Zafari Jaber, Zadehmodarres Shahrzad, Javani Jouni Fatemeh, Bagheri-Hosseinabadi Zahra, Najjar Nabaa, Asnaashari Mohammad
Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Biomedical Engineering, Faculty of Health, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
J Lasers Med Sci. 2020 Fall;11(Suppl 1):S85-S91. doi: 10.34172/jlms.2020.S14. Epub 2020 Dec 30.
Cervical cancer is recognized as one of the major causes of mortality among elderly women. Although there are several different therapeutic worldwide guidelines, many researchers have focused on screening new methodologies and technologies to elevate the efficiency of cervical cancer treatment. The simultaneous use of photodynamic therapy (PDT) along with chemotherapy as cisplatin has achieved good aims in the treatment of cervical cancer. A2780 cells were treated with cisplatin, photodynamic progress (laser with methylene blue as a photosensitizer compound) and a combination of cisplatin and PDT. The lithic effect of the laser, methylene blue and their combination and the IC50 value of cisplatin were calculated for each group. The amount of malondialdehyde (MDA) as membrane lipid peroxidation product and released lactate dehydrogenase was measured in the medium. The toxicity of each agent was evaluated by the MTT technique. The results show that a combination of PDT and chemotherapeutic agent cisplatin caused a twofold decrease in viable cervical cancer cells compared to each therapeutic progress. The combination of both laser therapy and cisplatin enhanced cancer cell membrane disruption by increased membrane lipid peroxidation and apoptotic enzyme activation by the elevation of lactate dehydrogenase activity. The results indicated that cisplatin combined with PDT had a greater therapeutic effect on A2780 as a cervical cancer cell line. Therefore, PDT in combination with chemotherapy enhances the effectiveness of chemotherapeutic agents by the disruption of the cancer cell membrane and switching the apoptosis progress with less adverse effects.
宫颈癌被认为是老年女性死亡的主要原因之一。尽管全球有几种不同的治疗指南,但许多研究人员专注于筛选新的方法和技术,以提高宫颈癌的治疗效率。光动力疗法(PDT)与顺铂化疗同时使用在宫颈癌治疗中取得了良好效果。用顺铂、光动力过程(以亚甲蓝为光敏剂化合物的激光)以及顺铂与PDT的组合处理A2780细胞。计算每组激光、亚甲蓝及其组合的杀伤作用和顺铂的半数抑制浓度(IC50)值。测定培养基中作为膜脂质过氧化产物的丙二醛(MDA)含量和释放的乳酸脱氢酶含量。通过MTT技术评估每种药物的毒性。结果表明,与每种治疗过程相比,PDT与化疗药物顺铂联合使用可使存活的宫颈癌细胞减少两倍。激光疗法和顺铂联合使用通过增加膜脂质过氧化增强了癌细胞膜的破坏,并通过提高乳酸脱氢酶活性激活了凋亡酶。结果表明,顺铂与PDT联合使用对作为宫颈癌细胞系的A2780具有更大的治疗效果。因此,PDT与化疗联合使用通过破坏癌细胞膜和以较小的副作用切换凋亡过程,提高了化疗药物的有效性。