Igarashi Akira, Konno Hiroyuki, Tanaka Tatsuo, Nakamura Satoshi, Sadzuka Yasuyuki, Hirano Toru, Fujise Yutaka
Second Department of Surgery II, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu 431-3192, Japan.
Toxicol Lett. 2003 Nov 30;145(2):133-41. doi: 10.1016/s0378-4274(03)00241-8.
Photodynamic therapy (PDT) has been established as a potent and less invasive treatment for gastrointestinal tumors. The aim of the present study was to investigate whether or not liposomalization of the photosensitizer enhanced the therapeutic efficacy of PDT. Photofrin (PF) was entrapped in multilammelar liposomes. Mice implanted with a human gastric cancer xenograft, were divided into a PF group and a liposomal photofrin (LPF) group and intravenously administered 10 mg/kg of PF or LPF (as a dose of PF), respectively. At 8 h after injection PF level in tumor tissue in the LPF group was significantly higher level by 2.4-fold of that in the PF group, whereas the PF levels in the skin were almost equal. Irradiation was performed with the excimer dye laser at 150 mW/cm(2), total dose 40 J, at 8 h after PF or LPF administration. The results revealed that the volume of necrotic tumor tissue was significantly higher in the LPF group than in the PF group. The apoptotic index of the tumor was also significantly higher in the LPF group. In conclusion, the liposomalization of the photosensitizer increased its tumor accumulation, with a resulting enhancement of the therapeutic effect of PDT.
光动力疗法(PDT)已被确立为一种针对胃肠道肿瘤的有效且侵入性较小的治疗方法。本研究的目的是调查光敏剂的脂质体化是否能增强PDT的治疗效果。将Photofrin(PF)包裹于多层脂质体中。将植入人胃癌异种移植物的小鼠分为PF组和脂质体Photofrin(LPF)组,分别静脉注射10mg/kg的PF或LPF(以PF剂量计)。注射后8小时,LPF组肿瘤组织中的PF水平显著高于PF组,是其2.4倍,而皮肤中的PF水平几乎相等。在给予PF或LPF后8小时,用准分子染料激光以150mW/cm²、总剂量40J进行照射。结果显示,LPF组坏死肿瘤组织的体积显著高于PF组。LPF组肿瘤的凋亡指数也显著更高。总之,光敏剂的脂质体化增加了其在肿瘤中的蓄积,从而增强了PDT的治疗效果。