Safety assessment of oral photodynamic therapy in rats

Lasers Med Sci. 2013 Feb;28(2):479-86. doi: 10.1007/s10103-012-1091-6. Epub 2012 Mar 31.

Abstract

Photodynamic therapy (PDT) is based on the synergism of a photosensitive drug (a photosensitizer) and visible light to destroy target cells (e.g., malignant, premalignant, or bacterial cells). The aim of this study was to investigate the response of normal rat tongue mucosa to PDT following the topical application of hematoporphyrin derivative (Photogem®), Photodithazine®, methylene blue (MB), and poly(lactic-co-glycolic acid) (PLGA) nanoparticles loaded with MB. One hundred and thirty three rats were randomly divided in various groups: the PDT groups were treated with the photosensitizers for 10 min followed by exposure to red light. Those in control groups received neither photosensitizer nor light, and they were subjected to light exposure alone or to photosensitizer alone. Fluorescent signals were obtained from tongue tissue immediately after the topical application of photosensitizers and 24 h following PDT. Histological changes were evaluated at baseline and at 1, 3, 7, and 15 days post-PDT treatment. Fluorescence was detected immediately after the application of the photosensitizers, but not 24 h following PDT. Histology revealed intact mucosa in all experimental groups at all evaluation time points. The results suggest that there is a therapeutic window where PDT with Photogem®, Photodithazine®, MB, and MB-loaded PLGA nanoparticles could safely target oral pathogenic bacteria without damaging normal oral tissue.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Animals
  • Fluorescence
  • Glucosamine / administration & dosage
  • Glucosamine / analogs & derivatives
  • Glucosamine / pharmacology
  • Hematoporphyrin Derivative / administration & dosage
  • Hematoporphyrin Derivative / pharmacology
  • Lactic Acid / administration & dosage
  • Lactic Acid / pharmacology
  • Male
  • Methylene Blue / administration & dosage
  • Methylene Blue / therapeutic use
  • Mouth Mucosa / cytology
  • Mouth Mucosa / drug effects*
  • Mouth Mucosa / radiation effects
  • Nanoparticles / administration & dosage
  • Photochemotherapy / adverse effects*
  • Photochemotherapy / methods*
  • Photosensitizing Agents / administration & dosage*
  • Photosensitizing Agents / therapeutic use
  • Polyglycolic Acid / administration & dosage
  • Polyglycolic Acid / pharmacology
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Rats
  • Rats, Wistar

Substances

  • Photosensitizing Agents
  • Polylactic Acid-Polyglycolic Acid Copolymer
  • Polyglycolic Acid
  • N-methylglucosamine
  • Lactic Acid
  • Hematoporphyrin Derivative
  • Glucosamine
  • Methylene Blue