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Published on: February 10, 2023
Comprehensive strategy of sonodynamic therapy and gas therapy on tumor treatment
Lilin Zhao1, Yaqi Zhang, Qian Huang
1Department of Ultrasound, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, Jiangsu Province, China.
Abstract:
Sonodynamic therapy has emerged as a novel non-invasive treatment for cancer with limited single effects. To achieve optimal therapeutic efficacy, sonodynamic therapy frequently needs to be combined with other therapeutic strategies. By exploiting the biological properties of specific gas molecules, gas therapy is an emerging tumor treatment that exerts direct or indirect inhibitory effects on tumor cells. This review systematically examines the rationales, methodologies, and outcomes of sonodynamic therapy and gas therapy combinatorial strategies for malignant tumors. There is a synergistic effect between sonodynamic therapy and gas therapy in tumor treatment. The ultrasound-induced cavitation enhances tissue permeability for improved gas delivery, while gas molecules concurrently sensitize sonodynamic reactions and ameliorate tumor hypoxia. The interaction significantly enhances the therapeutic effect of tumors. Moreover, the combination of sonodynamic therapy with other therapeutic modalities can significantly enhance the anti-tumor efficacy, improve the therapeutic precision and safety, while improve the tumor microenvironment. This combined treatment strategy can also reduce side effects and has a broad clinical application perspective.
Insights
Sonodynamic therapy combined with gas therapy offers a synergistic approach to cancer treatment. This combination enhances anti-tumor efficacy, improves safety, and optimizes the tumor microenvironment for better outcomes.
Area of Science:
- Oncology
- Biomedical Engineering
- Nanotechnology
Background:
- Sonodynamic therapy (SDT) is a non-invasive cancer treatment with limited efficacy as a standalone therapy.
- Gas therapy, utilizing specific gas molecules, presents an emerging strategy for direct or indirect tumor cell inhibition.
- Combining therapeutic modalities is crucial for enhancing anti-tumor efficacy and precision.
Purpose of the Study:
- To systematically review the rationales, methodologies, and outcomes of combining sonodynamic therapy and gas therapy for malignant tumors.
- To explore the synergistic interactions between SDT and gas therapy in tumor treatment.
- To assess the potential of combined SDT and gas therapy to improve the tumor microenvironment and reduce side effects.
Main Methods:
- Systematic literature review of studies investigating combined sonodynamic therapy and gas therapy.
- Analysis of mechanisms underlying the synergistic effects, including ultrasound-induced cavitation and gas molecule interactions.
- Evaluation of outcomes related to anti-tumor efficacy, therapeutic precision, safety, and tumor microenvironment modulation.
Main Results:
- A significant synergistic effect exists between sonodynamic therapy and gas therapy in tumor treatment.
- Ultrasound-induced cavitation enhances gas delivery and gas molecules sensitize SDT reactions, ameliorating tumor hypoxia.
- Combined strategies significantly enhance anti-tumor efficacy, improve therapeutic precision and safety, and positively modulate the tumor microenvironment.
Conclusions:
- The combination of sonodynamic therapy and gas therapy presents a promising strategy for enhanced malignant tumor treatment.
- This combinatorial approach offers improved therapeutic precision, safety, and tumor microenvironment modulation.
- The combined treatment strategy demonstrates broad clinical application potential with reduced side effects.
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