Nuccitelli Richard, McDaniel Amanda
Pulse Biosciences, Inc., Hayward, California, USA.
Bioelectricity. 2024 Jun 12;6(2):72-79. doi: 10.1089/bioe.2024.0009. eCollection 2024 Jun.
Nano-Pulse Stimulation (NPS) therapy applies electric pulses in the nanosecond domain to initiate regulated cell death in the treated tissues. This nonthermal therapy has been used to treat a wide range of murine tumors and has been shown to activate the immune system to inhibit the growth of rechallenge tumors, as well as untreated, abscopal tumors when accompanied by the injection of immune system stimulants into the treated tumors. Clinical trials have begun using NPS to treat basal cell carcinoma and hepatocellular carcinoma.
Murine tumors can be easily imaged when the tumor cells are injected intradermally so that they grow within the mouse skin. Pulling the skin over a translucent light post shines light through the skin and makes it easy to treat the tumor and identify the treatment zone.
Original research using murine tumor models is described, including melanoma, squamous cell carcinoma, lung carcinoma, breast carcinoma, and pancreatic carcinoma. The energy required to ablate these tumors has been determined with pancreatic carcinoma and lung carcinoma exhibiting 90% ablation with 240 mJ/mm, lung carcinoma and squamous cell carcinoma requiring 360 mJ/mm, and melanoma requiring 480 mJ/mm. NPS therapy initiated a variable immune response indicated by the rejection of injected rechallenge tumor cells with melanoma and hepatocellular carcinoma exhibiting the strongest response and lung carcinoma, the weakest response. Following the original research data, a review of human clinical trials using NPS therapy is presented.
NPS therapy offers a nonthermal, drug-free approach for oncology, which is limited only by applying energy to the tumor. This new immunogenic modality is just beginning to be applied in the clinic. The 87% efficacy of the first large clinical trial conducted by several medical personnel is impressive and indicates that NPS is an effective new modality for cancer treatment.
纳秒脉冲刺激(NPS)疗法在纳秒范围内施加电脉冲,以引发治疗组织中的程序性细胞死亡。这种非热疗法已被用于治疗多种小鼠肿瘤,并已证明在向治疗肿瘤中注射免疫系统刺激剂时,能激活免疫系统以抑制再激发肿瘤以及未治疗的远隔效应肿瘤的生长。临床试验已开始使用NPS治疗基底细胞癌和肝细胞癌。
当肿瘤细胞皮内注射以便在小鼠皮肤内生长时,小鼠肿瘤很容易成像。将皮肤拉过一个半透明的灯柱,光线透过皮肤,便于治疗肿瘤并确定治疗区域。
描述了使用小鼠肿瘤模型的原始研究,包括黑色素瘤、鳞状细胞癌、肺癌、乳腺癌和胰腺癌。已确定消融这些肿瘤所需的能量,胰腺癌和肺癌在240 mJ/mm时表现出90%的消融率,肺癌和鳞状细胞癌需要360 mJ/mm,黑色素瘤需要480 mJ/mm。NPS疗法引发了可变的免疫反应,表现为注射的再激发肿瘤细胞被排斥,其中黑色素瘤和肝细胞癌反应最强,肺癌反应最弱。根据原始研究数据,介绍了使用NPS疗法的人类临床试验综述。
NPS疗法为肿瘤学提供了一种非热、无药物的方法,其仅受限于向肿瘤施加能量。这种新的免疫原性模式刚刚开始应用于临床。由多名医务人员进行的首次大型临床试验的87%的疗效令人印象深刻,表明NPS是一种有效的癌症治疗新方法。