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肿瘤治疗电场(TTFields)综述:临床应用的进展和机制见解。

A review of tumor treating fields (TTFields): advancements in clinical applications and mechanistic insights.

机构信息

College of Automation Engineering, Nanjing University of Aeronautics and Astronautics, Nan Jing, Jiang Su, China.

Department of Mechanical Engineering, University of California Berkeley, Berkeley CA, United States of America.

出版信息

Radiol Oncol. 2023 Sep 4;57(3):279-291. doi: 10.2478/raon-2023-0044. eCollection 2023 Sep 1.


DOI:10.2478/raon-2023-0044
PMID:37665740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10476910/
Abstract

BACKGROUND: Tumor Treating Fields (TTFields) is a non-invasive modality for cancer treatment that utilizes a specific sinusoidal electric field ranging from 100 kHz to 300 kHz, with an intensity of 1 V/cm to 3 V/cm. Its purpose is to inhibit cancer cell proliferation and induce cell death. Despite promising outcomes from clinical trials, TTFields have received FDA approval for the treatment of glioblastoma multiforme (GBM) and malignant pleural mesothelioma (MPM). Nevertheless, global acceptance of TTFields remains limited. To enhance its clinical application in other types of cancer and gain a better understanding of its mechanisms of action, this review aims to summarize the current research status by examining existing literature on TTFields' clinical trials and mechanism studies. CONCLUSIONS: Through this comprehensive review, we seek to stimulate novel ideas and provide physicians, patients, and researchers with a better comprehension of the development of TTFields and its potential applications in cancer treatment.

摘要

背景:肿瘤治疗电场(TTFields)是一种非侵入性的癌症治疗方式,利用特定的正弦电场,频率在 100 kHz 到 300 kHz 之间,强度在 1 V/cm 到 3 V/cm。其目的是抑制癌细胞增殖并诱导细胞死亡。尽管临床试验结果令人鼓舞,但 TTFields 已获得美国食品药品监督管理局(FDA)批准用于治疗多形性胶质母细胞瘤(GBM)和恶性胸膜间皮瘤(MPM)。然而,TTFields 在全球范围内的接受程度仍然有限。为了增强其在其他类型癌症中的临床应用,并更好地了解其作用机制,本综述通过检查 TTFields 临床试验和机制研究的现有文献,旨在总结当前的研究现状。

结论:通过全面综述,我们希望激发新的思路,并为医生、患者和研究人员提供更好地理解 TTFields 的发展及其在癌症治疗中的潜在应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/7ec7b87afe2a/j_raon-2023-0044_fig_005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/7e8bfa369a17/j_raon-2023-0044_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/c1d016137feb/j_raon-2023-0044_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/2198e6dd37ae/j_raon-2023-0044_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/651c78213699/j_raon-2023-0044_fig_004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/7ec7b87afe2a/j_raon-2023-0044_fig_005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/7e8bfa369a17/j_raon-2023-0044_fig_001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/c1d016137feb/j_raon-2023-0044_fig_002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/2198e6dd37ae/j_raon-2023-0044_fig_003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/651c78213699/j_raon-2023-0044_fig_004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f71b/10476910/7ec7b87afe2a/j_raon-2023-0044_fig_005.jpg

相似文献

[1]
A review of tumor treating fields (TTFields): advancements in clinical applications and mechanistic insights.

Radiol Oncol. 2023-9-1

[2]
Tumor treating fields: a comprehensive overview of the underlying molecular mechanism.

Expert Rev Mol Diagn. 2022-1

[3]
Real-Time Monitoring of the Effect of Tumour-Treating Fields on Cell Division Using Live-Cell Imaging.

Cells. 2022-8-31

[4]
Tumour treating fields therapy for glioblastoma: current advances and future directions.

Br J Cancer. 2021-2

[5]
Treatment with tumor-treating fields (TTFields) suppresses intercellular tunneling nanotube formation in vitro and upregulates immuno-oncologic biomarkers in vivo in malignant mesothelioma.

Elife. 2023-11-13

[6]
Tumor treating fields: narrative review of a promising treatment modality for cancer.

Chin Clin Oncol. 2023-12

[7]
An overview of potential novel mechanisms of action underlying Tumor Treating Fields-induced cancer cell death and their clinical implications.

Int J Radiat Biol. 2021

[8]
Tumor Treating Fields (TTFields) downregulate the Fanconi Anemia-BRCA pathway and increase the efficacy of chemotherapy in malignant pleural mesothelioma preclinical models.

Lung Cancer. 2021-10

[9]
Integration of Tumor-Treating Fields into the Multidisciplinary Management of Patients with Solid Malignancies.

Oncologist. 2019-8-23

[10]
Tumor-Treating Fields: A fourth modality in cancer treatment, new practice updates.

Crit Rev Oncol Hematol. 2021-12

引用本文的文献

[1]
Electrical Stimulation Using a Low-Frequency and Low-Intensity Alternating Current Modulates Type I Procollagen Production and MMP-1 Expression in Dermal Fibroblasts.

Ann Dermatol. 2025-6

[2]
Optimization of Tumor Treating Fields (TTFields) Frequency and Treatment Duration in Colorectal Cancer Cells.

Cancer Med. 2025-5

[3]
Synergistic effects of combined hyperthermia and electric fields treatment in non-small cell lung-cancer (NSCLC) cell lines.

Clin Transl Oncol. 2025-5

[4]
Advancements and current trends in tumor treating fields: a scientometric analysis.

Int J Surg. 2024-5-1

本文引用的文献

[1]
Randomized Phase III Trial of Pemetrexed Versus Docetaxel in Patients With Non-Small-Cell Lung Cancer Previously Treated With Chemotherapy.

J Clin Oncol. 2023-5-20

[2]
Robust electrical impedance tomography for biological application: A mini review.

Heliyon. 2023-4-4

[3]
The schemes, mechanisms and molecular pathway changes of Tumor Treating Fields (TTFields) alone or in combination with radiotherapy and chemotherapy.

Cell Death Discov. 2022-10-11

[4]
Electric/Magnetic Intervention for Bone Regeneration: A Systematic Review and Network Meta-Analysis.

Tissue Eng Part B Rev. 2023-6

[5]
Tumor Treating Fields (TTFields) Concomitant with Sorafenib Inhibit Hepatocellular Carcinoma and .

Cancers (Basel). 2022-6-15

[6]
Tumor Treating Fields dually activate STING and AIM2 inflammasomes to induce adjuvant immunity in glioblastoma.

J Clin Invest. 2022-4-15

[7]
Tumor treating fields: An emerging treatment modality for thoracic and abdominal cavity cancers.

Transl Oncol. 2022-1

[8]
Tumor Treating Fields (TTFields) downregulate the Fanconi Anemia-BRCA pathway and increase the efficacy of chemotherapy in malignant pleural mesothelioma preclinical models.

Lung Cancer. 2021-10

[9]
Tumor Treating Fields for Ovarian Carcinoma: A Modeling Study.

Adv Radiat Oncol. 2021-5-17

[10]
Tumor Treating Fields: At the Crossroads Between Physics and Biology for Cancer Treatment.

Front Oncol. 2020-10-30

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