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A light in multidrug resistance: Photodynamic treatment of multidrug-resistant tumors

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Journal of Biomedical Science

Abstract

The major drawback of cancer chemotherapy is the development of multidrug-resistant (MDR) tumor cells, which are cross-resistant to a broad range of structurally and functionally unrelated agents, making it difficult to treat these tumors. In the last decade, a number of authors have studied the effects of photodynamic therapy (PDT), a combination of visible light with photosensitizing agents, on MDR cells. The results, although still inconclusive, have raised the possibility of treating MDR tumors by PDT. This review examines the growing literature concerning the responses of MDR cells to PDT, while stressing the need for the development of new photosensitizers that possess the necessary characteristics for the photodynamic treatment of this class of tumor.

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References

  1. Blum MF: Photodynamic Action and Diseases Caused by Light. New York, Reinhold, 1941.

    Google Scholar 

  2. Capella M, Coelho AM, Menezes S. Effect of glucose on photodynamic action of methylene blue inEscherichia coli cells. Photochem Photobiol 64:205–210;1996.

    PubMed  Google Scholar 

  3. Dellinger M, Moreno G, Salet C, Tapiero H, Lampidis TJ. Cytotoxic and photodynamic effects of Photofrin on sensitive and multidrug-resistant Friend leukaemia cells. Int J Radiat Biol 62:735–741;1992.

    PubMed  Google Scholar 

  4. Diamond I, McDonagh AF, Wilson CB, Granelli SG, Nielsen S, Jaenicke R. Photodynamic therapy of tumors. Lancet ii:1175–1177;1973.

    Google Scholar 

  5. Dougherty TJ, Gomer CJ, Henderson BW, Jori G, Kessel D, Korbelik M, Moan J, Peng Q. Photodynamic therapy (review). J Natl Cancer Inst 90:889–905;1998.

    Article  PubMed  Google Scholar 

  6. Fojo AT, Akiyama S-I, Gottesman MM, Pastan I. Reduced drug accumulation in multiple drug-resistant human KB carcinoma cell lines. Cancer Res 45:3002–3007;1985.

    PubMed  Google Scholar 

  7. Ford JM, Prozialeck WC, Hait WN. Structural features determining activity of phenothiazines and related drugs for inhibition of cell growth and reversal of multidrug resistance. Mol Pharmacol 35:105–115;1989.

    PubMed  Google Scholar 

  8. Foster TH, Hartley DF, Nichols MG, Hilf R. Fluence rate effects in photodynamic therapy of multicell tumor spheroids. Cancer Res 53:1249–1254;1993.

    PubMed  Google Scholar 

  9. Gibson SL, Al-Shawi MK, Senior AE, Hile R. Inhibition of the ATPase activity of P-glycoprotein by porphyrin photosensitization of multidrug-resistant cells in vitro. Photochem Photobiol 61:390–396;1995.

    PubMed  Google Scholar 

  10. Gottesman MM, Pastan I. Biochemistry of multidrug resistance mediated by the multidrug transporter. Annu Rev Biochem 62:385–427;1993.

    Article  PubMed  Google Scholar 

  11. Gray MJ, Lipson R, Maeck JV, Parker L, Romeyn D. Use of hematoporphyrin derivative in detection and management of cervical cancer. Am J Obstet Gynecol 99:766–771;1967.

    PubMed  Google Scholar 

  12. Gulati SC, Lemoli RM, Igarashi T, Atzpodien J. Newer options for treating drug-resistant (MDR+) cancer cells using photoradiation therapy. Leuk Lymphoma 12:427–433;1994.

    PubMed  Google Scholar 

  13. Henderson BW, Dougherty TJ. How does photodynamic therapy work? Photochem Photobiol 55:145–157;1992.

    PubMed  Google Scholar 

  14. Holandino C, Capella MAM, Angluster J, Silva-Filho FC, Menezes S, Alviano C. Cell surface alterations induced by methylene blue and direct electric current inEscherichia coli. Indian J Biochem Biophys 35:284–290;1998.

    PubMed  Google Scholar 

  15. Jirsa M Jr, Poucková P, Dolezal J, Pospisil J, Jirsa M. Hyperbaric oxygen and photodynamic therapy in tumor-bearing nude mice. Eur J Cancer 27:109;1991.

    PubMed  Google Scholar 

  16. Juranka PF, Zastawny RL, Ling V. P-glycoprotein: Multidrug-resistance and a superfamily of membrane-associated transport proteins. FASEB J 3:2583–2592;1989.

    PubMed  Google Scholar 

  17. Kanofsky JR, Sima PD. Preferential cytotoxicity for multidrug-resistant K562 cells using the combination of a photosensitizer and a cyanine dye. J Photochem Photobiol B 54:136–144;2000.

    Article  PubMed  Google Scholar 

  18. Kessel D, Erickson C. Porphyrin photosensitization of multidrug resistant cell types. Photochem Photobiol 55:397–399;1992.

    PubMed  Google Scholar 

  19. Kessel D, Luo Y, Deng Y, Cang CK. The role of subcellular localization in initiation of apoptosis by photodynamic therapy. Photochem Photobiol 65:422–426;1997.

    PubMed  Google Scholar 

  20. Kessel D, Woodburn K. Selective photodynamic inactivation of a multidrug transporter by a cationic photosensitizing agent. Br J Cancer 71:306–310;1995.

    PubMed  Google Scholar 

  21. Kessel D, Woodburn K, Henderson BW, Chang CK. Sites of photodamage in vivo and in vitro by a cationic porphyrin. Photochem Photobiol 62:875–881;1995.

    PubMed  Google Scholar 

  22. Kuo MT, Bao J, Furuichi M, Yamane Y, Gomi A, Savaraj N, Masuzawa T, Ishikawa T. Frequent coexpression of MRP/GS-X pump and gamma-glutamylcysteine synthetase mRNA in drug-resistant cells, untreated tumor cells, and normal mouse tissues. Biochem Pharmacol 55:605–615;1998.

    Article  PubMed  Google Scholar 

  23. Kusuzaki K, Minami G, Takeshita H, Murata H, Hashiguchi S, Nozaki T, Ashihara T, Hirasawa Y. Photodynamic inactivation with acridine orange on a multidrug-resistant mouse osteosarcoma cell line. Jpn J Cancer Res 91:439–445;2000.

    PubMed  Google Scholar 

  24. Laustriat G. Molecular mechanisms of photosensitization. Biochimie 68:771–778;1986.

    PubMed  Google Scholar 

  25. Ledoux-Lebard. Action de la lumière sur la toxicité de l'éosine et de quelques autres substances pour les paramècies. Ann Int Pasteur 16:587–594;1902.

    Google Scholar 

  26. Li W, Zhang WJ, Ohnishi K, Yamada I, Ohno R, Hashimoto K. 5-Aminolaevulinic acid-mediated photodynamic therapy in multidrug resistant leukemia cells. J Photochem Photobiol B 60:79–86;2001.

    Article  PubMed  Google Scholar 

  27. Link EM, Carpenter RN, Hansen G:211Atmethylene blue for targeted radiotherapy of human melanoma xenografts: Dose fractionation in the treatment of cutaneous tumours. Eur J Cancer 32A:1240–1247;1996.

    Article  PubMed  Google Scholar 

  28. Lipson RL, Baldes EJ, Gray MJ. Hematoporphyrin derivative for detection and management of cancer. Cancer 20:2255–2257;1967.

    PubMed  Google Scholar 

  29. Menezes S, Capella MAM, Caldas LR. Photodynamic action of methylene blue: Repair and mutation inEscherichia coli. J Photochem Photobiol B 5:505–517;1990.

    Article  PubMed  Google Scholar 

  30. Moan J, Sommer S. Oxygen dependence of the photosensitizing effect of hematoporphyrin derivative in NHK 3025 cells. Cancer Res 45:1608–1610;1985.

    PubMed  Google Scholar 

  31. Mohr H, Bachmann B, Klein-Struckmeier A, Lambrecht B. Virus inactivation of blood products by phenothiazine dyes and light. Photochem Photobiol 65:441–445;1997.

    PubMed  Google Scholar 

  32. Müller M, Meyer C, Zaman GJR, Borst P, Scheper RJ, Mulder NH, De Vries EGE, Jansen PLM. Overexpression of the gene encoding the multidrug resistance-associated protein results in increased ATP-dependent glutathione S-conjugate transport. Proc Natl Acad Sci USA 91:13033–13037;1994.

    PubMed  Google Scholar 

  33. Müller-Breitkreutz K, Mohr H. Hepatitis C and human immunodeficiency virus RNA degradation by methylene blue/light treatment of human plasma. J Med Virol 56:239–245;1998.

    PubMed  Google Scholar 

  34. Mulroney CM, Gluck S, Ho AD. The use of photodynamic therapy in bone marrow purging. Semin Oncol 21(6 suppl 15):24–27;1994.

    Google Scholar 

  35. Orth K, Ruck A, Beck G, Stanescu A, Beger HG. Photodynamic therapy of small adenocarcinomas with methylene blue (in German). Chirurg 66:1254–1257;1995.

    PubMed  Google Scholar 

  36. Orth K, Ruck A, Stanescu A, Beger HG. Intraluminal treatment of inoperable oesophageal tumours by intralesional photodynamic therapy with methylene blue. Lancet 345:519–520;1995.

    Article  Google Scholar 

  37. Orth K, Russ D, Beck G, Ruck A, Beger HG. Photochemotherapy of experimental colonic tumours with intra-tumorally applied methylene blue. Langenbecks Arch Surg 383:276–281;1998.

    Article  PubMed  Google Scholar 

  38. Peng Q, Moan J, Nesland JM. Correlation of subcellular and intratumoral photosensitizer localization with ultrastructural features after photodynamic therapy. Ultrastruct Pathol 20:109–129;1996.

    PubMed  Google Scholar 

  39. Purkiss SF, Grahn MF, Turkish M, Macey MG, Williams NS. In vitro modulation of haematoporphyrin derivative photodynamic therapy on colorectal carcinoma multicellular spheroids by verapamil. Br J Surg 79:120–125;1992.

    PubMed  Google Scholar 

  40. Purkiss SF, Grahn MF, Williams NS. Haematoporphyrin derivative-photodynamic therapy of colorectal carcinoma, sensitized using verapamil and adriamycin. Surg Oncol 5:169–175;1996.

    PubMed  Google Scholar 

  41. Raab VO. Uber dir Wirkung fluoreszierender Stoffe auf Infusorien. Z Biol 39:524–546;1900.

    Google Scholar 

  42. Ramu A, Ramu N. Reversal of multidrug resistance by phenothiazines and structurally related compounds. Cancer Chemother 30:165–173;1992.

    Google Scholar 

  43. Ruck A, Heckelsmiller K, Akgun N, Beck G, Kunzi-Rapp K, Schick E, Steiner R. Nonlinear dynamics of intracellular methylene blue during light activation of cell cultures. Photochem Photobiol 66:837–841;1997.

    PubMed  Google Scholar 

  44. Ruck A, Kollner T, Dietrich A, Strauss W, Schneckenburger H. Fluorescence formation during photodynamic therapy in the nucleus of cells incubated with cationic and anionic water-soluble photosensitizers. J Photochem Photobiol B 12:403–412;1992.

    Article  PubMed  Google Scholar 

  45. Sattler U, Calsou P, Boiteux S, Salles B. Detection of oxidative base DNA damage by a new biochemical assay. Arch Biochem Biophys 376:26–33;2000.

    Article  PubMed  Google Scholar 

  46. Schneider JE, Price S, Maidt L, Gatteridge JMC, Floyd RA: Methylene blue plus light mediates 8-hydroxy-2′-deoxyguanosine formation in DNA preferentially over strand breakage. Nucleic Acids Res 18:631–635;1990.

    PubMed  Google Scholar 

  47. Schneider JE Jr, Tabatabaie T, Maidt L, Smith RH, Nguyen X, Pye Q, Floyd RA. Potential mechanisms of photodynamic inactivation of virus by methylene blue. I. RNA-protein cross-links and other oxidative lesions in Q beta bacteriophage. Photochem Photobiol 67:350–357;1998.

    Article  PubMed  Google Scholar 

  48. Sibata CH, Colussi VC, Oleinick NL, Kinsella TJ. Photodynamic therapy: A new concept in medical treatment. Braz J Med Biol Res 33:869–880;2000.

    Article  PubMed  Google Scholar 

  49. Sitnik TM, Hampton JA, Henderson BW. Reduction of tumor oxygenation during and after photodynamic therapy in vivo: Effects of fluence rate. Br J Cancer 77:1386–1394;1998.

    PubMed  Google Scholar 

  50. Slater LM, Sweet P, Stupecky M, Wetzel MW, Gupta S. Cyclosporin A corrects daunorubicin resistance in Ehrlich ascites carcinoma. Br J Cancer 54:235–238;1986.

    PubMed  Google Scholar 

  51. Spikes JD, Macknight ML. Photodynamic effects on molecules of biological importance: Amino acids, peptides and proteins. Res Prog Org Biol Med Chem 3:124–136;1972.

    PubMed  Google Scholar 

  52. Teiten MH, Bezdetnaya L, Merlin JL, Bour-Dill C, Pauly ME, Dicato M, Guillemin F. Effect of meta-tetra(hydroxyphenyl)chlorin (mTHPC)-mediated photodynamic therapy on sensitive and multidrug-resistant human breast cancer cells. J Photochem Photobiol B 62:146–152;2001.

    Article  PubMed  Google Scholar 

  53. Thiebaut F, Tsuruo T, Hamada H, Gottesman MM, Pastan I, Willingham MC. Cellular localization of the multidrug-resistance gene product P-glycoprotein in normal human tissues. Proc Natl Acad Sci USA 84:7735–7738;1987.

    PubMed  Google Scholar 

  54. Trindade GS, Capella MAM, Capella LS, Affonso-Mitidieri OR, Rumjanek VM. Differences in sensitivity to UVC, UCB and UVA radiation of a multidrug-resistant cell line overexpressing P-glycoprotein. Photochem Photobiol 69:694–699;1999.

    PubMed  Google Scholar 

  55. Trindade GS, Farias SLA, Rumjanek VM, Capella MAM. Methylene blue reverts multidrug resistance: Sensitivity of multidrug resistant cells to this dye and its photodynamic action. Cancer Lett 151:161–167;2000.

    Article  PubMed  Google Scholar 

  56. Tromberg BJ, Orenstein A, Kimel S, Barker SJ, Hyatt J, Nelson JS, Berns MW. In vivo tumor oxygen tension measurements for the evaluation of the efficiency of photodynamic therapy. Photochem Photobiol 52:375–385;1990.

    Article  PubMed  Google Scholar 

  57. Tsuruo T, Iida H, Tsukagoshi S, Sakurai Y. Overcoming of vincristine resistance in P388 leukemia ‘in vivo’ and ‘in vitro’ through enhanced cytotoxicity of vincristine and vinblastine by verapamil. Cancer Res 41:1967–1972;1981.

    PubMed  Google Scholar 

  58. Vandoni RE, Cuttat JF, Wicky S, Suter M: CT-guided methylene-blue labelling before thoracoscopic resection of pulmonary nodules. Eur J Cardiothorac Surg 14:265–270;1998.

    Article  PubMed  Google Scholar 

  59. Wainwright M, Phoenix DA, Burrow SM, Waring J. Cytotoxicity and adjuvant activity of cationic photosensitizers in a multidrug resistant cell line. J Chemother 11:61–68;1999.

    PubMed  Google Scholar 

  60. Weishaupt KR, Gomer CJ, Dougherty TJ. Identification of singlet oxygen as the cytotoxic agent in cancer photoinactivation of a murine tumor. Cancer Res 36:2326–2329;1976.

    PubMed  Google Scholar 

  61. Zaidi SIA, Oleinick NL, Zaim MT, Mukhtar H. Apoptosis during photodynamic therapy-induced ablation of RIF-1 tumors in C3H mice: Electron microscopic, histopathologic and biochemical evidence. Photochem Photobiol 58:771–776;1993.

    PubMed  Google Scholar 

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Capella, M.A.M., Capella, L.S. A light in multidrug resistance: Photodynamic treatment of multidrug-resistant tumors. J Biomed Sci 10, 361–366 (2003). https://doi.org/10.1007/BF02256427

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