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Evidence for different mechanisms of EMT-6 tumor necrosis by photodynamic therapy with disulfonated aluminum phthalocyanine or photofrin: tumor cell survival and blood flow.

Abstract
A comparison was made of photodynamic therapy (PDT) mediated by two photosensitizers, the disulfonated aluminum phthalocyanine (AlPcS2) and Photofrin* (PII) with regard to their mechanism of action on murine tumors. Balb/c mice bearing intradermally growing EMT-6 tumors were injected intravenously with either 1 mumol kg-1 body weight of AlPcS2 or 5 mg/kg of PII 24 h prior to red light irradiation from a Xenon lamp (650-700 nm, 200 mW cm-2, for AlPcS2 and 600-650 nm, 400 J cm-2 for PII. Tumor cell survival following in vivo PDT was determined by an in vitro clonogenicity assay on the dissociated tumors. Immediately after the completion of light irradiation, a reduction of approximately 72% in the number of clonogenic cells was seen with AlPcS2-treated tumor versus approximately 24% of that for PII-treated tumor. Further loss of clonogenic cell survival progressed as a function of time following PDT, and was considered to be the consequence of indirect PDT action, however, the decline in cell viability was steeper in the first 6 h with PII-PDT than with AlPcS2-PDT. 24 h after PDT, the clonogenic capacity of both AlPcS2-and PII-PDT treated tumor fell to approximately 3% of the control tumor. The PDT effect on tumor blood flow as a measure of the tumor vascular damage was monitored by the retention of 99mTc-MIBI in the tumor. Little effect on tumor blood flow was seen with AlPcS2-PDT at 0 h after the completion of light treatment. Thereafter the blood flow declined slowly and remained at approximately 50% the level of the control by 24 h post-PDT. In contrast, PII provoked a approximately 40% reduction of tumor blood flow immediately after the completion of photo irradiation, which then fell to approximately 20% within 2 h and approximately 7% by 24 h post-PDT. These results indicate the involvement of both direct and indirect mechanisms in the PDT induced tumor necrosis. However, AlPcS2-PDT exerted a larger direct tumor cell phototoxic effect, whereas PII-PDT induced tumor cell death to a greater extent via an indirect effect that parallels the extensive damage to the tumor vasculature.
AuthorsW S Chan, N Brasseur, C La Madeleine, J E van Lier
JournalAnticancer research (Anticancer Res) 1996 Jul-Aug Vol. 16 Issue 4A Pg. 1887-92 ISSN: 0250-7005 [Print] Greece
PMID8712717 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents
  • Indoles
  • Organometallic Compounds
  • Radiation-Sensitizing Agents
  • aluminum phthalocyanine disulfonate
  • Dihematoporphyrin Ether
Topics
  • Animals
  • Antineoplastic Agents (therapeutic use, toxicity)
  • Cell Line
  • Cell Survival (drug effects)
  • Dihematoporphyrin Ether (therapeutic use, toxicity)
  • Female
  • Indoles (therapeutic use, toxicity)
  • Light
  • Mammary Neoplasms, Experimental (blood supply, drug therapy, pathology)
  • Mice
  • Necrosis
  • Organometallic Compounds (therapeutic use, toxicity)
  • Photochemotherapy
  • Radiation-Sensitizing Agents (therapeutic use, toxicity)
  • Regional Blood Flow (drug effects)
  • Time Factors
  • Tumor Cells, Cultured
  • Tumor Stem Cell Assay

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