Microalgae, a naturally present unicellular microorganism, can undergo light photosynthesis and have been used in
biofuels, nutrition, etc. Here, we report that engineered live microalgae can be delivered to hypoxic
tumor regions to increase local
oxygen levels and resensitize resistant
cancer cells to both radio- and
phototherapies. We demonstrate that the hypoxic environment in
tumors is markedly improved by in situ-generated
oxygen through microalgae-mediated photosynthesis, resulting in notably radiotherapeutic efficacy. Furthermore, the
chlorophyll from microalgae produces
reactive oxygen species during
laser irradiation, further augmenting the
photosensitizing effect and enhancing
tumor cell apoptosis. Thus, the sequential combination of
oxygen-generating algae system with radio- and
phototherapies has the potential to create an innovative treatment strategy to improve the outcome of
cancer management. Together, our findings demonstrate a novel approach that leverages the products of photosynthesis for treatment of
tumors and provide proof-of-concept evidence for future development of algae-enhanced radio- and
photodynamic therapy.