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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">1226680</article-id>
<article-id pub-id-type="doi">10.3389/fbioe.2023.1226680</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Bioengineering and Biotechnology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Tumor-targeted bioactive nanoprobes visualizing of hydrogen peroxide for forecasting chemotherapy-exacerbated malignant prognosis</article-title>
<alt-title alt-title-type="left-running-head">Zhang et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fbioe.2023.1226680">10.3389/fbioe.2023.1226680</ext-link>
</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Fan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Jia</surname>
<given-names>Yong</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Chen</surname>
<given-names>Fangman</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Yawei</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/730636/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Li</surname>
<given-names>Li</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1003185/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chang</surname>
<given-names>Zhimin</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1493626/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>CAS Key Laboratory of Bio Medical Diagnostics</institution>, <institution>Suzhou Institute of Biomedical Engineering and Technology Chinese Academy of Sciences</institution>, <addr-line>Suzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Zhengzhou Institute of Biomedical Engineering and Technology</institution>, <addr-line>Zhengzhou</addr-line>, <country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>School of Nursing</institution>, <institution>Jilin University</institution>, <addr-line>Changchun</addr-line>, <addr-line>Jilin</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/1258346/overview">Jie Tang</ext-link>, The University of Queensland, Australia</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/2335586/overview">Bing Sun</ext-link>, The University of Queensland, Australia</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2337063/overview">Zhengying Gu</ext-link>, East China Normal University, China</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Li Li, <email>lil@sibet.ac.cn</email>; Zhimin Chang, <email>changzm@sibet.ac.cn</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this work</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>08</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="collection">
<year>2023</year>
</pub-date>
<volume>11</volume>
<elocation-id>1226680</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>05</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>17</day>
<month>07</month>
<year>2023</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2023 Zhang, Jia, Chen, Zhao, Li and Chang.</copyright-statement>
<copyright-year>2023</copyright-year>
<copyright-holder>Zhang, Jia, Chen, Zhao, Li and Chang</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 terms.</p>
</license>
</permissions>
<abstract>
<p>
<bold>Introduction:</bold> Fluorescent visualization of hydrogen peroxide in the tumor microenvironment (TME) is conducive to predicting malignant prognosis after chemotherapy. Two photon microscopy has been employed for <italic>in vivo</italic> hydrogen peroxide detection owing to its advantages of deep penetration and low phototoxicity.</p>
<p>
<bold>Methods:</bold> In this study, a two-photon fluorescent probe (TPFP) was protected by mesoporous silica nanoparticles (MSNs) and masked by cloaking the cancer cell membranes (CM), forming a tumor-targeted bioactive nanoprobe, termed MSN@TPFP@CM.</p>
<p>
<bold>Results:</bold> This multifunctional nanoprobe allowed for the effective and selective detection of excessive hydrogen peroxide production in chemotherapeutic Etoposide (VP-16)-challenged tumor cells using two-photon microscopy. After specific accumulation in tumors, VP-16-MSN@TPFP@CM monitored tumor-specific hydrogen peroxide levels and revealed a positive correlation between oxidative stress in the TME and chemotherapy-exacerbated malignant prognosis.</p>
<p>
<bold>Discussion:</bold> Given the recent translation of fluorescent imaging into early clinical trials and the high biocompatibility of bioactive nanoprobes, our approach may pave the way for specific imaging of oxidative stress in solid tumors after treatment and provide a promising technology for malignant prognosis predictions.</p>
</abstract>
<kwd-group>
<kwd>bioactive</kwd>
<kwd>nanoprobe</kwd>
<kwd>cancer</kwd>
<kwd>hydrogen peroxide</kwd>
<kwd>chemotherapy</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Biomaterials</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Reactive oxygen species (ROS) are considered secondary messengers in biological organisms and are critical for the regulation of pathological and physiological processes, such as cell growth and differentiation, immune response, and aging (<xref ref-type="bibr" rid="B4">Circu and Aw, 2010</xref>; <xref ref-type="bibr" rid="B19">Liou and Storz, 2010</xref>; <xref ref-type="bibr" rid="B24">Schieber and Chandel, 2014</xref>). Mounting evidence suggest that continuous production, transformation, and consumption of ROS can promote pro-survival and pro-proliferative pathways, and metabolic adaptation of tumor cells to the tumor microenvironment (TME) (<xref ref-type="bibr" rid="B11">Jensen, 1966</xref>; <xref ref-type="bibr" rid="B9">Halliwell et al., 2000</xref>; <xref ref-type="bibr" rid="B8">Gupta and Massagu&#xe9;, 2006</xref>; <xref ref-type="bibr" rid="B22">Marcu, 2014</xref>; <xref ref-type="bibr" rid="B31">Liu et al., 2023</xref>). Recently, aberrant production of ROS in the TME has been associated with cancer malignant prognosis, especially in chemotherapy-exacerbated malignant prognosis (<xref ref-type="bibr" rid="B15">Lambert et al., 2017</xref>; <xref ref-type="bibr" rid="B12">Jiang et al., 2020</xref>). Under such conditions, sublethal levels of ROS induced by chemotherapeutics can help propagate, amplify, and effectively create a mutagenic and oncogenic field that facilitates tumor repopulation and acts as a springboard for metastatic tumor cells (<xref ref-type="bibr" rid="B23">Saggar and Tannock, 2015</xref>; <xref ref-type="bibr" rid="B28">Verma et al., 2016</xref>; <xref ref-type="bibr" rid="B5">Duy et al., 2021</xref>). Therefore, monitoring ROS levels in the TME is conducive for understanding cancer progression and developing novel therapeutics.</p>
<p>As the most stable ROS, hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) has a lifetime of up to a few minutes and can diffuse across biological membranes, thereby functioning as an ideal biomarker for cancer progression (<xref ref-type="bibr" rid="B14">Kamata et al., 2005</xref>; <xref ref-type="bibr" rid="B18">Lin and Beal, 2006</xref>; <xref ref-type="bibr" rid="B6">Guo et al., 2014</xref>; <xref ref-type="bibr" rid="B13">Jung et al., 2016</xref>). Electrochemistry and luminescence are the two major strategies for the quantification of H<sub>2</sub>O<sub>2</sub> in living systems (<xref ref-type="bibr" rid="B29">Wang et al., 2022</xref>). The former measures extracellular H<sub>2</sub>O<sub>2</sub> in an invasive manner and is affected by biofouling (<xref ref-type="bibr" rid="B27">Song et al., 2010</xref>; <xref ref-type="bibr" rid="B1">Aghamiri et al., 2019</xref>; <xref ref-type="bibr" rid="B34">Zhao et al., 2019</xref>). Whereas, the latter method is suitable for extracellular and intracellular H<sub>2</sub>O<sub>2</sub> with the advantages of noninvasiveness, simple operation, high sensitivity, and excellent spatiotemporal resolution (<xref ref-type="bibr" rid="B20">Lu et al., 2021</xref>; <xref ref-type="bibr" rid="B35">Zhou et al., 2021</xref>; <xref ref-type="bibr" rid="B10">Hao et al., 2022</xref>; <xref ref-type="bibr" rid="B32">Zhan et al., 2022</xref>). To overcome limited light penetration depth, two-photon microscopy (TPM) has been employed for H<sub>2</sub>O<sub>2</sub> detection with less phototoxicity and lower self-absorption, which facilitates real-time measurements <italic>in vivo</italic> (<xref ref-type="bibr" rid="B3">Chen et al., 2013</xref>; <xref ref-type="bibr" rid="B7">Guo et al., 2013</xref>; <xref ref-type="bibr" rid="B16">Li et al., 2017</xref>; <xref ref-type="bibr" rid="B26">Shi et al., 2018</xref>; <xref ref-type="bibr" rid="B17">Liaw et al., 2021</xref>). Additionally, as a benefit of nanotechnology, nanoparticulate probes have been widely developed for the efficient imaging of H<sub>2</sub>O<sub>2</sub> in cancer owing to their specific tumoral targeting, higher penetration, and good stability (<xref ref-type="bibr" rid="B21">Maji et al., 2018</xref>; <xref ref-type="bibr" rid="B25">Shao et al., 2018</xref>; <xref ref-type="bibr" rid="B30">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="B33">Zhang et al., 2019</xref>; <xref ref-type="bibr" rid="B2">Bondon et al., 2022</xref>). Therefore, it is necessary to develop a novel two-photon fluorescent nanoprobe with near-infrared (NIR) emission to monitor H<sub>2</sub>O<sub>2</sub> during cancer chemotherapy.</p>
<p>In this study, we created a tumor-targeting bioactive nanoprobe which facilitated two-photon fluorescence imaging to visualize H<sub>2</sub>O<sub>2</sub> during cancer chemotherapy (<xref ref-type="scheme" rid="sch1">Scheme 1</xref>). We incorporated an H<sub>2</sub>O<sub>2</sub>-responsive two-photon fluorescent probe (TPFP) into mesoporous silica nanoparticles (MSNs), which were then coated with cancer cell membranes to form bioactive nanoprobes named MSN@TPFP@CMs. After loading with chemotherapeutic Etoposide (VP-16), this multifunctional nanoprobe allowed the effective and selective detection of excessive H<sub>2</sub>O<sub>2</sub> production in chemotherapy-challenged tumor cells through two-photon microscopy. Importantly, VP-16-MSN@TPFP@CMs preferably accumulated in tumors and monitored tumor-specific H<sub>2</sub>O<sub>2</sub> levels in a subcutaneous breast cancer mouse model without immediate or delayed toxic effect, revealing a positive correlation between endogenous H<sub>2</sub>O<sub>2</sub> in the TME and chemotherapy-exacerbated repopulation and metastasis <italic>in vitro</italic> and <italic>in vivo</italic>. Two-photon fluorescence detection of H<sub>2</sub>O<sub>2</sub> in the TME may be an appealing strategy for predicting poor prognosis after cancer chemotherapy, including recurrence and metastasis.</p>
<fig id="sch1" position="float">
<label>SCHEME 1</label>
<caption>
<p>Schematic illustration of synthesis of VP-16-MSN@TPFP@CMs and their applications in visualizing hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) for forecasting chemotherapy-exacerbated malignant prognosis.</p>
</caption>
<graphic xlink:href="FBIOE_fbioe-2023-1226680_wc_sch1.tif"/>
</fig>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>2 Materials and methods</title>
<sec id="s2-1">
<title>2.1 Fabrication of VP-16-MSN@TPFP@CMs</title>
<p>A solution of the H<sub>2</sub>O<sub>2</sub>-responsive probe TPFP was prepared based on previous studies. MSNs were synthesized as follows: 0.12&#xa0;g cetrimonium tosylate (CTAT), 0.03&#xa0;g triethanolamine (TEAH<sub>3</sub>), and 10&#xa0;mL deionized water were mixed and stirred at 80&#xb0;C for 30&#xa0;min. Subsequently, a solution of 1.0&#xa0;g tetraethyl orthosilicate (TEO) was added dropwise to the surfactant solution. The resulting mixture was stirred at 80&#xb0;C for another 4&#xa0;h at 1,000&#xa0;rpm. The products were collected by centrifugation (10,000&#xa0;rpm 30&#xa0;min), washed three times with ethanol, and subsequently refluxed in an ethanol solution of NH<sub>4</sub>NO<sub>3</sub> (1% w/v) for 12&#xa0;h. Briefly, we used VP-16 and TPFP (1:20 mass ratio) dissolved in DMSO for the co-loading of the probes. To configure probes containing different ratios of chemotherapeutic components, the mass ratio of VP-16 to TPFP was adjusted to 0.5:20, 1:20, and 2:20 to prepare VP-16-MSN@TPFP (L), VP-16-MSN@TPFP (M), and VP-16-MSN@TPFP (H). The nanoparticles were collected by high-speed centrifugation and resuspended in the aqueous phase. Subsequently, VP-16-MSN@TPFP was mixed with CM derived from 4T1 cells, sonicated with heating for 5&#xa0;min, and subsequently extruded through 200&#xa0;nm polycarbonate membranes to obtain VP-16-MSN@TPFP@CMs.</p>
</sec>
<sec id="s2-2">
<title>2.2 Characterization of VP-16-MSN@TPFP@CMs</title>
<p>The morphology of the MSNs was characterized using a JEM-2100F transmission electron microscope (TEM; JEOL, Ltd., Japan) and a scanning electron microscope (SEM; FEI Quanta 200F). The hydrodynamic diameter and zeta potential of the nanoparticles in water and PBS were characterized using a Nano-ZS 90 Nanosizer (Malvern Instruments Ltd., Worcestershire, United Kingdom). UV-vis absorption spectra were recorded using a U-3310 spectrophotometer (Hitachi, Japan). Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) was used to characterize the protein composition of nanoparticles. Stability experiments were performed by measuring the nanoprobes in Dulbecco&#x2019;s Modified Eagle&#x2019;s medium (DMEM) plus 10% FBS for 7&#xa0;days using dynamic light scattering (DLS).</p>
</sec>
<sec id="s2-3">
<title>2.3 Cell culture and <italic>in vitro</italic> analysis</title>
<p>The mouse breast cancer 4T1 cell line was cultured in DMEM supplemented with 10% FBS along with penicillin and streptomycin at 100&#x2013;100&#xa0;U/mL, respectively. Cells were incubated at 37&#xb0;C in 5% CO<sub>2</sub>-95% air atmosphere.</p>
<p>For the detection of exogenous H<sub>2</sub>O<sub>2</sub>, 4T1 cells were incubated with nanoprobes at 37&#xb0;C for 30 min, images of VP-16-MSN@TPFP@CMs in live cells were investigated via spectral confocal multiphoton microscopy (Olympus FV1000-IX81) with a high-performance model titanium-sapphire laser source (Maitai, Spectra-Physics, United States), with the emission ranging from 575 to 630&#xa0;nm. The excitation wavelength was 860&#xa0;nm with a constant intensity.</p>
<sec id="s2-3-1">
<title>2.3.1 Chemo-malignant prognosis cell model</title>
<p>Single-cell suspensions of chemotherapy-challenged cells were collected using trypsin after 12&#xa0;h of treatment with VP-16 (2.5&#xa0;&#x3bc;g/mL). The chemotherapy-challenged cells were re-inoculated in 6-well plates at a density of 5 &#xd7; 10<sup>4</sup>/well, and the cells were collected after 24&#xa0;h to obtain whole cell protein lysates. After determining the protein concentration of the samples using the bicinchoninic acid (BCA)method, the Cyclooxygenase 2 (COX2) content in each treatment group was measured using a COX2 ELISA assay kit (ab210574). Additionally, the culture medium supernatant was collected for the determination of Prostaglandin E2 (PGE2) using an ELISA kit (ab287802).</p>
</sec>
<sec id="s2-3-2">
<title>2.3.2 Measurement of tumor cell repopulation with bioluminescence imaging</title>
<p>We constructed a chemo-repopulation cell model based on the fact that the luciferase activity of Fluc-labeled 4T1 cells was tightly correlated with cell number. The 4T1-Fluc cells (100 cells) were seeded with differentially agents-treated 4T1 cells (1 &#xd7; 10<sup>4</sup>) in 24-well plates. During the co-culture period (12&#x2013;14&#xa0;days), the culture medium was replaced with fresh 5% FBS DMEM every 3&#xa0;days. Finally, to measure the luciferase activity of 4T1-Fluc, 0.15&#xa0;mg/mL D-Luciferin potassium in PBS was added to each well before bioluminescence imaging.</p>
</sec>
<sec id="s2-3-3">
<title>2.3.3 Measurement of tumor cell metastasis with transwell assay</title>
<p>For the transwell assay, 4T1 cells were seeded into up-chamber of 8&#xa0;&#x3bc;m pore size in six-well plates. Subsequently, 1.5&#xa0;mL chemo-challenged 4T1 cell (5 &#xd7; 10<sup>4</sup>) medium was added into the lower chamber of every well and 500&#xa0;&#x3bc;L serum free DMEM containing 4T1 cells (3 &#xd7; 10<sup>4</sup>) was added into the up-chamber. After 20&#x2013;24&#xa0;h, 4T1 cells remaining in the inserts were gently removed using cotton swabs. Migratory 4T1s were fixed in 90% ethanol and stained with crystal violet. The number of migratory 4T1s was measured by counting the cells from five random fields under a microscope.</p>
</sec>
<sec id="s2-3-4">
<title>2.3.4 Correlation analysis</title>
<p>The mean fluorescence intensity from flow cytometry of H<sub>2</sub>O<sub>2</sub> levels in chemotherapy-challenged cells, PEG2 levels, and COX2 levels were plotted to analyze the correlation between H<sub>2</sub>O<sub>2</sub> and chemo-repopulation/metastatic cells.</p>
</sec>
</sec>
<sec id="s2-4">
<title>2.4 Animals and <italic>in vivo</italic> analysis</title>
<sec id="s2-4-1">
<title>2.4.1 Chemo-malignant prognosis in 4T1 mouse model</title>
<p>All animal experimental procedures were approved by the Ethics Committee for the Use of Experimental Animals of the Suzhou Institute of Biomedical Engineering and Technology of the Chinese Academy of Science (Suzhou, Jiangsu, China). Initially, Balb/C NuNu approximately 18&#xa0;g each) female mice (<italic>n</italic> &#x3d; 8) aged four&#x2013;six&#xa0;weeks were obtained from Cavens Biogle (suzhou) Model Animal Research Co., Ltd. A xenograft tumor model was established by subcutaneous injection of 1 &#xd7; 10<sup>6</sup> 4T1 cells into the right mammary fat pads.</p>
<p>When the tumor size reached approximately 150&#xa0;mm<sup>3</sup>, the nanoprobes (0.1&#xa0;mg/kg based on VP-16) were administered intravenously. For the chemo-malignant prognosis in the 4T1 mouse model, tumor volumes and body weights were recorded every alternate day after the first injection. Mice were sacrificed 14&#xa0;days after chemotherapeutic stimulation and lung tissue was collected to count the number of pulmonary metastatic nodules. Additionally, 12&#xa0;h after the intravenous injection of nanoprobes, the tumor site fluorescence signal was monitored using <italic>In-Vivo</italic> Xtreme II&#x2122;. Subsequently, the number of pulmonary metastatic nodules versus the <italic>in vivo</italic> fluorescence signal of the TPFP was plotted to analyze the correlation between chemo-malignant prognosis and H<sub>2</sub>O<sub>2</sub> levels.</p>
</sec>
<sec id="s2-4-2">
<title>2.4.2 <italic>In vivo</italic> biodistribution and biosafety</title>
<p>The 4T1 tumor-bearing mice were injected with VP-16-MSN@TPFP or VP-16-MSN@TPFP@CM solutions (2&#xa0;mg/kg based on TPFP). The fluorescence intensity of the TPFP in each organ sample was measured. The fluorescence intensity was converted to TPFP mass to investigate the organ distribution 12&#xa0;h after administration. After treatment for 14&#xa0;days, the mice were sacrificed, and the main organs (liver, spleen, kidneys, heart, and lungs) were collected for hematoxylin and eosin (H&#x26;E) stain to analyze the pathophysiology. Biochemical parameter indices were also tested for acute toxicological assay.</p>
</sec>
</sec>
<sec id="s2-5">
<title>2.5 Statistical analysis</title>
<p>Student&#x2019;s <italic>t</italic>-test was used to analyze the differences between two groups. Differences between more than two groups were analyzed using a one-way analysis of variance. Simple linear regression was used to analyze the correlation between H<sub>2</sub>O<sub>2</sub> signals and the expression level of COX2, PEG2 and their ratios. Sample sizes (n) and <italic>p</italic>-values (p) for all statistical analyses are indicated in figures and figure legends. Data were analyzed using statistical software OriginPro 2021b. In all cases, <italic>p</italic> &#x3c; 0.05 represents a statistically significant difference.</p>
</sec>
</sec>
<sec sec-type="results|discussion" id="s3">
<title>3 Results and discussion</title>
<sec id="s3-1">
<title>3.1 Preparation and characterization of VP-16-MSN@TPFP@CMs</title>
<p>Mesoporous silica materials (MSNs) were prepared as previously reported. The SEM and TEM images revealed monodisperse spherical MSNs with a diameter of 80&#xa0;nm (<xref ref-type="fig" rid="F1">Figure 1A</xref>; <xref ref-type="fig" rid="F1">Figure 1B</xref>). The prepared MSNs were loaded with the ROS-responsive fluorescent probe TPFP and chemotherapeutic VP-16 to form VP-16-MSN@TPFP. Release results show that simultaneous release of the two components can be achieved (<xref ref-type="sec" rid="s11">Supplementary Figure S2</xref>). Subsequently, 4T1 breast cancer CM were isolated and coated with VP-16-MSN@TPFP to prepare VP-16-MSN@TPFP@CMs. As shown in <xref ref-type="fig" rid="F1">Figure 1C</xref>, the bioactive materials possess a core&#x2013;shell structure with an MSN core enclosed in a smooth membrane shell. Consistently, a slight increase in hydrodynamic diameter and a decrease in surface charge were observed after CM coating (<xref ref-type="fig" rid="F1">Figure 1D</xref>; <xref ref-type="fig" rid="F1">Figure 1E</xref>). Protein electrophoresis demonstrated the presence of membrane proteins on VP-16-MSN@TPFP@CMs (<xref ref-type="fig" rid="F1">Figure 1F</xref>), suggesting the successful integration of the cell membrane-coated nanoplatforms. Additionally, stability experiments in 10% FBS-containing medium confirmed that VP-16-MSN@TPFP@CMs exhibited little aggregation after 7&#xa0;days of incubation (<xref ref-type="sec" rid="s11">Supplementary Figure S1</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Spectroscopic studies of VP-16-MSN@TPFP@CMs. <bold>(A)</bold> UV-vis absorption of VP-16-MSN@TPFP@CMs. <bold>(B)</bold> Fluorescence spectra of VP-16-MSN@TPFP@CMs in the presence of H<sub>2</sub>O<sub>2</sub> with excitation at 560&#xa0;nm. <bold>(C)</bold> Fluorescence imaging of 4T1 cells incubated with TPFP or VP-16-MSN@TPFP@CMs for 30&#xa0;min. Particle size <bold>(D)</bold>, Zeta potential <bold>(E)</bold>, and SDS-PAGE results <bold>(F)</bold> of VP16-MSN@TPFP@CM.</p>
</caption>
<graphic xlink:href="fbioe-11-1226680-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>3.2 Spectroscopic studies of VP-16-MSN@TPFP@CMs</title>
<p>Before the <italic>in vitro</italic> and <italic>in vivo</italic> experiments, a series of optical experiments were performed to evaluate VP-16-MSN@TPFP@CM for ROS-responsive imaging properties. The absorption spectra showed a characteristic absorption of VP-16-MSN@TPFP@CM in phosphate buffer saline at 428&#xa0;nm and no significant absorption at 560&#xa0;nm. After adding H<sub>2</sub>O<sub>2</sub> (100&#xa0;&#x3bc;M) to the solution for 30&#xa0;min, the absorption spectra showed a decrease at 428&#xa0;nm and concomitant absorption at 560&#xa0;nm (<xref ref-type="fig" rid="F2">Figure 2A</xref>). In contrast, the fluorescence emission spectra showed that excitation at 560&#xa0;nm after the addition of H<sub>2</sub>O<sub>2</sub> resulted in an emission peak at 699&#xa0;nm (<xref ref-type="fig" rid="F2">Figure 2B</xref>). Quantitative studies have shown that the fluorescence intensity of VP-16-MSN@TPFP@CM can be used for the determination of <italic>in vitro</italic> and <italic>in vivo</italic> hydrogen peroxide concentration (<xref ref-type="sec" rid="s11">Supplementary Figure S3, S4</xref>). Subsequently, we evaluated the imaging function of the prepared VP-16-MSN@TPFP@CM in 4T1 cells. As shown in <xref ref-type="fig" rid="F2">Figure 2C</xref>, the fluorescence of TPFP and VP-16-MSN@TPFP@CM was found in the cytoplasm and represented H<sub>2</sub>O<sub>2</sub> levels, indicating that VP-16-MSN@TPFP@CM was suitable for intracellular H<sub>2</sub>O<sub>2</sub> analysis.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Spectroscopic studies of VP-16-MSN@TPFP@CMs. <bold>(A)</bold> UV-vis absorption of VP-16-MSN@TPFP@CMs. <bold>(B)</bold> Fluorescence spectra of VP-16-MSN@TPFP@CMs in the presence of H<sub>2</sub>O<sub>2</sub> with excitation at 560&#xa0;nm. <bold>(C)</bold> Fluorescence imaging of 4T1 cells incubated with TPFP or VP-16-MSN@TPFP@CMs for 30&#xa0;min.</p>
</caption>
<graphic xlink:href="fbioe-11-1226680-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>3.3 The correlation of H<sub>2</sub>O<sub>2</sub> level in VP-16-treated cell with repopulation/metastasis <italic>in vitro</italic>
</title>
<p>To ascertain the correlation between H<sub>2</sub>O<sub>2</sub> levels and repopulation/metastasis <italic>in vitro</italic> in VP-16-treated cells, we conducted the chemotherapy-exacerbated repopulation/metastasis models <italic>in vitro</italic> by appropriate VP-16 stimulation (<xref ref-type="fig" rid="F3">Figure 3A</xref>). Cell viability results showed that co-culturing 4T1 cells in six-well plates 12&#xa0;h post-chemostimulation with all three materials caused significant cell death at 72&#xa0;h (<xref ref-type="fig" rid="F3">Figure 3B</xref>). The mean fluorescence intensity (MFI) of the VP-16-MSN@TPFP@CMs was measured using flow cytometry 12&#xa0;h after the chemotherapeutic challenge (<xref ref-type="sec" rid="s11">Supplementary Figure S5</xref>). The levels of intracellular COX2 and PGE2 in the culture medium were assayed on day 2. Increased levels of both the components were observed with increasing levels of VP-16 (<xref ref-type="sec" rid="s11">Supplementary Figure S6, S7</xref>). Cell repopulation and cell migration assays showed that VP-16-stimulated cells shaped a microenvironment conducive to cell repopulation and metastasis by increasing components such as the inflammatory protein COX2 and cytokine PGE2 (<xref ref-type="fig" rid="F3">Figures 3E&#x2013;G</xref>). The intracellular fluorescence signal after treatment with nanoprobes was measured using flow cytometry. These data are consistent with the changes in COX2 protein expression and PGE2 secretion during chemotherapy. Correlation analysis showed that the MFI of VP-16-MSN@TPFP@CMs-treated cells was highly positively correlated with COX2 expression levels (Pearson r:0.9210, <italic>p</italic> &#x3c; 0.001) (<xref ref-type="fig" rid="F3">Figure 3D</xref>) and PGE2 levels (Pearson r:0.9821, <italic>p</italic> &#x3c; 0.001) (<xref ref-type="fig" rid="F3">Figure 3C</xref>), confirming that VP-16-MSN@TPFP@CMs might provide valuable information for the evaluation of repopulation/metastasis after chemotherapy.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>The correlation of post-chemotherapy ROS with chemo-exacerbated repopulation/metastasis cell models. <bold>(A)</bold> Schematic diagram. <bold>(B)</bold> Cell activity after treatment with different materials. The correlation analysis of ROS mean fluorescence intensity (MFI) with the expression levels of COX2 protein <bold>(C)</bold> or the ROS MFI with the level of PGE2 <bold>(D)</bold> Number of fluorescent cells in the cell repopulation model <bold>(E,G)</bold>. Migration rate results for each treatment group in the migration assay <bold>(F,H)</bold>.</p>
</caption>
<graphic xlink:href="fbioe-11-1226680-g003.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>3.4 The correlation of post-chemotherapy ROS with tumor prognosis</title>
<p>We established a 4T1 tumor-bearing mouse model to evaluate H<sub>2</sub>O<sub>2</sub> detection using VP-16-MSN@TPFP@CM. We examined the H<sub>2</sub>O<sub>2</sub> signals at the tumor site after intravenous treatment with VP-16-MSN@TPFP@CM or a mixture of VP-16 and TPFP. The results showed that, compared to free small molecules, VP-16-MSN@TPFP@CM could achieve up to 12&#xa0;h of H<sub>2</sub>O<sub>2</sub> monitoring at the tumor site owing to better tumor targeting and retention (<xref ref-type="sec" rid="s11">Supplementary Figure S8</xref>). To further validate the advantages of the cell membrane-cloaked nanoprobe, we compared the distribution characteristics of VP-16-MSN@TPFP and VP-16-MSN@TPFP@CM. The results showed that the cell membrane-cloaked nanoprobes accumulated more at the tumor site after 12&#xa0;h of i.v. administration, thus facilitating better <italic>in vivo</italic> monitoring (<xref ref-type="sec" rid="s11">Supplementary Figure S8</xref>). We treated the tumor-bearing mice with a single dose of VP-16-MSN@TPFP@CM (<xref ref-type="fig" rid="F4">Figure 4A</xref>). At the non-therapeutic stimulation dose, the growth rate of the tumor was higher than that of cells treated with MSN@TPFP@CM, and more metastatic nodules were found (<xref ref-type="fig" rid="F4">Figure 4B</xref>; <xref ref-type="fig" rid="F4">Figure 4C</xref>). Subsequently, the relationship between the H<sub>2</sub>O<sub>2</sub> levels at the tumor site port-chemo with umor growth rate (TGR) or metastatic nodules was compared between MSN@TPFP@CM and VP-16-MSN@TPFP@CM. We observed more pulmonary metastatic nodules (PMN) in the lungs of VP-16-stimulated mice, and the TGRwas higher than in mice without chemotherapy (<xref ref-type="fig" rid="F4">Figure 4D</xref>; <xref ref-type="fig" rid="F4">Figure 4E</xref>). Both PMN and TGR fitted well when conducting correlation analysis with the H<sub>2</sub>O<sub>2</sub> signal of the orthotopic tumor (<xref ref-type="fig" rid="F4">Figure 4F</xref>; <xref ref-type="fig" rid="F4">Figure 4G</xref>).</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>
<bold>(A)</bold> Schematic diagram of tumor prognosis model. Orthotopic tumor growth curve <bold>(B)</bold> and pulmonary metastatic nodules <bold>(C)</bold> of chemotherapy-exacerbated model. Representative photographs of tumors <bold>(D)</bold> and lung tissue <bold>(E)</bold> from each group. The correlation analysis of the TGR(g) or pulmonary metastatic nodules <bold>(G)</bold> with the fluorescence intensity of orthotopic tumor.</p>
</caption>
<graphic xlink:href="fbioe-11-1226680-g004.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>3.5 <italic>In vivo</italic> bio-safety assays</title>
<p>Biosafety is a prerequisite for the clinical translation of biomaterials. Therefore, we examined the body weight, serum biochemical index, and histology of the major organs to evaluate the systemic toxicity of VP-16-MSN@TPFP@CM. No weight loss was observed in the VP-16-MSN@TPFP@CM group compared to the saline control group (<xref ref-type="fig" rid="F5">Figure 5A</xref>). The levels of serum chemistry indices, including albumin (ALB), alanine transaminase (ALT), aspartate aminotransferase (AST), blood urea nitrogen (BUN), and Serum creatinine (CRE), did not change remarkably in any of the VP-16-MSN@TPFP@CM groups (<xref ref-type="fig" rid="F5">Figure 5B</xref>). Furthermore, H&#x26;E staining of the liver, spleen, kidney, lung, and heart indicated the absence of pathological damage to the major organs during exposure (<xref ref-type="fig" rid="F5">Figure 5C</xref>). Collectively, these results indicated that VP-16-MSN@TPFP@CM is biologically safe.</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>
<bold>(A)</bold> Body weight and <bold>(B)</bold> biochemical parameters of 4T1 tumor-bearing mice 14&#xa0;days after nanoprobe treatment. Data is represented as the mean &#xb1; SD (<italic>n</italic> &#x3d; 3). <bold>(C)</bold> Histological evaluation from the major organs, including liver, spleen, kidney, heart, and lungs, of 4T1 tumor-bearing mice. Scale bars represent 50&#xa0;&#xb5;m.</p>
</caption>
<graphic xlink:href="fbioe-11-1226680-g005.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="conclusion" id="s4">
<title>4 Conclusion</title>
<p>In summary, we developed an MSN-protected H<sub>2</sub>O<sub>2</sub> imaging system that preserved the responsiveness of TPFP to ROS and achieved spatiotemporal synergy between chemotherapy and malignant prognosis prediction in breast cancer. Notably, VP-16-MSN@TPFP@CM was highly specific towards H<sub>2</sub>O<sub>2</sub>. Furthermore, VP-16-MSN@TPFP@CM exhibited a higher fluorescence enhancement than VP-16-MSN@TPFP <italic>in vivo</italic>, which was achieved by homologous cancer membrane cloaking with better tumor targeting and immune system evasion. Our results suggest that this probe could enable the evaluation of H<sub>2</sub>O<sub>2</sub> pathology in chemotherapeutic cancer models and provide new insights into oxidative stress during chemotherapy. Given the recent translation of fluorescent imaging into early clinical trials and the high biocompatibility of the nanoprobe with further refinement, our approach paved the way for specific imaging of oxidative stress in solid tumors after treatment and provided a promising technology for precise prognostic predictions.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="s5">
<title>Data availability statement</title>
<p>The raw data supporting the conclusion of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6">
<title>Ethics statement</title>
<p>The animal study was reviewed and approved by Ethics Committee for the Use of Experimental Animals of the Suzhou Institute of Biomedical Engineering and Technology of the Chinese Academy of Science (Suzhou, Jiangsu, China).</p>
</sec>
<sec id="s7">
<title>Author contributions</title>
<p>FZ and YJ contributed to the collection of experimental data. FZ, YJ, FC, and YZ analyzed the data. FZ, YJ, LL, and ZC contributed to writing and revising the manuscript. LL and ZC supervised the research. All authors contributed to the article and approved the submitted version<italic>.</italic>
</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This research was funded by the National Key R&#x26;D Program of China (No. 2021YFB3602200), the National Natural Science Foundation of China (No. 82172077, 22201298, 62027825, and 82071066), Natural Science Foundation of Shandong Province, China (No. ZR2022QB243), China Postdoctoral Science Foundation funded project (2021M702414), Jilin Scientific and Technological Development Program (20210508003RQ), the Innovation and Entrepreneurship Team of Jiangsu Province (JSSCTD202145), Cross disciplinary Research Fund of Shanghai Ninth people&#x2019;s Hospital, Shanghai JiaoTong university School of Medicine (JYJC202010).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<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="s10">
<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>
<sec id="s11">
<title>Supplementary material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fbioe.2023.1226680/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fbioe.2023.1226680/full&#x23;supplementary-material</ext-link>
</p>
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