Department of Radiation Oncology, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.
Department of Biomedical Engineering, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, USA.
Adv Sci (Weinh). 2023 Apr;10(10):e2205995. doi: 10.1002/advs.202205995. Epub 2023 Feb 2.
Tumor hypoxia drives resistance to many cancer therapies, including radiotherapy and chemotherapy. Methods that increase tumor oxygen pressures, such as hyperbaric oxygen therapy and microbubble infusion, are utilized to improve the responses to current standard-of-care therapies. However, key obstacles remain, in particular delivery of oxygen at the appropriate dose and with optimal pharmacokinetics. Toward overcoming these hurdles, gas-entrapping materials (GeMs) that are capable of tunable oxygen release are formulated. It is shown that injection or implantation of these materials into tumors can mitigate tumor hypoxia by delivering oxygen locally and that these GeMs enhance responsiveness to radiation and chemotherapy in multiple tumor types. This paper also demonstrates, by comparing an oxygen (O )-GeM to a sham GeM, that the former generates an antitumorigenic and immunogenic tumor microenvironment in malignant peripheral nerve sheath tumors. Collectively the results indicate that the use of O -GeMs is promising as an adjunctive strategy for the treatment of solid tumors.
肿瘤缺氧会导致许多癌症疗法(包括放疗和化疗)产生耐药性。人们采用了一些增加肿瘤氧压的方法,如高压氧疗法和微泡输注,以提高对当前标准治疗方法的反应。然而,仍然存在一些关键障碍,特别是要以适当的剂量和最佳药代动力学输送氧气。为了克服这些障碍,人们设计了能够进行可调式氧气释放的气体捕获材料(GeMs)。研究表明,将这些材料注射或植入肿瘤中,可以通过局部输送氧气来减轻肿瘤缺氧,并且这些 GeMs 可以增强多种肿瘤类型对放疗和化疗的反应。本文还通过比较氧气(O )-GeM 和假 GeM 表明,前者会在恶性外周神经鞘瘤中产生抗肿瘤和免疫原性的肿瘤微环境。总的来说,这些结果表明,使用 O -GeMs 作为治疗实体瘤的辅助策略很有前景。