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基于纳米医学的肿瘤温和光热治疗的研究进展。

Research Progress of Nanomedicine-Based Mild Photothermal Therapy in Tumor.

机构信息

Department of Ultrasound, Harbin Medical University Cancer Hospital, Harbin, People's Republic of China.

出版信息

Int J Nanomedicine. 2023 Mar 23;18:1433-1468. doi: 10.2147/IJN.S405020. eCollection 2023.

Abstract

With the booming development of nanomedicine, mild photothermal therapy (mPTT, 42-45°C) has exhibited promising potential in tumor therapy. Compared with traditional PTT (>50°C), mPTT has less side effects and better biological effects conducive to tumor treatment, such as loosening the dense structure in tumor tissues, enhancing blood perfusion, and improving the immunosuppressive microenvironment. However, such a relatively low temperature cannot allow mPTT to completely eradicate tumors, and therefore, substantial efforts have been conducted to optimize the application of mPTT in tumor therapy. This review extensively summarizes the latest advances of mPTT, including two sections: (1) taking mPTT as a leading role to maximize its effect by blocking the cell defense mechanisms, and (2) regarding mPTT as a supporting role to assist other therapies to achieve synergistic antitumor curative effect. Meanwhile, the special characteristics and imaging capabilities of nanoplatforms applied in various therapies are discussed. At last, this paper puts forward the bottlenecks and challenges in the current research path of mPTT, and possible solutions and research directions in future are proposed correspondingly.

摘要

随着纳米医学的蓬勃发展,温和光热疗法(mPTT,42-45°C)在肿瘤治疗中显示出了有前途的潜力。与传统的光热疗法(>50°C)相比,mPTT 的副作用较小,对肿瘤治疗更有利,例如可以疏松肿瘤组织中的致密结构、增强血液灌注和改善免疫抑制微环境。然而,如此相对较低的温度并不能使 mPTT 完全根除肿瘤,因此,人们已经做出了大量努力来优化 mPTT 在肿瘤治疗中的应用。这篇综述广泛总结了 mPTT 的最新进展,包括两个部分:(1)以 mPTT 为主导,通过阻断细胞防御机制来最大化其效果;(2)将 mPTT 作为辅助手段,以协同其他疗法实现协同抗肿瘤疗效。同时,还讨论了应用于各种疗法的纳米平台的特殊特性和成像能力。最后,本文提出了 mPTT 当前研究路径中的瓶颈和挑战,并提出了相应的解决方案和未来的研究方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1275/10042261/49cedb697f43/IJN-18-1433-g0001.jpg

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