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DOI: 10.1055/s-2001-19447
Karl F. Haug Verlag, in: MVH Medizinverlage Heidelberg GmbH & Co. KG
Electro-hyperthermia: a New Paradigm in Cancer Therapy
Publication History
Publication Date:
08 January 2002 (online)
Summary
Hyperthermia is a rapidly developing treatment method in tumor-therapy. The classical effect is based on well-focused energy absorption targeting the malignant tissue. The treatment temperature has been considered as the main technical parameter. Unfortunately, the heat-shock protein (HSP) synthesis may considerably suppress the treatment's efficiency, adapting cells to survive the shock. Electro-hyperthermia heats up the targeted tissue by means of electricity, producing less HSP-synthesis in the cells than a usual hyperthermia process. The main idea is to keep the energy absorption in the extracellular liquid and, by heating it, increase the ion-mobility, intensify the metabolic rate of the cells, and destroy the cell membrane before the heat-shock activates the intra-cellular HSP mechanisms.
Zusammenfassung
Hyperthermie ist eine sich schnell entwickelnde Behandlungsmethode in der Tumortherapie. Der klassische Effekt basiert auf einer genau gebündelten Energieabsorption, die auf das bösartige Gewebe zielt. Die Behandlungstemperatur wurde als der wichtigste technische Parameter angesehen. Leider kann die Hitzeschockprotein-Synthese (HSP) die Wirksamkeit der Behandlung erheblich beeinträchtigen, weil sich die Zellen entsprechend anpassen, um den Schock zu überstehen. Bei der Elektro-Hyperthermie wird das Zielgewebe mittels Elektrizität erwärmt, wodurch es in den Zellen zu einer geringeren Hitzeschockprotein-Synthese (HSP) als beim herkömmlichen Hyperthermie-Prozess kommt. Die Hauptidee besteht darin, die Energieabsorption auf die Extrazellularflüssigkeit zu beschränken und durch Erhitzen die Ionenmobilität zu erhöhen, die Stoffwechselrate der Zellen zu intensivieren und die Zellmembran zu zerstören, bevor durch den Hitzeschock der intrazellulare Mechanismus der Hitzeschockprotein-Synthese aktiviert wird.
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Correspondence to:
Prof. Dr. A. Szasz
Szent Istvan krt.20
Budapest, H-1137
Hungary
Email: profszasz@oncotherm.org