Tumor-associated macrophages (TAM) in
cancer stroma play important roles for
cancer cell growth, invasion, angiogenesis, and
metastases. We synthesized a novel
photosensitizer,
mannose-conjugated
chlorin (M-
chlorin), designed to bind
mannose receptors highly expressed on TAMs. We evaluated the newly available
photodynamic therapy (
PDT) with M-
chlorin against gastric and
colon cancer. We evaluated
PDT with M-
chlorin for in vitro cytotoxicity and apoptosis induction in
cancer cells compared with
chlorin alone and
glucose-conjugated
chlorin (G-
chlorin). The subcellular localization of M-
chlorin was observed by confocal microscopy, and the M-
chlorin PDT effects against TAMs including THP-1-induced M2-polarized macrophages were evaluated. Anticancer effects were also investigated in an allograft model where cytotoxic effects against TAMs in the
cancer cell stroma were analyzed by immunohistochemistry. M-
chlorin PDT strongly induced cell death in
cancer cells to almost the same extent as G-
chlorin PDT by inducing apoptosis. M-
chlorin was incorporated into
cancer cells where it localized mainly in lysosomes and endoplasmic reticula. M-
chlorin PDT revealed strong cytotoxicity for M2 macrophages induced from THP-1 cell lines, and it induced stronger cytotoxicity than G-
chlorin PDT in the allograft model through killing both
cancer cells and TAMs in the
cancer stroma. The M-
chlorin PDT produced strong cytotoxicity against
cancer tissue by inducing apoptosis of both
cancer cells and TAMs in the
cancer stroma. This novel
PDT thus stands as a new candidate for very effective, next-generation
PDT.