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光动力疗法治疗癌症的当前挑战与机遇

Current Challenges and Opportunities of Photodynamic Therapy against Cancer.

作者信息

Huis In 't Veld Ruben V, Heuts Jeroen, Ma Sen, Cruz Luis J, Ossendorp Ferry A, Jager Martine J

机构信息

Department of Ophthalmology, Leiden University Medical Centre (LUMC), 2333 ZA Leiden, Zuid-Holland, The Netherlands.

Department of Radiology, Leiden University Medical Centre (LUMC), 2333 ZA Leiden, Zuid-Holland, The Netherlands.

出版信息

Pharmaceutics. 2023 Jan 18;15(2):330. doi: 10.3390/pharmaceutics15020330.

Abstract

BACKGROUND

Photodynamic therapy (PDT) is an established, minimally invasive treatment for specific types of cancer. During PDT, reactive oxygen species (ROS) are generated that ultimately induce cell death and disruption of the tumor area. Moreover, PDT can result in damage to the tumor vasculature and induce the release and/or exposure of damage-associated molecular patterns (DAMPs) that may initiate an antitumor immune response. However, there are currently several challenges of PDT that limit its widespread application for certain indications in the clinic.

METHODS

A literature study was conducted to comprehensively discuss these challenges and to identify opportunities for improvement.

RESULTS

The most notable challenges of PDT and opportunities to improve them have been identified and discussed.

CONCLUSIONS

The recent efforts to improve the current challenges of PDT are promising, most notably those that focus on enhancing immune responses initiated by the treatment. The application of these improvements has the potential to enhance the antitumor efficacy of PDT, thereby broadening its potential application in the clinic.

摘要

背景

光动力疗法(PDT)是一种已确立的针对特定类型癌症的微创治疗方法。在光动力疗法期间,会产生活性氧(ROS),最终导致细胞死亡和肿瘤区域的破坏。此外,光动力疗法可导致肿瘤血管受损,并诱导损伤相关分子模式(DAMPs)的释放和/或暴露,这可能引发抗肿瘤免疫反应。然而,目前光动力疗法存在若干挑战,限制了其在临床上某些适应症的广泛应用。

方法

进行了一项文献研究,以全面讨论这些挑战并确定改进的机会。

结果

已确定并讨论了光动力疗法最显著的挑战及其改进机会。

结论

最近为改善光动力疗法当前挑战所做的努力很有前景,最显著的是那些专注于增强治疗引发的免疫反应的努力。这些改进措施的应用有可能提高光动力疗法的抗肿瘤疗效,从而扩大其在临床上的潜在应用范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b4a/9965442/e0c560e2af5e/pharmaceutics-15-00330-g001.jpg

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