Elmets C A, Bowen K D
Cancer Res. 1986 Apr;46(4 Pt 1):1608-11.
Hematoporphyrin derivative (HPD) is a potent photosensitizer which localizes preferentially in malignant tumors. Parenteral administration of this compound followed by irradiation with the appropriate wavelengths of light has been used for the diagnosis and treatment of various epithelial neoplasms. In this study the effects of such treatment on immunological responses were evaluated by examining the capacity of HPD and light to inhibit contact hypersensitivity to dinitrofluorobenzene (DNFB) in C3H mice. Pretreatment of mice with HPD photoradiation resulted in 50% suppression of contact hypersensitivity to DNFB. Inhibition of the response could be produced even when sensitization with DNFB was attempted 2 weeks after a single irradiation procedure, indicating that HPD and light-induced inhibition of contact sensitivity was sustained phenomenon. Prior sensitization with DNFB followed by treatment with HPD and light elicited no immunosuppression. The immunosuppressive response required photoactivation of the porphyrin molecule, since mice treated with HPD alone or light alone developed little or no suppression. In adoptive transfer studies, it was shown that the immunosuppression was associated with the development of suppressor cells. These results indicate that photoradiation therapy with HPD and light can produce systemic suppression of contact hypersensitivity in mice. These data suggest that HPD photoradiation of malignant tumors may inhibit certain types of immune responses in humans.
血卟啉衍生物(HPD)是一种强效光敏剂,它优先定位于恶性肿瘤中。静脉注射这种化合物后,再用适当波长的光进行照射,已被用于各种上皮性肿瘤的诊断和治疗。在本研究中,通过检测HPD和光抑制C3H小鼠对二硝基氟苯(DNFB)接触性超敏反应的能力,评估了这种治疗对免疫反应的影响。用HPD光辐射预处理小鼠导致对DNFB的接触性超敏反应受到50%的抑制。即使在单次照射程序2周后尝试用DNFB致敏,也能产生反应抑制,这表明HPD和光诱导的接触敏感性抑制是一种持续的现象。先用DNFB致敏,然后用HPD和光治疗,未引起免疫抑制。免疫抑制反应需要卟啉分子的光活化,因为单独用HPD或单独用光治疗的小鼠很少或没有产生抑制作用。在过继转移研究中,表明免疫抑制与抑制细胞的产生有关。这些结果表明,用HPD和光进行光辐射治疗可在小鼠中产生全身性接触性超敏反应抑制。这些数据表明,对恶性肿瘤进行HPD光辐射可能会抑制人类某些类型的免疫反应。