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硼中子俘获疗法:临床应用综述

Boron Neutron Capture Therapy: A Review of Clinical Applications.

作者信息

Malouff Timothy D, Seneviratne Danushka S, Ebner Daniel K, Stross William C, Waddle Mark R, Trifiletti Daniel M, Krishnan Sunil

机构信息

Department of Radiation Oncology, Mayo Clinic, Jacksonville, FL, United States.

Warren Alpert Medical School, Brown University, Providence, RI, United States.

出版信息

Front Oncol. 2021 Feb 26;11:601820. doi: 10.3389/fonc.2021.601820. eCollection 2021.

DOI:10.3389/fonc.2021.601820
PMID:33718149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7952987/
Abstract

Boron neutron capture therapy (BNCT) is an emerging treatment modality aimed at improving the therapeutic ratio for traditionally difficult to treat tumors. BNCT utilizes boronated agents to preferentially deliver boron-10 to tumors, which, after undergoing irradiation with neutrons, yields litihium-7 and an alpha particle. The alpha particle has a short range, therefore preferentially affecting tumor tissues while sparing more distal normal tissues. To date, BNCT has been studied clinically in a variety of disease sites, including glioblastoma multiforme, meningioma, head and neck cancers, lung cancers, breast cancers, hepatocellular carcinoma, sarcomas, cutaneous malignancies, extramammary Paget's disease, recurrent cancers, pediatric cancers, and metastatic disease. We aim to provide an up-to-date and comprehensive review of the studies of each of these disease sites, as well as a review on the challenges facing adoption of BNCT.

摘要

硼中子俘获疗法(BNCT)是一种新兴的治疗方式,旨在提高传统上难以治疗的肿瘤的治疗比。BNCT利用含硼剂将硼-10优先递送至肿瘤,硼-10在接受中子照射后,产生锂-7和一个α粒子。α粒子射程短,因此优先影响肿瘤组织,同时 sparing 更多远端正常组织。迄今为止,BNCT已在多种疾病部位进行了临床研究,包括多形性胶质母细胞瘤、脑膜瘤、头颈癌、肺癌、乳腺癌、肝细胞癌、肉瘤、皮肤恶性肿瘤、乳腺外佩吉特病、复发性癌症、儿童癌症和转移性疾病。我们旨在对这些疾病部位的每项研究提供最新且全面的综述,以及对BNCT应用面临的挑战进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c4c/7952987/aa99d47daaa3/fonc-11-601820-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c4c/7952987/aa99d47daaa3/fonc-11-601820-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c4c/7952987/aa99d47daaa3/fonc-11-601820-g001.jpg

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Assessment of long-term risks of secondary cancer in paediatric patients with brain tumours after boron neutron capture therapy.硼中子俘获治疗后小儿脑肿瘤患者继发性癌症的长期风险评估。
J Radiol Prot. 2019 Sep;39(3):838-853. doi: 10.1088/1361-6498/ab29a3. Epub 2019 Jun 13.
2
Boron neutron capture therapy for locally recurrent head and neck squamous cell carcinoma: An analysis of dose response and survival.硼中子俘获治疗局部复发性头颈部鳞状细胞癌:剂量反应与生存分析。
Radiother Oncol. 2019 Aug;137:153-158. doi: 10.1016/j.radonc.2019.04.033. Epub 2019 May 17.
3
A comparison of dose distributions in gross tumor volume between boron neutron capture therapy alone and combined boron neutron capture therapy plus intensity modulation radiation therapy for head and neck cancer.
硼代苯丙氨酸(BPA)在肝细胞癌细胞和荷瘤小鼠模型的硼中子俘获治疗中的药代动力学、生物分布、安全性及疗效研究
Sci Rep. 2025 Aug 9;15(1):29212. doi: 10.1038/s41598-025-14885-1.
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Stereotactic radiosurgery and fractionated radiation therapy in the management of pituitary tumors.立体定向放射外科和分次放射治疗在垂体瘤治疗中的应用
Neurooncol Adv. 2024 Dec 19;7(Suppl 1):i58-i68. doi: 10.1093/noajnl/vdae010. eCollection 2025 Jul.
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Targeting SLC7A5 in lung squamous cell carcinoma: implications for cancer metabolism shift and boron neutron capture therapy resistance.靶向肺鳞状细胞癌中的SLC7A5:对癌症代谢转变和硼中子俘获治疗耐药性的影响
Oncogenesis. 2025 Jul 23;14(1):26. doi: 10.1038/s41389-025-00568-z.
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Dynamic crosstalk between amino acid metabolism and cancer drug efficacy: From mechanisms to therapeutic opportunities.氨基酸代谢与癌症药物疗效之间的动态相互作用:从机制到治疗机遇
iScience. 2025 Apr 11;28(5):112405. doi: 10.1016/j.isci.2025.112405. eCollection 2025 May 16.
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