Semyachkina-Glushkovskaya Oxana, Bragin Denis, Bragina Olga, Socolovski Sergey, Shirokov Alexander, Fedosov Ivan, Ageev Vasily, Blokhina Inna, Dubrovsky Alexander, Telnova Valeria, Terskov Andrey, Khorovodov Alexander, Elovenko Daria, Evsukova Arina, Zhoy Maria, Agranovich Ilana, Vodovozova Elena, Alekseeva Anna, Kurths Jürgen, Rafailov Edik
Institute of Physics, Humboldt University, Newtonstrasse 15, 12489 Berlin, Germany.
Department of Biology, Saratov State University, Astrakhanskaya 82, 410012 Saratov, Russia.
Pharmaceutics. 2023 Feb 8;15(2):567. doi: 10.3390/pharmaceutics15020567.
The progress in brain diseases treatment is limited by the blood-brain barrier (BBB), which prevents delivery of the vast majority of drugs from the blood into the brain. In this study, we discover unknown phenomenon of opening of the BBBB (BBBO) by low-level laser treatment (LLLT, 1268 nm) in the mouse cortex. LLLT-BBBO is accompanied by activation of the brain drainage system contributing effective delivery of liposomes into glioblastoma (GBM). The LLLT induces the generation of singlet oxygen without photosensitizers (PSs) in the blood endothelial cells and astrocytes, which can be a trigger mechanism of BBBO. LLLT-BBBO causes activation of the ABC-transport system with a temporal decrease in the expression of tight junction proteins. The BBB recovery is accompanied by activation of neuronal metabolic activity and stabilization of the BBB permeability. LLLT-BBBO can be used as a new opportunity of interstitial PS-free photodynamic therapy (PDT) for modulation of brain tumor immunity and improvement of immuno-therapy for GBM in infants in whom PDT with PSs, radio- and chemotherapy are strongly limited, as well as in adults with a high allergic reaction to PSs.
脑部疾病治疗的进展受到血脑屏障(BBB)的限制,血脑屏障会阻止绝大多数药物从血液进入大脑。在本研究中,我们发现了低强度激光治疗(LLLT,1268纳米)可使小鼠皮层中的血脑屏障开放(BBBO)这一未知现象。LLLT诱导的BBBO伴随着脑引流系统的激活,有助于脂质体有效递送至胶质母细胞瘤(GBM)。LLLT在没有血液内皮细胞和星形胶质细胞中的光敏剂(PSs)的情况下诱导单线态氧的产生,这可能是BBBO的触发机制。LLLT-BBBO导致ABC转运系统的激活,同时紧密连接蛋白的表达暂时降低。血脑屏障的恢复伴随着神经元代谢活性的激活和血脑屏障通透性的稳定。LLLT-BBBO可作为一种新的无PS间质光动力疗法(PDT)的机会,用于调节脑肿瘤免疫和改善婴儿GBM的免疫治疗,在婴儿中,使用PSs的PDT、放疗和化疗受到极大限制,同时也适用于对PSs有高度过敏反应的成年人。