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Influence of rose bengal on platelet aggregation activity 孟加拉玫瑰对血小板聚集活性的影响
Q3 Medicine Pub Date : 2022-05-25 DOI: 10.24931/2413-9432-2022-11-1-20-26
N. Petrishchev, T. Grishacheva, S. Chefu
The goal of the study is to comparatively examine the effect of photoactivated rose bengal on platelet aggregation in vitro and in circulating blood of male Wistar rats. Platelet-rich plasma (PRP) was obtained from venous blood. The aggregation activity of platelets was determined by the turbidimetric method, the aggregation inducer was ADP at a final concentration of 1.25 μM. Rose bengal (RB) (Acros Organics, USA) was used as a photosensitizer (PS). PRP samples containing the PS were irradiated using ALOD-Izumrud laser (OOO “Alcom Medica”, Russia), λ = 532 nm, power density 0.05 W/cm2 , energy density of 6, 12 and 24 J/cm2 . The effect of photoactivated RB on the aggregation of circulating PLT was studied after laser irradiation of the femoral artery of the rats: 30 mW laser power, 2 mm spot diameter and 30 min exposure. RB at concentrations of 0.5 and 1 μg/ml was found to stimulate, and 5-10 μg/ml—to inhibit platelet aggregation. Photoactivation of RB weakens the stimulating effect of laser irradiation on the aggregation of platelets. Photodynamic modification of blood led to an increase in the in[1]tensity of platelet aggregation by 24% in comparison to the control group, and by 39.6% compared to the group without photoactivation of RB (p<0.01). The data obtained indicate that under the influence of RB photoactivation, the aggregation activity of platelets changes, the severity and direction of the effect depend on the RB concentration. Change in functional activity of platelets is one of the manifestations of photodynamic modification of blood.
本研究的目的是比较研究光活化玫瑰红对雄性Wistar大鼠体外和循环血液中血小板聚集的影响。从静脉血中获得富含血小板的血浆(PRP)。用浊度法测定血小板的聚集活性,聚集诱导剂为ADP,终浓度为1.25μM。Rose bengal(RB)(Acros Organics,USA)用作光敏剂(PS)。使用ALOD Izumrud激光器(OOO“Alcom Medica”,俄罗斯)照射含有PS的PRP样品,λ=532nm,功率密度0.05W/cm2,能量密度分别为6、12和24J/cm2。研究了光活化RB对大鼠股动脉激光照射后循环PLT聚集的影响:激光功率30mW,光斑直径2mm,照射30min。发现浓度为0.5和1μg/ml的RB刺激血小板聚集,浓度为5-10μg/ml的RB-抑制血小板聚集。RB的光活化减弱了激光照射对血小板聚集的刺激作用。血液的光动力学修饰导致血小板聚集的in[1]强度与对照组相比增加了24%,与没有RB光活化的组相比增加39.6%(p<0.01)。所获得的数据表明,在RB光活化影响下,血小板的聚集活性发生变化,影响的严重程度和方向取决于RB浓度。血小板功能活性的变化是血液光动力修饰的表现之一。
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引用次数: 0
The results of the index comparative evaluation of photodynamic therapy and ultraviolet irradiation in the treatment of chronic gingivitis 光动力疗法与紫外线照射治疗慢性牙龈炎的指标比较评价
Q3 Medicine Pub Date : 2022-05-25 DOI: 10.24931/2413-9432-2022-11-1-13-19
K. Losev, T. Kostyakova, N. Batsula, M. Verendeeva, O. V. Kuzina, A. Losev
In this clinical study, the effect of photodynamic therapy and ultraviolet radiation on the effectiveness of the treatment of periodontal diseases was examined according to the results of an index assessment. Clinical examination of 95 patients of both sexes aged from 18 to 32 years revealed chronic generalized catarrhal gingivitis (K05.1). The main index criteria for comparative parameters in all study groups were: simplified OHI-S hygiene index, Mullemann-Cowell bleeding index, PMA index. The indices were measured before and after treatment with subsequent control examinations in 1 month, 3 months, 6 months. The patients were divided into three groups and each group underwent standard periodontal treatment aimed at stopping the inflammatory process and preventing its further development. In the first group, the treatment was supplemented with the use of the FotoSan LED lamp with a wavelength of 630 nm, in the second the “Quasar” ultraviolet irradiator was used, in the third (control) group, the complex of therapeutic measures was carried out without physiotherapeutic procedures. According to the results of the study, the use of photodynamic therapy significantly accelerates the regenerative processes of periodontal epithelial tissue and reduces the number of treatment sessions.
本临床研究采用指标评估法,探讨光动力治疗与紫外线照射对牙周病治疗效果的影响。临床检查95例患者,年龄18 ~ 32岁,男女皆有,表现为慢性全身性卡他性牙龈炎(K05.1)。各研究组比较参数的主要指标标准为:简化OHI-S卫生指数、Mullemann-Cowell出血指数、PMA指数。分别于治疗前、治疗后1个月、3个月、6个月进行对照检查。患者被分为三组,每组接受标准的牙周治疗,旨在阻止炎症过程并防止其进一步发展。第一组采用波长为630 nm的FotoSan LED灯辅助治疗,第二组采用“类星体”紫外线照射器辅助治疗,第三组(对照组)采用综合治疗措施,不进行物理治疗。根据研究结果,使用光动力疗法可显著加速牙周上皮组织的再生过程,并减少治疗次数。
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引用次数: 0
Influence of photodynamic therapy on the level of matrix metalloproteinases in squamous cell skin cancer 光动力疗法对鳞状细胞皮肤癌基质金属蛋白酶水平的影响
Q3 Medicine Pub Date : 2022-05-25 DOI: 10.24931/2413-9432-2022-11-1-4-12
V. Maslyakov, D. Grebnev, A. Tsymbal, L. Kim
The effect of photodynamic therapy (PDT) on the level of matrix metalloproteinases in squamous cell skin cancer (SCSC) was studied. The study involved 202 people, including 185 patients with SCSC, who were on outpatient and inpatient treatment in medical institutions of Engels and Saratov during the period from 2015 to 2019, and 17 donors. The study design included studies in three main groups. The first (intervention) group included 74 (36.6%) patients with SCSC who underwent combined treatment, including PDT at the first stage and surgical treatment at the second stage. The second group consisted of 111 (55.0%) patients with SCSC who underwent only surgical treatment. The third group consisted of 17 (8.4%) relatively healthy volunteer donors, comparable in age and sex with the patients of the main group. As a result of the study, it was found that the level of metalloproteinase-1 inhibitor (TIMP-1) in the blood serum of patients with SCSC was reduced compared with physiologically normal indicators, which led to a statistically significant increase in matrix metalloproteinases (MMPs) MMPs-2, MMPs-7 and MMPs-9. Performing only surgical treatment for this pathology does not lead to a complete recovery of these indicators. However, the use of combined treatment including PDT showed a statistically significant increase in the amount of TIMP-1 before the start of surgical treatment, which naturally led to a decrease in MMPs-2, MMPs-7 and MMPs-9. Later, after excision of the tumor, the patients of this group had a complete normalization of TIMP-1, which, in turn, contributed to a decrease and then restoration of the number of MMPs-2, MMPs-7 and MMPs-9 to physiologically normal values.
研究了光动力疗法(PDT)对癌症鳞状细胞皮肤基质金属蛋白酶水平的影响。这项研究涉及202人,包括185名SCSC患者,他们在2015年至2019年期间在恩格斯和萨拉托夫的医疗机构接受门诊和住院治疗,以及17名捐赠者。研究设计包括三个主要组的研究。第一(干预)组包括74名(36.6%)SCSC患者,他们接受了联合治疗,包括第一阶段的PDT和第二阶段的手术治疗。第二组包括111名(55.0%)SCSC患者,他们只接受了手术治疗。第三组由17名(8.4%)相对健康的志愿者捐赠者组成,年龄和性别与主要组的患者相当。研究结果发现,与生理正常指标相比,SCSC患者血清中的金属蛋白酶-1抑制剂(TIMP-1)水平降低,导致基质金属蛋白酶(MMPs)MMPs-2、MMPs-7和MMPs-9在统计学上显著增加。仅对这种病理进行手术治疗并不能使这些指标完全恢复。然而,在手术治疗开始前,包括PDT在内的联合治疗显示TIMP-1的量在统计学上显著增加,这自然导致MMPs-2、MMPs-7和MMPs-9的减少。后来,在肿瘤切除后,该组患者的TIMP-1完全正常,这反过来又导致MMPs-2、MMPs-7和MMPs-9的数量减少,然后恢复到生理正常值。
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引用次数: 0
Photo-induced processes of iron oxide nanoparticles to enhance laser therapy 光诱导氧化铁纳米颗粒增强激光治疗
Q3 Medicine Pub Date : 2022-02-05 DOI: 10.24931/2413-9432-2021-10-4-44-58
D. Pominova, I. Romanishkin, E. Plotnikova, N. Morozova, V. Loschenov, R. Wittig, M. Linden, R. Steiner, A. V. Ryabova
Nanoparticles are used as drug carriers to increase the selectivity and effectiveness of therapy, as well as for combined therapy that utilizes different effects. Iron oxide nanoparticles are promising in this aspect. Due to magnetic properties, they can be used as a contrast agent for magnetic resonance imaging. Also, iron oxide nanoparticles could be coated with a photosensitizer for photodynamic therapy and their laser or magnetic heating can be used for phototherapy. Local enhancement of the electromagnetic field near iron oxide nanoparticles can increase the fluorescence intensity of photosensitizers and the efficiency of singlet oxygen generation. This paper presents the results of a study of iron oxide nanoparticles focused on the photophysical aspects of the formation of “hot spots” under laser irradiation. The photoinduced effects of iron oxide nanoparticles observed in in vitro experiments lead to the rupture of lysosomes. Theoretical modeling showed that the heating of iron oxide nanoparticles with a radius of 35 nm under the action of laser radiation is about 89°C and 19°C for wavelengths of 458 and 561 nm, respectively. Local field enhancement occurs in pairs of nanoparticles of various sizes and strongly depends on the distance between them. The maximum gain is achieved at small distances between nanoparticles. For a dimer of nanoparticles with radii of 10 and 35 nm at a distance of 1 nm, an enhancement factor of two orders of magnitude was obtained. The investigated phenomenon of «hot spots» is in demand for precision therapy, because the photo-induced processes occur at small distances between nanoparticles, in areas of their high accumulation.
纳米颗粒被用作药物载体,以增加治疗的选择性和有效性,以及用于利用不同效果的联合治疗。氧化铁纳米颗粒在这方面很有前景。由于磁性,它们可以用作磁共振成像的造影剂。此外,氧化铁纳米颗粒可以涂上光敏剂用于光动力治疗,其激光或磁加热可用于光疗。在氧化铁纳米颗粒附近局部增强电磁场可以提高光敏剂的荧光强度和单线态氧生成效率。本文介绍了氧化铁纳米颗粒在激光照射下形成“热点”的光物理方面的研究结果。在体外实验中观察到氧化铁纳米颗粒的光诱导效应导致溶酶体破裂。理论模拟表明,半径为35 nm的氧化铁纳米颗粒在激光辐射作用下,在波长为458 nm和561 nm时,加热温度分别约为89℃和19℃。局部场增强发生在不同大小的纳米粒子对中,并且强烈依赖于它们之间的距离。最大增益是在纳米颗粒之间的小距离上实现的。对于半径分别为10 nm和35 nm的纳米二聚体,在距离为1 nm处,得到了两个数量级的增强因子。所研究的“热点”现象需要精确治疗,因为光诱导过程发生在纳米颗粒之间的小距离上,在它们的高积累区域。
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引用次数: 1
Photodynamic therapy for precancer diseases and cervical cancer (review of literature) 光动力治疗癌前病变和宫颈癌(文献综述)
Q3 Medicine Pub Date : 2022-02-05 DOI: 10.24931/2413-9432-2021-10-4-59-67
A. Gilyadova, Y. Romanko, A. Ishchenko, S. Samoilova, A. Shiryaev, P. Alekseeva, K. Efendiev, I. Reshetov
The paper presents the results of literature data analysis on the main directions of precancerous diseases of the cervix uteri and cervical cancer treatment. Side effects following surgery or radiation treatment can lead to structural deformities, scarring, hyperpigmentation, systemic side effects, and destruction of normal tissue. In addition, the use of traditional methods of treatment can cause multidrug resistance, which will lead to ineffective treatment and the development of a relapse of the disease. To avoid toxicity and reduce side effects, alternative treatment strategies have been proposed. Photodynamic therapy (PDT) is a promising organ-preserving highly selective method for treating cervical neoplasia, which includes two stages: the introduction of a photosensitizer and local exposure to directed light radiation. A number of studies have demonstrated the high clinical efficacy of this method in the treatment of patients with cervical neoplasia and carriage of human papillomavirus infection without adverse consequences for fertility. The use of PDT contributes to the successful outcome of the treatment of pathological foci on the mucous membrane of the cervix, the effectiveness and safety of the method is ensured by the selective effect on tissues. In the course of treatment, normal surrounding tissues are not damaged, there is no gross scarring and stenosis of the cervical canal, thereby PDT allows maintaining the normal anatomical and functional characteristics of the cervix.
本文对宫颈癌前病变及宫颈癌治疗的主要方向进行文献资料分析。手术或放射治疗后的副作用会导致结构畸形、疤痕、色素沉着、全身副作用和正常组织的破坏。此外,使用传统的治疗方法可能导致多重耐药性,这将导致治疗无效和疾病复发。为了避免毒性和减少副作用,人们提出了其他治疗策略。光动力疗法(PDT)是一种很有前途的保留器官的高选择性治疗宫颈肿瘤的方法,它包括两个阶段:引入光敏剂和局部暴露于定向光辐射。许多研究表明,这种方法在治疗宫颈瘤变和人乳头瘤病毒感染的患者中具有很高的临床疗效,而不会对生育产生不良后果。PDT的使用有助于治疗宫颈粘膜病理病灶的成功结果,该方法的有效性和安全性是通过对组织的选择性作用来保证的。在治疗过程中,正常的周围组织未被破坏,没有明显的宫颈管瘢痕和狭窄,因此PDT可以保持宫颈正常的解剖和功能特征。
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引用次数: 3
Clinical implementation and scientific development of photodynamic therapy in Russia in 2010-2020 2010-2020年俄罗斯光动力疗法的临床实施与科学发展
Q3 Medicine Pub Date : 2022-02-04 DOI: 10.24931/2413-9432-2021-9-4-4-22
E. Filonenko
In recent years, the development of methods of photodynamic therapy (PDT) and photodynamic photodiagnostics (PD) in Russia is characterized by an intensive rise, steadily growing interest of specialists from various medical specialties in the method of specialists from various medical specialties, an increase in the level of equipment number of hospitals with the necessary equipment for performing PD and PDT, the and the emergence of new photosensitizers on the pharmaceutical market, and an increasing increase in the level of patients’ confidence in these methods. This study analyzes the dynamics of the development of the clinical application and scientific developments of PD and PDT over the past decade in Russia in terms of the volume of public procurement of photosensitizers, as well as the activity of research work in the field of PD and PDT, the number of candidate and doctoral dissertations theses on this topic and the number of scientific publications in the RSCI. 688 contracts for the supply of photosensitizers for clinical use were analyzed. The analysis showed a stable annual growth in the volume of public procurement of photosensitizers, an increase in the number of subjects of the Russian Federation and clinical centers that purchase photosensitizers through the portal www.zakupki.gov.ru. From 2014 to 2020, the total volume of public procurement of all photosensitizers increased by 8 times (from 36.42 million rubles (3.58 thousand packages) to 307.37 million rubles (18.99 thousand packages)). The annual increase in the volume of public procurement in numerical terms over the previous 6 years ranged from 9.4% to 63.2% in different years. The main share of state purchases of photosensitizers falls on Moscow and St. Petersburg, h. However, in recent years there has been a noticeable trend towards an increase in sales of photosensitizers in the regions. Thus, in recent years, the share of purchases of photosensitizers in the constituent entities of the Russian Federation with a population of less than 1 million people has significantly increased (from 2.9% of the total number of purchases in 2014 to 25.3% in 2020). Also, in recent years, there has been a significant increase in the activity of research work activity in the field of PD and PDT. The number of defended candidate and doctoral dissertations theses defended in the field of PD and PDT photodynamic therapy and fluorescent diagnostics has been steadily high in recent years and, in some scientific specialties, reaches 2-3% of the total number of defended dissertations theses defended in these specialties. The increase in the total number of publications over 10 years according to the RSCI was 224% (from 218 publications in 2014 to 489 publications in 2019), according to the RSCI. The results obtained confirm the growing demand for photosensitizers for photodynamic therapy and fluorescence diagnostics in clinical practice, the expansion of the geography of the use of methods, as wel
近年来,俄罗斯光动力治疗(PDT)和光动力光诊断(PD)方法的发展特点是,各医学专业的专家对各医学专业专家的方法的兴趣不断增加,具有执行PD和PDT所需设备的医院的设备水平不断提高,药品市场上出现了新的光敏剂。病人对这些方法的信心也越来越高。本研究从光敏剂的公共采购量、PD和PDT领域的研究工作活动、该主题的候选人和博士论文数量以及RSCI科学出版物数量等方面分析了过去十年来俄罗斯PD和PDT临床应用和科学发展的动态。对688份临床用光敏剂供应合同进行了分析。分析显示,光敏剂的公共采购量每年稳定增长,俄罗斯联邦和通过门户网站www.zakupki.gov.ru购买光敏剂的临床中心的受试者数量有所增加。从2014年到2020年,所有光敏剂的公共采购总额增加了8倍(从3642万卢布(358万包)增加到30737万卢布(1899万包))。在过去6年中,不同年份的公共采购数量年增长率从9.4%到63.2%不等。国家购买光敏剂的主要份额在莫斯科和圣彼得堡。然而,近年来,这些地区光敏剂的销售出现了明显的增长趋势。因此,近年来,在人口少于100万的俄罗斯联邦组成实体中,光敏剂的采购份额显著增加(从2014年占总采购数量的2.9%增加到2020年的25.3%)。此外,近年来,PD和PDT领域的研究工作活动显著增加。PD和PDT光动力治疗和荧光诊断领域的研究生和博士学位论文答辩数近年来一直保持较高水平,在一些科学专业中,答辩数达到该专业总答辩数的2-3%。根据RSCI的数据,在过去的10年里,RSCI的出版物总数增长了224%(从2014年的218篇增加到2019年的489篇)。所获得的结果证实了临床实践中对光动力治疗和荧光诊断的光敏剂的需求不断增长,方法使用的地理范围不断扩大,以及研究环境中对该主题的稳定兴趣。
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引用次数: 17
Fluorescent diagnostics with chlorin e6 in surgery of low-grade glioma 低级别胶质瘤手术中氯e6荧光诊断
Q3 Medicine Pub Date : 2022-02-04 DOI: 10.24931/2413-9432-2021-10-4-35-43
A. Rynda, V. Olyushin, D. M. Rostovtsev, Y. Zabrodskaya, G. V. Papayan
Intraoperative fluorescence diagnostics of high-grade gliomas is widely used in neurosurgical practice. This work analyzes the possibilities of fluorescence diagnostics for low-grade gliomas (LGG) using chlorin e6 photosensitizer. The study included patients with newly diagnosed LGG, for whom chlorin e6 was used for intraoperative fluorescence control at a dose of 1 mg/kg. During the operation, the fluorescence intensity of various areas of the putative tumor tissue was analyzed using the RSS Cam – Endo 1.4.313 software. Tissue samples with various degrees of fluorescence intensity were compared with the results of their histopathological analysis (WHO tumor diagnosis, Ki-67 index, P53, VEGF). Fluorescence was detected in more than half of the cases, but in most cases had a focal character and low fluorescence intensity. The fluorescence intensity directly correlated with the data of histopathological examination of tumor tissues (Ki-67 index (p=0.002), expression of P53 (p=0.0015) and VEGF (p=0.001)). The sensitivity of the method for LGG surgery was 72%, the specificity was 56,7%. Intraoperative fluorescence diagnostics with chlorin e6 can be used in LGG surgery, especially to visualize intratumoral areas with a higher degree of anaplasia.
术中荧光诊断高度胶质瘤在神经外科实践中被广泛应用。本文分析了氯e6光敏剂用于低级别胶质瘤(LGG)荧光诊断的可能性。该研究纳入了新诊断的LGG患者,对其使用氯e6以1 mg/kg的剂量进行术中荧光控制。术中应用RSS Cam - Endo 1.4.313软件分析推定肿瘤组织各区域的荧光强度。将不同荧光强度的组织标本与其组织病理学分析结果(WHO肿瘤诊断、Ki-67指数、P53、VEGF)进行比较。荧光在半数以上的病例中检测到,但在大多数病例中具有局灶性和低荧光强度。荧光强度与肿瘤组织病理检查数据(Ki-67指数(p=0.002)、P53表达(p=0.0015)、VEGF表达(p=0.001)直接相关。该方法对LGG手术的敏感性为72%,特异性为56.7%。术中氯e6荧光诊断可用于LGG手术,尤其可用于观察瘤内发育不全程度较高的区域。
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引用次数: 3
Study of energy transfer processes between rare earth ions and photosensitizer molecules for photodynamic therapy with IR-excitation 稀土离子与光敏剂分子之间的能量转移过程研究
Q3 Medicine Pub Date : 2022-02-04 DOI: 10.24931/2413-9432-2021-10-4-23-34
D. Pominova, A. S. Bogatova, V. Proydakova, I. Romanishkin, E. Akhlyustina, S. Kuznetsov, T. A. Saveleva, E. Lukyanets, V. Loschenov
Today, photodynamic therapy is one of the most promising minimally invasive methods of treatment of various diseases, including cancer. The main limitation of this method is the insufficient penetration into the tissue of laser radiation used to activate photosensitizer molecules, which makes it difficult to carry out therapy in the treatment of large or deep-seated tumors. In this regard, there is a great interest in the development of new strategies for photodynamic therapy using infrared radiation for excitation, the wavelengths of which fall into the “transparency window” of biological tissues. In this work, it was proposed to use upconversion NaGdF4 :Yb:Er nanoparticles (UCNP), which absorb infrared excitation and serve as a donor that transfers energy to the photosensitizer. Photosens and phthalosens were chosen as the most promising photosensitizers for the study. The aim of this work was to study the energy transfer processes between upconversion nanoparticles doped with rare-earth ions and photosensitizer molecules. in order to excite photosensitizers with IR radiation and carry out photodynamic therapy of deep-seated neoplasms. Using spectroscopic and time-resolved methods, it has been demonstrated that there is an efficient energy transfer between upconversion particles and photosensitizers phthalosens and photosens. The calculated efficiency of energy transfer by the Foerster mechanism was 41% for the UCNP + photosens system and 69% for the UCNP + phthalosens system. It has been experimentally and theoretically proved that there is a binding of photosensitizer molecules with UCNP by means of surfactants, leading to a reduction in the distance between them, due to which effective nonradiative energy transfer is realized. The generation of singlet oxygen by the phthalosens photosensitizer upon excitation by means of energy transfer from UCNP, excited at 980 nm wavelength of, has been demonstrated.
今天,光动力疗法是治疗包括癌症在内的各种疾病的最有前途的微创方法之一。该方法的主要局限性是用于激活光敏剂分子的激光辐射不能充分渗透到组织中,这使得在治疗大型或深部肿瘤时难以进行治疗。在这方面,人们对开发利用红外辐射进行激发的光动力治疗新策略非常感兴趣,红外辐射的波长落入生物组织的“透明窗口”。在这项工作中,提出了使用上转换的NaGdF4:Yb:Er纳米颗粒(UCNP),它吸收红外激发并作为将能量传递给光敏剂的供体。选择光敏剂和光二苯二酚作为最有前途的光敏剂进行研究。本研究的目的是研究稀土离子掺杂的上转换纳米粒子与光敏剂分子之间的能量传递过程。利用红外辐射激发光敏剂,对深部肿瘤进行光动力治疗。利用光谱和时间分辨方法,已经证明了在上转换粒子和光敏剂酞苯二酚和光敏剂之间存在有效的能量传递。UCNP +光敏系统的福斯特机制计算的能量传递效率为41%,UCNP +苯二酚系统的计算效率为69%。通过实验和理论证明,光敏剂分子通过表面活性剂与UCNP结合,使两者之间的距离减小,从而实现了有效的非辐射能量传递。在980 nm波长激发下,利用UCNP的能量转移,苯二酚光敏剂产生单线态氧。
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引用次数: 0
Photodynamic therapy of a patient with basal cell skin cancer of the ear stage T3N0M0 (clinical case) 癌症耳期T3N0M0基底细胞皮肤患者的光动力学治疗(临床病例)
Q3 Medicine Pub Date : 2022-02-04 DOI: 10.24931/2413-9432-2021-10-4-68-70
E. Filonenko, N. I. Grigoryevykh, V. Ivanova-Radkevich
The article presents a clinical observation. The patient, 72 years old, applied to the MNII them. P.A. Herzen with complaints about the presence of an ulcerated tumor of the left ear. After further examination, a diagnosis was made - basal cell carcinoma of the ear skin with spread to the skin of the parotid region T3N0M0. On July 9, 2021, the patient underwent a course of photodynamic therapy (PDT) using a photosensitizer based on chlorin e6 and a diode laser with a wavelength of 662 nm. After one course of PDT, complete regression of the tumor was recorded.
这篇文章介绍了一个临床观察。患者,72岁,申请MNII。P.A.Herzen抱怨左耳出现溃疡性肿瘤。经进一步检查,诊断为耳皮肤基底细胞癌,并扩散至腮腺区皮肤T3N0M0。2021年7月9日,患者接受了一个疗程的光动力治疗(PDT),使用基于氯化氢e6的光敏剂和波长为662 nm的二极管激光器。PDT一个疗程后,肿瘤完全消退。
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引用次数: 1
Possibilities of photodynamic therapy in the treatment of malignant tumors of the oral cavity 光动力疗法治疗口腔恶性肿瘤的可能性
Q3 Medicine Pub Date : 2021-10-28 DOI: 10.24931/2413-9432-2021-10-3-32-38
Yury Panaseykin, E. Filonenko, F. Sevrukov, V. Polkin, P. Isaev, A. Kaprin, S. A. Ivanov
Oral mucosa cancer is a common disease with relatively low survival rates. The standard for the treatment of malignant neoplasms (MNO) of the oral mucosa is the surgical method, chemotherapy and / or radiation therapy. With the introduction of modern protocols and the improvement of current treatment methods, the increase in survival is insignificant due to the development of local and distant relapses, the appearance of simultaneous tumors of the oral cavity. Cosmetic and functional results in patients who have undergone complex treatment for oral cancer are often unsatisfactory. There is an obvious need to develop new approaches to treating patients with cancer of the oral mucosa. Photodynamic therapy (PDT) has similar properties. With the development of endoscopic and fiber-optic equipment, the fields of PDT application have significantly expanded. Foci in the oral cavity and oropharynx became available for PDT. The early stages of oral mucosal cancer are optimal for PDT because large surface defects can be treated with minimal complications. Preservation of subepithelial and collagen structures, which is typical for PDT, promotes healing without the formation of scar processes, thereby achieving an ideal cosmetic and functional effect. The use of PDT in the treatment of oral cavity cancer is not limited only to the initial stages in an independent version. It is possible to use PDT in combination with surgical and radiation treatment. In case of massive tumor processes, PDT is used for palliative purposes. The influence of the adaptive immune response under the influence of PDT is being studied.
口腔粘膜癌症是一种常见的疾病,存活率相对较低。口腔粘膜恶性肿瘤(MNO)的治疗标准是手术方法、化疗和/或放射治疗。随着现代治疗方案的引入和当前治疗方法的改进,由于局部和远处复发的发展,同时出现口腔肿瘤,生存率的提高是微不足道的。口腔癌症接受复杂治疗的患者的美容和功能结果通常不令人满意。显然需要开发新的方法来治疗口腔粘膜癌症患者。光动力疗法(PDT)具有类似的特性。随着内窥镜和光纤设备的发展,PDT的应用领域显著扩展。口腔和口咽的病灶可用于PDT。口腔粘膜癌症的早期阶段是PDT的最佳选择,因为大的表面缺陷可以以最小的并发症进行治疗。PDT典型的上皮下和胶原结构的保存可以促进愈合,而不会形成疤痕,从而达到理想的美容和功能效果。PDT在口腔癌症治疗中的应用不仅限于独立版本中的初始阶段。PDT与手术和放射治疗相结合是可能的。在大规模肿瘤过程的情况下,PDT用于姑息治疗。目前正在研究PDT影响下的适应性免疫反应的影响。
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引用次数: 5
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Biomedical Photonics
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