Abstract
Photodynamic therapy is a minimally invasive treatment of tumors using photosensitizers, light, and reactive oxygen species, which can destroy cellular structures. With the development of photodynamic therapy, significant efforts have been made to create new efficient photosensitizers with improved delivery to cells, stability, and selectivity against cancer tissues. Naturally occurring tetrapyrrolic macrocycles, such as porphyrins and chlorins, are very attractive as photosensitizers, and their structural modification and conjugation with other biologically active molecules are promising approaches for creating new photosensitizers specifically targeting cancer cells. The present review aims to highlight recent developments in the design, preparation, and investigation of complex conjugates of tetrapyrrolic macrocycles, which can potentially be used as sensitizers for target-oriented photodynamic therapy of cancer. In this review, we discuss the structure, photodynamic effect, and anticancer activity of the following conjugates of tetrapyrrolic macrocycles: (1) conjugates obtained by modifying peripheral substituents in porphyrins and chlorins; (2) conjugates of porphyrins and chlorins with lipids, carbohydrates, steroids, and peptides; (3) conjugates of porphyrins and chlorins with anticancer drugs and some other biologically active molecules; (4) metal-containing conjugates. The question of how the conjugate structure affects its specificity, internalization, localization, and photoinduced toxicity within cancer cells is the focus of this review.
Graphical Abstract

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Data availability
The authors confirm that the data supporting the findings of this study are available within the article.
Abbreviations
- PDT:
-
Photodynamic therapy
- PSs:
-
Photosensitizers
- ROS:
-
Reactive oxygen species
- SO:
-
Singlet oxygen
- .OH:
-
Hydroxyl radical
- HOO·:
-
Hydroperoxyl radical
- O− 2 :
-
Superoxide
- BODIPY:
-
Difluoro-4-bora-3a,4a-diaza-s-indacene
- NO:
-
Nitric oxide
- NOS:
-
Nitric oxide synthase
- NF-κB:
-
Nuclear factor kappa-light-chain-enhancer of activated B cells
- DNA:
-
Deoxyribonucleic acid
- DMSO:
-
Dimethyl sulfoxide
- ATP:
-
Adenosine triphosphate
- DiR:
-
1,1′-Dioctadecyl-3,3,3′,3′-tetramethyl-indotricarbocyanine iodide
- FRET:
-
Fluorescence resonance energy transfer
- NIR:
-
Near-infrared
- DCC:
-
N,N′-Dicyclohexylcarbodiimide
- HOBt:
-
Hydroxybenzotriazole
- EDC:
-
1-Ethyl-3-(3-dimethylaminopropyl)carbodiimide
- DMAP:
-
4-Dimethylaminopyridine
- HPPH:
-
2-(1-Hexyloxyethyl)-2-devinyl pyropheophorbide-a
- PET:
-
Positron emission tomography
- TNFSF13:
-
Tumor necrosis factor ligand superfamily member 13
- LDL:
-
Low-density lipoprotein
- M2-TAMs:
-
Tumor-associated macrophages
- RIF:
-
Radiation-induced fibrosarcoma
- ABCG2:
-
ATP-binding cassette super-family G member 2
- α-MSH:
-
α-Melanocyte-stimulating hormone
- CD133:
-
Prominin-1 (surface marker of colorectal cancer)
- K6L9:
-
Peptide-Ac[D(K6L9)]NH2 (antimicrobial peptide, possessing membrane-lytic property)
- cRGD:
-
Cyclic Arg-Gly-Asp
- Lys:
-
Lysine
- Gly:
-
Glycine
- Ala:
-
Alanine
- YY1:
-
Yin Yang 1 (transcriptional repressor protein)
- RKIP:
-
Raf kinase inhibitor protein
- BAX:
-
Bcl-2-like protein 4 (apoptosis regulator)
- Bcl-2:
-
B-cell lymphoma 2 (apoptosis regulator)
- HDAC:
-
Histone deacetylase
- PSMA:
-
Prostate-specific membrane antigen
- ADP:
-
Adenosine diphosphate
- PARP:
-
Poly(ADP-ribose) polymerase
- EPR:
-
Electron paramagnetic resonance
- MR:
-
Magnetic resonance
- DTPA:
-
Diethylenetriaminepentaacetic acid
- EGFR:
-
Epidermal growth factor receptor
- VEGFR:
-
Vascular endothelial growth factor
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This research was funded by Program for Basic Research in the Russian Federation for a long-term period (2021–2030) (no. 122030100170-5).
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Korolchuk, A.M., Zolottsev, V.A. & Misharin, A.Y. Conjugates of Tetrapyrrolic Macrocycles as Potential Anticancer Target-Oriented Photosensitizers. Top Curr Chem (Z) 381, 10 (2023). https://doi.org/10.1007/s41061-023-00421-0
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DOI: https://doi.org/10.1007/s41061-023-00421-0