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Insight into the efficiency of oxygen introduced photodynamic therapy (PDT) and deep PDT against cancers with various assembled nanocarriers

DOI:10.1002/wnan.1583 期刊:Wiley Interdisciplinary Reviews: Nanomedicine and Nanobiotechnology 出版年份:2019 更新时间:2025-09-19 17:13:59
摘要: Photodynamic therapy (PDT) has been used in the treatment of cancers and other benign diseases for several years in clinic. However, the hypoxia of tumors and the penetration limitation of excitation light to tissues can dramatically reduce the efficacy of PDT to cancers. To overcome these drawbacks, various assembled nanocarriers such as nanoparticles, nanocapsules, nanocrystals, and so on were introduced. The assembled nanocarriers have the ability of loading photosensitizers, delivering O2 into tumors, generating O2 in situ in tumors, as well as turning near-infrared (NIR) light, X-rays, and chemical energy into ultraviolet or visible light. Therefore, it is easy for the nanocarriers to improve the hypoxia microenvironment or increase the treatment depth of cancers, which will improve the efficiency of PDT to some degree. In recent years, a number of investigations were focused on these subjects. We will summarize the advances of nanocarriers in PDT, especially in O2 introduction PDT and deep PDT. The perspectives, challenges, and potential in translation of PDT will also be discussed.
作者: Jie Zhao,Li Duan,Anhe Wang,Jinbo Fei,Junbai Li
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Investigating the efficiency of oxygen introduced photodynamic therapy (PDT) and deep PDT against cancers with various assembled nanocarriers.

The study concludes that nanocarriers can significantly improve the efficiency of PDT by overcoming tumor hypoxia and increasing the treatment depth. The combination of PDT with other therapeutics such as chemotherapy, radiotherapy, and photothermal therapy is essential for enhanced therapeutic outcomes. Future research should focus on improving the controllable release of O2, increasing the O2 introduction efficiency, and enhancing the FRET and self-luminescent efficiency for better PDT outcomes.

The investigations of nanocarriers that can inhibit the hypoxia problem or cure tumors deep in the body are still in an early stage, and there are seldom clinical investigations for the nanocarriers. Challenges include the controllable release of O2, increasing the O2 introduction efficiency, enhancing the FRET efficiency between donors and PSs, and improving the self-luminescent intensity for efficient ROS generation.

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