Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation

The 4th World Congress of Electroporation (Copenhagen, 9–13 October 2022) provided a unique opportunity to convene leading experts in pulsed electric fields (PEF). PEF-based therapies harness electric fields to produce therapeutically useful effects on cancers and represent a valuable option for a v...

Full description

Bibliographic Details
Main Authors: Luca G. Campana, Adil Daud, Francesco Lancellotti, Julio P. Arroyo, Rafael V. Davalos, Claudia Di Prata, Julie Gehl
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/13/3340
_version_ 1797591945355198464
author Luca G. Campana
Adil Daud
Francesco Lancellotti
Julio P. Arroyo
Rafael V. Davalos
Claudia Di Prata
Julie Gehl
author_facet Luca G. Campana
Adil Daud
Francesco Lancellotti
Julio P. Arroyo
Rafael V. Davalos
Claudia Di Prata
Julie Gehl
author_sort Luca G. Campana
collection DOAJ
description The 4th World Congress of Electroporation (Copenhagen, 9–13 October 2022) provided a unique opportunity to convene leading experts in pulsed electric fields (PEF). PEF-based therapies harness electric fields to produce therapeutically useful effects on cancers and represent a valuable option for a variety of patients. As such, irreversible electroporation (IRE), gene electrotransfer (GET), electrochemotherapy (ECT), calcium electroporation (Ca-EP), and tumour-treating fields (TTF) are on the rise. Still, their full therapeutic potential remains underappreciated, and the field faces fragmentation, as shown by parallel maturation and differences in the stages of development and regulatory approval worldwide. This narrative review provides a glimpse of PEF-based techniques, including key mechanisms, clinical indications, and advances in therapy; finally, it offers insights into current research directions. By highlighting a common ground, the authors aim to break silos, strengthen cross-functional collaboration, and pave the way to novel possibilities for intervention. Intriguingly, beyond their peculiar mechanism of action, PEF-based therapies share technical interconnections and multifaceted biological effects (e.g., vascular, immunological) worth exploiting in combinatorial strategies.
first_indexed 2024-03-11T01:45:47Z
format Article
id doaj.art-1125c6fba16a42969531a95e440e8cbc
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-11T01:45:47Z
publishDate 2023-06-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-1125c6fba16a42969531a95e440e8cbc2023-11-18T16:15:35ZengMDPI AGCancers2072-66942023-06-011513334010.3390/cancers15133340Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of ElectroporationLuca G. Campana0Adil Daud1Francesco Lancellotti2Julio P. Arroyo3Rafael V. Davalos4Claudia Di Prata5Julie Gehl6Department of Surgery, Manchester University NHS Foundation Trust, Oxford Rd., Manchester M13 9WL, UKDepartment of Medicine, University of California, 550 16 Street, San Francisco, CA 94158, USADepartment of Surgery, Manchester University NHS Foundation Trust, Oxford Rd., Manchester M13 9WL, UKDepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Biomedical Engineering and Mechanics, Virginia Tech, Blacksburg, VA 24061, USADepartment of Surgery, San Martino Hospital, 32100 Belluno, ItalyDepartment of Clinical Oncology and Palliative Care, Zealand University Hospital, 4000 Roskilde, DenmarkThe 4th World Congress of Electroporation (Copenhagen, 9–13 October 2022) provided a unique opportunity to convene leading experts in pulsed electric fields (PEF). PEF-based therapies harness electric fields to produce therapeutically useful effects on cancers and represent a valuable option for a variety of patients. As such, irreversible electroporation (IRE), gene electrotransfer (GET), electrochemotherapy (ECT), calcium electroporation (Ca-EP), and tumour-treating fields (TTF) are on the rise. Still, their full therapeutic potential remains underappreciated, and the field faces fragmentation, as shown by parallel maturation and differences in the stages of development and regulatory approval worldwide. This narrative review provides a glimpse of PEF-based techniques, including key mechanisms, clinical indications, and advances in therapy; finally, it offers insights into current research directions. By highlighting a common ground, the authors aim to break silos, strengthen cross-functional collaboration, and pave the way to novel possibilities for intervention. Intriguingly, beyond their peculiar mechanism of action, PEF-based therapies share technical interconnections and multifaceted biological effects (e.g., vascular, immunological) worth exploiting in combinatorial strategies.https://www.mdpi.com/2072-6694/15/13/3340cancerelectroporationirreversible electroporationgene electrotransferelectrochemotherapytumour-treating fields
spellingShingle Luca G. Campana
Adil Daud
Francesco Lancellotti
Julio P. Arroyo
Rafael V. Davalos
Claudia Di Prata
Julie Gehl
Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation
Cancers
cancer
electroporation
irreversible electroporation
gene electrotransfer
electrochemotherapy
tumour-treating fields
title Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation
title_full Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation
title_fullStr Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation
title_full_unstemmed Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation
title_short Pulsed Electric Fields in Oncology: A Snapshot of Current Clinical Practices and Research Directions from the 4th World Congress of Electroporation
title_sort pulsed electric fields in oncology a snapshot of current clinical practices and research directions from the 4th world congress of electroporation
topic cancer
electroporation
irreversible electroporation
gene electrotransfer
electrochemotherapy
tumour-treating fields
url https://www.mdpi.com/2072-6694/15/13/3340
work_keys_str_mv AT lucagcampana pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation
AT adildaud pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation
AT francescolancellotti pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation
AT julioparroyo pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation
AT rafaelvdavalos pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation
AT claudiadiprata pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation
AT juliegehl pulsedelectricfieldsinoncologyasnapshotofcurrentclinicalpracticesandresearchdirectionsfromthe4thworldcongressofelectroporation