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               Sono-PROTAC  strategy:  Engineered  phosphorus  nanosheets  as  a  dual

               sonodynamic and nano-PROTAC platform for cancer therapy


                               1,2
                                             ,1
               Wei-Chieh Liu,  Wei Chen*

               1  Genomics Research Center, Academia Sinica, Taipei, Taiwan
               * E-mail: wchen123@as.edu.tw (W.C.)

               Abstract
                  Ultrasound (US)-mediated sonodynamic therapy (SDT) has gained considerable attention as
               a  promising,  non-invasive  approach  to  cancer  treatment  due  to  its  deep  tissue  penetration
               capabilities. Despite its  potential, significant  challenges  remain  in  designing biocompatible
               nanomaterials with efficient SDT activity. In this study, we developed engineered phosphorus
               nanosheets (EPNs) as an innovative sonosensitizer. These EPNs possess a narrow bandgap,
               narrower than most conventional nano-sonosensitizers, which facilitates a more efficient US-
               triggered separation of electron-hole pairs, thereby enhancing the generation of reactive oxygen
               species (ROS) for anti-tumor efficacy. To further sensitize tumor cells to SDT, we explored the
               potential of EPNs as carriers for PROteolysis TArgeting Chimeras (PROTACs), a novel drug
               technology  primarily  designed  for  targeted  protein  degradation,  which  highly  impacts  the
               pathway we are targeting. We demonstrate that this strategy plays a crucial role in antioxidant
               defense within 4T1 cancer cells, thereby making them more susceptible to ROS produced by
               US activation and augment anti-tumor therapeutic efficacy. Collectively, this study introduces
               an  innovative  strategy  that  synergistically  enhances  SDT  and  antitumor  Nano-PROTAC
               technology; this combined US-mediated sono-PROTAC strategy offers a promising therapeutic
               pathway for advancing cancer nanomedicine.

               Keywords: Anticancer treatment; Sonodynamic therapy; PROTAC; Phosphorus nanosheets
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