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生物材料的合理设计以增强癌症热疗。

Rational Design of Biomaterials to Potentiate Cancer Thermal Therapy.

机构信息

Institute of Functional Nano & Soft Materials (FUNSOM), Jiangsu Key Laboratory for Carbon-Based Functional Materials & Devices, Soochow University, 199 Ren'ai Road, Suzhou 215123, Jiangsu, P.R. China.

Key Laboratory of Imaging Diagnosis and Minimally Invasive Intervention Research, Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, Zhejiang, P.R. China.

出版信息

Chem Rev. 2023 Jun 14;123(11):7326-7378. doi: 10.1021/acs.chemrev.2c00822. Epub 2023 Mar 13.

Abstract

Cancer thermal therapy, also known as hyperthermia therapy, has long been exploited to eradicate mass lesions that are now defined as cancer. With the development of corresponding technologies and equipment, local hyperthermia therapies such as radiofrequency ablation, microwave ablation, and high-intensity focused ultrasound, have has been validated to effectively ablate tumors in modern clinical practice. However, they still face many shortcomings, including nonspecific damages to adjacent normal tissues and incomplete ablation particularly for large tumors, restricting their wide clinical usage. Attributed to their versatile physiochemical properties, biomaterials have been specially designed to potentiate local hyperthermia treatments according to their unique working principles. Meanwhile, biomaterial-based delivery systems are able to bridge hyperthermia therapies with other types of treatment strategies such as chemotherapy, radiotherapy and immunotherapy. Therefore, in this review, we discuss recent progress in the development of functional biomaterials to reinforce local hyperthermia by functioning as thermal sensitizers to endow more efficient tumor-localized thermal ablation and/or as delivery vehicles to synergize with other therapeutic modalities for combined cancer treatments. Thereafter, we provide a critical perspective on the further development of biomaterial-assisted local hyperthermia toward clinical applications.

摘要

癌症热疗,也称为热疗,长期以来一直被用于根除现在被定义为癌症的大块病变。随着相应技术和设备的发展,局部热疗方法,如射频消融、微波消融和高强度聚焦超声,已被证明在现代临床实践中能有效地消融肿瘤。然而,它们仍然面临许多缺点,包括对相邻正常组织的非特异性损伤和对大肿瘤的不完全消融,限制了它们的广泛临床应用。由于具有多功能的物理化学性质,生物材料被专门设计根据其独特的工作原理来增强局部热疗。同时,基于生物材料的递药系统能够将热疗与其他类型的治疗策略(如化疗、放疗和免疫治疗)相结合。因此,在这篇综述中,我们讨论了近年来开发功能生物材料以强化局部热疗的进展,这些生物材料可以作为热敏剂来赋予更有效的肿瘤局部热消融作用,或作为递药载体与其他治疗方式协同作用,以联合治疗癌症。此后,我们对生物材料辅助局部热疗向临床应用的进一步发展进行了批判性的探讨。

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