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Medical Gas Plasma Technology: Roadmap on Cancer Treatment and Immunotherapy

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Journal Redox Biol
Date 2023 Aug 9
PMID 37556976
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Abstract

Despite continuous therapeutic progress, cancer remains an often fatal disease. In the early 2010s, first evidence in rodent models suggested promising antitumor action of gas plasma technology. Medical gas plasma is a partially ionized gas depositing multiple physico-chemical effectors onto tissues, especially reactive oxygen and nitrogen species (ROS/RNS). Today, an evergrowing body of experimental evidence suggests multifaceted roles of medical gas plasma-derived therapeutic ROS/RNS in targeting cancer alone or in combination with oncological treatment schemes such as ionizing radiation, chemotherapy, and immunotherapy. Intriguingly, gas plasma technology was recently unraveled to have an immunological dimension by inducing immunogenic cell death, which could ultimately promote existing cancer immunotherapies via in situ or autologous tumor vaccine schemes. Together with first clinical evidence reporting beneficial effects in cancer patients following gas plasma therapy, it is time to summarize the main concepts along with the chances and limitations of medical gas plasma onco-therapy from a biological, immunological, clinical, and technological point of view.

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References
1.
Bekeschus S, Schmidt A, Kramer A, Metelmann H, Adler F, von Woedtke T . High throughput image cytometry micronucleus assay to investigate the presence or absence of mutagenic effects of cold physical plasma. Environ Mol Mutagen. 2018; 59(4):268-277. DOI: 10.1002/em.22172. View

2.
Bekeschus S, Wende K, Hefny M, Rodder K, Jablonowski H, Schmidt A . Oxygen atoms are critical in rendering THP-1 leukaemia cells susceptible to cold physical plasma-induced apoptosis. Sci Rep. 2017; 7(1):2791. PMC: 5459849. DOI: 10.1038/s41598-017-03131-y. View

3.
Sthijns M, Weseler A, Bast A, Haenen G . Time in Redox Adaptation Processes: From Evolution to Hormesis. Int J Mol Sci. 2016; 17(10). PMC: 5085682. DOI: 10.3390/ijms17101649. View

4.
Derer A, Frey B, Fietkau R, Gaipl U . Immune-modulating properties of ionizing radiation: rationale for the treatment of cancer by combination radiotherapy and immune checkpoint inhibitors. Cancer Immunol Immunother. 2015; 65(7):779-86. PMC: 11028616. DOI: 10.1007/s00262-015-1771-8. View

5.
Jablonowski H, Santos Sousa J, Weltmann K, Wende K, Reuter S . Quantification of the ozone and singlet delta oxygen produced in gas and liquid phases by a non-thermal atmospheric plasma with relevance for medical treatment. Sci Rep. 2018; 8(1):12195. PMC: 6093894. DOI: 10.1038/s41598-018-30483-w. View