声动力疗法在肝细胞癌中的应用
DOI: 10.12449/JCH260528
利益冲突声明:本文不存在任何利益冲突。
作者贡献声明:张雪柠负责课题设计,资料分析,撰写论文;左梓峰、闫慧敏和张杨参与收集数据,修改论文;盖永浩负责拟定写作思路,指导撰写文章并最后定稿。
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摘要: 声动力疗法(SDT)是利用低频超声激活富集于肿瘤部位的声敏剂,通过空化效应原位产生活性氧(ROS),从而实现对肿瘤的精准、高效治疗。借助其强穿透性、治疗范围可控等优势,SDT备受青睐并被广泛应用于多种肿瘤的治疗研究中。在肝细胞癌(HCC)的治疗中,传统疗法虽已取得显著成效,但存在一定的局限性。基于此,以纳米医学为基础的SDT,通过纳米药物靶向性能实现特异性杀伤HCC,并能与光动力疗法、化疗及免疫疗法产生协同效应,从而为开发新型HCC治疗模式提供了契机。本文系统综述SDT的作用机制及其在HCC治疗中的研究与应用进展,分析当前研究的不足,并提出对未来的展望,以期为HCC的相关研究提供理论基础与科学指导。Abstract: Sonodynamic therapy (SDT) applies low-frequency ultrasound to activate sonosensitizers that have accumulated in tumor location, which induces cavitation effects and leads to the in-situ generation of reactive oxygen species (ROS), thereby achieving precise and efficient tumor treatment. Owing to its advantages such as deep tissue penetration and controllable treatment range, SDT has attracted significant attention and has been widely used in the research on the treatment of various tumors. While conventional treatment modalities have achieved significant efficacy in the treatment of hepatocellular carcinoma (HCC), there are still certain limitations. In this context, nanomedicine-based SDT leverages the targeting capabilities of nano-agents to realize specific killing of HCC cells, and furthermore, it can synergize with photodynamic therapy, chemotherapy, and immunotherapy to provide new opportunities for developing novel treatment modalities for HCC. This article reviews the mechanism of action of SDT and the advances in the research and application of SDT in the treatment of HCC, analyzes the shortcomings of existing studies, and proposes the directions for future development, in order to provide a theoretical foundation and scientific guidance for related research on HCC.
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Key words:
- Carcinoma, Hepatocellular /
- Sonodynamic Therapy /
- Reactive Oxygen Species
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