Usnea Acid-Incorporated Ca 2+ /Mn 2+ Ions Reservoirs for Elevated Ion-Interference Therapy through Synergetic Biocatalysis and Osmolarity Imbalance.

Ion-interference therapy (IIT) utilizes ions to disturb intracellular biological processes and has been received increasing attention in tumor treatments recently. However, the low therapeutic efficiency still hinders its further biological applications. Herein, via a simple and one-pot gas diffusion process, polyethylene glycol (PEG)-modified Mn 2+ ions and usnic acid (UA)-incorporated CaCO 3 nanomaterials ( PEG CaMnUA) as Ca 2+ /Mn 2+ ions reservoirs are prepared for magnetic resonance imaging (MRI)-guided UA-elevated IIT. Among PEG CaMnUA, UA not only increases cytoplasmic Ca 2+ ions to amplify Ca 2+ overload caused by CaCO 3 decomposition, but also enhances Mn 2+ ions-participated Fenton-like biocatalysis by intracellular H 2 O 2 generation and glutathione consumption. Then increasing the intracellular oxidative stress and decreasing the triphosadenine supply induce apoptosis together, resulting in UA-boosted IIT. The simple and efficient design of the dual ions reservoirs will contribute to improve the antitumor activity of IIT and further development of calcium-based nanomaterials in the future.