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光动力癌症疗法的意义:对 PDT 机制的基本和实际的概述。

Implications of photodynamic cancer therapy: an overview of PDT mechanisms basically and practically.

机构信息

Department of Basic Medical Sciences, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Healthy Ageing Research Center, Neyshabur University of Medical Sciences, Neyshabur, Iran.

出版信息

J Egypt Natl Canc Inst. 2021 Nov 15;33(1):34. doi: 10.1186/s43046-021-00093-1.

DOI:10.1186/s43046-021-00093-1
PMID:34778919
Abstract

BACKGROUND

Tumor eradication is one of the most important challengeable categories in oncological studies. In this account, besides the molecular genetics methods including cell therapy, gene therapy, immunotherapy, and general cancer therapy procedures like surgery, radiotherapy, and chemotherapy, photodynamic adjuvant therapy is of great importance. Photodynamic therapy (PDT) as a relatively noninvasive therapeutic method utilizes the irradiation of an appropriate wavelength which is absorbed by a photosensitizing agent in the presence of oxygen. In this procedure, a series of events lead to the direct death of malignant cells such as damage to the microvasculature and also the induction of a local inflammatory function. PDT has participated with other treatment modalities especially in the early stage of malignant tumors and has resulted in decreasing morbidity besides improving survival rate and quality of life. High spatial resolution of PDT has attracted considerable attention in the field of image-guided photodynamic therapy combined with chemotherapy of multidrug resistance cancers. Although PDT outcomes vary across the different tumor types, minimal natural tissue toxicity, minor systemic effects, significant reduction in long-term disease, lack of innate or acquired resistance mechanisms, and excellent cosmetic effects, as well as limb function, make it a valuable treatment option for combination therapies.

SHORT CONCLUSION

In this review article, we tried to discuss the potential of PDT in the treatment of some dermatologic and solid tumors, particularly all its important mechanisms.

摘要

背景

肿瘤清除是肿瘤学研究中最具挑战性的类别之一。在这方面,除了包括细胞治疗、基因治疗、免疫治疗和一般癌症治疗程序(如手术、放疗和化疗)在内的分子遗传学方法外,光动力辅助治疗也非常重要。光动力疗法(PDT)作为一种相对非侵入性的治疗方法,利用在氧气存在下被光敏剂吸收的适当波长的照射。在该过程中,一系列事件导致恶性细胞的直接死亡,例如微血管损伤以及局部炎症功能的诱导。PDT 与其他治疗方式联合使用,特别是在恶性肿瘤的早期阶段,除了提高生存率和生活质量外,还降低了发病率。PDT 的高空间分辨率在结合化疗治疗多药耐药性癌症的图像引导光动力治疗领域引起了相当大的关注。尽管 PDT 的结果因不同的肿瘤类型而异,但 PDT 具有最小的天然组织毒性、较小的全身影响、显著减少长期疾病、缺乏内在或获得性耐药机制以及出色的美容效果以及肢体功能,使其成为联合治疗的有价值的治疗选择。

简短结论

在这篇综述文章中,我们试图讨论 PDT 在治疗一些皮肤科和实体瘤中的潜力,特别是其所有重要的机制。

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