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基于纳米平台的光热疗法联合其他疗法的抗肿瘤策略

Anti-Tumor Strategies of Photothermal Therapy Combined with Other Therapies Using Nanoplatforms.

作者信息

Xu Rubing, Wang Shengmei, Guo Qiuyan, Zhong Ruqian, Chen Xi, Xia Xinhua

机构信息

School of Pharmacy, Hunan University of Chinese Medicine, Changsha 410208, China.

The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, China.

出版信息

Pharmaceutics. 2025 Feb 26;17(3):306. doi: 10.3390/pharmaceutics17030306.

Abstract

Conventional cancer treatments often have complications and serious side effects, with limited improvements in 5-year survival and quality of life. Photothermal therapy (PTT) employs materials that convert light to heat when exposed to near-infrared light to raise the temperature of the tumor site to directly ablate tumor cells, induce immunogenic cell death, and improve the tumor microenvironment. This therapy has several benefits, including minimal invasiveness, high efficacy, reduced side effects, and robust targeting capabilities. Beyond just photothermal conversion materials, nanoplatforms significantly contribute to PTT by supplying effective photothermal conversion materials and bolstering tumor targeting to amplify anti-tumor effects. However, the anti-tumor effects of PTT alone are ultimately limited and often need to be combined with other therapies. This narrative review describes the recent progress of PTT combined with chemotherapy, radiotherapy, photodynamic therapy, immunotherapy, gene therapy, gas therapy, chemodynamic therapy, photoacoustic imaging, starvation therapy, and multimodal therapy. Studies have shown that combining PTT with other treatments can improve efficacy, reduce side effects, and overcome drug resistance. Despite the encouraging results, challenges such as optimizing treatment protocols, addressing tumor heterogeneity, and overcoming biological barriers remain. This paper highlights the potential for personalized, multimodal approaches to improve cancer treatment outcomes.

摘要

传统的癌症治疗方法常常伴有并发症和严重的副作用,5年生存率和生活质量的改善有限。光热疗法(PTT)使用在近红外光照射下将光转化为热的材料,以提高肿瘤部位的温度,直接消融肿瘤细胞,诱导免疫原性细胞死亡,并改善肿瘤微环境。这种疗法有几个优点,包括微创性、高效性、副作用小和强大的靶向能力。除了光热转换材料外,纳米平台通过提供有效的光热转换材料和增强肿瘤靶向性来放大抗肿瘤效果,对光热疗法有显著贡献。然而,单独的光热疗法的抗肿瘤效果最终是有限的,通常需要与其他疗法联合使用。这篇叙述性综述描述了光热疗法与化疗、放疗、光动力疗法、免疫疗法、基因疗法、气体疗法、化学动力学疗法、光声成像、饥饿疗法和多模态疗法联合使用的最新进展。研究表明,将光热疗法与其他治疗方法联合使用可以提高疗效、减少副作用并克服耐药性。尽管取得了令人鼓舞的结果,但仍存在一些挑战,如优化治疗方案、解决肿瘤异质性和克服生物屏障等。本文强调了个性化多模态方法改善癌症治疗效果的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1112/11944535/cac4055ddb6c/pharmaceutics-17-00306-g001.jpg

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