人胶质母细胞瘤干细胞样细胞在接受外源性5-氨基酮戊酸时会积累原卟啉IX,从而使其对光动力治疗敏感。
Human glioblastoma stem-like cells accumulate protoporphyrin IX when subjected to exogenous 5-aminolaevulinic acid, rendering them sensitive to photodynamic treatment.
作者信息
Schimanski Adrian, Ebbert Lara, Sabel Michael C, Finocchiaro Gaetano, Lamszus Katrin, Ewelt Christian, Etminan Nima, Fischer Johannes C, Sorg Rüdiger V
机构信息
Institute for Transplantation Diagnostics and Cell Therapeutics, Heinrich-Heine University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Department of Neurosurgery, Heinrich-Heine University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
出版信息
J Photochem Photobiol B. 2016 Oct;163:203-10. doi: 10.1016/j.jphotobiol.2016.08.043. Epub 2016 Aug 27.
Glioblastoma (GBM) is the most frequent and lethal primary brain tumor in adults. Despite multimodal therapy combining resection, radio- and alkylating chemotherapy, disease recurrence is universal and prognosis of patients is poor. Glioblastoma stem-like cells (GSC), which can be grown as neurospheres from primary tumors in vitro, appear to be resistant to the established therapies and are suspected to be the driving force for disease recurrence. Thus, efficacy of emerging therapies may depend on targeting GSC. 5-aminolaevulinic acid-mediated photodynamic therapy (5-ALA/PDT) is a promising therapeutic approach in GBM. It utilizes the selective accumulation of the photosensitizer protoporphyrin IX (PPIX) in GBM cells after application of 5-ALA. When exposed to laser light of 635nm wavelength, PPIX initiates a photochemical reaction resulting in the generation of reactive oxygen species, which kill the tumor cells. Whether GSC accumulate PPIX and are sensitive to 5-ALA/PDT is currently unknown. Therefore, human GSC were derived from primary tumors and grown as neurospheres under serum free conditions. When subjected to exogenous 5-ALA, a dose- and time-dependent accumulation of PPIX in GSC was observed by flow cytometry, which varied between individual GSC preparations. Subsequent exposure to laser light of 635nm wavelength substantially killed GSC, whereas treatment with 5-ALA or exposure to laser light only had no effect. LD50 values differed between GSC preparations, but were negatively correlated with PPIX accumulation in GSC. In summary, we report for the first time that glioblastoma stem-like cells accumulate PPIX when subjected to 5-aminolaevulinic acid and are sensitive to 5-aminolaevulinc acid based photodynamic therapy.
胶质母细胞瘤(GBM)是成人中最常见且致命的原发性脑肿瘤。尽管采用了手术切除、放疗和烷化剂化疗相结合的多模式治疗,但疾病复发普遍存在,患者预后较差。胶质母细胞瘤干细胞(GSC)可在体外从原发性肿瘤中培养成神经球,似乎对现有治疗具有抗性,并且被怀疑是疾病复发的驱动力。因此,新兴疗法的疗效可能取决于靶向GSC。5-氨基乙酰丙酸介导的光动力疗法(5-ALA/PDT)是GBM中一种有前景的治疗方法。它利用在应用5-ALA后光敏剂原卟啉IX(PPIX)在GBM细胞中的选择性积累。当暴露于635nm波长的激光时,PPIX引发光化学反应,导致活性氧的产生,从而杀死肿瘤细胞。目前尚不清楚GSC是否积累PPIX以及对5-ALA/PDT是否敏感。因此,从原发性肿瘤中分离出人类GSC,并在无血清条件下培养成神经球。当给予外源性5-ALA时,通过流式细胞术观察到GSC中PPIX呈剂量和时间依赖性积累,不同的GSC制剂之间存在差异。随后暴露于635nm波长的激光可显著杀死GSC,而仅用5-ALA处理或仅暴露于激光则无效。不同GSC制剂的半数致死剂量(LD50)值不同,但与GSC中PPIX的积累呈负相关。总之,我们首次报道胶质母细胞瘤干细胞在接受5-氨基乙酰丙酸时会积累PPIX,并且对基于5-氨基乙酰丙酸的光动力疗法敏感。