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Tumor Discovery                                                         Glioblastoma treating fields system




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            Figure 2. Cell experiments of TTF therapy. (A) The top view of the cell experiment prototype design, showing the placement of round cell culture glass
            slides and the orthogonal electric field application. (B) The finite element simulation of the electric field distribution using Comsol software. (C) Images
            of U251 cells cultured under different electric field intensities and at various time points (12, 24, 48, and 72 h). Scale bar: 0.5 mm. (D) The quantitative
            analysis of adherent cell counts.
            Abbreviation: TTF: Tumor treating fields.

            confirming the uniform application of the field over the   ethical approval (202404A010) from the Ethics Review
            cells.                                             Committee was obtained before the research. Figure 3A
                                                               shows the placement of four electrode patches on the rat’s
              The visual comparison of cell morphology across   head, positioned orthogonally to ensure comprehensive
            different  electric field strengths shows  a significant   electric field coverage. C6-LUC glioblastoma cells, derived
            reduction in cell proliferation, especially at higher field   from the rat C6 glioma cell line by stably integration of a
            intensities. Figure 2C presents micrographs of cells treated   constitutive firefly luciferase expression construct, were
            under 1, 2, and 3 V/cm electric fields at 12, 24, 48, and 72-h   injected into the brain, and TTF therapy was applied at
            intervals. A marked decrease in cell number and altered   2 V/cm for >20 h/day for a period of 20 days.
            cell morphology were observed at all-time points in the
            TTF-treated group, with the highest intensity (3  V/cm)   Tumor growth was monitored using bioluminescence
            showing the most pronounced effects. After 72  h, cell   imaging at multiple time points-days 10, 12, 14, 16, and
            counts revealed a 35% reduction in proliferation at 2 V/cm   18 post-inoculation (Figure 3B and 3C). Bioluminescence
            and a 50% reduction at 3 V/cm compared to the control   intensity served as an indicator of tumor size, with stronger
            group (Figure 2D). These results demonstrate that the TTF   signals representing larger tumors. Comparison between the
            system significantly inhibited glioblastoma cell growth   TTF-treated and control groups revealed significant tumor
                                                               suppression in  the treated group  over time (Figure  3D).
            in vitro. The inhibitory effect appeared to be both time- and   By day 18, tumor luminescence intensity was reduced by
            intensity-dependent, with higher electric field intensities
            resulting in greater inhibition of cell proliferation.  more than 5  times in the TTF-treated group compared
                                                               to controls. In addition, MRI scans performed on day 18
              For the in vivo experiments, a rat glioblastoma model   (Figure 3E) provided further validation of the tumor size
            was established to evaluate the efficacy of TTF therapy. The   reduction, with TTF-treated rats exhibiting smaller tumor


            Volume 4 Issue 2 (2025)                         59                                doi: 10.36922/td.7171
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