Tanzhu Guilong, Chen Liu, Xiao Gang, Shi Wen, Peng Haiqin, Chen Dikang, Zhou Rongrong
Department of Oncology, Xiangya Hospital, Central South University, 410008, Changsha, China.
Hunan An Tai Kang Cheng Biotechnology Co., Ltd, Changsha, China.
Cell Death Discov. 2022 Oct 11;8(1):416. doi: 10.1038/s41420-022-01206-y.
Tumor Treating Fields (TTFields) is a physical therapy that uses moderate frequency (100-300 kHz) and low-intensity (1-3 V/cm) alternating electric fields to inhibit tumors. Currently, the Food and Drug Administration approves TTFields for treating recurrent or newly diagnosed glioblastoma (GBM) and malignant pleural mesothelioma (MPM). The classical mechanism of TTFields is mitotic inhibition by hindering the formation of tubulin and spindle. In addition, TTFields inhibits cell proliferation, invasion, migration and induces cell death, such as apoptosis, autophagy, pyroptosis, and cell cycle arrest. Meanwhile, it regulates immune function and changes the permeability of the nuclear membrane, cell membrane, and blood-brain barrier. Based on the current researches on TTFields in various tumors, this review comprehensively summarizes the in-vitro effects, changes in pathways and molecules corresponding to relevant parameters of TTFields (frequency, intensity, and duration). In addition, radiotherapy and chemotherapy are common tumor treatments. Thus, we also pay attention to the sequence and dose when TTFields combined with radiotherapy or chemotherapy. TTFields has inhibitory effects in a variety of tumors. The study of TTFields mechanism is conducive to subsequent research. How to combine common tumor therapy such as radiotherapy and chemotherapy to obtain the maximum benefit is also a problem that's worthy of our attention.
肿瘤治疗电场(TTFields)是一种物理疗法,它使用中频(100 - 300kHz)和低强度(1 - 3V/cm)的交变电场来抑制肿瘤。目前,美国食品药品监督管理局批准TTFields用于治疗复发性或新诊断的胶质母细胞瘤(GBM)和恶性胸膜间皮瘤(MPM)。TTFields的经典机制是通过阻碍微管蛋白和纺锤体的形成来抑制有丝分裂。此外,TTFields还可抑制细胞增殖、侵袭、迁移,并诱导细胞死亡,如凋亡、自噬、焦亡和细胞周期停滞。同时,它还能调节免疫功能,并改变核膜、细胞膜和血脑屏障的通透性。基于目前对TTFields在各种肿瘤中的研究,本综述全面总结了TTFields(频率、强度和持续时间)相关参数在体外的作用、相应途径和分子的变化。此外,放疗和化疗是常见的肿瘤治疗方法。因此,我们也关注TTFields与放疗或化疗联合使用时的顺序和剂量。TTFields在多种肿瘤中具有抑制作用。对TTFields机制的研究有利于后续研究。如何将放疗和化疗等常见肿瘤治疗方法联合起来以获得最大益处也是一个值得我们关注的问题。