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      Uptake and localisation of mTHPC (Foscan®) and its 14C-labelled form in normal and tumour tissues of the hamster squamous cell carcinoma model: a comparative study

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          Abstract

          The aim of this study was to evaluate the pharmacokinetics of meta(tetrahydroxyphenyl)chlorin (mTHPC) on different tissues of interest in a hamster tumour model and to confirm our earlier animal studies on semi-quantitative fluorescence microscopy. The results obtained by three different evaluation methods were compared: in vivo spectrofluorometry, ex vivo fluorescence microscopy and chemical extraction of 14C-labelled mTHPC. Following intracardiac injection of 0.5 mg kg −1 mTHPC, groups of five tumour-bearing animals were used for in situ light-induced fluorescence spectroscopy. Afterwards, the biopsies were taken and snap frozen for fluorescence microscopy. The presence of radioactivity in serum and tissues was determined after chemical digestion in scintillation fluid using a scintillation counter. For each analysed tissue, a good correlation was observed between the three evaluation methods. The highest fluorescence intensity and quantities of mTHPC were observed between 12 and 24 h in liver, kidney, serum, vascular endothelium and advanced neoplasia. The majority of mTHPC was found at around 48 h in smooth muscle and at 96 h in healthy cheek pouch mucosa and early malignant lesions. The lowest level of mTHPC was noted in striated muscle at all times. No selectivity in dye localisation was observed between early squamous cell carcinoma and healthy mucosa. Soon after the injection, a significant selectivity was noted for advanced squamous cell carcinoma as compared to healthy cheek pouch mucosa or striated muscle. A significant difference in mTHPC localisation and quantity was also observed between striated and smooth muscle during the first 48 h following the injection. Finally, this study demonstrated the usefulness of non-invasive in situ spectroscopic measurements to be performed systematically prior to photodynamic therapy as a real-time monitoring for each treated patient in order to individualise and adapt the light dosimetry and avoid over or under treatments.

          British Journal of Cancer (2002) 87, 1470–1478. doi: 10.1038/sj.bjc.6600651 www.bjcancer.com

          © 2002 Cancer Research UK

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          Most cited references33

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          In vivo fluorescence spectroscopy and imaging for oncological applications.

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            Photodynamic therapy of head and neck cancers.

            Over 1,500 patients have been treated with PDT using Photofrin, HPD, ALA, or Foscan for head and neck cancers. These patients include a mixture of presentations including primary, recurrent, and metastatic lesions. The predominant histology is squamous cell carcinoma, but other histologies treated include mucosal melanoma, Kaposi's sarcoma, adenocarcinoma, metastatic breast carcinoma, and adenoid cystic carcinoma. Several multi-institutional phase II clinical trials evaluating PDT treatment of head and neck cancers have demonstrated the efficacy of this minimally invasive therapy in the treatment of early oropharyngeal primary and recurrent cancers as well as the palliative treatment of refractory head and neck cancers. Patients with early stage cancers or early recurrences in the oral cavity and larynx (Cis, T1, T2) tend to have an excellent response to PDT. Of 518 patients treated with Cis, T1, or T2 cancers of the oral cavity, larynx, pharynx, and nasopharynx, 462 (89.1%) obtained a complete clinical response after one PDT treatment. Laryngeal cancers, comprising 171 patients in this group, obtained a durable complete response rate of 89% with up to a 16-year follow-up. Photodynamic therapy is as effective as conventional therapies for the treatment of early (Cis, T1, T2) squamous cell cancers of the head and neck. It is also a promising therapy to be used in association with surgery to increase tumor-free margins and therefore increase cure rates.
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              Determination of [3H]- and [14C]hematoporphyrin derivative distribution in malignant and normal tissue.

              The synthesis and tissue-localizing ability of [14C]- and [3H]hematoporphyrin derivative (HPD) in mice have been described. Tissue levels and distributions were the same for both radioactive compounds, indicating that in vivo tritium exchange did not occur with [3H]HPD. The amount of [14C]HPD or [3H]HPD which localized in the transplanted tumor tissue of mice at various times following i.p. injection (10 mg/kg) was higher than in skin or muscle tissue but was less than in liver, kidney, or spleen tissue. These results tend to disprove the generalization that HPD accumulates in malignant tissue to a higher degree than in all normal tissue. It is also reported that gross visualization of porphyrin fluorescence cannot be correlated with actual tissue concentrations of the dye.
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                Author and article information

                Journal
                Br J Cancer
                British Journal of Cancer
                Nature Publishing Group
                0007-0920
                1532-1827
                02 December 2002
                02 December 2002
                : 87
                : 12
                : 1470-1478
                Affiliations
                [1 ]Institute of Pathology, CHUV-Hospital, Bugnon 21, CH-1011 Lausanne, Switzerland
                [2 ]Institute of Environmental Engineering, EPFL, CH-1005 Lausanne, Switzerland
                [3 ]Department of Otolaryngology Head and Neck Surgery-CHUV Hospital CH-1011 Lausanne, Switzerland
                Author notes
                [* ]Author for correspondence: snezana.andrejevic@ 123456chuv.hospvd.ch
                Article
                6600651
                10.1038/sj.bjc.6600651
                2376296
                12454779
                ec7a3292-7d06-4fff-a169-99d76311e6c4
                Copyright 2002, Cancer Research UK
                History
                : 09 May 2002
                : 02 September 2002
                : 16 September 2002
                Categories
                Experimental Therapeutics

                Oncology & Radiotherapy
                14c-meta(tetrahydroxyphenyl)chlorin,fluorescence microscopy,photosensitiser,mthpc fluorescence spectroscopy,squamous cell carcinoma,pharmacokinetics

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