关键词: Ablative hyperthermia Adjuvant therapy Drug delivery Immunotherapy MR-HIFU MRgHIFU Microwave ablation Mild hyperthermia Pediatric oncology RFA Therapeutic ultrasound Thermal ablation

Mesh : DNA Repair-Deficiency Disorders / pathology Drug Delivery Systems / methods High-Intensity Focused Ultrasound Ablation Humans Hyperthermia, Induced / methods Immune System / physiology Liposomes / chemistry Microsatellite Instability Microwaves / therapeutic use Neoplasms / drug therapy Pediatrics Tumor Microenvironment / physiology Ultrasonography / methods

来  源:   DOI:10.1016/j.addr.2020.10.016   PDF(Sci-hub)

Abstract:
Local application of hyperthermia has a myriad of effects on the tumor microenvironment as well as the host\'s immune system. Ablative hyperthermia (typically > 55 °C) has been used both as monotherapy and adjuvant therapy, while mild hyperthermia treatment (39-45 °C) demonstrated efficacy as an adjuvant therapy through enhancement of both chemotherapy and radiation therapy. Clinical integration of hyperthermia has especially great potential in pediatric oncology, where current chemotherapy regimens have reached maximum tolerability and the young age of patients implies significant risks of late effects related to therapy. Furthermore, activation of both local and systemic immune response by hyperthermia suggests that hyperthermia treatments could be used to enhance the anticancer effects of immunotherapy. This review summarizes the state of current applications of hyperthermia in pediatric oncology and discusses the use of hyperthermia in the context of other available treatments and promising pre-clinical research.
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