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Targeting prostate cancer through reactive oxygen species: Advances in photothermal and sonodynamic therapies
Ridha M Lefta1, Samer Saleem Alshkarchy2, Thekra F Ali3
1Community Health Nursing Department, College of Nursing, University of Al-Ameed, Ministry of Higher Education and Scientific Research, POBox 198, Iraq.
Abstract:
Prostate cancer (PCa) remains a major clinical challenge due to limited treatment efficacy, frequent resistance, and high recurrence rates. Given the susceptibility of cancer cells to oxidative stress, reactive oxygen species (ROS)-based strategies offer promising therapeutic potential. Photothermal therapy (PTT) and sonodynamic therapy (SDT) are emerging minimally invasive modalities that exploit nanotechnology to induce localized ROS generation. This review highlights recent advances in ROS-mediated PTT and SDT for PCa, emphasizing nanomaterial design and functionalization to enhance targeting precision, drug delivery, and overcome tumor hypoxia. Combining PTT and SDT with chemotherapy, radiotherapy, or immunotherapy produces synergistic effects, potentially overcoming resistance and eliciting systemic antitumor immunity. Preclinical studies demonstrate effective tumor eradication and immune activation with minimal toxicity, suggesting promise for clinical translation. However, human clinical trials remain scarce, and further translational research is needed before these nanotechnology-based approaches can be integrated into standard PCa treatment.
Insights
Nanotechnology-based photothermal therapy (PTT) and sonodynamic therapy (SDT) show promise for treating prostate cancer (PCa) by generating reactive oxygen species (ROS). Combining these therapies with others may overcome resistance and boost immune response.
Area of Science:
- Oncology
- Nanomedicine
- Biomedical Engineering
Background:
- Prostate cancer (PCa) presents significant challenges in treatment efficacy, resistance, and recurrence.
- Cancer cells' susceptibility to oxidative stress opens avenues for reactive oxygen species (ROS)-based therapeutic strategies.
- Photothermal therapy (PTT) and sonodynamic therapy (SDT) are emerging nanotechnology-based approaches for localized ROS generation.
Purpose of the Study:
- To review recent advancements in ROS-mediated PTT and SDT for prostate cancer treatment.
- To emphasize the role of nanomaterial design and functionalization in enhancing therapeutic outcomes.
- To explore the potential of combining PTT and SDT with other cancer treatments.
Main Methods:
- Review of current literature on nanotechnology applications in PTT and SDT for PCa.
- Analysis of nanomaterial strategies for improved targeting, drug delivery, and overcoming tumor hypoxia.
- Examination of synergistic effects when combining PTT/SDT with chemotherapy, radiotherapy, or immunotherapy.
Main Results:
- Nanomaterial design and functionalization are crucial for precise targeting and overcoming tumor hypoxia in PCa.
- Combined PTT and SDT with other therapies demonstrate synergistic effects, potentially overcoming treatment resistance.
- Preclinical studies show effective tumor eradication and immune activation with minimal toxicity.
Conclusions:
- ROS-mediated PTT and SDT, enhanced by nanotechnology, offer a promising therapeutic avenue for prostate cancer.
- Combination strategies show potential for overcoming resistance and eliciting systemic antitumor immunity.
- Further translational research and clinical trials are necessary for integrating these approaches into standard PCa care.
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