Photodynamic Therapy for Glioblastoma: Illuminating the Path toward Clinical Applicability.

Glioblastoma (GBM) is the most common adult brain cancer. Despite extensive treatment protocols comprised of maximal surgical resection and adjuvant chemo-radiation, all glioblastomas recur and are eventually fatal. Emerging as a novel investigation for GBM treatment, photodynamic therapy (PDT) is a light-based modality that offers spatially and temporally specific delivery of anti-cancer therapy with limited systemic toxicity, making it an attractive option to target GBM cells remaining beyond the margins of surgical resection. Prior PDT approaches in GBM have been predominantly based on 5-aminolevulinic acid (5-ALA), a systemically administered drug that is metabolized only in cancer cells, prompting the release of reactive oxygen species (ROS), inducing tumor cell death via apoptosis. Hence, this review sets out to provide an overview of current PDT strategies, specifically addressing both the potential and shortcomings of 5-ALA as the most implemented photosensitizer. Subsequently, the challenges that impede the clinical translation of PDT are thoroughly analyzed, considering relevant gaps in the current PDT literature, such as variable uptake of 5-ALA by tumor cells, insufficient tissue penetrance of visible light, and poor oxygen recovery in 5-ALA-based PDT. Finally, novel investigations with the potential to improve the clinical applicability of PDT are highlighted, including longitudinal PDT delivery, photoimmunotherapy, nanoparticle-linked photosensitizers, and near-infrared radiation. The review concludes with commentary on clinical trials currently furthering the field of PDT for GBM. Ultimately, through addressing barriers to clinical translation of PDT and proposing solutions, this review provides a path for optimizing PDT as a paradigm-shifting treatment for GBM.

Violation of Heisenberg's measurement-disturbance relationship by weak measurements.

While there is a rigorously proven relationship about uncertainties intrinsic to any quantum system, often referred to as "Heisenberg's uncertainty principle," Heisenberg originally formulated his ideas in terms of a relationship between the precision of a measurement and the disturbance it must create. Although this latter relationship is not rigorously proven, it is commonly believed (and taught) as an aspect of the broader uncertainty principle. Here, we experimentally observe a violation of Heisenberg's "measurement-disturbance relationship", using weak measurements to characterize a quantum system before and after it interacts with a measurement apparatus. Our experiment implements a 2010 proposal of Lund and Wiseman to confirm a revised measurement-disturbance relationship derived by Ozawa in 2003. Its results have broad implications for the foundations of quantum mechanics and for practical issues in quantum measurement.

Closed timelike curves via postselection: theory and experimental test of consistency.

Closed timelike curves (CTCs) are trajectories in spacetime that effectively travel backwards in time: a test particle following a CTC can interact with its former self in the past. A widely accepted quantum theory of CTCs was proposed by Deutsch. Here we analyze an alternative quantum formulation of CTCs based on teleportation and postselection, and show that it is inequivalent to Deutsch's. The predictions or retrodictions of our theory can be simulated experimentally: we report the results of an experiment illustrating how in our particular theory the "grandfather paradox" is resolved.