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| Sonodynamic therapy (SDT) is an emerging, non-invasive treatment modality that employs ultrasound energy in conjunction with sonosensitizers to induce cytotoxicity in target tissues. A key mechanism by which SDT exerts its therapeutic effects is through the generation of reactive oxygen species (ROS). Also known as high-intensity focused ultrasound (HIFU) SDT relies on the ultrasound-triggered activation of sonosensitizers (similar in concept to photosensitizers used in photodynamic therapy). When activated by ultrasound, these compounds undergo energy transitions that lead to the production of ROS, such as singlet oxygen and free radicals. -Advantages of SDT include its non-invasive nature, deep tissue penetration of ultrasound, and the ability to target localized areas with high precision. -Challenges remain in precisely controlling ROS production and ensuring that the resulting oxidative stress is sufficient to induce cell death in tumor cells without overwhelming damage to surrounding normal tissues. Sonosensitizers: – Hematoporphyrin Derivative (HPD) and Photofrin – Protoporphyrin IX (PpIX) – Chlorin e6 (Ce6) – Phthalocyanine compounds – Titanium Dioxide (TiO2) Nanoparticles – Other metallic or semiconductor nanoparticles, sometimes functionalized or loaded with traditional sensitizer molecules (e.g., gold nanoparticles, copper-cysteamine), have been explored to enhance ROS production and improve tumor targeting. – Curcumin, derived from turmeric, has been shown in several studies to exhibit sonosensitizing properties. – Under ultrasound activation, quercetin may act as a sonosensitizer, increasing ROS generation and contributing to cancer cell apoptosis. US frequency range of 150 kHz–3 MHz, irradiation dose of 2–3 W cm−2, and the actuation duration range of 1–20 min are used for SDT research https://can-amhifu.com/ https://canadaclinicsupply.com/product/soundcare-plus-professional-dual-ultrasound-device-by-roscoe/ https://physiostore.ca/product-category/therapeutic-modalities/therapeutic-ultrasound/clinical-ultrasound-systems/ https://physiostore.ca/richmar-home-ultrasound-2000-2nd-edition/ -SDT is a pro-oxidant modality → strong antioxidants could theoretically reduce efficacy if present at high tissue levels (same logic as PDT), but this is highly protocol- and sensitizer-dependent. -Hypoxia can blunt ROS-based killing; strategies sometimes include oxygenation, microbubbles, or vascular modulation.
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Sonodynamic Therapy — Common Sonosensitizer Classes
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| In all eukaryotic cells, intracellular Ca2+ levels are maintained at low resting concentrations (approximately 100 nM) by the activity of the major Ca2+ extrusion system, the plasma membrane Ca2+-ATPase (PMCA), which exchanges extracellular protons (H+) for cytosolic Ca2+. Indeed, sustained elevation of [Ca2+]C in the form of overload, saturating all Ca2+-dependent effectors, prolonged decrease in [Ca2+]ER, causing ER stress response, and high [Ca2+]M, inducing mitochondrial permeability transition (MPT), are considered to be pro-death factors. In cancer the Ca2+-handling toolkit undergoes profound remodelling (figure 1) to favour activation of Ca2+-dependent transcription factors, such as the nuclear factor of activated T cells (NFAT), c-Myc, c-Jun, c-Fos that promote hypertrophic growth via induction of the expression of the G1 and G1/S phase transition cyclins (D and E) and associated cyclin-dependent kinases (CDK4 and CDK2). Thus, cancer cells may evade apoptosis through decreasing calcium influx into the cytoplasm. This can be achieved by either downregulation of the expression of plasma membrane Ca2+-permeable ion channels or by reducing the effectiveness of the signalling pathways that activate these channels. Such protective measures would largely diminish the possibility of Ca2+ overload in response to pro-apoptotic stimuli, thereby impairing the effectiveness of mitochondrial and cytoplasmic apoptotic pathways. Voltage-Gated Calcium Channels (VGCCs): Overexpression of VGCCs has been associated with increased tumor growth and metastasis in various cancers, including breast and prostate cancer. Store-Operated Calcium Entry (SOCE): SOCE mechanisms, such as STIM1 and ORAI1, are often upregulated in cancer cells, contributing to enhanced cell survival and proliferation. High intracellular calcium levels are associated with increased cell proliferation and migration, leading to a poorer prognosis. Calcium signaling can also influence hormone receptor status, affecting treatment responses. Increased Ca²⁺ signaling is associated with advanced disease and metastasis. Patients with higher CaSR expression may have a worse prognosis due to enhanced tumor growth and resistance to apoptosis. -Ca2+ is an important regulator of the electric charge distribution of bio-membranes. |
| 2549- | SDT, | Landscape of Cellular Bioeffects Triggered by Ultrasound-Induced Sonoporation |
| - | Review, | Var, | NA |
| 2550- | SDT, | Intracellular Delivery and Calcium Transients Generated in Sonoporation Facilitated by Microbubbles |
| - | in-vitro, | Nor, | NA |
Query results interpretion may depend on "conditions" listed in the research papers. Such Conditions may include : -low or high Dose -format for product, such as nano of lipid formations -different cell line effects -synergies with other products -if effect was for normal or cancerous cells
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