“…Additionally, to some extent, PDT is also antagonized by cellular antioxidant defense mechanisms, including the glutathione system, manganese superoxide dismutase (Mn-SOD), catalase or lipoamide dehydrogenase (Kliukiene et al, 1997; Golab et al, 2003; Dolgachev et al, 2005; Oberdanner et al, 2005). Other mechanisms that protect tumor cells against PDT-mediated damage include stabilization of hypoxia-inducible factor alpha (Ferrario et al, 2000; Koukourakis et al, 2001), activity of antiapoptotic Bcl-2 proteins (Granville et al, 1999; Srivastava et al, 2001), induction of cyclooxygenases-2 (COX-2) (Ferrario et al, 2002; Hendrickx et al, 2003), activation of several signal transduction pathways including protein kinase C (Rasch et al, 1997), Etk/Bmx tyrosine kinase (Xue et al, 1999) or protein kinase B (PKB/Akt) (Zhuang and Kochevar, 2003).…”