Photodynamic therapy (PDT) utilizing organic photosensitizers like indocyanine green (ICG) faces several intrinsic limitations. These challenges include a propensity to aggregate, insufficient stability, and low intersystem crossing (ISC) efficiency that yields inadequate reactive oxygen species (ROS). Furthermore, the tumor microenvironment imposes additional restrictions on its efficacy. To address these challenges, we implemented a cetyltrimethylammonium bromide (CTAB)–templated metal coordination approach and rationally designed cerium(IV)-coordinated, self-assembled ICG nanoparticles (CINPs). Cooperative coordination between Ce 4+ and ICG, combined with hydrophobic interactions, significantly enhances ICG stability. It also optimizes the energy gap between the lowest singlet excited state (S 1 ) and the lowest triplet state (T 1 ), thereby promoting ISC and equipping the system with robust ROS-generating capacity. Moreover, Ce 4+ exhibits dual catalytic activity, on the one hand catalyzing the decomposition of endogenous hydrogen peroxide (H 2 O 2 ) to generate oxygen and alleviate tumor hypoxia, and on the other hand oxidizing and depleting intracellular glutathione (GSH) to weaken antioxidant defenses. In a hepatocellular carcinoma model, CINPs harnessed efficient ROS production to induce mitochondrial dysfunction, lipid peroxidation (LPO), and DNA strand breaks, which collectively activated multiple cell death pathways and significantly suppressed tumor growth. Unlike nanoplatforms that require elaborate designs, complex compositions, and fine chemical synthesis, the nanoparticles developed here are assembled from a small set of reliable, clinically established materials and can be rapidly formed through a simple process in less than 30 minutes. Despite the streamlined preparation, CINPs effectively remodel the tumor microenvironment, induce vigorous ROS generation during treatment, and achieve potent antitumor activity via oxidative stress-related mechanisms across multiple pathways, highlighting strong translational potential and broad prospects for clinical application. Photodynamic therapy (PDT) with indocyanine green (ICG) is limited by aggregation, poor stability, low ROS production, and TME constraints. We developed Ce 4+ -coordinated ICG nanoparticles (CINPs) via a simple CTAB-templated strategy within less than 30 minutes. Ce 4+ enhances ICG stability, facilitates the generation of ISC and ROS, decomposes H 2 O 2 to alleviate hypoxia, and depletes GSH. In hepatocellular carcinoma, CINPs induce multi-pathway cell death via ROS, thereby suppressing tumor growth.
Liu et al. (Sun,) studied this question.