Photodynamic therapy (
PDT) uses light to activate a
photosensitizer that has been absorbed or retained preferentially by
cancer cells after systemic administration. The first pegylated
photosensitizer, tetrakis-(m-
methoxypolyethylene glycol) derivative of 7,8-dihydro-5,10,15,20-tetrakis(3-hydroxyphenyl)-21,23-[H]-
porphyrin (PEG-
m-THPC), was evaluated to target selectively unresectable pelvic
ovarian cancer bulks. Our goals were two-fold: (1) to establish an
ovarian cancer model suitable for the development of debulking techniques and (2) to characterize the pharmacokinetics and
tumor selectivity of PEG-
m-THPC by fluorescence microscopy. NuTu-19
ovarian cancer cells were injected into the caudal part of the right psoas muscle of Fisher rats. Five weeks later, 30 mg/kg
body weight of PEG-
m-THPC was injected intravenously. Necropsy was performed between 4 and 10 days following
drug application, and fluorescence of the
tumor and various abdominal organs was measured. All rats developed bulky pelvic
tumors with an average diameter of 2.6 cm (+/- 0.6 SD).
Tumor masses were encompassing and infiltrating pelvic organs in a similar manner to
ovarian cancers in humans. Fluorescence of
cancer tissue was maximal 8-10 days following
drug application. At 8 days, the
tumor-to-tissue ratio was 40:1 (+/- 12 SE) for most abdominal organs. We conclude that this
tumor model may be used for the study of new pelvic debulking techniques, and that the
tumor selectivity of PEG-
m-THPC is exceptionally high 8 days after
drug application. Based on these data, we are currently developing a
PDT-based minimally invasive debulking technique for advanced
ovarian cancer.