解放军医学杂志2024,Vol.49Issue(6) :718-725.DOI:10.11855/j.issn.0577-7402.0454.2023.0921

光动力疗法的抗肿瘤免疫效应研究进展

Research progress on the immune effects of photodynamic therapy

侴雯馨 孙天真 顾瑛 赵洪友
解放军医学杂志2024,Vol.49Issue(6) :718-725.DOI:10.11855/j.issn.0577-7402.0454.2023.0921

光动力疗法的抗肿瘤免疫效应研究进展

Research progress on the immune effects of photodynamic therapy

侴雯馨 1孙天真 1顾瑛 2赵洪友1
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作者信息

  • 1. 北京理工大学医学技术学院,北京 100081
  • 2. 北京理工大学医学技术学院,北京 100081;解放军总医院第一医学中心激光医学科,北京 100853
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摘要

光动力疗法(PDT)作为一种新兴的肿瘤治疗手段,因不良反应较少、靶向性好、可重复治疗等优点,已被广泛应用于临床多种肿瘤的治疗.相较手术、化疗及放疗等传统治疗策略,PDT不仅可杀伤原位肿瘤,还可通过激活机体的免疫效应对转移瘤发挥抑制作用.然而,PDT诱导免疫效应的高低受多种因素影响,包括光敏剂在细胞内的定位和剂量、光参数、肿瘤内的氧浓度、免疫功能的完整性等.本文对PDT介导抗肿瘤免疫效应的相关机制,以及PDT免疫效应的主要影响因素进行综述,以探讨PDT用于肿瘤治疗的未来发展方向.

Abstract

As a novel tumor treatment,photodynamic therapy(PDT)has been widely used in clinical treatment of a variety of tumors due to its advantages,such as fewer adverse reactions,precise targeting and repeatability of treatment.Unlike conventional treatments,such as surgery,chemotherapy and radiotherapy,PDT not only eliminates the primary tumor but also effectively inhibits metastatic tumors by activating the body's immune response.However,the PDT-activated immune response is influenced by multiple factors,including the localization and dose of photosensitizer in the cells,light parameters,oxygen concentration in the tumor,and the integrity of immune function.This review summarizes the mechanisms behind the PDT-activated anti-tumor immune response,systematically examines the key influencing factors on the immune effect of PDT,and discusses the future development direction of PDT in cancer treatment.

关键词

光动力疗法/固有免疫/特异性免疫/影响因素

Key words

photodynamic therapy/innate immunity/specific immunity/influence factors

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基金项目

国家自然科学基金重大项目(T2293750)

国家自然科学基金重大项目(T2293753)

北京理工大学青年教师学术启动计划(XSQD-202023003)

中国医学科学院医学与健康科技创新工程(2019-I2M-5-061)

出版年

2024
解放军医学杂志
人民军医出版社

解放军医学杂志

CSTPCD北大核心
影响因子:1.644
ISSN:0577-7402
参考文献量52
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