Development of an Azo-Based Photosensitizer Activated under Mild Hypoxia for Photodynamic Therapy.

Photodynamic therapy (PDT) utilizes photoirradiation in the presence of photosensitizers to ablate cancer cells via generation of singlet oxygen (O), but it is important to minimize concomitant injury to normal tissues. One approach for achieving this is to use activatable photosensitizers that can generate O only under specific conditions. Here, we report a novel photosensitizer that is selectively activated under hypoxia, a common condition in solid tumors. We found that introducing an azo moiety into the conjugated system of a seleno-rosamine dye effectively hinders the intersystem crossing process that leads to O generation. We show that the azo group is reductively cleaved in cells under hypoxia, enabling production of O to occur. In PDT in vitro, cells under mild hypoxia, within the range typically found in solid tumors (up to about 5% O), were selectively ablated, leaving adjacent normoxic cells intact. This simple and practical azo-based strategy should be widely applicable to design a range of activatable photosensitizers.