Main
Main
www.elsevier.com/locate/jphotobiol
              a
                 Universitätsklinikum Leipzig AöR, Klinik und Poliklinik für Augenheilkunde, Liebig Straße 10-14, 04103 Leipzig, Germany
                                        b
                                          Laser Medizin Zentrum Leipzig, Liebig Straße 10-14, 04103 Leipzig, Germany
 c
     Universität Tübingen, Universitäts-Augenklinik I, Sektion Experimentelle Ophthalmochirurgie, Derendinger Straße 41, 72072 Tübingen, Germany
                                     d
                                        Advanced Technology Center, Sheba Medical Center, Tel-Hashomer 52621, Israel
                          e
                            Universität Leipzig, Fakultät für Chemie und Mineralogie, Permoserstraße 15, 04318 Leipzig, Germany
      f
        Universitätsklinikum Leipzig AöR, Institut für Klinische Immunologie und Transfusionsmedizin, Johannisallee 30, 04103 Leipzig, Germany
                       g
                         Department of Ophthalmology, Xijing Hospital, Fourth Military Medical University, 710032 XiÕan, PR China
                          Received 25 August 2004; received in revised form 9 November 2004; accepted 10 November 2004
                                                          Available online 7 January 2005
Abstract
   The search for better photosensitizers for photodynamic therapy of malignancies has led to the investigation of a new water-
soluble, positively charged, and chemical stable tetrahydroporphyrin tetratosylat (THPTS) with a strong absorption at 760.5 nm,
belonging to the bacteriochlorophyll family.
   THPTS undergoes a rapid uptake by human choroidal melanoma (CM) cells with a weak dark toxicity after a 24-h incubation
(LD10 = 150 lM, LD50 = 6.0 mM). In response to laser light at 760 ± 3 nm and doses of 10, 15 and 30 J/cm2, around 71%, 76%, and
92% of the CM cells were killed, respectively.
   Studies of pharmacokinetics and biodistribution in vivo (living mice) and ex vivo (excised organs) were made in a Balb/c mice
bearing subcutaneously inoculated C26 colon carcinoma using fiber-optic spectrofluorimetry (FOS). Tumours were irradiated
3 h after intraperitoneal (i.p.) injection of 5.0 mg/kg THPTS with an incoherent light source at 750 ± 20 nm and an intensity
of 100 mW/cm2 and fluences of 60, 90 and 120 J/cm2.
   THPTS demonstrated preferential accumulation in C26 colon carcinoma in comparison with most normal tissues except kidneys.
For the tissues of liver, colon, muscle, and spleen the tumour/normal tissue ratio (TNTR) ranged from 8.0 to 50. After irradiation
with 120 J/cm2 the depth of tumour necrosis reached 15 mm. Histological examination of the tumour samples 24 h after THPTS-
PDT, revealed severe stasis in the blood vessels and coagulative necrosis.
   These results suggest that THPTS-PDT may be of particular importance in the treatment of accessible malignancies.
 2004 Elsevier B.V. All rights reserved.
Keywords: BALB/c mice tumour model; Choroidal melanoma cell; Photodynamic therapy; Photosensitizer
  q
    Australian Patent No. AU 746710B, Canadian Patent No. CA 2323150A1, Europe Patent No. EP 1066293B1, US Patent No. US 6,410,568 B1,
WO Patent No. WO 1999050269A3.
 II
    Data presented in part at the 100th Annual Meeting of the Deutsche Ophthalmologische Gesellschaft, Berlin, September 26, 2002
(Ophthalmologe 2002; 99; Suppl.1: DO.08.17).
  *
    Corresponding author. Tel.: +49 341 972 1582; fax: +49 341 972 1659.
   E-mail address: stas@medizin.uni-leipzig.de (S. Schastak).
1011-1344/$ - see front matter  2004 Elsevier B.V. All rights reserved.
doi:10.1016/j.jphotobiol.2004.11.006
204                  S. Schastak et al. / Journal of Photochemistry and Photobiology B: Biology 78 (2005) 203–213
incubator enriched with 8% CO2 at 37 C. After 24 h                   passed via the second branch of the fiber bundle and
incubation in the dark, the cells were washed three times             was set to 5 mW at the fiber tip, as measured with a laser
with PBS and incubated in 100 ll RPMI 1640 with 10 ll                 power meter (Laserstar, Ophir, Israel). An average of
MTT solution for 4 h. After extraction in 100 ll SDS–                 three recordings was used for each data point.
DMF the absorbance of the formazan product was mea-                      The fluorescence intensity data for each tissue sample
sured at 570 nm in a microplate spectrophotometer                     per time point was calculated as mean ± standard error
(Spectramax 250, Molecular Devices Inc., Sunnyvale,                  (SE). In comparison of the fluorescence intensity
CA) [12].                                                             between the tumour and the appropriate normal tissue
   All experiments were done in quadruplicate. Values                 (tumour/normal tissue ratio, TNTR), statistical signifi-
are expressed as percentages of non-incubated controls.               cance (p < 0.05) was determined using the StudentÕs
For each incubation concentration, four independent                   t-test.
experiments were also performed in quadruplicate.
                                                                      2.3.3. Effect assessment of THPS-PDT
2.2.4. Study of cellular phototoxicity                                   THPTS was injected intraperitoneally (i.p.) at a dose
   Cells resuspended in 50 ll DMEM for 4 h at a con-                  of 5.0 mg/kg, 3 h before light treatment. The mice were
centration of 50,000 cells per well were incubated in qua-            anesthetized with Nembutal (60 mg/kg; i.p.) and
druplicates in the dark with photosensitizer at a final                the dorsa were depilated by hair removal cream (Vito,
concentration of 150 lM THPTS (LD10-value) for 24                     Dexon). The mice were covered with aluminium foil,
h in flat-bottom 96 well microtiter plates. After incuba-              exposing only the tumour area.
tion, the cells were washed three times with PBS, cul-                   Irradiation of each group (n = 3) was performed
tured in 100 ll RPMI medium supplemented with 10%                     using a fiber-optic non-coherent light delivery system
FCS, penicillin, and streptomycin, and were irradiated                (SeNet Ltd., Israel) in combination with a broadband
at 760 ± 3 nm by a Nd:YAG pumped Ti:Sapphire oscil-                   interference filter at 750 ± 20 nm, at an intensity of
lator laser in cw-mode (MIRA 900 F, Coherent Inc.,                   100 mW/cm2, measured with a Model IL 1400A radio-
Santa Clara, CA) with 40 mW/cm2 and fluences of 10,                    meter/photometer (International Light Inc., Newbury-
15, and 30 J/cm2. Cell activity was determined 19 h post              port, MA).
exposure using the MTT test.                                             Tumour necrosis depth was examined 24 h after
                                                                      PDT. Vital staining was performed by i.p. injection
2.3. Animal experiments                                               of 0.4 ml 1% Evans Blue (EB) solution. Six hours later,
                                                                      animals were sacrificed, tumours were excised, and 2–3
2.3.1. Animals and tumour model                                       mm thick cross-section slices were cut. A section from
   Female BALB/c nude mice, at 8 weeks of age,                       the central area of each tumour was examined macro-
were obtained from Harlan Ltd. (Jerusalem, Israel)                    scopically using a morphometrical system (video cam-
and maintained under pathogen-limited conditions.                     era OLYMPUS DP 50, in conjunction with a PC
Animals were given Purina food and water ad libitum.                  Image-Pro program). The unstained area was attrib-
Tumours were induced by subcutaneous injection of                     uted to tissue necrosis, whereas the stained area
0.5 ml suspension containing 106 cells of colon C26                   showed tissue with preserved blood supply. Five mea-
carcinoma in saline into the flank area. Experiments                   surements of necrosis depth were made on each
were started when the tumour diameter was 9–15                        section.
mm. All experiments were conducted in compliance
with regulations of the Animal Welfare Committee of                   2.3.4. Histological examination
the Sheba Medical Center.                                                For histological examination, the samples were fixed
                                                                      in 4% buffered formaldehyde, embedded in paraffin, and
2.3.2. In vivo assessment of pharmacokinetics and                     sectioned into 5 lm thick sections. The sections were
biodistribution                                                       stained with hematoxylin–eosin (H&E) and examined
   Measurements of in vivo (living mice) and ex vivo                  under a light microscope.
(excised organs) fluorescence were made using fiber-
optic spectrofluorimetry (FOS). An argon ion laser
(Melles Griot, 43 series) was coupled to a spectrofluoro-              3. Results
photometer (Shimadzu, model RF-5301PC) using a
bifurcated fiber bundle (Oriel, Stratford, CT, model                   3.1. Spectroscopic characterization
77533). The common-end tip of the bundle was fixed
at a distance of 1 mm from a mouse (in vivo) or from                     The structure of THPTS was investigated by proton
a tissue sample (ex vivo), while the distal tip of one                NMR experiments. The 1H-NMR (250 MHz) spectrum
branch was mounted in front of the entrance slit of                   (Fig. 1) showed following chemical shifts: d 1.7 (s,
the spectrofluorophotometer. Laser light (514 nm) was                  3H · 4, (a)); d 6.5 (d, 2H · 4, (b)); d 7.2 (d, 2H · 4,
206                      S. Schastak et al. / Journal of Photochemistry and Photobiology B: Biology 78 (2005) 203–213
           10        9            8           7           6           5           4           3           2             1
                                                                          ppm
       1
Fig. 1. H-NMR-spectrum at 250 MHz of 5,10,15,20-tetrakis-(1-alkyl-3-pyridyl)-21H, 23H-7,8,17,18-tetrahydroporphyrin tetratosylat (THPTS)
photosensitizer in D2O with presaturation.
(c)); d 4.1 (s, 8H, (d)); d 8.1 (s, 4H, (e)); d 8.5 (m, 4H,               >90%. The toxicity increases slightly reaching the
(f)); d 9.5 (s, 4H, (g)); d 9.2 (d, 4H, (h)), d 9.1 (d, 4H,               LD50 value (cell survival 650%) at a concentration of
(i)). The shifts were assigned to the functional groups                   about 6 mM.
CH, CH2, CH3 [13] and the structure of the compound                          During incubation of CM cells with THPTS rapid
was determined as shown in Fig. 2. Considering purity                     accumulation of the drug occurred within 3 h after the
it can be concluded that the 1H-NMR spectrum is free                      beginning of incubation. Accumulation increased slowly
of impurities and the purity of the drug is better                        reaching a plateau at about 24 h (Fig. 6).
than 90%, related to hydrogen-containing organic                             To assess phototoxicity, CM cells were preloaded for
compounds.                                                                24 h with THPTS at concentrations of 50, 100 and 150
    Fig. 3 demonstrates that wavelengths and full widths                  lM and irradiated with 760 ± 3 nm laser light. Photo-
at half maximum of the absorption bands were not af-                      toxicity was dependent on both drug and light doses.
fected by the polarity of the solvent. Absorption of                      At 150 lM of THPTS, irradiation with 10, 15 and 30
THPTS in the UV spectral region was somewhat more                         J/cm2 caused cell death of 70.8 ± 3.9%, 75.9 ± 0.9%
pronounced in water as compared with methanol.                            and 91.6 ± 2.2%, respectively (Fig. 7).
    Steady-state fluorescence emission spectra of THPTS
(Fig. 4) were characterized by two maxima at 665 nm                      3.3. In vivo spectroscopy, pharmacokinetics and
and at 770 nm. The measurements showed that                              biodistribution
THPTS is much weaker fluorescing than the corre-
sponding chlorin by-product.                                                 Fig. 8 depicts in vivo fluorescence kinetics in mice
                                                                          skin over 72 h. Fluorescence reached a maximum 0.5–
3.2. In vitro studies                                                     1 h after administration, followed by a rapid decrease
                                                                          due to elimination of the compound.
   Fig. 5 depicts dark toxicity as a function of THPTS                       Fig. 9 shows comparative biodistribution kinetics of
concentration on CM cells at 24 h incubation time. In                     THPTS fluorescence in various tissues ex vivo over 72
the dark, the sensitizer exhibits low cytotoxicity. At                    h. Highest overall fluorescence of the agent was
THPTS concentration of 150 lM, cell survival was                          observed in the kidneys. Tumour and skin were very
                         S. Schastak et al. / Journal of Photochemistry and Photobiology B: Biology 78 (2005) 203–213                                                                207
                                                                                           +
                                                                                         N R
                                                                                 (i)
                                                                                                 HH    (d)
                                                                                                       H
                               R                                                                        H
                               N
                                                   +
                                                                                 NH       N                                                         O
                                                                                                                                                          -
                                                                                                                     (h)         CH3                S O
                                                                                                                 +               (a)
                                                                                 N        NH                   N                                    O
                                                                                                         (g)                            (b)   (c)             4
                                                                 H                                             R
                                                                  H                              (e)
                                                                         H
                                                                             H
                                                                                   +
                                                                         R N               (f)
0,8
                                                                                                                           Methanol
                                                                                                                           Water
                                                               0,6
                               Absorption (a.u.)
0,4
0,2
0,0
Fig. 3. Absorption spectrum of THPTS in distilled water and in methanol. Note the main absorption maximum at 760.5 nm wavelength and absence
of solvatochromic shift of the Soret band. The spectrum was measured at THPTS concentration of 5 lM using a UV–Vis scanning
spectrophotometer (UV-2101 PC, Shimadzu, Tokyo, Japan).
                                                               15000
                                                                                       Chlorin
                               Fluorescence intensity (a.u.)
THPTS
10000
5000
Fig. 4. Steady-state fluorescence emission spectrum of THPTS in distilled water. The spectrum has two maxima around 665 and 770 nm. The
maximum at 665 nm belongs to a chlorin by-product and is selectively excited at 420 nm. THPTS fluorescence emission peak at 770 nm is selectively
excited at 516.5 nm.
208                      S. Schastak et al. / Journal of Photochemistry and Photobiology B: Biology 78 (2005) 203–213
                                                               110
                                                               100
                                                                90
                                                                80
Fig. 5. Dark toxicity of THPTS for choroidal melanoma cells, incubated in RPMI medium in the dark for 24 h in presence of the indicated
concentrations of photosensitizer. After incubation, the percentage of cells killed was determined by MTT assay [22]. Each point represents the
mean ± SD of 4 experiments.
                                                               200
                               Fluorescence intensity (a.u.)
150
100
50
                                                                           0       10       20         30         40          50
                                                                                        Incubation time (h)
Fig. 6. Uptake kinetics of THPTS in choroidal melanoma cells. The cells were incubated with THPTS (5 lM) in RPMI culture medium for 1, 3, 6,
12, 24, 30, 36 or 48 h. After incubation the cells were washed in PBS, stabilized and measured at 630 nm excitation wavelength by FACS.
similar in both kinetics and level of accumulation, which                                        are shown in Fig. 10. Morphometric measurements
significantly exceeded liver, spleen, lung, muscle, and co-                                       showed an increase in the extent of damage as a function
lon tissues. Table 1 presents relative tumour to normal                                          of light dose. The results of these experiments are pre-
tissue ratios (TNTR) at different time points.                                                    sented in Table 2. Maximal tumour necrosis depth
                                                                                                 13.2 ± 1.2 mm was noted after irradiation with
3.4. Necrosis depth assessment                                                                   120 J/cm2.
                                                                     100
                                                                                                           0     µM
                                                                                                           50    µM
                                                                      80                                   100   µM
60
40
20
                                                                          0
                                                                                  0        10              20              30
                                                                                           Light dose (J/cm²)
Fig. 7. Phototoxicity of THPTS on cultured human CM cells. Cells were incubated with photosensitizer at various concentrations for 24 h, washed,
then exposed to laser light at 760 ± 3 nm with an irradiation dose of 0–30 J/cm2. The percentage of cells killed was determined by MTT assay at 19 h
after laser light exposure. Each point represents the mean ± SE of 4 experiments.
                                                                     200
                                     Fluorescence intensity (a.u.)
150
100
50
                                                                              0       20             40               60            80
                                                                                                Time (h)
Fig. 8. In vivo kinetics of THPTS fluorescence at 770 nm in mice skin (mean ± SE, 3 mice) after i.p. administration of the dye (5 mg/kg). Excitation
at 514 nm.
                                                                     120
                                                                                                                           Kidney
                                                                                                                           Tumour
                                     Fluorescence intensity (a.u.)
                                                                     100                                                   Skin
                                                                                                                           Liver
                                                                      80                                                   Colon
                                                                                                                           Muscle
                                                                      60                                                   Lung
                                                                                                                           Spleen
                                                                      40
20
                                                                              0       20              40              60            80
                                                                                                Time (h)
Fig. 9. Biodistribution of THPTS (i.p. administration, 5 mg/kg) in C26 colon carcinoma and in normal tissues of mice at different time points
(mean ± SE, four mice per point). Ex vivo fluorescence registered by FOS at 770 nm; excitation at 514 nm.
210                           S. Schastak et al. / Journal of Photochemistry and Photobiology B: Biology 78 (2005) 203–213
Table 1
Tumour/normal tissue ratio (TNTR) data for THPTS after i.p. administration of 5 mg/kg
Time (h)                  Tumour/normal tissue ratio
                          Skin              Liver              Kidney               Spleen              Lung               Muscle              Colon
 3                        1.4               9.0                1.7                  25.0                10.0               16.7                3.3
 8                        1.2*              3.8                0.6                  11.5                 9.2               11.5                6.6
16                        1.1*              3.3                0.6                  20.0                13.3               16.0                8.0
24                        1.3               2.5                0.7                  19.3                16.5               19.0                3.8
48                        1.2*              3.0                0.6                  12.0                 6.0               12.0                3.6
72                        2.0               5.0                1.3                  50.0                 8.3               33.3                3.3
     *
         The difference in fluorescence intensity between tumour and appropriate normal tissue is statistically insignificant (P > 0.05).
Fig. 10. Vitally stained C26 colon carcinoma tumour samples in untreated control (a) and after THPTS-PDT at 120 J/cm2 (b). Unstained area –
tumour necrosis, stained area – viable tissue.
Table 2
Tumour necrosis depth after THPTS-PDT
                          Treatment group                      Light dose [J/cm2]                     Necrosis
                                                                                                      Frequency* (%)                     Depth (mm)
1.                        THPTS + light                         60                                     80                                 5.2 ± 0.6
2.                        THPTS + light                         90                                    100                                 9.5 ± 0.8
3.                        THPTS + light                        120                                    100                                13.2 ± 1.2
4.                        THPTS alone                            0                                      0                                   0
5.                        Light alone                          120                                      0                                   0
5 mg/kg THPTS was injected 3 h before photo irradiation using 750 ± 20 nm light at a fluence rate of 100 mW/cm2.
Three animals in each group were examined.
Data are shown as mean ± standard deviation.
  *
    Percent of samples with necrosis in the treatment group.
Fig. 11. C26 colon carcinoma in control (a) and 24 h after THPTS-PDT (b) (THPTS 5.0 mg/kg, 90 J/cm2). H&E staining, · 400. Light irradiation
(750 ± 20 nm, 90 J/cm2) was performed 3 h after intraperitoneal injection of THPTS at a dose of 5 mg/kg body weight.
compounds. The major absorption bands, both at 373                          The results of the present study showed that THPTS
nm and at 760.5 nm, are not red shifted as a result of                   is a potent and effective photosensitizer warranting fur-
a solvatochromic effect (Fig. 3). Absorption of THPTS                     ther investigations.
in water and methanol grew linearly as a function of
drug concentration up to 6 mM, and obeyed the Beer–
Lambert law. Wavelengths and full widths at half                         5. Conclusion
maximum of the absorption bands were not affected
by solvent polarity. These results showed that THPTS                        Evaluations in human CM cells in vitro and in a co-
in aqueous solution was chemically stable, and that no                   lon adenocarcinoma model in Balb/c mice showed that
aggregation of the photosensitizer occurred. Extinction                  THPTS is a chemically stable photoactive compound
coefficient (e) of THPTS in water at 760.5 nm is                           with low cellular dark toxicity and an excellent
e = 105,000 M 1 cm 1.                                                    phototoxicity.
   In vitro, THPTS demonstrated fast intracellular pen-                     THPTS was relatively rapidly accumulated in C26
etration into CM cells with low dark toxicity and strong                 colon carcinoma and had low systemic toxicity and
phototoxic effect (Figs. 5–7). Previously, it has been                    high uptake in most of the normal tissues except
shown by confocal laser microscopy in a model of bili-                   kidneys.
ary tract cancer cells that THPTS localized in distinct                     THPTS-PDT of C26 colon carcinoma with near-
subcellular compartments within the cytosol and within                   infrared photoirradiation at 750 ± 20 nm caused sig-
the cell core [9].                                                       nificant damage to tumour tissue. The preliminary
   In vivo, rapid uptake of THPTS by C26 colon carci-                    results demonstrate that THPTS is a potent agent that
noma was observed already at 3 h post i.p. injection.                    can be used for fluorescence diagnosis as well as for
This may be explained by highly developed functional                     efficient photodynamic therapy of thick tumours. Fur-
neovascular network in this tumour model [29]. The bio-                  ther studies will be necessary to define the clinical po-
distribution assay revealed preferential tumour accumu-                  tency of this dye as a tumour-targeting agent for PDT
lation of THPTS in comparison with all normal tissues                    of cancer.
with TNTR ranging from 1.4 to 25 (Fig. 9, Table 1).
For the time interval between 8 and 48 h, kidneys
showed the highest fluorescence, which is not surprising                  6. Abbreviations
as they are the main route for agent elimination from the
body. Importantly, liver and normal colon tissue dem-                    AMD          age related macular degeneration
onstrated relatively low uptake of THPTS. Therefore,                     CM           choroidal melanoma
TNTRs of THPTS observed for liver, lung, spleen and                      CW           continuous wave
muscles were higher than those published for some other                  DMEM         DulbeccoÕs Modified Eagle Medium
photosensitizers [28,30–33].                                             DMF          dimethyl formamide
   THPTS-PDT caused severe damage to the tumour                          EDTA         ethylenediaminetetraacetic acid
vasculature resulting in coagulative necrosis. Depth of                  MTT          3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-
necrosis increased with fluence and reached 13.2 ± 1.2                                 tetrazolium bromide
mm at 120 J/cm2 (Table 2, Fig. 10). At this light dose,                  PDT          photodynamic therapy
adjacent normal tissues demonstrated only moderate                       THPTS        5,10,15,20-tetrakis-(1-methyl-3-pyridyl)-
temporary damage (oedema), thus tumours could be                                      21H,23H-7,8,17,18-tetrahydroporphyrin tetra-
eradicated selectively.                                                               tosylat
212                         S. Schastak et al. / Journal of Photochemistry and Photobiology B: Biology 78 (2005) 203–213
SDS           sodium dodecyl sulphate                                          [14] G. Kostenich, T. Babushkina, A. Lavi, Y. Langzam, Z. Malik,
UV/Vis        ultra violet/visible                                                  A. Orenstein, B. Ehrenberg, Photosensitization by the near-IR-
                                                                                    absorbing photosensitizer lutetium texaphyrin: spectroscopic in
                                                                                    vitro and in vivo studies, J. Porphyr. Phthalocya. 2 (1998) 383–
                                                                                    390.
                                                                               [15] D.A. Fernandez, J. Awruch, L.E. Dicelio, Synthesis and
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   We thank Jan Richter, Institute of Clinical Immunol-                        [16] A. Hajri, S. Wack, C. Meyer, M.K. Smith, C. Leberquier, M.
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