用于脑癌光动力治疗的光敏剂——综述
Photosensitizers for Photodynamic Therapy of Brain Cancers-A Review.
作者信息
Bartusik-Aebisher Dorota, Woźnicki Paweł, Dynarowicz Klaudia, Aebisher David
机构信息
Department of Biochemistry and General Chemistry, Medical College of the University of Rzeszów, 35-959 Rzeszów, Poland.
Students English Division Science Club, Medical College of the University of Rzeszów, 35-959 Rzeszów, Poland.
出版信息
Brain Sci. 2023 Sep 8;13(9):1299. doi: 10.3390/brainsci13091299.
On average, there are about 300,000 new cases of brain cancer each year. Studies have shown that brain and central nervous system tumors are among the top ten causes of death. Due to the extent of this problem and the percentage of patients suffering from brain tumors, innovative therapeutic treatment methods are constantly being sought. One such innovative therapeutic method is photodynamic therapy (PDT). Photodynamic therapy is an alternative and unique technique widely used in dermatology and other fields of medicine for the treatment of oncological and nononcological lesions. Photodynamic therapy consists of the destruction of cancer cells and inducing inflammatory changes by using laser light of a specific wavelength in combination with the application of a photosensitizer. The most commonly used photosensitizers include 5-aminolevulinic acid for the enzymatic generation of protoporphyrin IX, Temoporfin-THPC, Photofrin, Hypericin and Talaporfin. This paper reviews the photosensitizers commonly used in photodynamic therapy for brain tumors. An overview of all three generations of photosensitizers is presented. Along with an indication of the limitations of the treatment of brain tumors, intraoperative photodynamic therapy and its possibilities are described as an alternative therapeutic method.
平均而言,每年约有30万例新发脑癌病例。研究表明,脑和中枢神经系统肿瘤是十大死因之一。鉴于这一问题的严重程度以及脑肿瘤患者的比例,人们一直在不断寻求创新的治疗方法。光动力疗法(PDT)就是这样一种创新的治疗方法。光动力疗法是一种替代且独特的技术,广泛应用于皮肤病学和其他医学领域,用于治疗肿瘤性和非肿瘤性病变。光动力疗法通过使用特定波长的激光与光敏剂联合应用来破坏癌细胞并引发炎症变化。最常用的光敏剂包括用于酶促生成原卟啉IX的5-氨基酮戊酸、替莫泊芬-四氢卟吩叶绿素、血卟啉衍生物、金丝桃素和他拉泊芬。本文综述了光动力疗法治疗脑肿瘤常用的光敏剂。介绍了所有三代光敏剂的概况。除了指出脑肿瘤治疗的局限性外,还描述了术中光动力疗法及其作为一种替代治疗方法的可能性。