等离子体对人体组织的渗透作用:研究现状与前沿问题
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  • 英文篇名:Penetration Effect of Gas Plasmas on Human Tissues: State-of-the-art and Current Issues
  • 作者:刘定新 ; 何桐桐 ; 张浩
  • 英文作者:LIU Dingxin;HE Tongtong;ZHANG Hao;Centre for Plasma Biomedicine,Xi'an Jiaotong University;
  • 关键词:大气压冷等离子体 ; 等离子体医学 ; 活性粒子 ; 人体组织 ; 渗透作用
  • 英文关键词:cold atmospheric-pressure plasma;;plasma medicine;;reactive species;;human tissue;;penetration effect
  • 中文刊名:GDYJ
  • 英文刊名:High Voltage Engineering
  • 机构:西安交通大学等离子体生物医学研究中心;
  • 出版日期:2019-07-12
  • 出版单位:高电压技术
  • 年:2019
  • 期:v.45;No.320
  • 基金:国家自然科学基金(51677147)~~
  • 语种:中文;
  • 页:GDYJ201907037
  • 页数:14
  • CN:07
  • ISSN:42-1239/TM
  • 分类号:320-333
摘要
大气压冷等离子体具有取代或辅助药物用于临床治疗的巨大潜力,而人们普遍认为这是等离子体产生的活性粒子起到关键作用。活性粒子对人体组织的渗透深度决定了等离子体医学的应用范围,关系到该学科的未来研究方向,但目前学术界尚缺乏统一的认识。文中从人体组织模型、动物实验和临床试验3个层面,综述了近几年等离子体对人体组织渗透作用的研究工作,分析了等离子体产生的活性粒子在渗透过程中的物理与化学行为,并讨论了几种提高活性粒子渗透深度的方法。等离子体对人体组织的渗透作用存在诸多待解的科学问题,该综述将为相关的研究工作提供参考。
        Cold atmospheric-pressure plasma has a great potential to replace or assist drugs for clinical treatment, and it is widely accepted that the plasma-generated reactive species play a crucial role. The effective penetration depth of reactive species in human tissues determines the application scope of plasma medicine, whilst it is strongly correlated to the future research direction of plasma medicine, but so far no consensus has been achieved in academia about the quantitative value of the penetration depth. In this paper, the recent researches on the penetration effect of plasma are reviewed from the viewpoints of the human tissue model, the animal experiments, and the clinical trials. The physicochemical processes of plasma-generated reactive species during their penetration are analyzed, and several approaches for enhancing the penetration depth are discussed. The penetration effect of gas plasma on human tissues has many open questions to be solved,and our review provides a reference for related research works in future.
引文
[1]邵涛,章程,王瑞雪,等.大气压脉冲气体放电与等离子体应用[J].高电压技术,2016,42(3):685-705.SHAO Tao,ZHANG Cheng,WANG Ruixue,et al.Atmospheric-pressure pulsed gas discharge and pulsed plasma application[J].High Voltage Engineering,2016,42(3):685-705.
    [2]方志,刘源,蔡玲玲.大气压氩等离子体射流的放电特性[J].高电压技术,2012,38(7):1613-1622.FANG Zhi,LIU Yuan,CAI Lingling.Discharge characteristics of atmospheric pressure plasma jet in Ar[J].High Voltage Engineering,2012,38(7):1613-1622.
    [3]吴淑群,聂兰兰,卢新培.大气压非平衡等离子体射流[J].高电压技术,2015,41(8):2602-2624.WU Shuqun,NIE Lanlan,LU Xinpei.Atmospheric-pressure non-equilibrium plasma jets[J].High Voltage Engineering,2015,41(8):2602-2624.
    [4]王瑞雪,张鹏浩,徐晖,等.不同基底对等离子体射流放电即薄膜特性的影响[J].高电压技术,2019,45(5):1360-1366.WANG Ruixue,ZHANG Penghao,XU Hui,et al.Effect of different substrates on plasma jet discharge characteristics and thin film properties[J].High Voltage Engineering,2019,45(5):1360-1366.
    [5]许桂敏,张冠军,姚聪伟,等.大气压氩气等离子体射流在不同作用状态下的光电特性[J].高电压技术,2019,45(5):1375-1386.XU Guimin,ZHANG Guanjun,YAO Congwei,et al.Optical and electrical characteristics of atmospheric pressure argon plasma jet under different interaction states[J].High Voltage Engineering,2019,45(5):1375-1386.
    [6]HEINLIN J,MORFILL G,LANDTHALER M,et al.Plasma medicine:possible applications in dermatology[J].Journal of the German Society of Dermatology,2010,8(12):968-76.
    [7]ZHONG S Y,DONG Y Y,LIU D X,et al.Surface air plasma-induced cell death and cytokine release of human keratinocytes in the context of psoriasis[J].British Journal of Dermatology,2016,174:542-552.
    [8]HEINLIN J,ISBARY G,STOLZ W,et al.Plasma applications in medicine with a special focus on dermatology[J].Journal of the European Academy of Dermatology and Venereology,2011,25(1):1-11.
    [9]LLOYD G,FRIEDMAN G,JAFRI S,et al.Gas plasmas:medical uses and developments in wound care[J].Plasma Processes and Polymers,2010,7(3/4):194-211.
    [10]WANG J G,LIU X Y,LIU D W,et al.Mathematical model of gas plasma applied to chronic wounds[J].Physics of Plasmas,2013,20(11):113507.
    [11]XU G M,SHI X M,CAI J F,et al.Dual effects of atmospheric pressure plasma jet on skin wound healing of mice[J].Wound Repair&Regeneration,2016,23(6):878-884.
    [12]NORBERG S A,TIAN W,LIETZ A M,et al.Strategies for customizing reactive fluxes in plasma treatment of liquid covered tissue[C]∥Proceeding of the 2nd International Workshop on Plasma for Cancer Treatment.Nagoya,Japan:[s.n.],2015.
    [13]POUVESLE J M,COLLET G,ROBERT E,et al.Potential of plasma based soft and/or combined cancer treatments[C]∥Proceeding of the2nd International Workshop on Plasma for Cancer Treatment.Nagoya,Japan:[s.n.],2015.
    [14]ISBARY G,ZIMMERMANN J L,SHIMIZU T,et al.Ex vivo human skin experiments for the evaluation of safety of new cold atmospheric plasma devices[J].Clinical Plasma Medicine,2013,1(1):36-44.
    [15]LIU Z C,LIU D X,CHEN C,et al.Physicochemical processes in the indirect interaction between surface air plasma and deionized water[J].Journal of Physics D:Applied Physics,2015,48(49):495201.
    [16]LIU D X,LIU Z C,CHEN C,et al.Aqueous reactive species induced by a surface air discharge:Heterogeneous mass transfer and liquid chemistry path ways[J].Scientific Reports,2016,6:23737.
    [17]GRAVES D B.The emerging role of reactive oxygen and nitrogen species in redox biology and some implications for plasma applications to medicine and biology[J].Journal of Physics D:Applied Physics,2012,45:263001.
    [18]XIA W J,LIU D X,XU H,et al.The effect of ethanol gas impurity on the discharge mode and discharge products of argon plasma jet at atmospheric pressure[J].Plasma Sources Science and Technology,2018,27:055001.
    [19]LI D,NIKIFOROV A,BRITUN N,et al.OH radical production in an atmospheric pressure surface micro-discharge array[J].Journal of Physics D:Applied Physics,2016,49:455202.
    [20]王晓龙,谭震宇,潘光胜,等.大气压氩氧脉冲介质阻挡放电等离子体中长生存时间活性氧粒子的演化机理[J].高电压技术,2018,44(3):904-913.WANG Xiaolong,TAN Zhenyu,PAN Guangsheng,et al.Evolution mechanisms of long-lived reactive oxygen species in atmospheric-pressure pulsed dielectric barrier discharges in Ar/O2[J].High Voltage Engineering,2018,44(3):904-913.
    [21]SZILI E J,AL-BATAINEH S A,BRYANT P M,et al.Controlling the spatial distribution of polymer surface treatment using atmospheric-pressure microplasma jets[J].Plasma Processes and Polymers,2011,8(1):38-50.
    [22]DESMET G,MICHELMORE A,SZILI E J,et al.On the effects of atmospheric-pressure microplasma array treatment on polymer and biological materials[J].Royal Society of Chemistry,2013,3:13437-13445.
    [23]XU D H,LIU D X,WANG B Q,et al.In situ OH generation from O2-and H2O2 plays a critical role in plasma-induced cell death[J].PlosOne,2015,10(6):e0128205.
    [24]SZILI E J,BRADLEY J W,SHORT R D.A“tissue model”to study the plasma delivery of reactive oxygen species[J].Journal of Physics D:Applied Physics,2014,47(15):152002.
    [25]KEIDAR M,WALK R,SHASHURIN A,et al.Cold plasma selectivity and the possibility of a paradigm shift in cancer therapy[J].British Journal of Cancer,2011,105:1295-1301.
    [26]METELMANN H R,NEDRELOW D S,SEEBAUER C,et al.Head and neck cancer treatment and physical plasma[J].Clinial Plasma Medicine,2015,3(1):17-23.
    [27]STANDRING S.Gray's anatomy:the anatomical basis of clinical practice[M].40th ed.London:Churchill Livingstone.2008.
    [28]LU X,KERDAR M,LAROUSSI M,et al.Transcutaneous plasma streass:from soft-matter models to living tissues[J].Materials Science&Engineering R,2019,138:36-59.
    [29]GNIADECKA M,NIELSEN O F,WULF H C.Water content and structure in malignant and benign skin tumours[J].Journal of Molecular Structure,2003,661/662:405-410.
    [30]DAVIS F E,KENYON K,KIRK J.A rapid titrimetric method for determining the water content of human blood[J].Science,1953,118(3062):276-277.
    [31]GUBKIN J.Electrolytische metallabscheidung an der freien oberfl?che einer salzl?sung[J].Annalen der Physik,1887,32:114-115.
    [32]孔刚玉,刘定新.气体等离子体与水溶液的相互作用研究--意义、挑战与新进展[J].高电压技术,2014,40(10):2956-2965.Michael G Kong,LIU Dingxin.Researches on the interaction between gas plasmas and aqueous solutions:significance,challenges and new progresses[J].High Voltage Engineering,2014,40(10):2956-2965.
    [33]孙冰.液相放电等离子体及其应用[M].北京:科学出版社,2013.SUN Bing.Discharge plasma in liquid and its applications[M].Beijing,China:Science Press,2013.
    [34]李劲,王泽文,高秋华,等.放电等离子体水处理技术中的放电问题[J].高电压技术,1997,23(2):7-12.LI Jin,WANG Zewen,GAO Qiuhua,et al.Discharge problems in the technique of water-treatment by discharge plasma[J].High Voltage Engineering,1997,23(2):7-12.
    [35]WITZKE M,RUMBACH P,GO D B,et al.Evidence for the electrolysis of water by atmospheric-pressure plasmas formed at the surface of aqueous solutions[J].Journal of Physics D:Applied Physics,2012,45:442001.
    [36]OEHMIGEN K,HODER T,WILKE C,et al.Volume effect of atmospheric-pressure plasma in liquids[J].IEEE Transaction on Plasma Science,2011,39(11):2646-2647.
    [37]STEWART R S.Diffusion in biofilm[J].Journal of Bacteriology,2003,185(5):1485-1491.
    [38]TIAN W,KUSHNER M J.Atmospheric pressure dielectric barrier discharges interacting with liquid covered tissue[J].Journal of Physics D:Applied Physics,2014,47(16):165201.
    [39]LIU D X,HE T T,LIU Z J,et al.Spatial-temporal distributions of ROS in model tissues treated by a He+O2 plasma jet[J].Plasma Processes and Polymers,2018,e1800057.
    [40]CHOI Y S,HONG S R,LEE Y M,et al.Study on gelatin-containing artificial skin:I.preparation and characteristics of novel gelatin-alginate sponge[J].Biomaterials,1999,20(5):409417.
    [41]VOGEL A,VENUGOPALAN V.Mechanisms of pulsed laser ablation of biological tissues[J].Chemical Reviews,2003,103(2):577-644.
    [42]OH J S,SZILI E J,GAUR N,et al.How to assess the plasma delivery of RONS into tissue fluid and tissue[J].Journal of Physics D:Applied Physics,2016,49:304005.
    [43]CHMARRA M K,HANSEN R,MARVIK R,et al.Multimodal phantom of liver tissue[J].Plos One,2013,8(5):e64180.
    [44]BAREKZI N,LAROUSSI M.Effects of low temperature plasmas on cancer cells[J].Plasma Processes and Polymers,2013,10:1039-1051.
    [45]SZILI E J,HONG S H,OH J S,et al.Tracking the penetration of plasma reactive species in tissue models[J].Trends in Biotechnology,2018,36(6):594-602.
    [46]NIE L,YANG Y,DUAN J,et al.Effect of tissue thickness and liquid composition on the penetration of long-lifetime reactive oxygen and nitrogen species(RONS)generated by a plasma jet[J].Journal of Physics D:Applied Physics.2018,51(34):345204.
    [47]LUKES P,BRISSET J L,LOCKE B R.Biological effects of electrical discharge plasma in water and in gas-liquid environments[M]//PAR-VULESCU V I,MAGUREANU M,LUKES P.Plasma Chemistry and Catalysis in Gases and Liquids.Weinheim,German:Wiley-VCH:309-352.
    [48]OEHMIGEN K,WINTER J,HAHNEL M,et al.Estimation of possible mechanism of Escherichia coli inactivation by plasma treated sodium chloride solution[J].Plasma Processes and Polymers,2011,8(10):904-913.
    [49]XU H,CHEN C,LIU D X,et al.Contrasting characteristics of aqueous reactive species induced by cross-field and linear-field plasma jets[J].Journal of Physics D:Applied Physics,2017,50:245201.
    [50]RUMBACH P,BARTELS D M,SANKARAN R M,et al.The solvation of electrons by an atmospheric-pressure plasma[J].Nature Communications,2015,6:7248.
    [51]CHEN C,LIU D X,LIU Z C,et al.A model of plasma-biofilm and plasma-tissue interactions at ambient pressure[J].Plasma Chemistry and Plasma Processing,2014,34(3):403-441.
    [52]MACHALA Z,TARABOVA B,HENSEL K,et al.Formation of ROSand RNS in water electro-sprayed through transient spark discharge in air and their bactericidal effects[J].Plasma Processes and Polymers,2013,10(7):649-659.
    [53]DOBRYNIN D,FRIDMAN G,FRIEDMAN G,et al.Penetration deep into tissues of reactive oxygen species generated in floating-electrode dielectric barrier discharge(FE-DBD):in vitro agarose gel model mimicking an open wound[J].Plasma Medicine,2013,2:1-3
    [54]MARSHALL S E,JENKINS A T A,AL-BATAINEH S A,et al.Studying the cytolytic activity of gas plasma with self-signalling phospholipid vesicles dispersed within a gelatin matrix[J].Journal of Physics D:Applied Physics,2013,46(18):185401.
    [55]HE T T,LIU D X,XU H,et al.A tissue model'to study the barrier effects of living tissues on the reactive species generated by surface air discharge[J].Journal of Physics D:Applied Physics,2016,49:205204.
    [56]KAWASAKI T,SATO A,KUSUMEGI S,et al.Two-dimensional concentration distribution of reactive oxygen species transported through a tissue phantom by atmospheric-pressure plasma-jet irradiation[J].Applied Physics Express,2016,9,076202.
    [57]KAWASAKI T,KUSUMEGI S,KUDO A,et al.Effects of irradiation distance on supply of reactive oxygen species to the bottom of a Petri dish filled with liquid by an atmospheric O2/He plasma jet[J].Journal of Applied Physics,2016,119,173301.
    [58]HE T T,LIU D X,LIU Z J,et al.Transportation of ROS in model tissues treated by an Ar+O2 plasma jet[J].Journal of Physics D:Applied Physics,2019,52,045204.
    [59]DUAN J,LU X,HE G.On the penetration depth of reactive oxygen and nitrogen species generated by a plasma jet through real biological tissue[J].Physics of Plasmas.2017,24,073506.
    [60]LIU X,GAN L,MA M,et al.A comparative study on the transdermal penetration effect of gaseous and aqueous plasma reactive species[J].Journal of Physics D:Applied Physics.2018,51(7):075401.
    [61]DUAN J,GAN L,NIE L,et al.On the penetration of reactive oxygen and nitrogen species generated by a plasma jet into and through mice skin with/without stratum corneum[J].Physics of Plasmas,2019,26:043504.
    [62]SHOMAKER T S,ZHANG J,ASHBURN M A.Assessing the impact of heat on the systemic delivery of fentanyl through the transdermal fentanyl delivery system[J].Pain Medicine,2000,1:225-230.
    [63]FLYNN G L,BEHL CR,LINN E,et al.Permeability of thermally damaged skin v:permeability over the course of maturation of a deep partial-thickness wound[J].Burns,Including Thermal Injury,1982,8:196-202.
    [64]PARK J H,LEE J W,KIM Y C,et al.The effect of heat on skin permeability[J].International Journal of Pharmaceutics,2008,359(1-2):94-103.
    [65]SZILI E J,OH J S,HONG S H,et al.Probing the transport of plasma-generated RONS in an agarose target as surrogate for real tissue:dependency on time,distance and material composition[J].Journal of Physics D:Applied Physics,2015,48(20):202001.
    [66]HE T T,LIU D X,LIU Z J,et al.The mechanism of plasma-assisted penetration of NO2-in model tissues[J].Applied Physics Letters,2017,111,203702.
    [67]MEYER W,SCHWARZ R,NEURAND K.The skin of domestic mammals as a model for the human skin,with special reference to the domestic pig[J].Current Problems in Dermatology,1978,7(7):39-52.
    [68]SIMON G A,MAIBACH H I.The pig as an experimental animal model of percutaneous permeation in man:qualitative and quantitative observations-an overview[J].Skin Pharmacology and Applied Skin Physiology,2000,13(5):229-234.
    [69]LADEMANN J,ULRICH C,PATZELT A,et al.Risk assessment of the application of tissue-tolerable plasma on human skin[J].Clinical Plasma Medicine,2013,1(1):5-10.
    [70]MAISCH T,SHIMIZU T,LI Y F,et al.Decolonisation of MRSA,S.aureus and E.coli by cold-atmospheric plasma using a porcine skin model in vitro[J].Plos One,2012,7(4):2010-2026.
    [71]DOBRYNIN D,WU A,KALGHATGI S,et al.Live pig skin tissue and wound toxicity of cold plasma treatment[J].Plasma Medicine,2011,1(1):93-108.
    [72]FRIDMAN G,PEDDINGHAUS M,AYAN H,et al.Blood coagulation and living tissue sterilization by floating-electrode dielectric barrier discharge in air[J].Plasma Chemistry and Plasma Processing,2006,26(4):425-442.
    [73]KALGHATGI S,DOBRYNIN D,GRIDMAN G,et al.Applications of non-thermal atmospheric pressure plasma in medicine[M].Cesme-Izmir,Turkey:NATO Advanced Study Institute on Plasma Assisted Decontamination of Biological and Chemical Agents,2008,173-181.
    [74]DOBRYNIN D,KALGHATGI S,FRIDMAN G,et al.Toxicity of low temperature plasma treatment of living tissue[C]∥Drexel IEEE Graduate Forum,Technical Poster Symposium.Philadelphia,USA:IEEE,2009.
    [75]UTSUMI F,KAJIYAMA H,NAKAMURA K,et al.Effect of indirect nonequilibrium atmospheric pressure plasma on anti-proliferative activity against chronic chemo-resistant ovarian cancer cells in vitro and in vivo[J].PloS one,2013,8(12):e81576.
    [76]SZILI E J,OH J S,FUKUHARA H,et al.Modeling the helium plasma jet delivery of reactive species into a 3D cancer tumour[J].Plasma Sources Science and Technology,2017,27(1):014001.
    [77]LADEMANN O,RICHTER H,MEINKE M C,et al.Drug delivery through the skin barrier enhanced by treatment with tissue-tolerable plasma[J].Experimental Dermatology,2011,20(6):488-490.
    [78]CHOI J H,NAM S H,SONG Y S,et al.Treatment with low-temperature atmospheric pressure plasma enhances cutaneous delivery of epidermal growth factor by regulating E-cadherin-mediated cell junctions[J].Archives of Dermatological Research,2014,306(7):635-643.
    [79]LADEMANN O,RICHTER H,KRAMER A,et al.Stimulation of the penetration of particles into the skin by plasma tissue interaction[J].Laser Physics Letters,2011,8(10):758-764.
    [80]LADEMANN J,PATZELT A,RICHTER H,et al.Nanocapsules for drug delivery through the skin barrier by tissue-tolerable plasma[J].Laser Physics Letters,2013,10(8):083001.
    [81]MIZUNO K,YONETAMARI K,SHIRAKAWA Y,et al.Anti-tumor immune response induced by nanosecond pulsed streamer discharge in mice[J].Journal of Physics D:Applied Physics,2017,50:12LT01.
    [82]HAERTEL B,VOLKMANN F,VON WOEDTKE T,et al.Differential sensitivity of lymphocyte subpopulations to non-thermal atmospheric-pressure plasma[J].Immunobiology,2012,217(6):628-633.
    [83]MILLER V,LIN A,FRIDMAN G,et al.Plasma stimulation of migration of macrophages[J].Plasma Processes and Polymers,2014,11(12):1193-1197.
    [84]LIN A,TRUONG B,PAPPAS A,et al.Uniform nanosecond pulsed dielectric barrier discharge plasma enhances anti-tumor effects by induction of immunogenic cell death in tumors and stimulation of macrophages[J].Plasma Processes and Polymers,2015,12(12):1392-1399.
    [85]XU D H,CUI Q J,XU Y J,et al.Systemic study on the safety of immuno-deficient nude mice treated by atmospheric plasma-activated water[J].Plasma Science and Technology,2018,20(4):044003.
    [86]ROMAN H,AUBER M,BOURDEL N,et al.Postoperative recurrence and fertility after endometrioma ablation using plasma energy:retrospective assessment of a 3-year experience[J].Journal of minimally invasive gynecology,2013,20(5):573-582.
    [87]KILMER S,SEMCHYSHYN N,SHAH G,et al.A pilot study on the use of a plasma skin regeneration device in full facial rejuvenation procedures[J].Lasers in Medical Science,2007,22(2):101-109.
    [88]POTTER M J,HARRISON R,RAMSDEN A,et al.Facial acne and fine lines:transforming patient outcomes with plasma skin regeneration[J].Annals of Plastic Surgery,2007,58(6):608-613.
    [89]METELMANN H R,SEEBAUER C,MILLER V,et al.Clinical experience with cold plasma in the treatment of locally advanced head and neck cancer[J].Clinical Plasma Medicine,2018,9:6-13.

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