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A Flexi-PEGDA Upconversion Implant for Wireless Brain Photodynamic Therapy
Authors:Daniel Boon Loong Teh  Akshaya Bansal  Chou Chai  Tan Boon Toh  Robert Alan Jappy Tucker  Gil Gerald Lasam Gammad  Yanzhuang Yeo  Zhendong Lei  Xiang Zheng  Fengyuan Yang  John S Ho  Nagarjun Bolem  Bing Cheng Wu  Muthu Kumar Gnanasammandhan  Lissa Hooi  Gavin Stewart Dawe  Camilo Libedinsky  Wei-Yi Ong  Barry Halliwell  Edward Kai-Hua Chow  Kah-Leong Lim  Yong Zhang  Brian K Kennedy
Affiliation:1. Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117456 Singapore;2. Department of Biomedical Engineering, Faculty of Engineering, National University of Singapore, Singapore, 117583 Singapore;3. Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117456 Singapore

Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, 308232 Singapore;4. The N.1 Institute for Health, National University of Singapore, Singapore, 117599 Singapore;5. School of Biological Sciences, Nanyang Technological University, Singapore, 637551 Singapore;6. Department of Biomedical Engineering, Faculty of Engineering, National University of Singapore, Singapore, 117583 Singapore

NUS Graduate School for Integrative Sciences and Engineering, National University of Singapore, Singapore, 117456 Singapore;7. Department of Electrical & Computer Engineering, Faculty of Engineering, National University of Singapore, Singapore, 117583 Singapore;8. The N.1 Institute for Health, National University of Singapore, Singapore, 117599 Singapore

Department of Electrical & Computer Engineering, Faculty of Engineering, National University of Singapore, Singapore, 117583 Singapore;9. Division of Neurosurgery, National University Hospital, Singapore, 119228 Singapore;10. Department of Pathology, National University Hospital, Singapore, 119228 Singapore;11. Cancer Science Institute of Singapore, National University of Singapore, Singapore, 117599 Singapore;12. Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117600 Singapore;13. The N.1 Institute for Health, National University of Singapore, Singapore, 117599 Singapore

Department of Psychology, Faculty of Arts and Social Sciences, National University of Singapore, Singapore, 117570 Singapore;14. Department of Anatomy, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117594 Singapore;15. The N.1 Institute for Health, National University of Singapore, Singapore, 117599 Singapore

Cancer Science Institute of Singapore, National University of Singapore, Singapore, 117599 Singapore

Department of Pharmacology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117600 Singapore;16. Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, 117456 Singapore

Abstract:Near-infrared (NIR) activatable upconversion nanoparticles (UCNPs) enable wireless-based phototherapies by converting deep-tissue-penetrating NIR to visible light. UCNPs are therefore ideal as wireless transducers for photodynamic therapy (PDT) of deep-sited tumors. However, the retention of unsequestered UCNPs in tissue with minimal options for removal limits their clinical translation. To address this shortcoming, biocompatible UCNPs implants are developed to deliver upconversion photonic properties in a flexible, optical guide design. To enhance its translatability, the UCNPs implant is constructed with an FDA-approved poly(ethylene glycol) diacrylate (PEGDA) core clad with fluorinated ethylene propylene (FEP). The emission spectrum of the UCNPs implant can be tuned to overlap with the absorption spectra of the clinically relevant photosensitizer, 5-aminolevulinic acid (5-ALA). The UCNPs implant can wirelessly transmit upconverted visible light till 8 cm in length and in a bendable manner even when implanted underneath the skin or scalp. With this system, it is demonstrated that NIR-based chronic PDT is achievable in an untethered and noninvasive manner in a mouse xenograft glioblastoma multiforme (GBM) model. It is postulated that such encapsulated UCNPs implants represent a translational shift for wireless deep-tissue phototherapy by enabling sequestration of UCNPs without compromising wireless deep-tissue light delivery.
Keywords:hydrogels  optical fibers  photodynamic therapy  upconversion  wireless operation
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