Ionic
liquid (IL)-loaded or metal ions-enriched nanoparticles have
been witnessed to assist microwave ablation (MWA) and heighten heat
utilization for tumor treatment, which, however, inevitably brings
about cell dys-homeostasis and severely endangers normal cells or
tissues. In this report, a nonionic MWA sensitizer that encapsulates
ethyl formate (EF) and doxorubicin (DOX) in liposomes (EF-DOX-Lips)
was constructed to reinforce MWA and combined therapy against incomplete
MWA-induced tumor recurrence. EF in EF-DOX-Lips as the nonionic liquid
can perform like IL to accelerate energy transformation from electromagnetic
energy to heat for strengthening MWA. More significantly, EF metabolite,
that is, ethanol, also enables chemical ablation, which further enhances
MWA. As well, the EF gasification-enhanced lipid rupture and cavitation
can promote DOX delivery into a liver tumor for magnifying MWA &
chemotherapy combined therapy. By virtue of these contributions, this
nonionic MWA nanosensitizer exerts robust antitumor effects to inhibit
tumor proliferation and angiogenesis for repressing tumor growth and
recurrence or metastasis via downregulating the Epha2 gene and unconventional PI3K/Akt & MAPK signal pathways that
the incomplete MWA activated, which provides an avenue to elevate
an MWA-based antitumor outcome.