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评估光生物调节疗法在肿瘤治疗中的疗效。

Reviewing the efficiency of photobiomodulation therapy in oncological treatment.

作者信息

Luitel Bibhus, Duggisani Tanush, Luitel Anuj, LaRocco John

机构信息

The Ohio State University, Columbus, OH, United States.

Psychiatry and Behavioral Sciences, The Ohio State University Wexner Medical Center, Columbus, OH, United States.

出版信息

Front Oncol. 2024 Oct 8;14:1447653. doi: 10.3389/fonc.2024.1447653. eCollection 2024.

Abstract

The aim of the present systematic review is to evaluate the effects of different photobiomodulation therapy (PBMT) approaches in oncological treatment practices. The review follows the PRISMA guidelines. Specifically, the review is composed of laser PBMT and LED PBMT. A total of 23 studies were included, 14 investigating laser PBMT and 9 examining LED PBMT. studies demonstrated laser PBMT's potential to induce apoptosis and cytotoxicity in various cancer cell lines while enhancing sensitivity to chemotherapeutics and natural compounds. However, some studies highlighted divergent effects between (promoted proliferation) and xenograft models (slowed tumor growth) for certain laser wavelengths. LED PBMT studies showed blue light inhibited melanoma and pancreatic cancer cell growth, potentially via ROS generation, while red light raised concerns about enhancing oral cancer invasiveness. Both modalities mitigated treatment side effects like oral mucositis, xerostomia, peripheral neuropathy, and improved quality of life. While promising, the outcomes varied based on light parameters, cancer type, and experimental setting, necessitating further optimization of PBMT protocols through well-designed studies to establish long-term safety and efficacy across clinical scenarios.

摘要

本系统评价的目的是评估不同光生物调节疗法(PBMT)在肿瘤治疗实践中的效果。该评价遵循PRISMA指南。具体而言,该评价包括激光PBMT和LED PBMT。共纳入23项研究,其中14项研究激光PBMT,9项研究LED PBMT。研究表明,激光PBMT有潜力在各种癌细胞系中诱导凋亡和细胞毒性,同时增强对化疗药物和天然化合物的敏感性。然而,一些研究强调了某些激光波长在体外(促进增殖)和异种移植模型(减缓肿瘤生长)之间的不同作用。LED PBMT研究表明,蓝光可能通过产生ROS抑制黑色素瘤和胰腺癌细胞的生长,而红光则引发了对增强口腔癌侵袭性的担忧。两种方式都减轻了口腔黏膜炎、口干、周围神经病变等治疗副作用,并改善了生活质量。虽然前景广阔,但结果因光参数、癌症类型和实验设置而异,需要通过精心设计的研究进一步优化PBMT方案,以确立其在各种临床情况下的长期安全性和有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8170/11493773/c1959a07df6f/fonc-14-1447653-g001.jpg

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