产热纳米颗粒癌症临床研究成果及其治疗应用新概念

T. Morino, T. Etani, T. Naiki, N. Kawai, T. Kikumori, Y. Nishida, N. Yamamoto, T. Yasui
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引用次数: 5

摘要

包括作者所在大学在内的四所日本大学进行了利用发热纳米粒子的癌症临床研究。将纳米颗粒注入肿瘤内,外加磁场照射诱导其产生热量杀死癌细胞。将三种复合磁铁矿纳米颗粒与产生不同频率的磁场照射器联合应用于临床研究。在本文中,我们结合未发表的数据对这些研究结果进行了回顾,并讨论了其潜力和进一步的完善。在纳米颗粒注射、磁铁矿成像、磁场照射等治疗关键环节未发现临床可行性的关键问题。研究发现,磁铁矿阳离子脂质体(MCL)和交变磁场(AMF)照射剂的联合使用显示出肿瘤消退活性,而没有皮肤烧伤和周围正常组织的组织学损伤等不良事件。然而,在体温普遍升高的肿瘤中,疗效是不同的。为了保证疗效,我们讨论了MCL剂量除以肿瘤体积(mg/cm3)的重要性,提出了总热剂量除以肿瘤体积(J/cm3)作为控制临床治疗的候选指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Outcome of Cancer Clinical Researches Using Heat-Generating Nanoparticles and Novel Concept of its Therapeutic Use
Cancer clinical researches using heat-generating nanoparticles have been conducted in four Japanese universities including authorsʼ universities. The nanoparticles were injected intratumorally and its heat generation was induced by external magnetic field irradiation to kill cancer cells. Three kinds of composite magnetites nanoparticles were applied to clinical researches in combination with either types of magnetic field irradiators generating different frequencies. In this paper we reviewed results of these researches with our unpublished data and discussed its potential and further refinement. Critical issues of clinical feasibility were not found in key process of treatment such as nanoparticles injection, magnetites imaging and magnetic field irradiation. A combinational use of magnetite cationic liposomes (MCL) and alternating magnetic field (AMF) irradiator was found to exhibit tumor regression activity without adverse events such as skin burn and histological damages of surrounding normal tissues. However, efficacies were found variable among tumors whose temperature rise was commonly achieved. In order to ensure efficacy, we discussed importance of MCL dosage divided by tumor volume (mg/cm3) and proposed total heat dose divided by tumor volume (J/cm3) as candidate index to control clinical treatments.
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