Aug 2026· ChemistrySelect· 0 citations· 160 references
TL;DR
This review highlights mechanisms, recent advances, and translational challenges of natural PS‐based nanotherapeutics across multiple cancers, emphasizing strategies to improve delivery, selectivity, and therapeutic outcomes for next‐generation PDT.
Abstract
Photodynamic therapy (PDT) is a minimally invasive cancer treatment that uses photosensitizers (PSs), light, and oxygen to generate cytotoxic reactive oxygen species. Natural product‐derived PSs, including alkaloids, flavonoids, polyphenols, curcuminoids, perylenequinones, phycocyanin, and anthraquinones, offer advantages such as biocompatibility and low toxicity but are limited by poor solubility, stability, and targeting. Nanotherapeutic systems such as organic, inorganic, and carbon‐based nanoparticles, nanogels, hydrogels, lipid carriers, and nanoemulsions address these limitations by enhancing stability, tumor accumulation, and controlled release. These platforms also enable multifunctional approaches, including imaging‐guided PDT, combination therapies, and stimuli‐responsive activation. This review highlights mechanisms, recent advances, and translational challenges of natural PS‐based nanotherapeutics across multiple cancers, emphasizing strategies to improve delivery, selectivity, and therapeutic outcomes for next‐generation PDT.
It is demonstrated that chemo‐biodiversity provides a rational foundation for the discovery of next‐generation natural photosensitizers, and Harnessing nature's evolutionary molecular diversity offers new opportunities to develop safer, more effective, and clinically translatable photodynamic therapies.
I. Baidoo, H. Abrahamse, B. George· Chemistry and Biodiversity· 0 citations
Some key setbacks hinder green-synthesized QDs as safe, multifunctional, and effective cancer nanomedicines: lack of standardized synthesis protocols, batch-to-batch variability, limited long-term biosafety data, suboptimal targeting efficiency, and regulatory hurdles.
G. Kah, Heidi Abrahamse· RSC Advances· 0 citations
Overall, PDT combination design should be guided by whether adjunctive agents support or undermine photosensitizer accumulation, oxygen availability, ROS-mediated cytotoxicity, and immune activation, when selected according to mechanistic compatibility.
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This review constructs a refined mechanistic framework to elaborate the complementary mechanisms of PDT and PTT toward CDT in terms of reaction kinetics modulation, endogenous substrate replenishment, and tumor antioxidant defense inhibition, and the key bottlenecks hindering clinical translation.
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Despite the remaining challenges in terms of biosafety, scalability, and clinical translation, nanomaterials offer significant potential for advancing precise and personalized skin cancer management.
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The combination of the Ce6/PP123 NCs with a novel wearable OLED is a promising platform for effective and safe PDT in cancer treatment and shows optimal spectral characteristics and the highest therapeutic efficacy in vitro.
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