先进生物材料在骨恶性肿瘤光热治疗中的应用。

IF 8.1 Q1 ENGINEERING, BIOMEDICAL Biomaterials research Pub Date : 2023-11-15 DOI:10.1186/s40824-023-00453-z
Bo Chao, Jianhang Jiao, Lili Yang, Yang Wang, Weibo Jiang, Tong Yu, Linfeng Wang, He Liu, Han Zhang, Zhonghan Wang, Minfei Wu
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引用次数: 0

摘要

恶性骨肿瘤因其发病机制复杂、病情进展隐匿,致残率高、死亡率高、复发率高,严重影响患者的晚期生活质量。光热疗法(PTT)已成为一种有吸引力的辅助治疗方法,具有突出的高温治疗效果,以提高手术治疗的有效性并避免复发。同时,各种具有光热能力的先进生物材料目前被用于治疗恶性骨肿瘤,具有独特的生物功能,包括纳米材料、生物陶瓷(BC)、聚合物和水凝胶等。此外,即使在复杂的肿瘤微环境(TME)中,与单药治疗相比,ptt相关的联合治疗策略可以通过降低药物毒性、提高肿瘤杀伤效率、刺激抗癌免疫和提高免疫敏感性来提供更显著的治疗效果。本文首次综述了目前用于骨恶性肿瘤PTT及相关联合治疗的先进生物材料。对PTT治疗恶性骨肿瘤的先进生物材料的多种选择、治疗方法以及未来研究的新前景进行了综述,以提供指导。恶性骨肿瘤严重影响患者的晚期生活质量。光热疗法(PTT)已成为一种有吸引力的辅助治疗方法,可提高手术治疗的有效性并避免复发。本文首次全面综述了用于骨恶性肿瘤PTT的先进生物材料及其独特的生物学功能。同时,对多种与PTT相关的联合治疗策略进行分类,优化临床实际问题,为未来PTT辅助治疗恶性骨肿瘤的生物材料选择、治疗方案选择和研究前景提供参考。
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Application of advanced biomaterials in photothermal therapy for malignant bone tumors.

Malignant bone tumors are characterized by severe disability rate, mortality rate, and heavy recurrence rate owing to the complex pathogenesis and insidious disease progression, which seriously affect the terminal quality of patients' lives. Photothermal therapy (PTT) has emerged as an attractive adjunctive treatment offering prominent hyperthermal therapeutic effects to enhance the effectiveness of surgical treatment and avoid recurrence. Simultaneously, various advanced biomaterials with photothermal capacity are currently created to address malignant bone tumors, performing distinctive biological functions, including nanomaterials, bioceramics (BC), polymers, and hydrogels et al. Furthermore, PTT-related combination therapeutic strategies can provide more significant curative benefits by reducing drug toxicity, improving tumor-killing efficiency, stimulating anti-cancer immunity, and improving immune sensitivity relative to monotherapy, even in complex tumor microenvironments (TME). This review summarizes the current advanced biomaterials applicable in PTT and relevant combination therapies on malignant bone tumors for the first time. The multiple choices of advanced biomaterials, treatment methods, and new prospects for future research in treating malignant bone tumors with PTT are generalized to provide guidance. Malignant bone tumors seriously affect the terminal quality of patients' lives. Photothermal therapy (PTT) has emerged as an attractive adjunctive treatment enhancing the effectiveness of surgical treatment and avoiding recurrence. In this review, advanced biomaterials applicable in the PTT of malignant bone tumors and their distinctive biological functions are comprehensively summarized for the first time. Simultaneously, multiple PTT-related combination therapeutic strategies are classified to optimize practical clinical issues, contributing to the selection of biomaterials, therapeutic alternatives, and research perspectives for the adjuvant treatment of malignant bone tumors with PTT in the future.

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