乳がんの光温熱療法を革新するデュアルレーザー戦略(Dual-laser Strategy Revolutionizes Breast Cancer Photothermal Therapy)

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2025-06-10 中国科学院(CAS)

乳がんの光温熱療法を革新するデュアルレーザー戦略(Dual-laser Strategy Revolutionizes Breast Cancer Photothermal Therapy)
Schematic illustration of the DLPTT strategy designed to address the limitations of PTT. (Image by SIAT)

中国科学院深セン先進技術研究院の張鵬飛研究員らは、乳がんに対する光熱療法(PTT)の課題を克服するため、二波長レーザーを用いた新しい治療法「二重レーザーPTT(DLPTT)」を開発した。本手法は、近赤外光応答性で凝集誘起発光(AIE)特性を持つフォトサーマル剤を用い、808nmレーザー(約50℃で2分)によって腫瘍耐性の要因であるDNA損傷とHSP70抑制を誘導し、その後1064nmレーザー(約43℃で13分)で腫瘍細胞を効果的にアブレーションする。NIR-II蛍光・光音響イメージングを併用し、深部組織でも高精度なターゲティングを実現。マウスモデルでの実験では副作用なく腫瘍抑制効果を確認。今後は免疫療法との統合による転移・再発防止も期待される。

<関連情報>

光熱療法のアキレス腱を回避する「808nmと1,064nm」のデュアルレーザー戦略 Dual-laser “808 and 1,064 nm” strategy that circumvents the Achilles’ heel of photothermal therapy

Qihang Ding, Jiqiang Liu, Yue Wang, +6 , and Jong Seung Kim
Proceedings of the National Academy of Sciences  Published:June 9, 2025
DOI:https://doi.org/10.1073/pnas.2503574122

Significance

Photothermal therapy (PTT) has recently garnered attention within the scientific community as a possible cancer therapy. However, the risk of damaging healthy tissue due to overheating or failure to ablate effectively the tumors remains a challenge in the clinical development of PTT. The present study was designed to address this need. It relies on Pluronic F127-based NPs containing a small molecule PM331 with recognized aggregation-induced emission features. These NPs showed good thermal conversion efficiencies of 40% and 66% when excited at 808 nm and 1,064 nm, respectively. They also absorb well in the second near-infrared (NIR-II) window. Leveraging these characteristics, we developed a strategy called dual-laser PTT that integrates the benefits of traditional high-temperature and low-temperature PTT.

Abstract

Breast cancer has now overtaken lung cancer as the “world’s leading cancer,” yet detecting and implementing effective therapies remains a significant challenge. Substantial advances have been made in photothermal therapy (PTT), where photosensitizers use photonic energy to induce localized hyperthermia for cancer eradication. This pioneering approach is gaining traction in clinical settings. However, traditional PTT faces inherent limitations, including the risk of damage to neighboring healthy tissues and potential inflammatory responses due to overheating. Drawing inspiration from the distinct characteristics of aggregation-induced emission the small molecule, PM331, was chosen for study. This donor–acceptor–donor system displays good photothermal conversion efficiencies (40% and 66%) upon excitation at 808 nm and 1,064 nm, respectively. It is also characterized by attractive optical features in the second near-infrared (NIR-II) window. Using nanoparticles containing PM331, PM331@F127, we have developed a PTT strategy, termed dual-laser PTT (DLPTT), that involves successive excitation using 808 nm and 1,064 nm lasers guided by both NIR-II fluorescence and photoacoustic imaging. The DLPTT strategy involves two steps. First, it initiates DNA damage and downregulates heat shock protein expression as the result of an initial brief irradiation with an 808 nm laser. This is then followed by irradiation with a 1,064 nm laser to ablate tumor cells while minimizing inflammation and harm to surrounding healthy tissues. Based on the findings reported here, we suggest that DLPTT could represent an attractive approach to precision medicine and one that could make PTT more amenable to clinical implementation.

医療・健康
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