Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment

Reactive oxygen species (ROS) play a crucial role in the pathogenesis of cancer. Non-invasive therapies that promote intracellular ROS generation, including photodynamic therapy (PDT), sonodynamic therapy (SDT), and chemodynamic therapy (CDT), have emerged as novel approaches for cancer treatment. T...

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Main Authors: Qiuyan Guo, Yingnan Tang, Shengmei Wang, Xinhua Xia
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Redox Biology
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Online Access:http://www.sciencedirect.com/science/article/pii/S221323172500028X
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author Qiuyan Guo
Yingnan Tang
Shengmei Wang
Xinhua Xia
author_facet Qiuyan Guo
Yingnan Tang
Shengmei Wang
Xinhua Xia
author_sort Qiuyan Guo
collection DOAJ
description Reactive oxygen species (ROS) play a crucial role in the pathogenesis of cancer. Non-invasive therapies that promote intracellular ROS generation, including photodynamic therapy (PDT), sonodynamic therapy (SDT), and chemodynamic therapy (CDT), have emerged as novel approaches for cancer treatment. These therapies directly kill tumor cells by generating ROS, and although they show great promise in tumor treatment, many challenges remain to be addressed in practical applications. Firstly, the inherent complexity of the tumor microenvironment (TME), such as hypoxia and elevated glutathione (GSH) levels, hinders ROS generation, thereby significantly diminishing the efficacy of ROS-based therapies. In addition, these therapies are influenced by their intrinsic mechanisms. To overcome these limitations, various nanoparticle (NP) systems have been developed to improve the therapeutic efficacy of non-invasive therapies against tumors. This review first summarizes the mechanisms of ROS generation for each non-invasive therapy and their current limitations, with a particular focus on the enhancement strategies for each therapy based on NP systems. Additionally, various strategies to modulate the TME are highlighted. These strategies aim to amplify ROS generation in non-invasive therapies and enhance their anti-tumor efficiency. Finally, the current challenges and possible solutions for the clinical translation of ROS-based non-invasive therapies are also discussed.
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series Redox Biology
spelling doaj-art-15360c1e36514612bb80f0cda9082dea2025-02-05T04:31:59ZengElsevierRedox Biology2213-23172025-03-0180103515Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatmentQiuyan Guo0Yingnan Tang1Shengmei Wang2Xinhua Xia3School of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan, 410208, ChinaSchool of Pharmacy, Hunan Vocational College of Science And Technology, Changsha, Hunan, 410208, ChinaThe First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, 410007, ChinaSchool of Pharmacy, Hunan University of Chinese Medicine, Changsha, Hunan, 410208, China; Corresponding author.Reactive oxygen species (ROS) play a crucial role in the pathogenesis of cancer. Non-invasive therapies that promote intracellular ROS generation, including photodynamic therapy (PDT), sonodynamic therapy (SDT), and chemodynamic therapy (CDT), have emerged as novel approaches for cancer treatment. These therapies directly kill tumor cells by generating ROS, and although they show great promise in tumor treatment, many challenges remain to be addressed in practical applications. Firstly, the inherent complexity of the tumor microenvironment (TME), such as hypoxia and elevated glutathione (GSH) levels, hinders ROS generation, thereby significantly diminishing the efficacy of ROS-based therapies. In addition, these therapies are influenced by their intrinsic mechanisms. To overcome these limitations, various nanoparticle (NP) systems have been developed to improve the therapeutic efficacy of non-invasive therapies against tumors. This review first summarizes the mechanisms of ROS generation for each non-invasive therapy and their current limitations, with a particular focus on the enhancement strategies for each therapy based on NP systems. Additionally, various strategies to modulate the TME are highlighted. These strategies aim to amplify ROS generation in non-invasive therapies and enhance their anti-tumor efficiency. Finally, the current challenges and possible solutions for the clinical translation of ROS-based non-invasive therapies are also discussed.http://www.sciencedirect.com/science/article/pii/S221323172500028XReactive oxygen speciesNon-invasive therapiesNanoparticleEnhancement strategiesTumor microenvironment
spellingShingle Qiuyan Guo
Yingnan Tang
Shengmei Wang
Xinhua Xia
Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment
Redox Biology
Reactive oxygen species
Non-invasive therapies
Nanoparticle
Enhancement strategies
Tumor microenvironment
title Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment
title_full Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment
title_fullStr Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment
title_full_unstemmed Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment
title_short Applications and enhancement strategies of ROS-based non-invasive therapies in cancer treatment
title_sort applications and enhancement strategies of ros based non invasive therapies in cancer treatment
topic Reactive oxygen species
Non-invasive therapies
Nanoparticle
Enhancement strategies
Tumor microenvironment
url http://www.sciencedirect.com/science/article/pii/S221323172500028X
work_keys_str_mv AT qiuyanguo applicationsandenhancementstrategiesofrosbasednoninvasivetherapiesincancertreatment
AT yingnantang applicationsandenhancementstrategiesofrosbasednoninvasivetherapiesincancertreatment
AT shengmeiwang applicationsandenhancementstrategiesofrosbasednoninvasivetherapiesincancertreatment
AT xinhuaxia applicationsandenhancementstrategiesofrosbasednoninvasivetherapiesincancertreatment