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基于纳米技术的光动力疗法:概念、进展与展望

Nanotechnology-Based Photodynamic Therapy: Concepts, Advances, and Perspectives.

作者信息

Garg Tarun, Jain Nitin K, Rath Goutam, Goyal Amit Kumar

机构信息

Department of Pharmaceutics, ISF College of Pharmacy, Moga (Punjab), India.

Scientist-D, Department of Biotechnology (DBT), New Delhi, India.

出版信息

Crit Rev Ther Drug Carrier Syst. 2015;32(5):389-439. doi: 10.1615/critrevtherdrugcarriersyst.2015011645.

Abstract

Photodynamic therapy (PDT) is a photoactive process that uses the combination of photosensitizers (PSs) and specific wavelengths of light for the treatment of solid tumors and other diseases. PDT received increased attention after regulatory approval of several photosensitizing drugs and light applicators worldwide. With the advent of newer PSs, the role of PDT in the treatment of cancer and other diseases has been revolutionized. In addition, various targeting strategies developed for site-specific delivery of PSs will be helpful for avoiding phototoxicity to normal tissues. Receptor-mediated targeted PDT approaches using nanocarriers offer the opportunity of enhancing photodynamic efficiency by directly targeting diseased cells and tissues. At present, clinical application of PDT is well established in medicine and surgery. Successfully used in dermatology, urology, gastroenterology, and neurosurgery, PDT has also seen much progress in basic sciences and clinical photodynamics in recent years. Currently, the use of PDT is just beginning, and more research must be performed to prove its therapeutic efficacy. However, nontoxic compounds involved in PDT provide a certain hope that it will evolve to be an effective mechanism for combating chronic diseases.

摘要

光动力疗法(PDT)是一种光活性过程,它利用光敏剂(PSs)和特定波长的光来治疗实体瘤和其他疾病。在全球多种光敏药物和光照射器获得监管批准后,光动力疗法受到了更多关注。随着新型光敏剂的出现,光动力疗法在癌症和其他疾病治疗中的作用发生了变革。此外,为实现光敏剂的位点特异性递送而开发的各种靶向策略将有助于避免对正常组织产生光毒性。使用纳米载体的受体介导靶向光动力疗法通过直接靶向病变细胞和组织,提供了提高光动力效率的机会。目前,光动力疗法在医学和外科领域的临床应用已得到充分确立。光动力疗法已成功应用于皮肤科、泌尿外科、胃肠病学和神经外科,近年来在基础科学和临床光动力学方面也取得了很大进展。目前,光动力疗法的应用才刚刚开始,必须进行更多研究以证明其治疗效果。然而,光动力疗法中涉及的无毒化合物带来了一定希望,即它将发展成为一种对抗慢性疾病的有效机制。

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