1
|
Sebbe-Santos PF, Miquilini P, Pinto JG, de Menezes PFC, Ferreira-Strixino J. Adverse effects of topical photodynamic therapy in rosacea - Case report. Photodiagnosis Photodyn Ther 2024; 45:103871. [PMID: 37935343 DOI: 10.1016/j.pdpdt.2023.103871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 09/28/2023] [Accepted: 10/27/2023] [Indexed: 11/09/2023]
Abstract
Rosacea is a chronic and inflammatory skin condition, with relapses being a common characteristic. Its treatments are based on cosmetics, drugs, and the application of procedures based on high-powered light. Photodynamic Cosmetic Therapy (PCT) combines light, a photosensitizer (PS), and molecular oxygen present in tissues, generating photochemical reactions capable of causing tissue and vascular destruction, stimulating tissue repair. We report a case with an adverse effect caused by applying PCT, using 2 % 5-aminolevulinic acid (ALA 2 %), and irradiated with amber LED light associated with infrared radiation for the control of rosacea. A patient with subtype II rosacea underwent PCT treatment of 3 sessions at 21-day intervals, being evaluated using photographic images and Wood's lamp. In the first session of the therapy, an exacerbated inflammatory process was observed. Such an adverse event is estimated to be as a result of the patient using ointment containing corticosteroids for a short period. With the use of medications, it was possible to recover the appearance of the skin thoroughly, and after 21 days, the treatment sessions were performed again. Despite the complication that affected the patient in this study, positive effects were found after the pharmacological therapeutic measures were adopted.
Collapse
Affiliation(s)
- Priscilla Fróes Sebbe-Santos
- Laboratory of Photobiology Applied to Health (PhotoBios), Research and Development Institute, University of Vale do Paraíba, Urbanova, 2911, Brazil
| | - Patrícia Miquilini
- Laboratory of Photobiology Applied to Health (PhotoBios), Research and Development Institute, University of Vale do Paraíba, Urbanova, 2911, Brazil
| | - Juliana Guerra Pinto
- Laboratory of Photobiology Applied to Health (PhotoBios), Research and Development Institute, University of Vale do Paraíba, Urbanova, 2911, Brazil
| | - Priscila Fernanda Campos de Menezes
- Instituto Priscila Menezes & Harmonização Facial, Capilar & Corporal, Araras, SP, Brazil; Instituto de Física São Carlos (IFSC)- University of São Paulo (USP), Av. Trabalhador São Carlense, 400-CEP:13560-970, São Carlos, SP, Brazil
| | - Juliana Ferreira-Strixino
- Laboratory of Photobiology Applied to Health (PhotoBios), Research and Development Institute, University of Vale do Paraíba, Urbanova, 2911, Brazil.
| |
Collapse
|
2
|
Requena MB, Vollet Filho JD, Barboza de Nardi A, Escobar A, da Rocha Adams R, Bagnato VS, de Menezes PFC. Topical and intradermal delivery of PpIX precursors for photodynamic therapy with intense pulsed light on porcine skin model. Lasers Med Sci 2019; 34:1781-1790. [PMID: 30903526 DOI: 10.1007/s10103-019-02771-y] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2018] [Accepted: 03/06/2019] [Indexed: 11/26/2022]
Abstract
In order to purposely decrease the time of the photodynamic therapy (PDT) sessions, this study evaluated the effects of PDT using topical and intradermal delivery of two protoporphyrin (PpIX) precursors with intense pulsed light (IPL) as irradiation source. This study was performed on porcine skin model, using an IPL commercial device (Intense Pulse Light, HKS801). IPL effect on different administration methods of two PpIX precursors (ALA and MAL) was investigated: a topical cream application and an intradermal application using a needle-free, high-pressure injection system. Fluorescence investigation showed that PpIX distribution by needle-free injection was more homogeneous than that by cream, suggesting that a shorter drug-light interval in PDT protocols is possible. The damage induced by IPL-PDT assessed by histological analysis mostly shows modifications in collagens fibers and inflammation signals, both expected for PDT. This study suggested an alternative protocol for the PDT treatment, possibility half of the incubation time and with just 3 min of irradiation, making the IPL-PDT, even more, promising for the clinical treatment.
Collapse
Affiliation(s)
| | - José Dirceu Vollet Filho
- São Carlos Institute of Physics, University of São Paulo (USP), São Carlos, São Paulo, Brazil
- Institute of Geosciences and Exact Sciences, São Paulo State University (UNESP), Rio Claro, São Paulo, Brazil
| | - Andrigo Barboza de Nardi
- College of Agricultural and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil
| | - Andre Escobar
- College of Agricultural and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil
| | - Rozana da Rocha Adams
- College of Agricultural and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil
| | | | | |
Collapse
|
3
|
Lima Fujita AK, Sousa Rodrigues PG, Requena MB, Escobar A, da Rocha RW, de Nardi AB, Kurachi C, Campos de Menezes PF, Bagnato VS. Corrigendum to "Fluorescence evaluations for porphyrin formation during topical PDT using ALA and methyl-ALA mixtures in pig skin models" [Photodiagn. Photodyn. Ther. 15 (2016) 236-244]. Photodiagnosis Photodyn Ther 2017; 18:349-350. [PMID: 28619660 DOI: 10.1016/j.pdpdt.2016.10.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Michelle Barreto Requena
- São Carlos Institute of Physics, University of São Paulo, P.O. Box 13560-970, Sao Carlos, SP, Brazil
| | - André Escobar
- Department of Veterinary Clinic and Surgery, Faculty of Agriculture and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, SP, Brazil
| | - Rozana Wendler da Rocha
- Department of Veterinary Clinic and Surgery, Faculty of Agriculture and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, SP, Brazil
| | - Andrigo Barboza de Nardi
- Department of Veterinary Clinic and Surgery, Faculty of Agriculture and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, SP, Brazil
| | - Cristina Kurachi
- São Carlos Institute of Physics, University of São Paulo, P.O. Box 13560-970, Sao Carlos, SP, Brazil
| | | | - Vanderlei S Bagnato
- São Carlos Institute of Physics, University of São Paulo, P.O. Box 13560-970, Sao Carlos, SP, Brazil
| |
Collapse
|
4
|
Fujita AKL, Rodrigues PGS, Requena MB, Escobar A, da Rocha RW, Nardi ABD, Kurachi C, de Menezes PFC, Bagnato VS. Fluorescence evaluations for porphyrin formation during topical PDT using ALA and methyl-ALA mixtures in pig skin models. Photodiagnosis Photodyn Ther 2016; 15:236-44. [PMID: 27288253 DOI: 10.1016/j.pdpdt.2016.05.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 05/07/2016] [Accepted: 05/23/2016] [Indexed: 12/11/2022]
Abstract
BACKGROUND Photodynamic Therapy (PDT) using Aminolevulinic acid (ALA) and derivative molecules as topical medication and as a precursor of protoporphyrin (PPIX), is limited due to low permeation through skin or efficiency in porphyrin production. This behavior affects the production and homogeneity of PPIX distribution on superficial skin and in the deeper skin layers. Many authors propose alternatives to solve this such as, modification in the ALA and derivativemolecules, modifying the chemical properties of emulsion external phase or incorporating a delivery system to the emulsion. The goal of this study is to discuss what proportion of ALA and Methyl aminolevulinate (MAL) on mixtures increase the amount and uniformity of PPIX formation at superficial skin by fluorescence evaluations. METHODS The study was conducted in vivo using a pig skin model. PPIX production was monitored using fluorescence spectroscopy and widefield fluorescence imaging on skin surface. 20% of ALA and MAL cream were done mixing the following proportions: ALA, M2 (80% ALA-20% MAL), M3 (60% ALA-40% MAL), M4 (50% ALA-MAL), M5 (40% ALA-60% MAL), M6 (20% ALA-80% MAL) and MAL. RESULTS Mixtures M3, M4, and M5 showed the most PPIX production on skin by widefield fluorescence imaging and fluorescence spectroscopy in 3h of incubation. These results suggest that 50% of ALA and MAL in the same mixture increase the PPIX production in amount, homogeneity and time production when compared to ALA and MAL. This has a positive impact on photodynamic damage optimizing the PDT treatment.
Collapse
Affiliation(s)
| | | | - Michelle Barreto Requena
- São Carlos Institute of Physics, University of São Paulo, PO Box 13560-970, Sao Carlos, SP, Brazil
| | - André Escobar
- Department of Veterinary Clinic and Surgery, Faculty of Agriculture and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, SP, Brazil
| | - Rozana Wendler da Rocha
- Department of Veterinary Clinic and Surgery, Faculty of Agriculture and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, SP, Brazil
| | - Andrigo Barboza de Nardi
- Department of Veterinary Clinic and Surgery, Faculty of Agriculture and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, SP, Brazil
| | - Cristina Kurachi
- São Carlos Institute of Physics, University of São Paulo, PO Box 13560-970, Sao Carlos, SP, Brazil
| | | | - Vanderlei S Bagnato
- São Carlos Institute of Physics, University of São Paulo, PO Box 13560-970, Sao Carlos, SP, Brazil
| |
Collapse
|
5
|
Lima Fujita AK, Campos de Menezes PF, Sousa Rodrigues PG, Requena MB, Kurachi C, Escobar A, Rocha RWD, de Nardi AB, Bagnato VS. Study of ALA and MAL mixtures in pig skin: PpIX production. Photodiagnosis Photodyn Ther 2015. [DOI: 10.1016/j.pdpdt.2015.07.088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
6
|
Rodrigues PGS, Campos de Menezes PF, Fujita AKL, Escobar A, Barboza de Nardi A, Kurachi C, Bagnato VS. Assessment of ALA-induced PpIX production in porcine skin pretreated with microneedles. J Biophotonics 2015; 8:723-729. [PMID: 25319567 DOI: 10.1002/jbio.201400081] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2014] [Accepted: 08/29/2014] [Indexed: 06/04/2023]
Abstract
Photodynamic therapy (PDT) is used for skin treatments of premalignant and cancer lesions and recognized as a non-invasive technique that combines tissue photosensitization and subsequent exposure to light to induce cell death. However, it is limited to the treatment of superficial lesions, mainly due to the low cream penetration. Therefore, the improvement of transdermal distribution of aminolevulinic acid (ALA) is needed. In this study, the kinetics and homogeneity of production of ALA-induced PpIX after the skin pre-treatment with microneedles rollers of 0.5, 1.0 and 1.5 mm length were investigated. An improvement in homogeneity and production of PpIX was shown in a porcine model. Widefield fluorescence imaging three hours after the topical application of ALA-cream in the combined treatment with microeedles rollers.
Collapse
Affiliation(s)
| | | | | | - André Escobar
- Department of Clinical and Veterinary Surgery, São Paulo State University (UNESP), Jaboticabal-SP, Brazil
| | - Andrigo Barboza de Nardi
- Department of Clinical and Veterinary Surgery, São Paulo State University (UNESP), Jaboticabal-SP, Brazil
| | - Cristina Kurachi
- Sao Carlos Institute of Physics, University of Sao Paulo (USP), Biophotonics Laboratory, Sao Carlos-SP, Brazil
| | - Vanderlei S Bagnato
- Sao Carlos Institute of Physics, University of Sao Paulo (USP), Biophotonics Laboratory, Sao Carlos-SP, Brazil
| |
Collapse
|
7
|
Rodrigues PGS, de Menezes PFC, Requena MB, Kurachi C, Escobar A, da Rocha RW, de Nardi AB, Bagnato VS. New alternatives to improve the transdermal application of ALA, M-ALA in photodynamic therapy using needle-free injection. Photodiagnosis Photodyn Ther 2015. [DOI: 10.1016/j.pdpdt.2015.07.138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
8
|
de Menezes PFC, Requena MB, Rosa RGT, Pratavieira S, Fujita AKL, Kurachi C, Escobar A, da Rocha RW, de Nardi AB, Bagnato VS. Modification of collagen fiber after PDT in porcine skin models by two photons microscopy analysis. Photodiagnosis Photodyn Ther 2015. [DOI: 10.1016/j.pdpdt.2015.07.043] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
9
|
Requena MB, Cury TF, Vollet-Filho JD, Grecco C, Kurachi C, de Nardi AB, Escobar A, da Rocha RW, Bagnato VS, Campos de Menezes PF. The effectivity of ALA-PDT using IPL evaluated by image and histological analysis using porcine skin models in vivo. Photodiagnosis Photodyn Ther 2015. [DOI: 10.1016/j.pdpdt.2015.07.091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
10
|
Estracanholli ES, Kurachi C, Vicente JR, de Menezes PFC, Castro e Silva Júnior O, Bagnato VS. Determination of post-mortem interval using in situ tissue optical fluorescence. Opt Express 2009; 17:8185-8192. [PMID: 19434150 DOI: 10.1364/oe.17.008185] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
In this study we have used fluorescence spectroscopy to determine the post-mortem interval. Conventional methods in forensic medicine involve tissue or body fluids sampling and laboratory tests, which are often time demanding and may depend on expensive analysis. The presented method consists in using time-dependent variations on the fluorescence spectrum and its correlation with the time elapsed after regular metabolic activity cessation. This new approach addresses unmet needs for post-mortem interval determination in forensic medicine, by providing rapid and in situ measurements that shows improved time resolution relative to existing methods.
Collapse
|