Kai Kengo, Ishizuka Takumi, Matsumoto Jin, Shimamawari Koki, Mori Ryoma, Lkham-Erdene Baljinnyam, Kubota Toshiki, Ikenoue Makoto, Higuchi Kazuhiro, Nanashima Atsushi, Hishikawa Yoshitaka
Department of Anatomy, Histochemistry and Cell Biology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan.
Department of Surgery, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan.
Acta Histochem Cytochem. 2025 Apr 26;58(2):69-79. doi: 10.1267/ahc.25-00002. Epub 2025 Apr 9.
Gastric cancer (GC), particularly the undifferentiated type, is frequently associated with peritoneal metastasis, which significantly worsens prognosis due to its resistance to conventional treatments. Photodynamic therapy (PDT) is localized treatment using a photosensitizer (PS) activated by light of a specific wavelength to generate cytotoxic reactive oxygen species that induce cell death. Severe adverse events were reported from clinical trials investigating PDT for peritoneal dissemination conducted until the early 2000s, leaving its safety and clinical effectiveness unestablished. The present study explored whether "non-cytotoxic" PDT using talaporfin sodium (TS) could enhance efficacy of chemotherapeutic agents in undifferentiated GC cell line HGC27. Cell viability was evaluated with MTT assay following TS-PDT, and the synergistic effect between non-cytotoxic TS-PDT and anticancer drug SN-38 was assessed. Changes in expression of drug resistance markers were analyzed through qRT-PCR, Western blotting, and immunocytochemistry. We found that non-cytotoxic TS-PDT enhanced the efficacy of chemotherapy in the undifferentiated GC cell line and reduced the expression of C-X-C chemokine receptor type 4, a key marker associated with GC stem-like properties. These findings highlight the potential of non-cytotoxic TS-PDT as a synergistic treatment approach. We conclude that non-cytotoxic TS-PDT could enhance drug sensitivity and offers a promising therapeutic strategy for GC.
胃癌(GC),尤其是未分化型,常伴有腹膜转移,由于其对传统治疗具有抗性,这会显著恶化预后。光动力疗法(PDT)是一种局部治疗方法,它使用一种由特定波长的光激活的光敏剂(PS)来产生活细胞毒性的活性氧,从而诱导细胞死亡。在2000年代初之前进行的关于PDT治疗腹膜播散的临床试验中报告了严重不良事件,其安全性和临床有效性尚未确立。本研究探讨了使用替拉泊芬钠(TS)的“非细胞毒性”PDT是否能增强未分化GC细胞系HGC27中化疗药物的疗效。在TS-PDT后,通过MTT法评估细胞活力,并评估非细胞毒性TS-PDT与抗癌药物SN-38之间的协同作用。通过qRT-PCR、蛋白质免疫印迹法和免疫细胞化学分析耐药标志物表达的变化。我们发现,非细胞毒性TS-PDT增强了未分化GC细胞系中化疗的疗效,并降低了与GC干细胞样特性相关的关键标志物C-X-C趋化因子受体4的表达。这些发现突出了非细胞毒性TS-PDT作为一种协同治疗方法的潜力。我们得出结论,非细胞毒性TS-PDT可以增强药物敏感性,并为GC提供一种有前景的治疗策略。