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Photodynamic therapy of cottontail rabbit papillomavirus-induced papillomas in a severe combined immunodeficient mouse xenograft system.

AbstractOBJECTIVES/HYPOTHESIS:
To evaluate the efficacy of photodynamic therapy (PDT) with the phthalocyanine photosensitizer Pc 4 for treating an animal model of recurrent respiratory papillomatosis (RRP).
METHODS:
Rabbit skin was grafted onto the dorsum of severe combined immunodeficient mice, two xenografts per animal. After the graft healed, it was inoculated with cottontail rabbit papillomavirus (CRPV). When papillomas developed, Pc 4 (0.6 or 1.0 mg/kg) was administered systemically, and 48 hours later, one papilloma of the two on each animal was exposed to 675-nm photoactivating light at either 100 or 150 J/cm(2). In addition to the contralateral tumors, which received Pc 4 but no light, other controls included animals receiving light only or neither agent. Response was assessed by measuring papilloma size with a caliper. Some papillomas and residual skin were harvested for histological assessment.
RESULTS:
For the lower-dose PDT regimens, papilloma growth rates were not significantly different from the controls. In contrast, 13 of 15 papillomas receiving the higher Pc 4 dose (1.0 mg/kg) and the higher light fluence (150 J/cm(2)) regressed completely and did not regrow within the observation period of up to 79 days. The response of these papillomas was significantly different from the controls (P < .001). Histological analysis confirmed the absence of residual tumor following complete response and replacement with near-normal epithelium.
CONCLUSIONS:
Pc 4-PDT is highly effective in treating virally induced (CRPV) papillomas in a murine model of RRP, and thus warrants further study as a treatment for HPV-induced papillomas.
AuthorsRichard G Lee, Mark A Vecchiotti, John Heaphy, Ashok Panneerselvam, Mark D Schluchter, Nancy L Oleinick, Pierre Lavertu, Kumar N Alagramam, James E Arnold, Robert C Sprecher
JournalThe Laryngoscope (Laryngoscope) Vol. 120 Issue 3 Pg. 618-24 (Mar 2010) ISSN: 1531-4995 [Electronic] United States
PMID20091778 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Indoles
  • Photosensitizing Agents
  • phthalocyanine Pc 4
Topics
  • Animals
  • Cottontail rabbit papillomavirus
  • Indoles (pharmacology)
  • Mice
  • Mice, SCID
  • Papilloma (drug therapy, virology)
  • Photochemotherapy (methods)
  • Photosensitizing Agents (pharmacology)
  • Rabbits
  • Skin Neoplasms (drug therapy, virology)
  • Skin Transplantation
  • Transplantation, Heterologous

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