NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery

Abstract Osteosarcoma (OS) is characterized by an unfavorable prognosis and high mortality rates, with the local recurrence attributed to residual lesions post‐surgery being a major reason for treatment failure. Precise and tumor‐specific resection guidance to minimize recurrence remains a significa...

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Main Authors: Ruotong Li, Kaiyuan Liu, Qian Hu, Jiakang Shen, Dongqing Zuo, Hongsheng Wang, Xingjun Zhu, Wei Sun
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Aggregate
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Online Access:https://doi.org/10.1002/agt2.658
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author Ruotong Li
Kaiyuan Liu
Qian Hu
Jiakang Shen
Dongqing Zuo
Hongsheng Wang
Xingjun Zhu
Wei Sun
author_facet Ruotong Li
Kaiyuan Liu
Qian Hu
Jiakang Shen
Dongqing Zuo
Hongsheng Wang
Xingjun Zhu
Wei Sun
author_sort Ruotong Li
collection DOAJ
description Abstract Osteosarcoma (OS) is characterized by an unfavorable prognosis and high mortality rates, with the local recurrence attributed to residual lesions post‐surgery being a major reason for treatment failure. Precise and tumor‐specific resection guidance to minimize recurrence remains a significant challenge. In the present study, a nanosystem based on aggregation‐induced emission (AIE) molecules with emission in the second near‐infrared window is proposed for the synergistic fluorescence (FL) and chemiluminescence (CL) imaging‐guided surgical resection for the elimination of tumor foci. The designed AIE molecule, BBTD14, exhibits stable FL with a high quantum yield of up to 3.95%, which effectively matches the energy levels of CL high‐energy states, generating the longest emission wavelength of CL reported to date. Targeted tumor imaging‐guided surgery (IGS) is facilitated by FL and CL nanoprobes (FLNP and CLNP) constructed based on BBTD14. During OS surgery, the FLNP, with the stability of FL and a high targeting capability, was first intravenously used to guide the surgical removal of the main tumor. Subsequently, CLNP was locally incubated to facilitate rapid and accurate evaluation of residual tumors at the operative border. High signal‐to‐noise ratio CL imaging was achieved after spraying with hydrogen peroxide, thereby overcoming the limitations of intraoperative frozen sections. The proposed technique also significantly reduced the recurrence rates in OS mouse models and exhibited high marker specificity in ex vivo OS patient pathology samples, confirming its potential in clinical applications and providing a unique perspective for developing IGS.
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spelling doaj-art-18a3e10ae3f647f4ae2ad8d1e5702fbb2025-01-21T08:57:07ZengWileyAggregate2692-45602025-01-0161n/an/a10.1002/agt2.658NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgeryRuotong Li0Kaiyuan Liu1Qian Hu2Jiakang Shen3Dongqing Zuo4Hongsheng Wang5Xingjun Zhu6Wei Sun7Department of Bone Tumor Surgery Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai P. R. ChinaDepartment of Bone Tumor Surgery Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai P. R. ChinaSchool of Physical Science and Technology & State Key Laboratory of Advanced Medical Materials and Devices ShanghaiTech University Shanghai P. R. ChinaDepartment of Bone Tumor Surgery Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai P. R. ChinaDepartment of Bone Tumor Surgery Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai P. R. ChinaDepartment of Bone Tumor Surgery Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai P. R. ChinaSchool of Physical Science and Technology & State Key Laboratory of Advanced Medical Materials and Devices ShanghaiTech University Shanghai P. R. ChinaDepartment of Bone Tumor Surgery Shanghai General Hospital School of Medicine Shanghai Jiao Tong University Shanghai P. R. ChinaAbstract Osteosarcoma (OS) is characterized by an unfavorable prognosis and high mortality rates, with the local recurrence attributed to residual lesions post‐surgery being a major reason for treatment failure. Precise and tumor‐specific resection guidance to minimize recurrence remains a significant challenge. In the present study, a nanosystem based on aggregation‐induced emission (AIE) molecules with emission in the second near‐infrared window is proposed for the synergistic fluorescence (FL) and chemiluminescence (CL) imaging‐guided surgical resection for the elimination of tumor foci. The designed AIE molecule, BBTD14, exhibits stable FL with a high quantum yield of up to 3.95%, which effectively matches the energy levels of CL high‐energy states, generating the longest emission wavelength of CL reported to date. Targeted tumor imaging‐guided surgery (IGS) is facilitated by FL and CL nanoprobes (FLNP and CLNP) constructed based on BBTD14. During OS surgery, the FLNP, with the stability of FL and a high targeting capability, was first intravenously used to guide the surgical removal of the main tumor. Subsequently, CLNP was locally incubated to facilitate rapid and accurate evaluation of residual tumors at the operative border. High signal‐to‐noise ratio CL imaging was achieved after spraying with hydrogen peroxide, thereby overcoming the limitations of intraoperative frozen sections. The proposed technique also significantly reduced the recurrence rates in OS mouse models and exhibited high marker specificity in ex vivo OS patient pathology samples, confirming its potential in clinical applications and providing a unique perspective for developing IGS.https://doi.org/10.1002/agt2.658aggregation‐induced emissionchemiluminescencefluorescence‐guided surgeryosteosarcomasecond near‐infrared window
spellingShingle Ruotong Li
Kaiyuan Liu
Qian Hu
Jiakang Shen
Dongqing Zuo
Hongsheng Wang
Xingjun Zhu
Wei Sun
NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery
Aggregate
aggregation‐induced emission
chemiluminescence
fluorescence‐guided surgery
osteosarcoma
second near‐infrared window
title NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery
title_full NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery
title_fullStr NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery
title_full_unstemmed NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery
title_short NIR‐II AIEgens nanosystem for fluorescence and chemiluminescence synergistic imaging‐guided precise resection in osteosarcoma surgery
title_sort nir ii aiegens nanosystem for fluorescence and chemiluminescence synergistic imaging guided precise resection in osteosarcoma surgery
topic aggregation‐induced emission
chemiluminescence
fluorescence‐guided surgery
osteosarcoma
second near‐infrared window
url https://doi.org/10.1002/agt2.658
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