Abstract

.Two pronounced absorption peaks in blue and red ranges of the chlorin-based photosensitizer (PS) absorption spectrum provide additional benefits in photodynamic therapy (PDT) performance. Differing optical properties of biological tissues in these ranges allow for both dual-wavelength diagnostics and PDT performance. We provide a comparative analysis of different PDT regimes performed with blue and red lights and their combination, with doses varying from 50 to . The study was performed on the intact skin of a rabbit ear inner surface, with the use of chlorin e6 as a PS. PDT procedure protocol included monitoring of the treated site with fluorescence imaging technique to evaluate PS accumulation and photobleaching, as well as with optical coherence tomography (OCT) to register morphological and functional responses of the tissue. Optical diagnostic observations were compared with the results of histopathology examination. We demonstrated that PDT procedures with the considered regimes induce weaker organism reaction manifested by edema in normal tissue as compared to irradiation-only exposures with the same light doses. The light doses delivered with red light induce weaker tissue reaction as compared to the same doses delivered with blue light only or with a combination of red and blue lights in equal parts. Results of in-vivo OCT monitoring of tissue reaction are in agreement with the results of histopathology study.

Highlights

  • Photodynamic therapy (PDT) is a modern minimally invasive treatment technique that has demonstrated efficiency for a wide range of clinical applications

  • PDT is based on the cytotoxic effect of singlet oxygen produced in biotissue as a result of irradiation with light of a specific spectral range of a photosensitizer (PS) delivered to the target area prior to the procedure.[1,2]

  • Being highly reactive with a short radius of action, the produced singlet oxygen causes damage in cells contacting with PS, providing a local impact with minimal effects on the surrounding normal tissue

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Summary

Introduction

Photodynamic therapy (PDT) is a modern minimally invasive treatment technique that has demonstrated efficiency for a wide range of clinical applications. PDT is based on the cytotoxic effect of singlet oxygen produced in biotissue as a result of irradiation with light of a specific spectral range of a photosensitizer (PS) delivered to the target area prior to the procedure.[1,2] Being highly reactive with a short radius of action, the produced singlet oxygen causes damage in cells contacting with PS, providing a local impact with minimal effects on the surrounding normal tissue. Both anti-inflammatory treatment and aesthetic medicine applications typically employ low-dose PDT regimes[7] with total light doses not exceeding 150 J∕cm[2]

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