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光生物调节与癌症:真相究竟如何?

Photobiomodulation and Cancer: What Is the Truth?

作者信息

Hamblin Michael R, Nelson Scott T, Strahan Justin R

机构信息

1 Department of Dermatology, Wellman Center for Photomedicine , Massachusetts General Hospital, Boston, Massachusetts.

2 Joovv Inc., Crystal, Minnesota.

出版信息

Photomed Laser Surg. 2018 May;36(5):241-245. doi: 10.1089/pho.2017.4401. Epub 2018 Feb 21.

DOI:10.1089/pho.2017.4401
PMID:29466089
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5946726/
Abstract

BACKGROUND

Photobiomodulation (PBM) therapy is a rapidly growing approach to stimulate healing, reduce pain, increase athletic performance, and improve general wellness.

OBJECTIVE

Applying PBM therapy over the site of a tumor has been considered to be a contraindication. However, since another growing use of PBM therapy is to mitigate the side effects of cancer therapy, this short review seeks to critically examine the evidence of whether PBM therapy is beneficial or harmful in cancer patients.

MATERIALS AND METHODS

PubMed and Google Scholar were searched.

RESULTS

Although there are a few articles suggesting that PBM therapy can be detrimental in animal models of tumors, there are also many articles that suggest the opposite and that light can directly damage the tumor, can potentiate other cancer therapies, and can stimulate the host immune system. Moreover, there are two clinical trials showing increased survival in cancer patients who received PBM therapy.

CONCLUSIONS

PBM therapy may have benefits in cancer patients and should be further investigated.

摘要

背景

光生物调节(PBM)疗法是一种迅速发展的促进愈合、减轻疼痛、提高运动表现和改善整体健康状况的方法。

目的

在肿瘤部位应用PBM疗法一直被视为禁忌。然而,由于PBM疗法另一个日益增长的用途是减轻癌症治疗的副作用,本综述旨在批判性地审视PBM疗法对癌症患者有益还是有害的证据。

材料与方法

检索了PubMed和谷歌学术。

结果

尽管有几篇文章表明PBM疗法在肿瘤动物模型中可能有害,但也有许多文章得出相反结论,即光可直接损伤肿瘤、增强其他癌症治疗效果并刺激宿主免疫系统。此外,有两项临床试验表明接受PBM疗法的癌症患者生存率提高。

结论

PBM疗法可能对癌症患者有益,应进一步研究。

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本文引用的文献

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J Photochem Photobiol B. 2017 Dec;177:69-75. doi: 10.1016/j.jphotobiol.2017.09.011. Epub 2017 Sep 18.
2
How does hormesis impact biology, toxicology, and medicine?毒物兴奋效应如何影响生物学、毒理学和医学?
NPJ Aging Mech Dis. 2017 Sep 15;3:13. doi: 10.1038/s41514-017-0013-z. eCollection 2017.
3
New photobiomodulation protocol prevents oral mucositis in hematopoietic stem cell transplantation recipients-a retrospective study.新的光生物调节方案可预防造血干细胞移植受者的口腔黏膜炎——一项回顾性研究
Lasers Med Sci. 2017 Dec;32(9):2013-2021. doi: 10.1007/s10103-017-2314-7. Epub 2017 Aug 24.
4
Long-term survival of a randomized phase III trial of head and neck cancer patients receiving concurrent chemoradiation therapy with or without low-level laser therapy (LLLT) to prevent oral mucositis.头颈部癌症患者在接受同期放化疗时是否联合低水平激光治疗(LLLT)预防口腔黏膜炎的随机 III 期临床试验的长期生存结果。
Oral Oncol. 2017 Aug;71:11-15. doi: 10.1016/j.oraloncology.2017.05.018. Epub 2017 Jun 3.
5
Photobiomodulation of breast and cervical cancer stem cells using low-intensity laser irradiation.使用低强度激光照射对乳腺癌和宫颈癌干细胞进行光生物调节。
Tumour Biol. 2017 Jun;39(6):1010428317706913. doi: 10.1177/1010428317706913.
6
Radiation-Induced Oral Mucositis.放射性口腔黏膜炎
Front Oncol. 2017 May 22;7:89. doi: 10.3389/fonc.2017.00089. eCollection 2017.
7
Photobiomodulation leads to enhanced radiosensitivity through induction of apoptosis and autophagy in human cervical cancer cells.光生物调节通过诱导人宫颈癌细胞凋亡和自噬导致放射敏感性增强。
J Biophotonics. 2017 Dec;10(12):1732-1742. doi: 10.1002/jbio.201700004. Epub 2017 May 2.
8
Teaching the basics of cancer metabolism: Developing antitumor strategies by exploiting the differences between normal and cancer cell metabolism.讲授癌症代谢基础:通过利用正常细胞与癌细胞代谢差异来制定抗肿瘤策略。
Redox Biol. 2017 Aug;12:833-842. doi: 10.1016/j.redox.2017.04.018. Epub 2017 Apr 13.
9
Photobiomodulation therapy for the management of radiation-induced dermatitis : A single-institution experience of adjuvant radiotherapy in breast cancer patients after breast conserving surgery.光生物调节疗法治疗放射性皮炎:一家机构对保乳手术后乳腺癌患者辅助放疗的经验
Strahlenther Onkol. 2017 Jun;193(6):491-498. doi: 10.1007/s00066-017-1117-x. Epub 2017 Feb 27.
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Gynecol Oncol. 2017 Jan;144(1):159-166. doi: 10.1016/j.ygyno.2016.11.013. Epub 2016 Nov 22.