2018
DOI: 10.1002/anie.201805138
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Innovative Strategies for Hypoxic‐Tumor Photodynamic Therapy

Abstract: Despite its clinical promise, photodynamic therapy (PDT) suffers from a key drawback associated with its oxygen-dependent nature, which limits its effective use against hypoxic tumors. Moreover, both PDT-mediated oxygen consumption and microvascular damage further increase tumor hypoxia and, thus, impede therapeutic outcomes. In recent years, numerous investigations have focused on strategies for overcoming this drawback of PDT. These efforts, which are summarized in this review, have produced many innovative … Show more

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Cited by 974 publications
(630 citation statements)
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References 104 publications
(205 reference statements)
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“…As a result, combined PTT–PDT has been widely investigated. PTT can increase oxygen in the tumor by improving blood flow, and increase the cellular uptake efficiency of photosensitizers, resulting in more effective PDT . Photosensitizers could be loaded on 2D nanomaterials to increase dispersibility, enhance accumulation in tumors and achieve on‐demand release.…”
Section: Nanomaterials For Ptt‐based Synergistic Therapymentioning
confidence: 99%
“…As a result, combined PTT–PDT has been widely investigated. PTT can increase oxygen in the tumor by improving blood flow, and increase the cellular uptake efficiency of photosensitizers, resulting in more effective PDT . Photosensitizers could be loaded on 2D nanomaterials to increase dispersibility, enhance accumulation in tumors and achieve on‐demand release.…”
Section: Nanomaterials For Ptt‐based Synergistic Therapymentioning
confidence: 99%
“…As a burgeoning cancer tool, phototherapy offers specific spatiotemporal selectivity and minimal invasion into healthy tissues . Phototherapy generally involves the activation of photosensitizers (PSs) under light irradiation to induce cancer cell phototoxicity by generating reactive oxygen species (ROS) (photodynamic therapy, PDT) or heating via nonradiative relaxation pathways (photothermal therapy, PTT) …”
Section: Introductionmentioning
confidence: 99%
“…[1][2][3][4] In a typical procedure, irradiation of a PS by light induces intersystem crossing (ISC) of the singlet PS to triplet excited state followed by intermolecular energy transfer between triplet excited state of the PS and molecular oxygen yielding highly reactive and cytotoxic singlet oxygen ( 1 O 2 ). [6,7] In this context, organelletargeted and red/near-IR absorbing PSs are highly promising. While hypoxic conditions are already reducing the efficacy of the conventional therapies through upregulation of hypoxia-inducible transcription factors (HIFs), the impact on PDT is more pronounced as 1 O 2 generation is highly dependent on oxygen.…”
Section: Introductionmentioning
confidence: 99%