Electrochemical treatment of tumours

The electrochemical treatment (EChT) of tumours implies that tumour tissue is treated with a continuous direct current through two or more electrodes placed in or near the tumour. The treatment offers considerable promise of a safe, simple and relatively noninvasive anti-tumour therapy for treatment of localised malignant as well as benign tumours. Although more than 10,000 patients have been treated in China during the past 10 years, EChT has not yet been universally accepted. The reason for this is the lack of essential preclinical studies and controlled clinical trials. Uncertainties regarding the destruction mechanism of EChT also hinder the development of an optimised and reliable dose-planning methodology. This article reviews the collected Chinese and occidental experiences of the electrochemical treatment of tumours, alone and in combination with other therapies. The current knowledge of the destruction mechanism underlying EChT is presented along with different approaches towards a dose planning methodology. In addition, we discuss our view of different important parameters that have to be accounted for, if clinical trials are to be initiated outside of China.     

Electrochemical treatment (EChT) effects in rat mammary and liver tissue. In vivo optimizing of a dose-planning model for EChT of tumours.

BACKGROUND: A reinvented technique for tumour therapy, electrochemical treatment (EChT), is attracting increasing attention. This study compared results from treatment of liver and mammary tissue focusing on destruction and pH changes in the tissue close to the treatment electrodes. Subsequently, data were compared with a dose-planning model. METHODS: Mammary or liver tissue in 50 adult female Sprague Dawley rats was given EChT with a constant, direct current. The electrodes used were Pt/Ir (9:1) with spherical tips. In situ pH measurements were taken with a micro-combination glass electrode. RESULTS: Spherical lesions were produced in both liver and mammary tissue. No significant difference was detected when comparing the size of the lesions in the two kinds of tissue. Similar pH profiles were obtained in tissue surrounding the electrodes, with pH values changing rapidly from unphysiological to neutral status within the space of a few millimetres. The pH at the border of the macroscopic destruction zone, regardless of tissue type or coulomb dosage, correlated well with specific values (4.5-5.5 at the anode and between 9 and 10 at the cathode). CONCLUSION: The analogous destruction patterns in mammary and liver tissue support the hypothesis that EChT has similar results in at least these two different types of tissue. This implies that the destructive pattern caused by the treatment may be the same also in tumours.     

Cell proliferation and apoptosis in rat mammary cancer after electrochemical treatment (EChT)

BACKGROUND: Several authors have recently reported encouraging results from Electrochemical treatment (EChT) in malignant tumours. However, EChT is not established and mechanisms are not completely understood. In vivo studies were conducted to evaluate the toxic changes and effectiveness of EChT on an animal tumour model. METHODS: Tumours were induced by injecting cells from the R3230AC rat mammary tumour cell line clone D subcutaneously, in 28 female Fischer 344 rats. EChT was conducted by inserting a platinum electrode into the tumours. The positive and negative control groups were subjected to the same conditions but without current. The rats were kept for 0, 7 or 14 days post-treatment. Three hours prior to euthanasia an i.p. injection of Bromodioxyuridine (BrdU) was given. The rats were euthanized, the lesions extirpated and samples were collected for histopathological, and immunohistochemical examination. RESULTS: Significant changes in cell proliferation rate were seen both in the cathode and anode regions. Apoptosis were induced in the anodic treated area outside the primary necrosis, detected with the TUNEL method. DISCUSSION: The results suggest that secondary cell destruction was caused by necrosis with cathodic EChT and apoptosis or necrosis with anodic EChT.     

Tracking protein electrodenaturation fronts in the electrochemical treatment of tumors

Electrochemical reactions in the electrochemical treatment of tumors (EChT) induce extreme pH changes and, consequently, protein electrodenaturation fronts intimately related to tumor destruction. Here we introduce a new in vitro EChT collagen–macronutrient gel (CMG) model to study protein electrodenaturation fronts as a mean of assessing EChT effectiveness. Our CMG model shows that from an initial uniform condition two electrodenaturation fronts evolve expanding towards each other until collision. Moreover, electrodenaturation front tracking reveals that the front grows under a diffusion-controlled regime. Based on this evidence it is possible, in principle, to predict the time needed for tumor destruction without compromising healthy tissue. These results are consistent with those previously obtained with in vivo and in vitro EChT modeling. In contrast to previous simpler in vitro models, our CMG model represents a better structural and chemical approximation to a real tissue thus providing a better tool for validation of new in silico EChT models aimed at a more accurate prediction of tissue destruction level.     

Cellular toxicity induced by different pH levels on the R3230AC rat mammary tumour cell line. An in vitro model for investigation of the tumour destructive properties of electrochemical treatment of tumours

INTRODUCTION: The aim of this study was to evaluate the cellular toxicity of different pH levels on the R3230AC mammary tumour cell line (clone-D) in vitro and to determine in what way the pH affects the tumour cells. The results could be used to interpret the cell damaging effects seen in electrochemical treatment of tumours (EChT), where pH alteration in tissue is the major event. METHODS: Tumour cells were treated with pH 3.5, 5, 7, 9, 10 and 11 for 10, 20 or 30 min, respectively, followed by studies with the viability assay 3-(4,5-dimethylthiazol-2-yl)-2,5,-diphenyl tetrazolium bromide (methyltetrazolium (MTT)), morphological observation in phase contrast microscope (PCM) and light microscope, nucleotide analogue incorporation (BrdU; 5-Brdmo-2'-deoxyuridine), Caspase-3 activity measurement and detection of DNA fragmentation by an agarose gel electrophoresis. RESULTS: In the viability assay, it was found that different pH levels had cytotoxic effects; these effects were dependent on the pH value and on the time of exposure at a given pH. Morphologically, cells in pH 3.5 and 5 had shrunk, were rounded and had condensed chromatin, whereas prominent cell swelling and nuclear expansion were seen in the pH 9- and 10-treated cells. Gross cytolysis was found in pH 11. A BrdU incorporation assay indicated that proliferation rate is inhibited markedly both with decreasing and increasing pH. Significant Caspase-3 activity was found in pH 3.5 and 5 groups. Caspase-3 levels for the alkaline exposure were equal or below the normal control. DNA ladder formation, a characteristic of apoptosis, was only visualised in the treatment of pH 3.5 for 30 min. CONCLUSIONS: pH changes inhibit cell proliferation and decrease cell viability. The pathway of killing tumour cell in low pH probably has at least two directions: apoptosis and cell necrosis, whereas high pH results in only cell necrosis. The study suggests that low pH environment can induce apoptosis in unphysiological condition comparable with tissue pH at EChT. In addition, it seems that R3230AC mammary tumour cells are more tolerant to high pH than to acidic changes. This supports the theory that anodic EChT should be more efficient than cathodic.     

Ion transport in tumors under electrochemical treatment: in vivo, in vitro and in silico modeling

The electrochemical treatment of cancer (EChT) consists in the passage of a direct electric current through two or more electrodes inserted locally in the tumor tissue. The extreme pH changes induced have been proposed as the main tumor destruction mechanism. Here, we study ion transport during EChT through a combined modeling methodology: in vivo modeling with BALB/c mice bearing a subcutaneous tumor, in vitro modeling with agar and collagen gels, and in silico modeling using the one-dimensional Nernst-Planck and Poisson equations for ion transport in a four-ion electrolyte. This combined modeling approach reveals that, under EChT modeling, an initial condition with almost neutral pH evolves between electrodes into extreme cathodic alkaline and anodic acidic fronts moving towards each other, leaving the possible existence of a biological pH region between them; towards the periphery, the pH decays to its neutral values. pH front tracking unveils a time scaling close to t(1/2), signature of a diffusion-controlled process. These results could have significant implications in EChT optimal operative conditions and dose planning, in particular, in the way in which the evolving EChT pH region covers the active cancer cells spherical casket.     

Animal models for treatment of unresectable liver tumours: a histopathologic and ultra-structural study of cellular toxic changes after electrochemical treatment in rat and dog liver

INTRODUCTION: Electrochemical treatment (EChT) has been taken under serious consideration as being one of several techniques for local treatment of malignancies. The advantage of EChT is the minimal invasive approach and the absence of serious side effects. Macroscopic, histopathological and ultra-structural findings in liver following a four-electrode configuration (dog) and a two-electrode EChT design (dog and rat) were studied. MATERIALS AND METHODS: 30 female Sprague-Dawley rats and four female beagle dogs were studied with EChT using Platinum:Iridium electrodes and the delivered dose was 5, 10 or 90 C (As). After EChT, the animals were euthanized. RESULTS: The distribution of the lesions was predictable, irrespective of dose and electrode configuration. Destruction volumes were found to fit into a logarithmic curve (dose-response). Histopathological examination confirmed a spherical (rat) and cylindrical/ellipsoidal (dog) lesion. The type of necrosis differed due to electrode polarity. Ultra-structural analysis showed distinct features of cell damage depending on the distance from the electrode. Histopathological and ultra-structural examination demonstrated that the liver tissue close to the border of the lesion displayed a normal morphology. CONCLUSIONS: The in vivo dose-planning model is reliable, even in species with larger tissue mass such as dogs. A multi-electrode EChT-design could obtain predictable lesions. The cellular toxicity following EChT is clearly identified and varies with the distance from the electrode and polarity. The distinct border between the lesion and normal tissue suggests that EChT in a clinical setting for the treatment of liver tumours can give a reliable destruction margin.     

Ionic liquid-induced changes in the properties of aqueous sodium dodecyl sulfate solution: effect of acidic/basic functional groups

The effects of ionic liquids 1-(2-aminoethyl)-3-methylimidazolium chloride ([MimAE]Cl), 1-carboxylmethyl-3-methylimidazolium chloride ([MimCM]Cl), 1-(2-hydroxylethyl)-3-methylimidazolium chloride ([MimHE]Cl), and 1-ethyl-3-methylimidazolium chloride ([Emim]Cl) on the physicochemical properties of aqueous sodium dodecyl sulfate (SDS) solutions were studied. Compared with [Emim]Cl, the presence of amino group can further facilitate the micellization of SDS, while the opposite result is observed as carboxyl group is imparted. No obvious changes in critical micelle concentration (CMC) and $ {\gamma_{\mathrm{CMC}}} $ values are induced by the neutral hydroxyl group. Only the addition of [MimAE]Cl drastically increases the micellar size. Significant decrease in CMC and increase in micellar size were observed with decreasing pH of [MimAE]Cl solution. The increase in pH of [MimCM]Cl solution results in a slight increase in CMC and decrease in micellar size. ¹H NMR spectra revealed the amino groups are adsorbed at the micellar surface, while the carboxyl groups/carboxylate ions and hydroxyl groups tend to point towards bulk water.     

Study of a heavy metal biosorption onto raw and chemically modified Sargassum sp. via spectroscopic and modeling analysis

In this study, raw and formaldehyde-modified Sargassum sp. are used for heavy metal removal. A series of experiments shows that the chemical modification by formaldehyde improves biosorption capacity by approximately 20%. Solution pH plays an important role in the metal uptake. According to X-ray photoelectron spectroscopic and Fourier transform infrared spectroscopic analysis, the possible organic functional groups in the metal binding include carboxyl, ether, alcoholic, hydroxyl, and amino functional groups. A new model that includes a series of coordination reactions among a generalized functional group, alkaline earth metal ions and heavy metal ions, is developed for simulation of biosorption process. The model well describes the single- and multiple-species metal biosorption process under different conditions such as pH. The biosorption of heavy metals is due to the ion exchange between the heavy metals and alkaline earth metals and their adsorption onto the free sites of the seaweeds. Slightly more than half of the metal uptake is due to ion exchange. The metal affinity for the functional groups follows a descending order of lead > copper > alkaline earth metal.     

活性炭纤维电极生成羟基自由基降解酸性红B

分别采用具有吸附催化性能的活性炭纤维(ACF)作为阳极和阴极对水中偶氮染料酸性红B (ARB)的电化学降解情况进行了系统研究. 研究表明两种体系均可较好降解ARB, 可达到色度完全去除, 但ACF作为阴极电芬顿对有机物的矿化程度远远高于以ACF作为阳极时的矿化程度, 其TOC去除率达到70%, 高于阳极体系的30% TOC去除率. 通过电子自旋捕集技术(ESR)检测两种反应体系中产生的活性中间体, 发现在两种体系中均有高活性的羟基自由基生成, ACF阴极体系中产生的羟基自由基的量远远高于阳极体系产生量, 这是阴极体系有机物矿化效果较好的根本原因. 还对电流强度和初始pH的影响进行了研究, 并对两个体系反应机理进行了讨论.     

Electroreduction of Molybdate Ions in Solutions Containing Ammonium Ions

An incomplete reduction of molybdate ions in solutions of pH 3.0–9.0 is shown to be accelerated by ammonium ions: a film of hydrated oxides of molybdenum in lower oxidation states forms on the cathode in their presence. Products of the incomplete reduction adsorbed at the cathode block its working surface.     

Operating mechanism of the electrolyte cathode atmospheric glow discharge

Cathode fall ( U(cf)), cathodic current density and atomic emission intensities originating from metal salts in the electrolyte cathode were measured as a function of different discharge parameters. Emission intensities in function of cathode fall indicate a potential barrier in the sputtered mass flux. This means that the primary particles of the cathode sputtering are of positive charge and the cathode fall including its internal variables is the most important factor. The measured current density and the U(cf) as a function of pressure are in accordance with the low pressure data in the literature. The observed decrease of the U(cf) with decreasing pH was explained by a model in that the secondary electron emission coefficient of the cathode (gamma) is controlled through a reaction net of competing reactions of different electron scavengers involving the hydroxonium ions of the cathode solution. The model revealed two different electron emission processes of the electrolyte cathode, an emission coupled with hydrated electrons is dominating below pH 2.5 while a proton-independent emission of poor efficiency is working above pH 3. Our model fits to the reported yields of the ultimate products both in the solution and in the gas phase and offers a calculation of gamma and U(cf) in the function of the cathode acidity. The model provides two other independent gamma calculation methods based on product analysis data.     

Acid/Base-treated activated carbons: characterization of functional groups and metal adsorptive properties

Surface modification of activated carbons by various physicochemical methods directs an attractive approach for improvement of heavy metal uptake from aqueous solutions. Activated carbons were modified with HCl and HNO3 optionally followed by NaOH. The effects of surface modifications on the properties of the carbons were studied by the specific surface area, carbon pH, and total acidity capacity as well as by scanning electron microscopy, X-ray photoelectron spectroscopy, and Fourier transform infrared spectroscopy. The modifications bring about substantial variation in the chemical properties whereas the physical properties remain nearly unchanged. NaOH causes an increase in the content of hydroxyl groups, while the HCl treatment results in an increase in the amount of single-bonded oxygen functional groups such as phenols, ethers, and lactones. The HNO3 modification generates a large number of surface functional groups such as carbonyl, carboxyl, and nitrate groups. The HNO3 modification significantly increases the copper adsorption, while the HCl treatment slightly reduces the copper uptake. Most of the copper ions are adsorbed rapidly in the first 2 h; the adsorption equilibrium is established in around 8 h. An intraparticle diffusion model successfully describes the kinetics of copper adsorption onto the carbons.     

Voltammetric,potentiometric and amperometric studies with a rotated aluminum wire electrode: Voltammetric behavior of the r.al.e.

A rotated aluminum wire electrode (R.Al.E.) is described for the determination of voltammograms and potentials. An aluminum electrode is highly polarizable both cathodically and anodically. Of all ions tested only hydroxyl and fluoride ions depolarize it anodically at highly negative potentials. In the absence of fluoride it is not a pH electrode, but it is a pOH electrode in the presence of an excess of hydroxyl ions. Fluoride in acid medium and hydroxyl ions yield well defined anodic diffusion currents. In the absence of fluoride or of an excess of hydroxyl ions the potential is ill defined. In acid medium a trace of fluoride (2.10^-5M or 0.4 p.p.m.) causes the potential to become approximately 600 mV more negative than in the absence of fluoride. At a pH greater than j l the potential varies 66 mV per unit change of pH.     

Mechanism of hydrolyzable metal ions effect on the zeta potential of fine quartz particles

The effects of ion species, cation valence, ionic strength, and hydrated ionic radius on the zeta potential of quartz have been systematically studied through the measurement of zeta potential, sedimentation rate, and aggregation observation. The results show that the interaction between hydrolysis components and quartz particles results in three critical points – CR₁, CR₂, and CR₃. The results of sedimentation and aggregation observation are in good agreement with the changes of the zeta potential in 0.1?M MgCl₂, the maximum sedimentation rate being 99.26% at pH 10.85. When the pH is around 6.25 or 10.00, the sedimentation rate is relatively lower and the size of aggregation smaller. The adsorption of hydrolyzable multivalent metal ions on the quartz surface is a combination of three adsorption forms, namely electrostatic adsorption, hydroxyl complex adsorption, and hydroxide precipitation adsorption. Then the hydrolysis properties of metal ions and the surrounding environment determine the action of the hydrolysis components and the main form of adsorption.     

Modeling growth of organized nanoporous structures by anodic oxidation

Nanostructured porous oxides are produced by anodic dissolution of several metals. A scaling approach is introduced to explain pattern nucleation in an oxide layer, and a related microscopic model shows oxide growth with long nanopores. The scaling approach matches the time of ion transport across the thin oxide layer, which is related to metal corrosion, and the time of diffusion along the oxide/solution (OS) interface, which represents the extension of oxide dissolution. The selected pattern size is of order (dD(S)/v(O))(1/2), where d is the oxide thickness, v(O) is the migration velocity of oxygen ions across the oxide, and D(s) is the diffusion coefficient of H(+) ions along the oxide/solution interface. This result is consistent with available experimental data for those quantities, predicts the increase of pore size with the external voltage, and suggests the independence of pore size with the solution pH. Subsequently, we propose a microscopic model that expresses the main physicochemical processes as a set of characteristic lengths for diffusion and surface relaxation. It shows a randomly perturbed OS interface at short times, its evolution to pore nucleation and to stable growth of very long pores, in agreement with the mechanistic scenario suggested by two experimental groups. The decrease of the size of the walls between the pores with the interface tension is consistent with arguments for formation of titania nanotube arrays instead of nanopores. These models show that pattern nucleation and growth depend on matching a small number of physicochemical parameters, which is probably the reason for the production of nanostructured porous oxides from various materials under suitable electrochemical conditions.     

Phase transition in porous electrodes. II. Effect of asymmetry in the ion size

The electrochemical thermodynamics of electrolytes in porous electrodes is qualitatively different from that in the bulk with planar electrodes when the pore size is comparable to the size of the electrolyte ions. In this study, the effect of the ion size asymmetry on the thermodynamics in porous electrodes was studied by using Monte Carlo simulation. We used the electrolyte ions for which the size of the cations and that of anions is different. Due to the asymmetry in the ion size, the ionic structure and the way the surface charge is distributed on the electrode surfaces were found to be qualitatively different in the cathode and in the anode. In particular, for some ranges of applied voltage, the distribution of the surface charge induced on the electrode planes shows inhomogeneity, which is not intrinsic to the structure of the porous electrodes. The transition from the homogeneous to the inhomogeneous distribution of surface charge on changing the voltage is a second order phase transition.     

Monte Carlo simulation of the electrical differential capacitance of a double electrical layer formed at the heterogeneous metal oxide/electrolyte interface

A semiempirical simulation study of differential capacitance c(d) is presented for the case in which the formula for the macroscopic surface potential is known. Both the differential capacity and the surface potential are treated as unique functions of the potential determining ions (H+ ions). The effects of surface heterogeneity on the surface charge density curves sigma0 = f(pH), and capacity curves c(d) = f(pH), as well as on the position of maximum capacitance are discussed. The "model" effects (influence of the model parameter on the results) are presented.     

Potential of mean force of water–proton bath and molecular dynamic simulation of proteins at constant pH

An advanced implicit solvent model of water–proton bath for protein simulations at constant pH is presented. The implicit water–proton bath model approximates the potential of mean force of a protein in water solvent in a presence of hydrogen ions. Accurate and fast computational implementation of the implicit water–proton bath model is developed using the continuum electrostatic Poisson equation model for calculation of ionization equilibrium and the corrected MSR6 generalized Born model for calculation of the electrostatic atom–atom interactions and forces. Molecular dynamics (MD) method for protein simulation in the potential of mean force of water–proton bath is developed and tested on three proteins. The model allows to run MD simulations of proteins at constant pH, to calculate pH‐dependent properties and free energies of protein conformations. The obtained results indicate that the developed implicit model of water–proton bath provides an efficient way to study thermodynamics of biomolecular systems as a function of pH, pH‐dependent ionization‐conformation coupling, and proton transfer events. © 2012 Wiley Periodicals, Inc.