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头颈部癌症中细胞概率性纳米颗粒增敏的建模。

modeling of cellular probabilistic nanoparticle radiosensitization in head and neck cancers.

机构信息

Cancer Research Institute, University of South Australia, Adelaide, South Australia, Australia.

Future Industries Institute, University of South Australia, Mawson Lakes 5095, South Australia, Australia.

出版信息

Nanomedicine (Lond). 2020 Dec;15(29):2837-2850. doi: 10.2217/nnm-2020-0301. Epub 2020 Nov 30.


DOI:10.2217/nnm-2020-0301
PMID:33252312
Abstract

The use of gold nanoparticles (AuNPs) as radiosensitizers may offer a new approach in the treatment of head and neck cancers; minimizing treatment-associated toxicities and improving patient outcomes. AuNPs promote localized dose deposition; permitting improved local control and/or dose reduction. This work aimed to address the theoretical optimization of radiation doses, fractionation and nanoparticle injection schedules to maximize therapeutic benefits. Probabilistic nanoparticle sensitization factors were incorporated into the individual cell-based HYP-RT computer model of tumor growth and radiotherapy. Total dose outcomes across all radiation therapy treatment regimens were found to be significantly reduced with the presence of AuNPs, with bi-weekly injections showing the most decrease. Outcomes suggest the need for regular AuNP administration to permit effective radiosensitization.

摘要

金纳米粒子(AuNPs)作为放射增敏剂的应用可能为头颈部癌症的治疗提供一种新方法;可最大程度地减少治疗相关毒性并改善患者预后。AuNPs 促进局部剂量沉积;从而实现更好的局部控制和/或剂量降低。本研究旨在针对放射剂量、分割和纳米粒子注射方案的理论优化,以最大限度地提高治疗效益。概率性纳米粒子增敏因子被纳入基于个体细胞的肿瘤生长和放射治疗的 HYP-RT 计算机模型。结果发现,AuNPs 的存在使所有放射治疗方案的总剂量结果显著降低,其中两周一次的注射显示出最大的降低。结果表明需要定期给予 AuNP 以实现有效的放射增敏。

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