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Another essential feature of structure t hat is used in photodynamic therapy is biocompatibility. In this study, biocompatibility of CCOF-2PEG was investigated by staining i mportant organs such as heart, liver, lung, and kidney with haematoxylin and eosin (H&E). Result confirmed the biocompatibility of CCOF-2PEG [39].
9.4.2 Porphyrin-based carbon dots
A valuable study was do ne by Yang Li et al. and published in advanced healthca re materials Journal about porphyrin-based CDs. In future, we will explain the results and methods of this study momentarily.
Photoluminescent CDs have excellent properties that make them suitable for pho­todynamic therapy [40, 41]; therefore, other CDs would not be considered. Although, porphyrin-based CDs can be helpful as they are synthesized from 3-phenyl porphyrin and chitosan. Electron microscopy studies reveal a diameter of porphyrin-based CDs about 2.9 nm and spectroscopy showed high absorbance of 410 nm. As mentioned, the important mechanism of photosensitizers in producing ROSs, thus the ability of pro­duced ROS should be measured in porphyrin-based CDs structure. For this purpose, 1,3-diphenyl-isobenzofuran (DPBF) was used. The extraordinary reaction between DPBF and ROS demonstrates that porphyrin-based CDs are effective in producing ROS [42]. Moreover, the vici nity between lysosome’s prob and porphyrin-based CDs dis­play this structure as an option for specific place in cells. Post irradiation, cell death in incubation with porphyrin-based CDs was impressive, while cells that were only incubated didn’t have a high death rate [42]. This observation indicates that porphy­rin-based CDs although with acceptable cell death, don’t have cytotoxicity. For in vitro studies, H22 tumour-bearing KM mice were divided into 4 groups in Table 9.2 [42].
Table 9.2: Four groups and their conditions (information displayed is based on article [42]).
Group TPP CDs +  nm radiation Tumour size decreased to  nm Group TPP +  nm radiation Tumour size increased to  nm Group TPP CDs Tumour size increased to  nm Group saline Tumour size increased to , nm.
9.4.3 Carbons dots that interact white the nucleus
Nucleusisacrucialpartofcells.Tumour cells divide at high speed and they need ribosomes in order to accomplish this. Nucleolus is fundamental for ribosome synthe­sis, thus two CDs have been introduced. The first one is red emissive two-photon CDs [43] and the second one is Se/N-doped CDs [44]. In future, we will explain these structures.
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9.4.3.1 Red emissive two-photon carbon dots
A comprehensive research was done by Shangzhao Yi et al. and published in a carbon journal. In future, we will explain that briefly.
For synthesizing this structure, solvothermal synthesis method was used (Figure 9.6) [43]. Employing electron microscopy, X-ray method, and spectrophotometry, two-photon carbon dots (TP-CDs) were characterized: average size is about 4 nm; two-photon absorp­tion is between 680 to 1,000 nm, and emission is approximately 600 nm [43].
Figure 9.6: This schematic shows the synthesis and effect of two-photon carbon dots [43].
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One of the important properties of TP-CDs is lacating near the nucleolus [43]. Fluo­rescence spectra confirm this subject. Three basic macromolecules were added to the TP-CDs solution, and fluorescence is measured per solution. According to the evidence, fluorescence in TP-CDs containing RNA is higher than both DNA containing TP-CDs and protein containing TP-CDs. Moreover, if RNAse is added to TP-CDs with RNA, fluores­cence decreases. Three results suggest that RNA interacts with N doping or without N doping has an essential role in interaction with RNA and TP-CDs [43]. (1) If the N doping is removed, fluorescence is not changed in TP-CDs without N doping and RNA. (2). TP­CDs have positive charge, and RNA has negative. Consequently, there is an electrostatic interaction between them. (3) When cells were incubated with TP-CDs and irradiation, their RNA was extracted and RNA electrophoresis was done; there was no evident bond for the reason of effect of TP-CDs damages the RNA [43] (Figure 9.7).
Figure 9.7: RNA electrophoresis of (a) cells that do not incubate with TP-CDs, (b) cells that incubate with TP-CDs and irradiation, and (c) cells that incubate with RNAse [43].
TP-CDs have effective ROS inducing in irradiation at 638 nm [43]. And MTT assay sug­gests that TP-CDs don’t have cytotoxicity [43].
9.4.3.2 Se/N-doped carbon dots
We will explain practical studies by Ning Xu that were published in the carbon jour­nal field [44]. Se/N-CDs are synthesized by the solvothermal method. Their diameter is about 3.6 nm. They have radiated emissions at 591 nm [44].
ROS made in photodynamic therapy by photosensitizer have a short lifetime; therefore, in order to increased photodynamic therapy performance, ROS should make near overriding organelle, for instance, nucleus or mitochondrial field [44, 45]. Se/N-doped CDs are located in the nucleus and intricate with RNA. RNA is expected to be a carrier for Se/N-doped CDs [44]. Se/N-doped CDs enter nucleus after they arrive near it; this subject will reveal by staining the nucleus and Se/N-doped CDs. This
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structure enters the nucleus after being illuminated. It is assumed that Se/N-CDs, by inducing ROS, destroyed nucleus membrane pores.
Furthermore, the use of Si nanoparticle suggests that after irradiation, fluorescent increases in the nucleus. Staining and using RNAse and DNAse with incubated cells by Se/N-CDs confirmed that this structure interacts with RNA more than DNA [44].
To study cytotoxicity, cell viability, and inducing ROS, some cell lines such as HeLa and 4T1 were employed. Standard MTT assay and Calcein-AM/PI test are efficient meth­ods. For this purpose, cells were incubated at different concentrations of Se/N-doped CDs for a definite time both with irradiation and without irradiation field [44]. This study
− 1
shows that in 7.5 μgmL
of Se/N-CDs without irradiation, cell viability was about 90%. This means Se/N-CDs have low cytotoxicity. 2′,7′-dichlorofluorescein diacetate (DCFH-DA) is a structure that reacts with ROS. After irradiation, the green fluorescence that has been used is high, so that Se/N-CDs can induce ROS [44].
In vivo studies reveal proper biocompatibility and helpful effect of Se/N-doped CDs on tumour. For this purpose, BALB/c tumour-bearing mice were used. These mice were divided into four groups. The first group is injected with PBS, the second ones are injected with PBS and irradiation. The third ones are injected with Se/N-CDs, and the fourth ones are injected with Se/N-CDs and irradiation. (Time of irradiation in each group was 20 min, the wavelength was 550 nm, and the amount of each injection
−2
was 50 mW cm
) [44]. After that, two factors were measured; body weight and tu­mour size. No weight loss was observed, although tumour size was decreased in group four. This was an influential act in cancer treatment [44].
9.4.4 Copper-doped carbon dots
We will explain valuable studies by Jingmin Wang et al., which were published in in­organic chemistry journals. Such metal ions have an essential role in cells. Therefore, this idea is born that synthesized CDs structure with this metal ion, for instance, cop­per-doped CDs (CU-CDs) [46]. Electron microscopic study and spectroscopy methods reveal some properties of CU-CDs like, diameters (about 2.8 nm). Since CU-CDs have different bonds, they have emission peaks between 200 and 650 nm [46]. CU-CDs have bigger diameters than CDs [46].
Cytotoxicity measurement of photosensitizer in photodynamic therapy is critical. For measuring the cytotoxicity of CU-CDs, MTT assay was used in different concentra­tions of CU-CDs with or without irradiation. It demonstrates that the cytotoxicity of CU-CDs is low [46].
Another property of photosensitizer is the ability to induce ROS. ESR can be used for this purpose and revealed ROS increase in cells that incubate with CU-CDs after irradiation. This ability can be attributed to copper doping [6–7].
CU-CDs with irradiation decrease cell viability [46] (Figure 9.8). Calcein-AM/PI test and MTT assay show this matter. Two-factors play a critical role in the effect of CU-
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Figure 9.8: Illustration of effect of CU-CDs on cell viability [46].
CDs in cell viability; first one is concentration of CU-CDs and the second one is time of irradiation [46].
The decrease in cell viability of CU-CDs is higher than CDs. On the other hand, the cytotoxicity of CU-CDs is more elevated than CD, because cellular uptake of CU-CDs is more than CDs [46]. 3D microscopy studies suggest that CU-CDs influence cell growth and decrease the size of cells [46]. One advantage of CU-CDs is that they have copper. It changes Ca copper increases stimulation and synthesizes ROS [46].
+
concentration in cells and decreases cell viability [46]. Furthermore,
9.4.5 Carbon quantum dots
Carbon quantum dots have valuable properties similar to other carbon-based nano­materials, such as low cytotoxicity, good solubility, acceptabl e optical properties for photodynamic therapy, and high ability to induce ROS [47, 38]. They have different types, for instance, Curcumin cationic carbon dots (CCM-CDs) or carbon dots whose precursor is acetic acid [38].
Several studies reported that photodynamics by CDs can be helpful for virus dis­eases treatment, for instance, CDs that are synthesized from 4-aminophenyl boronic acid. It can be used to reduce virus cell entry. Another CDs can induce ROS that react with DNA, RNA, or essential viral proteins [38]. Furthermore, the CD’s effects can stim­ulate immunological responses by increasing some cytokines or interleukins [38, 47]. Briefly, CDs can disturb different steps of the virus cycle, like attachment, and entry or replication [38].
SARS-CoV-2 is a member of Betacoronaviridae, it started a pandemic in 2019, and since it had begun, millions of people have been infected [38]. For this virus, various drugs, vaccines, and therapeutic methods have been reported and photodynamic ther­apy by CDs is one among them. As mentioned, CDs are an option as photosensitizer.
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Figure 9.9: This schematic illustrates the effect of carbon dots in virus infection by increasing ROS [38].
CDs rest rict viruses from entering cells by induci ng ROS [38] (Figure 9.9) . Other re­ports also reported CDs can help to treat herpes simplex type 1 [38, 48].
9.4.6 Diketopyrrolopyrrole-based carbon dots
A valuable study was done by Haozhe et al., which was about diketopyrrolopyrrole­based CDs (DPP CDs) and was published in nanoscale journal. We will explain this valu­able study later.
Diketopyrrolopyrrole-based CDs are an appropriate choice for photodynamic therapy. They have unique properties such as low cytotoxicity, high cell uptake, and good tumour destruction [49]. DPP CDs are synthesized by one-pot hydrothermal method and their precursor is chitosan (Figure 9.10). DPP CDs were characterized by few methods such as TEM and UV‒vis absorption and the result shows that DPP CDs’ diameters are about 10 nm [49]. When the wavelength increases between 350 and 550, the absorbance decreases [49].
To measure ROS generation, 1,3-diphenyl-isobenzofuran (DPBF) UV‒vis spectroscopy is used [49]. In this test, decreased absorption of DPBF means that ROS is generated.
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Figure 9.10: synthesis and mechanism of diketopyrrolopyrrole-based carbon dots [49].
Results show that DPP CDs have a good ability to generate ROS (the ability of DPP CDs in ROS generation is about 27.6%). This test was also done on the DPP; results show that DPP’s ability to generate ROS is similar to DPP CDs and it was concluded that ROS genera­tion in this structure is not affected by CDs [49].
Targeting cancer cells and cellular uptake are difficult matters in photodynamic therapy. This study used confocal laser scanning microscopy and fluorescence colocal­ization analyses. HepG2 cells were incubated with DPP CDs. After that, cells were fixed with formaldehyde and the nucleus was stained with Hoechst; while lysosomes were stained with Lyso-Tracker red DND-9. And result showed that there were more DPP CDs in the cytoplasm and their entry to the lysosome was by endocytosis.
For in vivo studies, female Kunming (KM) mice were suggested, and other studies were explained. Mice were divided into four groups (1) injected with PBS, (2) injected with PBS, and irradiated with laser, (3) injected with DP CDs, and (4) injected with DP CDs and irradiated with laser (wavelength was 540 nm, 20 min) [49]. The tumour size was decreased in group four (Figure 9.11). And no significant weight loss was mea­sured. Histology studies with H&E staining were done to measure w hether DPP CDs are damaged to their critical body organs [49]. And results suggest that there is no tissue damage and nor necrosis [49]. Other important matters in photodynamic ther­apy by CDs are tumour permeability. For this purpose, fluorescent imaging of tumour and other organs was done [49] and results revealed that the florescent signal in other tissue was low [49].
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Figure 9.11: Tumour size decreases in mice that was injected with DPP CDs and irradiation but there was one injected with PBS with or without irradiation tumour rapidly grows [49].
9.5 Future suggestions
As mentioned, photodynamic therapy by CDs has some weaknesses such as low exclu­sivity and short time of useful ability to synthesize ROS and non-selective in most cases to select the location in cells. It is necessary to focus on these subjects in future studies, also in recent articles, molecular analysis such as PCR and proteome analysis such as western blotting and immunoblotting were used, the effect of CDs and ROS that are synthesized by them on gen expiration and protein synthesized and struc ­tures must be measured.
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