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使用卟吩姆钠对小鼠皮肤肿瘤进行光动力治疗。

Photodynamic therapy of murine skin tumors using Photofrin-II.

作者信息

Mukhtar H, Agarwal R, Athar M, Lewen R L, Elmets C A, Bickers D R

机构信息

Department of Dermatology, University Hospitals of Cleveland, Ohio.

出版信息

Photodermatol Photoimmunol Photomed. 1991 Aug;8(4):169-75.

PMID:1839955
Abstract

Photodynamic therapy (PDT) is a new experimental cancer therapy in which a photosensitizing chemical that selectively localizes within tumors is given to a tumor-bearing individual and the tumor is then irradiated by wavelengths within the visible spectrum of the photosensitizer. The only photosensitizer currently approved for human clinical trials is Photofrin-II (Pf-II). In most preclinical studies, the effectiveness of Pf-II has been assessed in implanted tumor models rather than in systems in which tumors are grown in their own connective tissue matrix. In this study, the pharmacokinetics, tumor ablation capability and cutaneous photosensitizing capacity of Pf-II were assessed in mice bearing chemically induced or ultraviolet B radiation (UVB)-induced benign skin neoplasms. Intraperitoneal administration of Pf-II (5 mg/kg body weight) to tumor-bearing animals showed maximum tumor: normal skin ratio of the photosensitizer at 72 h. When SENCAR mice bearing chemically induced tumors were irradiated with visible light corresponding to the absorption spectrum of the photosensitizer, up to 89% ablation in tumor volume at 20 d post-irradiation was observed. Animals treated with Pf-II and exposed to visible light showed significant cutaneous photosensitization for at least 6 d after-irradiation. Treatment of SKH-1 hairless mice bearing UVB-induced cutaneous neoplasms with Pf-II exhibited similar pharmacokinetics, skin tumor ablation effects and cutaneous photosensitivity. Our data indicate that Pf-II has significant activity towards the ablation of murine skin benign tumors grown in their own tissue matrix, suggesting that such a murine skin tumor model system could be valuable in evaluating the photodynamic effects of newly developed photosensitizers.

摘要

光动力疗法(PDT)是一种新型的实验性癌症治疗方法,即给患有肿瘤的个体注射一种能选择性地在肿瘤内聚集的光敏化学物质,然后用该光敏剂可见光谱范围内的波长照射肿瘤。目前唯一被批准用于人体临床试验的光敏剂是卟吩姆钠(Pf-II)。在大多数临床前研究中,Pf-II的有效性是在植入肿瘤模型中评估的,而非在肿瘤于自身结缔组织基质中生长的系统中评估。在本研究中,对患有化学诱导或紫外线B辐射(UVB)诱导的良性皮肤肿瘤的小鼠,评估了Pf-II的药代动力学、肿瘤消融能力和皮肤光敏能力。给荷瘤动物腹腔注射Pf-II(5毫克/千克体重)后,在72小时时光敏剂的肿瘤与正常皮肤的比例达到最大值。当给患有化学诱导肿瘤的SENCAR小鼠照射与光敏剂吸收光谱相对应的可见光时,在照射后20天观察到肿瘤体积减少高达89%。用Pf-II处理并暴露于可见光的动物在照射后至少6天表现出明显的皮肤光敏反应。用Pf-II治疗患有UVB诱导的皮肤肿瘤的SKH-1无毛小鼠,表现出相似的药代动力学、皮肤肿瘤消融效果和皮肤光敏性。我们的数据表明,Pf-II对在自身组织基质中生长的小鼠皮肤良性肿瘤的消融具有显著活性,这表明这样的小鼠皮肤肿瘤模型系统在评估新开发的光敏剂的光动力效应方面可能具有重要价值。

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