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纳秒脉冲电场介导肿瘤电消融的分子生物信号通路OACSTPCD

Molecular Biological Signaling Pathways of Tumor Electroablation Mediated by Nanosecond Pulsed Electric Field

中文摘要英文摘要

纳秒脉冲电场(Nanosecond Pulsed Electric Field,nsPEF)是一种新兴的电消融技术,通过在极短时间内施加高强度电场,诱导肿瘤细胞发生电穿孔、钙离子内流和活性氧堆积,进而引发一系列细胞内信号通路激活.本文综述了nsPEF在肿瘤电消融中的作用机制,特别是其在细胞层面和分子水平上的具体效应,包括内在和外在凋亡途径、坏死、自噬以及免疫应答通路.研究表明,nsPEF通过多种机制诱导肿瘤细胞死亡,增强抗肿瘤免疫反应.尽管nsPEF在肿瘤治疗中展现出巨大的潜力,但其应用仍面临一些挑战,包括作用机制的进一步明确、参数优化和治疗策略的改进.未来研究应继续探索nsPEF在不同类型肿瘤中的应用,并结合其他治疗手段,开发更加综合和个性化的治疗方案,以提升其临床效果和安全性.

Nanosecond pulsed electric field(nsPEF)is an emerging electroablation technology that induces tumor cell electroporation,calcium influx,and reactive oxygen species accumulation by applying a high-intensity electric field in an extremely short duration.This paper summarized the mechanisms of nsPEF in tumor ablation,particularly its specific effects at the cellular and molecular levels.Research indicated that nsPEF induced tumor cell death through various pathways,including intrinsic and extrinsic apoptosis,necrosis,autophagy,and immune response pathways,thereby enhancing anti-tumor immune reactions.Despite the potential of nsPEF in tumor treatment,its application faces challenges such as the need for further elucidation of its mechanisms,optimization of parameters,and improvement of treatment strategies.Future research should continue to explore the application of nsPEF in different types of tumors and integrate it with other treatment modalities to develop more comprehensive and personalized therapeutic approaches,thereby enhancing its clinical efficacy and safety.

董延钊;邹晓迪;周伟杰;刘振锋;陈永刚;吴斌;卢荟

浙江大学医学院附属第一医院骨科,浙江 杭州 310003浙江中医药大学医学院附属第二医院 骨科,浙江 杭州 310003中国人民解放军联勤保障部队第九〇三医院 骨科,浙江 杭州 310003浙江大学医学院附属第一医院核医学科,浙江 杭州 310003杭州睿笛生物科技有限公司,浙江 杭州 311100杭州睿笛生物科技有限公司,浙江 杭州 311100浙江大学医学院附属第一医院骨科,浙江 杭州 310003

医药卫生

纳秒脉冲电场恶性肿瘤电消融信号通路

nanosecond pulsed electric field(nsPEF)malignant tumorelectroablationsignaling pathways

《中国医疗设备》 2025 (4)

8-12,5

国家自然科学基金重大仪器项目(82027803).

10.3969/j.issn.1674-1633.20241187

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