“…[5,6] PpIX preferentially accumulates in tumor cells resulting in the downregulation of PpIX to heme, [7,8] and, thus, is applicable to PDD and PDT as a photosensitizer. [9] ALA-induced PDD allows simultaneous visualization and treatment of malignant glioma, superficial bladder cancer, and other neoplastic diseases.…”
“…[5,6] PpIX preferentially accumulates in tumor cells resulting in the downregulation of PpIX to heme, [7,8] and, thus, is applicable to PDD and PDT as a photosensitizer. [9] ALA-induced PDD allows simultaneous visualization and treatment of malignant glioma, superficial bladder cancer, and other neoplastic diseases.…”
“…Red versus blue light illumination in hexyl 5- [3][4][5] and cellular uptake [6][7][8] compared to ALA. Following conversion of HAL to ALA by cellular esterases, the molecule enters the heme synthesis pathway and induces increased intracellular levels of the photosensitizer protoporphyrin IX (PpIX), the direct precursor of heme.…”
“…Subsequently this tumour cell line was xenografted on the flanks of Balb/c nude mice to study the uptake and retention kinetics in an in vivo system. There have been several studies using ester derivatives of 5-ALA (19)(20)(21)(22) namely hexyl-ester for PDT and PDD based on the rationale that esters are transported into cells at a faster rate. Up to date no extensive studies have been conducted using exogenous PpIX and its ester derivative PME in PDT or PDD of cancer cells.…”
Abstract. 5-Aminolevulinic acid (5-ALA) and its esters have been under intense investigation to enhance the endogenous production of protoporphyrin IX (PpIX) in tumour cells for the purpose of photodynamic diagnosis. In this study we have investigated the use of exogenous PpIX and its dimethyl ester (PME) and compared the results with endogenous PpIX produced via 5-ALA and ALA methyl ester (AME) in poorly differentiated NPC/CNE-2 nasopharyngeal carcinoma cells in both in vivo and in vitro systems. All prodrugs and photosensitizers were administered to tumour bearing balb/c nude mice either intravenously or topically. In vitro results show that 5-ALA induced more PpIX fluorescence when compared with AME in NPC/CNE-2 cells and PME showed better uptake than PpIX. In vivo results show that exogenous PpIX and PME show promise as good candidates as photosensitizers for photodynamic diagnosis as they exhibit significant selectivity between tumour tissue and normal tissue at 3 h. Modification of delivery vehicle used for application of exogenous PpIX and PME could allow for rapid uptake; better selectivity and localization of the photosensitizer.
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