FN3 linked nanobubbles as a targeted contrast agent for US imaging of cancer-associated human PD-L1

Ultrasound-Based Micro-/Nanosystems for Biomedical Applications

Due to the intrinsic non-invasive nature, cost-effectiveness, high safety, and real-time capabilities, besides diagnostic imaging, ultrasound as a typical mechanical wave has been extensively developed as a physical tool for versatile biomedical applications. Especially, the prosperity of nanotechnology and nanomedicine invigorates the landscape of ultrasound-based medicine. The unprecedented surge in research enthusiasm and dedicated efforts have led to a mass of multifunctional micro-/nanosystems being applied in ultrasound biomedicine, facilitating precise diagnosis, effective treatment, and personalized theranostics. The effective deployment of versatile ultrasound-based micro-/nanosystems in biomedical applications is rooted in a profound understanding of the relationship among composition, structure, property, bioactivity, application, and performance. In this comprehensive review, we elaborate on the general principles regarding the design, synthesis, functionalization, and optimization of ultrasound-based micro-/nanosystems for abundant biomedical applications. In particular, recent advancements in ultrasound-based micro-/nanosystems for diagnostic imaging are meticulously summarized. Furthermore, we systematically elucidate state-of-the-art studies concerning recent progress in ultrasound-based micro-/nanosystems for therapeutic applications targeting various pathological abnormalities including cancer, bacterial infection, brain diseases, cardiovascular diseases, and metabolic diseases. Finally, we conclude and provide an outlook on this research field with an in-depth discussion of the challenges faced and future developments for further extensive clinical translation and application.

Bulk Nanobubbles through Gas Supersaturation Originated by Hot and Cold Solvent Mixing

The nucleation mechanism of bulk nanobubbles remains unclear despite the considerable attention they have received in recent years. We propose two hypotheses: (i) The gas supersaturation in the bulk liquid is the primary factor for nanobubble nucleation, and (ii) the mixing of the same solvent at varying gas solubilities should produce nanobubbles, provided that the first hypothesis is correct. To test this hypothesis, we performed extensive experiments on nanobubble nucleation in both water and organic solvents. The temperature difference between hot and cold samples ranged from 10 to 80 °C in pure solvents such as water, methanol, ethanol, propanol, and butanol prepared and mixed in equal proportions. To the best of our knowledge, we report bulk nanobubble nucleation by mixing hot and cold solvents for the first time. The refractive index value calculations using Mie scattering theory confirmed the existence of nanobubbles. When surface tension dominates over surface charge, the critical work for nanobubble formation is ΔFc ∝ 1/ξ2, and when surface charge dominates over surface tension, the critical work is ΔFc ∝ ξ1/4. Our experimental results verify such dependency by measuring nanobubbles nucleated with varying degrees of gas supersaturation.

Nanoprobe-based molecular imaging for tumor stratification

The responses of patients to tumor therapies vary due to tumor heterogeneity. Tumor stratification has been attracting increasing attention for accurately distinguishing between responders to treatment and non-responders. Nanoprobes with unique physical and chemical properties have great potential for patient stratification. This review begins by describing the features and design principles of nanoprobes that can visualize specific cell types and biomarkers and release inflammatory factors during or before tumor treatment. Then, we focus on the recent advancements in using nanoprobes to stratify various therapeutic modalities, including chemotherapy, radiotherapy (RT), photothermal therapy (PTT), photodynamic therapy (PDT), chemodynamic therapy (CDT), ferroptosis, and immunotherapy. The main challenges and perspectives of nanoprobes in cancer stratification are also discussed to facilitate probe development and clinical applications.

On Nanobubble Dynamics under an Oscillating Pressure Field during Salting-out Effects and Its DLVO Potential

We have investigated the origin, stability, and nanobubble dynamics under an oscillating pressure field followed by the salting-out effects. The higher solubility ratio (salting-out parameter) of the dissolved gases and pure solvent nucleates nanobubbles during the salting-out effect, and the oscillating pressure field enhances the nanobubble density further as solubility varies linearly with gas pressure by Henry's law. A novel method for refractive index estimation is developed to differentiate nanobubbles and nanoparticles based on the scattering intensity of light. The electromagnetic wave equations have been numerically solved and compared with the Mie scattering theory. The scattering cross-section of the nanobubbles was estimated to be smaller than the nanoparticles. The DLVO potentials of the nanobubbles predict the stable colloidal system. The zeta potential of nanobubbles varied by generating nanobubbles in different salt solutions, and it is characterized by particle tracking, dynamic light scattering, and cryo-TEM. The size of nanobubbles in salt solutions was reported to be higher than that in pure water. The novel mechanical stability model is proposed by considering both ionic cloud and electrostatic pressure at the charged interface. The ionic cloud pressure is derived by electric flux balance, and it is found to be twice the electrostatic pressure. The mechanical stability model for a single nanobubble predicts the existence of stable nanobubbles in the stability map.

Microbubbles for human diagnosis and therapy

Microbubbles (MBs) were observed for the first time in vivo as a curious consequence of quick saline injection during ultrasound (US) imaging of the aortic root, more than 50 years ago. From this serendipitous event, MBs are now widely used as contrast enhancers for US imaging. Their intrinsic properties described in this review, allow a multitude of designs, from shell to gas composition but also from grafting targeting agents to drug payload encapsulation. Indeed, the versatile MBs are deeply studied for their dual potential in imaging and therapy. As presented in this paper, new generations of MBs now opens perspectives for targeted molecular imaging along with the development of new US imaging systems. This review also presents an overview of the different therapeutic strategies with US and MBs for cancer, cardiovascular diseases, and inflammation. The overall aim is to overlap those fields in order to find similarities in the MBs application for treatment enhancement associated with US. To conclude, this review explores the new scales of MBs technologies with nanobubbles development, and along concurrent advances in the US imaging field. This review ends by discussing perspectives for the booming future uses of MBs.

Ultrasound nanotheranostics: Toward precision medicine

Ultrasound (US) is a mechanical wave that can penetrate biological tissues and trigger complex bioeffects. The mechanisms of US in different diagnosis and treatment are different, and the functional application of commercial US is also expanding. In particular, recent developments in nanotechnology have led to a wider use of US in precision medicine. In this review, we focus on US in combination with versatile micro and nanoparticles (NPs)/nanovesicles for tumor theranostics. We first introduce US-assisted drug delivery as a stimulus-responsive approach that spatiotemporally regulates the deposit of nanomedicines in target tissues. Multiple functionalized NPs and their US-regulated drug-release curves are analyzed in detail. Moreover, as a typical representative of US therapy, sonodynamic antitumor strategy is attracting researchers' attention. The collaborative efficiency and mechanisms of US and various nano-sensitizers such as nano-porphyrins and organic/inorganic nanosized sensitizers are outlined in this paper. A series of physicochemical processes during ultrasonic cavitation and NPs activation are also discussed. Finally, the new applications of US and diagnostic NPs in tumor-monitoring and image-guided combined therapy are summarized. Diagnostic NPs contain substances with imaging properties that enhance US contrast and photoacoustic imaging. The development of such high-resolution, low-background US-based imaging methods has contributed to modern precision medicine. It is expected that the integration of non-invasive US and nanotechnology will lead to significant breakthroughs in future clinical applications.

Ultrasound and Nanomedicine for Cancer-Targeted Drug Delivery: Screening, Cellular Mechanisms and Therapeutic Opportunities

Cancer is a disease characterized by abnormal cell growth. According to a report published by the World Health Organization (WHO), cancer is the second leading cause of death globally, responsible for an estimated 9.6 million deaths in 2018. It should be noted that ultrasound is already widely used as a diagnostic procedure for detecting tumorigenesis. In addition, ultrasound energy can also be utilized effectively for treating cancer. By filling the interior of lipospheres with gas molecules, these particles can serve both as contrast agents for ultrasonic imaging and as delivery systems for drugs such as microbubbles and nanobubbles. Therefore, this review aims to describe the nanoparticle-assisted drug delivery system and how it can enhance image analysis and biomedicine. The formation characteristics of nanoparticles indicate that they will accumulate at the tumor site upon ultrasonic imaging, in accordance with their modification characteristics. As a result of changing the accumulation of materials, it is possible to examine the results by comparing images of other tumor cell lines. It is also possible to investigate ultrasound images for evidence of cellular effects. In combination with a precision ultrasound imaging system, drug-carrying lipospheres can precisely track tumor tissue and deliver drugs to tumor cells to enhance the ability of this nanocomposite to treat cancer.