Abstract | OBJECTIVE: To reveal the mechanism of vascular patency in the myocardium after photosensitization immediately after talaporfin sodium (TS) injection in a canine model, we investigated acute injury to vascular endothelial cells (VECs) in vitro and in vivo. BACKGROUND DATA: There are many reports of vascular shutdown within the target region in photodynamic therapy with TS. Vascular patency within healthy canine myocardium in which a photosensitization reaction starts immediately after injection of TS has been reported. MATERIALS AND METHODS: TS fluorescence in human umbilical vein endothelial cells and cell lethality were measured with drug contact time (DCT) up to 120 min at 20 μg/mL. Dependence of radiant exposure on cell lethality with 60 min DCT was investigated using two albumin concentrations that corresponded to those in plasma and interstices. Irradiation (21 mW/cm) outside the adventitia of canine cervical veins for 167 or 667 sec was emitted through a diffuser probe 30 min after intravenous injection of TS (2.5 mg/kg). Veins were extracted ∼30 min after the reaction and stained with von Willebrand factor. RESULTS: Intracellular fluorescence increased, but not cell lethality, with increasing DCT. Cell lethality increased gradually and reached 100% over 20 J/cm2 in the albumin concentration in the interstices. Normal VECs were found at the acute phase over 20 J/cm2 with a TS concentration in plasma of ∼14 μg/mL in vivo. CONCLUSIONS: VEC injury after a photosensitization reaction to healthy tissue shortly after TS injection might be low enough for the blood vessels to be patent.
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Authors | Risa Hamada, Emiyu Ogawa, Tsunenori Arai |
Journal | Photomedicine and laser surgery
(Photomed Laser Surg)
Vol. 35
Issue 6
Pg. 305-310
(Jun 2017)
ISSN: 1557-8550 [Electronic] United States |
PMID | 28437192
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
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Topics |
- Animals
- Cell Death
(drug effects)
- Cells, Cultured
- Dogs
- Endothelial Cells
(drug effects)
- Injections, Intralesional
- Models, Animal
- Myocardium
- Photochemotherapy
(methods)
- Photosensitivity Disorders
- Porphyrins
(pharmacology, toxicity)
- Sensitivity and Specificity
- Time Factors
- Vascular Patency
(drug effects)
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