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RESEARCH ARTICLE
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A Stimulus-Responsive Ternary Heterojunction Boosting
Oxidative Stress, Cuproptosis for Melanoma Therapy
Yuqi Huang, Cheng Chen, Huarong Tan, Shuqing Dong, Yiping Ren, Minghao Chao,
Hanrong Yan, Xiang Yan, Guan Jiang,* and Fenglei Gao*
Cuproptosis, a recently discovered copper-dependent cell death, presents
significant potential for the development of copper-based nanoparticles to
induce cuproptosis in cancer therapy. Herein, a unique ternary heterojunction,
denoted as HACT, composed of core–shell Au@Cu2O nanocubes with
surface-deposited Titanium Dioxide quantum dots and modified with
hyaluronic acid is introduced. Compared to core–shell AC NCs, the
TiO2/Au@Cu2O exhibits improved energy structure optimization,
successfully separating electron-hole pairs for redox use. This optimization
results in a more rapid generation of singlet oxygen and hydroxyl radicals
triggering oxidative stress under ultrasound radiation. Furthermore, the HACT
NCs initiate cuproptosis by Fenton-like reaction and acidic environment,
leading to the sequential release of cupric and cuprous ions. This
accumulation of copper induces the aggregation of lipoylated proteins and
reduces iron-sulfur proteins, ultimately initiating cuproptosis. More
importantly, HACT NCs show a tendency to selectively target cancer cells,
thereby granting them a degree of biosecurity. This report introduces a ternary
heterojunction capable of triggering both cuproptosis and oxidative
stress-related combination therapy in a stimulus-responsive manner. It can
energize efforts to develop effective melanoma treatment strategies using
Cu-based nanoparticles through rational design.
1. Introduction
Melanoma, the deadliest skin cancer, originates from
melanocytes’ malignant transformation. While advances in
biological understanding and new therapies targeting driver
genes and immune checkpoints have improved prognosis,
Y. Huang, C. Chen, H. Tan, S. Dong, Y. Ren, M. Chao, H. Yan, X. Yan,
F. Gao
Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy
Xuzhou Medical University
Xuzhou, Jiangsu , P. R. China
E-mail: flgao@xzhmu.edu.cn
Y. Huang, C. Chen, H. Tan,S. Dong, Y.Ren, M. Chao, X. Yan, G. Jiang, F. Gao
Department of Dermatology
Aliated Hospital of Xuzhou Medical University
Xuzhou, Jiangsu , P. R. China
E-mail: dr.jiangguan@xzhmu.edu.cn
The ORCID identification number(s) for the author(s) of this article
can be found under https://doi.org/./smll.
DOI: 10.1002/smll.202401147
challenges like low response rates and re-
sistance to current therapies still hinder
further progress in melanoma treatment.[]
Therefore, it is crucial to develop ad-
vanced therapeutic strategies that can de-
liver targeted, controllable and multi-level
damage to melanoma. Since its discovery
in , various strategies have been de-
veloped to induce or enhance cupropto-
sis for cancer treatment. The creation of
nano-systems to trigger cuproptosis eec-
tively bypasses the limitations of traditional
small-molecule drugs, oering new oppor-
tunities in cancer therapy.[]Additionally,
within the cytoplasm, copper ions initiate
a Fenton-like reaction with hydrogen per-
oxide (HO), generating highly toxic hy-
droxyl radicals (∙OH) that aid in chemo-
dynamic therapy (CDT) for cancer treat-
ment. Compared to other metal ions in-
volved in Fenton-like reactions (such as
iron, cerium, manganese, and cobalt), cop-
per ions are particularly eective, showing
increased cellular toxicity.[]The high toxic-
ity of copper ions significantly limits their
use in biomedical applications. However,
when copper-based nanomaterials are used
in vivo, they do not circulate as free ions, thereby reducing po-
tential damage to normal cells. This eective mitigation allows
safer therapeutic applications. It is highly desirable to design a
single nanocomposite that can simultaneously induce the accu-
mulation of reactive oxygen species (ROS) and cuproptosis, e-
ciently halting the progression of malignant tumors.
The metal oxide semiconductors such as cuprous oxide (CuO)
have been widely investigated as excellent photocatalysts.[]Via
catalytic reactions facilitated by metal oxide semiconductors, elec-
trons (e−) and holes (h+) are separated, subsequently engaging in
intricate interactions with HO and oxygen (O) to produce ROS
including superoxide radical (O
−)and·OH.[]Nevertheless, ow-
ing to the quick e−and h+recombination from the band struc-
ture, conventional semiconductors are limited by the poor quan-
tum yield of ROS.[]This inherent limitation highly hinders fur-
ther biomedical research and clinical application. Accordingly, a
multitude of strategies have been developed to prevent carrier re-
combination. These methods encompass the integration of semi-
conductors with other semiconductors or noble metals like gold
(Au), platinum (Pt), and silver (Ag).[]The mechanism employed
to overcome carrier recombination is coordinated redistribution
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