Preparation and characterization of Bi:Cu2O@HA NPs
The Bi:Cu2O@HA NPs were prepared through a one-pot method. After centrifugal purification, the crystalline structure, morphology, composition, and hydrodynamic size of the obtained Bi:Cu2O@HA NPs were characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM), transmission electron microscopy (TEM), elemental mapping, Fourier transform infrared (FT-IR) spectroscopy, and dynamic light scattering (DLS). The diffraction peaks of the obtained Bi:Cu2O@HA NPs at 36.2, 42.5, and 61.6 degrees are well matched with the (111), (200), and (220) crystal faces of cubic Cu2O (JCPDS card NO:77-0199, Fig. 1A), respectively, indicating that the obtained NPs were cubic crystals. As shown in the SEM image (Fig. 1B), the Bi:Cu2O@HA NPs had uniform spherical morphologies with particle sizes of approximately 63.09 nm (Additional file 1: Fig. S1).
The elemental mapping image (Fig. 1C) demonstrates that Bi, Cu, and O were uniformly distributed in each NP, indicating that Bi was homogeneously doped in the cubic Cu2O structure. The X-ray photoelectron spectroscopy (XPS) and energy-dispersive X-ray spectrometry (EDX) results further demonstrated the existence of Bi in the obtained NPs (Additional file 1: Fig. S2 and S3). As shown in Fig. 1D, the FT-IR spectrum of HA showed a peak corresponding to the C–H single bond at 2882 cm−1 and a typical amide peak at 1655 cm−1 [35, 36]. These two peaks were retained in the spectrum of Bi:Cu2O@HA, indicated that HA was successfully loaded onto the NPs. The hydrodynamic size of the Bi:Cu2O@HA NPs determined by DLS was 130.9 nm, much larger than the sizes measured by SEM and TEM (Fig. 1E). This may be due to the strong hydrophilicity of HA. These characterization results demonstrate that hydrophilic Bi:Cu2O@HA NPs were successfully prepared.
H2S-responsive performance
To explore the H2S-responsive performance of the Bi:Cu2O@HA NPs, NaHS was used to simulate endogenous H2S (Fig. 2A), and Cu2O@HA NPs prepared using the same method as the Bi:Cu2O@HA NPs but without Bi doping were used as a control (Additional file 1: Fig. S4-S7). The crystal structure, morphology, absorption, and photothermal performance after reaction with NaHS were investigated. The SEM image in Fig. 2B shows that after reaction with NaHS, the Bi:Cu2O@HA NPs exhibited a spherical morphology with an average diameter of approximately 65 nm, slightly larger than the diameter of the initial Bi:Cu2O@HA NPs, in agreement with a previous report [37]. In addition, the XRD peaks of the Bi:Cu2O@HA NPs after reaction with NaHS at 31.5, 49.5, and 59.4 degrees were well matched with the (103), (110), and (116) crystal faces of hexagonal CuS (JCPDS card NO: 99-0037, Fig. 2C), respectively, indicating the formation of CuS.
To investigate whether doping with Bi enhanced the NIR absorption of Cu2O, we measured the absorption of the Cu2O@HA and Bi:Cu2O@HA NPs before and after reaction with NaHS. As shown in Fig. 2D, both the Cu2O@HA and Bi:Cu2O@HA NPs exhibited stronger absorption in the NIR region after reaction with NaHS compared with before reaction. Notably, the NIR absorption, especially at the laser wavelength of 808 nm (Additional file 1: Fig. S8A, B), of Bi-doped Cu2O@HA after reaction with NaHS was slightly improved compared with that of Cu2O@HA, indicating that doping with Bi has the potential to enhance the photothermal performance of Cu2O exposed to H2S. The photothermal performances of the Cu2O@HA and Bi:Cu2O@HA after reaction with NaHS were compared based on the temperature changes (ΔT) of dispersions of the NPs in water under irradiation by an 808-nm laser. As shown in Fig. 2E, the ΔT values of Cu2O@HA and Bi:Cu2O@HA respectively increased by 13.2 °C and 16.5 °C after reaction with NaHS, suggesting that the photothermal performance of Cu2O@HA was improved by doping with Bi. The ΔT of Bi:Cu2O@HA explored by different dispersion concentration and laser power density further suggests the good performance (Additional file 1: Fig. S9A-D). The photothermal conversion efficiency also increased slightly compared to the previously reported efficiency for Cu2O (Additional file 1: Fig. S10A, B) [12]. Furthermore, after six irradiation and cooling cycles (Fig. 2F), the maximum ΔT of the Bi:Cu2O@HA dispersion after reaction with NaHS hardly changed, indicating the good photothermal stability of Bi:CuS@HA. The above results indicate that Bi doping is an effective strategy to enhance the photothermal performance of H2S-responsive Cu2O@HA NPs.
CT imaging and tumor-targeting performance
Considering the good X-ray attenuation properties, the CT imaging performance of the Bi:Cu2O@HA NPs was investigated using the commercial Iohexol CT contrast agent as a control. As shown in Fig. 3A, as the concentrations of Iohexol and Bi:Cu2O@HA increased, the CT images of both agents became brighter, indicating a gradual increase in the CT signals. Furthermore, the CT imaging performance of the Bi:Cu2O@HA NPs was superior to that of Iohexol at the same concentration. The linear correlations between the CT signals and the concentrations of Iohexol and Bi:Cu2O@HA further demonstrate that the CT imaging performance of Bi:Cu2O@HA NPs was better than that of Iohexol at the same concentration (Fig. 3B). The above results suggest that Bi:Cu2O@HA NPs can be used as an agent for CT imaging.
Based on the good CT imaging performance and the ability of HA to target the highly expressed CT44 receptors on the surfaces of colon cancer cells, the targeting ability of the Bi:Cu2O@HA NPs was explored both in vitro and in vivo using CT imaging. Two groups of experiments were established: one with the Bi:Cu2O@HA group and another with a block group. As shown in Fig. 3C, the CT image of the CT26 colon cancer cells after incubation with Bi:Cu2O@HA was brighter than that of the block group at the same concentration (inset of Fig. 3C). The corresponding signal of the Bi:Cu2O@HA group was also much stronger than that of the block group, suggesting that HA significantly enhanced the tumor cell targeting ability. The CT images of tumor-bearing mice were collected after the intravenous injection of Bi:Cu2O@HA to evaluate the tumor-targeting performance in vivo.
As shown in Fig. 3D, the colors of the CT images at the tumor sites (red circles) before injection were similar in the Bi:Cu2O@HA and block groups. After intravenous administration, the tumor sites in the CT images of the mice in the Bi:Cu2O@HA group gradually became brighter and reached maximum brightness at 8 h after injection. In comparison, the tumor sites in the CT images of mice in the block group were darker at the same time points. The corresponding signals at the tumor sites were much higher in the Bi:Cu2O@HA group than in the block group (Fig. 3E). These results further indicate that the Bi:Cu2O@HA NPs exhibited good targeting performance for colon cancer in vivo.
Biocompatibility
Cytotoxicity, hemolysis, and routine blood biochemical index analyses were performed to investigate the biocompatibility of the Bi:Cu2O@HA NPs. First, the cytotoxicity of the Bi:Cu2O@HA NPs was assessed in human umbilical vein endothelial cells (HUVECs) and mouse colon cancer CT26 cells by MTT assay. The cell survival rates of both the HUVEC and CT26 cells were more than 80%, even at a concentration of 80 μg/mL (Fig. 4A, B), indicating that the Bi:Cu2O@HA NPs had low cytotoxicity. Compared to water (positive control), the Bi:Cu2O@HA NPs did not cause significant damage to the erythrocyte membranes (Fig. 4C), similar to the PBS group (negative control). More importantly, the routine blood indexes of the mice after the tail vein injection of Bi:Cu2O@HA NPs for 36 h were not significantly different than those of mice in the control group, indicating the good biocompatibility of Bi:Cu2O@HA NPs in vivo (Fig. 4D). These results demonstrate that the Bi:Cu2O@HA NPs exhibited good biocompatibility and great potential for further application in vivo.
In vitro PTT
To explore the photothermal effect of Bi:Cu2O@HA NPs after triggering by H2S, the CT26 cells were stained with Calcein-AM (AM) and propidium iodide (PI) to visualize the therapeutic effect, while the apoptosis rate of the cells was evaluated by flow cytometry. The cells in the PBS, NPs, and NPs+NaHS groups were incubated with PBS, NPs, and NPs+NaHS media, respectively, while the cells in the PBS+laser, NPs+laser, and NPs+NaHS+laser groups were additionally subjected to laser irradiation. First, the CT26 cells were stained with Calcein AM (green, live cells) and propidium iodide (PI; red, dead cells), as illustrated in Fig. 5A. In the PBS and NPs groups along with the PBS+laser and NPs+laser groups, red fluorescence was negligible, indicating that these treatments did not cause cell death. Although CuS was generated in the NPs+NaHS group, only a few cells were observed with red fluorescence, indicated that the NPs+NaHS treatment could not induce cell death without laser irradiation. In contrast, most cells in the NPs+NaHS+laser group showed red fluorescence, indicating the good photothermal treatment effect of the H2S-activated Bi:Cu2O@HA NPs under 808-nm laser irradiation. The apoptosis of CT26 cells in different groups was quantified by flow cytometry (Additional file 1: Fig. S11). The apoptosis rates of cells in the PBS, PBS+laser, NPs, NPs+laser, NPs+NaHS, and NPs+NaHS+laser groups were 2.96%, 2.50%, 4.12%, 4.30%, 1.70%, and 54.21%, respectively (Fig. 5B), further indicating that the H2S-activated Bi:Cu2O@HA NPs effectively induced apoptosis in cancer cells under 808-nm laser irradiation. To investigate the photothermal effect of H2S-activated Bi:Cu2O@HA NPs under 808-nm laser irradiation on cell migration, wound-healing assays were carried out using CT26 colon cancer cells. After scratching, the cells in the PBS, NPs, and NPs+NaHS groups were incubating with PBS, NPs, and NPs+NaHS media for different times, while the PBS+laser, NPs+laser, and NPs+NaHS+laser groups additionally received 5 min of irradiation with an 808-nm laser.
As shown in Fig. 5C, the CT26 cells in the PBS, NPs, NPs+NaHS, PBS+laser, NPs+laser, and NPs+NaHS groups still showed movement in the scratched area, suggesting that these treatments did not significantly affect the migratory ability of CT26 cells. Compared to the other groups, the cells in the NPs+NaHS+laser group barely moved toward the scratched area, indicating that PTT based on the H2S-activated Bi:Cu2O@HA NPs under 808-nm laser irradiation will obviously inhibit the migration of CT26 cells. The above results indicate that PTT based on Bi:Cu2O@HA NPs triggered by H2S can both promote cell apoptosis and inhibit cell migration. Thus, the Bi:Cu2O@HA NPs show promise as a nano-agent for the treatment of colon cancer.
In vivo PTT
To confirm the tumor ablation effect of the Bi:Cu2O@HA NPs in vivo, experiments were carried out in CT26 tumor-bearing mice. First, the mice in the PBS+laser and NPs+laser groups were intravenously injected with PBS and Bi:Cu2O@HA NPs, respectively, while the mice in the NPs+AOAA+laser and NPs+SAM+laser groups were also pretreated with AOAA and SAM, respectively, before injection with Bi:Cu2O@HA NPs. According to the CT imaging results, the Bi:Cu2O@HA NPs reached the maximum enrichment level in the tumor at 6 h after injection. Therefore, PTT was performed at 6 h after injection, and the temperature changes in the tumor region were monitored using a thermal camera. As shown in Fig. 6A and B, the color of the tumor sites in the PBS+laser, NPs+laser, and NPs+AOAA+laser groups did not change obviously after 5 min of laser irradiation, and the temperature increased from 34.75°C to 36.8°C, 39.98°C, and 38.65°C, respectively. In contrast, an obvious color change was observed in the NPs+SAM+laser group, and the temperature increased to 47.23°C. The large difference between the NPs+SAM+laser group and the other groups demonstrates that the photothermal activity of Bi:Cu2O@HA was only activated by the endogenous H2S in the colon cancer tumor. After laser treatment, a tumor tissue was randomly dissected from each group, and the necrosis and apoptosis in the tumor tissue were evaluated by H&E and TUNEL staining. H&E staining (Fig. 6C) showed that the tumor tissues in the PBS+laser, NPs+laser, and NPs+AOAA+laser groups were not obviously damaged under laser irradiation. In contrast, a large amount of cell necrosis was observed in the tumors in the NPs+SAM+laser group, and the corresponding positive cell rate was 65.67% (Fig. 6D). According to the TUNEL staining images (Fig. 6E), the tumor slices from the PBS+laser, NPs+laser, and NPs+AOAA+laser groups showed almost no green fluorescence (dead cells), indicating that only a small number of cells were apoptotic In contrast, a large area of green fluorescence was observed in the NPs+SAM+laser group, suggesting that the photothermal effect of the activated Bi:Cu2O@HA NPs killed cells in vivo. The corresponding cell apoptosis rates in the PBS+laser, NPs+laser and NPs+AOAA+laser, and NPs+SAM+laser groups were 8.86%, 6.54%, 6.98%, and 58.09%, respectively (Fig. 6F), in agreement with the H&E staining results (Fig. 6D). The above results demonstrate that the photothermal activity of the Bi:Cu2O@HA NPs can be triggered by the overexpressed H2S in colon cancer cells, and that the NPs exhibit an excellent photothermal therapeutic effect, suggesting that the NPs are a promising candidate for colon cancer therapy.
To evaluate the therapeutic effect of Bi:Cu2O@HA NPs in vivo, the state of subsistence and tumor volume of the mice were monitored for 15 d. As demonstrated in Fig. 7A, the tumors of the mice in the PBS+laser, NPs+laser, and NPs+AOAA+laser groups continued to grow rapidly, while the tumors of the mice completely disappeared after 15 d of treatment (Additional file 1: Fig. S12). The corresponding changes in the relative tumor volumes for each group revealed similar results (Fig. 7B), indicating that only the activated, photothermally active Bi:Cu2O@HA NPs could eliminate the tumors. To evaluate the long-term biocompatibility of the Bi:Cu2O@HA NPs in vivo, the body weights of the mice in all groups were monitored for 15 d. Subsequently, one of the cured mice in the NPs+SAM+laser group was euthanized, and its main organs were dissected for comparison with those of normal mice to further evaluate the long-term biocompatibility of Bi:Cu2O@HA NPs in vivo. As shown in Fig. 7C, the body weight of the mice did not change significantly during the treatment process, indicating that the Bi:Cu2O@HA NPs did not affect the normal life activities of the mice or have obvious toxic or side effects. Notably, in contrast to the normal mice, the H&E-stained sections of the cured mouse showed no obvious signs of tissue necrosis (Fig. 7D), indicating that the Bi:Cu2O@HA NPs have good long-term biocompatibility in vivo. These results suggest that the Bi:Cu2O@HA NPs show excellent potential for the PTT of colon cancer.