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基因与光热联合治疗:原理、材料及增强的抗癌干预措施

Gene and Photothermal Combination Therapy: Principle, Materials, and Amplified Anticancer Intervention.

作者信息

Tang Fang, Ding Aixiang, Xu Yao, Ye Yingsong, Li Lin, Xie Rongjun, Huang Wei

机构信息

The Institute of Flexible Electronics (IFE, Future Technologies), Xiamen University, Xiamen, 361005, China.

Future Display Institute in Xiamen, Xiamen, 361005, China.

出版信息

Small. 2024 Feb;20(6):e2307078. doi: 10.1002/smll.202307078. Epub 2023 Sep 29.

Abstract

Gene therapy (GT) and photothermal therapy (PTT) have emerged as promising alternatives to chemotherapy and radiotherapy for cancer treatment, offering noninvasiveness and reduced side effects. However, their efficacy as standalone treatments is limited. GT exhibits slow response rates, while PTT is confined to local tumor ablation. The convergence of GT and PTT, known as GT-PTT, facilitated by photothermal gene nanocarriers, has attracted considerable attention across various disciplines. In this integrated approach, GT reciprocates PTT by sensitizing cellular response to heat, while PTT benefits GT by improving gene translocation, unpacking, and expression. Consequently, this integration presents a unique opportunity for cancer therapy with rapid response and improved effectiveness. Extensive efforts over the past few years have been dedicated to the development of GT-PTT, resulting in notable achievements and rapid progress from the laboratory to potential clinical applications. This comprehensive review outlines recent advances in GT-PTT, including synergistic mechanisms, material systems, imaging-guided therapy, and anticancer applications. It also explores the challenges and future prospects in this nascent field. By presenting innovative ideas and insights into the implementation of GT-PTT for enhanced cancer therapy, this review aims to inspire further progress in this promising area of research.

摘要

基因治疗(GT)和光热治疗(PTT)已成为癌症治疗中化疗和放疗的有前景的替代方法,具有非侵入性和副作用小的特点。然而,它们作为单一治疗方法的疗效有限。GT反应率缓慢,而PTT仅限于局部肿瘤消融。由光热基因纳米载体促成的GT与PTT的融合,即GT-PTT,在各个学科中都引起了相当大的关注。在这种综合方法中,GT通过使细胞对热的反应敏感来促进PTT,而PTT则通过改善基因转位、解包和表达来使GT受益。因此,这种整合为癌症治疗提供了一个具有快速反应和更高有效性的独特机会。在过去几年中,人们为GT-PTT的发展付出了巨大努力,取得了显著成就,并从实验室到潜在临床应用都取得了快速进展。这篇综述概述了GT-PTT的最新进展,包括协同机制、材料系统、成像引导治疗和抗癌应用。它还探讨了这个新兴领域的挑战和未来前景。通过提出关于实施GT-PTT以增强癌症治疗的创新想法和见解,本综述旨在激发这一有前景的研究领域取得进一步进展。

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