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光动力疗法在皮肤恶性肿瘤治疗中的应用与挑战

Applications and challenges of photodynamic therapy in the treatment of skin malignancies.

作者信息

Hua Yunqi, Tian Xiaoling, Zhang Xinyi, Song Ge, Liu Yubo, Zhao Ye, Gao Yuqian, Yin Fangrui

机构信息

Department of Medical Oncology, Baotou Cancer Hospital, Baotou, China.

Department of Graduate School, Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, China.

出版信息

Front Pharmacol. 2024 Sep 19;15:1476228. doi: 10.3389/fphar.2024.1476228. eCollection 2024.

DOI:10.3389/fphar.2024.1476228
PMID:39364058
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11446773/
Abstract

Photodynamic Therapy (PDT), as a minimally invasive treatment method, has demonstrated its distinct advantages in the management of skin malignant tumors. This article examines the current application status of PDT, assesses its successful cases and challenges in clinical treatment, and anticipates its future development trends. PDT utilizes photosensitizers to interact with light of specific wavelengths to generate reactive oxygen species that selectively eradicate cancer cells. Despite PDT's exceptional performance in enhancing patients' quality of life and prognosis, the limitation of treatment depth and the side effects of photosensitizers remain unresolved issues. With the advancement of novel photosensitizers and innovative treatment technology, the application prospects of PDT are increasingly expansive. This article delves into the mechanism of PDT, its application in various skin malignancies, its advantages and limitations, and envisions its future development. We believe that through continuous technological enhancements and integration with other treatment technologies, PDT has the potential to assume a more pivotal role in the treatment of skin malignancies.

摘要

光动力疗法(PDT)作为一种微创治疗方法,在皮肤恶性肿瘤的治疗中已展现出其独特优势。本文探讨了PDT的当前应用状况,评估了其在临床治疗中的成功案例及挑战,并展望了其未来发展趋势。PDT利用光敏剂与特定波长的光相互作用,产生活性氧物质以选择性地根除癌细胞。尽管PDT在提高患者生活质量和预后方面表现卓越,但治疗深度的局限性和光敏剂的副作用仍是尚未解决的问题。随着新型光敏剂和创新治疗技术的进步,PDT的应用前景日益广阔。本文深入研究了PDT的作用机制、其在各种皮肤恶性肿瘤中的应用、其优势与局限性,并展望了其未来发展。我们相信,通过持续的技术改进以及与其他治疗技术的整合,PDT在皮肤恶性肿瘤治疗中有可能发挥更关键的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9508/11446773/655613039a4d/fphar-15-1476228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9508/11446773/655613039a4d/fphar-15-1476228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9508/11446773/655613039a4d/fphar-15-1476228-g001.jpg

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本文引用的文献

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Targeting tumor microenvironment with photodynamic nanomedicine.用光动力纳米药物靶向肿瘤微环境。
Med Res Rev. 2025 Jan;45(1):66-96. doi: 10.1002/med.22072. Epub 2024 Aug 16.
2
Combinatorial approach of cannabidiol and active-targeted-mediated photodynamic therapy in malignant melanoma treatment.组合式大麻二酚与主动靶向介导光动力疗法治疗恶性黑素瘤。
J Biophotonics. 2024 Oct;17(10):e202400191. doi: 10.1002/jbio.202400191. Epub 2024 Jul 29.
3
The dual role of photodynamic therapy to treat cancer and microbial infection.光动力疗法治疗癌症和微生物感染的双重作用。
Photodynamic Therapy in Cancer: Insights into Cellular and Molecular Pathways.
癌症中的光动力疗法:对细胞和分子途径的见解
Curr Issues Mol Biol. 2025 Jan 21;47(2):69. doi: 10.3390/cimb47020069.
Drug Discov Today. 2024 Aug;29(8):104099. doi: 10.1016/j.drudis.2024.104099. Epub 2024 Jul 11.
4
Neoadjuvant Photodynamic Therapy: An Updated Therapeutic Approach for Non-Melanoma Skin Cancers.新辅助光动力疗法:非黑素瘤皮肤癌的一种更新治疗方法。
Curr Treat Options Oncol. 2024 Jun;25(6):813-826. doi: 10.1007/s11864-024-01209-0. Epub 2024 May 18.
5
Carbon dots as a novel photosensitizer for photodynamic therapy of cancer and bacterial infectious diseases: recent advances.碳点作为用于癌症和细菌感染性疾病光动力治疗的新型光敏剂:最新进展
J Nanobiotechnology. 2024 Apr 26;22(1):210. doi: 10.1186/s12951-024-02479-4.
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The fusion of light and immunity: Advancements in photoimmunotherapy for melanoma.光与免疫的融合:用于黑色素瘤的光免疫疗法的进展。
Photochem Photobiol. 2024 Jul-Aug;100(4):910-922. doi: 10.1111/php.13951. Epub 2024 Apr 16.
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Photodynamic application in diagnostic procedures and treatment of non-melanoma skin cancers.光动力在非黑素瘤皮肤癌的诊断程序和治疗中的应用。
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