In Vivo Toxicity of Upconversion Nanoparticles. Overview. Part II
DOI:
https://doi.org/10.18287/JBPE26.12.030202Keywords:
phototoxicity, upconversion nanoparticles, dose, photodynamic therapyAbstract
This is the second section of review synthesizes current research on the in vivo toxicity of upconversion nanoparticles (UCNPs) for biomedical applications, including photoinduced drug delivery, photodynamic therapy (PDT), and multimodal therapies. The aim is to assess the safety of UCNPs under near-infrared (NIR) irradiation and in combination with photosensitizers, chemotherapeutics, and other therapeutic modalities. Analysis of numerous in vivo studies in mouse and rat models demonstrates that UCNPs exhibit low dark toxicity and targeted phototoxicity, with no significant damage to major organs (heart, liver, spleen, lungs, kidneys) at therapeutic doses. For mice, safe doses are 10 mg/kg for short-term exposure (48 h and for long-term exposure 40 days). Surface coatings (PEG, silica, MVEMA, cell membranes) enhance biocompatibility and reduce off-target effects. Multimodal UCNP platforms (PDT combined with chemotherapy, photothermal therapy, chemodynamic therapy, immunotherapy, or radiotherapy) demonstrate effective tumor suppression without substantial systemic toxicity. These findings support the continued development of UCNPs as safe and effective theranostic agents for precision oncology.
References
1. X. He, Z. Li, M. Ye, C. Zhao, S. Wu, Y. Qin, Y. Guo, L. Zhang, and F. Lin, “Near-infrared laser-irradiated upconversion nanoparticles with dexamethasone precise released for alleviating lung ischemia-reperfusion injury,” Frontiers in Bioengineering and Biotechnology 11, 1176369 (2023). DOI: https://doi.org/10.3389/fbioe.2023.1176369
2. X. Hu, Y. Tang, Y. Hu, F. Lu, X. Lu, Y. Wang, J. Li, Y. Li, Y. Ji, W. Wang, D. Ye, Q. Fan, and W. Huang, “Gadolinium-Chelated Conjugated Polymer-Based Nanotheranostics for Photoacoustic/Magnetic Resonance/NIR-II Fluorescence Imaging-Guided Cancer Photothermal Therapy,” Theranostics 9(14), 4168–4181 (2019). DOI: https://doi.org/10.7150/thno.34390
3. X. Hu, Z. Chen, A. J. Jin, Z. Yang, D. Gan, A. Wu, H. Ao, W. Huang, and Q. Fan, “Rational Design of All-Organic Nanoplatform for Highly Efficient MR/NIR-II Imaging-Guided Cancer Phototheranostics,” Small 17(12), 2007566 (2021). DOI: https://doi.org/10.1002/smll.202007566
4. Y. Lu, Q. Luo, X. Jia, J. P. Tam, H. Yang, Y. Shen, and X. Li, “Multidisciplinary strategies to enhance therapeutic effects of flavonoids from Epimedii Folium: Integration of herbal medicine, enzyme engineering, and nanotechnology,” Journal of Pharmaceutical Analysis 13(3), 239–254 (2023). DOI: https://doi.org/10.1016/j.jpha.2022.12.001
5. X. Zhao, S. He, B. Li, B. Liu, Y. Shi, W. Cong, F. Gao, J. Li, F. Wang, K. Liu, C. Sheng, J. Su, and H.-G. Hu, “DUCNP@Mn–MOF/FOE as a Highly Selective and Bioavailable Drug Delivery System for Synergistic Combination Cancer Therapy,” Nano Letters 23(3), 863–871 (2023). DOI: https://doi.org/10.1021/acs.nanolett.2c04042
6. Y. Wang, Y. Qiu, S. Chen, J. Huang, X. Hu, J. Chen, S. Wang, X. Yang, Y. Zhang, and Y. Zhu, “Functionalized Tumor Cell Membrane-Camouflaged Photo-Activatable Nanoparticle for Spatiotemporal Antitumor Therapy,” Chemical Engineering Journal 474, 145676 (2023). DOI: https://doi.org/10.1016/j.cej.2023.145676
7. J. R. Groom, J. Richmond, T. T. Murooka, E. W. Sorensen, J. H. Sung, K. Bankert, U. H. von Andrian, J. J. Moon, T. R. Mempel, and A. D. Luster, “CXCR3 Chemokine Receptor-Ligand Interactions in the Lymph Node Optimize CD4+ T Helper 1 Cell Differentiation,” Immunity 37(6), 1091–1103 (2012). DOI: https://doi.org/10.1016/j.immuni.2012.08.016
8. M. Z. El-Sadek, M. K. A. El-Aziz, A. H. Shaaban, S. A. Mostafa, and A.-H. S. Wadan, “Advancements and emerging trends in photodynamic therapy: innovations in cancer treatment and beyond,” Photochemical & Photobiological Sciences 24(8), 1489–1511 (2025). DOI: https://doi.org/10.1007/s43630-025-00765-0
9. A. Nsubuga, K. Morice, N. Fayad, F. Pini, V. Josserand, X. Le Guével, A. Alhabi, M. Henry, D. Puchán Sánchez, N. Plassais, P. Josse, J. Boixel, P. Blanchard, C. Cabanetos, and N. Hildebrandt, “Sub 20 nm Upconversion Photosensitizers for Near-Infrared Photodynamic Theranostics,” Adv Funct Materials 35(1), 2410077 (2025). DOI: https://doi.org/10.1002/adfm.202410077
10. H. Zhou, J. Wang, B. Yang, M. Sun, C. Liang, L. Yang, X. Zhao, and H. Wang, “Preparation of near-infrared light responsive upconversion nanoparticles TiO2/(Ca,Y)F2:Tm,Yb for photodynamic antitumor therapy,” Journal of Materials Science 58(15), 6743–6756 (2023). DOI: https://doi.org/10.1007/s10853-023-08375-w
11. E. Bugyik, F. Renyi-Vamos, V. Szabo, K. Dezso, N. Ecker, A. Rokusz, P. Nagy, B. Dome, and S. Paku, “Mechanisms of vascularization in murine models of primary and metastatic tumor growth,” Cancer Communications 35(1), 19 (2016). DOI: https://doi.org/10.1186/s40880-016-0083-5
12. B. Ling, L. Yang, C. Wang, L. Dong, Y. Yang, L. Wang, J. Zhang, and Y. Yuan, “Cascade-Responsive Upconversion Nanoplatform for Efficient Cell Nucleus Targeting and Boosted Photodynamic Tumor Therapy,” ACS Materials Letters 6(12), 5256–5265 (2024). DOI: https://doi.org/10.1021/acsmaterialslett.4c01614
13. C. A. Del Valle, T. Hirsch, and M. J. Marín, “Recent advances in near infrared upconverting nanomaterials for targeted photodynamic therapy of cancer,” Methods and Applications in Fluorescence 10(3), 034003 (2022). DOI: https://doi.org/10.1088/2050-6120/ac6937
14. M. R. Hamblin, “Photodynamic Therapy for Cancer: What’s Past is Prologue,” Photochemistry and Photobiology 96(3), 506–516 (2020). DOI: https://doi.org/10.1111/php.13190
15. Y. Li, G. Chen, “Upconversion Nanoparticles for Cancer Therapy,” Advanced NanoBiomed Research 2(12), 2200092 (2022). DOI: https://doi.org/10.1002/anbr.202270113
16. C. Wang, H. Tao, L. Cheng, and Z. Liu, “Near-infrared light induced in vivo photodynamic therapy of cancer based on upconversion nanoparticles,” Biomaterials 32(26), 6145–6154 (2011). DOI: https://doi.org/10.1016/j.biomaterials.2011.05.007
17. Y. I. Park, H. M. Kim, J. H. Kim, K. C. Moon, B. Yoo, K. T. Lee, N. Lee, Y. Choi, W. Park, D. Ling, K. Na, W. K. Moon, S. H. Choi, H. S. Park, S. Yoon, Y. D. Suh, S. H. Lee, and T. Hyeon, “Ther anostic Probe Based on Lanthanide-Doped Nanoparticles for Simultaneous In Vivo Dual-Modal Imaging and Photodynamic Therapy,” Advanced Materials 24(42), 5755–5761 (2012). DOI: https://doi.org/10.1002/adma.201202433
18. W. Cai, X. Chen, Q. Pan, S. Zhang, L. Tan, X. Sun, R. Huang, and A. Xia, “Antitumor activity of yulangsan polysacchrides in mice bearing S180 sarcoma tumors,” Molecular and Clinical Oncology 7(4), 716–720 (2017). DOI: https://doi.org/10.3892/mco.2017.1378
19. S. Cui, H. Chen, H. Zhu, J. Tian, X. Chi, Z. Qian, S. Achilefu, and Y. Gu, “Amphiphilic chitosan modified upconversion nanoparticles for in vivo photodynamic therapy induced by near-infrared light,” Journal of Materials Chemistry 22(11), 4861 (2012). DOI: https://doi.org/10.1039/c2jm16112e
20. P. Thanasekaran, C.-H. Chu, S.-B. Wang, K.-Y. Chen, H.-D. Gao, M. M. Lee, S.-S. Sun, J.-P. Li, J.-Y. Chen, J.-K. Chen, Y.-H. Chang, and H.-M. Lee, “Lipid-Wrapped Upconversion Nanoconstruct/Photosensitizer Complex for Near-Infrared Light-Mediated Photodynamic Therapy,” ACS Applied Materials & Interfaces11(1), 84–95 (2019). DOI: https://doi.org/10.1021/acsami.8b07760
21. C.-W. Chen, Y.-C. Chan, M. Hsiao, and R.-S. Liu, “Plasmon-Enhanced Photodynamic Cancer Therapy by Upconversion Nanoparticles Conjugated with Au Nanorods,” ACS Applied Materials & Interfaces 8(47), 32108–32119 (2016). DOI: https://doi.org/10.1021/acsami.6b07770
22. Y. Li, X. Zhang, Y. Zhang, Y. Zhang, Y. He, Y. Liu, and H. Ju, “Activatable Photodynamic Therapy with Therapeutic Effect Prediction Based on a Self-correction Upconversion Nanoprobe,” ACS Applied Materials & Interfaces 12(17), 19313–19323 (2020). DOI: https://doi.org/10.1021/acsami.0c03432
23. N. Zhao, B. Wu, X. Hu, and D. Xing, “NIR-triggered high-efficient photodynamic and chemo-cascade therapy using caspase-3 responsive functionalized upconversion nanoparticles,” Biomaterials 141, 40–49 (2017). DOI: https://doi.org/10.1016/j.biomaterials.2017.06.031
24. H. Shan, X. Wang, Q. Wei, H. Dai, and X. Chen, “Enriched photosensitizer for deep-seated-tumor photodynamic therapy,” Photonics Research 12(5), 1024 (2024). DOI: https://doi.org/10.1364/PRJ.515233
25. J. Yoon, X. T. Le, J. Kim, H. Lee, N. T. Nguyen, W. T. Lee, E. S. Lee, K. T. Oh, H.-G. Choi, and Y. S. Youn, “Macrophage-reprogramming upconverting nanoparticles for enhanced TAM-mediated antitumor therapy of hypoxic breast cancer,” Journal of Controlled Release 360, 482–495 (2023). DOI: https://doi.org/10.1016/j.jconrel.2023.07.009
26. H. Kim, J. Yoon, H. K. Kim, W. T. Lee, N. T. Nguyen, X. T. Le, E.-H. Lee, E. S. Lee, K. T. Oh, H.-G. Choi, and Y. S. Youn, “Upconverting nanoparticle-containing erythrocyte-sized hemoglobin microgels that generate heat, oxygen and reactive oxygen species for suppressing hypoxic tumors,” Bioactive Materials 22, 112–126 (2023). DOI: https://doi.org/10.1016/j.bioactmat.2022.09.020
27. J. A. Raleigh, S.-C. Chou, G. E. Arteel, and M. R. Horsman, “Comparisons among Pimonidazole Binding, Oxygen Electrode Measurements, and Radiation Response in C3H Mouse Tumors,” Radiation Research 151(5), 580 (1999). DOI: https://doi.org/10.2307/3580034
28. X.-F. Li, S. Carlin, M. Urano, J. Russell, C. C. Ling, and J. A. O’Donoghue, “Visualization of Hypoxia in Microscopic Tumors by Immunofluorescent Microscopy,” Cancer Research 67(16), 7646–7653 (2007). DOI: https://doi.org/10.1158/0008-5472.CAN-06-4353
29. J. Wang, M. Liu, J. Wang, Z. Li, Z. Feng, M. Xu, H. Wang, H. Li, Z. Li, J. Yu, J. Liu, Q. Wei, S. Zhang, and X. Zhang, “Zinc oxide nanoparticles with catalase-like nanozyme activity and near-infrared light response: A combination of effective photodynamic therapy, autophagy, ferroptosis, and antitumor immunity,” Acta Pharmaceutica Sinica B 14(10), 4493–4508 (2024). DOI: https://doi.org/10.1016/j.apsb.2024.07.002
30. D. Yang, Y. Dai, J. Liu, Y. Zhou, Y. Chen, C. Li, P. Ma, and J. Lin, “Ultra-small BaGdF5-based upconversion nanoparticles as drug carriers and multimodal imaging probes,” Biomaterials 35(6), 2011–2023 (2014). DOI: https://doi.org/10.1016/j.biomaterials.2013.11.018
31. Y.-H. Chien, Y.-L. Chou, S.-W. Wang, S.-T. Hung, M.-C. Liau, Y.-J. Chao, C.-H. Su, and C.-S. Yeh, “Near-Infrared Light Photocontrolled Targeting, Bioimaging, and Chemotherapy with Caged Upconversion Nanoparticles in Vitro and in Vivo,” ACS Nano 7(10), 8516–8528 (2013). DOI: https://doi.org/10.1021/nn402399m
32. O. Shapoval, D. Větvička, V. Patsula, H. Engstová, O. Kočková, M. Konefał, M. Kabešová, and D. Horák, “Temoporfin-Conjugated Upconversion Nanoparticles for NIR-Induced Photodynamic Therapy: Studies with Pancreatic Adenocarcinoma Cells In Vitro and In Vivo,” Pharmaceutics 15(12), 2694 (2023). DOI: https://doi.org/10.3390/pharmaceutics15122694
33. O. Shapoval, V. Patsula, D. Větvička, H. Engstová, V. Oleksa, M. Kabešová, T. Vasylyshyn, P. Poučková, and D. Horák, “Temoporfin-Conjugated PEGylated Poly( N , N -dimethylacrylamide)-Coated Upconversion Colloid for NIR-Induced Photodynamic Therapy of Pancreatic Cancer,” Biomacromolecules 25(9), 5771–5785 (2024). DOI: https://doi.org/10.1021/acs.biomac.4c00317
34. N. M. Idris, M. K. Gnanasammandhan, J. Zhang, P. C. Ho, R. Mahendran, and Y. Zhang, “In vivo photodynamic therapy using upconversion nanoparticles as remote-controlled nanotransducers,” Nature Medicine 18(10), 1580–1585 (2012). DOI: https://doi.org/10.1038/nm.2933
35. S. Yan, X. Zeng, Y. Tang, B. Liu, Y. Wang, and X. Liu, “Activating Antitumor Immunity and Antimetastatic Effect Through Polydopamine-Encapsulated Core-Shell Upconversion Nanoparticles,” Advanced Materials 31(46), 1905825 (2019). DOI: https://doi.org/10.1002/adma.201905825
36. Y.-C. Tsai, P. Vijayaraghavan, W.-H. Chiang, H.-H. Chen, T.-I. Liu, M.-Y. Shen, A. Omoto, M. Kamimura, K. Soga, and H.-C. Chiu, “Targeted Delivery of Functionalized Upconversion Nanoparticles for Externally Triggered Photothermal/Photodynamic Therapies of Brain Glioblastoma,” Theranostics 8(5), 1435–1448 (2018). DOI: https://doi.org/10.7150/thno.22482
37. S. Zheng, H. Zhang, T. Sheng, Y. Xiang, J. Wang, Y. Tang, and Y. Zhang, “Photoswitchable upconversion nanoparticles with excitation dependent emission for programmed stepwise NIR phototherapy,” iScience 26(10), 107859 (2023). DOI: https://doi.org/10.1016/j.isci.2023.107859
38. T. Zhao, D. Song, J. Wang, H. Chen, W. Chen, and X. Zhu, “Nanoshell-mediated color tuning of erbium-sensitized upconversion nanoparticles for advanced phototherapy above 1500 nm,” Journal of Photochemistry and Photobiology A: Chemistry 463, 116285 (2025). DOI: https://doi.org/10.1016/j.jphotochem.2025.116285
39. X. T. Le, N. T. Nguyen, W. T. Lee, Y. Yang, H. Choi, and Y. S. Youn, “Peroxidase-Mimicking Iron-Based Single-Atom Upconversion Photocatalyst for Enhancing Chemodynamic Therapy,” Advanced Functional Materials 34(34), 2401893 (2024). DOI: https://doi.org/10.1002/adfm.202401893
40. K. Xue, R. Yang, Y. An, Y. Ding, S. Li, F. Miao, D. Liu, D. Chen, and Q. Tang, “NIR-promoted ferrous ion regeneration enhances ferroptosis for glioblastoma treatment,” Journal of Controlled Release 368, 595–606 (2024). DOI: https://doi.org/10.1016/j.jconrel.2024.01.004
41. E. V. Khaydukov, K. E. Mironova, V. A. Semchishen, A. N. Generalova, A. V. Nechaev, D. A. Khochenkov, E. V. Stepanova, O. I. Lebedev, A. V. Zvyagin, S. M. Deyev, and V. Ya. Panchenko, “Riboflavin photoactivation by upconversion nanoparticles for cancer treatment,” Scientific Reports 6(1), 35103 (2016). DOI: https://doi.org/10.1038/srep35103
42. X. Zhang, J. Cui, J. Liu, X. Chen, M. Chen, and J. Wang, “Dual ligand-assisted assembly of metal–organic frameworks on upconversion nanoparticles for NIR photodynamic therapy against hypoxic tumors,” Journal of Materials Chemistry B 11(39), 9516–9524 (2023). DOI: https://doi.org/10.1039/D3TB01398G
43. T. Okuda, H. Okamoto, “Present Situation and Future Progress of Inhaled Lung Cancer Therapy: Necessity of Inhaled Formulations with Drug Delivery Functions,” Chemical and Pharmaceutical Bulletin 68(7), 589–602 (2020). DOI: https://doi.org/10.1248/cpb.c20-00086
44. Y. Han, Y. Yang, Q. Sun, B. Li, C. Yue, Y. Liu, J. M. De La Fuente, and D. Cui, “Dual-targeted lung cancer therapy via inhalation delivery of UCNP-siRNA-AS1411 nanocages,” Cancer Biology & Medicine 19(7), 1047–1060 (2021). DOI: https://doi.org/10.20892/j.issn.2095-3941.2020.0416
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