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肿瘤治疗领域在机制、临床应用及未来方向方面的进展。

Advancement in tumor treating fields of mechanism, clinical applications, and future directions.

作者信息

Zang Meiqi, Zhu Song, Niu Qiang

机构信息

School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.

Department of General Surgery, Shidong Hospital, ShidongHospital Affiliated to University of Shanghai for Science and Technology, Shanghai, China.

出版信息

Discov Oncol. 2025 Jun 10;16(1):1049. doi: 10.1007/s12672-025-02861-0.


DOI:10.1007/s12672-025-02861-0
PMID:40495024
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151965/
Abstract

Traditional cancer treatment modalities, such as surgical interventions, radiotherapy, and chemotherapy, persist as the cornerstone of standard care across a wide array of clinical settings. Despite their established effectiveness in combating cancer, these therapies are inherently invasive in nature and have great side effects, which seriously affect the quality of life of patients. Tumor Treating Fields is a low-intensity intermediate-frequency alternating electric field. Based on the current clinical study of Tumor Treating Fields in brain tumors, The U.S. Food and Drug Administration (FDA) initially approved Tumor Treating Fields in 2015 for the treatment of newly diagnosed or relapsed glioblastoma multiforme (GBM) and in 2019 for the treatment of malignant pleural mesothelioma (MPM). However, Tumor Treating Fields is still not widely appreciated in the treatment of high-mortality cancers, and although the therapeutic effect of Tumor Treating Fields has been validated in cell experiments and clinical trials, how to optimize its therapeutic effect remains to be studied. In this paper, the mechanism of Tumor Treating Fields treatment and its clinical progress were reviewed, and the dosimetry and numerical simulation of individualized treatment were comprehensively summarized, in order provide new ideas for further clinical research of this treatment model.

摘要

传统的癌症治疗方式,如手术干预、放射治疗和化学疗法,仍然是广泛临床环境中标准治疗的基石。尽管这些疗法在对抗癌症方面已证实有效,但它们本质上具有侵入性且有很大的副作用,严重影响患者的生活质量。肿瘤电场疗法是一种低强度中频交变电场。基于目前肿瘤电场疗法在脑肿瘤方面的临床研究,美国食品药品监督管理局(FDA)于2015年首次批准肿瘤电场疗法用于治疗新诊断或复发的多形性胶质母细胞瘤(GBM),并于2019年批准其用于治疗恶性胸膜间皮瘤(MPM)。然而,肿瘤电场疗法在高死亡率癌症的治疗中仍未得到广泛认可,并且尽管肿瘤电场疗法的治疗效果已在细胞实验和临床试验中得到验证,但如何优化其治疗效果仍有待研究。本文综述了肿瘤电场疗法的治疗机制及其临床进展,并全面总结了个体化治疗的剂量学和数值模拟,以便为该治疗模式的进一步临床研究提供新思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33f/12151965/ca4a56937550/12672_2025_2861_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33f/12151965/593f12f858d1/12672_2025_2861_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33f/12151965/ca4a56937550/12672_2025_2861_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33f/12151965/593f12f858d1/12672_2025_2861_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e33f/12151965/ca4a56937550/12672_2025_2861_Fig2_HTML.jpg

相似文献

[1]
Advancement in tumor treating fields of mechanism, clinical applications, and future directions.

Discov Oncol. 2025-6-10

[2]
Alternating electric tumor treating fields for treatment of glioblastoma: rationale, preclinical, and clinical studies.

J Neurosurg. 2017-2-24

[3]
A review of tumor treating fields (TTFields): advancements in clinical applications and mechanistic insights.

Radiol Oncol. 2023-9-1

[4]
Tumor-Treating Fields: A fourth modality in cancer treatment, new practice updates.

Crit Rev Oncol Hematol. 2021-12

[5]
Tumor treating fields: a novel and effective therapy for glioblastoma: mechanism, efficacy, safety and future perspectives.

Chin Clin Oncol. 2017-8

[6]
The Value of Tumor Treating Fields in Glioblastoma.

J Korean Neurosurg Soc. 2020-11

[7]
Tumour treating fields therapy for glioblastoma: current advances and future directions.

Br J Cancer. 2021-2

[8]
The schemes, mechanisms and molecular pathway changes of Tumor Treating Fields (TTFields) alone or in combination with radiotherapy and chemotherapy.

Cell Death Discov. 2022-10-11

[9]
The effects of alternating electric fields in glioblastoma: current evidence on therapeutic mechanisms and clinical outcomes.

Neurosurg Focus. 2015-3

[10]
Noninvasive application of alternating electric fields in glioblastoma: a fourth cancer treatment modality.

Am Soc Clin Oncol Educ Book. 2012

本文引用的文献

[1]
Tumor treating fields enhance anti-PD therapy by improving CCL2/8 and CXCL9/CXCL10 expression through inducing immunogenic cell death in NSCLC models.

BMC Cancer. 2025-3-17

[2]
Estimating the Cost-Effectiveness of Tumor Treating Fields (TTFields) Therapy with an Immune Checkpoint Inhibitor or Docetaxel in Metastatic Non-Small Cell Lung Cancer.

Clinicoecon Outcomes Res. 2025-2-5

[3]
Cost-effectiveness analysis of Tumor Treating Fields treatment in Chinese patients with metastatic non-small cell lung cancer.

Front Public Health. 2024

[4]
Tumor Treating Fields (TTFields) induce homologous recombination deficiency in ovarian cancer cells, thus mitigating drug resistance.

Front Oncol. 2024-6-27

[5]
[Study on the mesoscopic dynamic effects of tumor treating fields on cell tubulin].

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2024-6-25

[6]
Effects of tumor treating fields (TTFields) on human mesenchymal stromal cells.

J Neurooncol. 2024-9

[7]
Tumor-treating fields in cancer therapy: advances of cellular and molecular mechanisms.

Clin Transl Oncol. 2025-1

[8]
Real-world cost- effectiveness analysis: Tumor Treating Fields for newly diagnosed glioblastoma in China.

J Neurooncol. 2024-6

[9]
Tumor Treating Fields (TTFields) combined with the drug repurposing approach CUSP9v3 induce metabolic reprogramming and synergistic anti-glioblastoma activity in vitro.

Br J Cancer. 2024-5

[10]
Non-mitotic proliferation of malignant cancer cells revealed through live-cell imaging of primary and cell-line cultures.

Cell Div. 2024-2-10

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