Photodynamic therapy using pheophorbide and 670nm LEDs exhibits anti-cancer effects in-vitro in androgen dependent prostate cancer

Photodiagnosis Photodyn Ther. 2018 Mar:21:130-137. doi: 10.1016/j.pdpdt.2017.10.026. Epub 2017 Nov 2.

Abstract

Prostate cancer (PCa) is the third leading cause of death in men in the United States and its treatment options include surgery, anti-hormonal drugs for androgen sensitive tumors, and radiotherapy. An alternative treatment is the use of photodynamic therapy (PDT), which involves the activation of a photosensitizer by a defined wavelength of light in the presence of oxygen, generating transient concentrations of reactive oxygen species (ROS). In this study, we explored the anti-cancer potential and mechanism of action of PDT using pheophorbide (Pheo) as a photosensitizer in combination with 670nm LEDs. Our hypothesis was that Pheo-PDT combination will demonstrate anti-cancer activity against androgen dependent PCa (ADPC), suggesting an alternative and less toxic cancer treatment. Pheo-PDT demonstrated significant anti-cancer activity against ADPC in as little as 5J/cm2 with increased effects, in a Pheo concentration dependent manner. We also observed in vitro inhibition in the clonogenic potential, as well as significant inhibition of invasion and migration, implicating the anti-metastatic activity of Pheo-PDT on PCa. Furthermore, Pheo-PDT caused G0/G1 cell cycle arrest. The oncolytic activity of PDT involves the generation of ROS, and we demonstrated immediate ROS formation subsequent to Pheo-PDT as well. Mechanistic analysis suggested that the anti-cancer activity of Pheo-PDT is via ER stress, along with inhibition of important cell growth and proliferation markers. Hence, we conclude that Pheo-PDT proves to be a potential therapeutic strategy against ADPC.

Keywords: Androgen dependent prostate cancer (ADPC); Pheophorbide; Photodynamic therapy (PDT); Prostate cancer; Reactive oxygen species (ROS).

MeSH terms

  • Apoptosis / drug effects
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Chlorophyll / analogs & derivatives*
  • Chlorophyll / pharmacology
  • Humans
  • Male
  • Photochemotherapy / methods*
  • Photosensitizing Agents / pharmacology*
  • Prostatic Neoplasms / drug therapy*
  • Reactive Oxygen Species / metabolism

Substances

  • Photosensitizing Agents
  • Reactive Oxygen Species
  • Chlorophyll
  • pheophorbide a