Hemes and
heme proteins are vital components of essentially every cell of virtually every eukaryote organism. Previously, we demonstrated accumulation of the
heme precursor
protoporphyrin-IX (
PpIX) in gastrointestinal
tumor tissues. To elucidate the mechanisms of
PpIX accumulation by quantitative
reverse transcriptase-polymerase chain reaction (RT-PCR), we studied expression of the relevant
enzymes of the
heme synthetic pathway. Here, we describe a significant down-regulation of
ferrochelatase (FECH)
mRNA expression in gastric, colonic, and rectal
carcinomas. Accordingly, in an in vitro model of several
carcinoma cell lines,
ferrochelatase down-regulation and loss of enzymatic activity corresponded with an enhanced
PpIX-dependent fluorescence. Direct detection of
PpIX in minute amounts was achieved by a specifically developed pulsed
solid-state laser dual delay fluorimetry setup. Silencing of FECH using
small interfering RNA (
siRNA) technology led to a maximum 50-fold increased
PpIX accumulation, imageable by a specifically adapted two-photon microscopy unit. Our results show that in malignant tissue a transcriptional down-regulation of FECH occurs, which causes endogenous
PpIX accumulation. Furthermore, accumulation of intracellular
PpIX because of FECH
siRNA silencing provides a small-molecule-based approach to molecular imaging and molecular
therapy.