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不可逆电穿孔在胰腺癌中的应用:一种不断发展的实验和临床方法。

Irreversible Electroporation in Pancreatic Cancer-An Evolving Experimental and Clinical Method.

机构信息

Department of Molecular and Cellular Biology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211A, 50-556 Wroclaw, Poland.

2nd Department of General Surgery and Surgical Oncology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.

出版信息

Int J Mol Sci. 2023 Feb 23;24(5):4381. doi: 10.3390/ijms24054381.

Abstract

Pancreatic cancer has no symptoms until the disease has advanced and is aggressive cancer with early metastasis. Up to now, the only curative treatment is surgical resection, which is possible in the early stages of the disease. Irreversible electroporation treatment offers new hope for patients with unresectable tumors. Irreversible electroporation (IRE) is a type of ablation therapy that has been explored as a potential treatment for pancreatic cancer. Ablation therapies involve the use of energy to destroy or damage cancer cells. IRE involves using high-voltage, low-energy electrical pulses to create resealing in the cell membrane, causing the cell to die. This review summarizes experiential and clinical findings in terms of the IRE applications. As was described, IRE can be a non-pharmacological approach (electroporation) or combined with anticancer drugs or standard treatment methods. The efficacy of irreversible electroporation (IRE) in eliminating pancreatic cancer cells has been demonstrated through both in vitro and in vivo studies, and it has been shown to induce an immune response. Nevertheless, further investigation is required to assess its effectiveness in human subjects and to comprehensively understand IRE's potential as a treatment option for pancreatic cancer.

摘要

胰腺癌在疾病进展且具有早期转移的侵袭性时才出现症状。到目前为止,唯一的根治性治疗方法是手术切除,这在疾病早期是可行的。不可逆电穿孔治疗为不可切除肿瘤患者带来了新的希望。不可逆电穿孔 (IRE) 是一种消融治疗方法,已被探索作为治疗胰腺癌的一种潜在方法。消融疗法涉及使用能量来破坏或损伤癌细胞。本文综述了 IRE 在胰腺癌治疗中的应用经验和临床研究结果。如前所述,IRE 可以是非药物方法(电穿孔)或与抗癌药物或标准治疗方法联合应用。IRE 消除胰腺癌细胞的疗效已通过体外和体内研究得到证实,并已显示可诱导免疫反应。然而,仍需要进一步研究来评估其在人体中的有效性,并全面了解 IRE 作为治疗胰腺癌的一种选择的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f697/10002122/4ec980e3206a/ijms-24-04381-g001.jpg

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