Electrochemotherapy: An emerging drug delivery method for the treatment of cancer
Abstract
The combined treatment consisting of a chemotherapeutic agent and pulsed electric fields has been termed electrochemotherapy. This relatively new treatment modality relies on the physical effects of locally applied electric fields to destabilize cell membranes in the presence of a drug. Membrane destabilization, electroporation, allows increased movement of molecules into the cytosol. Thus, the pulses are used to locally deliver drugs to the interior of cells. This type of treatment has principally been used to deliver bleomycin to tumor cells in vitro and in vivo. Marked antitumor effects have been reported in preclinical studies. In addition, electrochemotherapy clinical trials have been conducted for the treatment of head and neck squamous cell carcinoma, melanoma, and basal cell carcinoma. Objective response rates ranging from 72 to 100% have been reported from these trials. A review of the preclinical and clinical data for this novel drug delivery method is presented.
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Electrochemotherapy damages cancer cells by porating the membrane so that chemotherapeutic agents can more easily permeate into the cell, resulting in a synergistic effect.
“Similarly, electrochemotherapy aims to damage cancer cells, but it does so by porating the membrane so that chemotherapeutic agents can more easily permeate into the cell, resulting in a synergistic effect [79].”
From Permeabilizing Cell Membranes with Electric Fields (2021) · cites this paper as [79]
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- Authors
- Jaroszeski, M. J., Gilbert, R., & Heller, R.
- Affiliations
- University of South Florida (US)
- Corresponding author
- Jaroszeski, Mark J
- Venue
- Advanced Drug Delivery Reviews
- Publisher
- Elsevier BV
- Published
- 1997-07
- Volume
- 26
- Issue
- 2-3
- Pages
- 185-197
- ISSN
- 0169-409X (ISSN-L)
- OpenAlex
- W2034688094
- Cited by
- 98
- References
- 55
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 1 · 2021: 4 · 2020: 3 · 2018: 4 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 1 · 2012: 2
- FWCI
- 1.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advanced Drug Delivery Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Microbial Inactivation Methods
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Photodynamic Therapy Research Studies
- Physical Sciences › Engineering › Biomedical Engineering › Ultrasound and Hyperthermia Applications
- Keywords
- electrochemotherapy, pulsed electric field, electroporation, drug delivery, bleomycin, head and neck squamous cell carcinoma, melanoma, basal cell carcinoma, anticancer activity, cancer therapy
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