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Since the COVID-19 outbreak, four cities—Wuhan, Beijing, Urumqi and Dalian—have experienced the process from outbreak to stabilization. According to the China Statistical Yearbook and China Center for Disease Control records, regional, pathological, medical and response attributes were selected as regional vulnerability factors of infectious diseases. Then the Analytic Hierarchy Process (AHP) method was used to build a regional vulnerability index model for the infectious disease. The influence of the COVID-19 outbreak at a certain place was assessed computationally in terms of the number of days of epidemic duration and cumulative number of infections, and then fitted to the city data. The resulting correlation coefficient was 0.999952. The range of the regional vulnerability index for COVID-19 virus was from 0.0513 to 0.9379. The vulnerability indexes of Wuhan, Urumqi, Beijing and Dalian were 0.8733, 0.1951, 0.1566 and 0.1119, respectively. The lack of understanding of the virus became the biggest breakthrough point for the rapid spread of the virus in Wuhan. Due to inadequate prevention and control measures, the city of Urumqi was unable to trace the source of infection and close contacts, resulting in a relatively large impact. Beijing has both high population density and migration rate, which imply that the disease outbreak in this city had a great impact. Dalian has perfect prevention and good regional attributes. In addition, the regional vulnerability index model was used to analyze other Chinese cities. Accordingly, the regional vulnerability index and the prevention and control suggestions for them were discussed.

The complexity of cancer therapy has led to the emergence of combination therapy as a promising approach to enhance treatment efficacy and safety. The integration of glutathione (GSH)-activatable two-photon photodynamic therapy (TP-PDT) and chemodynamic therapy (CDT) offers the possibility to advance precision and efficacy in anti-cancer treatments. In this study, a GSH-activatable photosensitizer (PS), namely copper-elsinochrome (CuEC), is synthesized and utilized for combination second near-infrared (NIR-II) TP-PDT/CDT. The Cu2+acts as a “lock”, suppressing the fluorescence and 1O2generation ability of EC in a normal physiological environment (“OFF” state). However, the overexpressed GSH in the tumor microenvironment acts as the “key”, resulting in the release of EC (“ON” state) and Cu+(reduced by GSH). The released EC can be utilized for fluorescence imaging and TP-PDT under NIR-II (λ = 1000 nm) two-photon excitation, while Cu+can generate highly toxic hydroxyl radicals (•OH) viaFenton-like reaction for CDT. Additionally, this process consumes GSH and diminishes the tumor's antioxidant capacity, thereby augmenting the efficacy of combination therapy. The CuEC achieves significant tumor cell ablation in both 2D monolayer cells and 3D multicellular tumor spheres through the combination of NIR-II TP-PDT and CDT.

To overcome the conflict between the long-wavelength excitation and high singlet oxygen quantum yield of photosensitizers, we conjugated a two-photon fluorophore, tetrahydroquinoxaline coumarin (TQ), and an efficient photodynamic therapeutic agent, benzo[a]phenothiazinium (NBS-NH2), through a hexamethylene linker to build a two-photon photosensitizer, TQ-NBS. In TQ-NBS, TQ served as an energy donor and NBS-NH2acted as an energy acceptor; and TQ-NBS was a Förster resonance energy transfer (FRET) cassette with a 92.8% efficiency. The large two-photon absorption cross-section of TQ allowed photosensitizer TQ-NBS to work in a 900 nm two-photon excitation (TPE) mode, which greatly benefited the deep tissue penetration in PDT treatment. Meanwhile, the excellent phototoxicity and near-infrared fluorescence of NBS-NH2was kept in TQ-NBS under a TPE mode viaa FRET process. Photosensitizer TQ-NBS exhibited a high phototoxic efficacy in living cells and tumor-bearing mice.