Department of Dermatology, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai 200127, People's Republic of China.
Department of Gastrointestinal Surgery, Shanghai Changhai Hospital, Naval Medical University, Shanghai 200433, People's Republic of China.
J Control Release. 2024 Jul;371:406-428. doi: 10.1016/j.jconrel.2024.06.001. Epub 2024 Jun 8.
Preventing the recurrence of melanoma after surgery and accelerating wound healing are among the most challenging aspects of melanoma management. Photothermal therapy has been widely used to treat tumors and bacterial infections and promote wound healing. Owing to its efficacy and specificity, it may be used for postoperative management of tumors. However, its use is limited by the uncontrollable distribution of photosensitizers and the likelihood of damage to the surrounding normal tissue. Hydrogels provide a moist environment with strong biocompatibility and adhesion for wound healing owing to their highly hydrophilic three-dimensional network structure. In addition, these materials serve as excellent drug carriers for tumor treatment and wound healing. It is possible to combine the advantages of both of these agents through different loading modalities to provide a powerful platform for the prevention of tumor recurrence and wound healing. This review summarizes the design strategies, research progress and mechanism of action of hydrogels used in photothermal therapy and discusses their role in preventing tumor recurrence and accelerating wound healing. These findings provide valuable insights into the postoperative management of melanoma and may guide the development of promising multifunctional hydrogels for photothermal therapy.
预防手术后黑色素瘤的复发和加速伤口愈合是黑色素瘤管理中最具挑战性的方面之一。光热疗法已被广泛用于治疗肿瘤和细菌感染以及促进伤口愈合。由于其疗效和特异性,它可能用于肿瘤的术后管理。然而,其应用受到光敏剂分布不可控和周围正常组织损伤可能性的限制。水凝胶由于其高度亲水的三维网络结构,为伤口愈合提供了具有强生物相容性和粘附性的湿润环境。此外,这些材料还可用作肿瘤治疗和伤口愈合的优良药物载体。通过不同的加载方式可以结合这两种药物的优势,为预防肿瘤复发和伤口愈合提供强大的平台。本综述总结了用于光热治疗的水凝胶的设计策略、研究进展和作用机制,并讨论了它们在预防肿瘤复发和加速伤口愈合中的作用。这些发现为黑色素瘤的术后管理提供了有价值的见解,并可能指导用于光热治疗的有前途的多功能水凝胶的开发。