WAVELENGTH DEPENDENCE OF HEMATOPORPHYRIN DERIVATIVE PHOTODYNAMIC TREATMENT EFFECTS ON RAT EARS

The in vivo wavelength dependence of hematoporphyrin derivative (HpD) photodynamic treatment (PDT) has been studied. Ears of 136 rats were treated at six red and four blue-green laser wavelengths (615-635, 488-514.5 nm). Hematoporphyrin derivative was administered intraperitoneally (15 mg/kg) and 24 h later both ears were irradiated, at different wavelengths, for t = 6.5, 10 or 15 min at 60 mW/cm2. Four parameters (thickness, average erythema, eschar and loss of tissue) were quantified and a combined score (CS) of effects was established statistically. The maximum combined score during follow-up was taken as a measure for the biological effect. The light distribution in rat ears during irradiation with red and blue-green light was estimated from in vivo measurements and the transport theory. Statistical analysis of the combined score data yielded values for the relative biological effectiveness (RBE). Relative biological effectiveness maxima occurred at 501.7 and 625 nm. Analyzing erythema and loss of tissue separately yielded maxima at the same wavelengths. Quantitative agreement between the latter two sets of relative biological effectiveness values was obtained only when they were referred to the actual light energy fluence in tissue, rather than to the incident fluence. These relative biological effectiveness values are about 2.3 at 501.7 nm and 1.35 at 625 nm, taking relative biological effectiveness = 1 at 630 nm.     

PHOTODYNAMIC GENERATION OF HYDROXYL RADICALS BY HEMATOPORPHYRIN DERIVATIVE AND LIGHT

In a reaction mixture containing hematoporphyrin derivative, deoxyribose, Fe³⁺-EDTA and either methionine or tryptophan, hydroxyl radicals were formed during illumination with visible light. When either hematoporphyrin derivative, Fe³⁺-EDTA or the amino acid was omitted from the reaction mixture, the generation of hydroxyl radicals ceased. These observations suggest an iron-catalyzed Haber-Weiss reaction, involving superoxide and hydrogen peroxide in the generation of hydroxyl radicals. It could be shown that with methionine H₂O₂ was indeed an essential intermediate in the reaction sequence. With tryptophan, however, H₂O₂, was not generated. Apparently a photooxidation product of tryptophan could replace H₂O₂ in the OH-generating reaction with Fe²⁺-EDTA. Although superoxide was generated in the reaction mixture, it was not an indispensable intermediate. Apparently a porphyrin radical, formed via photoexcitation of hematoporphyrin derivative, could replace superoxide in the Haber-Weiss reaction.     

ACTION SPECTRA FOR HEMATOPORPHYRIN DERIVATIVE AND PHOTOFRIN II WITH RESPECT TO SENSITIZATION OF HUMAN CELLS IN VITRO TO PHOTOINACTIVATION

Abstract— Exposure of Raji cells to haematoporphyrin derivative (HPD) and red light caused marked cytotoxicity. This was completely inhibited under anaerobic conditions. By using sodium dithionite in aqueous solutions, precise and graded oxygen concentrations could be achieved. Cytotoxicity was directly proportional to the oxygen concentration of the medium until a maximum was reached at a pO₂ of 90 mm Hg. Sodium dithionite did not affect the viability of test cells and did not alter the chromatographic profile of HPD. Dithionite did not interfere with the uptake of HPD by cells. Dependency of phototoxicity upon aerobic conditions suggests that the cytotoxic agent is derived from oxygen and is consistent with the hypothesis that singlet oxygen and/or oxygen-derived free radicals play an important role in photochemotherapy with HPD.     

MEMBRANE LYSIS IN CHINESE HAMSTER OVARY CELLS TREATED WITH HEMATOPORPHYRIN DERIVATIVE PLUS LIGHT

Abstract Chinese hamster ovary cells in exponential growth were incubated with various concentrations of hematoporphyrin derivative (HpD). Cellular porphyrin content was determined after 2 h incubation at 37°C using [³H]-hematoporphyrin derivative. Photoactivation of cell-bound HpD by red light resulted in a family of survival curves with terminal slopes proportional to cellular HpD concentration. The degree of cellular lysis, assayed 1 h after illumination using a chromium-51 labeling technique, was also found to be related to cellular HpD concentration. The amount of 51Cr released increased with post-irradiation incubation to a level parallel to cell lethality as measured by colony formation. These data suggest that lysis of the cell membrane may be largely responsible for cellular inactivation following HpD photoirradiation.     

EFFECTS OF HEMATOPORPHYRIN DERIVATIVE ON THE CELLULAR ENERGY METABOLISM IN THE ABSENCE AND PRESENCE OF LIGHT

Effects of Photofrin II on energy metabolism and metabolic viability were studied in a mammalian transformed cell line (BHK-21) in dark and after photo-irradiation with visible light. Cells were allowed to accumulate Photofrin by incubating for 4 h in buffer containing Photofrin (5-60 micrograms/ml). The results show that Photofrin significantly affects the cellular energy metabolism even in the absence of light; activity of cytochrome c oxidase is decreased and glucose utilization and lactate production (glycolysis) are increased. Irradiation with light resulted in a significant decrease in the activity of cytochrome c oxidase, glycolysis, ATP content, energy charge, ratios of adenine nucleotides like ATP/ADP, ATP/AMP and cell viability (dye exclusion test). Presence of inhibitors of energy metabolism, potassium cyanide (respiration) and 2-deoxyglucose (glycolysis), further enhanced the cytotoxic effects induced by hematoporphyrin derivative and light.     

PHOTODYNAMIC INACTIVATION OF R3230AC MAMMARY CARCINOMA IN VITRO WITH HEMATOPORPHYRIN DERIVATIVE: EFFECTS OF DOSE, TIME, and SERUM ON UPTAKE and PHOTOTOXICITY

Abstract Primary cultures of the R3230AC mammary adenocarcinoma were used for pharmacokinetic studies of hematoporphyrin derivative (HPD), a preparation containing several porphyrin species and useful as a photoactivatable anti-tumor agent. Uptake of HPD in vitro was shown to be time-, dose- and temperature-dependent with an apparent plateau reached at 2 - 4 h. An increase in the amount of serum in the medium progressively reduced the amount of HPD taken up by the cells; at a level of 10% serum, uptake of HPD was reduced by >95%. The time-course of efflux of HPD from these cells demonstrated a complex pattern, with an initial rapid component followed by a more gradual rate of efflux up to 4 h. Assessment of photoradiation-induced cytotoxicity was performed by a method developed to quantitatively measure trypan blue exclusion. Relative cytotoxicity was determined by use of heat-killed cells as a standard. At two different concentrations of HPD, cytotoxicity was dependent on light exposure time. The presence of serum, which reduced uptake of HPD was correctable to reduced cytotoxicity. Based on the amount of light exposure to produce 50% cell kill, an order of potency was obtained for HPD > hematoporphyrin > hydroxyethylvinyldeuteroporphyrin in vitro. This order of potency correlated with the relative proportion of hydrophobic components as estimated by HPLC analysis. The results indicate that HPD is an effective cytotoxic agent in vitro in a well-differentiated mammary adenocarcinoma model.     

PHOTOINACTIVATION OF CHINESE HAMSTER CELLS BY HEMATOPORPHYRIN DERIVATIVE AND RED LIGHT

Abstract— The use of hematoporphyrin derivative (HpD) has previously been demonstrated to be beneficial in clinical cancer therapy. This paper describes cell culture studies used to examine HpD phototherapy in Chinese hamster ovary cells (line CHO). Survival curves have been obtained for both direct HpD toxicity and HpD induced photoinactivation. Examination of HpD induced photoinactivation as a function of stage in the cell growth cycle has also been performed, as has the quantitative measurement of HpD uptake in cells (using ³H-HpD) as a function of cellular incubation time, serum concentration in the incubation medium, and cell cycle position. In the absence of light, no toxicity was observed for HpD incubation levels of up to 400 μg/m/ when incubations times were 3 h or less. Exposure of cells to light alone (> 590 nm, 4.0 mW/cm²) for 9 min was also found to be completely nontoxic. Survival curves obtained for exponentially growing cells labeled with various concentrations of HpD and subsequently illuminated with red light exhibited a threshold or shoulder region at short exposure times followed by exponential killing at longer exposure times. The cell cycle response curves for HpD induced photoinactivation of synchronized CHO cells was nearly flat, indicating no variation in sensitivity for cells treated at time periods from 6 to 15 h after mitosis. Additon of serum to the incubation medium resulted in improved plating efficiency and reproducible survival curves but decreased cellular uptake of HpD.     

DARK EFFECTS OF HEMATOPORPHYRIN DERIVATIVE ON LACTATE DEHYDROGENASE ACTIVITY and DISTRIBUTION IN HeLa CELLS: CYTOCHEMICAL EVALUATION

Abstract The effects of hematoporphyrin derivative (HpD) in the dark on the activity and subcellular location of lactate dehydrogenase (LDH) in HeLa cells are evaluated with an original quantitative cytochemical technique. The enzyme activity is visually indicated by diffuse patterns ascribed to loosely-bound, cytoplasm-LDH and by granular formations ascribed to tightly bound, mitochondrial-LDH. The granular pattern has a longer formation lag than the diffuse pattern, since mitochondrial loci are less accessible to the reagents. Observations occasionally and unexpectedly found show that the percentage of cells with granular pattern is highly enhanced in suffering cells. This suggests that the mitochondrial-LDH activity increases as a reaction to stress.
In cells that have incorporated HpD for 24 h in the dark, significant changes of LDH activity and distribution occur as many more cells with granular pattern and larger granules are seen, while the diffuse activity significantly decreases. These results point towards: (a) a binding of HpD at the cytoplasm LDH active site or close to it leading to enzyme inactivation; (b) a labilization of the mitochondrial membrane facilitating access to the inner loci by the cytochemical reagents and hence better visualization of the mitochondrial-enzyme; and/or (c) an increased LDH activity ensuing from drug-induced stress.     

PHOTOSENSITIZING EFFECTS OF HEMATOPORPHYRIN DERIVATIVE IMMOBILIZED ON SEPHAROSE

Abstract— The cytotoxicity that ensues following photosensitization by hematoporphyrin derivative (Hpd) is attributed to production of singlet oxygen. Many of the cellular end points reported to be affected are localized to membranes, hydrophobic environments conducive to partitioning of hydrophobic porphyrins in Hpd. In order to test the hypothesis that efficacy of Hpd-induced photosensitization is enhanced by its ability to freely enter cells or subcellular organelles, we immobilized Hpd on a sepharose support. This immobilized reagent was found to produce ¹O₂ when photoradiated, in yields similar to those observed for Hpd in solution, as evidenced by the bleaching of p -nitrosodimethylaniline in the presence of imidazole. The immobilized Hpd was capable of photosensitizing, i.e. inhibit, cytochrome c oxidase activity in intact mitochondrial membranes and in aqueous solution. However, enzymes located on the interior of mitochondrial membranes (F₀F₁ ATP synthase and succinate dehydrogenase), in the mitochondrial matrix (malate dehydrogenase), or on the inside of the plasma membrane, (Na++ K+)- ATPase, were unaffected by immobilized Hpd plus photoradiation compared to free Hpd. The results suggest that photosensitization by Hpd most likely arises from entry of the photosensitizer into the biological membrane, although proteins on the exterior membrane surface may be susceptible to damage by ¹O₂ produced in proximity to their location.     

PHOTODYNAMIC EFFECTS OF HEMATOPORPHYRIN DERIVATIVE ON THE UPTAKE OF RHODAMINE 123 BY MITOCHONDRIA OF INTACT MURINE L929 FIBROBLASTS AND CHINESE HAMSTER OVARY Kl CELLS

Abstract— It was shown that the cationic fluorescence probe rhodamine 123 accumulates in mitochondria of murine L929 fibroblasts and Chinese hamster ovary Kl epithelial cells due to the driving force of both plasma membrane and mitochondrial membrane potentials. Photodynamic treatment of L929 cells with hematoporphyrin derivative resulted in an increased uptake of rhodamine 123 and a diminished uptake of 1,1,3,3,3',3'-hexamethylindocarbocyanine iodide. This indicates a considerably increased mitochondrial membrane potential, which most likely is the result of a direct or secondary inhibition of the ATP-synthetase, and a decreased plasma membrane potential. The oxygen consumption rate and the ATP level decreased due to photodynamic treatment. Post-incubation of L929 cells subsequent to photodynamic treatment revealed that the uptake of rhodamine 123. the ATP content and the oxygen consumption rate were restored. For all parameters similar results were obtained with CHO-K1 cells, with the exception that during post-incubation the intracellular ATP content remained at the level reached after illumination. These results indicate that photodynamically induced disturbance of mitochondrial functions and the ATP level are not crucial for the loss of clonogenicity of L929 cells. In CHO-K1 cells however, the continuously lowered ATP level may have detrimental consequences for cell survival. The photodynamic stimulation of the rhodamine 123 uptake may be a rather general phenomenon. Because rhodamine 123 exhibits a much higher toxicity towards carcinoma cells than towards other cells, a synergistic interaction between this drug and photodynamic therapy (PDT) may be anticipated, if PDT also stimulates mitochondrial rhodamine 123 accumulation in carcinoma in vivo.     

PHOTODYNAMIC INACTIVATION OF YEAST CELLS SENSITIZED BY HEMATOPORPHYRIN

Abstract— Yeast cells are inactivated by treatment with hematoporphyrin and light. The inactivation is mainly mediated by singlet oxygen. The quantum yield of singlet oxygen increases with increasing pH, while the efficiency of cellular inactivation decreases with increasing pH. Cells in the stationary phase are much more resistant to the treatment than cells in exponential growth. Membrane damage seems to be the main determining step in the photoinactivation.     

SUBCELLULAR LOCALIZATION OF HEMATOPORPHYRIN DERIVATIVE IN BLADDER TUMOR CELLS IN CULTURE

Mitochondria have been implicated as a primary subcellular site of porphyrin localization and photodestruction. However, other organelles including the cell membrane, lysosomes and nucleus have been shown to be damaged by hematoporphyrin derivative (HpD) photosensitized destruction as well. In this study we attempted to follow the translocation of the fluorescent components of HpD in human bladder tumor cells (MGH-U1) in culture to determine whether specific subcellular localization occurs over time. Following a 30 min exposure to HpD the cellular fluorescence was examined immediately and 1, 2, 4, and 24 h after HpD removal using fluorescence microscopy and an interactive laser cytometer. The in vitro translocation of dye appeared to be fairly rapid with fluorescence present at the cell membrane and later (1-2 h) within a perinuclear area of the cytoplasm. To determine whether HpD had become concentrated into a specific subcellular organelle, these fluorescence distribution patterns were compared with fluorescent marker dyes specific for mitochondria, endoplasmic reticulum and other membranous organelles. The HpD fluorescence did not appear to be as discrete as the dyes specific for mitochondria or endoplasmic reticulum but appeared similar to the diffuse cytomembrane stain. Finally, the interaction between the fluorescent components of HpD and the cellular constituents was evaluated using a "fluorescence redistribution after photobleaching" technique. The results indicated that the mean lateral diffusion for HpD in MGH-U1 cells was 1.05 x 10(-8) cm2/s, a rate closer to that of lipid diffusion (10(-8)) than that of protein diffusion (10(-10)).(ABSTRACT TRUNCATED AT 250 WORDS)     

NON-DIMER DNA DAMAGE IN CHINESE HAMSTER V-79 CELLS EXPOSED TO ULTRAVIOLET-B LIGHT

To understand and characterize non-dimer DNA damage and cytotoxicity induced by ultraviolet-B light (UV-B, 290-320 nm), an alkaline elution technique for analysis of DNA damage was used on Chinese hamster V-79 cells. Ultraviolet-B exposure produced a dose-dependent induction of DNA single strand breaks and DNA-protein crosslinks; however, there was an absence of DNA-DNA interstrand crosslinks. Neither of these types of DNA damage were repaired within a a 24 h incubation of the cells following a single UV-B exposure; rather the damage increased. Using a colony forming assay, we found that UV-B exposure resulted in an increase of cytotoxicity in a dose-dependent fashion. In addition, UV-B exposure inhibited DNA and RNA synthesis. The role of non-dimer DNA damage in the cytotoxicity induced by UV-B is discussed.     

PHOTODYNAMIC CYTOTOXICITY OF MAMMALIAN CELLS EXPOSED TO SUNLIGHT-SIMULATING NEAR ULTRAVIOLET LIGHT IN THE PRESENCE OF THE CARCINOGEN 7,12-DIMETHYLBENZ(a)ANTHRACENE

Abstract— The coal-derived carcinogen 7,12-dimethylbenz(a)anthracene (DMBA), added to cultures of V79 Chinese hamster, C3H mouse 10T1/ 2 , and human HeLa cells, enhances photolethality induced by the sunlight-simulating emission from Westinghouse Sun Lamps (- 29˜100 nm) but only in the presence of O ₂ . Treatment of cells with DMBA after irradiation is without lethal effect; the endoperoxide of DMBA is ineffective both before as well as after irradiation, and DMBA incubation before far-UV exposure (254 nm) is protective. Cells rendered photosensitive by incubation with DMBA rapidly lose their sensitivity (in < 10 min, 37°C) if incubated in a DMBA-free solution containing serum, but maintain their sensitivity at least for several hours if a serum-free solution is used. Although DMBA enhances light-induced killing of cells in all phases of the cycle, those undergoing DNA syntheses are preferentially sensitized. The data support photodynamic lethality due to one or both of the following: (1) the reaction with DNA of either DMBA radicals followed by oxidation, or DMBA-produced singlet oxygen; or (2) the peroxidation of lysosomal membranes followed by the release of hydrolases including DNAses. As a model system of the combined effects of a fossil-fuel derived polycyclic aromatic hydrocarbon and sunlight, the results with DMBA + near-UV are discussed in the context of altered cell properties (e.g. neoplastic transformation) in sublethally affected cells.     

EFFECT OF HEMATOPORPHYRIN DERIVATIVE ON HEMATOLOGICAL PARAMETERS IN RATS

Abstract— Wistar rats were injected with hematoporphyrin derivative (Hpd) intraperitoneally and kept in the dark. Rats were sacrificed 2, 24, 48 and 72 h after injection. It was observed that Hpd in the dark did not affect the hemoglobin content and number of erythrocytes, while the leukocyte count was increased and blood pH decreased. Blood levels of glucose and lactate were increased significantly. Because the food intake was similar in all the groups, glycogenolysis was suspected to be the source of increased glucose levels in blood. However, a significant increase in the glycogen content of the livers of Hpd-treated rats was observed, which rules out glycogenolysis. Hyperglycemia may result due to a number of reasons such as stimulation of the central nervous pathways innervating the liver and adrenal medulla, excessive glucogenesis in liver from glycogen and noncarbohydrate sources, emotional stress, anesthesia and hormonal effects. The present study rules out hyperglycemia due to anesthesia and glucogenesis in the liver. Maintenance of blood glucose levels is a highly complex mechanism. Further investigations to understand these mechanisms are in progress.     

HEMATOPORPHYRIN DERIVATIVE (PHOTOFRIN®) PHOTODYNAMIC ACTION ON Ca2+ TRANSPORT IN MONKEY KIDNEY CELLS (CV-1)

Abstract After 24 h incubation with Photofrinm^® (PF), photodynamic action has been studied on Ca²⁺ transport in CV-1 cells. A moderate increase of the cytosolic free Ca²⁺ concentration [Ca²⁺] is observed immediately after a dose of irradiation which yields a survival rate of less than 5% at 48 h. In parallel, studies on digitonin-permeabilized cells indicate that such a treatment inhibits endoplasmic reticulum Ca²⁺ uptake with few alterations of this process in mitochondria. In contrast, ADP-stimulated respiration is impeded and intracellular ATP level decreases. It is suggested that direct damage to endoplasmic reticulum as well as mitochondrial disturbance are the primary mechanisms responsible for a nontransient elevation of [Ca^2+]i preceding cell death.     

THE PHOTODYNAMIC EFFECT OF HEMATOPORPHYRIN ON DNA

Abstract— Breakage of DNA in vitro and inside E. colt cells has been determined after exposure to monochromatic 365 nm light in the presence of 10 µM hematoporphyrin. When measured by alkaline sucrose sedimentation, the yields of breaks were 1.4 × 10^-12 per dalton and per J/m² for Col El-DNA in vitro and 5.9 × 10^-3 per dalton and per J/m² for superinfecting phage Λ DNA inside E. coli cells made permeable by toluene. No breaks were found by neutral sucrose sedimentation, demonstrating that the lesions represent alkali-labile bonds. The majority of the alkali-labile bonds were induced by singlet oxygen, as evidenced by the several-fold higher yield obtained in D₂O-containing buffer.     

PHOTODYNAMIC EFFECTS INDUCED BY FUROCOUMARINS ON A MEMBRANE SYSTEM. COMPARISON WITH HEMATOPORPHYRIN

Abstract Isolated rat liver mitochondria have been used as a model to investigate the photodynamic action of psoralen (Ps) and 4,5',8-trimethylpsoralen (TMP) on cellular membrane systems in comparison with hematoporphyrin (Hp). Oxidation was detected by the consumption of free oxygen as measured polarographically in the respiratory chamber when irradiated with UV light (320-380 nm). In the presence of Ps, singlet oxygen was produced in the respiratory medium but neither the respiration nor the oxidative phosphorylation were affected. On the contrary the hydrophobic derivative TMP impaired the respiration with rapid uncoupling of oxidative phosphorylation as did Hp. The ineffectiveness of Ps as well as the effectiveness of TMP vs. Hp is explained on the basis of photophysical properties of the molecules and their partition coefficient. These results may indicate that, in the photochemiotherapy of skin diseases, furocoumarins can drive photodynamic reactions at various subcellular levels according to their hydrophobicity.     

DNA STRAND BREAKS IN MAMMALIAN CELLS EXPOSED TO LIGHT IN THE PRESENCE OF RIBOFLAVIN AND TRYPTOPHAN

Abstract— When mammalian cells were exposed to visible-fluorescent light or near-UV light in the medium containing riboflavin and L-tryptophan, single-strand breaks appeared in their DNA. This did not occur if either riboflavin or tryptophan was omitted from the medium. The same effect was observed when cells were added to the pre-irradiated medium, indicating that a stable photoproduct was responsible. The induced DNA lesions were shown to be equally repairable in both excision proficient and defective (xeroderma pigmentosum) human cell lines. The active photoproduct formed was shown to be hydrogen peroxide. The possible relationship between these results and the near-UV induced killing of mammalian cells is discussed.