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科学转化为实践:用靶向混合纳米颗粒增强结直肠癌肝转移灶的光热消融

Science to Practice: Enhancing Photothermal Ablation of Colorectal Liver Metastases with Targeted Hybrid Nanoparticles.

作者信息

Yang Xiaoming

机构信息

Image-Guided Bio-Molecular Interventions Research and Division of Interventional Radiology, Department of Radiology University of Washington School of Medicine 815 Mercer St, Room S470, Campus Box 358056 Seattle, WA 98109.

出版信息

Radiology. 2017 Dec;285(3):699-701. doi: 10.1148/radiol.2017170993.

Abstract

Image-guided percutaneous thermal ablation has been one of the principal tools in management of unresectable liver malignancies, including colorectal liver metastases (CRLM) ( 1 ). Currently, however, this technique is suitable mainly for tumors less than 4-5 cm in diameter and also results in incomplete ablation at tumor margins ( 2 ). To solve these problems, efforts have been made to combine thermal ablation with other treatment options, such as systemic and intra-arterial administration of therapeutics ( 3 - 5 ). In this issue of Radiology, White et al ( 6 ) introduced their work on development of an alternative approach by using biofunctionalized hybrid magnetic gold nanoparticles (HNPs) as catalysts for photothermal ablation of CRLM. They found that (a) the targeted (anti-MG1) HNPs are noncytotoxic and have greater than 20% intratumoral accumulation and (b) systemic administration of anti-MG1 HNPs can enlarge a tumor's necrotic zone with photothermal ablation. The results of this study establish the proof of the concept that targeted HNPs can enhance the therapeutic effect of photothermal ablation, which presents an exciting strategy for complete removal of CRLM by integrating two rapidly advancing scientific fields-interventional radiology and nanotechnology.

摘要

影像引导下经皮热消融一直是不可切除肝脏恶性肿瘤(包括结直肠癌肝转移瘤,CRLM)治疗的主要手段之一(1)。然而,目前该技术主要适用于直径小于4 - 5厘米的肿瘤,且在肿瘤边缘会导致消融不完全(2)。为了解决这些问题,人们已努力将热消融与其他治疗方法相结合,如全身和动脉内给药治疗(3 - 5)。在本期《放射学》杂志中,怀特等人(6)介绍了他们利用生物功能化混合磁性金纳米颗粒(HNP)作为CRLM光热消融催化剂开发替代方法的工作。他们发现:(a)靶向(抗MG1)HNP无细胞毒性,肿瘤内蓄积率大于20%;(b)全身给予抗MG1 HNP可通过光热消融扩大肿瘤坏死区。这项研究结果证实了靶向HNP可增强光热消融治疗效果的概念,通过整合两个快速发展的科学领域——介入放射学和纳米技术,为CRLM的完全清除提供了令人兴奋的策略。

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