风湿性关节炎动物模型中血啉甲醚荧光强度的同步检测研究

光动力疗法的疗效依赖于治疗过程中靶组织中光敏剂的含量或浓度 ,而药物在组织中的分布特性是受动物机体调控的 ,因此 ,同一个体不同组织对光敏剂吸收的时间特性需要同时进行检测才能排除个体之间的差异。建立了一套空间三通道激光诱导荧光同步检测装置 ,并用该装置研究了活体大耳白兔风湿性关节炎模型滑膜、软骨和皮肤对血啉甲醚吸收的时间特性。研究结果表明 ,炎性滑膜组织对血啉甲醚的吸收量远大于软骨和皮肤 ,这一差别在静脉给药即刻就很明显 ,在静脉给药后 2 0min内 ,滑膜中的光敏剂药物含量约为软骨和皮肤中的 6倍。因此 ,对于借助血啉甲醚 ,用光动力疗法治疗风湿性关节炎并采用体外照射治疗方案时 ,从注药即刻开始 ,前 2 0min左右进行光照治疗可能是较好的选择。

The Simultaneous Measurements of Time-Dependent Laser-Induced Fluorescence Intensity of Hematoporphyrin Monomethyl Ether in Animal Tissues with Rheumatoid Arthritis

Since the selectivity of photodynamic therapy (PDT) depends on the distribution of a photosensitizer in a tissue during the treatment, an investigation of drug distribution is a key step for performing PDT effectively. The distribution of photosensitizer absorbed in tissues is adjusted by the animal body system, so an apparatus that can measure the fluorescence intensity of photosensitizer in different tissues of the same body simultaneously is in demand. To achieve precise estimate of tissue selectivity of the photosensitizer, a spatially separated three channel laser induced fluorescence (LIF) detection system was set up and employed in the present study to measure the fluorescence intensity of Hematoporphyrin Monomethyl Ether (HMME) in different tissues of the same body simultaneously. The time dependent variations in the concentrations of HMME within the skin, cartilage, normal synovium and inflammatory synovium of rabbit were monitored in vivo . The results obtained showed that the synovium has higher absorptivity of HMME than the skin and cartilage. The difference is distinct from the very beginning of injection. Although the quantity of HMME absorbed in the inflammatory synovium is not very high in the first 20 min, it is still 6 times higher than that in the skin and cartilage. In addition, the absorptivity of HMME is much stronger for the inflammatory synovium than that for the normal synovium. If the laser beam irradiates outside the joint for the rheumatoid arthritis, tissues around the inflammatory synovium have less HMME, thereby causing weak PDT effect. This would help reduce the side effect of PDT. Thus we suggest that for PDT treated rheumatoid arthritis, taking the first 20 min after the injection for outside the joint excitation employing HMME maybe a good choice.