Treatment of Malignant Melanoma by High-Peak-Power 1064 nm Irradiation Followed by Photodynamic Therapy

Irradiation of B16 pigmented melanoma subcutaneously transplanted in C57 mice with a single 650 mj pulse (10 ns) of 1064 nm light from a Q-switched Nd: YAG laser caused instantaneous bleaching of the pigmented tissue. Visual and histological examination of the resulting gray-colored tumor revealed the breakdown of melanosomes with no detectable alteration of the normal and tumor-overlying skin. Histological examination of the irradiated tumor showed some degree of vascular damage; the depth of the photodamage was not affected by the successive delivery of three consecutive light pulses. The bleached tumor grew at a modestly slower rate but the high-peak-power (HPP) laser treatment did not affect the tumor concentration of a photodynamic sensitizer Si(IV)-naphthalocyanine (isoBO-SiNc) intravenously injected 24 h before Nd : YAG irradiation. Treatment of the B16 pigmented melanoma by photodynamic therapy (PDT: 1 mg/kg isoBO-SiNc, 300 mW/cm², 520 J/cm²) from a 774 nm diode laser immediately after the 1064 nm irradiation resulted in a 16 day delay of tumor regrowth, which was markedly longer than the delay (ca 6 days) obtained after PDT under identical conditions without the preirradia-tion. Thus, pretreatment of pigmented tumors with HPP 1064 nm light appears to enhance their susceptibility to conventional PDT. The tumor response was further enhanced by repeating the combined HPP/PDT treatment at an interval of 10 days (regrowth delay: 27 days), as well as by applying hyperthermia immediately after HPP/PDT (regrowth delay: ca 34 days).     

ULTRASTRUCTURAL STUDIES ON THE MECHANISM OF THE PHOTODYNAMIC THERAPY OF TUMORS

Abstract Balb/c mice bearing a transplanted MS-2 fibrosarcoma were injected with 2.5 mg kg ¹ of either tetra(4-sulfonatophenyl/porphine (TPPS) in phosphate-buffered saline or 0.5 mg kg⁻¹ of Zn²⁺-phthalocyanine (Zn-Pc) incorporated into unilamellar liposomes of dipalmitoyl-phosphatidylcholine. Chromatographic studies showed that TPPS is mainly transported in the serum by globulins and albumin, while Zn-Pc is specifically bound by lipoproteins. Exposure of the injected mice to red light (300 J cm⁻²) caused extensive tumor necrosis. The ultrastructural analysis of tumor specimens taken from mice at 15 h after PDT showed that TPPS photoinduces a preferential necrosis of the neoplastic cells, while Zn-Pc causes severe photodamage to both the vascular system and the neoplastic cells. The different modes of tumor photosensitization by TPPS and Zn-Pc are discussed on the basis of the transport mechanism of the two dyes.     

Photosensitized processes in vivo: proposed phototherapeutic applications

The use of photosensitizing dyes having intense absorption bands in the 600-900 nm spectral interval opens up new prospects in the field of photochemotherapy, because it allows the illumination of relatively large tissue volumes with no significant damage to photosensitizer-free tissues. Special interest is currently focused on the photodynamic therapy of solid tumors, because of the property of several dyes with a macrocyclic chemical structure (porphyrins, chlorins, phthalocyanines, xanthenes) to accumulate in significant amounts and be retained for prolonged periods of time by neoplastic lesions. Strategies are being developed for enhancing the selectivity of tumor targeting by photosensitizers through the exploitation of functional or biochemical differences between normal and malignant cells.     

THE EFFECTS OF PORPHYRIN STRUCTURE AND AGGREGATION STATE ON PHOTOSENSITIZED PROCESSES IN AQUEOUS AND MICELLAR MEDIA

The efficiency of several porphyrins at 10 μM and 83 μM as sensitizers of the photooxidation of 0.1 mM tryptophan and histidine via a singlet oxygen-mechanism was studied in pH 7.4-buffered aqueous solutions and in aqueous dispersions of Triton X-100 micelles. The porphyrins were either solubilized in the bulk aqueous medium or associated with the micellar phase, whereas the amino acids were always located in the aqueous phase. With those porphyrins, such as uroporphyrin I, meso-tetra (4-sulfonatophenyl)porphine, meso-tetra(4-carboxyphenyl)porphine and meso-tetra)N,N,N-trimethylanilinium)porphine, which are > 98% monomeric in both media, the efficiency of histidine photooxidation was independent of the site of O₂(¹Δ_g) generation, as shown by the closely similar values for the photooxidation rate constant and oxygen-consumption quantum yield in the presence and absence of Triton micelles; the same indications were provided by photokinetic experiments with tryptophan. Actually, laser flash photolysis studies showed that the micelle-incorporation of the above mentioned porphyrins brought about only minor changes in their photophysical properties, including the relative yield of O₂(¹Δ_g) generation. On the other hand, hematoporphyrin IX, its Zn²⁺-complex, and coproporphyrin III are largely aggregated in homogeneous aqueous solution; their incorporation into Triton micelles caused an increase of the triplet quantum yield and an enhancement of the oxygen-consumption quantum yield and photooxidation rate constant for both histidine and tryptophan. The lower photosensitizing efficiency of aggregated porphyrin species in comparison with the corresponding monomeric porphyrin was confirmed by measuring the initial rate and quantum yield of oxygen consumption upon irradiation of 1 mM histidine and tryptophan in the presence of different hematoporphyrin concentrations within the 0.3-100μM range.     

FLASH PHOTOLYSIS STUDIES OF HEMATO-AND COPRO-PORPHYRINS IN HOMOGENEOUS AND MICROHETEROGENEOUS AQUEOUS DISPERSIONS

This paper describes an experimental study of the photo properties of the triplet (T,) states of hematoporphyrin (HP) and coproporphyrin (CP), particularly in relation to their medium dependence and reactivity towards oxygen. Triplet-triplet absorption spectra of HP and CP have been determined in aqueous buffer at pH = 7.4 and in water-methanol and water-formamide mixtures. The spectra corrected for ground state contributions show major absorption peaks near 400 nm and lesser peaks near 500 nm. Extinction coefficient measurements have been made and their dependences on solvent composition investigated. Natural lifetimes of the T₁ states of HP and CP and the bimolecular quenching constants with oxygen have been determined. The quantum yields of T₁ formation are ca. 0.6 in buffer rising to 0.8 and higher in predominantly organic media. Incorporation of the porphyrins into micellar phases similarly causes φ_T, to increase. Quantum efficiencies of O^?₂ and O₂(^lΔ_g) formation have been determined for HP in buffer, some binary mixtures and micellar dispersions. Superoxide yields are low and may result from photo-ionization processes. O₂(^lΔ_g) yields are large but appear to have an unexpected dependence on the medium.     

Skin-photosensitizing properties of Zn(II)-2(3), 9(10), 16(17), 23(24)-tetrakis-(4-oxy-N-methylpiperidinyl) phthalocyanine topically administered to mice

A Zn-phthalocyanine derivative bearing four 4-oxy-N-methyl-piperidinyl peripheral substituents has been formulated in an azone-containing gel for topical administration and its potential as a photodynamic therapy agent has been investigated. The phthalocyanine displays an intense absorbance in the 680 nm range and shows a high photosensitizing activity toward a model biological substrate (N-acetyl-L-tryptophanamide). Upon administration of 20 microg cm(-2) onto the dorsal skin of Balb/c mice, maximal phthalocyanine concentrations (ca. 64.2 ng mg(-1) of skin) are reached at 1 h after the deposition. The photosensitizer appears to be localized in the epidermal layers, since (a) no detectable amounts of phthalocyanine are recovered from the mouse blood and liver; and (b) upon photoactivation with a diode laser at 675 nm, only the epidermis is heavily damaged, as shown by histological and ultrastructural analysis. The photodamage is largely of inflammatory nature and an essentially complete healing of the damaged skin is observed at 72 h after the end of the phototreatment. The minimal phototoxic dose for 20 microg cm(-2) photosensitizer and 675 nm irradiation is found to be (150 mW cm(-2)-120 J cm(-2)) or (180 mW cm(-2)-100 J cm(-2)).     

Effect of Photosensitizer Delivery System and Irradiation Parameters on the Efficiency of Photodynamic Therapy of B16 Pigmented Melanoma in Mice

Abstract— Previous studies (Biolo et al., Photochem. Photobiol. 59, 362-365, 1994) showed that liposome-delivered Si(IV)-na-phthalocyanine (SiNc) photosensitizes B16 pigmented melanoma subcutaneously transplanted in C57 mice to the action of 776 nm light. However, the efficacy of the phototreatment was limited by a lack of selectivity of tumor targeting by SiNc as well as by incomplete necrosis of the neoplastic mass. The present investigations show that the use of a different delivery system (Cremophor emulsion vs liposomes of dipalmitoylphosphatidylcholine) causes no significant increase in the selectivity of tumor targeting for three injected doses of SiNc (0.5, 1, 2 mg/kg). However, upon 776 nm light irradiation (300 mW/cm²; 520 J/cm²), the delay in the rate of tumor growth was maximal (7-8 days) for the highest naphthalocyanine dose. On the other hand, a remarkable improvement in the tumor response was obtained by inducing an intratumoral temperature increase to 44°C immediately after PDT. The thermal effect appeared to be due to photoexcitation of melanin by 776 nm light (550 mW/cm²; 520 J/cm²) and subsequent partial conversion of absorbed energy into heat.     

COMPETITION BETWEEN THE SINGLET OXYGEN AND ELECTRON TRANSFER MECHANISMS IN THE PORPHYRIN-SENSITIZED PHOTOOXIDATION OF l-TRYPTOPHAN AND TRYPTAMINE IN AQUEOUS MICELLAR DISPERSIONS

Abstract— Kinetic studies of the hematoporphyrin–sensitized photooxidation of l -tryptophan and tryptamine at pH 10 in either homogeneous aqueous solutions or in aqueous dispersions of Triton X–100 and cetyltrimethylammonium bromide micelles indicate that the indole substrates are attacked via a mixed type I (electron transfer from triplet dye)/type II (¹O₂-involving) mechanism. Both reactive intermediates, generated by micelle-solubilized hematoporphyrin, can diffuse to attack substrate molecules located in either the bulk aqueous phase or a different micelle. In particular, incorporation of the substrate into a micelle has only minor effects on its reactivity toward¹O₂, although the ¹O₂—indole interaction appears to be more efficient in cationic micelles owing to a favourable orientation of the target with respect to the attacking species. On the other hand, the electron transfer from triplet porphyrin to a micellized substrate is virtually non-operative when the latter is located in an anionic micelle, whereas in neutral or cationic micelles, the efficiency of the process is again controlled by the substrate orientation. Studies of tryptamine photooxidation sensitized by meso-tetra-(4-sulfonato-phenyl) porphine in the presence of sodium dodecylsulphate micelles lend further support to the abovementioned conclusions.     

DISTRIBUTION OF PORPHYRINS IN THE VARIOUS COMPARTMENTS OF UNILAMELLAR LIPOSOMES OF DIPALMITOYL-PHOSPHATIDYLCHOLINE AS PROBED BY FLUORESCENCE SPECTROSCOPY

Abstract— The spectroscopic properties of hematoporphyrin, hematoporphyrin-dimethyl ester, uroporphyrin and uroporphyrinoctamethyl ester, incorporated into unilamellar liposomes of dipalmitoylphos-phatidylcholine, have been studied with the aim to assess the distribution of porphyrins within the various liposomal compartments.
The results obtained indicate that the highly hydrosoluble uroporphyrin is partitioned in the endoliposomal aqueous pool while its octamethylester is homogeneously distributed in the inner lipid monolayer. Hematoporphyrin and its dimethylester show an heterogeneous distribution within the phospholipid bilayer. At T = 25°C these porphyrins are preferentially located in the outer phospholipid monolayer.
Detailed studies on hematoporphyrin indicate that the distribution between the inner and outer phospholipid monolayer is a function of temperature and liposome dimensions. In particular, the increase of temperature above the critical temperature for the liquid-gel phase transition of the liposomes causes a partial shift of the porphyrin molecules toward the inner phospholipid monolayer. Moreover, the increase of liposome dimensions leads to a greater accessibility of porphyrin to the external medium.     

VISIBLE LIGHT IRRADIATION OF HUMAN AND BOVINE SERUM ALBUMIN-BILIRUBIN COMPLEX*

Abstract— The UV absorption and the fluorescence emission spectra of both bovine (BSA) and human (HSA) serum albumin underwent noticeable changes upon irradiation of their 1:1 complexes with bilirubin; both these phenomena are suggestive of the photosensitized modification of aromatic amino acid residues. Amino acid analysis showed that after relatively short irradiation times of both albumins, only histidyl and tryptophyl residues appeared to be affected to a significant extent. After 60min of irradiation, some decrease in the tyrosine content was also observed, especially for HSA.
Conformational studies, obtained by exposing unirradiated and irradiated BSA and HSA to denaturing agents, showed that the three-dimensional organization of the 15 min irradiated samples was slightly different from that of the native proteins. On the other hand, after 15 min of irradiation, the association constant of the bilirubin-albumin complexes decreased from 2.07 to 0.54×10⁸ M ^-1 for HSA and from 2.16 to 0.87×10⁷ M ^-1 for BSA.
These data indicate that the histidyl residues are relatively unimportant for maintaining the native tertiary structure of BSA and HSA, but they are critical for determining the binding capacity of the albumins. Our data also imply that the tertiary structure of the BSA molecule is more labile than that of HSA.