Takeda Ken, Kunisada Toshiyuki, Miyazawa Shinichi, Nakae Yoshinori, Ozaki Toshifumi
Department of Orthopaedic Surgery, Science of Functional Recovery and Reconstruction, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama, Japan.
Clin Orthop Relat Res. 2008 Jul;466(7):1726-33. doi: 10.1007/s11999-008-0284-6. Epub 2008 May 9.
Photodynamic therapy (PDT) is an effective cancer treatment modality that allows selective destruction of malignant tumor cells. We asked whether PDT could inhibit in vivo and in vitro growth of synovial sarcoma cells. We analyzed PDT using ATX-S10.Na(II) and a diode laser for a synovial sarcoma cell line (SYO-1). Photodynamic therapy with ATX-S10.Na(II) showed an in vitro cytotoxic effect on the cultured SYO-1 cells. The in vitro effect of PDT depended on the treatment concentration of ATX-S10.Na(II) and the laser dose of irradiation. ATX-S10.Na(II) was detected in the tumor tissue specimens that were excised from nude mice bearing SYO-1 within 6 hours after intravenous injection, but it was eliminated from the tumor 12 hours after injection. Photodynamic therapy suppressed the tumor growth of nude mice bearing SYO-1, and high-dose irradiation induced no viable tumor cells in histologic specimens. Photodynamic therapy performed after marginal resection of the tumor of nude mice bearing SYO-1 reduced the rate of local recurrence of the tumor. Our results suggest PDT using ATX-S10.Na(II) and laser irradiation may be a potentially useful treatment for synovial sarcoma, especially to reduce the surgical margin and preserve critical anatomic structures adjacent to the tumor.
光动力疗法(PDT)是一种有效的癌症治疗方式,可选择性地破坏恶性肿瘤细胞。我们探讨了PDT是否能在体内和体外抑制滑膜肉瘤细胞的生长。我们使用ATX-S10.Na(II)和二极管激光对滑膜肉瘤细胞系(SYO-1)进行了PDT分析。用ATX-S10.Na(II)进行的光动力疗法对培养的SYO-1细胞显示出体外细胞毒性作用。PDT的体外效应取决于ATX-S10.Na(II)的治疗浓度和照射的激光剂量。在静脉注射后6小时内从携带SYO-1的裸鼠切除的肿瘤组织标本中检测到ATX-S10.Na(II),但在注射后12小时从肿瘤中清除。光动力疗法抑制了携带SYO-1的裸鼠的肿瘤生长,高剂量照射在组织学标本中未诱导出存活的肿瘤细胞。对携带SYO-1的裸鼠肿瘤进行边缘切除后进行光动力疗法可降低肿瘤的局部复发率。我们的结果表明,使用ATX-S10.Na(II)和激光照射的PDT可能是滑膜肉瘤的一种潜在有用的治疗方法,特别是可减少手术切缘并保留肿瘤邻近的关键解剖结构。