Nompumelelo Simelane Nokuphila Winifred, Kruger Cherie Ann, Abrahamse Heidi
Laser Research Centre, Faculty of Health Sciences, University of Johannesburg P.O. Box 17011, Doornfontein Johannesburg 2028 South Africa
RSC Adv. 2020 Nov 14;10(68):41560-41576. doi: 10.1039/d0ra08617g. eCollection 2020 Nov 11.
Colorectal cancer (CRC) is a global challenge to eradicate. Early diagnosis and treatment strategies with ideal advantages, such as high tumor selectivity and negligible adverse effects, are significant, since they can result in precise diagnosis and treatment to reduce the overall incidence of CRC. The photodynamic approach for the detection and therapeutic treatment of cancer is a promising novel strategy in comparison to conventional treatments. Photodynamic diagnosis (PDD) is a diagnostic modality that involves the emission of light-induced excitation fluorescence to enhance early detection, without tumor destruction, after photosensitizer exposure to blue light. Photodynamic therapy (PDT) is a photochemistry-based approach that is rapidly progressing to solve the limitations of standard CRC treatments. PDT involves the interaction of a photosensitizer, tissue oxygen, and red light, which forms reactive oxygen species and radicals to elicit localized cancer cell death. This review discusses conventional CRC diagnostic and treatment methods, with their limitations, in comparison to the newly evolving and photo-diagnostic and treatment regimes, which have been investigated over the last several years. It also gives an overview of the integration of PDT with PDD, and utilization of specific photosensitizers for the possible early diagnosis and treatment of CRC.
结直肠癌(CRC)的根除是一项全球性挑战。具有理想优势(如高肿瘤选择性和可忽略不计的副作用)的早期诊断和治疗策略至关重要,因为它们能够实现精确诊断和治疗,从而降低CRC的总体发病率。与传统治疗方法相比,用于癌症检测和治疗的光动力方法是一种很有前景的新策略。光动力诊断(PDD)是一种诊断方式,在光敏剂暴露于蓝光后,通过发射光诱导激发荧光来增强早期检测,且不会破坏肿瘤。光动力疗法(PDT)是一种基于光化学的方法,正在迅速发展以解决标准CRC治疗方法的局限性。PDT涉及光敏剂、组织氧和红光的相互作用,形成活性氧和自由基以引发局部癌细胞死亡。本综述讨论了传统的CRC诊断和治疗方法及其局限性,并与过去几年研究的新出现的光诊断和治疗方案进行了比较。它还概述了PDT与PDD的整合,以及特定光敏剂在CRC可能的早期诊断和治疗中的应用。