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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Bioeng. Biotechnol.</journal-id>
<journal-title>Frontiers in Bioengineering and Biotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Bioeng. Biotechnol.</abbrev-journal-title>
<issn pub-type="epub">2296-4185</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">768927</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2021.768927</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Near-Infrared Inorganic Nanomaterials for Precise Diagnosis and Therapy</article-title>
<alt-title alt-title-type="left-running-head">Li et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">NIR Imaging</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Wenling</given-names>
</name>
<uri xlink:href="https://loop.frontiersin.org/people/1465162/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Zhang</surname>
<given-names>Guilong</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Liu</surname>
<given-names>Lu</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1321719/overview"/>
</contrib>
</contrib-group>
<aff>Medicine and Pharmacy Research Center, School of Pharmacy, Binzhou Medical University, <addr-line>Yantai</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/991648/overview">Yong Fan</ext-link>, Fudan University, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1264999/overview">Mingxi Zhang</ext-link>, Wuhan University of Technology, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1272783/overview">Jiating Xu</ext-link>, Northeast Forestry University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1465669/overview">Chunyan Li</ext-link>, Suzhou Institute of Nano-tech and Nano-bionics (CAS), China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Lu Liu, <email>luliu@alu.fudan.edu.cn</email>; Guilong Zhang, <email>glzhang@bzmc.edu.cn</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Nanobiotechnology, a section of the journal Frontiers in Bioengineering and Biotechnology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>26</day>
<month>10</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>768927</elocation-id>
<history>
<date date-type="received">
<day>01</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>12</day>
<month>10</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2021 Li, Zhang and Liu.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Li, Zhang and Liu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>Traditional wavelengths (400&#x2013;700&#xa0;nm) have made tremendous inroads in&#x20;vivo fluorescence imaging. However, the ability of visible light photon penetration hampered the bio-applications. With reduced photon scattering, minimal tissue absorption and negligible autofluorescence properties, near-infrared light (NIR 700&#x2013;1700&#xa0;nm) demonstrates better resolution, high signal-to-background ratios, and deep tissue penetration capability, which will be of great significance for in-vivo determination in deep tissue. In this review, we summarized the latest novel NIR inorganic nanomaterials and the emission mechanism including single-walled carbon nanotubes, rare-earth nanoparticles, quantum dots, metal nanomaterials. Subsequently, the recent progress of precise noninvasive diagnosis in biomedicine and cancer therapy utilizing near-infrared inorganic nanomaterials are discussed. In addition, this review will highlight the concerns, challenges and future directions of near-infrared light utilization.</p>
</abstract>
<kwd-group>
<kwd>NIR imaging</kwd>
<kwd>inorganic nanomaterials</kwd>
<kwd>drug delivery</kwd>
<kwd>
<italic>in vivo</italic>
</kwd>
<kwd>precise diagnosis</kwd>
</kwd-group>
<contract-sponsor id="cn001">Binzhou Medical University<named-content content-type="fundref-id">10.13039/501100007322</named-content>
</contract-sponsor>
<contract-sponsor id="cn002">Natural Science Foundation of Shandong Province<named-content content-type="fundref-id">10.13039/501100007129</named-content>
</contract-sponsor>
<contract-sponsor id="cn003">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content>
</contract-sponsor>
<contract-sponsor id="cn004">Natural Science Foundation of Anhui Province<named-content content-type="fundref-id">10.13039/501100003995</named-content>
</contract-sponsor>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Biomedical imaging serves as an intermediary between physiopathology relevant information and clinical bio-applications. With the development of various clinical imaging modalities, series of fundamental research have obtained significant progress. Current imaging techniques including computed tomography (CT), positron emission tomography (PET), magnetic resonance imaging (MRI), ultrasound (US), photoacoustic imaging (PA), and single-photon emission tomography (SPECT), have been widely applied in disease diagnosis and treatment (<xref ref-type="bibr" rid="B46">Kim et&#x20;al., 2018</xref>). However, some of these methods are not suitable for precise diagnosis. Exploring imaging modalities with non-invasiveness, better temporal-spatial resolution and higher sensitivity are the developing trend for precision medicine.</p>
<p>Fluorescence imaging has attracted growing interest for biosensing and bioimaging application especially in the near-infrared window (NIR, 700&#x2013;1700&#xa0;nm) (<xref ref-type="bibr" rid="B73">Reineck and Gibson, 2017</xref>). In the process of fluorescence imaging in most mammalian tissues, the photons penetration mainly relies on the light scattering, absorption and tissue autofluorescence, which will further restrict biomedical application (<xref ref-type="bibr" rid="B9">Carr et&#x20;al., 2018</xref>). Compared with the visible spectrum (400&#x2013;700&#xa0;nm) extensively employed for bioimaging the broadly defined NIR region can provide deeper tissue optical imaging with improved signal-to-background ratio (<xref ref-type="bibr" rid="B36">Hong et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B8">Cao et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B10">Chen G. et&#x20;al., 2020</xref>). Therefore, the increasing demand for fluorescence with high spatiotemporal resolution imaging in deep tissue calls for great progress in fundamental science both in better imaging instrumentation and new fluorescent agents.</p>
<p>Recent years, the emission wavelength of fluorescent agents gradually shift to the NIR region for fluorescent imaging. Organic fluorophores have become increasingly attractive for bioimaging and biosensing. For example, FDA approved NIR dye indocyanine green (ICG) has been widely used for clinical practices (<xref ref-type="bibr" rid="B39">Hu et&#x20;al., 2016</xref>). However, the poor stability and solubility, low quantum yield of ICG remains an issue (<xref ref-type="bibr" rid="B26">Gil et&#x20;al., 2021</xref>). Inorganic NIR emitters mainly including single-walled carbon nanotubes, rare-earth nanoparticles, quantum dots, metal nanomaterials are extremely important in NIR fluorescent imaging (<xref ref-type="bibr" rid="B115">Zhao et&#x20;al., 2019</xref>). There is an ongoing effort toward the functional modification of NIR inorganic fluorophores as they can consist of different functional components in a single unit. Thus, multifunctional inorganic nanomaterials are used in bioimaging, therapy, drug delivery and precise diagnosis,&#x20;etc.,.</p>
<p>This review aims to summarize recent progress of the NIR inorganic nanomaterials. We describe recent advances NIR contrast agents including single-walled carbon nanotubes, rare-earth nanoparticles, quantum dots, metal nanomaterials, including their emission mechanism. Then an overview of the use of these NIR inorganic nanomaterials in various bioimaging and biosensing applications are given. Finally, we conclude the overall concerns, challenges and future directions in the design of NIR fluorescent inorganic nanoprobes.</p>
</sec>
<sec id="s2">
<title>Emission Mechanism of Near-Infrared Inorganic Nanomaterials</title>
<sec id="s2-1">
<title>Single-Walled Carbon Nanotubes</title>
<p>Single-walled carbon nanotubes (SWCNTs) quasi-one dimensional carbon based nanomaterials are considered as the rolling tube of a single carbon graphite sheet in a honeycomb lattice. SWCNTs were discovered by sumio lijima during the synthesis of the C60 in 1991 (<xref ref-type="bibr" rid="B42">Iijima, 1991</xref>). Benefit from its unique structure and excellent electrical, mechanics, carbon nanotubes have been rapidly used in physics, chemistry and biology. Moreover, SWCNTs have attractive intrinsic near-infrared emission (700&#x2013;1700&#xa0;nm) within the tissue transparency window.</p>
<p>SWCNTs have such special optical performance due to the presence of the Van Hove transitions across bandgap. M. J.&#x20;O&#x2019;Connell et&#x20;al. discovered bandgap fluorescence of SWCNTs isolated inside surfactant micelles (<xref ref-type="bibr" rid="B13">Chen et&#x20;al., 1998</xref>). The NIR emission is related to the energy band structure. The electron is pumped to excited states when light is initially absorbed. Subsequently, the emission can be measured during the electron relaxation from excited states to the lower energy state (<xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>). The optical resonances in SWCNTs is inherent to excitons (electron-hole pairs) (<xref ref-type="bibr" rid="B94">Wang et&#x20;al., 2005</xref>; <xref ref-type="bibr" rid="B5">Avouris et&#x20;al., 2008</xref>). The local dielectric environment and charge transfer can affect the fluorescence of SWCNTs (Valerie C. <xref ref-type="bibr" rid="B68">Moore et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B84">Strano et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B13">Chen et&#x20;al., 1998</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>
<bold>(A)</bold> Schematic of the graphene sheet segment showing roll-up vector. <bold>(B)</bold> Schematic density of electronic states for SWCNTs with van Hove singularities (<xref ref-type="bibr" rid="B6">Bachilo et&#x20;al., 2002</xref>) Reproduced with permission from Weisman et&#x20;al. (2002). <bold>(C)</bold> SWCNT emission spectra in an aqueous Pluronic F108 suspension and in macrophage cells (<xref ref-type="bibr" rid="B16">Cherukuri et&#x20;al., 2004</xref>). Reproduced with permission from Weisman et&#x20;al. (2004). <bold>(D)</bold> Schematic of the phospholipid-polyethylene glycol modified biocompatible nanotubes. <bold>(E)</bold> Photoluminescence versus excitation spectra (<xref ref-type="bibr" rid="B22">Diao et&#x20;al., 2012</xref>). Reproduced with permission from Dai et&#x20;al. (2012). <bold>(F)</bold> Dynamic contrast-enhanced imaging with SWNCTs through PCA (<xref ref-type="bibr" rid="B100">Welsher et&#x20;al., 2011</xref>). Reproduced with permission from Dai et&#x20;al. (2011).</p>
</caption>
<graphic xlink:href="fbioe-09-768927-g001.tif"/>
</fig>
<p>Compared with organic fluorescence dyes, SWCNTs are more stable without blinking or photobleaching (<xref ref-type="bibr" rid="B34">Heller et&#x20;al., 2005</xref>). The electronically unidirectional structure related van Hove is shown in <xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>. The E<sub>ii</sub> is considered as the energy gap between valence and conduction bands. The valence bands absorb photon of energy E<sub>22</sub> and emit lower energy of E<sub>11</sub> within the near-infrared region (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). The roll-up vector from (0, 0) to (n, m) of graphene sheet determine energy values of E<sub>ii</sub>. The Kataura plot shows the relationship between the band gap, diameter, and chirality of SWCNTs, which is a diagram introduced by Kataura and colleagues synthesized SWCNTs using laser vaporization method and further clarified the inter-relationship between the energy gap, diameter, and roll-up vector (<xref ref-type="bibr" rid="B78">Saito et&#x20;al., 2017</xref>). The local environment will affect the SWCNTs physical and chemical properties because of the outmost carbon atoms (<xref ref-type="bibr" rid="B18">Cognet et&#x20;al., 2007</xref>; <xref ref-type="bibr" rid="B35">Heller et&#x20;al., 2009</xref>).</p>
<p>Surface modification of SWCNTs can decrease the cytotoxicity and improve water solubility. Multiple biologically important molecules and polymers can bind to SWCNTs via electrostatic interactions to obtain high-performance SWCNTs for biomedical application (<xref ref-type="fig" rid="F1">Figure&#x20;1F</xref>). Biological compatibility molecular with hydrophilic groups are widely applied in modifying the SWCNTs to obtain better solubility (<xref ref-type="fig" rid="F1">Figures 1D,E</xref>) (<xref ref-type="bibr" rid="B19">Dai, 2002</xref>; <xref ref-type="bibr" rid="B75">Richard et&#x20;al., 2003</xref>; <xref ref-type="bibr" rid="B72">Qiao and Ke, 2006</xref>). <xref ref-type="bibr" rid="B20">Dang et&#x20;al. (2011)</xref> reported the combination of SWCNTs and TiO<sub>2</sub> to form core/shell nanocrystal composites to increase the electron collection efficiency that greatly improved the power conversion efficiency. In general, SWCNTs showed strong fluorescence and low photobleaching in NIR-II, achieving deep tissue penetration and high spatial resolution fluorescence imaging. However, the solubility, biocompatibility and quantum yield of SWCNTs are poor, which makes it impossible to be directly used in bioimaging before surface modification. Nano-engineering of SWCNTs offers both biological compatibility and fluorescence properties for biosensing and bioimaging.</p>
</sec>
<sec id="s2-2">
<title>Rear Earth Nanoparticles</title>
<p>Nanoparticles doped with rare Earth elements have unique optical, electrical and magnetic properties (<xref ref-type="bibr" rid="B65">Ma et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B25">Fan and Zhang, 2019</xref>; <xref ref-type="bibr" rid="B30">Han et&#x20;al., 2020</xref>). The rare-earth nanoparticles (RENPs) have the special optical characteristics of various emission wavelength, long lifetime non-photobleaching and large stokes shift (<xref ref-type="bibr" rid="B65">Ma et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B51">Li D. et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B119">Zhou et&#x20;al., 2020</xref>). The strategy of doping and regulating the morphology endow the RENPs with excellent NIR optical properties (<xref ref-type="bibr" rid="B57">Liang et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B33">He et&#x20;al., 2020</xref>).</p>
<p>With abundant f orbital electrons, Ln<sup>3&#x2b;</sup> ions can exhibit multi-wavelength emissions that are commonly used as emitting centers (<xref ref-type="bibr" rid="B101">Wen et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B8">Cao et&#x20;al., 2019</xref>). Lanthanide-doped nanoparticles are composed of host matrix, sensitizer, migrator and activator. Host matrix is necessary, in which trivalent lanthanide ions are embedded. The host matrix with suitable lattice dimensions can provide a crystalline environment, which have the characteristics of low lattice phonon energy, negligible absorption and high stability. The sensitizer ion can harvest pump photons and subsequently promote the nearby accumulator ion to excited states. The migrator ion act as an energy bridge between sensitizer and activator. To obtain tunable emissions in the NIR spectral region (700&#x2013;1700&#xa0;nm), Ho<sup>3&#x2b;</sup>, Pr<sup>3&#x2b;</sup>, Nd<sup>3&#x2b;</sup>, Tm<sup>3&#x2b;</sup> and Er<sup>3&#x2b;</sup> are usually used as the activators (<xref ref-type="fig" rid="F2">Figures 2A,B</xref>; <xref ref-type="bibr" rid="B25">Fan and Zhang, 2019</xref>). Except the ETU process, the directly photon absorption of activators has emerged as an attractive way with high quantum yield (<xref ref-type="fig" rid="F2">Figure&#x20;2</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>
<bold>(A)</bold> Schematic energy level diagrams of trivalent lanthanide ions activators (Ln &#x3d; Nd<sup>3&#x2b;</sup>, Ho<sup>3&#x2b;</sup>, Pr<sup>3&#x2b;</sup>, Tm<sup>3&#x2b;</sup>, Tm<sup>3&#x2b;</sup>). <bold>(B)</bold> Intrinsic NIR emissions from Nd<sup>3&#x2b;</sup>, Ho<sup>3&#x2b;</sup>, Pr<sup>3&#x2b;</sup>, Tm<sup>3&#x2b;</sup>, Tm<sup>3&#x2b;</sup> (<xref ref-type="bibr" rid="B25">Fan and Zhang, 2019</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B25">Fan and Zhang, (2019)</xref>. <bold>(C)</bold> Schematic illustration of the NaErF<sub>4</sub>@NaLuF<sub>4</sub> core/shell nanocrystals structural composition (<xref ref-type="bibr" rid="B44">Johnson et&#x20;al., 2017</xref>). Reproduced with permission from Almutairi et&#x20;al. (2017). <bold>(D)</bold> Luminescence decay curves of Ho-doped core-multi-shell nanocrystals and lifetime images measured at 1,155&#xa0;nm (<xref ref-type="bibr" rid="B24">Fan et&#x20;al., 2018</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B113">Zhang et&#x20;al. (2018)</xref>. <bold>(E)</bold> Cerebral vascular image in 1,550&#xa0;nm of &#x3b2;-NaYbF<sub>4</sub>:Ce,Er@NaYF<sub>4</sub> nanoparticles (<xref ref-type="bibr" rid="B118">Zhong et&#x20;al., 2017</xref>). Reproduced with permission from Dai et&#x20;al. (2017).</p>
</caption>
<graphic xlink:href="fbioe-09-768927-g002.tif"/>
</fig>
<p>Deleterious cross-relaxation, surface quenching effects and nonradiative relaxation induced by host matrix seriously quench the NIR luminescence. Liu group constructed a series of fluorescence nanomaterials with tunable upconversion emissions by introduced the core-shell structure to eliminate the deleterious cross-relaxation (<xref ref-type="bibr" rid="B93">Wang et&#x20;al., 2011</xref>). This study open opportunities toward exploring a new class of luminescent materials (<xref ref-type="bibr" rid="B11">Chen et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B48">Labrador-Paez et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B92">Wang et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B106">Yan et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B114">Zhao et&#x20;al., 2020</xref>). Concentration quenching once was a major barrier in designing materials. Dai group described the relationship between the doping concentration and surface quenching effects. They found that the inert outer shell could overcome surface quenching effects (<xref ref-type="fig" rid="F2">Figure&#x20;2C</xref>; <xref ref-type="bibr" rid="B44">Johnson et&#x20;al., 2017</xref>). Nanoparticles doped with appropriate lanthanide ions has proved to enhance NIR emission through energy trapping or suppress the up-conversion pathway (<xref ref-type="bibr" rid="B14">Chen et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B118">Zhong et&#x20;al., 2017</xref>). Fluorescence lifetime as a new dimension become highly useful in multichannel bioimaging (<xref ref-type="fig" rid="F2">Figure&#x20;2D</xref>), which are independent of both colour and intensity (<xref ref-type="bibr" rid="B49">Laviv et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B24">Fan et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B116">Zheng et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B103">Xie et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B62">Lukina et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B63">Luo et&#x20;al., 2021</xref>). Zhang group designed NIR-II RENPs with tunable luminescence lifetimes for <italic>in vivo</italic> quantitative imaging (<xref ref-type="bibr" rid="B24">Fan et&#x20;al., 2018</xref>). RENPs have attracted more and more attention due to their large Stokes shift, narrow and multi-peak emission spectra, negligible excitation-emission band overlap, and excellent photostability. However, the long residence time in the reticuloendothelial system and cannot be removed from organism. which increases the potential safety hazards and is a non-negligible obstacle for future biomedical applications.</p>
</sec>
<sec id="s2-3">
<title>Quantum Dots</title>
<p>Quantum Dots (QDs) are colloidal semiconductor nanocrystals with few nanometres in size. With distinct electronic and optical properties benefiting from smaller radii and quantum confinement effects, QDs display a promising application prospect in biomedical systems as ideal probes for fluorescence imaging (<xref ref-type="fig" rid="F3">Figure&#x20;3D</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>
<bold>(A)</bold> Schematic of basic processes involving various excited states in a quantum dot upon photoexcitation (<xref ref-type="bibr" rid="B71">Pu et&#x20;al., 2017</xref>). Reproduced with permission from Peng et&#x20;al. (2017). <bold>(B)</bold> Spectra of different core/shell short-wave infrared quantum dots: QD<sub>1080</sub> (InAs(CdSe)<sub>1</sub>(ZnSe)<sub>3</sub>); QD<sub>1120</sub> (InAs(CdSe)<sub>1.5</sub>); QD<sub>1170</sub> (InAs(CdSe)<sub>3</sub>); QD<sub>1280</sub> (InAs(Cd<sub>0.9</sub>Zn<sub>0.1</sub>S)); QD<sub>1330</sub> (InAs(CdSe)<sub>6</sub>) (<xref ref-type="bibr" rid="B7">Bruns et&#x20;al., 2017</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B7">Bruns et&#x20;al. (2017)</xref>. <bold>(C)</bold> NIR emission ZnSe/InP/ZnS core/shell/shell nanoparticles and their bandgap alignments with corresponding electron and hole wave functions (<xref ref-type="bibr" rid="B77">Saeboe et&#x20;al., 2021</xref>). Reproduced with permission from Dennis et&#x20;al. (2021). <bold>(D)</bold> PCA for differentiation of arterial and venous components (<xref ref-type="bibr" rid="B113">Zhang et&#x20;al., 2018</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B113">Zhang et&#x20;al. (2018)</xref>.</p>
</caption>
<graphic xlink:href="fbioe-09-768927-g003.tif"/>
</fig>
<p>The unique optical properties of QDs depend on the transition of an electron from the valence band to the conductance band. When their radii become smaller than the exciton Bohr radius, the excitations are squeezed that lead to the quantum confinement effect. In semiconductor nanocrystals there is a band-gap between the valence band and conductance band. It generally leads to the an electron excited to the conductance band, when a photon absorption in the valence band with appropriate energy to band-gap energy. This process produce quasi-particle called exciton consist of the negatively charged electron and the positively charged hole. When the excited electron resumes its ground state, it eliminates the exciton and release energy in the shape of a photon through radiative recombination (<xref ref-type="fig" rid="F3">Figures 3A,B</xref>). In the quantum confinement system, the emission wavelength and band gap energy of QDs can be tuned by regulating their size, materials et&#x20;al. (<xref ref-type="bibr" rid="B31">Hanson et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B28">Grimaldi et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B79">Santos et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B80">Sarkar et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B107">Yang et&#x20;al., 2021</xref>). It is possible to achieve QDs with NIR light emission by selectively control the composition process, endowing QDs superior imaging capability (<xref ref-type="bibr" rid="B36">Hong et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B8">Cao et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B83">Sonego et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B26">Gil et&#x20;al., 2021</xref>).</p>
<p>The hydrophobic and toxicity of the NIR QDs limits their <italic>in vivo</italic> application. Several alternatives have been developed such as toxic elements free or surface coating to endow the NIR QDs more suitable for <italic>in vivo</italic> applications. It was found that PEG, MPA, and SiO<sub>2</sub> increased their circulation time (<xref ref-type="bibr" rid="B2">Akerman et&#x20;al., 2002</xref>; <xref ref-type="bibr" rid="B29">Gussin et&#x20;al., 2006</xref>). The emission wavelength of traditional binary QDs systems such as CdSe, CdTe, and PbS always in the visible region. In order to reduce biological toxicity, the heavy metal-free QDs are attracting more and more attention. QDs luminescent in biologically desired NIR region can be obtained by the strategies: 1) changing the size of QDs, 2) dopping different ions into the host matrix, 3) rational design of core-shell structure. Bawendi designed a series of copper indium selenide QDs by changing the stoichiometries that can exhibited fluorescence from red to near-infrared (NIR) (<xref ref-type="bibr" rid="B3">Allen and Bawendi, 2008</xref>). By using the toluene thermal and a hot-injection method, <xref ref-type="bibr" rid="B21">Deng et&#x20;al. (2009)</xref> synthesised quaternary Cu<sub>1.0</sub>Ga<sub>x</sub>In<sub>2-x</sub>S<sub>3.5</sub> and Cu<sub>1.0</sub>In<sub>x</sub>Tl<sub>2-x</sub>S<sub>3.5</sub> QDs with NIR emission. Redshift of luminescence was observed when the doped ions content was increased, which is great importance for labeling and imaging studies. By introducing HgS interlayer at the core/shell CdSe@CdS QDs interface, the visible emitters can be converted into highly efficient NIR fluorophores by Klimov (<xref ref-type="bibr" rid="B81">Sayevich et&#x20;al., 2021</xref>). Dennis also reported the similar ZnSe@InP@ZnS core/shell/shell heterostructure, in which tunable emission ranging from visible to NIR wavelengths can be obtained by changing the InP interlayer thickness (<xref ref-type="fig" rid="F3">Figure&#x20;3C</xref>; <xref ref-type="bibr" rid="B77">Saeboe et&#x20;al., 2021</xref>). Through well-designed core-shell structure, doping different ions, and surface modification the NIR emissions QDs with biocompatible properties can be achieved. As a semiconductor fluorescent nanoprobe, QDs has good optical and chemical stability, narrow and tunable emission wavelength, high two-photon absorption cross section, and polychromatic fluorescence imaging. Although, the current synthesis approach and surface functional modification methods have reduced the biological toxicity of QDs, but its safety is still controversial, which may become a potential risk factor for clinical application.</p>
</sec>
<sec id="s2-4">
<title>Metal Nanomaterials</title>
<p>In material science, metal nanomaterials are another type of inorganic nanomaterials that are promising for NIR bioimaging. Meanwhile, binary or ternary metal nanomaterials can greatly expand the properties of metals. Researchers in material science have discovered that some metal nanomaterials not only demonstrate outstanding catalytic properties, but also have excellent optical properties (<xref ref-type="bibr" rid="B96">Wang S. et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B52">Li H. et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B82">Shu et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B85">Sun et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B120">Zhou et&#x20;al., 2021</xref>).</p>
<p>Different from traditional noble metal nanocrystals with unique optical properties dominated by surface plasmon resonance, the metal nanoclusters have strong quantum confinement effect with discrete energy band. Affected by quantum size effect, the absorption spectra is associated with both the metal core and surface states. Under both near HOMO-LUMO gap and higher energy excitations, one can observe core-to-shell charge transfer for the nanoclusters (<xref ref-type="fig" rid="F4">Figure&#x20;4A</xref>). As the size of the metal core increases, the energy gap between HOMO and LUMO decreases slowly corresponding to absorption spectrum. Similar to the trend in absorption spectra, the emission wavelength of the metal nanoclusters show red-shifted evolution. (<xref ref-type="bibr" rid="B109">Yao et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B112">Zhang et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B102">Wu et&#x20;al., 2020</xref>; <xref ref-type="bibr" rid="B53">Li et&#x20;al., 2021</xref>; <xref ref-type="bibr" rid="B110">Yu et&#x20;al., 2021</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>
<bold>(A)</bold> Schematic of the energy level of Cu and Zn doped Au<sub>25</sub> clusters by density functional theory (<xref ref-type="bibr" rid="B59">Liu et&#x20;al., 2019</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B112">Zhang et&#x20;al. (2019)</xref>. <bold>(B)</bold> Relaxation model and the corresponding Au<sub>m</sub> (SR)<sub>n</sub> nanocluster crystal structures (<xref ref-type="bibr" rid="B121">Zhou et&#x20;al., 2017</xref>). Reproduced with permission from Jin et&#x20;al. (2017). <bold>(C)</bold> Dynamic NIR-II fluorescence imaging of lymphatic metastasis with Au<sub>25</sub> clusters and principal component analysis images (<xref ref-type="bibr" rid="B59">Liu et&#x20;al., 2019</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B112">Zhang et&#x20;al. (2019)</xref>.</p>
</caption>
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</fig>
<p>Novel gold nanoclusters have been developed to emit strong fluorescence in NIR-II region as well as quick renal clearance (<xref ref-type="bibr" rid="B59">Liu et&#x20;al., 2019</xref>; <xref ref-type="bibr" rid="B53">Li et&#x20;al., 2021</xref>). Jin group reported the femtonanosecond excited state dynamics of a periodic series of face-centered cubic gold nanoclusters with NIR emission (<xref ref-type="fig" rid="F4">Figure&#x20;4B</xref>), which will improve optical energy harvesting and extend photocatalytic applications (<xref ref-type="bibr" rid="B121">Zhou et&#x20;al., 2017</xref>). Doping is another effective strategy for improve the NIR property of the metal nanomaterials (<xref ref-type="bibr" rid="B4">Andolina et&#x20;al., 2013</xref>; <xref ref-type="bibr" rid="B67">Marbella et&#x20;al., 2014</xref>). Zhang group presented a unique cage-like Au<sub>25</sub> cluster that can emit fluorescence in 650&#x2013;1,400&#xa0;nm region by the charge transfer between outside glutathione and inner Au core (<xref ref-type="fig" rid="F4">Figure&#x20;4C</xref>). They found that the corresponding fluorescence QY is remarkably improved by Cu, Zn, Ag, and Er doping (<xref ref-type="bibr" rid="B59">Liu et&#x20;al., 2019</xref>). In recent years, a series of near-infrared fluorescent metal nanoprobes with excellent NIR performance have been developed. Metal nanomaterials show higher quantum yield and lower photobleaching. It is often used for liver, kidney, brain and lung imaging. However, these materials tend to stay and accumulate in the liver and spleen, which are not easily excreted by the&#x20;body.</p>
</sec>
</sec>
<sec id="s3">
<title>Biological Application</title>
<p>With the rapid development of inorganic NIR fluorophores, more and more researchers applied the NIR fluorophores in bioimaging and biosensing applications. In this part, we summarized some representative works on inorganic NIR fluorophores biological applications, including precise diagnosis, lymphatic or vessel system imaging, image-guided surgery and therapy.</p>
<sec id="s3-1">
<title>Precise Diagnosis</title>
<p>Scientists have paid more attention to the tumor visualization, which will help to improve deeper understanding of the mechanisms of tumor metastasis, accurate diagnosis and treatment. Presently, NIR imaging has been widely applied for diagnosis of tumor in early stages with high resolution (<xref ref-type="bibr" rid="B91">Wang et&#x20;al., 2018</xref>a). Construction of tumor microenvironment responsive probe, especially toward specific enzyme of solid tumors, is a significant task. Precise intraoperative histopathological analysis are complicated, which greatly delay the intraoperative decision. <xref ref-type="bibr" rid="B111">Zhan et&#x20;al. (2021)</xref> successfully developed matrix metalloproteinase 14 (MMP14) activated (A&#x26;MMP@Ag<sub>2</sub>S-AF7P) for accurate NIR imaging diagnosis of neuroblastoma (NB). In this nanoprobe, the affinity peptide can help to recognize and target the NB&#x20;cells by overexpressed matrix metalloproteinase 14. Afterwards, internalization of the nanoprobes was occurred through specific enzymatic reaction of affinity peptide and matrix metalloproteinase 14. NIR-II fluorescence emission of Ag<sub>2</sub>S QDs was recovered through cut off the FRET process between Ag<sub>2</sub>S quantum dots and NIR absorber (<xref ref-type="fig" rid="F5">Figures 5A,B</xref>). Well-defined tumor margins and instant illumination of the lesion make it an ideal diagnostic nanoprobes for cancer surgical. For fluorescence imaging in biological organs and tissues, autofluorescence, scattering and absorption coefficient are still primary obstacles. <xref ref-type="bibr" rid="B61">Lu et&#x20;al. (2020)</xref> designed bioluminescence probes with emission at NIR-II window by introducing BRET and two-step FRET process. The strategy highly improved imaging resolution of tumors, metastases, vessels and lymphatics. The high solution multiplexed imaging using NIR-II bioluminescence probes is shown in <xref ref-type="fig" rid="F5">Figure&#x20;5C</xref>. RENPs have been widely studied in the biomedical field. In 2018, <xref ref-type="bibr" rid="B104">Xu et&#x20;al. (2019)</xref> have summarized the recent advances of lanthanide-doped nanoconstructs in biomedical imaging. Fluorescence imaging probes combined the antibody of the searched hub genes with NaYF<sub>4</sub>:Yb,Er,Eu@NaYF<sub>4</sub>:Nd NPs with orthogonal emission properties are designed for precise diagnosis of lung adenocarcinoma (<xref ref-type="bibr" rid="B64">Lv et&#x20;al., 2021</xref>. <xref ref-type="fig" rid="F5">Figure&#x20;5D</xref>). <xref ref-type="bibr" rid="B87">Tao et&#x20;al. (2017)</xref> reported a NIR imaging nanoprobes consist of lanthanide ion doped nanocrystals coating with PEO-b-PCL polymers and doped with carbocyanine dye that facilitates precise detection of smaller and earlier tumor deposits.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>Representative reporters of tumor diagnosis using NIR fluorescence. <bold>(A)</bold> Schematic illustration of A&#x26;MMP@Ag<sub>2</sub>S-AF7P for NB detection. <bold>(B)</bold> A&#x26;MMP@Ag<sub>2</sub>S-AF7P NIR-II fluorescent and bright field image of excised tumor nodules for pre-operative and postoperative stage of peritoneal tumor (<xref ref-type="bibr" rid="B111">Zhan et&#x20;al., 2021</xref>). Reproduced with permission from Wang et&#x20;al. (2021). <bold>(C)</bold> Dual-channel NIR bioluminescence imaging of CT-26 tumor tissue (upper) and vessels (lower). (<xref ref-type="bibr" rid="B61">Lu et&#x20;al., 2020</xref>). Reproduced with permission from Zhang et&#x20;al. (2020). <bold>(D)</bold> <italic>In vivo</italic> NIR imaging of the mouse inoculated with 4T1 and A549 tumor cells (<xref ref-type="bibr" rid="B64">Lv et&#x20;al., 2021</xref>). Reproduced with permission from Tian et&#x20;al. (2021).</p>
</caption>
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</fig>
<p>There are other reports for diseases diagnosis and neuronal activity tracking using NIR fluorescence imaging. Shemetov et&#x20;al. (2021) efficiently detected changes in visually evoked neuronal activity in the primary visual cortex of head-fixed awake mice though a near-infrared genetically encoded calcium indicator. Fast and accurate diagnosis is crucial for treatment in clinical medicine. <xref ref-type="bibr" rid="B23">Fan et&#x20;al. (2017)</xref> aimed at developing a strategy for fast and cost-effective diagnosis of kidney disease using NIR spectra of human serum. <xref ref-type="bibr" rid="B12">Chen et&#x20;al. (2020b)</xref> introduced a second near infrared fluorescence imaging strategy based on lead sulfide quantum dots dynamically monitoring bacterial infection in a real-time manner. A gold nanostar based near-infrared fluorescence imaging probe is designed by <xref ref-type="bibr" rid="B41">Hua et&#x20;al. (2021)</xref> for labeling and precise tracking of the stem cells, as a potential approach for the precise diagnosis and treatment of myocardial infarction. Keloid scars always accompany with an abnormal high reactive oxygen and nitrogen species&#x20;level.</p>
</sec>
<sec id="s3-2">
<title>Vessel and Lymphatic Imaging</title>
<p>Vessel imaging is closely connected with life health that can provides anatomic and hemodynamic information. However, imaging techniques such as CT and MRI for assessing vasculature and hemodynamics are limited by the long scanning and postprocessing times (<xref ref-type="bibr" rid="B76">Saba et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B27">Greco et&#x20;al., 2012</xref>). Due to high temporal and spatial resolution, <italic>in vivo</italic> NIR fluorescence imaging has inherent advantages over tomographic imaging (<xref ref-type="bibr" rid="B1">Adams et&#x20;al., 2002</xref>). The resolution limits between NIR-II and micro-CT imaging of hind limb vasculature as well as the cross-sectional signal intensity are displayed in <xref ref-type="fig" rid="F6">Figure&#x20;6A</xref>. In the distal hind limb of the mouse, the NIR-II image showed larger numbers of small blood vessels compared to the micro-CT image at the same location. The smallest vessel extracted by NIR-II had a diameter of only 35.4&#xa0;&#xb5;m, whereas micro-CT could not identify any vessel smaller than &#x223c;100&#xa0;&#xb5;m in diameter. The temporal as well as spatial resolution far exceeds scanning microscopic imaging techniques. <xref ref-type="bibr" rid="B37">Hong et&#x20;al. (2014)</xref> reported NIR fluorescence imaging of mouse cerebral vasculature using single-walled carbon nanotubes in an acute stroke model in mice, which provided real-time assessment of blood flow abnormalities. Noninvasive, high-resolution NIR fluorescence images of cerebral vasculature are shown in <xref ref-type="fig" rid="F6">Figure&#x20;6B</xref>.</p>
<fig id="F6" position="float">
<label>FIGURE 6</label>
<caption>
<p>Vessel imaging. <bold>(A)</bold> Comparison of NIR-II fluorescence and micro-CT imaging of hind limb blood vessels (<xref ref-type="bibr" rid="B38">Hong et&#x20;al., 2012</xref>). Reproduced with permission from Dai et&#x20;al. (2012). <bold>(B)</bold> Dynamic NIR fluorescence imaging of mouse cerebral vasculature (<xref ref-type="bibr" rid="B37">Hong et&#x20;al., 2014</xref>). Reproduced with permission from Dai. (2014). <bold>(C)</bold> Principal component analysis (PCA) of femoral artery and vein in healthy and ischemic mice by NIR-II imaging. (<xref ref-type="bibr" rid="B38">Hong et&#x20;al., 2012</xref>). Reproduced with permission from Dai et&#x20;al. (2012). <bold>(D)</bold> Real-time imaging of brain vessels using PAA-modified &#x3b2;-NaErF<sub>4</sub>@NaYF<sub>4</sub> NPs through intravenous injection via the tail vein (<xref ref-type="bibr" rid="B54">Li et&#x20;al., 2020</xref>c). Reproduced with permission from <xref ref-type="bibr" rid="B10">Chen et&#x20;al. (2020a)</xref>.</p>
</caption>
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</fig>
<p>There are other representative blood vessels fluorescence imaging works. Highly bright fluorescence probe with long-wavelength absorption and aggregation-induced NIR emission is designed by <xref ref-type="bibr" rid="B97">Wang et&#x20;al. (2019)</xref> for mouse brain and tumor vasculatures imaging. <xref ref-type="bibr" rid="B38">Hong et&#x20;al. (2012)</xref> reported brightly, biocompatible NIR imaging probes (SWCNTs) for vascular imaging in mouse hind limb with high spatial resolution of &#x223c;30&#xa0;&#xb5;m. Principal component analysis (PCA) can distinguish arteries from veins to obtain high contrast dynamic imaging by using NIR fluorescence imaging. NIR fluorescence imaging of femoral artery and vein of hind limb in healthy and ischemic mice is shown in <xref ref-type="fig" rid="F6">Figure&#x20;6C</xref>. <xref ref-type="bibr" rid="B66">Ma et&#x20;al. (2018)</xref> reported the NIR-II imaging of hind limb microvasculature and blood perfusion using a peripheral arterial disease mice model. They used NIR fluorescence contrast agent PbS/CdS to quantify vascular hemodynamics and vascular structures, which can provide real-time monitoring of tissue infusion recovery and neovascularization in avascular limb. High-magnification imaging of vascular regeneration and quantification graph in the ischemic hind limb is shown in <xref ref-type="fig" rid="F6">Figure&#x20;6D</xref>.</p>
<p>Lymphatic system provides an accessory return route to the blood consist of lymphatic vessels, lymph nodes, and other lymphatic organs that plays an important role for the maintenance and immunocompetence fluid homeostasis. Cancer cell migration from primary tumor to sentinel lymph nodes is a remarkable prognostic indicator for cancer evolution. Hence, the accurate diagnosis of lymph node metastasis is necessary for further treatment strategies (<xref ref-type="bibr" rid="B108">Yaniv et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B89">Trevaskis et&#x20;al., 2015</xref>). <xref ref-type="bibr" rid="B59">Liu et&#x20;al. (2019)</xref> developed a gold cluster with efficient NIR fluorescence. In that work, High-resolution imaging of nanomaterials allows for the identification of the lymphatic metastasis and primary tumor. Schematic graphic of tumor metastasis, dynamic primary tumor and lymphatic metastasis imaging is shown in <xref ref-type="fig" rid="F7">Figure&#x20;7A</xref>. <xref ref-type="bibr" rid="B47">Kim et&#x20;al. (2004)</xref> reported CdTe@CdSe core/shell type II quantum dots for sentinel lymph nodes biomedical imaging with only excitation fluence rates of 5&#xa0;mW/cm<sup>2</sup>. The outstanding <italic>in vivo</italic> fluorescence imaging results presented in that work demonstrated the advantages of NIR quantum dots for sentinel lymph node imaging.</p>
<fig id="F7" position="float">
<label>FIGURE 7</label>
<caption>
<p>Lymphatic imaging. <bold>(A)</bold> Schematic graphic of tumor metastasis, dynamic primary tumor and lymphatic metastasis imaging (<xref ref-type="bibr" rid="B59">Liu et&#x20;al., 2019</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B112">Zhang et&#x20;al. (2019)</xref>. <bold>(B)</bold> Schematic illustration of lymphatic system in the hindlimb, lumbar, renal lymph nodes and the advantages of QDs in popliteal and sacral lymph nodes imaging compared with ICG; NIR imaging guided surgery of popliteal lymph node. <bold>(C)</bold> The dual NIR imaging guided sentinel lymph node surgery in orthotopic 4T1 breast cancer model (<xref ref-type="bibr" rid="B88">Tian et&#x20;al., 2020</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B12">Chen et&#x20;al. (2020b)</xref>.</p>
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</fig>
<p>NIR photoacoustic imaging is an attractive strategy for accurate diagnosis of sentinel lymph node (<xref ref-type="bibr" rid="B70">Pan et&#x20;al., 2009</xref>). Exogenous NIR contrast probes are needed for photoacoustic imaging of the lymph nodes. <xref ref-type="bibr" rid="B69">Pan et&#x20;al. (2010)</xref> have designed NIR gold nanobeacons for precise detection of sentinel lymph node. In a recent work, <xref ref-type="bibr" rid="B45">Kang et&#x20;al. (2017)</xref> reported the integrated NIR/gamma/visible tri-modal fusion imaging system for sentinel lymph node imaging in C57/B6 mouse. Real-time visualizing regional lymphatic metastasis and operating imaging-guided proximal lymph node resection surgery still have many challenges. <xref ref-type="bibr" rid="B88">Tian et&#x20;al. (2020)</xref> reported a multiplexed-near-infrared imaging nanomaterial of non-overlapping NIR agent with significantly reduced scattering and negligible autofluorescence. In this study, PbS@CdS core/shell QDs with dense PEG coating are used to realize tumor invaded sentinel lymph node dual-NIR imaging. As shown in <xref ref-type="fig" rid="F7">Figure&#x20;7B</xref>, compared to clinically applied ICG organic dyes, the QDs show favorable photostability and high contrast. The NIR fluorescence imaging guided sentinel lymph node removal surgery is displayed in <xref ref-type="fig" rid="F7">Figure&#x20;7C</xref>.</p>
</sec>
<sec id="s3-3">
<title>Imaging-Guided Surgery</title>
<p>NIR imaging as a powerful tool for early detection of malignant lesions in clinical has been used for imaging-guided surgery in cancer diagnosis and treatment (<xref ref-type="bibr" rid="B90">van Dam et&#x20;al., 2011</xref>). Recently, <xref ref-type="bibr" rid="B40">Hu et&#x20;al. (2020)</xref> described an NIR imaging instrument for the fluorescence-guided surgical resection of primary and metastatic liver tumor. Tumor metastasis is a significant cause of treatment failure for primary tumor. Lanthanide based nanomaterials with high efficient downshifting near-infrared emission has emerged as a promising agent for imaging-guided resection surgery of tumor. Recently, DNA has attracted increasingly interest as a functional biomolecule to construct multimodal nanomaterials. Liu et&#x20;al. introduced recent progress of DNA-functionalized upconversion materials, providing a comprehensive overview of applications in biomedicine (<xref ref-type="bibr" rid="B60">Liu et&#x20;al., 2018</xref>). <xref ref-type="bibr" rid="B95">Wang et&#x20;al. (2018b)</xref> designed a down-shifting NIR-II nano-probes grafted with specific DNA sequence that can turned into larger assembled superstructures to improve the image-guided surgery for metastatic ovarian cancer (<xref ref-type="fig" rid="F8">Figure&#x20;8A</xref>). Larger assembled superstructures improved tumor-to-normal tissue ratio that facilitate the abdominal ovarian metastases surgical delineation. Searching for suitable NIR fluorescence agents play an important role in imaging-guided surgery. <xref ref-type="bibr" rid="B56">Li et&#x20;al. (2020d)</xref> reported the Nd-sensitized lanthanide-based nanoprobe with up to 11.0&#x20;times improved NIR-II emission intensity for imaging-guided surgical resection of tumor. Schematic illustration and colorectal tumor-bearing mouse of the NIR-II optical imaging-guided tumor resection are shown in <xref ref-type="fig" rid="F8">Figure&#x20;8B</xref>. Limited by deep tissue penetration and high efficiency of crossing the blood-brain-barrier, the development of imaging-guided surgery of brain tumors was significantly constrained. <xref ref-type="bibr" rid="B74">Ren et&#x20;al. (2020)</xref> reported a Er-based DCNPs with strong NIR-II fluorescence in fluorescence-guided surgery of orthotopic glioma through intact skull and scalp. The high tumor-to-background ratio in NIR-II fluorescence imaging of small orthotopic glioma ensure the precise resection of tumor (<xref ref-type="fig" rid="F8">Figure&#x20;8C</xref>). Overall, the emergence of NIR imaging shows great promise for improving the specificity, efficiency, and safety of imaging-guided surgery.</p>
<fig id="F8" position="float">
<label>FIGURE 8</label>
<caption>
<p>Imaging-guided Surgery. <bold>(A)</bold> Schematic illustration of NIR-II optical imaging-guided surgery of ovarian metastasis (<xref ref-type="bibr" rid="B91">Wang et&#x20;al., 2018</xref>a). Reproduced with permission from <xref ref-type="bibr" rid="B113">Zhang et&#x20;al. (2018)</xref>. <bold>(B)</bold> The NIR-II bioimaging guided tumor resection of the colorectal tumor-bearing mouse (<xref ref-type="bibr" rid="B52">Li et&#x20;al., 2020</xref>b). Reproduced with permission from Zeng et&#x20;al. (2020). <bold>(C)</bold> Schematic illustration of NIR- II fluorescence imaging guided resection of orthotopic glioma (<xref ref-type="bibr" rid="B74">Ren et&#x20;al., 2020</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B54">Li et&#x20;al. (2020c)</xref>.</p>
</caption>
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</sec>
<sec id="s3-4">
<title>Disease Theranostics</title>
<p>Recently, large amount of NIR based theranostics strategies have been developed. NIR fluorescence based therapy including chemodynamic therapy (CDT), photothermal therapy (PTT) and photodynamic therapy (PDT) is gradually emerged for cancer treatment. How to take advantage of the tumor microenvironments characteristics to better image diseases and combine efficient therapeutics is still a challenge. To solve this problem, <xref ref-type="bibr" rid="B117">Zheng et&#x20;al. (2021)</xref> have developed the FMSN-MnO<sub>2</sub>-BCQ biodegradable nanoplatforms, with TME-activated tumor-deep delivery performance for accurate imaging and self-reinforcing CDT (<xref ref-type="fig" rid="F9">Figure&#x20;9Ai</xref>
<bold>)</bold>. In 2020, <xref ref-type="bibr" rid="B15">Chen et&#x20;al. (2020c)</xref> have successfully prepared a NIR-light triggered ratio metric fluorescent nanoplatform composed of UCNPs, DOX, and photosensitive block copolymer PEG-b-P(NBA-co-NBANA) (<xref ref-type="fig" rid="F9">Figure&#x20;9Aii</xref>
<bold>)</bold>. This research provides a new strategy to achieve high spatial-temporal-controlled biological imaging and chemotherapy. An illustrated summary of significant CDT is shown in <xref ref-type="fig" rid="F9">Figure&#x20;9A</xref>. NIR light excitable photosensitizers are highly desirable for photodynamic therapy with deep penetration. An AIE PS (TQ-BTPE) with long-wavelength absorption and high <sup>1</sup>O<sub>2</sub> generation efficiency was designed for NIR-II light activated two-photon photodynamic therapy (<xref ref-type="bibr" rid="B98">Wang et&#x20;al., 2020b</xref>). Schematic illustration of NIR-II light activated two-photon photodynamic cancer cell ablation is shown in <xref ref-type="fig" rid="F9">Figure&#x20;9Bi</xref>. Upconversion nanoparticles (UCNPs) that can be excited by NIR light is an interesting topic in the field of PDT (<xref ref-type="bibr" rid="B50">Lee et&#x20;al., 2020</xref>). UCNPs with a core-shell structure (NaYF<sub>4</sub>:Yb,Er,Nd@NaYF<sub>4</sub>:Yb,Nd) were synthesized to increase the upconversion emission efficiency. Dual-color emitting Er-doped UCNPs and dual photosensitizers were used for enhanced PDT. Inherent hypoxic nature of most solid tumors can heavily restrict the efficiency of PDT. A new nanoplatform based on Pd@Pt-PEG-Ce6 for enhanced photodynamic therapy by overcoming tumor hypoxia microenvironment is designed (<xref ref-type="bibr" rid="B99">Wei et&#x20;al., 2018</xref>). Application of Pd@Pt-PEG-Ce6 is shown in <xref ref-type="fig" rid="F9">Figure&#x20;9Bii</xref>. NIR light-mediated photothermal therapy has emerged as a powerful approach for cancer treatment. A series of nanomaterials absorbing NIR light to generate heat have been developed (<xref ref-type="bibr" rid="B55">Li et&#x20;al., 2019</xref>). A novel kind of 2D niobium carbide (Nb<sub>2</sub>C), MXene, with highly efficient <italic>in vivo</italic> photothermal ablation of mouse tumor in both NIRI and NIR-II windows is explored (<xref ref-type="bibr" rid="B58">Lin et&#x20;al., 2017</xref>). Schematic illustration of 2D biodegradable Nb<sub>2</sub>C (modified with PVP) for <italic>in vivo</italic> photothermal tumor ablation in NIR-I and NIR-II windows is shown in <xref ref-type="fig" rid="F9">Figure&#x20;9Ci</xref>. This year, a novel photothermal genome-editing strategy is described to improve immune checkpoint blockade therapy. This strategy relies on a gold nanorod that not only serves as a carrier but also harvests NIR-II light and converts into mild hyperthermia to induce both immunogenic cell death (<xref ref-type="bibr" rid="B86">Tang et&#x20;al., 2021</xref>). Illustration of photothermal activation for PD-L1 genome editing in tumor cells is displayed in <xref ref-type="fig" rid="F9">Figure&#x20;9Cii</xref>.</p>
<fig id="F9" position="float">
<label>FIGURE 9</label>
<caption>
<p>An illustrated summary of significant CDT, PDT, PTT <bold>(A) (i)</bold> Schematic illustration of FMSN-MnO<sub>2</sub>-BCQ for dual-mode imaging and self-reinforcing CDT (<xref ref-type="bibr" rid="B117">Zheng et&#x20;al., 2021</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B117">Zheng et&#x20;al. (2021)</xref>. <bold>(ii)</bold> NIR-light-regulated fluorescence imaging and chemotherapy (<xref ref-type="bibr" rid="B10">Chen et&#x20;al., 2020a</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B12">Chen et&#x20;al. (2020b)</xref>. <bold>(B) (i)</bold> NIR-II light activated two-photon photodynamic cancer ablation (<xref ref-type="bibr" rid="B96">Wang et&#x20;al., 2020</xref>a). Reproduced with permission from Liu et&#x20;al. (2021). <bold>(ii)</bold> Application of Pd@Pt-PEG-Ce6 (<xref ref-type="bibr" rid="B99">Wei et&#x20;al., 2018</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B116">Zheng et&#x20;al. (2018)</xref>. <bold>(C) (i)</bold> 2D biodegradable Nb<sub>2</sub>C for photothermal tumor ablation in NIR windows (<xref ref-type="bibr" rid="B58">Lin et&#x20;al., 2017</xref>). Reproduced with permission from Shi et&#x20;al. (2017). <bold>(ii)</bold> Photothermal activation for PD-L1 genome editing in tumor (<xref ref-type="bibr" rid="B86">Tang et&#x20;al., 2021</xref>). Reproduced with permission from Ping et&#x20;al. (2021). <bold>(D) (i)</bold> NIR fluorescence imaging to program the chemotherapy and immunotherapy (<xref ref-type="bibr" rid="B32">Hao et&#x20;al., 2018</xref>). Reproduced with permission from <xref ref-type="bibr" rid="B91">Wang et&#x20;al. (2018a)</xref>. <bold>(ii)</bold> PEG/LDNPs@CMSNs for TME and NIR laser co-enabled PDT/CDT (<xref ref-type="bibr" rid="B105">Xu et&#x20;al., 2020</xref>). Reproduced with permission from Lin et&#x20;al. (2020).</p>
</caption>
<graphic xlink:href="fbioe-09-768927-g009.tif"/>
</fig>
<p>As a paradigm-shifting treatment modality, immunomodulatory therapies have recently shown striking clinical efficacy in fighting the tumors (<xref ref-type="bibr" rid="B43">Jiang et&#x20;al., 2021</xref>). Despite with promising clinical results, cancer immunotherapy is accompanied with severe side effects. Thus, it&#x2019;s urgently needed to develop the smarter systems to regulate immune responses with superior spatiotemporal precision and enhanced safety. <xref ref-type="bibr" rid="B17">Chu et&#x20;al. (2019)</xref> reported an activatable engineered immunodevice that enables remote control over the antitumor immunity <italic>in&#x20;vitro</italic> and <italic>in vivo</italic> with near-infrared light. Combined chemotherapy and immunotherapy have demonstrated broad prospects in cancer treatment. A combinational administration chemotherapy and immunotherapy is programed to enhance the therapeutical effects (<xref ref-type="bibr" rid="B32">Hao et&#x20;al., 2018</xref>). In that work, Ag<sub>2</sub>Se QDs loaded with chemodrug doxorubicin (DOX) and SDF-1&#x3b1; are first administrated to deliver the SDF-1&#x3b1; and DOX to the tumor site. After their arrival, natural killer (NK)-92 cells labeled with Ag<sub>2</sub>S QDs are intravenously injected so that the cells are recruited to the tumor by the chemotaxis of SDF-1&#x3b1;, which is visualized by Ag<sub>2</sub>S QDs NIR fluorescence. Schematic illustration of multiplexed QDs NIR imaging strategy to obtain the optimal synergistic therapeutical effects is displayed in <xref ref-type="fig" rid="F9">Figure&#x20;9Di</xref>. CDT and PDT hold great promise for conquering malignant cancer. However, these methods are restricted by the overexpressed glutathione and hypoxia in the tumor microenvironment. <xref ref-type="bibr" rid="B105">Xu et&#x20;al. (2020)</xref> develop biodegradable copper/manganese silicate nanospheres (CMSNs) coated lanthanide-doped nanoparticles (LDNPs) for NIR-II/MR/CT trimodal imaging-guided PDT/CDT synergistic therapy. As is shown in <xref ref-type="fig" rid="F9">Figure&#x20;9Dii</xref>, the CMSNs can significantly relieve hypoxic through decomposing H<sub>2</sub>O<sub>2</sub> to generate O<sub>2</sub> which can react with the sample to produce <sup>1</sup>O<sub>2</sub> (PDT) and the GSH-triggered degradation of CMSNs results in the release of Mn<sup>2&#x2b;</sup> and Cu<sup>&#x2b;</sup> ions for &#x22C5;OH generation (CDT). In 2021, an optimized AuND-based nanotheranostic platform was demonstrated for its capacity in cancer treatment with synergistic therapies of PTT and PDT in conjunction with the integrated different fluorescence imaging (<xref ref-type="bibr" rid="B85">Sun et&#x20;al., 2021</xref>). It can be seen that the development of the bioapplications and the improvement of the NIR inorganic nanomaterials would be extended.</p>
</sec>
</sec>
<sec id="s4">
<title>Conclusion and Future Perspectives</title>
<p>In this review, we outline the inorganic NIR fluorophores that have evolved over the past decades. Numerous inorganic NIR nanomaterials including SWNCPs, lanthanide-based nanoparticles, semiconducting quantum dots and metal-based nanomaterials including the emission mechanism and biomedical applications have been discovered and reported. Many factors from the probes and imaging instruments that influence the high quality NIR-imaging of <italic>in vivo</italic> tissues and organs. To improve the NIR-imaging quality, the main research should be focus on the high quality optical probes and new imaging instrumentation. High-performance fluorophores are still limited by the absorption coefficients and fluorescence quantum yield. Further research on the fluorescence inorganic probes with highly quantum yield, suitable size, spectral properties (including the wavelength and fluorescence lifetime) and biological compatibility is important. Meanwhile, the development of new imaging instrumentation will be helpful to obtain deeper penetration depth, higher temporal and spatial resolution image. To efficiently deliver the probes <italic>in vivo</italic> effective modification strategies (ligand exchange, coating with phospholipid or polymer, modification with cell membrane or biomacromolecule, functional with targeting molecule et&#x20;al.) should be taken and improved on the inorganic fluorescence nanoprobes. Effective modification of NIR nanomaterial should be taken to increase the biocompatibility and metabolic capacity. To expand the applications of inorganic NIR fluorophores in precise diagnosis and therapy, some challenges have to be overcome. Future efforts should be made to develop new fluorescence probes with multi-functions (diagnosis and treatment) and stimuli-responsive properties for precise theranostics. We looking forward to next era of multi-mode or multi-dimensions inorganic NIR fluorophores applied in bioimaging and biosensing. New imaging strategies such as bioluminescence or chemiluminescence imaging in the NIR-II spectral window without external excitation can better improve the signal-to-noise ratio. We aim to call on the research community to strengthen cooperation with scientists among diverse research fields, such as chemistry, biomedicine, and microscopy. Further investigations on both the more advanced cameras with higher sensitivity and broader NIR spectral ranges and new NIR inorganic nanomaterials are needed to be explored for precise diagnosis and therapy.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Author Contributions</title>
<p>WL wrote the manuscript. GZ designed and revised the manuscript. LL designed, structured, and revised the manuscript.</p>
</sec>
<sec id="s6">
<title>Funding</title>
<p>This article was financially supported by the Taishan Scholars Construction Engineering (No. tsqn20161047, tsqn201909144), the National Natural Science Foundation of China (Nos 22007006, 91859202, 81771901), Special Project of Central Government for Local Science and Technology Development of Shandong Province (Nos YDZX20203700001291), the Natural Science Foundation of Anhui Province (Nos 1808085MB38), Natural Science Foundation of Shandong Province (Nos ZR2020QB102) and BinZhou Medical University (2019KYQD17).</p>
</sec>
<sec sec-type="COI-statement" id="s7">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s8">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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