Photosensitizers for Photodynamic Therapy

Adv Healthc Mater. 2019 Jul;8(13):e1900132. doi: 10.1002/adhm.201900132. Epub 2019 May 8.

Abstract

As an emerging clinical modality for cancer treatment, photodynamic therapy (PDT) takes advantage of the cytotoxic activity of reactive oxygen species (ROS) that are generated by light irradiating photosensitizers (PSs) in the presence of oxygen (O2 ). However, further advancements including tumor selectivity and ROS generation efficiency are still required. Substantial efforts are devoted to design and synthesize smart PSs with optimized properties for achieving a desirable therapeutic efficacy. This review summarizes the recent progress in developing intelligent PSs for efficient PDT, ranging from single molecules to delicate nanomaterials. The strategies to improve ROS generation through optimizing photoinduced electron transfer and energy transfer processes of PSs are highlighted. Moreover, the approaches that combine PDT with other therapeutics (e.g., chemotherapy, photothermal therapy, and radiotherapy) and the targeted delivery in cancer cells or tumor tissue are introduced. The main challenges for the clinical application of PSs are also discussed.

Keywords: photodynamic therapy; photosensitizers; photothermal therapy.

Publication types

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

MeSH terms

  • Coordination Complexes / chemistry
  • Coordination Complexes / therapeutic use
  • Humans
  • Metal-Organic Frameworks / chemistry
  • Metal-Organic Frameworks / therapeutic use
  • Nanostructures / chemistry
  • Nanostructures / therapeutic use
  • Neoplasms / drug therapy*
  • Neoplasms / pathology
  • Photochemotherapy
  • Photosensitizing Agents / chemistry
  • Photosensitizing Agents / therapeutic use*
  • Polymers / chemistry
  • Polymers / therapeutic use
  • Porphyrins / chemistry
  • Porphyrins / therapeutic use
  • Reactive Oxygen Species / metabolism

Substances

  • Coordination Complexes
  • Metal-Organic Frameworks
  • Photosensitizing Agents
  • Polymers
  • Porphyrins
  • Reactive Oxygen Species