Abstract

We investigated the effect of photodynamic therapy (PDT) and of an anti-vascular cell adhesion molecule-1 (VCAM-1) monoclonal antibody on the in vivo growth of C6 glioma. Seven days after inoculation with C6 cells, adult male Wistar rats weighing 280-300 g with MRI-confirmed glioma were randomly assigned to 4 groups (N = 15 per group): PDT + VCAM-1 antibody group; PDT group; VCAM-1 antibody group; control group. Eight days after inoculation, hematoporphyrin monomethyl ether (HMME) was administered as a photosensitizer and PDT was performed at 630 nm (illumination intensity: 360 J/cm²) for 10 min. VCAM-1 antibody (50 µg/mL) was then administered (0.5 mL) through the tail vein every other day from day 8 to day 16. At day 21, 5 rats in each group were sacrificed and cancers were harvested for immunohistochemistry and Western blot assay for the detection of VCAM-1, and TUNEL assay was used to detect apoptosis. Survival and tumor volume were recorded in the remaining 10 rats in each group. In the PDT group, tumor growth was significantly suppressed (67.2%) and survival prolonged (89.3%), accompanied by an increase in apoptosis (369.5%), when compared to control. Furthermore, these changes were more pronounced in the PDT + VCAM-1 antibody group. After PDT, VCAM-1 expression was markedly increased (121.8%) and after VCAM-1 monoclonal antibody treatment, VCAM-1 expression was significantly reduced (58.2%). PDT in combination with VCAM-1 antibody can significantly inhibit the growth of C6 glioma and prolong survival. This approach may represent a promising strategy in the treatment of glioma.

Highlights

  • Glioma is a common intracranial malignancy accounting for approximately 40~50% of intracranial malignancies

  • After Photodynamic therapy (PDT), residual cancer cells highly expressed vascular cell adhesion molecule-1 (VCAM-1) but that PDT in combination with VCAM-1 antibody significantly inhibited the growth of C6 gliomas

  • The results showed that vascular endothelial growth factor (VEGF) expression was increased after PDT but was markedly decreased after treatment with angiogenesis inhibitors (IM862 and EMAP-2)

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Summary

Introduction

Glioma is a common intracranial malignancy accounting for approximately 40~50% of intracranial malignancies. The 5-year survival rate is approximately 30% in patients with astrocytoma [1]. Photodynamic therapy (PDT) has been an effective auxiliary strategy in the treatment of glioma [2,3,4]. In PDT, either a photosensitizer or its metabolic precursor is administered to the patient. The target tissue is subjected to irradiation at specific wavelengths. When the photosensitizer and an oxygen molecule are in proximity, oxygen undergoes a chemical reaction that yields a reactive oxygen species. Cell structures are damaged and cell functions are impaired, resulting in the death of cancer cells

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