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皮肤癌治疗的进展:聚焦光动力疗法:一篇综述

Advancements in skin cancer treatment: focus on photodynamic therapy: a review.

作者信息

Xu Mosha, Kong Lingqiang, Jamil Muhammad

机构信息

Heilongjiang University of Chinese Medicine China.

Daqing City four Courtyard China.

出版信息

Am J Cancer Res. 2024 Oct 25;14(10):5011-5044. doi: 10.62347/JOUT3260. eCollection 2024.

DOI:10.62347/JOUT3260
PMID:39553219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11560809/
Abstract

Some of these include basal cell carcinoma (BCCs), squamous cell carcinoma (SCCs), and melanoma; skin cancer is a leading global health problem due to its high prevalence and possibly due to its serious health implications. Conventional and known therapies like surgeries, radiation therapies and chemotherapy although helpful are sometime deleterious and do not specifically attack the cancers. New advancement is half-breed technique has recently been recognized that photodynamic therapy (PDT) can be considered as a potentially effective modality by using photosensitizers which work through the generation of localized ROS on exposure to light. This review analyzes the recent progress in PDT and evaluation of its effectiveness in the cure of skin malignancies: with the emphasis on its applicability to BCCs and SCCs, as well as the limitations concerning the cure of melanomas. This review gives an insight to how PDT works and how it can be combined with other forms of therapy, and the prospects of photosensitizer carriers with special reference to nanotechnology. Also, the optimization of the parameters associated with the use of PDT is explored in an attempt to improve on its safety and efficacy in treatment. As such, the purpose of this systematic review of the literature is to advance the knowledge of PDT usage in contemporary dermatologic oncology and to contribute to the eventual expansion of this therapy into other skin diseases and potential use as a first-line treatment for skin neoplasia.

摘要

其中包括基底细胞癌(BCC)、鳞状细胞癌(SCC)和黑色素瘤;皮肤癌是一个主要的全球健康问题,因其高发病率以及可能带来的严重健康影响。传统的已知疗法,如手术、放射疗法和化疗,虽然有帮助,但有时也有有害之处,且不能特异性地攻击癌症。最近人们认识到一种新的进展是混血技术,即光动力疗法(PDT)可被视为一种潜在有效的治疗方式,它通过使用光敏剂,在光照下产生局部活性氧来发挥作用。本综述分析了光动力疗法的最新进展及其在治疗皮肤恶性肿瘤方面的有效性评估:重点关注其对基底细胞癌和鳞状细胞癌的适用性,以及治疗黑色素瘤的局限性。本综述深入探讨了光动力疗法的作用机制、如何与其他治疗形式相结合,以及光敏剂载体的前景,特别提及了纳米技术。此外,还探讨了与光动力疗法使用相关参数的优化,以提高其治疗的安全性和有效性。因此,本系统文献综述的目的是增进当代皮肤肿瘤学中光动力疗法使用的知识,并有助于最终将该疗法扩展到其他皮肤疾病,并有可能作为皮肤肿瘤的一线治疗方法。

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本文引用的文献

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Recent Advances in Photodynamic Therapy for Vascular Abnormalities.光动力疗法治疗血管异常的最新进展。
Photobiomodul Photomed Laser Surg. 2024 Aug;42(8):501-508. doi: 10.1089/pho.2023.0188. Epub 2024 May 29.
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Photodynamic therapy of cervical cancer: a scoping review on the efficacy of various molecules.宫颈癌的光动力疗法:关于各种分子疗效的范围综述
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Epidemiological and clinical analysis of exposure-related factors in non-melanoma skin cancer: A retrospective cohort study.非黑色素瘤皮肤癌暴露相关因素的流行病学和临床分析:一项回顾性队列研究。
Environ Res. 2024 Apr 15;247:118117. doi: 10.1016/j.envres.2024.118117. Epub 2024 Jan 11.
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Photodynamic Therapy Directed to Melanoma Skin Cancer by Thermosensitive Hydrogel Containing Chlorophyll A.含叶绿素A的热敏水凝胶用于黑色素瘤皮肤癌的光动力疗法
Pharmaceuticals (Basel). 2023 Nov 29;16(12):1659. doi: 10.3390/ph16121659.
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Impact of interventions on the quality of life of cancer patients: a systematic review and meta-analysis of longitudinal research.干预措施对癌症患者生活质量的影响:一项基于纵向研究的系统评价和荟萃分析。
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Advanced Light Source Technologies for Photodynamic Therapy of Skin Cancer Lesions.用于皮肤癌病变光动力治疗的先进光源技术
Pharmaceutics. 2023 Aug 3;15(8):2075. doi: 10.3390/pharmaceutics15082075.
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Nordcan.R: a new tool for federated analysis and quality assurance of cancer registry data.Nordcan.R:癌症登记数据联合分析与质量保证的新工具。
Front Oncol. 2023 Aug 8;13:1098342. doi: 10.3389/fonc.2023.1098342. eCollection 2023.
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Nanotechnology-empowered strategies in treatment of skin cancer.纳米技术助力皮肤癌治疗策略。
Environ Res. 2023 Oct 15;235:116649. doi: 10.1016/j.envres.2023.116649. Epub 2023 Jul 13.
9
Efficacy and safety of microneedling, fractional CO laser, and cryotherapy combined with 5-aminolevulinic acid photodynamic therapy in the treatment of actinic keratosis: A multicenter prospective randomized controlled study.微针、分束 CO2 激光与冷冻疗法联合 5-氨基酮戊酸光动力疗法治疗光化性角化病的疗效和安全性:一项多中心前瞻性随机对照研究。
Photodiagnosis Photodyn Ther. 2023 Sep;43:103700. doi: 10.1016/j.pdpdt.2023.103700. Epub 2023 Jul 8.
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Effects of photodynamic therapy using Red LED-light combined with hypocrellin B on apoptotic signaling in cutaneous squamous cell carcinoma A431 cells.红光光动力疗法联合竹红菌素 B 对皮肤鳞状细胞癌细胞 A431 细胞凋亡信号的影响。
Photodiagnosis Photodyn Ther. 2023 Sep;43:103683. doi: 10.1016/j.pdpdt.2023.103683. Epub 2023 Jun 28.