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光生物调节疗法:开启个性化支持性癌症护理的新时代。

Photobiomodulation therapy: Ushering in a new era in personalized supportive cancer care.

作者信息

Varsani Ridham, Khan Moiz, Nannuri Pranavi, Arany Praveen R

机构信息

Department of Oral Biology, Surgery and Biomedical Engineering, University at Buffalo, Buffalo, NY, USA.

出版信息

J Oral Maxillofac Pathol. 2024 Jul-Sep;28(3):362-367. doi: 10.4103/jomfp.jomfp_193_24. Epub 2024 Oct 15.

Abstract

The human body can utilize light for a broad range of pathophysiological responses, such as circadian rhythm, Vitamin D metabolism, and vision, among others. The therapeutic use of light has spanned many ancient health practices. Recent advances in using low-dose light therapy, termed photobiomodulation (PBM), have made tremendous progress in unravelling precise biological mechanisms and clinical dosimetry, enabling this treatment modality's clinical safety and effectiveness. The evidence for PBM has received its strongest endorsement via recent systematic reviews and meta-analyses recommending its routine use to address various acute and chronic side effects associated with cancer treatment. Carefully done studies have noted unequivocal evidence demonstrating its effectiveness in managing oral mucositis in patients undergoing radiotherapy for head and neck cancer, chemotherapy, or hematopoietic stem cell transplantation. This brief narrative review will explore the therapeutic benefits of PBM therapy, supported by recent research findings, to provide a comprehensive understanding of its potential in clinical settings. Additionally, the review will highlight our current understanding of molecular mechanisms underlying PBM and the importance of novel harmonized dosing that enables its optimal clinical implementation and utilization.

摘要

人体可以利用光进行广泛的病理生理反应,如昼夜节律、维生素D代谢和视觉等。光的治疗用途贯穿了许多古老的健康疗法。近年来,低剂量光疗法(称为光生物调节疗法,PBM)取得了巨大进展,在揭示精确的生物学机制和临床剂量学方面取得了重大突破,从而确保了这种治疗方式的临床安全性和有效性。通过最近的系统评价和荟萃分析,PBM的证据得到了最有力的支持,这些分析建议常规使用PBM来解决与癌症治疗相关的各种急性和慢性副作用。精心开展的研究已经明确指出,有确凿证据表明PBM在治疗接受头颈部癌放疗、化疗或造血干细胞移植的患者的口腔黏膜炎方面有效。这篇简短的叙述性综述将探讨PBM疗法的治疗益处,并结合最近的研究结果,以全面了解其在临床环境中的潜力。此外,该综述还将强调我们目前对PBM潜在分子机制的理解,以及新型统一剂量的重要性,这有助于实现其最佳的临床应用和利用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7eb4/11633914/0d201d8a1474/JOMFP-28-362-g001.jpg

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