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Kozlikina EI, Efendiev KT, Grigoriev AY, Bogdanova OY, Trifonov IS, Krylov VV, Loschenov VB. A Pilot Study of Fluorescence-Guided Resection of Pituitary Adenomas with Chlorin e6 Photosensitizer. Bioengineering (Basel) 2022; 9:bioengineering9020052. [PMID: 35200407 PMCID: PMC8869665 DOI: 10.3390/bioengineering9020052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/17/2022] [Accepted: 01/19/2022] [Indexed: 12/13/2022] Open
Abstract
Fluorescence diagnostics is one of the promising methods for intraoperative detection of brain tumor boundaries and helps in maximizing the extent of resection. This paper presents the results of a pilot study on the first use of the chlorin e6 photosensitizer and a two-channel video system for fluorescence-guided resection of pituitary adenomas. The study’s clinical part involved two patients diagnosed with hormonally inactive pituitary macroadenomas and one patient with a hormonally active one. All neoplasms had different sizes and growth patterns. The data showed accumulation of chlorin e6 in tumor tissues in high concentrations: Patient 1: 2 mg/kg, Patient 2: 5 mg/kg, and Patient 3: 4 mg/kg. For Patient 1, the residual part of the tumor was not resected since it was intimately attached to the anterior genu of the internal carotid artery. For Patients 2 and 3, no regions of increased Ce6 accumulation were detected in the tumor foci after resection. Therefore, the use of the Ce6 and a two-channel video system helped to achieve a high degree of tumor resection in each case.
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Affiliation(s)
- Elizaveta I. Kozlikina
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (K.T.E.); (V.B.L.)
- Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI, 115409 Moscow, Russia
- Correspondence:
| | - Kanamat T. Efendiev
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (K.T.E.); (V.B.L.)
- Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI, 115409 Moscow, Russia
| | - Andrey Yu. Grigoriev
- Federal State Budgetary Educational Institution of Higher Education “A.I. Evdokimov Moscow State University of Medicine and Dentistry”, The Ministry of Healthcare of the Russian Federation, 127473 Moscow, Russia; (A.Y.G.); (O.Y.B.); (I.S.T.); (V.V.K.)
- The National Medical Research Centre for Endocrinology, 117292 Moscow, Russia
| | - Olesia Y. Bogdanova
- Federal State Budgetary Educational Institution of Higher Education “A.I. Evdokimov Moscow State University of Medicine and Dentistry”, The Ministry of Healthcare of the Russian Federation, 127473 Moscow, Russia; (A.Y.G.); (O.Y.B.); (I.S.T.); (V.V.K.)
| | - Igor S. Trifonov
- Federal State Budgetary Educational Institution of Higher Education “A.I. Evdokimov Moscow State University of Medicine and Dentistry”, The Ministry of Healthcare of the Russian Federation, 127473 Moscow, Russia; (A.Y.G.); (O.Y.B.); (I.S.T.); (V.V.K.)
| | - Vladimir V. Krylov
- Federal State Budgetary Educational Institution of Higher Education “A.I. Evdokimov Moscow State University of Medicine and Dentistry”, The Ministry of Healthcare of the Russian Federation, 127473 Moscow, Russia; (A.Y.G.); (O.Y.B.); (I.S.T.); (V.V.K.)
| | - Victor B. Loschenov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, 119991 Moscow, Russia; (K.T.E.); (V.B.L.)
- Institute for Physics and Engineering in Biomedicine, National Research Nuclear University MEPhI, 115409 Moscow, Russia
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Domingo LR, Mazarei E, Seif A, Ríos-Gutiérez M, Zahedi E, Ahmadi TS. Closer Investigation of the Kinetics and Mechanism of Spirovinylcyclopropyl Oxindole Reaction with 3Σ -g-O 2 by Topological Approaches and Unraveling the Role of the I 2 Catalyst. J Phys Chem A 2021; 125:6913-6926. [PMID: 34369789 DOI: 10.1021/acs.jpca.1c03203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
In this investigation at the MN15L/Def2-TZVP level of theory, we present computational evidence indicating that the reaction of 3Σ-g-O2 with spirovinylcyclopropyl oxindole (2) leads to a product called spiro-1,2-dioxolane (2) in its singlet state; this reaction occurs via a stepwise mechanism and its rate-determining step is catalyzed by iodine radicals, which promotes opening of the three-membered ring under dark conditions. The conversion of 2 to 1-benzylindoline-2,3-dione (3) and 2-vinyloxirane (4) takes place via a concerted and slightly asynchronous reaction. Both electron localization function and AIM topological analysis reveal that the step associated with the attack of the 3Σ-g-O2 molecule on the intermediate 3MC characterizes the formation of the only new O2-C3 single bond, which occurs in a stepwise mechanism, in contrast to the Δg-O2 reaction with 15 species.
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Affiliation(s)
- Luis R Domingo
- Department of Organic Chemistry, University of Valencia, Dr Moliner 50, 46100 Burjassot, Valencia, Spain
| | - Elham Mazarei
- Institut für Chemie, Universität Potsdam, Karl-Liebknecht-Straße 24-25, D-14476 Potsdam-Golm, Germany
| | - Ahmad Seif
- Department of Chemistry, Central Tehran Branch, Islamic Azad University, Tehran, Iran 14696-69191
| | - Mar Ríos-Gutiérez
- Department of Organic Chemistry, University of Valencia, Dr Moliner 50, 46100 Burjassot, Valencia, Spain
| | - Ehsan Zahedi
- Department of Chemistry, Shahrood Branch, Islamic Azad University, Shahrood, Iran 36199-43189
| | - Temer S Ahmadi
- Department of Chemistry, Villanova University, Villanova, Pennsylvania 19085, United States
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Belykh DV. C–O, C–S, C–N, and C–C Bond Formation at the Periphery of the Macrocycle during Chemical Modification of Phytochlorins: Key Methods and Synthetic Applications. RUSS J GEN CHEM+ 2020. [DOI: 10.1134/s1070363219120430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Yoon I, Li JZ, Shim YK. Advance in photosensitizers and light delivery for photodynamic therapy. Clin Endosc 2013; 46:7-23. [PMID: 23423543 PMCID: PMC3572355 DOI: 10.5946/ce.2013.46.1.7] [Citation(s) in RCA: 247] [Impact Index Per Article: 20.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2012] [Revised: 12/14/2012] [Accepted: 12/14/2012] [Indexed: 01/28/2023] Open
Abstract
The brief history of photodynamic therapy (PDT) research has been focused on photosensitizers (PSs) and light delivery was introduced recently. The appropriate PSs were developed from the first generation PS Photofrin (QLT) to the second (chlorins or bacteriochlorins derivatives) and third (conjugated PSs on carrier) generations PSs to overcome undesired disadvantages, and to increase selective tumor accumulation and excellent targeting. For the synthesis of new chlorin PSs chlorophyll a is isolated from natural plants or algae, and converted to methyl pheophorbide a (MPa) as an important starting material for further synthesis. MPa has various active functional groups easily modified for the preparation of different kinds of PSs, such as methyl pyropheophorbide a, purpurin-18, purpurinimide, and chlorin e6 derivatives. Combination therapy, such as chemotherapy and photothermal therapy with PDT, is shortly described here. Advanced light delivery system is shown to establish successful clinical applications of PDT. Phtodynamic efficiency of the PSs with light delivery was investigated in vitro and/or in vivo.
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Affiliation(s)
- Il Yoon
- PDT Research Institute, Inje University School of Nano System Engineering, Gimhae, Korea
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Aravindu K, Kim HJ, Taniguchi M, Dilbeck PL, Diers JR, Bocian DF, Holten D, Lindsey JS. Synthesis and photophysical properties of chlorins bearing 0–4 distinct meso-substituents. Photochem Photobiol Sci 2013; 12:2089-109. [DOI: 10.1039/c3pp50240f] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
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Taniguchi M, Cramer DL, Bhise AD, Kee HL, Bocian DF, Holten D, Lindsey JS. Accessing the near-infrared spectral region with stable, synthetic, wavelength-tunable bacteriochlorins. NEW J CHEM 2008. [DOI: 10.1039/b717803d] [Citation(s) in RCA: 100] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
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Choi Y, McCarthy JR, Weissleder R, Tung CH. Conjugation of a Photosensitizer to an Oligoarginine-Based Cell-Penetrating Peptide Increases the Efficacy of Photodynamic Therapy. ChemMedChem 2006; 1:458-63. [PMID: 16892381 DOI: 10.1002/cmdc.200500036] [Citation(s) in RCA: 60] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
To improve the efficiency of intracellular delivery of photosensitizers and the efficacy of photodynamic therapy, a membrane-penetrating arginine oligopeptide (R7) was conjugated to 5-[4-carboxyphenyl]-10,15,20-triphenyl-2,3-dihydroxychlorin (TPC). The resulting conjugate (R7-TPC) enhanced intracellular TPC uptake, which increased proportionally with the incubation time of the conjugate. The water solubility of the highly hydrophobic TPC photosensitizer was also improved after conjugation. Increased phototoxicity of R7-TPC was observed after an incubation time of only 30 min. Tumor cells mainly underwent apoptosis at lower concentrations of the photosensitizer-polyarginine conjugate, whereas necrotic cell damage became prevalent at higher concentrations.
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Affiliation(s)
- Yongdoo Choi
- Center for Molecular Imaging Research, Massachusetts General Hospital, Harvard Medical School, 149 13th St., Rm. 5406, Charlestown, MA 02129, USA
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Nyman ES, Hynninen PH. Research advances in the use of tetrapyrrolic photosensitizers for photodynamic therapy. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2004; 73:1-28. [PMID: 14732247 DOI: 10.1016/j.jphotobiol.2003.10.002] [Citation(s) in RCA: 500] [Impact Index Per Article: 23.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Photodynamic therapy (PDT) is a promising new treatment modality for several diseases, most notably cancer. In PDT, light, O2, and a photosensitizing drug are combined to produce a selective therapeutic effect. Lately, there has been active research on new photosensitizer candidates, because the most commonly used porphyrin photosensitizers are far from ideal with respect to PDT. Finding a suitable photosensitizer is crucial in improving the efficacy of PDT. Recent synthetic activity has created such a great number of potential photosensitizers for PDT that it is difficult to decide which ones are suitable for which pathological conditions, such as various cancer species. To facilitate the choice of photosensitizer, this review presents a thorough survey of the photophysical and chemical properties of the developed tetrapyrrolic photosensitizers. Special attention is paid to the singlet-oxygen yield (PhiDelta) of each photosensitizer, because it is one of the most important photodynamic parameters in PDT. Also, in the survey, emphasis is placed on those photosensitizers that can easily be prepared by partial syntheses starting from the abundant natural precursors, protoheme and the chlorophylls. Such emphasis is justified by economical and environmental reasons. Several of the most promising photosensitizer candidates are chlorins or bacteriochlorins. Consequently, chlorophyll-related chlorins, whose PhiDelta have been determined, are discussed in detail as potential photosensitizers for PDT. Finally, PDT is briefly discussed as a treatment modality, including its clinical aspects, light sources, targeting of the photosensitizer, and opportunities.
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Affiliation(s)
- Emma S Nyman
- Laboratory of Organic Chemistry, Department of Chemistry, University of Helsinki, P.O. BOX 55 (A.I. Virtasen aukio 1), Helsinki FIN-00014, Finland
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Takemura T, Nakajima S, Sakata I. Tumor-localizing fluorescent diagnostic agents without phototoxicity. Photochem Photobiol 1994; 59:366-70. [PMID: 8016218 DOI: 10.1111/j.1751-1097.1994.tb05049.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
In order to develop tumor-localizing fluorescent diagnostic agents without phototoxicity, various heterodimers linked by some spacers between a chlorine derivative and its Mn or Cu complex were synthesized. The representative agent of them was named HAT-DO1 and has a molecular formula of m-phthalyl-([13,17-bispropanoic acid-3-ethenyl-8-formylethylidene-7-hydroxy-2,7,12,18-tetramethyl- porphyrinate]-manganese (III))-[3'-ethenyl-8'-formylethylidene-7'-hydroxy-2',7',12',18'-te tramethyl- porphine-13',17'-bispropanoyl aspartic acid]-bishydrazone.
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Affiliation(s)
- T Takemura
- Research Institute for Electronic Science, Hokkaido University, Sapporo, Japan
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Ando T, Irie K, Koshimizu K, Takemura T, Nishino H, Iwashima A, Takeda N, Nakajima S, Sakata I. Photocytotoxicity of water-soluble metalloporphyrin derivatives. Photochem Photobiol 1993; 57:629-33. [PMID: 8506390 DOI: 10.1111/j.1751-1097.1993.tb02928.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
A new water-soluble porphyrin derivative, 2,4-bis(1-decyloxyethyl)-deuteroporphyrinyl-6,7-bisaspart ic acid (C10-DP), and its metal complexes (Ga, I(n), Zn, Mn, Cu, Ni and Fe) were examined for their physicochemical properties (absorption, fluorescence, triplet lifetime and partition coefficient) and photocytotoxicity on HeLa cells. The five derivatives with longer (> 1 ms) triplet lifetimes (free base, Zn, Ga, I(n) and Sn complexes) exhibited remarkable photocytotoxicity, and the other derivatives (Mn, Cu, Ni and Fe), which had or were deduced to have fairly short (< 0.01 ms) triplet lifetimes, manifested no photocytotoxicity, indicating that the triplet lifetime of these derivatives played a significant role in their photocytotoxicity. Cellular fluorescence due to C10-DP and its gallium complex was observed mainly on the plasma membrane at the concentrations showing significant photocytotoxicity with low (< 32.6%) cytotoxicity in the dark (2-10 microM).
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Affiliation(s)
- T Ando
- Department of Food Science and Technology, Faculty of Agriculture, Kyoto University, Japan
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New Water-soluble pyropheophorbide a derivatives as possible agents for photodynamic therapy of cancer. Tetrahedron Lett 1991. [DOI: 10.1016/s0040-4039(00)93440-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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