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利用压电材料进行肿瘤治疗:当前进展与展望。

Harnessing piezoelectric materials for tumor therapy: Current advances and outlook.

作者信息

Lyu Zhengqiao, Liu Weifeng, Chen Chenglong

机构信息

First Hospital of Shanxi Medical University, Taiyuan 030001, China.

Department of Orthopaedic Oncology Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing 100035, China.

出版信息

Acta Biomater. 2025 Jul 1. doi: 10.1016/j.actbio.2025.06.058.

Abstract

Piezoelectric materials have emerged as a transformative technology in tumor therapy, offering innovative solutions to longstanding challenges in cancer treatment. These materials leverage their unique electromechanical coupling properties to convert various energy forms, such as ultrasound and mechanical stimuli, into localized electric fields. This capability facilitates precise drug delivery, enhances reactive oxygen species (ROS) generation for dynamic therapies, and enables localized electrical stimulation, all while minimizing damage to healthy tissues. Recent advancements in nano-piezoelectric materials, including both inorganic and organic types, have demonstrated enhanced efficacy in addressing the complexities of the tumor microenvironment (TME), such as hypoxia, acidity, and immunosuppressive conditions. This review explores the classification, mechanisms, and therapeutic applications of piezoelectric materials, highlighting their roles in multimodal cancer therapies. With promising preclinical results, these materials pave the way for next-generation, minimally invasive cancer treatments, integrating therapeutic precision and diagnostic capability. Future research must focus on enhancing material biocompatibility, optimizing piezoelectric responses, and addressing biosafety concerns to transition these technologies from the lab to the clinic. STATEMENT OF SIGNIFICANCE: Piezoelectric materials offer a novel strategy for cancer therapy by converting mechanical stimuli (e.g., ultrasound) into localized electric fields and reactive oxygen species (ROS), enabling targeted drug delivery, enhanced dynamic therapies, and immune modulation within complex tumor microenvironments (TME). These materials address key challenges such as hypoxia, acidity, and metabolic dysregulation while sparing healthy tissues. Integration with nanotechnology amplifies their performance, supporting multimodal approaches that combine diagnostics and treatment. This review summarizes recent advances, highlights considerations of biocompatibility and biosafety, and outlines translational challenges and future directions. By bridging material science and oncology, piezoelectric tumor therapy offers promising pathways toward precise, minimally invasive cancer treatments.

摘要

压电材料已成为肿瘤治疗中的一项变革性技术,为癌症治疗中长期存在的挑战提供了创新解决方案。这些材料利用其独特的机电耦合特性,将各种能量形式,如超声波和机械刺激,转化为局部电场。这种能力有助于精确给药,增强用于动态治疗的活性氧(ROS)生成,并实现局部电刺激,同时将对健康组织的损害降至最低。包括无机和有机类型在内的纳米压电材料的最新进展表明,在应对肿瘤微环境(TME)的复杂性,如缺氧、酸性和免疫抑制条件方面,其疗效有所提高。本文综述探讨了压电材料的分类、作用机制和治疗应用,强调了它们在多模态癌症治疗中的作用。鉴于有前景的临床前结果,这些材料为整合治疗精准性和诊断能力的下一代微创癌症治疗铺平了道路。未来的研究必须专注于提高材料的生物相容性、优化压电响应以及解决生物安全问题,以便将这些技术从实验室转化到临床应用。重要性声明:压电材料通过将机械刺激(如超声波)转化为局部电场和活性氧(ROS),为癌症治疗提供了一种新策略,能够在复杂的肿瘤微环境(TME)中实现靶向给药、增强动态治疗和免疫调节。这些材料解决了诸如缺氧、酸性和代谢失调等关键挑战,同时保护健康组织。与纳米技术的结合增强了它们的性能,支持了将诊断与治疗相结合的多模态方法。本文综述总结了近期进展,强调了生物相容性和生物安全性的考量,并概述了转化挑战和未来方向。通过架起材料科学与肿瘤学之间的桥梁,压电肿瘤治疗为精确、微创的癌症治疗提供了有前景的途径。

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