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固态肿瘤的脉冲光热疗法作为免疫疗法的预处理条件。

Pulsed Photothermal Therapy of Solid Tumors as a Precondition for Immunotherapy.

机构信息

Department of Experimental Medicine, University of British Columbia, Vancouver, BC, V5Z 1M9, Canada.

Vancouver Prostate Centre, Vancouver, BC, V6H 3Z6, Canada.

出版信息

Small. 2024 Aug;20(32):e2309495. doi: 10.1002/smll.202309495. Epub 2024 Mar 21.


DOI:10.1002/smll.202309495
PMID:38511548
Abstract

Photothermal therapy (PTT) refers to the use of plasmonic nanoparticles to convert electromagnetic radiation in the near infrared region to heat and kill tumor cells. Continuous wave lasers have been used clinically to induce PTT, but the treatment is associated with heat-induced tissue damage that limits usability. Here, the engineering and validation of a novel long-pulsed laser device able to induce selective and localized mild hyperthermia in tumors while reducing the heat affected zone and unwanted damage to surrounding tissue are reported. Long-pulsed PTT induces acute necrotic cell death in heat affected areas and the release of tumor associated antigens. This antigen release triggers maturation and stimulation of CD80/CD86 in dendritic cells in vivo that primes a cytotoxic T cell response. Accordingly, long-pulsed PTT enhances the therapeutic effects of immune checkpoint inhibition and increases survival of mice with bladder cancer. Combined, the data promote long-pulsed PTT as a safe and effective strategy for enhancing therapeutic responses to immune checkpoint inhibitors while minimizing unwanted tissue damage.

摘要

光热疗法(PTT)是指利用等离子体纳米粒子将近红外区域的电磁辐射转化为热能,从而杀死肿瘤细胞。连续波激光已被临床用于诱导 PTT,但这种治疗方法与热诱导的组织损伤有关,限制了其可用性。本文报告了一种新型长脉冲激光设备的工程设计和验证,该设备能够在降低热影响区和周围组织不必要损伤的情况下,诱导肿瘤的选择性和局部温和热疗。长脉冲 PTT 可诱导热影响区内的急性坏死细胞死亡和肿瘤相关抗原的释放。这种抗原的释放触发体内树突状细胞中 CD80/CD86 的成熟和刺激,从而引发细胞毒性 T 细胞反应。因此,长脉冲 PTT 增强了免疫检查点抑制剂的治疗效果,并提高了膀胱癌小鼠的存活率。综上所述,这些数据表明长脉冲 PTT 是一种安全有效的策略,可增强对免疫检查点抑制剂的治疗反应,同时最大限度地减少不必要的组织损伤。

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Pulsed Photothermal Therapy of Solid Tumors as a Precondition for Immunotherapy.

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[2]
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[3]
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[4]
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