{"title":"全身振动能增强化疗效果吗?","authors":"B.-A. Hagiu","doi":"10.1016/j.mehy.2024.111409","DOIUrl":null,"url":null,"abstract":"<div><p>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.</p></div>","PeriodicalId":18425,"journal":{"name":"Medical hypotheses","volume":"189 ","pages":"Article 111409"},"PeriodicalIF":2.1000,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Can whole body vibration enhance chemotherapy?\",\"authors\":\"B.-A. Hagiu\",\"doi\":\"10.1016/j.mehy.2024.111409\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>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.</p></div>\",\"PeriodicalId\":18425,\"journal\":{\"name\":\"Medical hypotheses\",\"volume\":\"189 \",\"pages\":\"Article 111409\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2024-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical hypotheses\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S030698772400152X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical hypotheses","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S030698772400152X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
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.
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.