Photodynamic therapy for cancer: mechanisms, photosensitizers, nanocarriers, and clinical studies

Photodynamic therapy (PDT) is a temporally and spatially precisely controllable, noninvasive, and potentially highly efficient method of phototherapy. The three components of PDT primarily include photosensitizers, oxygen, and light. PDT employs specific wavelengths of light to active photosensitizers at the tumor site, generating reactive oxygen species that are fatal to tumor cells. Nevertheless, traditional photosensitizers have disadvantages such as poor water solubility, severe oxygen-dependency, and low targetability, and the light is difficult to penetrate the deep tumor tissue, which remains the toughest task in the application of PDT in the clinic. Here, we systematically summarize the development and the molecular mechanisms of photosensitizers, and the challenges of PDT in tumor management, highlighting the advantages of nanocarriers-based PDT against cancer. The development of third generation photosensitizers has opened up new horizons in PDT, and the cooperation between nanocarriers and PDT has attained satisfactory achievements. Finally, the clinical studies of PDT are discussed. Overall, we present an overview and our perspective of PDT in the field of tumor management, and we believe this work will provide a new insight into tumor-based PDT.

Superhydrophobic Tipped Antimicrobial Photodynamic Therapy Device for the In Vivo Treatment of Periodontitis Using a Wistar Rat Model

Limited options exist for treatment of periodontitis; scaling and root planing (SRP) are not sufficient to eradicate P. gingivalis and the resulting inflammatory disease. Chlorhexidine (CHX), used as an adjuvant to SRP, may reduce bacterial loads but leads to pain and staining, while evidence for its efficacy is lacking. Antibiotics are effective but can lead to drug-resistance. The rising concern of antibiotic resistance limits the future use of this treatment approach. This study evaluates the efficacy of a novel superhydrophobic (SH) antimicrobial photodynamic therapy (aPDT) device as an adjuvant to SRP for the treatment of periodontitis induced in a Wistar rat in vivo model relative to CHX. The SH-aPDT device comprises an SH silicone rubber strip coated with verteporfin photosensitizer (PS), sterilized, and secured onto a tapered plastic optical fiber tip connected to a red diode laser. The superhydrophobic polydimethylsiloxane (PDMS) strips were fabricated by using a novel soluble template method that creates a medical-grade elastomer with hierarchical surface roughness without the use of nanoparticles. Superhydrophobicity minimizes direct contact of the PS-coated surface with bacterial biofilms. Upon insertion of the device tip into the pocket and energizing the laser, the device generates singlet oxygen that effectively targets and eliminates bacteria within the periodontal pocket. SH-aPDT treatment using 125 J/cm2 of red light on three consecutive days reduced P. gingivalis significantly more than SRP-CHX controls (p < 0.05). Clinical parameters significantly improved (p < 0.05), and histology and stereometry results demonstrated SH-aPDT to be the most effective treatment for improving healing and reducing inflammation, with an increase in fibroblast cells and extracellular matrix and a reduction in vascularization, inflammatory cells, and COX-2 expression. The SH-aPDT approach resulted in complete disease clearance assessed 30 days after treatment initiation with significant reduction of the periodontal pocket and re-formation of the junctional epithelium at the enamel-cementum junction. PS isolation on a SH strip minimizes the potential for bacteria to develop resistance, where the treatment may be aided by the oxygen supply retained within the SH surface.

Tunable Photocatalytic Selectivity by Altering the Active Center Microenvironment of an Organic Polymer Photocatalyst

The favored production of one product over another is a major challenge in synthetic chemistry, reducing the formation of byproducts and enhancing atom efficacy. The formation of catalytic species that have differing reactivities based on the substrate being converted, has been targeted to selectively control reactions. Here, we report the production of photocatalytic self-assembled amphiphilic polymers, with either hydrophilic or hydrophobic microenvironments at the reactive center. Benzothiadiazole-based photocatalysts were polymerized into either the hydrophilic or the hydrophobic compartment of a diblock copolymer by RAFT polymerization. The difference in the reactivity of each microenvironment was dictated by the physical properties of the substrate. Stark differences in reactivity were observed for polar substrates, where a hydrophilic microenvironment was favored. Conversely, both microenvironments performed similarly for very hydrophobic substrates, showing that reagent partitioning is not the only factor that drives photocatalytic conversion. Furthermore, the use of secondary swelling solvents allowed an additional reagent exchange between the continuous phase and the heterogeneous photocatalyst, resulting in a significant 5-fold increase in conversion for a radical carbon-carbon coupling.

Photocatalytic polymer nanomaterials for the production of high value compounds

Nanotechnology has provided a platform for producing new photocatalytic materials, where the reduction in length scales has been used to amplify the efficiency of these light active materials. The progression to nano-based photocatalysts has been driven by the increase in surface area that is achieved. Furthermore, nanophotocatalysts based on porous polymers or gel materials are often more active as reagents can more easily partition across the whole photocatalyst. Here, reducing the diffusional path length for substrates across the porous/gel material increases the quantity of accessible active sites in the photocatalytic material. The formation of nanophotocatalytic materials has also enabled the formation of functional nanoparticles that can be used in different conditions traditionally inaccessible to bulk catalysts. Specifically, aqueous compatible nanophotocatalytic materials have been reported, enabling greener reaction conditions and new applications of photocatalysts.

Photoactive rose bengal-based latex via RAFT emulsion polymerization-induced self-assembly

Rose bengal shell- or core-functionalized acrylic latex synthesized by RAFT emulsion PISA: interfacial photosensitized ¹O₂ production under visible light.

Rose Bengal Immobilized on Supported Ionic-Liquid-like Phases: An Efficient Photocatalyst for Batch and Flow Processes

The catalytic activity of Rose Bengal (RB) immobilized on supported ionic liquid (IL)-like phases was evaluated as a polymer-supported photocatalyst. In these systems, the polymer was designed to play a pivotal role. The polymeric backbone adequately modified with IL-like moieties (supported IL-like phases, SILLPs) was not just an inert support for the dye but controlled the accessibility of reagents/substrates to the active sites and provided specific microenvironments for the reaction. The structure of SILLPs could be finetuned to adjust the catalytic efficiency of the RB-SILLP composites, achieving systems that were more active and stable than the related systems in the absence of IL-like units.