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Current Challenges and Opportunities of Photodynamic Therapy against Cancer
Open accessAbstract
BACKGROUND: Photodynamic therapy (PDT) is an established, minimally invasive treatment for specific types of cancer. During PDT, reactive oxygen species (ROS) are generated that ultimately induce cell death and disruption of the tumor area. Moreover, PDT can result in damage to the tumor vasculature and induce the release and/or exposure of damage-associated molecular patterns (DAMPs) that may initiate an antitumor immune response. However, there are currently several challenges of PDT that limit its widespread application for certain indications in the clinic. METHODS: A literature study was conducted to comprehensively discuss these challenges and to identify opportunities for improvement. RESULTS: The most notable challenges of PDT and opportunities to improve them have been identified and discussed. CONCLUSIONS: The recent efforts to improve the current challenges of PDT are promising, most notably those that focus on enhancing immune responses initiated by the treatment. The application of these improvements has the potential to enhance the antitumor efficacy of PDT, thereby broadening its potential application in the clinic.
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“This combination produces ROS, which can cause oxidative damage to targeted cells, including bacteria, fungi, parasites, viruses, and cancer cells, without significantly harming healthy tissues [134,135].”
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Metadata
- Authors
- Huis in ‘t Veld, R. V., Heuts, J., Ma, S., Cruz, L. J., Ossendorp, F. A., & Jager, M. J.
- Affiliations
- Department of Ophthalmology, Leiden University Medical Centre (LUMC), 2333 ZA Leiden, Zuid-Holland, The Netherlands
- Leiden University Medical Center (NL)
- Venue
- Pharmaceutics
- Publisher
- MDPI AG
- Published
- 2023-01-18
- Volume
- 15
- Issue
- 2
- Pages
- 330
- ISSN
- 1999-4923 (ISSN-L)
- PMC
- PMC9965442
- OpenAlex
- W4317425740
- Cited by
- 159
- References
- 338
- Citations by year
- 2026: 35 · 2025: 50 · 2024: 48 · 2023: 26
- FWCI
- 7.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Pharmaceutics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Health-Holland (LSHM19061)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Photodynamic Therapy Research Studies
- Physical Sciences › Engineering › Biomedical Engineering › Nanoplatforms for cancer theranostics
- Health Sciences › Medicine › Dermatology › Nonmelanoma Skin Cancer Studies
- Keywords
- photodynamic therapy, cancer therapy, reactive oxygen species, cancer cell death, damage-associated molecular patterns, antitumor immunity, immunotherapy
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