Abstract
BackgroundHypericin (HYP) is a naturally occurring photosensitizer. Cellular uptake and photodynamic inactivation after incubation with this photosensitizer have neither been examined in medulloblastoma cells in vitro, nor compared with 5-aminolevulinic acid-derived protoporphyrin IX (5-ALA-derived PpIX).MethodsIn 3 medulloblastoma cell lines (D283 Med, Daoy, and D341 Med) the time- and concentration-dependent intracellular accumulation of HYP and 5-ALA-derived PpIX was analyzed by fluorescence microscopy (FM) and FACS. Photocytotoxicity was measured after illumination at 595 nm (HYP) and 635 nm (5-ALA-derived PpIX) in D283 Med cells and compared to U373 MG glioma cells.ResultsAll medulloblastoma cell lines exhibited concentration- and time-dependent uptake of HYP. Incubation with HYP up to 10 µM resulted in a rapid increase in fluorescence intensity, which peaked between 2 and 4 hours. 5-ALA-derived PpIX accumulation increased in D283 Med cells by 22% over baseline after 5-ALA incubation up to 1.2 mM. Photocytotoxicity of 5-ALA-derived PpIX was higher in D283 Med medulloblastoma compared to U373MG glioma. The [lethal dose (light dose that is required to reduce cell survival to 50% of control)] of 5-ALA-derived PpIX was 3.8 J/cm2 in D283 Med cells versus 5.7 J/cm2 in U373MG glioma cells. Photocytotoxicity of HYP in D283 Med cells was determined at 2.5 µM after an incubation time of 2 h and an illumination wavelength of 595 nm. The value was 0.47 J/cm2.ConclusionBy its 5-fold increase in fluorescence over autofluorescence levels HYP has excellent properties for tumor visualization in medulloblastomas. The high photocytotoxicity of HYP, compared to 5-ALA-derived PpIX, is convincingly demonstrated by its 8- to 13-fold lower . Therefore HYP might be a promising molecule for intraoperative visualization and photodynamic treatment of medulloblastomas.
Highlights
The treatment of medulloblastomas is based on surgery and radiochemotherapy [1]
HYP was exemplarily determined in D283 Med cells
In the case of 5-ALA/5-ALA-derived PpIX no cytotoxicity was found for concentrations up to 6 mM and an incubation time of 2 h
Summary
The treatment of medulloblastomas is based on surgery and radiochemotherapy [1]. Medulloblastomas often infiltrate extremely vulnerable adjacent areas, such as the brainstem and fourth ventricle. The surgeon often faces a dilemma during resection. Knowing that the extent of resection determines the response to therapy and survival time, surgeons favor extensive or complete resection of the tumor [2]. Severe and often persistent neurological deficits caused by injuries to adjacent brain structures, such as cranial nerve nuclei in the brain stem may encounter. A method of visualizing the tumor intraoperatively might improve surgical outcomes. Hypericin (HYP) is a naturally occurring photosensitizer. Cellular uptake and photodynamic inactivation after incubation with this photosensitizer have neither been examined in medulloblastoma cells in vitro, nor compared with 5aminolevulinic acid-derived protoporphyrin IX (5-ALA-derived PpIX)
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