Role of Calcium in Photodynamically Induced Cell Damage of Human Fibroblasts

Photodynamically induced changes in the cytoplasmic free calcium concentration ([Ca²⁺]_i) and its role in cell damage were investigated in human skin fibroblasts using confocal laser microscopy. Fluorescence and absorbance spectrophotometry measurements indicate that the photosensitizer aluminum phthalocyanine tetrasulfonate (AlPcS₄) binds to the plasma membrane and only after irradiation is able to enter the cells, causing massive morphologic alterations. Upon irradiation of sensitizer-treated cells, the increase in [Ca²⁺]_i is related to the amount of light and extracellular [Ca²⁺]_e. The increase in [Ca²⁺]_i was substantially reduced in the absence of [Ca²⁺]_e. Cell damage or death after photodynamic treatment was prevented and shifted toward higher fluence by increasing [Ca²⁺]_i at high [Ca²⁺]_e and was greater at low [Ca²⁺]_e. Application of Ca²⁺ channel blockers, such as Co²⁺, Cd²⁺ or verapamil, could not prevent the increase of [Ca²⁺]_i. Our results indicate that activation of the photosensitizer, AlPcS₄, causes an influx of Ca²⁺, which protects cells from photodamage. At low [Ca²⁺]_e and high fluence values, release of Ca²⁺ from internal stores probably as a protective measure occurs in order to increase the [Ca²⁺]_i.