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X-ray-induced photodynamic therapy (X-PDT) has emerged as a promising strategy for treating deep-seated tumors. In this work, we present a dual-functional nanoplatform consisting of a CsPbBr3 perovskite scintillator embedded in mesoporous silica (SiO2@CsPbBr3) and covalently functionalized with a nitro ruthenium(II) complex (SiO2−NH2−RuNO2@CsPbBr3), combining improved biocompatibility and stability with controlled nitric oxide (NO) release under light and X-ray irradiation. The nanoplatform retained photoluminescence and radioluminescence at 515 nm in aqueous media. XRD confirmed cubic CsPbBr3, while TEM revealed spherical silica nanoparticles containing the perovskite. APTES functionalization was verified by the zeta potential shift, and NTA showed a mean diameter of 148.8 nm for NO2-conjugated nanoplatform. Under X-ray irradiation, SiO2@CsPbBr3 generated singlet oxygen, while SiO2−NH2−RuNO2@CsPbBr3 released NO. Confocal microscopy confirmed cellular uptake in A549 cells. The NO-containing nanoplatform showed ~30% dark cytotoxicity, whereas the aqua analogue was non-cytotoxic. Future X-ray studies will evaluate therapeutic efficacy and the contribution of X-ray-triggered NO release.
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