Skip to main content
Erschienen in: Der Urologe 6/2019

10.08.2018 | Onkologische Therapie | Übersichten

Kaltes atmosphärisches Plasma für die urologische Tumortherapie

verfasst von: N. Gelbrich, M. B. Stope, M. Burchardt

Erschienen in: Die Urologie | Ausgabe 6/2019

Einloggen, um Zugang zu erhalten

Zusammenfassung

Kaltes atmosphärisches Plasma (CAP) ist ein hochreaktives, ionisiertes Gasgemisch aus elektrisch geladenen Teilchen, Radikalen und Photonen sowie elektromagnetischer Strahlung. Aufgrund der hohen Energie und der hohen Reaktivität der Plasmakomponenten werden physikalische Plasmen auch als 4. Aggregatzustand bezeichnet. CAP hat eine antimikrobielle, immunmodulierende, antiinflammatorische und wundheilungsfördernde Wirkung auf biologische Systeme. Aufgrund seiner antineoplastischen Eigenschaften stellt es überdies eine potentielle intraoperative Anwendungsmöglichkeit zur Behandlung von Wund- und Resektionsränder in der aktuellen Therapie urologischer Tumoren dar. Durch eine Behandlung mit CAP kann das Wachstum von urologischen Tumorzellen effektiv gehemmt werden. Vorbehaltlich weiterer Untersuchungen zu Wirkmechanismen, aber auch zur Eindringtiefe in Gewebe und der Wirkung auf physiologisch gesundes Gewebe eröffnet die CAP-Behandlung neue innovative Optionen in der urologischen Onkologie. Der intraoperative Einsatz von CAP wäre insbesondere in Bereichen denkbar, die nahe an kritischen Strukturen (Nerven, andere Organe) liegen und daher nur mit hohem Risiko chirurgisch resektiert werden könnten. Der vorliegende Übersichtsartikel fasst aktuelle Untersuchungen bezüglich der biologischen Wirkungen von CAP auf urologische Tumorzellen zusammen.
Literatur
1.
Zurück zum Zitat Wiegand C, Elsner P (2017) Plasma medicine – cold plasma for treatment of skin infections. Aktuelle Derm 43:339–345CrossRef Wiegand C, Elsner P (2017) Plasma medicine – cold plasma for treatment of skin infections. Aktuelle Derm 43:339–345CrossRef
2.
Zurück zum Zitat Gümbel D, Daeschlein G, Ekkernkamp A et al (2017) Cold atmospheric plasma in orthopaedic and urologic tumor therapy. Gms Hyg Infect Control 12:Doc10PubMedPubMedCentral Gümbel D, Daeschlein G, Ekkernkamp A et al (2017) Cold atmospheric plasma in orthopaedic and urologic tumor therapy. Gms Hyg Infect Control 12:Doc10PubMedPubMedCentral
3.
Zurück zum Zitat Weiss M, Gümbel D, Hanschmann E et al (2015) Cold atmospheric plasma treatment induces anti-proliferative effects in prostate cancer cells by redox and apoptotic signaling pathways. PLoS ONE 10:e130350CrossRef Weiss M, Gümbel D, Hanschmann E et al (2015) Cold atmospheric plasma treatment induces anti-proliferative effects in prostate cancer cells by redox and apoptotic signaling pathways. PLoS ONE 10:e130350CrossRef
4.
Zurück zum Zitat Kramer A, Bekeschus S, Matthes R et al (2015) Cold physical plasmas in the field of hygiene – relevance, significance, and future applications. Plasma Process Polym 12:1410–1422CrossRef Kramer A, Bekeschus S, Matthes R et al (2015) Cold physical plasmas in the field of hygiene – relevance, significance, and future applications. Plasma Process Polym 12:1410–1422CrossRef
5.
Zurück zum Zitat Brand CU, Blum A, Schlegel A et al (1998) Application of argon plasma coagulation in skin surgery. Dermatology (Basel) 197:152–157CrossRef Brand CU, Blum A, Schlegel A et al (1998) Application of argon plasma coagulation in skin surgery. Dermatology (Basel) 197:152–157CrossRef
6.
Zurück zum Zitat Canard JM, Védrenne B (2001) Clinical application of argon plasma coagulation in gastrointestinal endoscopy: has the time come to replace the laser? Endoscopy 33:353–357CrossRef Canard JM, Védrenne B (2001) Clinical application of argon plasma coagulation in gastrointestinal endoscopy: has the time come to replace the laser? Endoscopy 33:353–357CrossRef
7.
Zurück zum Zitat Rehman MU, Jawaid P, Uchiyama H et al (2016) Comparison of free radicals formation induced by cold atmospheric plasma, ultrasound, and ionizing radiation. Arch Biochem Biophys 605:19–25CrossRef Rehman MU, Jawaid P, Uchiyama H et al (2016) Comparison of free radicals formation induced by cold atmospheric plasma, ultrasound, and ionizing radiation. Arch Biochem Biophys 605:19–25CrossRef
8.
Zurück zum Zitat Bender C, Stope MB, Kramer A (2018) Application in veterinarian medicine. In: Metelmann HR, von Woedtke T, Weltmann KD (Hrsg) Comprehensive clinical plasma medicine – treating with cold physical plasma. Springer, Berlin, Heidelberg. ISBN 978-3319676265 Bender C, Stope MB, Kramer A (2018) Application in veterinarian medicine. In: Metelmann HR, von Woedtke T, Weltmann KD (Hrsg) Comprehensive clinical plasma medicine – treating with cold physical plasma. Springer, Berlin, Heidelberg. ISBN 978-3319676265
9.
Zurück zum Zitat Li X, Li Y, Zhang P et al (2016) Improved performance of a barrier-discharge plasma jet biased by a direct-current voltage. Sci Rep 6:35653CrossRef Li X, Li Y, Zhang P et al (2016) Improved performance of a barrier-discharge plasma jet biased by a direct-current voltage. Sci Rep 6:35653CrossRef
10.
Zurück zum Zitat McKay K, Salter TL, Bowfield A et al (2014) Comparison of three plasma sources for ambient desorption/ionization mass spectrometry. J Am Soc Mass Spectrom 25(9):1528–1537CrossRef McKay K, Salter TL, Bowfield A et al (2014) Comparison of three plasma sources for ambient desorption/ionization mass spectrometry. J Am Soc Mass Spectrom 25(9):1528–1537CrossRef
12.
Zurück zum Zitat Bekeschus S, Iséni S, Reuter S et al (2015) Nitrogen shielding of an Argon plasma jet and its effects on human immune cells. IEEE Trans Plasma Sci 43:776–781CrossRef Bekeschus S, Iséni S, Reuter S et al (2015) Nitrogen shielding of an Argon plasma jet and its effects on human immune cells. IEEE Trans Plasma Sci 43:776–781CrossRef
13.
Zurück zum Zitat Kalghatgi S, Kelly CM, Cerchar E et al (2011) Effects of non-thermal plasma on mammalian cells. PLoS ONE 6(1):e16270CrossRef Kalghatgi S, Kelly CM, Cerchar E et al (2011) Effects of non-thermal plasma on mammalian cells. PLoS ONE 6(1):e16270CrossRef
14.
Zurück zum Zitat Bekeschus S, von Woedtke T, Kramer A et al (2013) Cold physical plasma treatment alters redox balance in human immune cells. Plasma Med 3:267–278CrossRef Bekeschus S, von Woedtke T, Kramer A et al (2013) Cold physical plasma treatment alters redox balance in human immune cells. Plasma Med 3:267–278CrossRef
15.
Zurück zum Zitat Laroussi M (2002) Nonthermal decontamination of biological media by atmospheric-pressure plasmas: review, analysis, and prospects. Ieee Trans Plasma Sci 30:1409–1415CrossRef Laroussi M (2002) Nonthermal decontamination of biological media by atmospheric-pressure plasmas: review, analysis, and prospects. Ieee Trans Plasma Sci 30:1409–1415CrossRef
16.
Zurück zum Zitat Bekeschus S, Kolata J, Winterbournet C et al (2014) Hydrogen peroxide: a central player in physical plasma-induced oxidative stress in human blood cells. Free Radic Res 48:542–549CrossRef Bekeschus S, Kolata J, Winterbournet C et al (2014) Hydrogen peroxide: a central player in physical plasma-induced oxidative stress in human blood cells. Free Radic Res 48:542–549CrossRef
17.
Zurück zum Zitat Schmidt A, Dietrich S, Steuer A et al (2015) Non-thermal plasma activates human keratinocytes by stimulation of antioxidant and phase II pathways. J Biol Chem 290:6731–6750CrossRef Schmidt A, Dietrich S, Steuer A et al (2015) Non-thermal plasma activates human keratinocytes by stimulation of antioxidant and phase II pathways. J Biol Chem 290:6731–6750CrossRef
18.
Zurück zum Zitat Weiss M, Daeschlein G, Kramer A et al (2017) Virucide properties of cold atmospheric plasma for future clinical applications. J Med Virol 89:952–959CrossRef Weiss M, Daeschlein G, Kramer A et al (2017) Virucide properties of cold atmospheric plasma for future clinical applications. J Med Virol 89:952–959CrossRef
19.
Zurück zum Zitat Gay-Mimbrera J, García MC, Isla-Tejera B et al (2016) Clinical and biological principles of cold atmospheric plasma application in skin cancer. Adv Ther 33:894–909CrossRef Gay-Mimbrera J, García MC, Isla-Tejera B et al (2016) Clinical and biological principles of cold atmospheric plasma application in skin cancer. Adv Ther 33:894–909CrossRef
20.
Zurück zum Zitat Heinlin J, Isbary G, Stolz W et al (2011) Plasma applications in medicine with a special focus on dermatology. J Eur Acad Dermatol Venereol 25:1–11CrossRef Heinlin J, Isbary G, Stolz W et al (2011) Plasma applications in medicine with a special focus on dermatology. J Eur Acad Dermatol Venereol 25:1–11CrossRef
21.
Zurück zum Zitat Bekeschus S, Rödder K, Schmidt A et al (2016) Cold physical plasma selects for specific T helper cell subsets with distinct cells surface markers in a caspase-dependent and NF-κB-independent manner. Plasma Process Polym 13:1144–1150CrossRef Bekeschus S, Rödder K, Schmidt A et al (2016) Cold physical plasma selects for specific T helper cell subsets with distinct cells surface markers in a caspase-dependent and NF-κB-independent manner. Plasma Process Polym 13:1144–1150CrossRef
22.
Zurück zum Zitat Gümbel D, Bekeschus S, Gelbrich N et al (2017) Cold atmospheric plasma in the treatment of osteosarcoma. Int J Mol Sci 18:E2004CrossRef Gümbel D, Bekeschus S, Gelbrich N et al (2017) Cold atmospheric plasma in the treatment of osteosarcoma. Int J Mol Sci 18:E2004CrossRef
23.
Zurück zum Zitat Graves DB (2014) Reactive species from cold atmospheric plasma: implications for cancer therapy. Plasma Process Polym 11:1120–1127CrossRef Graves DB (2014) Reactive species from cold atmospheric plasma: implications for cancer therapy. Plasma Process Polym 11:1120–1127CrossRef
24.
Zurück zum Zitat Koensgen D, Besic I, Gümbel D et al (2017) Cold atmospheric plasma (CAP) and CAP-Stimulated cell culture media suppress ovarian cancer cell growth – a putative treatment option in ovarian cancer therapy. Anticancer Res 37:6739–6744PubMed Koensgen D, Besic I, Gümbel D et al (2017) Cold atmospheric plasma (CAP) and CAP-Stimulated cell culture media suppress ovarian cancer cell growth – a putative treatment option in ovarian cancer therapy. Anticancer Res 37:6739–6744PubMed
25.
Zurück zum Zitat Partecke LI, Evert K, Haugk J et al (2012) Tissue tolerable plasma (TTP) induces apoptosis in pancreatic cancer cells in vitro and in vivo. BMC Cancer 12:473CrossRef Partecke LI, Evert K, Haugk J et al (2012) Tissue tolerable plasma (TTP) induces apoptosis in pancreatic cancer cells in vitro and in vivo. BMC Cancer 12:473CrossRef
28.
Zurück zum Zitat Kluge S, Bekeschus S, Bender C et al (2016) Investigating the mutagenicity of a cold argon-plasma jet in an HET-MN model. PLoS ONE 11:e160667CrossRef Kluge S, Bekeschus S, Bender C et al (2016) Investigating the mutagenicity of a cold argon-plasma jet in an HET-MN model. PLoS ONE 11:e160667CrossRef
29.
Zurück zum Zitat Wende K, Bekeschus S, Schmidt A et al (2016) Risk assessment of a cold argon plasma jet in respect to its mutagenicity. Mutat Res Genet Toxicol Environ Mutagen 798–799:48–54CrossRef Wende K, Bekeschus S, Schmidt A et al (2016) Risk assessment of a cold argon plasma jet in respect to its mutagenicity. Mutat Res Genet Toxicol Environ Mutagen 798–799:48–54CrossRef
30.
Zurück zum Zitat Welz C, Emmert S, Canis M et al (2015) Cold atmospheric plasma: a promising complementary therapy for squamous head and neck cancer. PLoS ONE 10:e141827CrossRef Welz C, Emmert S, Canis M et al (2015) Cold atmospheric plasma: a promising complementary therapy for squamous head and neck cancer. PLoS ONE 10:e141827CrossRef
31.
Zurück zum Zitat Ahn HJ, Kim KI, Kim G et al (2011) Atmospheric-pressure plasma jet induces apoptosis involving mitochondria via generation of free radicals. PLoS ONE 6:e28154CrossRef Ahn HJ, Kim KI, Kim G et al (2011) Atmospheric-pressure plasma jet induces apoptosis involving mitochondria via generation of free radicals. PLoS ONE 6:e28154CrossRef
32.
Zurück zum Zitat Arndt S, Wacker E, Li YF et al (2013) Cold atmospheric plasma, a new strategy to induce senescence in melanoma cells. Exp Dermatol 22:284–289CrossRef Arndt S, Wacker E, Li YF et al (2013) Cold atmospheric plasma, a new strategy to induce senescence in melanoma cells. Exp Dermatol 22:284–289CrossRef
33.
Zurück zum Zitat Zucker SN, Zirnheld J, Bagati A et al (2012) Preferential induction of apoptotic cell death in melanoma cells as compared with normal keratinocytes using a non-thermal plasma torch. Cancer Biol Ther 13:1299–1306CrossRef Zucker SN, Zirnheld J, Bagati A et al (2012) Preferential induction of apoptotic cell death in melanoma cells as compared with normal keratinocytes using a non-thermal plasma torch. Cancer Biol Ther 13:1299–1306CrossRef
34.
Zurück zum Zitat Arndt S, Landthaler M, Zimmermann JL et al (2015) Effects of cold atmospheric plasma (CAP) on ß‑defensins, inflammatory cytokines, and apoptosis-related molecules in keratinocytes in vitro and in vivo. PLoS ONE 10:e120041CrossRef Arndt S, Landthaler M, Zimmermann JL et al (2015) Effects of cold atmospheric plasma (CAP) on ß‑defensins, inflammatory cytokines, and apoptosis-related molecules in keratinocytes in vitro and in vivo. PLoS ONE 10:e120041CrossRef
35.
Zurück zum Zitat Claro T, Cahill OJ, O’Connor N et al (2015) Cold-air atmospheric pressure plasma against clostridium difficile spores: a potential alternative for the decontamination of hospital inanimate surfaces. Infect Control Hosp Epidemiol 36:742–744CrossRef Claro T, Cahill OJ, O’Connor N et al (2015) Cold-air atmospheric pressure plasma against clostridium difficile spores: a potential alternative for the decontamination of hospital inanimate surfaces. Infect Control Hosp Epidemiol 36:742–744CrossRef
36.
Zurück zum Zitat Hoffmann C, Berganza C, Zhang J (2013) Cold atmospheric plasma: methods of production and application in dentistry and oncology. Med Gas Res 3:21CrossRef Hoffmann C, Berganza C, Zhang J (2013) Cold atmospheric plasma: methods of production and application in dentistry and oncology. Med Gas Res 3:21CrossRef
38.
Zurück zum Zitat Gümbel D, Suchy B, Wien L et al (2017) Comparison of cold atmospheric plasma devices’ efficacy on osteosarcoma and fibroblastic in vitro cell models. Anticancer Res 37:5407–5414PubMed Gümbel D, Suchy B, Wien L et al (2017) Comparison of cold atmospheric plasma devices’ efficacy on osteosarcoma and fibroblastic in vitro cell models. Anticancer Res 37:5407–5414PubMed
39.
Zurück zum Zitat Gümbel D, Gelbrich N, Weiss M et al (2016) New treatment options for osteosarcoma – inactivation of osteosarcoma cells by cold atmospheric plasma. Anticancer Res 36:5915–5922CrossRef Gümbel D, Gelbrich N, Weiss M et al (2016) New treatment options for osteosarcoma – inactivation of osteosarcoma cells by cold atmospheric plasma. Anticancer Res 36:5915–5922CrossRef
43.
Zurück zum Zitat Yan D, Talbot A, Nourmohammadi N et al (2015) Toward understanding the selective anticancer capacity of cold atmospheric plasma – a model based on aquaporins (Review). Biointerphases 10:40801CrossRef Yan D, Talbot A, Nourmohammadi N et al (2015) Toward understanding the selective anticancer capacity of cold atmospheric plasma – a model based on aquaporins (Review). Biointerphases 10:40801CrossRef
45.
Zurück zum Zitat Ishaq M, Evans MD, Ostrikov KK (2014) Atmospheric pressure gas plasma-induced colorectal cancer cell death is mediated by Nox2-ASK1 apoptosis pathways and oxidative stress is mitigated by Srx-Nrf2 anti-oxidant system. Biochim Biophys Acta 1843(12):2827–28375CrossRef Ishaq M, Evans MD, Ostrikov KK (2014) Atmospheric pressure gas plasma-induced colorectal cancer cell death is mediated by Nox2-ASK1 apoptosis pathways and oxidative stress is mitigated by Srx-Nrf2 anti-oxidant system. Biochim Biophys Acta 1843(12):2827–28375CrossRef
46.
Zurück zum Zitat Kaushik N, Kumar N, Kim CH et al (2014) Dielectric barrier discharge plasma efficiently delivers an apoptotic response in human monocytic lymphoma. Plasma Process Polym 11(12):1175–1187CrossRef Kaushik N, Kumar N, Kim CH et al (2014) Dielectric barrier discharge plasma efficiently delivers an apoptotic response in human monocytic lymphoma. Plasma Process Polym 11(12):1175–1187CrossRef
47.
Zurück zum Zitat Cairns RA, Harris IS, Mak TW (2011) Regulation of cancer cell metabolism. Nat Rev Cancer 11:85–95CrossRef Cairns RA, Harris IS, Mak TW (2011) Regulation of cancer cell metabolism. Nat Rev Cancer 11:85–95CrossRef
48.
Zurück zum Zitat Cairns RA, Harris IS, McCracken S, Mak TW (2011) Cancer cell metabolism. Cold Spring Harb Symp Quant Biol 76:299–311CrossRef Cairns RA, Harris IS, McCracken S, Mak TW (2011) Cancer cell metabolism. Cold Spring Harb Symp Quant Biol 76:299–311CrossRef
49.
Zurück zum Zitat Metelmann HR, Vu TT, Do HT et al (2013) Scar formation of laser skin lesions after cold atmospheric pressure plasma (CAP) treatment: a clinical long term observation. Clin Plasma Med 1:30–35CrossRef Metelmann HR, Vu TT, Do HT et al (2013) Scar formation of laser skin lesions after cold atmospheric pressure plasma (CAP) treatment: a clinical long term observation. Clin Plasma Med 1:30–35CrossRef
50.
Zurück zum Zitat Keidar M, Walk R, Shashurin A et al (2011) Cold plasma selectivity and the possibility of a paradigm shift in cancer therapy. Br J Cancer 105:1295–1301CrossRef Keidar M, Walk R, Shashurin A et al (2011) Cold plasma selectivity and the possibility of a paradigm shift in cancer therapy. Br J Cancer 105:1295–1301CrossRef
51.
Zurück zum Zitat Mohades S, Barekzi N, Laroussi M (2014) Efficacy of low temperature plasma against SCaBER cancer cells. Plasma Process Polym 11:1150–1155CrossRef Mohades S, Barekzi N, Laroussi M (2014) Efficacy of low temperature plasma against SCaBER cancer cells. Plasma Process Polym 11:1150–1155CrossRef
52.
Zurück zum Zitat Weiss M, Gümbel D, Gelbrich N et al (2015) Inhibition of cell growth of the prostate cancer cell model LNCaP by cold atmospheric plasma. In Vivo (Brooklyn) 29:611–616 Weiss M, Gümbel D, Gelbrich N et al (2015) Inhibition of cell growth of the prostate cancer cell model LNCaP by cold atmospheric plasma. In Vivo (Brooklyn) 29:611–616
53.
Zurück zum Zitat Gümbel D, Gelbrich N, Napp M et al (2017) Peroxiredoxin expression of human osteosarcoma cells is influenced by cold atmospheric plasma treatment. Anticancer Res 37:1031–1038CrossRef Gümbel D, Gelbrich N, Napp M et al (2017) Peroxiredoxin expression of human osteosarcoma cells is influenced by cold atmospheric plasma treatment. Anticancer Res 37:1031–1038CrossRef
54.
Zurück zum Zitat Hirst AM, Simms MS, Mann VM et al (2015) Low-temperature plasma treatment induces DNA damage leading to necrotic cell death in primary prostate epithelial cells. Br J Cancer 112:1536–1545CrossRef Hirst AM, Simms MS, Mann VM et al (2015) Low-temperature plasma treatment induces DNA damage leading to necrotic cell death in primary prostate epithelial cells. Br J Cancer 112:1536–1545CrossRef
55.
Zurück zum Zitat Hirst AM, Frame FM, Maitland NJ et al (2014) Low temperature plasma causes double-strand break DNA damage in primary epithelial cells cultured from a human prostate tumour. IEEE Trans Plasma Sci 2:2740–2741CrossRef Hirst AM, Frame FM, Maitland NJ et al (2014) Low temperature plasma causes double-strand break DNA damage in primary epithelial cells cultured from a human prostate tumour. IEEE Trans Plasma Sci 2:2740–2741CrossRef
56.
Zurück zum Zitat Kogelschatz U (2003) Dielectric-barrier discharges: their history, discharge physics, and industrial applications. Plasma Chem Plasma Process 1(23):1–46CrossRef Kogelschatz U (2003) Dielectric-barrier discharges: their history, discharge physics, and industrial applications. Plasma Chem Plasma Process 1(23):1–46CrossRef
57.
Zurück zum Zitat Ananth A, Mok YS (2015) Dielectric barrier discharge plasma-mediated synthesis of several oxide nanomaterials and its characterization. Powder Technol 269:259–266CrossRef Ananth A, Mok YS (2015) Dielectric barrier discharge plasma-mediated synthesis of several oxide nanomaterials and its characterization. Powder Technol 269:259–266CrossRef
58.
Zurück zum Zitat Yamamori T, Yasui H, Yamazumi M et al (2012) Ionizing radiation induces mitochondrial reactive oxygen species production accompanied by upregulation of mitochondrial electron transport chain function and mitochondrial content under control of the cell cycle checkpoint. Free Radic Biol Med 15:260–270CrossRef Yamamori T, Yasui H, Yamazumi M et al (2012) Ionizing radiation induces mitochondrial reactive oxygen species production accompanied by upregulation of mitochondrial electron transport chain function and mitochondrial content under control of the cell cycle checkpoint. Free Radic Biol Med 15:260–270CrossRef
59.
Zurück zum Zitat Finkel T (2011) Signal transduction by reactive oxygen species. J Cell Biol 194:7–15CrossRef Finkel T (2011) Signal transduction by reactive oxygen species. J Cell Biol 194:7–15CrossRef
60.
Zurück zum Zitat Bae YS, Oh H, Rhee SG, Yoo YD (2011) Regulation of reactive oxygen species generation in cell signaling. Mol Cells 32:491–509CrossRef Bae YS, Oh H, Rhee SG, Yoo YD (2011) Regulation of reactive oxygen species generation in cell signaling. Mol Cells 32:491–509CrossRef
61.
Zurück zum Zitat Davis RJ (2000) Signal transduction by the JNK group of MAP kinases. Cell 103:239–252CrossRef Davis RJ (2000) Signal transduction by the JNK group of MAP kinases. Cell 103:239–252CrossRef
62.
Zurück zum Zitat Torres M (2003) Mitogen-activated protein kinase pathways in redox signaling. Front Biosci 8:d369–391CrossRef Torres M (2003) Mitogen-activated protein kinase pathways in redox signaling. Front Biosci 8:d369–391CrossRef
63.
Zurück zum Zitat Aoki H, Kang PM, Hampe J et al (2002) Direct activation of mitochondrial apoptosis machinery by c‑Jun N‑terminal kinase in adult cardiac myocytes. J Biol Chem 277:10244–10250CrossRef Aoki H, Kang PM, Hampe J et al (2002) Direct activation of mitochondrial apoptosis machinery by c‑Jun N‑terminal kinase in adult cardiac myocytes. J Biol Chem 277:10244–10250CrossRef
64.
Zurück zum Zitat Bundscherer L, Wende K, Ottmüller K et al (2013) Impact of non-thermal plasma treatment on MAPK signaling pathways of human immune cell lines. Immunobiology 218(10):1248–1255CrossRef Bundscherer L, Wende K, Ottmüller K et al (2013) Impact of non-thermal plasma treatment on MAPK signaling pathways of human immune cell lines. Immunobiology 218(10):1248–1255CrossRef
65.
Zurück zum Zitat Andreyev AY, Kushnareva YE, Starkov AA (2004) Mitochondrial metabolism of reactive oxygen species. Biochemistry 70(2):200–214 Andreyev AY, Kushnareva YE, Starkov AA (2004) Mitochondrial metabolism of reactive oxygen species. Biochemistry 70(2):200–214
Metadaten
Titel
Kaltes atmosphärisches Plasma für die urologische Tumortherapie
verfasst von
N. Gelbrich
M. B. Stope
M. Burchardt
Publikationsdatum
10.08.2018
Verlag
Springer Medizin
Erschienen in
Die Urologie / Ausgabe 6/2019
Print ISSN: 2731-7064
Elektronische ISSN: 2731-7072
DOI
https://doi.org/10.1007/s00120-018-0754-8

Weitere Artikel der Ausgabe 6/2019

Der Urologe 6/2019 Zur Ausgabe

Berufspolitik BvDU

Berufspolitik BvDU

AUO

AUO

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Bei Senioren mit Prostatakarzinom auf Anämie achten!

24.04.2024 DGIM 2024 Nachrichten

Patienten, die zur Behandlung ihres Prostatakarzinoms eine Androgendeprivationstherapie erhalten, entwickeln nicht selten eine Anämie. Wer ältere Patienten internistisch mitbetreut, sollte auf diese Nebenwirkung achten.

Stufenschema weist Prostatakarzinom zuverlässig nach

22.04.2024 Prostatakarzinom Nachrichten

Erst PSA-Test, dann Kallikrein-Score, schließlich MRT und Biopsie – ein vierstufiges Screening-Schema kann die Zahl der unnötigen Prostatabiopsien erheblich reduzieren: Die Hälfte der Männer, die in einer finnischen Studie eine Biopsie benötigten, hatte einen hochgradigen Tumor.

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

20.04.2024 EAU 2024 Kongressbericht

Beim chronischen Harnwegsinfekt bei Frauen wird bisher meist eine Antibiotikaprophylaxe eingesetzt. Angesichts der zunehmenden Antibiotikaresistenz erweist sich das Antiseptikum Methenamin-Hippurat als vielversprechende Alternative, so die Auswertung einer randomisierten kontrollierten Studie.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.