Hubei Key Laboratory of Plasma Chemistry and Advanced Materials, School of Material Science and Engineering, Wuhan Institute of Technology, Wuhan 430205, China.
Key Laboratory of Green Chemical Process Ministry of Education, Wuhan Institute of Technology, Wuhan 430205, China.
Mol Pharm. 2024 Feb 5;21(2):467-480. doi: 10.1021/acs.molpharmaceut.3c01073. Epub 2024 Jan 24.
Photothermal therapy (PTT) is an effective cancer treatment method. Due to its easy focusing and tunability of the irradiation light, direct and accurate local treatment can be performed in a noninvasive manner by PTT. This treatment strategy requires the use of photothermal agents to convert light energy into heat energy, thereby achieving local heating and triggering biochemical processes to kill tumor cells. As a key factor in PTT, the photothermal conversion ability of photothermal agents directly determines the efficacy of PTT. In addition, photothermal agents generally have photothermal imaging (PTI) and photoacoustic imaging (PAI) functions, which can not only guide the optimization of irradiation conditions but also achieve the integration of disease diagnosis. If the photothermal agents have function of fluorescence imaging (FLI) or fluorescence enhancement, they can not only further improve the accuracy in disease diagnosis but also accurately determine the tumor location through multimodal imaging for corresponding treatment. In this paper, we summarize recent advances in photothermal agents with FLI or fluorescence enhancement functions for PTT and tumor diagnosis. According to the different recognition sites, the application of specific targeting photothermal agents is introduced. Finally, limitations and challenges of photothermal agents with fluorescence imaging/enhancement in the field of PTT and tumor diagnosis are prospected.
光热疗法(PTT)是一种有效的癌症治疗方法。由于其易于聚焦和可调节的照射光,PTT 可以以非侵入性的方式进行直接和准确的局部治疗。这种治疗策略需要使用光热剂将光能转化为热能,从而实现局部加热并触发生化过程以杀死肿瘤细胞。作为 PTT 的关键因素,光热剂的光热转换能力直接决定了 PTT 的疗效。此外,光热剂通常具有光热成像(PTI)和光声成像(PAI)功能,不仅可以指导优化照射条件,还可以实现疾病诊断的整合。如果光热剂具有荧光成像(FLI)或荧光增强功能,不仅可以进一步提高疾病诊断的准确性,还可以通过多模态成像准确确定肿瘤位置,进行相应的治疗。本文总结了具有 FLI 或荧光增强功能的光热剂在 PTT 和肿瘤诊断中的最新进展。根据不同的识别位点,介绍了特定靶向光热剂的应用。最后,对具有荧光成像/增强功能的光热剂在 PTT 和肿瘤诊断领域的局限性和挑战进行了展望。