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Updated: Jun 25, 2025

Basic Research in Plasma Medicine - A Throughput Approach from Liquids to Cells
Published on: November 17, 2017
Mechanism of non-thermal atmospheric plasma in anti-tumor: influencing intracellular RONS and regulating signaling
Wenjie Wang1,2, Peijia Zheng1,2, Liang Yan1,2
1Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Abstract:
Non-thermal atmospheric plasma (NTAP) has been proven to be an effective anti-tumor tool, with various biological effects such as inhibiting tumor proliferation, metastasis, and promoting tumor cell apoptosis. At present, the main conclusion is that ROS and RNS are the main effector components of NTAP, but the mechanisms of which still lack systematic summary. Therefore, in this review, we first summarized the mechanism by which NTAP directly or indirectly causes an increase in intracellular RONS concentration, and the multiple pathways dysregulation (i.e. NRF2, PI3K, MAPK, NF-κB) induced by intracellular RONS. Then, we generalized the relationship between NTAP induced pathways dysregulation and the various biological effects it brought. The summary of the anti-tumor mechanism of NTAP is helpful for its further research and clinical transformation.
Insights
Non-thermal atmospheric plasma (NTAP) effectively combats tumors by inducing cell death and inhibiting growth. This review clarifies how NTAP generates reactive oxygen and nitrogen species (RONS) to trigger anti-tumor pathways.
Area of Science:
- Biomedical Engineering
- Plasma Physics
- Cancer Research
Background:
- Non-thermal atmospheric plasma (NTAP) exhibits significant anti-tumor properties, including inhibition of proliferation and metastasis, and promotion of apoptosis.
- Reactive oxygen species (ROS) and reactive nitrogen species (RNS) are recognized as key NTAP effector components, but their precise anti-tumor mechanisms require systematic elucidation.
Purpose of the Study:
- To systematically summarize the mechanisms underlying NTAP's anti-tumor effects.
- To elucidate how NTAP influences intracellular reactive oxygen and nitrogen species (RONS) concentrations.
- To detail the dysregulation of key signaling pathways (NRF2, PI3K, MAPK, NF-κB) induced by RONS and their link to anti-tumor outcomes.
Main Methods:
- Literature review and synthesis of existing research on NTAP and cancer.
- Analysis of mechanisms for NTAP-induced RONS generation.
- Examination of RONS-mediated signaling pathway alterations in tumor cells.
Main Results:
- NTAP treatment leads to increased intracellular RONS concentration through direct and indirect mechanisms.
- Elevated RONS dysregulate critical cellular pathways, including NRF2, PI3K, MAPK, and NF-κB.
- Dysregulation of these pathways correlates with observed anti-tumor effects like reduced proliferation, metastasis, and enhanced apoptosis.
Conclusions:
- A comprehensive understanding of NTAP's anti-tumor mechanisms involves RONS generation and subsequent pathway modulation.
- This systematic summary provides a foundation for advancing NTAP research and its clinical translation in oncology.
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