梁纯, 路亚静, 殷祥烨, 何添, 陈东升, 张广良, 杨怡, 李文亮, 邱海霞, 陈犹白. 纳米光动力治疗皮肤黑色素瘤的研究进展[J]. 解放军医学院学报. DOI: 10.12435/j.issn.2095-5227.2024.106
引用本文: 梁纯, 路亚静, 殷祥烨, 何添, 陈东升, 张广良, 杨怡, 李文亮, 邱海霞, 陈犹白. 纳米光动力治疗皮肤黑色素瘤的研究进展[J]. 解放军医学院学报. DOI: 10.12435/j.issn.2095-5227.2024.106
LIANG Chun, LU Yajing, YIN Xiangye, HE Tian, CHEN Dongsheng, ZHANG Guangliang, YANG Yi, LI Wenliang, QIU Haixia, CHEN Youbai. Nano-photodynamic therapy for treatment of cutaneous melanoma[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL. DOI: 10.12435/j.issn.2095-5227.2024.106
Citation: LIANG Chun, LU Yajing, YIN Xiangye, HE Tian, CHEN Dongsheng, ZHANG Guangliang, YANG Yi, LI Wenliang, QIU Haixia, CHEN Youbai. Nano-photodynamic therapy for treatment of cutaneous melanoma[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL. DOI: 10.12435/j.issn.2095-5227.2024.106

纳米光动力治疗皮肤黑色素瘤的研究进展

Nano-photodynamic therapy for treatment of cutaneous melanoma

  • 摘要: 皮肤黑色素瘤的恶性程度高、生存率低,以手术切除为主的传统治疗方法有一定复发率。光动力疗法通过光激活光敏剂产生细胞毒性活性氧从而杀伤肿瘤细胞,是一种非常有前景的治疗方法。但是,传统光敏剂的渗透性低、靶向作用差、光动力效果不足,严重限制了光动力疗法在治疗皮肤黑色素瘤的临床应用。如何通过改进光敏剂,增强光动力治疗皮肤黑色素瘤的效果和安全性,是目前亟需解决的瓶颈问题。本综述聚焦于纳米光动力技术治疗皮肤黑色素瘤的研究进展,从纳米颗粒的类型、新型纳米光敏剂的种类、光敏剂的释放机制、纳米光动力技术治疗皮肤黑色素瘤的优势和局限性等方面进行了全面总结。纳米颗粒可以增强光敏剂的靶向能力、增加肿瘤中的蓄积、改善肿瘤缺氧环境,还可以协同荧光成像、免疫/基因治疗、化疗、光热等多种功能,增加光动力治疗恶性黑色素瘤的效果和安全性。纳米光动力疗法的局限性包括纳米颗粒的制作成本高,可重复性低,长期的体内安全性未经证实。尽管如此,纳米光动力疗法仍可以克服传统光动力疗法的瓶颈问题,为皮肤黑色素瘤的治疗提供了新的思路。

     

    Abstract: Cutaneous melanoma is a highly malignant skin cancer with low survival rate. Traditional treatment such as surgery is associated with certain recurrence rate.Photodynamic therapy produces cytotoxic reactive oxygen species by photoactivating photosensitizers to kill tumor cells, is a promising treatment for cutaneous melanoma. However, limitations of conventional photosensitizer, including low permeability, unspecific targeting, and inadequate therapeutic effect, significantly restrict the clinical application of photodynamic therapy in treating cutaneous melanoma. It is crucial to improve the effectiveness and safety of photodynamic therapy through modification of the photosensitizer. This review focuses on the research advances in nanophotodynamic therapy for cutaneous melanoma, i.e. using nanoparticles to deliver photosensitizer. The types of nanoparticles and nano-photosensitizers, the release mechanism of photosensitizer, and the benefits and limitations of nanophotodynamic therapy are comprehensively summarized. Nanoparticles can enhance the targeting capacity of photosensitizer, increase the intratumoral accumulation of photosensitizer, and improve the hypoxic microenvironment. In addition, multifunctional nanoparticles can synergize photodynamic therapy with fluorescence imaging, immunotherapy/gene therapy, chemotherapy, and photothermal therapy to achieve better treatment effectiveness and safety. Although nanophotodynamic therapy has high manufacturing cost, low reproducibility, and unconfirmed long-term in-vivo safety, it overcomes the limitations of traditional photodynamic therapy and offers a novel method for treatment of cutaneous melanoma.

     

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