Kazemi Kimia Sadat, Kazemi Parisa, Mivehchi Hassan, Nasiri Kamyar, Eshagh Hoseini Seyed Saman, Nejati Seyedeh Tabasom, Pour Bahrami Parnian, Golestani Shayan, Nabi Afjadi Mohsen
Faculty of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Faculty of Dentistry, Ilam University of Medical Sciences, Ilam, Iran.
Biol Proced Online. 2024 Aug 17;26(1):25. doi: 10.1186/s12575-024-00252-3.
Oral cancers, specifically oral squamous cell carcinoma (OSCC), pose a significant global health challenge, with high incidence and mortality rates. Conventional treatments such as surgery, radiotherapy, and chemotherapy have limited effectiveness and can result in adverse reactions. However, as an alternative, photodynamic therapy (PDT) has emerged as a promising option for treating oral cancers. PDT involves using photosensitizing agents in conjunction with specific light to target and destroy cancer cells selectively. The photosensitizers accumulate in the cancer cells and generate reactive oxygen species (ROS) upon exposure to the activating light, leading to cellular damage and ultimately cell death. PDT offers several advantages, including its non-invasive nature, absence of known long-term side effects when administered correctly, and cost-effectiveness. It can be employed as a primary treatment for early-stage oral cancers or in combination with other therapies for more advanced cases. Nonetheless, it is important to note that PDT is most effective for superficial or localized cancers and may not be suitable for larger or deeply infiltrating tumors. Light sensitivity and temporary side effects may occur but can be managed with appropriate care. Ongoing research endeavors aim to expand the applications of PDT and develop novel photosensitizers to further enhance its efficacy in oral cancer treatment. This review aims to evaluate the effectiveness of PDT in treating oral cancers by analyzing a combination of preclinical and clinical studies.
口腔癌,尤其是口腔鳞状细胞癌(OSCC),是一项重大的全球健康挑战,发病率和死亡率都很高。手术、放疗和化疗等传统治疗方法效果有限,且可能导致不良反应。然而,作为一种替代方法,光动力疗法(PDT)已成为治疗口腔癌的一种有前景的选择。光动力疗法包括使用光敏剂并结合特定光线来选择性地靶向和破坏癌细胞。光敏剂在癌细胞中积累,并在暴露于激活光时产生活性氧(ROS),导致细胞损伤并最终导致细胞死亡。光动力疗法具有几个优点,包括其非侵入性、正确使用时无已知长期副作用以及成本效益。它可作为早期口腔癌的主要治疗方法,或与其他疗法联合用于更晚期的病例。尽管如此,需要注意的是,光动力疗法对浅表或局限性癌症最有效,可能不适用于较大或浸润较深的肿瘤。可能会出现光敏感和暂时的副作用,但可以通过适当护理进行处理。正在进行的研究致力于扩大光动力疗法的应用范围,并开发新型光敏剂以进一步提高其在口腔癌治疗中的疗效。本综述旨在通过分析临床前和临床研究的组合来评估光动力疗法治疗口腔癌的有效性。