Although there have been multiple advances in the development of novel
anticancer agents and operative procedures, prognosis of patients with advanced
gastric cancer remains poor, especially in patients with peritoneal
metastasis. In this study, we established nanoparticles loaded with
indocyanine green (ICG) derivatives: ICG loaded lactosomes (ICGm) and investigated the diagnostic and therapeutic value of
photodynamic therapy (
PDT) using ICGm for experimental peritoneal dissemination of
gastric cancer. Experimental peritoneal disseminated xenografts of human
gastric cancer were established in nude mice. Three weeks after
intraperitoneal injection of the
cancer cells, either ICGm (ICGm-treated mice) or ICG
solution (ICG-treated mice) was injected through the tail vein. Forty-eight hours after injection of the
photosensitizer, in vivo and ex vivo imaging was carried out. For
PDT, 48 h after injection of the
photosensitizer, other mice were irradiated through the abdominal wall, and the
body weight and survival rate were monitored. In vivo imaging revealed that peritoneal
tumors were visualized through the abdominal wall in ICGm-treated mice, whereas only non-specific fluorescence was observed in ICG-treated mice. The
PDT reduced the total weight of the disseminated nodules and significantly improved
weight loss and survival rate in ICGm-treated mice. In conclusion, ICGm can be used as a novel diagnostic and therapeutic nanodevice in peritoneal dissemination of
gastric cancer.