Photofrin-mediated photodynamic therapy of chemically-induced premalignant lesions and squamous cell carcinoma of the palatal mucosa in rats

Int J Oral Maxillofac Surg. 1997 Jun;26(3):223-31. doi: 10.1016/s0901-5027(97)80825-9.

Abstract

Photodynamic therapy (PDT), an experimental cancer therapy, was studied in an animal model of chemically-induced epithelial dysplasia and squamous cell carcinoma. PDT was performed 24 hours after i.v. injection of 2.5 mg/kg bw Photofrin, and using 100 J/cm2 incident light at two activation wavelengths (514.5 nm or 625 nm). Two days after PDT, the majority of rats macroscopically showed a marked erythema of the entire palatal region. Microscopically all the rats showed oedema, haemorrhage, and necrosis of the epithelium of the intermolar area. The long-term results were not so favourable. No evidence of disease was found in 6 out of 20 rats in the 514.5 nm group and in 2 out of 20 rats in the 625 nm treated group. Epithelial dysplasia was found in 14 out of 20 rats in the 514.5 nm group, and in 18 out of 20 rats of the 625 nm treated group. Squamous cell carcinomas were found in 4 out of 20 rats treated with 514.5 nm and in 7 out of 20 rats in the 625 nm treated groups. Comparing both treatment wavelengths, better results were obtained in the 514.5 nm groups as this wavelength gave less normal tissue damage. Based on the results of this study the application of PDT for the treatment of field cancerization and squamous cell carcinoma of the oral cavity, is discussed.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • 4-Nitroquinoline-1-oxide / adverse effects
  • Animals
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use*
  • Carcinogens / adverse effects
  • Carcinoma, Squamous Cell / chemically induced
  • Carcinoma, Squamous Cell / drug therapy*
  • Disease Models, Animal
  • Edema / pathology
  • Erythema / pathology
  • Hematoporphyrin Derivative / administration & dosage
  • Hematoporphyrin Derivative / therapeutic use*
  • Injections, Intravenous
  • Longitudinal Studies
  • Male
  • Mouth Diseases / pathology
  • Mouth Mucosa / pathology
  • Necrosis
  • Oral Hemorrhage / pathology
  • Palatal Neoplasms / chemically induced
  • Palatal Neoplasms / drug therapy*
  • Palate / pathology
  • Photochemotherapy*
  • Photosensitizing Agents / administration & dosage
  • Photosensitizing Agents / therapeutic use*
  • Precancerous Conditions / chemically induced
  • Precancerous Conditions / drug therapy*
  • Rats
  • Rats, Wistar

Substances

  • Antineoplastic Agents
  • Carcinogens
  • Photosensitizing Agents
  • 4-Nitroquinoline-1-oxide
  • Hematoporphyrin Derivative