Abstract
Purpose
To surmount the critical issues of indocyanine green (ICG), and thus achieving a precise surgical navigation of primary liver cancer after long-term transcatheter arterial embolization.
Methods
In this study, a facile and green pure-nanomedicine formulation technology is developed to construct carrier-free indocyanine green nanoparticles (nanoICG), and which subsequently dispersed into lipiodol via a super-stable homogeneous lipiodol formulation technology (SHIFT nanoICG) for transcatheter arterial embolization combined near-infrared fluorescence-guided precise hepatectomy.
Results
SHIFT nanoICG integrates excellent anti-photobleaching capacity, great optical imaging property, and specific tumoral deposition to recognize tumor regions, featuring entire-process enduring fluorescent-guided precise hepatectomy, especially in resection of the indiscoverable satellite lesions (0.6 mm × 0.4 mm) in rabbit bearing VX2 orthotopic hepatocellular carcinoma models.
Conclusion
Such a simple and effective strategy provides a promising avenue to address the clinical issue of clinical hepatectomy and has excellent potential for a translational pipeline.
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Change history
12 May 2022
A Correction to this paper has been published: https://doi.org/10.1007/s00259-022-05813-w
References
Siegel R, Miller K, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020;70:7–30. https://doi.org/10.3322/caac.21590.
Shi X, Zhang Y, Tian Y, Xu S, Ren E, Bai S, et al. Multi‐responsive bottlebrush‐like unimolecules self‐assembled nano‐riceball for synergistic sono‐chemotherapy. Small Methods 2020;5:2000416. https://doi.org/10.1002/smtd.202000416.
Zhang Y, Wang X, Chu C, Zou Z, Chen B, Pang X, et al. Genetically engineered magnetic nanocages for cancer magneto-catalytic theranostics. Nat Commun. 2020;11:5421. https://doi.org/10.1038/s41467-020-19061-9.
Sun T, Han J, Liu S, Wang X, Wang Z, **e Z. Tailor-made semiconducting polymers for second near-infrared photothermal therapy of orthotopic liver cancer. ACS Nano. 2019;13:7345–54. https://doi.org/10.1021/acsnano.9b03910.
Zhu J, Chu C, Li D, Pang X, Zheng H, Wang J, et al. Fe(III)-porphyrin sonotheranostics: a green triple-regulated ROS generation nanoplatform for enhanced cancer imaging and therapy. Adv Funct Mater. 2019;29:1904056. https://doi.org/10.1002/adfm.201904056.
Vibert E, Schwartz M, Olthoff K. Advances in resection and transplantation for hepatocellular carcinoma. J Hepatol. 2020;72:262–76. https://doi.org/10.1016/j.jhep.2019.11.017.
Savic L, Schobert I, Peters D, Walsh J, Laage-Gaupp F, Hamm C, et al. Molecular imaging of extracellular tumor pH to reveal effects of locoregional therapy on liver cancer microenvironment. Clin Cancer Res. 2020;26:428–38. https://doi.org/10.1158/1078-0432.CCR-19-1702.
Aufhauser D, Sadot E, Murken D, Eddinger K, Hoteit M, Abt P, et al. Incidence of occult intrahepatic metastasis in hepatocellular carcinoma treated with transplantation corresponds to early recurrence rates after partial hepatectomy. Ann Surg. 2018;267:922–8. https://doi.org/10.1097/SLA.0000000000002135.
Dai Q, Ren E, Xu D, Zeng Y, Liu G. Indocyanine green-based nanodrugs: a portfolio strategy for precision medicine. Prog Nat Sci. 2020;30:577–88. https://doi.org/10.1016/j.pnsc.2020.08.002.
Lu H, Gu J, Qian X, Dai X. Indocyanine green fluorescence navigation in laparoscopic hepatectomy: a retrospective single-center study of 120 cases. Surg Today. 2021;51:695–702. https://doi.org/10.1007/s00595-020-02163-8.
Lin H, Li S, Wang J, Chu C, Zhang Y, Pang X, et al. A single-step multi-level supramolecular system for cancer sonotheranostics. Nanoscale Horiz. 2019;4:190–5. https://doi.org/10.1039/c8nh00276b.
Lin G, Zhang Y, Zhang L, Wang J, Tian Y, Cai W, et al. Metal-organic frameworks nanoswitch: toward photo-controllable endo/lysosomal rupture and release for enhanced cancer RNA interference. Nano Res. 2020;13:238–45. https://doi.org/10.1007/s12274-019-2606-2.
Zhang P, Zhang L, Qin Z, Hua S, Guo Z, Chu C, et al. Genetically engineered liposome-like nanovesicles as active targeted transport platform. Adv Mater. 2018;30:1705350. https://doi.org/10.1002/adma.201705350.
Chu C, Ren E, Zhang Y, Yu J, Lin H, Pang X, et al. Zinc(II)-dipicolylamine coordination nanotheranostics: toward synergistic nanomedicine by combined photo/gene therapy. Angew Chem Int Ed Engl. 2019;58:269–72. https://doi.org/10.1002/anie.201812482.
Chen B, Kankala R, Zhang Y, **ang S, Tang H, Wang Q, et al. Gambogic acid augments black phosphorus quantum dots (BPQDs)-based synergistic chemo-photothermal therapy through downregulating heat shock protein expression. Chem Eng J. 2020;390: 124312. https://doi.org/10.1016/j.cej.2020.124312.
Kankala R, Zhang Y, Wang S, Lee C, Chen A. Supercritical fluid technology: an emphasis on drug delivery and related biomedical applications. Adv Healthc Mater. 2017;6:1700433. https://doi.org/10.1002/adhm.201700433.
Palmer D, Malagari K, Kulik L. Role of locoregional therapies in the wake of systemic therapy. J Hepatol. 2020;72:277–87. https://doi.org/10.1016/j.jhep.2019.09.023.
Chen H, Cheng H, Wu W, Li D, Mao J, Chu C, et al. The blooming intersection of transcatheter hepatic artery chemoembolization and nanomedicine. Chinese Chem Lett. 2020;6:1375–81. https://doi.org/10.1016/j.cclet.2020.03.024.
Lanza E, Donadon M, Poretti D, Pedicini V, Tramarin M, Roncalli M, et al. Transarterial therapies for hepatocellular carcinoma. Liver Cancer. 2016;6:27–33. https://doi.org/10.1159/000449347.
Kim D, Lee J, Moon H, Seo M, Lee J, Hong S, et al. Development and evaluation of an ultrasound-triggered microbubble combined transarterial chemoembolization (TACE) formulation on rabbit VX2 liver cancer model. Theranostics. 2021;11:79–92. https://doi.org/10.7150/thno.45348.
Renzulli M, Peta G, Vasuri F, Marasco G, Caretti D, Bartalen L, et al. Standardization of conventional chemoembolization for hepatocellular carcinoma. Ann Hepatol. 2021;5: 100278. https://doi.org/10.1016/j.aohep.2020.10.006.
Savic L, Chapiro J, Funai E, Bousabarah K, Schobert I, Isufi E, et al. Prospective study of lipiodol distribution as an imaging marker for doxorubicin pharmacokinetics during conventional transarterial chemoembolization of liver malignancies. Eur Radiol. 2021;31:3002–14. https://doi.org/10.1007/s00330-020-07380-w.
Li A, Chan S, Thung KH. Pre-operative CT localization for patients with subsolid opacities expecting video-assisted thoracoscopic surgery-single center experience of fluorescent iodized emulsion and hook-wire localization technique. Br J Radiol. 2020;93:20190938. https://doi.org/10.1259/bjr.20190938.
Rho J, Lee J, Quan Y, Choi B, Shin B, Han K, et al. Fluorescent and iodized emulsion for preoperative localization of pulmonary nodules. Ann Surg. 2019;5:989–96. https://doi.org/10.1097/SLA.0000000000003300.
Chen H, Cheng H, Dai Q, Cheng Y, Zhang Y, et al. A superstable homogeneous lipiodol-ICG formulation for locoregional hepatocellular carcinoma treatment. J Control Release. 2020;323:635–43. https://doi.org/10.1016/j.jconrel.2020.04.021.
Cheng H, Yang X, Liu G. Superstable homogeneous iodinated formulation technology: revolutionizing transcatheter arterial chemoembolization. Sci Bull. 2020;65:1685–7. https://doi.org/10.1016/j.scib.2020.06.029.
Gao Y, Li Z, Hong Y, Li T, Hu X, Sun L, et al. Decellularized liver as a translucent ex vivo model for vascular embolization evaluation. Biomaterials. 2020;240: 119855. https://doi.org/10.1016/j.biomaterials.2020.119855.
Shi Z, Chu C, Zhang Y, Su Z, Lin H, Pang X, et al. Self-assembled metal-organic nanoparticles for multimodal imaging-guided photothermal therapy of hepatocellular carcinoma. J Biomed Nanotechnol. 2018;14:1934–43. https://doi.org/10.1166/jbn.2018.2636.
Wang H, Li X, Tse B, Yang H, Thorling C, Liu Y, et al. Indocyanine green-incorporating nanoparticles for cancer theranostics. Theranostics. 2018;8:1227–42. https://doi.org/10.7150/thno.22872.
Li F, Li T, Cao W, Wang L, Xu H. Near-infrared light stimuli-responsive synergistic therapy nanoplatforms based on the coordination of tellurium-containing block polymer and cisplatin for cancer treatment. Biomaterials. 2017;133:208–18. https://doi.org/10.1016/j.biomaterials.2017.04.032.
Tanaka T, Masada T, Nishiofuku H, Fukuoka Y, Sato T, Tatsumoto S, et al. Development of pum** emulsification device with glass membrane to form ideal lipiodol emulsion in transarterial chemoembolization. Eur Radiol. 2018;28:2203–7. https://doi.org/10.1007/s00330-017-5197-x.
Du J, Li H, Wang J. Tumor-acidity-cleavable maleic acid amide (TACMAA): a powerful tool for designing smart nanoparticles to overcome delivery barriers in cancer nanomedicine. Acc Chem Res. 2018;51:2848–56. https://doi.org/10.1021/acs.accounts.8b00195.
Miyashiro I, Kishi K, Yano M, Tanaka K, Motoori M, Ohue M, et al. Laparoscopic detection of sentinel node in gastric cancer surgery by indocyanine green fluorescence imaging. Surg Endosc. 2011;25:1672–6. https://doi.org/10.1007/s00464-010-1405-3.
Lei Y, Zeng L, **e S, Fan K, Yu Y, Chen J, et al. Sertraline/ICG-loaded liposome for dual-modality imaging and effective chemo-photothermal combination therapy against metastatic clear cell renal cell carcinoma. Chem Biol Drug Des. 2020;95:320–31. https://doi.org/10.1111/cbdd.13652.
Fontoura OA, Ferreira H. Neovagina creation in congenital vaginal agenesis: new mini-laparoscopic approach applying intraoperative indocyanine green fluorescence. Surg Innov. 2020;2:1–9. https://doi.org/10.1177/1553350620968990.
Lieto E, Galizia G, Cardella F, Mabilia A, Basile N, Castellano P, et al. Indocyanine green fluorescence imaging-guided surgery in primary and metastatic liver tumors. Surg Innov. 2018;25:62–8. https://doi.org/10.1177/1553350617751451.
Yu Y, Ngo VH, ** G, Tran P, Tran T, Nguyen VH, et al. Double-controlled release of poorly water-soluble paliperidone palmitate from self-assembled albumin-oleic acid nanoparticles in PLGA in situ forming implant. Int J Nanomedicine. 2021;16:2819–31. https://doi.org/10.2147/IJN.S302514.eCollection.
Funding
This work was supported by the Major State Basic Research Development Program of China (2017YFA0205201), the National Natural Science Foundation of China (81925019, 81422023, 81603015, 81871404, and U1705281), the Fundamental Research Funds for the Central Universities (20720190088, 20720200019, and 2020Y4003), China Postdoctoral Science Foundation (2021M702739), the Science and Technology Project of **amen municipal Bureau of Science and Technology (3502Z20194044), and the Program for New Century Excellent Talents in University, China (NCET-13–0502).
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Y. Z. and G. Liu conceived and designed the experiments. Y. Z., H. Cheng, H. Chen, P. X., E. R., Y. J., X.G., D.L., J. M., and Y. Z. performed the experiments. Y. Z., B.-Q. C., P. H., H. L., and A. C. analyzed the results. Y. Z., H. Cheng, G. Lin, C. C., J. M., and G. Liu wrote the manuscript. G. Liu supervised the entire project.
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Zhang, Y., Cheng, H., Chen, H. et al. A pure nanoICG-based homogeneous lipiodol formulation: toward precise surgical navigation of primary liver cancer after long-term transcatheter arterial embolization. Eur J Nucl Med Mol Imaging 49, 2605–2617 (2022). https://doi.org/10.1007/s00259-021-05654-z
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DOI: https://doi.org/10.1007/s00259-021-05654-z