An Intelligent and Tumor-Responsive Fe 2+ Donor and Fe 2+ -Dependent Drugs Cotransport System.

Fe plays an essential role for artemisinin (ART)-based drugs in anticancer therapy. As a result, it is important to realize these two agents' cotransport for improving antitumor efficacy. We utilized a kind of alternating magnetic field (AMF) and tumor-responsive material-mesoporous FeO (mFeO)-to encapsulate ART. After that, the outer surface of mFeO was capped with multifunctional hyaluronic acid (HA), which was used not only as a smart gatekeeper but also as a tumor targeting moiety. In vitro and in vivo studies proved that ART can be encapsulated in HA-mFeO and protected by HA coating which could effectively avoid premature release during in vivo circulation. HA-mFeO/ART could be taken up by MCF-7 tumor cells via CD44 receptor-mediated endocytosis and locate at acidic lysosome. Subsequently, "HA gate" could be degraded by acidity and hyaluronidase. Then this system synchronously released Fe and ART at the same site. Fe can nonenzymatically convert ART to ROS for killing cancer cells. Under AMF irradiation, HA-mFeO could not only effectively convert electromagnetic wave into heat for tumor thermal therapy but also generate high levels of reactive oxygen species (ROS) for tumor dynamic therapy. These results demonstrated that the antitumor efficacy of HA-mFeO/ART in vivo significantly enhanced 3.7 times compared with free ART. Combining with AMF, it further improved 3.9 times (V/V0 of 0.11), suggesting the successful combined application of HA-mFeO/ART and AMF for tumor treatment. It is believed that HA-mFeO/ART is a promising system for Fe-dependent drugs to improve their therapeutic effect.