Cemazar M, Tamzali Y, Sersa G, Tozon N, Mir L M, Miklavcic D, Lowe R, Teissie J
Institute of Oncology Ljubljana, University of Ljubljana, Ljubljana, Slovenia the Ecole Vétérinaire de Toulouse, Toulouse, France.
J Vet Intern Med. 2008 Jul-Aug;22(4):826-31. doi: 10.1111/j.1939-1676.2008.0117.x.
Electropermeabilization is a method that uses electric field pulses to induce an electrically mediated reorganization of the plasma membrane of cells. Electrochemotherapy combines local or systemic administration of chemotherapeutic drugs such as bleomycin or cisplatin that have poor membrane permeability with electropermeabilization by direct application of electric pulses to the tumors. Preclinical studies have demonstrated excellent antitumor effectiveness of electrochemotherapy on different animal models and various tumor types, minimal toxicity, and safety of the procedure. Based on results of preclinical studies, clinical studies were conducted in human patients, which demonstrated pronounced antitumor effectiveness of electrochemotherapy with 80-85% objective responses of the treated cutaneous and SC tumors. Clinical studies in veterinary oncology have demonstrated that electrochemotherapy is very effective in the treatment of cutaneous and SC tumors of different histologic types in cats, dogs, and horses. The results of these studies have also demonstrated approximately 80% long-lasting objective responses of tumors treated by electrochemotherapy. Primary tumors of different histologic types were treated. Electrochemotherapy in veterinary oncology has future promise to be highly effective, and could be used to treat primary or recurrent solitary or multiple cutaneous and SC tumors of different histology or as an adjuvant treatment to surgery.
电通透化是一种利用电场脉冲诱导细胞的质膜发生电介导重组的方法。电化学疗法将膜通透性较差的化疗药物(如博来霉素或顺铂)的局部或全身给药与通过直接向肿瘤施加电脉冲进行电通透化相结合。临床前研究已证明电化学疗法在不同动物模型和各种肿瘤类型上具有出色的抗肿瘤效果、最小的毒性以及该操作的安全性。基于临床前研究结果,在人类患者中开展了临床研究,结果显示电化学疗法具有显著的抗肿瘤效果,经治疗的皮肤和皮下肿瘤的客观缓解率达80 - 85%。兽医肿瘤学的临床研究表明,电化学疗法在治疗猫、狗和马的不同组织学类型的皮肤和皮下肿瘤方面非常有效。这些研究结果还表明,经电化学疗法治疗的肿瘤的持久客观缓解率约为80%。不同组织学类型的原发性肿瘤均得到了治疗。兽医肿瘤学中的电化学疗法有望成为高效的治疗方法,可用于治疗不同组织学类型的原发性或复发性孤立性或多发性皮肤和皮下肿瘤,或作为手术的辅助治疗手段。