Kubin A, Alth G, Jindra R, Jessner G, Ebermann R
Ludwig Boltzmann Institute for Oncology and Photodynamic Therapy, Wien, Austria.
J Photochem Photobiol B. 1996 Nov;36(2):103-8. doi: 10.1016/s1011-1344(96)07355-1.
Photodynamic eradication of tumour cells in vivo depends on the presence of a photosensitizer, light delivery to the cells, and an oxygen supply. Hypericin, a polycyclic quinone with absorption maxima in the ultraviolet and visible ranges, was prepared for clinical use as a photosensitizer. Due to antitumoral and antineoplastic activities as well as the generation of singlet oxygen after photoexcitation, hypericin was applied in clinical oncology and photodynamic therapy. Hypericin was administered subcutaneously (20 micrograms hypericin in 200 microliters Nacl/pyridine solution) into the ante brachium (forearm) of two volunteers. After the diffusion and equilibration of 120 min phototesting was carried out using outdoor light exposure, halogen lamp, laser 514 nm (argon), laser 632 nm (argon dye) and laser 670 nm (diode laser), from 60 to 120 J cm-2. Positive phototests to outdoor light exposure, halogen lamp and laser 514 nm were characterized by rubescence, oozing, vesiculation and darting pain. Phototests with laser 632 nm and 670 nm showed no effects after irradiation. When hypericin was administered topically on skin, erythema and flaring could not be induced by any irradiation. These results suggest that hypericin is a potent photosensitizer only within the UV and green light ranges. This characteristic photoresponse could also be obtained in guinea pig papillary muscle (GPPM) bioassay, which may be established as a model for photosensitizer testing. Irradiation of hypericin-incubated GPPM with 514 nm (20 J cm-2) led to a decrease of the contractile force of about 31%. However, excitation with 632 nm and 670 nm did not cause inotropic effects on GPPM. In addition, hypericin and Photosan 3 were shown to be capable of sensitizing the photo-oxidation of sodium linoleate. This assay should be established for testing interactions between photosensitizers and light sources in vitro.
体内肿瘤细胞的光动力清除取决于光敏剂的存在、向细胞传递光以及氧气供应。金丝桃素是一种在紫外和可见光范围内具有最大吸收峰的多环醌,已被制备用作临床光敏剂。由于具有抗肿瘤和抗瘤活性以及光激发后产生单线态氧,金丝桃素被应用于临床肿瘤学和光动力治疗。将金丝桃素(20微克金丝桃素溶于200微升氯化钠/吡啶溶液中)皮下注射到两名志愿者的前臂。在120分钟的扩散和平衡后,使用户外光照、卤素灯、514纳米激光(氩离子)、632纳米激光(氩离子染料)和670纳米激光(二极管激光)进行光测试,能量范围为60至120焦/平方厘米。对户外光照、卤素灯和514纳米激光的光测试表现为发红、渗出、水疱形成和刺痛。632纳米和670纳米激光的光测试在照射后未显示出效果。当金丝桃素局部应用于皮肤时,任何照射都不能诱导红斑和潮红。这些结果表明,金丝桃素仅在紫外和绿光范围内是一种有效的光敏剂。这种特征性光反应也可以在豚鼠乳头肌(GPPM)生物测定中获得,该生物测定可被确立为光敏剂测试的模型。用514纳米(20焦/平方厘米)照射孵育了金丝桃素的GPPM导致收缩力下降约31%。然而,用632纳米和670纳米激发对GPPM没有变力作用。此外, 金丝桃素和光神霉素3被证明能够敏化亚油酸甲酯的光氧化。该测定法应被确立用于体外测试光敏剂与光源之间的相互作用。