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[调制式电高热疗法(mEHT)在结直肠癌模型中诱导肿瘤损伤的作用机制]

[Mechanism of action of modulated electro- hyperthermia (mEHT) induced tumor damage in colorectal adenocarcinoma models].

作者信息

Krenács Tibor, Meggyesházi Nóra, Kõvágó Csaba, Kiss Éva, Forika Gertrud, Balogh Andrea, Vancsik Tamás

机构信息

I. Sz. Patológiai és Kísérleti Rákkutató Intézet, Semmelweis Egyetem, Budapest, Hungary.

Farmakológiai és Toxikológiai Intézet, Szent István Egyetem, Állatorvostudományi Kar,, Budapest, Hungary.

出版信息

Magy Onkol. 2019 Dec 9;63(4):359-364. Epub 2019 Nov 14.

Abstract

Modulated electro-hyperthermia (mEHT) is a non-invasive treatment modality of cancer where electric field generated by 13.56 MHz radiofrequency can selectively accumulate in malignant tumors compared to adjacent normal tissues. This effect is based on the metabolic shift in cancer cells which upregulates glycolysis even under oxygenated conditions (Warburg effect), resulting in elevated lactate and ion concentration. The concomitant increased permittivity can induce dielectric polarization and rotational friction of dipole molecules resulting in elevated core temperature, which can be controlled at 42 °C with the treating instrument. Complementary application of loco-regional mEHT can improve the efficiency of chemo-, radio- and recently molecular targeted therapies based on increasing local perfusion and xenobiotic concentration, resolving tumor hypoxia and improved immune surveillance supported by high-fever range hyperthermia. We earlier showed that mEHT has its own tumor inhibiting/destructing effect, however, its mechanism had not been clarified. In this project we have investigated the molecular mechanism of action of mEHT treatment using in vitro and in vivo models of colorectal adenocarcinoma.

摘要

调制式电热疗法(mEHT)是一种癌症非侵入性治疗方式,13.56兆赫射频产生的电场相比于相邻正常组织能够选择性地在恶性肿瘤中积聚。这种效应基于癌细胞的代谢转变,即使在有氧条件下癌细胞的糖酵解也会上调(瓦伯格效应),导致乳酸和离子浓度升高。随之增加的电容率可诱导偶极分子的介电极化和旋转摩擦,从而使核心温度升高,通过治疗仪器可将温度控制在42°C。局部区域mEHT的辅助应用可提高化疗、放疗以及最近基于增加局部灌注和异生物质浓度、解决肿瘤缺氧问题以及高热范围热疗支持下改善免疫监视的分子靶向治疗的效率。我们之前表明mEHT有其自身的肿瘤抑制/破坏作用,然而,其机制尚未阐明。在本项目中,我们使用结直肠癌的体外和体内模型研究了mEHT治疗的分子作用机制。

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