REVIEW ARTICLE
Potential Applications of Photobiomodulation in Combinatorial Cancer Therapy: Developments in Diagnosis and Treatment
Received Date : 30 Aug 2023
Accepted Date : 26 Nov 2023
Available Online : 13 Dec 2023
Ebru Nur AYa, Duygu Hüsna ACARb, Ferda KALEAĞASIOĞLUc
aDepartment of Biology and Genetics, İstinye University Faculty of Engineering and Natural Sciences, İstanbul, Türkiye
bİstinye University Faculty of Medicine, İstanbul, Türkiye
cDepartment of Pharmacology and Clinical Pharmacology, İstinye University Faculty of Medicine, İstanbul, Türkiye
Doi: 10.37047/jos.2023-99295 - Article's Language: EN
Journal of Oncological Sciences. 2024;10(1):47-59.
ABSTRACT
Objective: Over the last two decades, the potential applications of photobiomodulation therapy (PBMT) have garnered increasing
attention. The mechanism of PBMT involves the absorption of light energy by cellular components, such as chromophores. This absorption
initiates a cascade of biochemical reactions, including cellular signaling pathways, gene expression, and the production of various molecules
such as reactive oxygen species, adenosine triphosphate, and growth factors. In this review, we aimed to investigate the potential applications of
PBMT when combined with chemotherapy (CT), radiotherapy (RT), and immunotherapy. Material and Methods: PubMed (National Library
of Medicine, ABD), Scopus (Elsevier, Hollanda), and Google Scholar (Google, ABD) were searched to obtain data. Results: Based on the results
of in vitro and in vivo studies, PBMT acts as a chemo- and radio-sensitizer. It facilitates dose reduction and, notably, does not decrease but
may increase the viability of noncancer cells. This property enables the protection of noncancerous cells against antineoplastic CT-related toxicity.
The important factor in effectively employing PBMT for cancer treatment depends on selecting the correct dosage, including wavelength,
power density, energy density, and exposure time. The accumulating evidence supporting the benefits of PBMT has led to its recommendation
by the World Association for Laser Therapy for managing CT-related adverse effects. Conclusion: PBMT is a promising strategy for the combination
therapy of cancer. Nevertheless, further studies are warranted to establish the precise protocols for PBMT. These studies are essential to
address its limitations and uncover the benefits of light therapy that have not yet been fully explored.
Keywords: Low level laser therapy; chemotherapy; immunotherapy; radiotherapy
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