEG NPs exhibit
high photothermal conversion efficiency (43.08%), good singlet oxygen (1O2) generation
ability, and good physiological stability. In addition, Ce6@CuS-Pt/PEG NPs show good
catalytic performance due to the presence of Pt nanozyme, which can effectively convert
H2O2 to O2 and significantly enhance the production of cytotoxic 1O2. When Ce6@CuS-Pt/PEG
NPs dispersion is injected into mice, the tumors can be wholly suppressed owing to
nanozyme-enhanced PDT-PTT combined therapy, providing better therapeutic effects compared
to single-mode phototherapy. Thus, the present Ce6@CuS-Pt/PEG NPs can act as an efficient
multifunctional nanoplatform for tumor therapy.
</p>
Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths in the United States and compiles the most recent data on population-based cancer occurrence. Incidence data (through 2017) were collected by the Surveillance, Epidemiology, and End Results Program; the National Program of Cancer Registries; and the North American Association of Central Cancer Registries. Mortality data (through 2018) were collected by the National Center for Health Statistics. In 2021, 1,898,160 new cancer cases and 608,570 cancer deaths are projected to occur in the United States. After increasing for most of the 20th century, the cancer death rate has fallen continuously from its peak in 1991 through 2018, for a total decline of 31%, because of reductions in smoking and improvements in early detection and treatment. This translates to 3.2 million fewer cancer deaths than would have occurred if peak rates had persisted. Long-term declines in mortality for the 4 leading cancers have halted for prostate cancer and slowed for breast and colorectal cancers, but accelerated for lung cancer, which accounted for almost one-half of the total mortality decline from 2014 to 2018. The pace of the annual decline in lung cancer mortality doubled from 3.1% during 2009 through 2013 to 5.5% during 2014 through 2018 in men, from 1.8% to 4.4% in women, and from 2.4% to 5% overall. This trend coincides with steady declines in incidence (2.2%-2.3%) but rapid gains in survival specifically for nonsmall cell lung cancer (NSCLC). For example, NSCLC 2-year relative survival increased from 34% for persons diagnosed during 2009 through 2010 to 42% during 2015 through 2016, including absolute increases of 5% to 6% for every stage of diagnosis; survival for small cell lung cancer remained at 14% to 15%. Improved treatment accelerated progress against lung cancer and drove a record drop in overall cancer mortality, despite slowing momentum for other common cancers.
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