磁热疗在多形性胶质母细胞瘤治疗中的应用。
Magnetic Hyperthermia in Glioblastoma Multiforme Treatment.
机构信息
Faculty of Material Science and Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei, District 6, RO-060042 Bucharest, Romania.
Faculty of Electrical Engineering, National University of Science and Technology Politehnica Bucharest, 313 Splaiul Independentei, District 6, RO-060042 Bucharest, Romania.
出版信息
Int J Mol Sci. 2024 Sep 19;25(18):10065. doi: 10.3390/ijms251810065.
Glioblastoma multiforme (GBM) represents one of the most critical oncological diseases in neurological practice, being considered highly aggressive with a dismal prognosis. At a worldwide level, new therapeutic methods are continuously being researched. Magnetic hyperthermia (MHT) has been investigated for more than 30 years as a solution used as a single therapy or combined with others for glioma tumor assessment in preclinical and clinical studies. It is based on magnetic nanoparticles (MNPs) that are injected into the tumor, and, under the effect of an external alternating magnetic field, they produce heat with temperatures higher than 42 °C, which determines cancer cell death. It is well known that iron oxide nanoparticles have received FDA approval for anemia treatment and to be used as contrast substances in the medical imagining domain. Today, energetic, efficient MNPs are developed that are especially dedicated to MHT treatments. In this review, the subject's importance will be emphasized by specifying the number of patients with cancer worldwide, presenting the main features of GBM, and detailing the physical theory accompanying the MHT treatment. Then, synthesis routes for thermally efficient MNP manufacturing, strategies adopted in practice for increasing MHT heat performance, and significant in vitro and in vivo studies are presented. This review paper also includes combined cancer therapies, the main reasons for using these approaches with MHT, and important clinical studies on human subjects found in the literature. This review ends by describing the most critical challenges associated with MHT and future perspectives. It is concluded that MHT can be successfully and regularly applied as a treatment for GBM if specific improvements are made.
多形性胶质母细胞瘤(GBM)是神经科实践中最严重的肿瘤疾病之一,被认为具有高度侵袭性和极差的预后。在全球范围内,新的治疗方法不断被研究。磁热疗(MHT)作为一种单一疗法或与其他疗法联合用于神经胶质瘤肿瘤评估的方法,已在临床前和临床研究中研究了 30 多年。它基于注入肿瘤的磁性纳米颗粒(MNPs),在外加交变磁场的作用下,它们会产生高于 42°C 的温度,导致癌细胞死亡。众所周知,氧化铁纳米颗粒已获得 FDA 批准用于治疗贫血,并用作医学成像领域的造影剂。如今,专门用于 MHT 治疗的高能效 MNPs 正在被开发。在这篇综述中,我们将通过指定全球癌症患者的数量、介绍 GBM 的主要特征以及详细阐述伴随 MHT 治疗的物理理论来强调这一主题的重要性。然后,介绍了用于制造高效热 MNPs 的合成路线、在实践中用于提高 MHT 热性能的策略以及重要的体外和体内研究。本文综述还包括联合癌症治疗,以及与 MHT 一起使用这些方法的主要原因,以及文献中发现的重要人体临床研究。本文最后描述了与 MHT 相关的最关键挑战和未来展望。结论是,如果进行特定的改进,MHT 可以成功且定期地用于治疗 GBM。