2019
DOI: 10.3390/ph12040163
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Fighting Hypoxia to Improve PDT

Abstract: Photodynamic therapy (PDT) has drawn great interest in recent years mainly due to its low side effects and few drug resistances. Nevertheless, one of the issues of PDT is the need for oxygen to induce a photodynamic effect. Tumours often have low oxygen concentrations, related to the abnormal structure of the microvessels leading to an ineffective blood distribution. Moreover, PDT consumes O2. In order to improve the oxygenation of tumour or decrease hypoxia, different strategies are developed and are describe… Show more

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Cited by 147 publications
(101 citation statements)
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References 229 publications
(312 reference statements)
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“…Therefore, a detailed analysis should be conducted to further clarify the roles of RSKs in ABCB1-mediated PpIX efflux. Hypoxia is a common characteristic of advanced solid tumours, which reduces the efficacy of 5-ALA-PDD and PDT by different mechanisms 32 . One of them is the increased expression of HIF-1α, which in turn reduces PpIX accumulation under hypoxic conditions 17,33 .…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, a detailed analysis should be conducted to further clarify the roles of RSKs in ABCB1-mediated PpIX efflux. Hypoxia is a common characteristic of advanced solid tumours, which reduces the efficacy of 5-ALA-PDD and PDT by different mechanisms 32 . One of them is the increased expression of HIF-1α, which in turn reduces PpIX accumulation under hypoxic conditions 17,33 .…”
Section: Discussionmentioning
confidence: 99%
“…Hypoxia is a common characteristic of advanced solid tumors, which reduces the efficacy of 5-ALA-PDD and PDT by different mechanisms (32). One of them is the increased expression of HIF-1α, which in turn reduces PpIX accumulation under hypoxic conditions (16, 33).…”
Section: Discussionmentioning
confidence: 99%
“…Besides, the Eka-Putra Gusti-Ngurah-Putu team reported that PDT + lipid-platinum-chloride nanoparticles significantly reduced tumor volume by up to ~112% on the OSCC xenograft model [ 18 ]. Yet, single-modal PDT's therapeutic effect was compromised mainly because of the tumor microenvironment-related hypoxia or certain anti-oxidant defense mechanisms [ 19 ]. Therefore, strategies should be considered to overcome the hypoxia-related PDT failure.…”
Section: Introductionmentioning
confidence: 99%