Antimalarial Drugs Enhance the Cytotoxicity of 5-Aminolevulinic Acid-Based Photodynamic Therapy against the Mammary Tumor Cells of Mice In Vitro.

Abstract

Artemisinin and its derivatives, including artesunate (ART) and artemether (ARM), exert anticancer effects in the micromolar range in drug and radiation-resistant cell lines. Artemisinin has been reported to sensitize cervical cancer cells to radiotherapy. In the present study, we determined whether ART and ARM could enhance the cytotoxicity of 5-aminolevulinic acid (5-ALA)-based photodynamic therapy (PDT) against the mammary tumor cells of mice. The corrected PpIX fluorescence intensities in the control, 5-ALA, 5-ALA + ART, and 5-ALA + ARM groups were 3.385 ± 3.730, 165.7 ± 33.45, 139.0 ± 52.77, and 165.4 ± 51.10 a.u., respectively. At light doses of 3 and 5 J/cm2, the viability of 5-ALA-PDT-treated cells significantly decreased with ART (p < 0.01 and p < 0.01) and ARM treatment (p < 0.01 and p < 0.01). Besides, the number of annexin V-FITC and ethidium homodimer III-positive cells was greater in the 5-ALA-PDT with ARM group than that in the other groups. N-acetylcysteine could not significantly inhibit the percentages of apoptotic cells or inviable cells induced by 5-ALA-PDT with ARM. These reactive oxygen species-independent mechanisms might enhance cytotoxicity in 5-ALA-PDT with ARM-treated tumor cells, suggesting that the use of 5-ALA-PDT with ARM could be a new strategy to enhance PDT cytotoxicity against tumor cells. However, as these results are only based on in vitro studies, further in vivo investigations are required.

• Authors: Tomohiro Osaki, Kiwamu Takahashi, Masahiro Ishizuka, Tohru Tanaka, Yoshiharu Okamoto
• Journal: Molecules (Basel, Switzerland) (Molecules) Vol. 24 Issue 21 (Oct 29 2019) ISSN: 1420-3049 [Electronic] Switzerland
• PMID: 31671811 (Publication Type: Journal Article)

Chemical References

• Antimalarials
• Antioxidants
• Protoporphyrins
• Reactive Oxygen Species
• Aminolevulinic Acid
• protoporphyrin IX
• Acetylcysteine

Topics

• Acetylcysteine (pharmacology)
• Aminolevulinic Acid (pharmacology)
• Animals
• Antimalarials (pharmacology)
• Antioxidants (pharmacology)
• Apoptosis (drug effects)
• Cell Line, Tumor
• Cell Shape (drug effects)
• Female
• Fluorescence
• Mammary Neoplasms, Animal (pathology)
• Mice
• Photochemotherapy
• Protoporphyrins (pharmacology)
• Reactive Oxygen Species (metabolism)