Catechin reduces phototoxic effects induced by protoporphyrin IX-based photodynamic therapy in the chick embryo chorioallantoic membrane

Abstract. Significance: Side effects of many cancer treatments are associated with the production of reactive oxygen species (ROS) in normal tissues. This explains why patients treated by photodynamic therapy (PDT) often suffer from skin photosensitization, whereas those subject to radiotherapies frequently experience damages in various organs, including the skin. Aim: Catechin, which belongs to the natural flavanols family, is well known for its antioxidant properties. Hence, our main objective was to investigate whether catechin can reduce damages induced by PDT using protoporphyrin IX (PpIX-PDT), an endogenous photosensitizer commonly used in dermatology. Approach: An in vivo model, the chick embryo chorioallantoic membrane (CAM), was used for this study. An amount of 20  μl of a solution containing 5-aminolevulinic acid, a natural precursor of PpIX, was applied topically on the CAM 4 h before PDTs (405 nm, 2.9  mW  /  cm2, 1.2  J  /  cm2). Catechin was applied at different concentrations (1 to 50  μM) and times (0 to 240 min) before PDT. In addition, we assessed the potency of catechin to reduce the PpIX fluorescence photobleaching induced by PDT. Results: We observed that catechin significantly reduces the vascular damages generated by PpIX-PDT. Moreover, we have shown that catechin inhibits PpIX photobleaching. Conclusions: These observations suggest that catechin significantly reduces the level of ROS produced by PpIX-PDT.

[1]  J. Bernatonienė,et al.  The Role of Catechins in Cellular Responses to Oxidative Stress , 2018, Molecules.

[2]  Yongqiang Chen,et al.  Regulation of autophagy by reactive oxygen species (ROS): implications for cancer progression and treatment. , 2009, Antioxidants & redox signaling.

[3]  J. Cillard,et al.  Hydroxyl radical scavenging activity of flavonoids , 1987 .

[4]  Axel R Pries,et al.  Microvascular hemodynamics in the chick chorioallantoic membrane , 2016, Microcirculation.

[5]  H. Bergh Photodynamic therapy of age-related macular degeneration: History and principles. , 2001 .

[6]  C. Fraga,et al.  Basic biochemical mechanisms behind the health benefits of polyphenols. , 2010, Molecular aspects of medicine.

[7]  M. Goldman,et al.  ALA/PDT in the treatment of actinic keratosis: spot versus confluent therapy , 2003, Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology.

[8]  B. Mignotte,et al.  Mitochondrial reactive oxygen species in cell death signaling. , 2002, Biochimie.

[9]  Carl J. Fisher,et al.  ALA-PpIX mediated photodynamic therapy of malignant gliomas augmented by hypothermia , 2017, PloS one.

[10]  David G. Whitten,et al.  PHOTOOXIDATION AND SINGLET OXYGEN SENSITIZATION BY PROTOPORPHYRIN IX AND ITS PHOTOOXIDATION PRODUCTS , 1982 .

[11]  F. Guarneri,et al.  Early and Late Onset Side Effects of Photodynamic Therapy , 2018, Biomedicines.

[12]  J. Dąbrowski Reactive Oxygen Species in Photodynamic Therapy: Mechanisms of Their Generation and Potentiation , 2017 .

[13]  M. Ericson,et al.  Review of photodynamic therapy in actinic keratosis and basal cell carcinoma , 2008, Therapeutics and clinical risk management.

[14]  H. van den Bergh,et al.  On the selectivity of photodynamic therapy of choroidal neovascularization associated with age-related macular degeneration. , 2004, Journal francais d'ophtalmologie.

[15]  C. Pang,et al.  Pharmacokinetics and Disposition of Green Tea Catechins , 2018 .

[16]  E. Feskens,et al.  Dietary antioxidant flavonoids and risk of coronary heart disease: the Zutphen Elderly Study , 1993, The Lancet.

[17]  H. Bergh,et al.  A new drug-screening procedure for photosensitizing agents used in photodynamic therapy for CNV. , 2001, Investigative ophthalmology & visual science.

[18]  G. Davison,et al.  Dark chocolate/cocoa polyphenols and oxidative stress , 2014 .

[19]  J. Kühnau The flavonoids. A class of semi-essential food components: their role in human nutrition. , 1976, World review of nutrition and dietetics.

[20]  K. Berg,et al.  THE PHOTODEGRADATION OF PORPHYRINS IN CELLS CAN BE USED TO ESTIMATE THE LIFETIME OF SINGLET OXYGEN , 1991, Photochemistry and photobiology.

[21]  D. Averill-Bates,et al.  Activation of apoptosis signalling pathways by reactive oxygen species. , 2016, Biochimica et biophysica acta.

[22]  M. DeRosa Photosensitized singlet oxygen and its applications , 2002 .

[23]  Chung S. Yang,et al.  Effects of Tea Catechins on Cancer Signaling Pathways. , 2014, The Enzymes.

[24]  Patrycja Nowak-Sliwinska,et al.  Processing of fluorescence angiograms for the quantification of vascular effects induced by anti-angiogenic agents in the CAM model. , 2010, Microvascular research.

[25]  K. Anderson,et al.  Protoporphyrin IX: the Good, the Bad, and the Ugly , 2016, The Journal of Pharmacology and Experimental Therapeutics.

[26]  J. Lambert,et al.  The antioxidant and pro-oxidant activities of green tea polyphenols: a role in cancer prevention. , 2010, Archives of biochemistry and biophysics.

[27]  H. E. van den Bergh Photodynamic therapy of age-related macular degeneration: History and principles , 2001, Seminars in ophthalmology.

[28]  S. Samman,et al.  Green tea or rosemary extract added to foods reduces nonheme-iron absorption. , 2001, The American journal of clinical nutrition.

[29]  Filippo Piffaretti,et al.  Real-time, in vivo measurement of tissular pO2 through the delayed fluorescence of endogenous protoporphyrin IX during photodynamic therapy , 2012, Journal of biomedical optics.

[30]  P. Burri,et al.  Optimality in the developing vascular system: Branching remodeling by means of intussusception as an efficient adaptation mechanism , 2002, Developmental dynamics : an official publication of the American Association of Anatomists.