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交变电场可抑制动物肿瘤模型和人类脑肿瘤中的细胞增殖。

Alternating electric fields arrest cell proliferation in animal tumor models and human brain tumors.

作者信息

Kirson Eilon D, Dbalý Vladimír, Tovarys Frantisek, Vymazal Josef, Soustiel Jean F, Itzhaki Aviran, Mordechovich Daniel, Steinberg-Shapira Shirley, Gurvich Zoya, Schneiderman Rosa, Wasserman Yoram, Salzberg Marc, Ryffel Bernhard, Goldsher Dorit, Dekel Erez, Palti Yoram

机构信息

NovoCure Limited, Matam Advanced Technology Centre, Haifa 31905, Israel.

出版信息

Proc Natl Acad Sci U S A. 2007 Jun 12;104(24):10152-7. doi: 10.1073/pnas.0702916104. Epub 2007 Jun 5.


DOI:10.1073/pnas.0702916104
PMID:17551011
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1886002/
Abstract

We have recently shown that low intensity, intermediate frequency, electric fields inhibit by an anti-microtubule mechanism of action, cancerous cell growth in vitro. Using implanted electrodes, these fields were also shown to inhibit the growth of dermal tumors in mice. The present study extends these findings to additional cell lines [human breast carcinoma; MDA-MB-231, and human non-small-cell lung carcinoma (H1299)] and to animal tumor models (intradermal B16F1 melanoma and intracranial F-98 glioma) using external insulated electrodes. These findings led to the initiation of a pilot clinical trial of the effects of TTFields in 10 patients with recurrent glioblastoma (GBM). Median time to disease progression in these patients was 26.1 weeks and median overall survival was 62.2 weeks. These time to disease progression and OS values are more than double the reported medians of historical control patients. No device-related serious adverse events were seen after >70 months of cumulative treatment in all of the patients. The only device-related side effect seen was a mild to moderate contact dermatitis beneath the field delivering electrodes. We conclude that TTFields are a safe and effective new treatment modality which effectively slows down tumor growth in vitro, in vivo and, as demonstrated here, in human cancer patients.

摘要

我们最近发现,低强度、中频电场通过抗微管作用机制抑制体外癌细胞生长。使用植入电极时,这些电场也被证明可抑制小鼠皮肤肿瘤的生长。本研究将这些发现扩展至其他细胞系[人乳腺癌;MDA-MB-231,以及人非小细胞肺癌(H1299)],并使用外部绝缘电极应用于动物肿瘤模型(皮内B16F1黑色素瘤和颅内F-98胶质瘤)。这些发现促使开展了一项关于TTFields对10例复发性胶质母细胞瘤(GBM)患者疗效的试点临床试验。这些患者的疾病进展中位时间为26.1周,总生存中位时间为62.2周。这些疾病进展时间和总生存值比报告的历史对照患者中位数高出一倍多。在所有患者累计治疗超过70个月后,未观察到与设备相关的严重不良事件。唯一观察到的与设备相关的副作用是电场传输电极下方出现轻度至中度接触性皮炎。我们得出结论,TTFields是一种安全有效的新治疗方式,能有效减缓体外、体内肿瘤生长,如此处所示,对人类癌症患者也有效。

相似文献

[1]
Alternating electric fields arrest cell proliferation in animal tumor models and human brain tumors.

Proc Natl Acad Sci U S A. 2007-6-12

[2]
Response patterns of recurrent glioblastomas treated with tumor-treating fields.

Semin Oncol. 2014-10

[3]
NovoTTF-100A versus physician's choice chemotherapy in recurrent glioblastoma: a randomised phase III trial of a novel treatment modality.

Eur J Cancer. 2012-5-18

[4]
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Neuro Oncol. 2016-10

[5]
A pilot study with very low-intensity, intermediate-frequency electric fields in patients with locally advanced and/or metastatic solid tumors.

Onkologie. 2008-7

[6]
Exploring the efficacy of tumor electric field therapy against glioblastoma: An in vivo and in vitro study.

CNS Neurosci Ther. 2021-12

[7]
Characterization and management of dermatologic adverse events with the NovoTTF-100A System, a novel anti-mitotic electric field device for the treatment of recurrent glioblastoma.

Semin Oncol. 2014-3-19

[8]
Alternating electric fields (tumor-treating fields therapy) can improve chemotherapy treatment efficacy in non-small cell lung cancer both in vitro and in vivo.

Semin Oncol. 2014-10

[9]
Alternating electric tumor treating fields for treatment of glioblastoma: rationale, preclinical, and clinical studies.

J Neurosurg. 2017-2-24

[10]
NovoTTF-100A: a new treatment modality for recurrent glioblastoma.

Expert Rev Neurother. 2012-6-19

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Sci Rep. 2025-8-20

[2]
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Chem Rev. 2025-8-13

[3]
The transcriptomic fingerprint of cancer response to Tumor Treating Fields (TTFields).

Cell Death Discov. 2025-7-10

[4]
Dual-Plasma Discharge Tube for Synergistic Glioblastoma Treatment.

Cancers (Basel). 2025-6-18

[5]
Advancement in tumor treating fields of mechanism, clinical applications, and future directions.

Discov Oncol. 2025-6-10

[6]
Catalytic Degradation of Organic Dyes Indicates Anti-Proliferative Effects of Magnetoelectric Nanoparticles.

J Electron Mater. 2025

[7]
Electrical Stimulation Using a Low-Frequency and Low-Intensity Alternating Current Modulates Type I Procollagen Production and MMP-1 Expression in Dermal Fibroblasts.

Ann Dermatol. 2025-6

[8]
Distant parenchymal recurrence during long-term use of TTFields treatment for glioblastoma.

Int J Clin Oncol. 2025-5-22

[9]
An Analysis for IDH-Mutant Grade 4 Astrocytoma Based on WHO CNS 5: Implication of Clinical Practice.

Ann Clin Transl Neurol. 2025-7

[10]
Application of biomechanics in tumor epigenetic research.

Mechanobiol Med. 2024-8-22

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