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All-in-one theranostic nanoplatform with controlled drug release and activated MRI tracking functions for synergistic NIR-II hyperthermia-chemotherapy of tumors
摘要： Real-time tracking drug release behavior is fundamentally important for avoiding adverse effects or unsuccessful treatment in personalize medical treatment. However, the development of a non-invasive drug reporting platform still remains challenging. Herein the design of a novel synthetic magnetic resonance imaging (MRI) agent for drug release tracking (SMART) is reported, which integrates photothermal core and paramagnetic ion/drug loading shell with a thermal valve in a hybrid structure. Through near-infrared (NIR)-II photothermal effect originating from inner Au-Cu9S5 nanohybrid core, burst release of drugs loaded in the mesoporous silica shell is achieved. The concomitant use of a phase change material not only prevents premature drug release, but also regulates heating effect, keeping local temperature below 45 oC, enabling synergistic chemotherapy and mild hyperthermia in vitro and in vivo. Furthermore, the drug release from SMART facilitates proton accessibility to the paramagnetic ions anchored inside mesopores channels, enhancing longitudinal T1 relaxation rate and displaying positive signal correlation to the amount of released drug, thus allowing non-invasive real-time monitoring of drug release event. The current study highlights the potential of designed MRI nanophores such as SMART for real-time and in-situ monitoring of drug delivery for precision theranostic applications.
关键词： drug delivery,chemotherapy,NIR-II window,magnetic resonance,hyperthermia
更新于2025-09-19 17:13:59
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Oral mucosal irritation potential of antimicrobial chemotherapy involving hydrogen peroxide photolysis with high-power laser irradiation for the treatment of periodontitis
摘要： In the present study, we assessed the oral mucosal irritation potential of antimicrobial chemotherapy involving hydrogen peroxide (H2O2) photolysis with a 405-nm laser device at an output power of ≥100 mW in hamsters. Twenty-four cheek pouches from 12 male Syrian hamsters received 7-min treatment with pure water (PW), 3% H2O2, laser irradiation of PW at 100 mW, laser irradiation of 3% H2O2 at 100 mW, laser irradiation of PW at 200 mW, or laser irradiation of 3% H2O2 at 200 mW (n = 4 each). The diameter of the irradiation area was set at 3 mm; accordingly, the calculated irradiances (optical power densities) of the 100- and 200-mW laser lights were approximately 1400 and 2800 mW/cm2, respectively. In addition, 12 cheek pouches from six animals received laser irradiation of 3% H2O2 at 100 mW for 1, 3, or 5 min (n = 4 each). Each treatment was repeated three times at 1-h intervals. Macroscopic and histological changes were evaluated 24 h after the last treatment. In addition, in vitro bactericidal activity of the treatment against periodontal pathogens was evaluated. We found that 405-nm laser irradiation of 3% H2O2 caused moderate to severe oral mucosal irritation when performed at powers of 100 and 200 mW for ≥3 min, while the same treatment performed at 100 mW for 1 min resulted in mild irritation. Moreover, 1-min H2O2 photolysis at 100 mW caused a >4-log decrease in viable bacterial counts. These findings suggest that 1-min H2O2 photolysis, which can effectively kill periodontal pathogens, may be acceptable when a 405-nm laser device is used at 100 mW. However, use of the laser at a lower power would be preferable for the prevention of unnecessary oral mucosal irritation.
关键词： hydroxyl radicals,photolysis,periodontitis,oral mucosal irritation,laser irradiation,antimicrobial chemotherapy,hydrogen peroxide
更新于2025-09-16 10:30:52
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Transurethral holmium laser resection and transurethral electrocision combined with intravesical epirubicin within 24 hours postoperatively for treatment of bladder cancer
摘要： Objective: To investigate the efficacy and safety of transurethral holmium laser resection (THOLR) and transurethral electrocision (TUR) combined with intravesical epirubicin within 24 hours postoperatively for treatment of non-muscular invasive bladder cancer. Methods: A total of 218 consecutive patients who were newly diagnosed with bladder cancer were enrolled in this prospective study from July 2014 to December 2017. The patients were randomly divided into THOLR and TUR groups. All patients received intravesical epirubicin (30 mg dissolved in 5% glucose solution) within 24 hours postoperatively. The operation time, blood loss, rate of obturator reflex, hospitalization time, catheterization time, complications, and recurrence were analyzed. Results: Operation, hospitalization, and catheterization times were significantly greater in the TUR group than in the THOLR group. The rates of blood loss and intraoperative obturator reflex were also significantly greater in the TUR group. There were no significant differences in complications, recurrence rate survival, or recurrence-free survival between the two groups, with the exception of bladder perforation rate. Conclusions: THOLR and TUR combined with intravesical epirubicin within 24 hours postoperatively were both safe and effective for treatment of bladder tumor; however, patients who undergo THOLR might experience more rapid recovery.
关键词： epirubicin,catheterization,obturator reflex,bladder cancer,intravesical chemotherapy,Transurethral holmium laser resection,transurethral electrocision,hospitalization,surgical blood loss
更新于2025-09-12 10:27:22
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Covalently assembled dopamine nanoparticle as an intrinsic photosensitizer and pH-responsive nanocarrier for potential application in anticancer therapy
摘要： We report a novel nanophotosensitizer via one-step covalent assembly of dopamine and genipin. This is the first report unveiling the photodynamic effect of dopamine-based materials. These nanophotosensitizers can also act as pH-responsive drug nanocarriers via a catechol–boronate linkage, thus achieving combined PDT and chemotherapy for highly efficient cancer treatment.
关键词： nanophotosensitizer,genipin,nanocarrier,dopamine,pH-responsive,chemotherapy,photodynamic therapy
更新于2025-09-12 10:27:22
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[IEEE 2019 Conference on Lasers and Electro-Optics Europe & European Quantum Electronics Conference (CLEO/Europe-EQEC) - Munich, Germany (2019.6.23-2019.6.27)] 2019 Conference on Lasers and Electro-Optics Europe & European Quantum Electronics Conference (CLEO/Europe-EQEC) - Optical Neural Network by Disordered Tumor Spheroids
摘要： Optical neuromorphic computing processes information at the speed of light, but requires a careful design and fabrication of the deep layers, which strongly hampers the development of large-scale photonic learning machines [1,2]. New paradigms, as reservoir computing [3], suggest that brain-inspired complex systems such as disordered and biological materials may realize artificial neural networks with thousands of computational nodes trained only at the input and at the readout. Here we use real-brain cells for realizing a bio-inspired optical neural network able to extract information about cancer morphodynamics and chemotherapy that is inaccessible to imaging methods [4]. Specifically, we consider glioblastoma tumor spheroids as three-dimensional deep computational reservoirs with thousands of cells acting as wave-mixing nodes for the input light beam. These tumor models are largely used in oncology and are a promising platform for studying complex cell-to-cell interactions and anti-cancer therapeutics. In our hybrid bio/photonic scheme, the tumor model cellular layers are the diffractive deep layers of the optical neural network [Fig. 1(a)]. By exploiting structured light propagation in the disordered assembly [5], we show that the random neural network is a universal optical interpolant able to perform programmed functions in the transmission plane. Through external stimuli on the tumour brain cells – either of thermal or chemical nature – we control the internal weights of the living reservoir and its functionality. Once trained, the response of the living optical neural network follows subcellular cancer morphodynamics, not detected by more invasive and destructive optical imaging. In Fig. 1(b) we demonstrate morphodynamics sensing by inducing hyperthermia with an infrared pump laser. Moreover, we track cellular processes in the tumour model beyond the simple unconstrained growth; in Fig. 1(c) the network output allows to quantify the effect of chemotherapy inhibiting tumour growth. In this case, we realize a non-invasive smart probe for cytotoxicity assay, which is at least one order of magnitude more sensitive with respect to conventional imaging. Our random and hybrid photonic/living system is a novel artificial machine for computing and for the real-time investigation of tumour dynamics.
关键词： optical neural network,cancer morphodynamics,disordered tumor spheroids,reservoir computing,neuromorphic computing,chemotherapy
更新于2025-09-11 14:15:04
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Thulium Laser‐Assisted Versus Conventional Laparoscopic Partial Nephrectomy for the Small Renal Mass
摘要： Mitochondria-targeting cancer therapies have achieved unprecedented advances attributed to their superior ability for improving drug delivery efficiency and producing an enhanced therapeutic effect. Herein, we report a mitochondria-targeting camptothecin (CPT) polyprodrug system (MCPS) covalently decorated with a high-proportioned CPT content, which can realize drug release specifically responsive to a tumor microenvironment. The nonlinear structure of MCPS can form water-soluble unimolecular micelles with high micellar stability and improved drug accumulation in tumoral cells/tissues. Furthermore, a classical mitochondria-targeting agent, triphenylphosphonium bromide, was tethered in this prodrug system, which causes mitochondrial membrane potential depolarization and mediates the transport of CPT into mitochondria. The disulfide bond in MCPS can be cleaved by an intracellular reductant such as glutathione, leading to enhanced destruction of mitochondria DNA and cell apoptosis induced by a high level of reactive oxygen species. The systematic analyses both in vitro and in vivo indicated the excellent tumor inhibition effect and biosafety of MCPS, which is believed to be an advantageous nanoplatform for subcellular organelle-specific chemotherapy of cancer.
关键词： chemotherapy,reduction-activated,mitochondria-targeted,polyprodrug,cancer therapy
更新于2025-09-11 14:15:04
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Use of low-level laser therapy (LLLT) or photobiomodulation (PBM) for the management of the hand-foot syndrome (HSF) or palmo-plantar erythrodysesthesia (PPED) associated with cancer therapy
摘要： The purpose of this pilot study was to determine whether photobiomodulation (PBM) might be effective for chemotherapy-induced palmo-plantar erythrodyesthesia (PPED), as it is for mucositis or radio dermatitis; no standard therapy exists for PPED. Patients were allocated to PBM or sham irradiation and were blindly assessed after 2 weeks. Pain and satisfaction with treatment were also evaluated. We found a significant benefit from PBM in comparison with sham treatment (p < 0.03) and a decrease of pain in 49% of the patients. No adverse reactions were observed. We concluded that PBM might represent a useful approach for the management of PPED.
关键词： Low-level laser,Palmo-plantar erythrodysesthesia,Photobiomodulation,Chemotherapy-induced toxicity
更新于2025-09-11 14:15:04
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Radiology, Lasers, Nanoparticles and Prosthetics || 8. Cell cycle and cancer
摘要： The present chapter is intended to provide a basic understanding of the cell’s life cycle and the difference between normal and cancerous cells. This information is a prerequisite for the rationale behind cancer treatment plans using radiotherapy discussed in Chapters 9–12. For more specific and detailed information on cell cycle the reader is referred to standard biology [1] or physiology textbooks listed under “Further reading”. Here we focus the discussion on the relation between dose and cell survival rate that is contextual information for the following chapters on radiotherapy.
关键词： radiation response,biological effectiveness,cell cycle,DNA replication,mitosis,oncogenes,apoptosis,tumor suppressors,fractionation,hypoxia,chemotherapy,radiotherapy,cancer
更新于2025-09-11 14:15:04
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Recycling the GaN Waste from LED Industry by Pressurized Leaching Method
摘要： Background: Ductal carcinoma in situ with microinvasion (DCISM) represents ~1% of all breast cancer cases. Risk factors for lymph node (LN) metastasis and appropriate adjuvant therapy for DCISM are still widely debated. Methods: We retrieved DCISM data from the National Cancer Institute’s Surveillance, Epidemiology, and End Results registry database (1998–2013). Chi-squared tests and logistic regression models were applied to investigate the potential risks of LN metastasis. Univariate and multivariate Cox proportional hazards regressions were performed to estimate the prognostic factors of DCISM. Survival outcomes were estimated using the Kaplan–Meier method. A 1:1 propensity score matching was used to minimize potential bias. Results: Overall, 6,219 patients with DCISM met our inclusion criteria. Younger age and higher grade disease were identified as risk factors for LN metastasis. In the multivariable analysis, LN metastasis and chemotherapy were prognostic factors for worse overall survival and breast cancer-specific survival. Furthermore, propensity score matching and subgroup analysis showed that chemotherapy may not be effective for DCISM patients. Conclusion: Younger patients with high-grade disease tend to have LN involved in DCISM. Adjuvant chemotherapy might not be necessary for patients with DCISM.
关键词： ductal carcinoma in situ with microinvasion,SEER database,breast cancer,lymphatic metastasis,adjuvant chemotherapy
更新于2025-09-11 14:15:04
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Cu-Fe-Se Ternary Nanosheet-Based Drug Delivery Carrier for Multimodal Imaging and Combined Chemo-photothermal Therapy of Cancer
摘要： Ternary transition-metal chalcogenide nanosheets have shown great potential in diverse applications owing to their intrinsically amazing properties with broad tunable window. Direct preparation of water-soluble and biocompatible ternary chalcogenide nanosheets for theranostic application remains a challenge. In this article, we prepared Cu-Fe-Se nanosheets (CFS NSs) in an aqueous solution under ambient conditions by sequential coprecipitation method. They were functionalized with anticancer drug doxorubin (CFS@DOX) through electrostatic interactions, and labeled with radioactive isotope 99mTc through surface coordination effect. The resulting nanosheets have a size of 70 nm and a thickness of 5 nm, and can be well dispersed in water, PBS, 10% FBS, and 0.9% NaCl with an excellent colloidal stability. They also exhibit a high photothermal conversion efficiency of 78.9% for in vitro and in vivo photoacoustic imaging and photothermal therapy. The isotope-labelled nanosheets (99mTc-CFS NSs) were used for single photon emission computed tomography/computed tomography (SPECT/CT) imaging, and quantification of their blood circulation time (~4.7 h) and biodistributions in major organs, which follow an order of liver > bladder > lung > spleen > heart > kidney. The DOX functionalized nanosheets (CFS@DOX) were used for chemotherapy of cancer and exhibited excellent anti-cancer efficacy. Our research shows the great promise of ternary metal chalcogenide nanosheets for combined imaging and therapy of cancer.
关键词： radiolabeling,2D ternary nanosheets,transition metal chalcogenides,multimodal imaging,chemotherapy,photothermal therapy
更新于2025-09-11 14:15:04