近红外二区荧光金纳米团簇用于生物医学光子学:进展与挑战
Recently, fluorescence imaging in the second near-infrared window (NIR-Ⅱ, 1000?1700 nm) has attracted widespread attention from researchers. Compared with visible light window (300?550 nm) and first near-infrared window (NIR-I, 600?950 nm) imaging, NIR-Ⅱ fluorescence imaging exhibits unique advantages such as high tissue penetration (on the order of centimeters), high resolution (on the order of nanometers), and low background. NIR?Ⅱ fluorescent gold nanoclusters (NIR?Ⅱ Au NCs) represent a category of nano-materials with exceptional clinical translational potential. NIR?Ⅱ Au NCs possess singular advantages of monomeric composition, stable performance, small size (<3 nm), and renal clearance capability. They have been applied in various fields, including tumors, cardiovascular diseases, bacterial infections, neurosciences, and implantable medical devices, demonstrating significant potential applications and promising clinical translation prospects in the realm of high-sensitivity, high-resolution, and deep-tissue molecular imaging of major disease biomarkers.
In this review, we initially introduce the synthesis methods of NIR-Ⅱ Au NCs, discussing the challenges of low yield and scalable production. Subsequently, we delve into the surface modulation techniques for NIR-Ⅱ Au NCs, and methods to regulate the cluster surface structure, composition, and morphology for enhancing their emission wavelengths and fluorescence quantum yields. We then summarize the latest research advancements of NIR?Ⅱ Au NCs in vascular imaging, lymphatic vessel and lymph node imaging, tumor imaging, and imaging-guided therapy. Finally, we discuss the opportunities and challenges faced by NIR-Ⅱ Au NCs in the field of biomedical photonics.
NIR?Ⅱ Au NCs stand as potent candidates in the realm of biomedical photonics research, showcasing advantages of convenient synthesis, singular composition, tunable emission wavelength, good biocompatibility, in vivo clearance, and ease of targeted modification. They have demonstrated promising applications in tumor diagnosis, drug delivery, and multimodal imaging. However, further application and clinical translation of NIR?Ⅱ Au NCs encounter numerous challenges: 1) Existing synthesis methods of NIR?Ⅱ Au NCs suffer from low yield and lack of large-scale macro production processes, necessitating the development of more efficient preparation methods and processes. 2) The central emission wavelengths of existing NIR?Ⅱ Au NCs are less than 1300 nm, with a fluorescence quantum yield below 10%, urgently requiring improved synthesis methods to increase their emission wavelengths and enhance their NIR?Ⅱ fluorescence quantum yields. 3) The clinical use scenarios of NIR?Ⅱ Au NCs require further investigation to elucidate their precise clinical value and better serve disease diagnosis and treatment. Future research can expand into other application areas, including cardiovascular diseases, inflammation imaging, and intraoperative tumor boundary visualization, to better meet clinical translation needs and play a crucial role in safeguarding public health.
1 引言
近年来,近红外二区(NIR-Ⅱ,1000~1700 nm)荧光成像备受关注[1-3]。相较于可见光(300~550 nm)和近红外一区荧光(600~950 nm),NIR-Ⅱ荧光具有高组织穿透(厘米级)、高分辨(纳米级)、低背景的独特优势。自戴宏杰课题组首次报道碳纳米管材料可用于NIR-Ⅱ荧光活体成像以来[4],已有量子点[5-6]、镧系掺杂纳米颗粒[7-8]、共轭聚合物纳米颗粒[9]、聚集诱导发光纳米颗粒[10]、有机小分子染料[11]、碳点[12]、金纳米团簇(Au NCs)[13]等材料被开发出来,用于细胞、血管、器官、全身组织的跨尺度、高灵敏、高时空分辨的NIR-Ⅱ荧光成像。这种先进的生物医学光子学成像方法和技术为重大疾病的诊疗研究提供了新工具。
2019年,研究人员使用美国食品药品监督管理局批准的吲哚菁绿(ICG)作为荧光探针,首次实现了肝癌患者微小病灶和转移灶的高灵敏在体NIR-Ⅱ荧光成像,提高了手术切除的精准性[14]。这一研究成果推动了NIR-Ⅱ荧光成像技术的临床转化。但是,由于材料合成的复杂性、体内潜在毒性和临床监管的严格性等问题,能够用于临床研究的NIR-Ⅱ荧光探针非常有限。相较于碳纳米管、量子点、镧系掺杂纳米颗粒等无机纳米材料而言,NIR-Ⅱ荧光金纳米团簇(后文简称为NIR-Ⅱ Au NCs)是一类具有巨大临床转化潜力的候选纳米材料。NIR-Ⅱ Au NCs具有组分单一、性能稳定、尺寸(<3 nm)小以及可肾脏清除的独特优势。近年来,NIR-Ⅱ Au NCs已在肿瘤、心脑血管疾病、细菌感染、脑科学、可植入医疗器械等多个领域中得到成功应用,在重大疾病标志物的高灵敏、高分辨、大深度活体分子成像领域中展现出巨大的应用潜力和良好的临床转化前景。本文主要综述了NIR-Ⅱ Au NCs近5年的研究成果,详细介绍了NIR-Ⅱ Au NCs的合成方法、表面修饰技术和生物医学应用,讨论了NIR-Ⅱ Au NCs在基础研究和临床转化研究中面临的主要挑战,并展望了NIR-Ⅱ Au NCs纳米探针在生物医学光子学领域中的应用前景。
2 NIR‑ Ⅱ Au NCs 的合成
NIR-Ⅱ Au NCs通常以金离子、还原剂和小分子配体为原料,通过化学还原反应生成。其中金离子的浓度、金离子与配体分子的比例及还原剂的种类会直接影响制备的NIR-Ⅱ Au NCs的尺寸和发光波长。目前,已建立的水相化学还原法能够在24 h内获得NIR‑Ⅱ荧光发光波长(1000~1300 nm)可调谐、具有良好的水溶性和稳定性、表面活性基团丰富的NIR‑Ⅱ Au NCs。如
图 1. NIR-Ⅱ Au NCs的合成。(a)Au25团簇的结构与表征示意图[13];(b)Au24Cd1团簇的结构示意图及透射电镜(TEM)图像[16];(c)通过掺杂金属增强Au25团簇的NIR-Ⅱ荧光[13];(d)Au44MBA26纳米团簇在NIR-Ⅱ荧光和光声成像引导下的癌症光热治疗示意图[15]
Fig. 1. Synthesis of NIR-Ⅱ Au NCs. (a) Schematics of structure and characterization of Au25 clusters[13]; (b) schematics of structure and transmission electron microscope (TEM) image of Au24Cd1 clusters[16]; (c) enhancement of NIR-Ⅱ fluorescence of Au25 clusters by doping with metals[13]; (d) photothermal treatment of cancer with Au44MBA26 nanoclusters guided by NIR-Ⅱ fluorescence and photoacoustic imaging[15]
目前,NIR-Ⅱ Au NCs的发射峰通常位于1000~1100 nm区间,鲜有荧光发射峰超过1100 nm的Au NCs的相关报道,原理上可以通过抑制非辐射衰变的刚性结构设计、高振子强度的强带边跃迁以及诱导快速的辐射衰减等方法来调控NIR-Ⅱ Au NCs的发光波长。例如,Li等[17]报道了NIR-Ⅱ Au NCs中荧光发射的潜在电子跃迁,包括以往被忽略的基态几何结构中振荡强度接近零的最高被占轨道-最低空轨道(HOMO-LUMO)跃迁,并提供了新的原子水平结构剪裁方法。
3 NIR‑ Ⅱ Au NCs的表面修饰
NIR-Ⅱ Au NCs的表面修饰分子不仅能够提高其水溶性和稳定性,还能赋予NIR-Ⅱ Au NCs的分子靶向性。NIR-Ⅱ Au NCs的荧光发射波长可通过调控金原子数量和表面基团来实现调控[13,18]。目前NIR-Ⅱ Au NCs的表面修饰分子主要有还原性谷胱甘肽[19]、巯基小分子化合物(例如单硫醇、二硫醇和聚乙二醇硫醇配体等)[18]、牛血清白蛋白[20]、环糊精(CD)[21]和小分子蛋白(例如Min-23)[22]等。调控这些分子与金离子的比例不仅能够控制NIR-Ⅱ Au NCs的荧光发射波长,而且还能赋予其分子靶向功能,实现特定功能分子的高灵敏、高分辨NIR-Ⅱ荧光成像。如
图 2. NIR-Ⅱ Au NCs的表面修饰。(a)CD-Au NC的合成过程和紫外荧光光谱[21];(b)Au NCs和羟基磷灰石(HA)在体外高效结合,显示出明显的NIR-Ⅱ荧光[19];(c)Au-PC的结构示意图、Au-PC团簇瘤周给药和引流腹股沟淋巴结(iLN)在3 min内显示出高亮度NIR-Ⅱ荧光[23]
Fig. 2. Surface modification of NIR‑Ⅱ Au NCs. (a) Synthesis process and ultraviolet fluorescent spectrum of CD-Au NC[21]; (b) Au NCs and hydroxyapatite (HA) bind efficiently in vitro, showing obvious NIR‑Ⅱ fluorescence[19]; (c) structural diagram of Au-PC, peritumor administration of Au-PC clusters, and draining inguinal lymph node (iLN) showing high brightness NIR‑Ⅱ fluorescence within 3 min[23]
4 NIR‑ Ⅱ Au NCs 的生物医学应用
NIR-Ⅱ Au NCs具有良好的生物相容性和优异的荧光性能,在生物医学光子学领域中展现出广阔的应用前景,包括血管的高分辨成像、淋巴管和淋巴结的精确定位、肿瘤的精准诊断和NIR-Ⅱ荧光成像引导治疗等。
4.1 血管成像
血管功能障碍与癌症、脑卒中、心肌梗死等多种危及生命的疾病密切相关。因此,异常血管的可视化对于相关疾病的早期诊断和治疗具有重要意义[24-27]。目前临床上常规的检测异常血管的无创成像方法有计算机断层扫描(CT)、超声和磁共振成像(MRI),但这些方法都存在空间分辨率低、成像伪影以及成像质量易受操作者影响等问题[28-29]。而超小尺寸(<3 nm)的NIR‑Ⅱ Au NCs具有低毒性、可肾脏清除、优异的NIR-Ⅱ荧光性能和深层组织渗透特性,在血管成像领域中受到研究者的广泛关注。如
图 3. NIR-Ⅱ Au NCs的血管成像。(a)利用经膜化学反应器(MCR)处理的NIR-Ⅱ Au NCs进行血管的实时荧光成像[18];(b)通过静脉注射NIR-Ⅱ Au NCs,监测高剂量重组组织纤溶酶原激活化剂(rt-PA)给药后的血栓溶解过程[30];(c)利用NIR-Ⅱ Au NCs进行脑卒中小鼠颅骨脑的荧光动态成像[13]
Fig. 3. Vascular imaging of NIR‑Ⅱ Au NCs. (a) Real-time vascular fluorescence imaging using NIR‑Ⅱ Au NCs treated with membrane chemical reactor (MCR)[18]; (b) thrombolytic process after high-dose recombinant tissue plasminogen activator (rt-PA) is monitored by intravenous administration of NIR-Ⅱ Au NCs[30]; (c) dynamic fluorescence imaging of skull brain of stroke mice using IR-Ⅱ Au NCs[13]
4.2 淋巴管和淋巴结成像
淋巴管和淋巴结与实体瘤的扩散和转移密切相关。癌细胞通过附着并穿透周围淋巴管进入周围淋巴结,进而逐渐扩散到全身器官和淋巴结上。前哨淋巴结(SLN)是癌症转移的第一站[31]。因此,精准检测出淋巴管和淋巴结里的癌细胞尤其是SLN里的癌细胞对于肿瘤治疗和预后至关重要[32]。淋巴闪烁显像是迄今为止临床肿瘤学中分期评估乳腺癌、黑色素瘤和头颈癌SLN转移的“金标准”[33-34],但是仍然存在着2%~28%的错误检测率[35]。临床上ICG作为淋巴闪烁显像的对比剂,用于各种实体瘤的淋巴管和淋巴结成像[36-37],但存在着成像信背比低、非特异性吸附强和代谢快等缺点。最近,戴宏杰课题组开发了PC配体功能化的NIR-Ⅱ Au NCs(Au-PC),在皮下注射0.5~1.0 h后通过NIR-Ⅱ荧光成像对4T1和CT26肿瘤小鼠模型的前哨淋巴结进行定位,随后被肾脏快速清除[23]。相比于ICG在体内的非特异性结合和成像时间窗不确定的特点,NIR-Ⅱ Au-PC可以对前哨淋巴结进行更清晰、更有针对性的成像,尤其适用于需要快速诊断和干预决策的临床情况。除了这种常见的单配体修饰以外,蒋兴宇团队还开发了双配体/多配体封端的金纳米团簇(GNCs),如
图 4. NIR-Ⅱ Au NCs用于肿瘤靶向荧光成像。(a)静脉注射负载光敏剂Ce6的PEG功能化金纳米团簇(Ce6@GNCs-PEG)后在肿瘤部位观察到显著的荧光[41];(b)患有肠癌的小鼠通过口服给药RNase-A@Au NCs后可观察到肿瘤结节[43];(c)Au NCs@PDA-MB纳米探针在小鼠体内的胃酸抑制成像[42]
Fig. 4. NIR-Ⅱ Au NCs for tumor targeted fluorescence imaging. (a) Significant fluorescence observed at tumor site after intravenous injection of PEG functionalized gold nanoclusters loaded with photosensitizer Ce6 (Ce6@GNCs-PEG)[41]; (b) tumor nodules can be observed in mice with bowel cancer after oral administration of RNase-A@Au NCs[43]; (c) Au NCs@PDA-MB nanoprobes for in vivo gastric acid inhibition imaging of mice[42]
4.3 肿瘤成像
传统的超声、电子计算机断层扫描、磁共振结构成像能够实现疾病演进过程的定性、定量可视化,为疾病的诊断和治疗提供重要指导。分子靶向成像超越了传统的结构成像,可通过分子探针实现特定肿瘤靶点的高灵敏显影,为疾病的早期诊断、疗效监测和预后评估提供了新工具。通过在NIR-Ⅱ Au NCs表面上修饰特异性的靶向分子,设计智能响应的分子功能,能够实现基于NIR-Ⅱ Au NCs的肿瘤靶向荧光成像[39-40]。例如,崔大祥团队通过将抗CD326抗体标记在NIR-Ⅱ Au NCs表面上,实现了MCF-7和MGC-803肿瘤的高灵敏荧光成像和治疗[41]。除了对传统肿瘤的靶向成像以外,NIR‑Ⅱ Au NCs还可以实现对胃肠道相关疾病的定位和实时成像。如
4.4 成像引导治疗
成像引导治疗是一种先进的可视化治疗技术,能够避免不必要的身体创伤,降低有创治疗的成本,实现病灶精准定位、术中实时反馈、治疗方案优化以及疗效评估。因此,成像引导治疗对于外科手术的术前诊断、术中引导治疗乃至术后体检随访都尤为重要。目前临床上常见的可用于引导治疗的成像方式包括超声、CT、磁共振以及荧光成像等。利用NIR-Ⅱ Au NCs作为示踪剂和药物载体系统,能够实现药物在体内的可视化输运和引导治疗,提高疗效。例如,铂(Pt)是癌症治疗中使用最广泛的化疗药物之一[44-46],GSH可以迅速与之结合形成GSH-Pt偶联物并从癌细胞中输出,从而使Pt药物失活[47-49]。因此,肿瘤细胞中GSH的过表达被普遍认为是导致铂耐药的重要因素[50]。喻志强团队利用NIR-Ⅱ Au NCs装载化疗药物铂(Au NCs-Pt),在增强铂依赖的化疗效果的同时,通过高分辨率NIR-Ⅱ成像,实现深部组织中铂转运过程的可视化,提高治疗效率[51]。
不仅如此,NIR‑Ⅱ Au NCs具有良好的表面可修饰性,能够联合其他成像分子、光敏剂或免疫靶点等[12,52-54],实现NIR-Ⅱ荧光成像乃至多模态成像引导下的包含癌症光动力治疗(PDT)[17]、光热治疗(PTT)[55]、免疫治疗[56]、化学动力疗法[57-62]等在内的一系列联合治疗,并显著提高了癌症诊断的准确性和疗效[63-65]。杨戈课题组通过将Au44MBA26与光敏剂Cy7结合,设计出一种新型NIR-Ⅱ Au NCs治疗探针,能够在NIR-Ⅱ荧光和光声(PA)成像引导下实现高灵敏度和特异性的癌症治疗[15]。如
图 5. NIR-Ⅱ Au NCs用于炎症和抗菌治疗。(a)用于体内PA和MRI评估的NIR-Ⅱ Au NCs纳米诊断剂[66];(b)用于监测急性肾损伤的NIR-Ⅱ Au NCs探针的化学结构示意图及静脉注射后不同时间点肾脏的NIR-Ⅱ荧光强度[74];(c)Au NCs的抗菌机理示意图[78];(d)牛血清白蛋白包裹的Au NCs(BSA@Au)具有过氧化氢酶(CAT)样活性和1O2生成能力,联合激光治疗细菌感染,伤口快速愈合[20]
Fig. 5. NIR-Ⅱ Au NCs used for inflammatory and antimicrobial therapy. (a) NIR-Ⅱ Au NCs nano diagnostic agent for in vivo PA and MRI assessment[66]; (b) schematic chemical structure of NIR‑Ⅱ Au NCs probe for monitoring acute kidney injury and NIR‑Ⅱ fluorescence intensity of kidney at different time points after intravenous injection[74]; (c) schematic of antibacterial mechanism of Au NCs[78]; (d) bovine serum albumin-encapsulated Au NCs (BSA@Au) possessing catalase (CAT)‑like activity and 1O2 producing capacity, which can be combined with laser therapy for bacterial infection to realized rapid wound healing[20]
4.5 其他应用
除了肿瘤外,氧化应激和炎症等在临床中也十分常见[68]。然而,目前的分子制剂不能在实时监测炎症的同时减轻炎症。最近,NIR‑Ⅱ Au NCs在氧化应激和炎症相关疾病治疗中的应用取得了重要进展,该项研究也受到了广泛关注。NIR-Ⅱ Au NCs不仅能够通过荧光成像定位病灶,还可以通过自身的活性和搭载的药物分子消除氧化应激和减轻炎症反应[69-70]。例如,负载NIR-Ⅱ Au NCs的聚甲基丙烯酸乙酯纳米粒子(Au-PEMA NPs)在体外显示出了摄取巨噬细胞的性能,该性能依赖时间和剂量,并诱导了脂多糖(LPS)激活的巨噬细胞抗炎反应和一氧化氮水平的强烈下调[71]。在氧化应激相关疾病中,急性肾损伤(AKI)尤为常见,其作为临床上高发病率和高死亡率的肾脏疾病之一,早期诊断和干预可以有效避免严重并发症的发生[72-74]。如
细菌感染也是目前疾病治疗的重心之一。细菌感染与癌症发病率密切相关,据估计,细菌感染因素个数约占所有人类肿瘤发病因素个数的20%[77]。NIR-Ⅱ Au NCs本身具有杀菌能力,因此在抗菌治疗方面有着广阔的应用前景。如
5 总结与展望
NIR-Ⅱ Au NCs是生物医学光子学研究的强大候选者,它表现出合成便捷、成分单一、发光波长可调谐、生物相容性好、体内可清除、易于靶向修饰等独特优势,已经在肿瘤诊断、药物输运、多模态成像等领域中展示出广阔的应用前景[79-85]。但是,NIR-Ⅱ Au NCs的进一步应用和临床转化还面临着诸多的挑战:1)现有的NIR-Ⅱ Au NCs合成方法还存在产率低和无法实现大规模制备的问题,急需发展更加高效的制备方法和工艺;2)现有的NIR-Ⅱ Au NCs的中心发光波长小于1300 nm,荧光量子产率小于10%,迫切需要改进合成方法以增大其发光波长和提高其NIR-Ⅱ荧光量子产率;3)需要进一步研究NIR-Ⅱ Au NCs的临床使用场景,阐明其确切的临床价值,更好地用于疾病诊疗。未来可以进一步拓展NIR-Ⅱ Au NCs的应用范围,包括心血管疾病、炎症成像、术中肿瘤边界可视化等,以更好地满足临床转化需求,为维护人们的健康发挥重要的作用。
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Article Outline
李丝雨, 田方正, 高笃阳, 胡德红, 郑海荣, 盛宗海, 居胜红. 近红外二区荧光金纳米团簇用于生物医学光子学:进展与挑战[J]. 中国激光, 2024, 51(3): 0307201. Siyu Li, Fangzheng Tian, Duyang Gao, Dehong Hu, Hairong Zheng, Zonghai Sheng, Shenghong Ju. NIR‑