癌症治疗的生物电磁范式——调制电热疗法(mEHT)

O. Szász
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引用次数: 10

摘要

最常用的生物电磁效应之一是利用电动势能量对生物物种进行深度加热。尽管历史悠久,但热疗是一种很少应用的肿瘤治疗方法。究其原因,其结果有争议,控制复杂。其中一个解决方案是将电磁能量集中在纳米级的恶性细胞上,而不是加热整个肿瘤肿块。这种方法是一种非均匀的能量吸收,只在选定的区域提供能量释放。恶性细胞的能量吸收以细胞膜为目标,造成远离热平衡的情况。恶性细胞的选择是基于它们与健康细胞的明显差异。区分参数是恶性组织成分的电磁特性,即恶性细胞与健康细胞之间的生理差异。该靶标利用细胞膜上的天然纳米团簇实现纳米级加热,而无需人工实现。这种能量吸收产生相应的反应,如程序性细胞死亡(细胞凋亡),持续的免疫原性细胞死亡涉及延长的免疫反应。所施加的射频电流采用时间分形调制方式进行幅度调制。精确匹配的阻抗实现了随机共振促进的自选择机制。这种复杂的方法是一种新的热疗方法,被称为mEHT。我们的目的是分析选择性、非平衡能量吸收的问题,并提出一种有效的、可控的肿瘤热疗的电磁机制解决方案。
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Bioelectromagnetic Paradigm of Cancer Treatment—Modulated Electro-Hyperthermia (mEHT)
One of the most frequently applied bioelectromagnetic effects is the deep heating of the living species with EMF energy. Despite its long history, hyperthermia is a rarely applied oncotherapy. The reason is its controversial results and complicated control. One of the solutions is concentrating the electromagnetic energy nanoscopically on the parts of the malignant cells instead of heating up the complete tumor-mass. This approach is a kind of non-uniform energy absorption, providing energy liberation only in the selected regions. The energy-absorption of the malignant cells targets the membranes and creates a situation far from thermal equilibrium. The selection of the malignant cells is based on their decided differences from their healthy counterparts. The distinguishing parameters are the electromagnetic properties of the components of the malignant tissue which are the physiologic differences between the malignant cells and their healthy counterparts. The targets realize nano-range heating, using natural nanoclusters on the cell-membrane without artificially implementing them. This energy absorption generates consequent reactions, like programmed cell-death (apoptosis) continued by immunogenic cell-death involving extended immune reactions.  The applied radiofrequency current is amplitude modulated by time-fractal modulation pattern. The accurately matched impedance realizes the self-selective mechanisms which are promoted by stochastic resonances. This complex method is a new kind of hyperthermia, named mEHT. Our objective is to analyze the problems of the selective, non-equilibrium energy absorption, and present a solution by the electromagnetic mechanisms for an effective and controllable hyperthermia in oncology.
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