Honma T
Department of Pharmacology, Kawasaki Medical School.
Nihon Rinsho. 1996 Jul;54(7):1949-54.
Hyperthermia shows considerable promise as a treatment modality for cancer. It is widely accepted that hyperthermia at doses that fall within the therapeutic range triggers cell death by apoptosis in susceptible cell populations, higher heat loads producing necrosis. The hyperthermia-induced apoptosis is characterized both by its distinctive ultrastructural features and by the occurrence of internucleosomal DNA cleavage. The thermosensitivity to apoptotic induction varies enormously from cell type to cell type. The molecular mechanism which makes a cell sensitive to induction of apoptosis by hyperthermia is not at present clear, however, understanding why some cell types are sensitive or resistant to apoptotic induction is important to achieve the immediate cell killing effect of hyperthermia on each individual cell type.
热疗作为一种癌症治疗方式显示出巨大的前景。人们普遍认为,处于治疗范围内剂量的热疗会通过诱导敏感细胞群体凋亡来触发细胞死亡,更高的热负荷则会导致坏死。热疗诱导的凋亡具有独特的超微结构特征以及核小体间DNA裂解现象。不同细胞类型对凋亡诱导的热敏感性差异极大。目前尚不清楚使细胞对热疗诱导凋亡敏感的分子机制,然而,了解某些细胞类型为何对凋亡诱导敏感或耐药,对于实现热疗对每种细胞类型的即时细胞杀伤效果至关重要。