中国医学装备2024,Vol.21Issue(9) :162-167.DOI:10.3969/j.issn.1672-8270.2024.09.030

对二羟基苯丙氨酸硼-硼中子俘获治疗临床应用进展

Advances of clinical application of BPA-BNCT

韩青青 杨乔 李拓 霍力
中国医学装备2024,Vol.21Issue(9) :162-167.DOI:10.3969/j.issn.1672-8270.2024.09.030

对二羟基苯丙氨酸硼-硼中子俘获治疗临床应用进展

Advances of clinical application of BPA-BNCT

韩青青 1杨乔 1李拓 1霍力2
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作者信息

  • 1. 中国医学科学院北京协和医学院北京协和医院核医学科 北京 100730
  • 2. 中国医学科学院北京协和医学院北京协和医院核医学科 北京 100730;核医学分子靶向诊疗北京市重点实验室 北京 100730
  • 折叠

摘要

硼中子俘获治疗(BNCT)是一种基于核俘获和核裂变反应的放射治疗模式.对二羟基苯丙氨酸硼(BPA)是BNCT中应用最广泛的肿瘤细胞选择性载硼药物.当前,国内外开展多项BPA-BNCT治疗脑肿瘤、黑色素瘤及头颈部肿瘤等多种肿瘤的临床试验,其有效性已得到一定程度的证实.为提高BPA-BNCT疗效,多项研究探索了BPA联合其他载硼药物、BPA-BNCT联合化疗药物或BPA-BNCT联合放射治疗的多种治疗模式,但上述治疗模式对肿瘤患者的预后改善能力仍存疑.目前BPA-BNCT发展受到载硼药物及中子设备等方面的限制,但随着第三代载硼药物的开发及加速器BNCT(AB-BNCT)的建设成功,BNCT的应用前景十分广阔.综述BPA-BNCT在多种恶性肿瘤的临床研究的新进展,探讨BNCT临床研究面临的机遇与挑战.

Abstract

Boron neutron capture therapy(BNCT)is a radiotherapy modality based on nuclear capture and nuclear fission reactions.Boronophenylalanine(BPA)is a most widely tumor cell-selective boron carrier drug in the application of BNCT.Currently,many BPA-BNCT clinical trials have been conducted in treating brain tumors,melanoma,and head and neck tumors,which effectiveness has been confirmed to a certain extent.In order to improve the curative efficacy of BPA-BNCT,a number of studies have explored many kinds of treatment modalities included the combination of BPA and other boron-carrying drugs,the combination of BPA-BNCT and chemotherapeutic agents or the combination of BPA-BNCT and radiation therapy,but it is still questionable in terms of the prognostic improvement ability of the above treatment modalities on patients with tumors.At present,the development of BPA-BNCT is limited by boron-carrying drugs and neutron equipment,but the applied prospect of BNCT is very broad with the development of the third-generation boron-carrying drugs and the success of the construction of accelerator-based BNCT(AB-BNCT).This paper reviewed the new progress of BPA-BNCT in clinical research for multiple malignant tumors,and explored the facing opportunities and challenges of BNCT in clinical research.

关键词

硼中子俘获治疗(BNCT)/对二羟基苯丙氨酸硼(BPA)/脑肿瘤/黑色素瘤

Key words

Boron neutron capture therapy(BNCT)/Boronophenylalanine(BPA)/Glioma/Melanoma

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出版年

2024
中国医学装备
中国医学装备协会

中国医学装备

CSTPCD
影响因子:0.882
ISSN:1672-8270
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