Heterogeneous Heat Absorption Is Complementary to Radiotherapy

(1) Background: Hyperthermia in oncology conventionally seeks the homogeneous heating of the tumor mass. The expected isothermal condition is the basis of the dose calculation in clinical practice. My objective is to study and apply a heterogenic temperature pattern during the heating process and sh...

Full description

Bibliographic Details
Main Author: Andras Szasz
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/4/901
_version_ 1797482051290529792
author Andras Szasz
author_facet Andras Szasz
author_sort Andras Szasz
collection DOAJ
description (1) Background: Hyperthermia in oncology conventionally seeks the homogeneous heating of the tumor mass. The expected isothermal condition is the basis of the dose calculation in clinical practice. My objective is to study and apply a heterogenic temperature pattern during the heating process and show how it supports radiotherapy. (2) Methods: The targeted tissue’s natural electric and thermal heterogeneity is used for the selective heating of the cancer cells. The amplitude-modulated radiofrequency current focuses the energy absorption on the membrane rafts of the malignant cells. The energy partly “nonthermally” excites and partly heats the absorbing protein complexes. (3) Results: The excitation of the transmembrane proteins induces an extrinsic caspase-dependent apoptotic pathway, while the heat stress promotes the intrinsic caspase-dependent and independent apoptotic signals generated by mitochondria. The molecular changes synergize the method with radiotherapy and promote the abscopal effect. The mild average temperature (39–41 °C) intensifies the blood flow for promoting oxygenation in combination with radiotherapy. The preclinical experiences verify, and the clinical studies validate the method. (4) Conclusions: The heterogenic, molecular targeting has similarities with DNA strand-breaking in radiotherapy. The controlled energy absorption allows using a similar energy dose to radiotherapy (J/kg). The two therapies are synergistically combined.
first_indexed 2024-03-09T22:23:46Z
format Article
id doaj.art-0b83312d8d6a456ea7abe679582998fa
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-09T22:23:46Z
publishDate 2022-02-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-0b83312d8d6a456ea7abe679582998fa2023-11-23T19:08:14ZengMDPI AGCancers2072-66942022-02-0114490110.3390/cancers14040901Heterogeneous Heat Absorption Is Complementary to RadiotherapyAndras Szasz0Biotechnics Department, Szent Istvan University, H-2040 Budaors, Hungary(1) Background: Hyperthermia in oncology conventionally seeks the homogeneous heating of the tumor mass. The expected isothermal condition is the basis of the dose calculation in clinical practice. My objective is to study and apply a heterogenic temperature pattern during the heating process and show how it supports radiotherapy. (2) Methods: The targeted tissue’s natural electric and thermal heterogeneity is used for the selective heating of the cancer cells. The amplitude-modulated radiofrequency current focuses the energy absorption on the membrane rafts of the malignant cells. The energy partly “nonthermally” excites and partly heats the absorbing protein complexes. (3) Results: The excitation of the transmembrane proteins induces an extrinsic caspase-dependent apoptotic pathway, while the heat stress promotes the intrinsic caspase-dependent and independent apoptotic signals generated by mitochondria. The molecular changes synergize the method with radiotherapy and promote the abscopal effect. The mild average temperature (39–41 °C) intensifies the blood flow for promoting oxygenation in combination with radiotherapy. The preclinical experiences verify, and the clinical studies validate the method. (4) Conclusions: The heterogenic, molecular targeting has similarities with DNA strand-breaking in radiotherapy. The controlled energy absorption allows using a similar energy dose to radiotherapy (J/kg). The two therapies are synergistically combined.https://www.mdpi.com/2072-6694/14/4/901loco-regional hyperthermiaoncologymodulated electro-hyperthermiacellular selectionbioelectromagneticscomplexity
spellingShingle Andras Szasz
Heterogeneous Heat Absorption Is Complementary to Radiotherapy
Cancers
loco-regional hyperthermia
oncology
modulated electro-hyperthermia
cellular selection
bioelectromagnetics
complexity
title Heterogeneous Heat Absorption Is Complementary to Radiotherapy
title_full Heterogeneous Heat Absorption Is Complementary to Radiotherapy
title_fullStr Heterogeneous Heat Absorption Is Complementary to Radiotherapy
title_full_unstemmed Heterogeneous Heat Absorption Is Complementary to Radiotherapy
title_short Heterogeneous Heat Absorption Is Complementary to Radiotherapy
title_sort heterogeneous heat absorption is complementary to radiotherapy
topic loco-regional hyperthermia
oncology
modulated electro-hyperthermia
cellular selection
bioelectromagnetics
complexity
url https://www.mdpi.com/2072-6694/14/4/901
work_keys_str_mv AT andrasszasz heterogeneousheatabsorptioniscomplementarytoradiotherapy