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飞秒脉冲激光光动力学疗法激活黑色素并根除恶性黑素瘤。

Femtosecond pulsed laser photodynamic therapy activates melanin and eradicates malignant melanoma.

机构信息

Department of Cancer Biology and Imaging, Princess Margaret Cancer Center, University Health Network, Toronto, ON M5G 1L7, Canada.

Departamento de Fisica e Ciencia dos Materiais, São Carlos Institute of Physics, University of São Paulo, Sao Carlos 13566-590, Brazil.

出版信息

Proc Natl Acad Sci U S A. 2024 Apr 2;121(14):e2316303121. doi: 10.1073/pnas.2316303121. Epub 2024 Mar 29.

Abstract

Photodynamic therapy (PDT) relies on a series of photophysical and photochemical reactions leading to cell death. While effective for various cancers, PDT has been less successful in treating pigmented melanoma due to high light absorption by melanin. Here, this limitation is addressed by 2-photon excitation of the photosensitizer (2p-PDT) using ~100 fs pulses of near-infrared laser light. A critical role of melanin in enabling rather than hindering 2p-PDT is elucidated using pigmented and non-pigmented murine melanoma clonal cell lines in vitro. The photocytotoxicities were compared between a clinical photosensitizer (Visudyne) and a porphyrin dimer (Oxdime) with ~600-fold higher σ value. Unexpectedly, while the 1p-PDT responses are similar in both cell lines, 2p activation is much more effective in killing pigmented than non-pigmented cells, suggesting a dominant role of melanin 2p-PDT. The potential for clinical translational is demonstrated in a conjunctival melanoma model in vivo, where complete eradication of small tumors was achieved. This work elucidates the melanin contribution in multi-photon PDT enabling significant advancement of light-based treatments that have previously been considered unsuitable in pigmented tumors.

摘要

光动力疗法(PDT)依赖于一系列光物理和光化学反应,导致细胞死亡。虽然 PDT 在治疗各种癌症方面非常有效,但由于黑色素对光的高吸收率,它在治疗色素性黑色素瘤方面的效果较差。在这里,通过使用近红外激光的 ~100 fs 脉冲对光敏剂进行双光子激发(2p-PDT)来解决这一限制。使用体外的色素性和非色素性鼠黑色素瘤克隆细胞系阐明了黑色素在促进而不是阻碍 2p-PDT 方面的关键作用。比较了临床用光敏剂(Visudyne)和卟啉二聚体(Oxdime)之间的光细胞毒性,后者的 σ 值高约 600 倍。出乎意料的是,虽然两种细胞系的 1p-PDT 反应相似,但 2p 激活在杀伤色素性细胞方面比非色素性细胞更为有效,这表明黑色素在 2p-PDT 中起主导作用。在体内结膜黑色素瘤模型中证明了其临床转化的潜力,其中小肿瘤被完全根除。这项工作阐明了黑色素在多光子 PDT 中的贡献,为以前被认为不适合色素性肿瘤的基于光的治疗方法带来了显著的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9634/10998568/25fc7b139424/pnas.2316303121fig01.jpg

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