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瘤内光敏剂递送与光动力疗法

Intratumoral Photosensitizer Delivery and Photodynamic Therapy.

作者信息

Ma Chen-Hua, Yang Jeffrey, Mueller Jenna L, Huang Huang-Chiao

机构信息

Fischell Department of Bioengineering, University of Maryland, College Park, MD 20742, USA.

Marlene and Stewart Greenebaum Cancer Center, University of Maryland School of Medicine, Baltimore, MD 21201, USA.

出版信息

Nano Life. 2021 Jun;11(2). doi: 10.1142/s179398442130003x. Epub 2021 Jun 9.

Abstract

Photodynamic therapy (PDT) is a two-step procedure that involves the administration of special drugs, commonly called photosensitizers, followed by the application of certain wavelengths of light. The light activates these photosensitizers to produce reactive molecular species that induce cell death in tissues. There are numerous factors to consider when selecting the appropriate photosensitizer administration route, such as which part of the body is being targeted, the pharmacokinetics of photosensitizers, and the formulation of photosensitizers. While intravenous, topical, and oral administration of photosensitizers are widely used in preclinical and clinical applications of PDT, other administration routes, such as intraperitoneal, intra-arterial, and intratumoral injections, are gaining traction for their potential in treating advanced diseases and reducing off-target toxicities. With recent advances in targeted nanotechnology, biomaterials, and light delivery systems, the exciting possibilities of targeted photosensitizer delivery can be fully realized for preclinical and clinical applications. Further, in light of the growing burden of cancer mortality in low and middle-income countries and development of low-cost light sources and photosensitizers, PDT could be used to treat cancer patients in low-income settings. This short article introduces aspects of interfaces of intratumoral photosensitizer injections and nano-biomaterials for PDT applications in both high-income and low-income settings but does not present a comprehensive review due to space limitations.

摘要

光动力疗法(PDT)是一种两步程序,包括给予特殊药物(通常称为光敏剂),然后施加特定波长的光。光激活这些光敏剂以产生活性分子物种,从而诱导组织中的细胞死亡。选择合适的光敏剂给药途径时需要考虑许多因素,例如身体的哪个部位作为靶点、光敏剂的药代动力学以及光敏剂的制剂。虽然光敏剂的静脉内、局部和口服给药在PDT的临床前和临床应用中广泛使用,但其他给药途径,如腹腔内、动脉内和瘤内注射,因其在治疗晚期疾病和降低脱靶毒性方面的潜力而越来越受到关注。随着靶向纳米技术、生物材料和光传递系统的最新进展,靶向光敏剂递送在临床前和临床应用中的令人兴奋的可能性可以得到充分实现。此外,鉴于低收入和中等收入国家癌症死亡率负担日益加重,以及低成本光源和光敏剂的开发,PDT可用于治疗低收入环境中的癌症患者。本文介绍了瘤内光敏剂注射和纳米生物材料在高收入和低收入环境中用于PDT应用的界面方面,但由于篇幅限制,未进行全面综述。

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