Department of General Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, 310000, China.
State Key Laboratory of Modern Optical Instrumentations, Centre for Optical and Electromagnetic Research, College of Optical Science and Engineering, International Research Center for Advanced Photonics, Zhejiang University, Hangzhou, 310058, China.
Adv Healthc Mater. 2021 Dec;10(24):e2101043. doi: 10.1002/adhm.202101043. Epub 2021 Jul 28.
The incidence of inflammatory bowel diseases (IBD), including Crohn's diseases and ulcerative colitis, is increasing by time and showing a trend of younger age. Precise diagnosis and effective treatments for IBD have attracted growing attention in recent years. However, diagnosing and locating inflammatory lesions remain a great challenge for IBD. In this study, assisted by a kind of aggregation-induced emission (AIE) nanoprobes (BPN-BBTD nanoparticles [NPs]), the second near-infrared (NIR-II) fluorescence imaging is first utilized to accurately trace inflammatory lesions, monitor inflammation severity and detect the response to the drug intervention in IBD mouse models. Through the advantages of high signal-to-background ratio (SBR) and sharp spatial resolution of bio-imaging in NIR-II region, the NIR-II fluorescence imaging-guided surgery can help to achieve a complete resection of severe inflammatory bowls and a secure surgical anastomosis. In addition, with the help of NIR-II fluorescence wide-field microscopy, the distribution of BPN-BBTD NPs can be directly detected in tissue level and found to be mainly accumulated in mucosa and submucosa layers. This study highlights that AIE NPs-assisted NIR-II fluorescence imaging hold a great potential value for future diagnosis and imaging-guided surgery in IBD.
炎症性肠病(IBD)的发病率(包括克罗恩病和溃疡性结肠炎)随着时间的推移而增加,并呈现出年轻化的趋势。近年来,IBD 的精确诊断和有效治疗受到了越来越多的关注。然而,诊断和定位炎症性病变仍然是 IBD 的一大挑战。在这项研究中,借助于一种聚集诱导发射(AIE)纳米探针(BPN-BBTD 纳米颗粒[NPs]),首次利用近红外二区(NIR-II)荧光成像来准确追踪炎症性病变,监测炎症严重程度,并检测 IBD 小鼠模型对药物干预的反应。通过 NIR-II 区域生物成像的高信噪比(SBR)和锐利的空间分辨率的优势,NIR-II 荧光成像引导手术可以帮助实现严重炎症性肠病的完全切除和安全的手术吻合。此外,借助于近红外二区荧光宽场显微镜,可以直接在组织水平检测到 BPN-BBTD NPs 的分布,并发现其主要积聚在黏膜和黏膜下层。这项研究强调了 AIE NPs 辅助的 NIR-II 荧光成像在未来 IBD 的诊断和成像引导手术中有很大的潜在价值。