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OUR RESEARCH

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當癌症治療遇見心臟保護

 

在現代醫學中,一個愈來愈嚴峻的挑戰逐漸浮現:如何在提升癌症治療成效的同時,避免對心臟造成長期傷害?

​這是因為隨著癌症存活率持續提高,越來越多患者進入長期追蹤階段;此時,與癌症治療相關的心血管併發症已成為影響預後與生活品質的重要因素。心臟腫瘤學 Cardio-Oncology 正是在這樣的臨床需求下發展而來,其核心目標是在有效抗癌與心臟保護之間取得平衡。

我們實驗室聚焦於跨尺度整合研究,從分子機制到器官功能,從動物模型到臨床轉譯,盡力建立可回饋臨床決策的證據鏈,期望為癌症患者提供更安全、可長期承受的治療策略。為了在「提升抗癌成效」與「降低心臟代價」之間取得可操作的平衡,我們以兩大研究主軸推進:一方面破解治療抗性以提升腫瘤控制;另一方面建立心臟保護策略以改善倖存者的長期預後。

 

研究方向一:破解治療抗性,發展組合療法

癌症治療的核心臨床挑戰之一,是抗藥性與腫瘤復發。即使初期治療反應良好,腫瘤仍可能透過修復能力提升與適應性改變而再次生長,導致治療失敗。
我們的研究策略著重於解析腫瘤細胞如何利用DNA 損傷反應(DNA damage response, DDR)與修復網絡,抵抗放射治療與化學治療所造成的致命壓力;研究中特別聚焦於臨床上高度棘手的復發性膠質母細胞瘤。我們結合硼中子捕獲治療(Boron Neutron Capture Therapy, BNCT)與分子層級的修復抑制策略,設計具選擇性的合併療法,目標是削弱腫瘤的防禦系統、延長腫瘤控制時間,並降低復發風險。

 

研究方向二:建立心臟保護策略,改善癌症倖存者的長期預後

多種化療與標靶藥物可能引發心肌細胞損傷、心律不整,甚至導致心臟衰竭。臨床研究亦指出,部分癌症倖存者在多年後的主要死因,可能不再是癌症本身,而是心血管疾病。
研究方向採取雙軌並進的策略:
   1. 系統性解析心臟毒性的分子機制,包括心肌細胞凋亡、粒線體功能失衡與能量代謝異常等關鍵路徑。
   2. 篩選並驗證具有保護效果的心臟保護藥物與介入策略,在不影響抗癌療效的前提下,降低心臟傷害,讓患者能安全完成治療。

 

​關鍵研究平台:以斑馬魚推動轉譯研究

斑馬魚活體模型是我們實驗室的重要研究工具。斑馬魚具有與人類高度相似的基因同源性與心血管調控機制,且擁有成年哺乳類動物罕見的心臟再生能力。其飼養與維護成本遠低於囓齒類動物,使用它亦符合實驗動物減量(Reduction)與替代(Replacement)的倫理原則。我們透過建立斑馬魚心臟損傷與藥物毒性模型,讓我們可有效評估心臟毒性與候選保護藥物與治療策略的有效性,為後續哺乳類研究與臨床轉譯提供更可靠的依據。

 

我們的整體願景,是建立從基礎機制到臨床應用的完整橋樑。讓癌症治療不再輕易失效; 讓心臟不再成為治療的代價; 讓患者不只活得久,也能活得好。

 

如果你對以下問題感到好奇

  • 腫瘤如何在治療壓力下存活與演化?

  • 是否能為心臟打造抵禦化療傷害的保護機制?

  • 斑馬魚的再生能力能為人類醫學帶來什麼啟發?

 

歡迎加入我們,一起探索並定義下一代 癌症合併療法 和 心臟腫瘤學 的研究方向。 

   

 

 

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Expanded Summary

創新的癌症合併療法  
合併療法Combination Therapy 是指同時或依序使用兩種或多種治療方法,例如化療和放療,以增強治療效果、減少副作用並延長患者的生命。例如,硼中子捕獲治療(BNCT)是一種新興的精準放射治療技術。BNCT利用含硼藥物集中在腫瘤中,並與中子反應,產生高能粒子,精確殺死癌細胞,同時盡量保全周圍的正常組織。我們的研究專注於將BNCT與其他治療方法結合,進一步提高治療的準確性和效果,幫助有效對抗具抗性的癌細胞。  

 

癌症治療引起的心臟損傷  
癌症治療雖然可以有效殺死癌細胞,但有時也會對健康的器官如心臟造成傷害。心毒性Cardiotoxicity是指癌症治療引發的心臟損害,包括心肌炎、心臟衰竭或心律不整等問題。這些心臟損傷不僅提高患者的死亡風險,還會顯著降低生活品質。因此,研究癌症治療對心臟的副作用以及開發心臟保護策略,是目前亟需解決的重要課題。  

 

心臟損傷的修復與重建  
當心臟受到損傷時,會啟動一系列複雜的修復和重塑過程,以恢復其結構和功能,這包括組織修復和代謝調整等。我們的研究使用斑馬魚心臟損傷模型,探索在心臟修復 Cardiac Repair 過程中關鍵的細胞類型和分子信號。這些研究將有助於發現促進心肌修復、恢復正常心律、減少纖維化 Fibrosis 以及實現損傷癒合的關鍵因素,為開發新型治療方法提供理論與實證支持。

 

如果想了解更多詳情,誠摯邀請您搜尋相關研究論文。我們也歡迎對這些課題有興趣的您,與我們一同探索生醫新知,並推動轉譯應用的發展。

RESEARCH OBJECTIVES

When Cancer Therapy Meets Cardiac Protection

   Modern medicine faces an increasingly clear challenge: how to maximize the effectiveness of cancer treatment while minimizing long term damage to the heart? As cancer survival rates continue to rise, more patients enter prolonged follow up and survivorship phases. In this context, treatment related cardiovascular complications have become a major determinant of prognosis and quality of life. Cardio-Oncology has emerged in response to this need, with the central goal of balancing effective tumor control with preservation of cardiac function.

 

Our laboratory focuses on integrated research spanning molecular mechanisms, organ level function, disease models, and clinical translation. Through this framework, we aim to develop safer and more sustainable therapeutic strategies for cancer patients.

 

Research Focus One: Overcoming Therapeutic Resistance Through Precision Combination Strategies

A central clinical challenge in oncology is drug resistance and tumor recurrence. Even when initial responses are favorable, many tumors eventually adapt and reemerge, leading to treatment failure.

Our research addresses how cancer cells evade cytotoxic stress by activating DNA damage response and repair networks. We place particular emphasis on recurrent glioblastoma, one of the most aggressive and treatment resistant human malignancies.

By integrating boron neutron capture therapy BNCT with targeted modulation of DNA repair pathways, we aim to weaken tumor defense systems, prolong disease control, and reduce the likelihood of recurrence.

 

Research Focus Two: Developing Cardiac Protection Strategies for Long Term Cancer Survivors

Many chemotherapeutic and targeted agents are associated with cardiac adverse effects, including cardiomyocyte injury, arrhythmias, and heart failure. Clinical evidence indicates that for some cancer survivors, cardiovascular disease ultimately poses a greater mortality risk than cancer recurrence itself.

 

This research direction follows a dual track approach.

First, we systematically dissect the molecular mechanisms underlying therapy induced cardiotoxicity, with a focus on cardiomyocyte apoptosis, mitochondrial dysfunction, and disrupted energy metabolism.

Second, we identify and validate cardioprotective agents that can mitigate irreversible cardiac damage without compromising anticancer efficacy, enabling patients to safely complete intensive treatment regimens.

 

Key Research Platform: Translational Studies Driven by Zebrafish Models

Zebrafish in vivo models form a central pillar of our research program. Zebrafish share highly conserved cardiovascular regulatory pathways with humans and possess a remarkable capacity for adult heart regeneration.

Using cardiac injury and drug induced toxicity models, we can directly observe dynamic processes of cardiac damage and repair in living organisms. This platform allows rapid functional assessment of cardioprotective strategies and provides mechanistic insights relevant to human heart repair and regeneration.

 

Our Vision

Our long term vision is to build a seamless bridge from fundamental discovery to clinical application.

   To prevent cancer from recurring through therapeutic resistance
   To ensure the heart is not the cost of effective cancer treatment
   To help patients not only live longer, but live better

 

If you are curious about questions such as
    How tumors survive and evolve under therapeutic pressure?
   Whether the heart can be shielded from chemotherapy induced injury?
   How regenerative biology in zebrafish may inform human medicine?

Welcome to join us in exploring and defining the future directions of cardio-oncology research.

PATENTS & TECH TRANSFER

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