Abstract
Background: Nanoradiosensitizers containing high Z-group elements have been reported widely as potential candidates for radiotherapy. However, the specific regulatory mechanism is unclear, and biodegradability needs to be addressed urgently. Methods: We synthesized a silk sericin-containing nano assembly, Pt@Bi2Se3-RGD (PBR). PBR's antitumor and bioeliminable effects were demonstrated in 4T1 tumor cells in vitro and in vivo. The immuno-radiotherapy effects of PBR were evaluated using a bilateral tumor model. Results: Combining photoacoustic imaging-guided PBR with radiotherapy improved the efficiency of anti-PD-L1 treatment, eliciting a robust immune response. Importantly, silk sericin-containing PBR could respond to the local intracellular environment in the tumor with acidic pH and overexpressed MMP-9, collapsing into Bi, Se, and scattered Pt nanoparticles (NPs) and finally be cleared from the body. The results also suggested that PBR may act on the Areg/Egfr/Bcl-2 pathway, inducing apoptosis for radiosensitization. Conclusion: The multifunctional, bioeliminable PBR nanoassembly synthesized in this study demonstrated radiosensitization, which, in conjunction with the PD-L1 immune blockade, could suppress primary and distal tumors. Thus, as a sensitizer for synergistic radiotherapy and immunotherapy, PBR could have wide-ranging clinical applications in oncology.