Although
sorafenib, a multi-
kinase inhibitor, has provided noteworthy benefits in patients with
hepatocellular carcinoma (HCC), the inevitable side effects, narrow therapeutic window, and low bioavailability seriously affect its clinical application. To be clinically distinctive, innovative drugs must meet the needs of reaching
tumor tissues and cause limited side effects to normal organs and tissues. Recently,
photodynamic therapy, utilizing a combination of a
photosensitizer and light irradiation, was selectively accumulated at the
tumor site and taken up effectively via inducing apoptosis or
necrosis of
cancer cells. In this study, a nano-chemo-
phototherapy drug was fabricated to compose an
iridium-based
photosensitizer combined with
sorafenib (IPS) via a self-assembly process. Compared to the free
iridium photosensitizer or
sorafenib, the IPS exhibited significantly improved therapeutic efficacy against
tumor cells because of the increased cellular uptake and the subsequent simultaneous release of
sorafenib and generation of
reactive oxygen species production upon 532 nm
laser irradiation. To evaluate the effect of synergistic treatment, cytotoxicity detection, live/dead staining, cell proliferative and apoptotic assay, and Western blot were performed. The IPS exhibited sufficient biocompatibility by
hemolysis and serum biochemical tests. Also, the results suggested that IPS significantly inhibited HCC cell proliferation and promoted cell apoptosis. More importantly, marked anti-
tumor growth effects via inhibiting cell proliferation and promoting
tumor cell death were observed in an orthotopic xenograft HCC model. Therefore, our newly proposed nanotheranostic agent for combined chemotherapeutic and
photodynamic therapy notably improves the
therapeutic effect of
sorafenib and has the potential to be a new alternative option for HCC treatment.