EA regulates a balance between Th1 and Th2 cytokines at protein and mRNA levels in splenic T cells, and, at least in part, involves the signaling pathways of ERK1/2, p38, NF-kappaB, and AP-1. The findings suggest that EA may improve immune suppression after surgical trauma.
Inefficient
tumor accumulation and penetration remain as the main
challenges to therapy efficacy of lung cancer. Local delivery of smart
nanoclusters can increase drug penetration and provide superior antitumor
effects than systemic routes. Here, we report self-assembled pH-sensitive
superparamagnetic iron oxide nanoclusters (SPIONCs) that enhance in situ ferroptosis and apoptosis with radiotherapy and
chemodynamic therapy. After pulmonary delivery in orthotopic lung
cancer, SPIONCs disintegrate into smaller nanoparticles and release
more iron ions in an acidic microenvironment. Under single-dose X-ray
irradiation, endogenous superoxide dismutase converts superoxide radicals
produced by mitochondria to hydrogen peroxide, which in turn generates
hydroxyl radicals by the Fenton reaction from iron ions accumulated
inside the tumor. Finally, irradiation and iron ions enhance tumor
lipid peroxidation and induce cell apoptosis and ferroptosis. Thus,
rationally designed pulmonary delivered nanoclusters provide a promising
strategy for noninvasive imaging of lung cancer and synergistic therapy.
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