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开发抗肿瘤磁热疗:原理、材料与设备

Developing Antitumor Magnetic Hyperthermia: Principles, Materials and Devices.

作者信息

Tishin Alexander M, Shtil Alexander A, Pyatakov Alexander P, Zverev Vladimir I

机构信息

Faculty of Physics, M.V. Lomonosov Moscow State University, Leninskie Gory 1-2, Moscow 119991, Russian Federation.

出版信息

Recent Pat Anticancer Drug Discov. 2016;11(4):360-375. doi: 10.2174/0929866523666160720094638.

Abstract

BACKGROUND AND OBJECTIVE

Methods of local or loco-regional anticancer treatment are of the utmost importance because the therapeutic 'power' is applied directly to the disease site. Consequently, general toxicity is minimized. Hyperthermia, that is, a sustained increase of intratumoral temperature up to 45oC, has been investigated as a perspective treatment modality alone and/or in combination with ionizing radiation or chemotherapy. Still, the surrounding tissues can be damaged by the external heat.

METHOD

Development of new materials and devices gave rise to methods of inducing hyperthermia by a high frequency magnetic or electromagnetic field applied to the tumor with exogenous nanosized particles captured within it. The idea of this approach is the release of local heat in the vicinity of the magnetic nanoparticle in a time-varying magnetic field due to transfer of external magnetic field energy into the heat. Therefore, tumor cells are heated whereas the peritumoral non-malignant tissues are spared.

RESULTS

This review analyzes recent advances in understanding physical principles that underlie magnetic hyperthermia as well as novel approaches to obtain nanoparticles with optimized physico-chemical, toxicological and tumoricidal properties. Special focus is made on the construction of devices for therapeutic purposes.

CONCLUSION

The review covers recent patents and general literature sources regarding magnetic hyperthermia, the developing approach to treat otherwise intractable malignancies. </p><p&gt.

摘要

背景与目的

局部或局部区域抗癌治疗方法至关重要,因为治疗“力量”直接作用于病灶部位。因此,全身毒性降至最低。热疗,即肿瘤内温度持续升高至45℃,已作为一种单独的或与电离辐射或化疗联合的潜在治疗方式进行了研究。然而,周围组织仍可能受到外部热量的损害。

方法

新材料和装置的开发催生了通过向肿瘤施加高频磁场或电磁场并结合捕获在其中的外源性纳米颗粒来诱导热疗的方法。这种方法的原理是,在时变磁场中,由于外部磁场能量转化为热量,磁性纳米颗粒附近会释放局部热量。因此,肿瘤细胞被加热,而肿瘤周围的非恶性组织则得以幸免。

结果

本综述分析了对磁热疗基本物理原理的最新认识,以及获得具有优化物理化学、毒理学和杀肿瘤特性的纳米颗粒的新方法。特别关注了治疗用装置的构建。

结论

本综述涵盖了关于磁热疗的近期专利和一般文献资料,这是一种治疗难治性恶性肿瘤逐渐发展的方法。

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