Photodynamic therapy (
PDT) is a clinical approach that utilizes light-activated drugs for the treatment of a variety of pathologic conditions. Human poorly (CNE2) and moderately differentiated (TW0-1) human
nasopharyngeal carcinoma (NPC) cells undergo rapid apoptosis when treated with
PDT sensitized with
Hypocrellin A (HA) and
Hypocrellin B (HB). It has been shown that these compounds have a strong photodynamic effect on
tumors and viruses. The initiating events of
PDT sensitized HA and HB-induced apoptosis are poorly defined. In the current study, we sought to determine whether Fas/FasL upregulation and involvement of mitochondrial events are an early event in HA and HB-treated
PDT induced apoptosis. Loss of mitochondrial transmembrane potential, release of
cytochrome c, involvement of caspases-8 and -3 and the status
caspase-3 specific substrate PARP, were evaluated in
PDT treated
tumor cells. Photoactivation of HA and HB enhanced both CD95/
CD95L expression and induced CD95-signaling dependent cell death in all tumor cell lines studied. CD95/
CD95L expression appeared within 2 h following light activation and appeared to be a primary event in
PDT induced apoptosis. Furthermore, these results indicate that release of mitochondrial
cytochrome c into the cytoplasm is a secondary event following the activation of initiator
caspase-8 preceding
caspase-3 activation, cleavage of PARP and DNA fragmentation.
Cytochrome c appeared in the cytosol within 2-3 h post
PDT. Cleavage of PARP was observed at 3-4 h following
PDT and
caspase-3 specific inhibitor
DEVD-CHO and broad-spectrum
caspases inhibitor
z-VAD-fmk blocked
caspase-3 activation and PARP cleavage suggesting that
caspase-3 plays an important role in HA and HB-induced apoptosis.