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Comparisons of 5-aminolevulinic acid photodynamic therapy and after-loading radiotherapy in vivo in cervical cancer

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Abstract

Objective

To compare the differences between 5-aminolevulinic acid photodynamic therapy (5-ALA-PDT) with traditional after-loading radiotherapy in aspects of efficacies and side effects.

Materials and methods

MTT assay was adopted to detect the inhibitive effects of 5-ALA-PDT on Hela cells proliferation. Flow cytometry was used to analyze cell apoptosis. After establishment of human cervical cancer xenograft model, the comparisons between 5-ALA-PDT with radiotherapy were performed with respect to treatment efficacies (survival rate, body weight, and tumor volume) and side effects (appearance and behavior, ovarian endocrine functions, and skin lesion around the tumor).

Results

5-Aminolevulinic acid photodynamic therapy exerted killing effects on cervical cancer cells. Morphological changes and flow cytometric analyses indicated apoptosis to be one of the mechanisms for tumor growth suppression. Both proliferation inhibition and cell apoptosis showed dependency on photosensitizer concentration and irradiation intensity. Repeated photodynamic therapy presented stronger inhibitive effects on tumor growth compared to after-loading radiotherapy, while producing milder impairment of ovarian endocrine functions and skin lesions around the tumors.

Conclusions

5-Aminolevulinic acid photodynamic therapy has great potential to be an alternative treatment modality for cervical cancer.

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Acknowledgments

This work was supported by the National Science and Technology Pillar Program during the Eleventh Five-year Plan Period of China (No. 2008BAI57B01, No. 2008BAI57B02).

Conflict of interest

None.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, 100730, China

    T. Gui, Y. Wang, D. Cao, J. Yang & K. Shen

  2. Department of Obstetrics and Gynecology, Beijing Hospital, Beijing, China

    Y. Mao

  3. Department of Radiotherapy, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China

    J. Liu & S. Sun

Authors
  1. T. Gui
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  2. Y. Wang
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  3. Y. Mao
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  4. J. Liu
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  5. S. Sun
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  6. D. Cao
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  7. J. Yang
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  8. K. Shen
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Corresponding author

Correspondence to K. Shen.

Additional information

T. Gui and Y. Wang contributed equally to the work.

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Gui, T., Wang, Y., Mao, Y. et al. Comparisons of 5-aminolevulinic acid photodynamic therapy and after-loading radiotherapy in vivo in cervical cancer. Clin Transl Oncol 15, 434–442 (2013). https://doi.org/10.1007/s12094-012-0945-5

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  • DOI: https://doi.org/10.1007/s12094-012-0945-5

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