The relationship between protoporphyrin IX photobleaching during real‐time dermatological methyl‐aminolevulinate photodynamic therapy (MAL‐PDT) and subsequent clinical outcome

The relationship between protoporphyrin IX (PpIX) photobleaching and cellular damage during aminolevulinic (ALA) photodynamic therapy (PDT) has been studied at the cellular level. This study assessed the capability of a non‐invasive fluorescence imaging system (Dyaderm, Biocam, Germany), to monitor changes in PpIX during real time methyl‐aminolevulinate (MAL) PDT in dermatological lesions, and thus to act as a predictive tool in terms of observed clinical outcome post‐treatment.

[1]  A. Green,et al.  Changing patterns in incidence of non-melanoma skin cancer. , 1992, Epithelial cell biology.

[2]  P. V. D. van de Kerkhof,et al.  Fluorescence diagnosis in keratinocytic intraepidermal neoplasias. , 2007, Journal of the American Academy of Dermatology.

[3]  N. Kerrouche,et al.  Multicentre intraindividual randomized trial of topical methyl aminolaevulinate–photodynamic therapy vs. cryotherapy for multiple actinic keratoses on the extremities , 2008, The British journal of dermatology.

[4]  Q. Peng,et al.  5‐Aminolevulinic Acid‐Based Photodynamic Therapy: Principles and Experimental Research , 1997, Photochemistry and photobiology.

[5]  O Larkö,et al.  Photodynamic therapy of actinic keratosis at varying fluence rates: assessment of photobleaching, pain and primary clinical outcome , 2004, The British journal of dermatology.

[6]  T. Hasan,et al.  In vivo fluence rate and fractionation effects on tumor response and photobleaching: photodynamic therapy with two photosensitizers in an orthotopic rat tumor model. , 1999, Cancer research.

[7]  J. Fuchs,et al.  The role of oxygen in cutaneous photodynamic therapy. , 1998, Free radical biology & medicine.

[8]  Z. Malik,et al.  Destruction of erythroleukaemic cells by photoactivation of endogenous porphyrins. , 1987, British Journal of Cancer.

[9]  Tayyaba Hasan,et al.  Protoporphyrin IX fluorescence photobleaching increases with the use of fractionated irradiation in the esophagus. , 2008, Journal of biomedical optics.

[10]  Q. Peng,et al.  Selective distribution of porphyrins in skin thick basal cell carcinoma after topical application of methyl 5-aminolevulinate. , 2001, Journal of photochemistry and photobiology. B, Biology.

[11]  Alison Curnow,et al.  Validation of a non-invasive fluorescence imaging system to monitor dermatological PDT. , 2010, Photodiagnosis and photodynamic therapy.

[12]  H. S. de Bruijn,et al.  Monitoring In Situ Dosimetry and Protoporphyrin IX Fluorescence Photobleaching in the Normal Rat Esophagus During 5-Aminolevulinic Acid Photodynamic Therapy¶ , 2003 .

[13]  D. Leffell,et al.  Management of nonmelanoma skin cancer in 2007 , 2007, Nature Clinical Practice Oncology.

[14]  D. Lübbers,et al.  The cutaneous uptake of atmospheric oxygen contributes significantly to the oxygen supply of human dermis and epidermis , 2002, The Journal of physiology.

[15]  Stanley B. Brown,et al.  Fluorescence Photobleaching of ALA‐induced Protoporphyrin IX during Photodynamic Therapy of Normal Hairless Mouse Skin: The Effect of Light Dose and Irradiance and the Resulting Biological Effect , 1998, Photochemistry and photobiology.

[16]  M Landthaler,et al.  [Fluorescence-assisted biopsy of basal cell carcinomas]. , 2000, Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete.

[17]  C. Morton,et al.  Guidelines for topical photodynamic therapy: update , 2008, The British journal of dermatology.

[18]  Arjen Amelink,et al.  Monitoring ALA‐induced PpIX Photodynamic Therapy in the Rat Esophagus Using Fluorescence and Reflectance Spectroscopy , 2008, Photochemistry and photobiology.

[19]  Ann-Marie Wennberg,et al.  Guidelines on the use of photodynamic therapy for nonmelanoma skin cancer: an international consensus. International Society for Photodynamic Therapy in Dermatology, 2005. , 2007, Journal of the American Academy of Dermatology.

[20]  Wiley Interscience,et al.  Protoporphyrin IX fluorescence photobleaching is a useful tool to predict the response of rat ovarian cancer following hexaminolevulinate photodynamic therapy , 2008, Lasers in surgery and medicine.

[21]  H. S. de Bruijn,et al.  Monitoring In Situ Dosimetry and Protoporphyrin IX Fluorescence Photobleaching in the Normal Rat Esophagus During 5‐Aminolevulinic Acid Photodynamic Therapy ¶ , 2003, Photochemistry and photobiology.

[22]  M. Landthaler,et al.  Fluoreszenzgestützte Biopsie von Basalzellkarzinomen , 2000, Der Hautarzt.

[23]  R. Kelly,et al.  Low density lipoprotein receptor and cation-independent mannose 6- phosphate receptor are transported from the cell surface to the Golgi apparatus at equal rates in PC12 cells , 1992, The Journal of cell biology.

[24]  T. Dougherty,et al.  HOW DOES PHOTODYNAMIC THERAPY WORK? , 1992, Photochemistry and photobiology.

[25]  Christoph Abels,et al.  Fluorescence Diagnosis and Photodynamic Therapy in Dermatology , 2003 .

[26]  C P Lowdell,et al.  Photodynamic therapy: an update. , 1994, Clinical oncology (Royal College of Radiologists (Great Britain)).

[27]  Q. Peng,et al.  5-Aminolevulinic acid-based photodynamic therapy. Clinical research and future challenges. , 1997, Cancer.

[28]  C. Gomer,et al.  Photodynamic therapy-mediated oxidative stress as a molecular switch for the temporal expression of genes ligated to the human heat shock promoter. , 2000, Cancer research.

[29]  Claudio H Sibata,et al.  Photodiagnosis for cutaneous malignancy: a brief clinical and technical review. , 2008, Photodiagnosis and photodynamic therapy.

[30]  C. Morton Methyl aminolevulinate (Metvix®) photodynamic therapy - practical pearls , 2003, The Journal of dermatological treatment.

[31]  G. Parrinello,et al.  Methylaminolaevulinate‐based photodynamic therapy of Bowen’s disease and squamous cell carcinoma , 2008, The British journal of dermatology.

[32]  A. Ho,et al.  Photodynamic therapy update , 2001, Current opinion in ophthalmology.

[33]  T. S. Mann,et al.  The effects of oxygenation and photosensitizer substrate binding on the use of fluorescence photobleaching as a dose metric for photodynamic therapy , 2002 .

[34]  J Moan,et al.  5‐Aminolevulinic acid‐based photodynamic therapy , 1997, Cancer.

[35]  Rik Roelandts,et al.  Topical methyl aminolaevulinate photodynamic therapy versus cryotherapy for superficial basal cell carcinoma: a 5 year randomized trial. , 2008, European journal of dermatology : EJD.

[36]  H Moseley,et al.  Guidelines for topical photodynamic therapy: report of a workshop of the British Photodermatology Group , 2002, The British journal of dermatology.

[37]  Michael S Patterson,et al.  Photobleaching kinetics, photoproduct formation, and dose estimation during ALA induced PpIX PDT of MLL cells under well oxygenated and hypoxic conditions , 2006, Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology.

[38]  J. S. Chun,et al.  Relationship of protoporphyrin IX synthesis to photodynamic effects by 5‐aminolaevulinic acid and its esters on various cell lines derived from the skin , 2008, The British journal of dermatology.

[39]  P. Calzavara-Pinton,et al.  Photodynamic therapy: update 2006 Part 2: Clinical results , 2007, Journal of the European Academy of Dermatology and Venereology : JEADV.

[40]  H. Moseley,et al.  Effects of photoproducts on the binding properties of protoporphyrin IX to proteins. , 2002, Biophysical chemistry.

[41]  Alison Curnow,et al.  Biochemical manipulation via iron chelation to enhance porphyrin production from porphyrin precursors. , 2007, Journal of environmental pathology, toxicology and oncology : official organ of the International Society for Environmental Toxicology and Cancer.

[42]  C. Leys,et al.  Real-life practice study of the clinical outcome and cost-effectiveness of photodynamic therapy using methyl aminolevulinate (MAL-PDT) in the management of actinic keratosis and basal cell carcinoma. , 2008, European journal of dermatology : EJD.

[43]  Miles Padgett,et al.  In vivo measurement of 5‐aminolaevulinic acid‐induced protoporphyrin IX photobleaching: a comparison of red and blue light of various intensities , 2004, Photodermatology, photoimmunology & photomedicine.

[44]  Q. Peng,et al.  Apoptosis and necrosis induced with light and 5-aminolaevulinic acid-derived protoporphyrin IX. , 1996, British Journal of Cancer.