全身振动能增强化疗效果吗?

IF 2.1 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Medical hypotheses Pub Date : 2024-06-26 DOI:10.1016/j.mehy.2024.111409
B.-A. Hagiu
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引用次数: 0

摘要

在肿瘤患者中,全身振动(WBV)可用于减少与癌症治疗相关的发病率,包括在强化/大剂量化疗的情况下。根据 WBV 在加强脾脏血液循环的体育锻炼中具有独特效果这一事实,可以提出这样的医学假设:在静脉化疗后立即或最好在化疗过程中进行这种训练,可以提高药物的分布率,从而增强药物治疗的效果。这种效果尤其有利于腹部肿瘤患者,还可以减少剂量,从而降低不良反应发生的概率。可以在实验动物身上测试这一假设,但在组织研究方案时必须考虑到,机械振动可以通过自身作用、影响间充质干细胞或刺激鸢尾素分泌来破坏肿瘤细胞。此外,有必要对实验动物进行研究,以确定机械振动是否不会影响干细胞治疗肿瘤或降低抗肿瘤免疫力。
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Can whole body vibration enhance chemotherapy?

In oncological patients, whole body vibration (WBV) can be used to reduce cancer therapy-related morbidities, including in the case of intensive/high-dose chemotherapy. Based on the fact that WBV has the unique effect among physical exercises of intensifying blood circulation in the splanchnic territory, the medical hypothesis can be formulated according to which this type of training performed immediately after or ideally during intravenous chemotherapy would enhance the effectiveness of drug therapy due to the increase in the rate of distribution. This effect, which can benefit especially patients with abdominal tumors, may also allow the reduction of doses, thus reducing the probability of the occurrence of adverse reactions. Testing the hypothesis is possible on experimental animals, but for the organization of the research protocol, it must be taken into account that mechanical vibrations can destroy tumor cells by their own action, by influencing mesenchymal stem cells or by stimulating the secretion of irisin. Research on experimental animals is also necessary to discern whether mechanical vibrations do not affect the treatment of tumors with stem cells or do not decrease anti-tumor immunity.

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来源期刊
Medical hypotheses
Medical hypotheses 医学-医学:研究与实验
CiteScore
10.60
自引率
2.10%
发文量
167
审稿时长
60 days
期刊介绍: Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.
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