Abstract

Photodynamic therapy (PDT) is a minimally invasive cancer therapy that combines the accumulation of photosensitizers such as porphyrins in cancer cells with laser irradiation. I have previously reported that mitochondrially derived reactive oxygen species (ROS) regulate the expression of a porphyrin transporter, heme carrier protein 1 (HCP1), and increase porphyrin accumulation in cancer cells. Tumors that contain activated macrophages, referred to as tumor-associated macrophages (TAMs), have been reported to have increased malignancy. TAMs produce nitric oxide (NO), via the expression of inducible NO synthase (iNOS), and the highly reactive nitrogen species, peroxynitrite, which is produced by the reaction of NO with superoxide. Here, I examined the relationship between peroxynitrite, HCP1 expression, and intracellular porphyrin uptake in the murine macrophage cell line RAW264. RAW264 cells were activated by lipopolysaccharide (LPS) treatment which resulted in increased iNOS expression and NO production. Additional X-ray irradiation resulted in the generation of ROS and the subsequent generation of peroxynitrite. Importantly, LPS and X-ray co-treatment significantly enhanced HCP1 expression and porphyrin accumulation in cells, suggesting that the peroxynitrite upregulates the porphyrin transporter, HCP1. Therefore, TAMs may be effectively targeted with PDT, and tumor progression may be suppressed in general by agents that target the activation of macrophages.

Highlights

  • Society is continuing to age, and as it does so, the number of cancer patients is increasing worldwide

  • Photodynamic therapy (PDT) is a technique that is already used for the clinical treatment of cancer

  • The mechanism underlying the cancer-specific accumulation of porphyrin remains unclear

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Summary

Introduction

Society is continuing to age, and as it does so, the number of cancer patients is increasing worldwide. Surgery is a primary method used for cancer therapy; in the elderly population there are a large number who take anticoagulants to treat thrombosis, which leaves them at risk of severe bleeding during any surgical procedure. Photodynamic therapy (PDT) is a cancer therapy that uses laser irradiation and a photosensitizer that has tumor-specific accumulation, such as porphyrins [1]. Irradiation with low energy of a specific wavelength tuned to the photosensitizer initiates a photochemical reaction that produces a reactive oxygen species (ROS), namely, singlet oxygen, which leads to the death of cancer cells via apoptosis or necrosis [2]. PDT is a non-invasive and promising therapy for the treatment of patients with cancer. The mechanism underlying the tumor-selective accumulation of porphyrins has not been completely elucidated

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