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Photodynamic therapy – mechanisms, photosensitizers and combinations
Abstract
Photodynamic therapy (PDT) is a modern and non-invasive form of therapy, used in the treatment of non-oncological diseases as well as cancers of various types and locations. It is based on the local or systemic application of a photosensitive compound - the photosensitizer, which is accumulated in pathological tissues. The photosensitizer molecules absorb the light of the appropriate wavelength, initiating the activation processes leading to the selective destruction of the inappropriate cells. The photocytotoxic reactions occur only within the pathological tissues, in the area of photosensitizer distribution, enabling selective destruction. Over the last decade, a significant acceleration in the development of nanotechnology has been observed. The combination of photosensitizers with nanomaterials can improve the photodynamic therapy efficiency and eliminate its side effects as well. The use of nanoparticles enables achievement a targeted method which is focused on specific receptors, and, as a result, increases the selectivity of the photodynamic therapy. The object of this review is the anticancer application of PDT, its advantages and possible modifications to potentiate its effects.
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“PDT can produce ROS that induce tumor cell death by stimulating photosensitizers with specific wavelengths of therapeutic light [101–103].”
From Nanosensitizer-assisted sonodynamic therapy for breast cancer (2025) · cites this paper as [101]
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“Novel noninvasive physical approaches with few toxic adverse effects have been used to eliminate GBM cells in translational studies, including photothermal therapy(PTT) (120, 124), photodynamic therapy(PDT) (140), and sonodynamic therapy (SDT) (116).”
BackgroundInfluentialAdvances in Antitumor Nano-Drug Delivery Systems of 10-Hydroxycamptothecin
Chen, Y., Wang, Z., Wang, X., Su, M., Xu, F., Yang, L., Jia, L., & Zhang, Z. (2022) · International Journal of Nanomedicine · doi:10.2147/ijn.s377149 · Cited by 46
“In addition to light triggering, the development of photosensitizers activated by specific triggers such as enzyme-activated has received much attention.(55,56) Lu et al synthesized a cathepsin B-activated photosensitizer, further PEGylated and modified with tumor cell-targeting peptide cRGD and used as a nanocarrier…”
BackgroundLight hybrid micro/nano-robots: From propulsion to functional signals
Gao, Y., Xiong, Z., Wang, J., Tang, J., & Li, D. (2022) · Nano Research · doi:10.1007/s12274-022-4119-7 · Cited by 41
“For example, a multifunctional magnetic spore (Mag-Spore) was developed with Fe3O4 nanoparticles and carbon quantum dots functionalization for magnetic actuation and fluorescence imaging respectively [128].”
BackgroundBiocompatible Nanocarriers for Enhanced Cancer Photodynamic Therapy Applications
Kumar, S. S. D., & Abrahamse, H. (2021) · Pharmaceutics · doi:10.3390/pharmaceutics13111933 · Cited by 31
Recombinant immunotoxins development for HER2-based targeted cancer therapies
Mahmoudi, R., Dianat‐Moghadam, H., Poorebrahim, M., Siapoush, S., Poortahmasebi, V., Salahlou, R., & Rahmati, M. (2021) · Cancer Cell International · doi:10.1186/s12935-021-02182-6 · Cited by 34
Medicinal Applications of Coordination Complexes
Mohammed, H., & Tripathi, V. (2020) · Journal of Physics, Conference Series · doi:10.1088/1742-6596/1664/1/012070 · Cited by 31
Photodynamic inactivation of Streptococcus mutans by curcumin in combination with EDTA
Nima, G., Soto‐Montero, J. R., Alves, L. A., Mattos‐Graner, R. O., & Giannini, M. (2020) · Dental Materials · doi:10.1016/j.dental.2020.09.015 · Cited by 30
Sinoporphyrin sodium is a promising sensitizer for photodynamic and sonodynamic therapy in glioma
An, Y.-W., Liu, H.-Q., Zhou, Z.-Q., Wang, J.-C., Jiang, G.-Y., Li, Z.-W., Wang, F., & Jin, H. (2020) · Oncology Report · doi:10.3892/or.2020.7695 · Cited by 31
“PDT is widely used in dermatology, pulmonology, urology, and ophthalmology (1).”
BackgroundMartins, T. D., Lima, E., Boto, R. E., Ferreira, D. P., Fernandes, J. R., Almeida, P., Ferreira, L. F. V., Silva, A. M., & Reis, L. V. D. (2020) · Materials · doi:10.3390/ma13092083 · Cited by 36
“Photodynamic therapy is a successful and clinically approved medical technique used in the treatment of oncological and non-oncological diseases [1,2], which is based on the interaction between a photosensitizer compound, light stimuli and molecular oxygen [3].”
BackgroundLima, E., Ferreira, O., Silva, J., Santos, A. O., Boto, R. E. F., Fernandes, J. R., Almeida, P., Silvestre, S., & Reis, L. (2020) · doi:10.1016/j.dyepig.2019.108024 · Cited by 31
Enzyme-Assisted Photodynamic Therapy Based on Nanomaterials
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VHH-Photosensitizer Conjugates for Targeted Photodynamic Therapy of Met-Overexpressing Tumor Cells
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“These factors combined can result in off-target toxicity and long lasting photosensitivity [2,3].”
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Photodynamic Inactivation of Staphylococcus aureus Using Aloe-emodin as Photosensitizer.
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Starch-based films doped with porphyrinoid photosensitizers for active skin wound healing
Lopes, P., Joaquinito, A. S. M., Ribeiro, A., Moura, N. M. M., Gomes, A. T. P. C., Guerreiro, S. G., Faustino, M. A. F., Almeida, A., Ferreira, P. C. N., Coimbra, M. A., et al. (2023) · Carbohydrate Polymers · doi:10.1016/j.carbpol.2023.120894 · Cited by 44
A review on the research progress on non-pharmacological therapy of Helicobacter pylori
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Gold Nanoparticles for Photothermal and Photodynamic Therapy
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Advances in phototherapy for infectious diseases
Lu, M., Li, S., Liu, Y., Xu, B., Liu, S., Zhang, J., Zhou, D., & Liu, H. (2024) · Nano Today · doi:10.1016/j.nantod.2024.102327 · Cited by 34
Insight into the Crosstalk between Photodynamic Therapy and Immunotherapy in Breast Cancer
Jin, H., Liao, S., Yao, F., Li, J., Xu, Z., Zhao, K., Xu, X., & Sun, S. (2023) · Cancers · doi:10.3390/cancers15051532 · Cited by 28
“Recent studies have suggested that some types of necrosis may be mediated by specific signaling pathways [109,110].”
BackgroundNkune, N. W., & Abrahamse, H. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24032656 · Cited by 34
“Despite their extensive application in PDT, these PSs are limited by poor tumor targeting abilities, low chemical purity, dark cytotoxicity, poor absorption and tissue penetration of light due to their strong absorption at short wavelengths (>650 nm), as well as their delayed elimination from healthy tissues [5,24,25].”
BackgroundInfluentialMultifunctional 3D-printed bioceramic scaffolds: Recent strategies for osteosarcoma treatment
Liu, X., Liu, Y., Qiang, L., Ya, R., Lin, Y., Li, H., Chen, Q., Gao, S., Yang, X., Zhang, C., et al. (2023) · Journal of Tissue Engineering · doi:10.1177/20417314231170371 · Cited by 30
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Host-guest complexes - boosting the performance of photosensitizers.
Sowa, A., & Voskuhl, J. (2020) · International journal of pharmaceutics · doi:10.1016/j.ijpharm.2020.119595 · Cited by 29
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Photo-induced protein oxidation: mechanisms, consequences and medical applications
Fuentes-Lemus, E., & López-Alarcón, C. (2020) · Essays in Biochemistry · doi:10.1042/ebc20190044 · Cited by 29
Metal organic framework modulated nanozymes tailored with their biomedical approaches
Sarangi, M. K., Patel, L. D., Rath, G., Nanda, S. S., & Yi, D. K. (2023) · Chinese Chemical Letters · doi:10.1016/j.cclet.2023.109381 · Cited by 29
Elucidating Berberine’s Therapeutic and Photosensitizer Potential through Nanomedicine Tools
Marques, C., Fernandes, M. H., & Lima, S. A. C. (2023) · Pharmaceutics · doi:10.3390/pharmaceutics15092282 · Cited by 29
“For instance, for cutaneous application, a range between 600 and 800 nm should be considered, while for dentistry application, lower wavelengths which are less tissue-penetrating can be used [103].”
BackgroundResearch progress on reactive oxygen species production mechanisms in tumor sonodynamic therapy
Dong, H.-Q., Fu, X.-F., Wang, M., & Zhu, J. (2023) · World Journal of Clinical Cases · doi:10.12998/wjcc.v11.i22.5193 · Cited by 29
Progress of polymer-based strategies in fungal disease management: Designed for different roles
Wu, S., Guo, W., Li, B., Zhou, H., Meng, H., Sun, J., Li, R., Guo, D., Zhang, X., Li, R., et al. (2023) · Frontiers in Cellular and Infection Microbiology · doi:10.3389/fcimb.2023.1142029 · Cited by 32
“Similar to the antifungal drugs, a large number of classic PSs such as phthalocyanines (Pcs) and protoporphyrin (Pp) are hydrophobic, and their aggregation in an aqueous medium significantly reduces the photoactivity (Kwiatkowski et al., 2018).”
BackgroundA multi-stimuli responsive alginate nanogel for anticancer chemo-photodynamic therapy
Pillarisetti, S., Vijayan, V., Jayakumar, R., Bardhan, R., Uthaman, S., & Park, I. (2023) · Journal of Industrial and Engineering Chemistry · doi:10.1016/j.jiec.2023.03.053 · Cited by 33
Antimicrobial photodynamic therapy and the advances impacted by the association with nanoparticles
Fabio, G., Martin, B. A., Dalmolin, L. F., & Lopez, R. (2023) · Journal of Drug Delivery Science and Technology · doi:10.1016/j.jddst.2022.104147 · Cited by 28
Anthracene-Bridged Photosensitizers for Effective and Safe Photodynamic Therapy
Gao, J., Yang, H., Lu, Y.-R., Shi, Q.-Q., Xu, S.-D., Wu, W.-B., Hu, F., & Liu, B. (2023) · Chemistry of Materials · doi:10.1021/acs.chemmater.2c03274 · Cited by 28
Plasmonic nanomaterials: A versatile phototheranostic platform of cancers
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Photosensitizers Based on G-Quadruplex Ligand for Cancer Photodynamic Therapy
Kawauchi, K., Urano, R., Kinoshita, N., Kuwamoto, S., Torii, T., Hashimoto, Y., Taniguchi, S., Tsuruta, M., & Miyoshi, D. (2020) · Genes · doi:10.3390/genes11111340 · Cited by 41
“Additionally, the important properti s f photosensitiz rs that need t be considered include low toxicity in the absence of photo-irradiation and high accumulation rate in ancer tissues (Figure 1) [8,9].”
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Holca, A., Cucuiet, V., Aștilean, S., de la Chapelle, M. L., & Focșan, M. (2025) · RSC Advances · doi:10.1039/d4ra09100k · Cited by 27
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Nanoparticle-mediated immunogenic cell death for cancer immunotherapy
Qi, H., Li, Y., Geng, Y., Wan, X., & Cai, X. (2024) · International Journal of Pharmaceutics · doi:10.1016/j.ijpharm.2024.124045 · Cited by 30
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Understanding the Photodynamic Therapy Induced Bystander and Abscopal Effects: A Review
Moloudi, K., Sarbadhikary, P., Abrahamse, H., & George, B. P. A. (2023) · Antioxidants · doi:10.3390/antiox12071434 · Cited by 29
“Until recently, it was widely believed that the mechanisms of action of PDT were mediated by the direct intracellular generation of ROS, which induces a plethora of direct cellular effects such as abnormal cell death, tumor vasculature damage, and the activation of both innate and adaptive immune responses against tum…”
BackgroundFast Fabrication of Multifunctional PCL/Curcumin Nanofibrous Membranes for Wound Dressings
Teodoro, K. B. R., Alvarenga, A. D., Oliveira, L. F. R., Chagas, P. A. M., Lopes, R. G., André, R. S., Mercante, L. A., Alves, F., Stringasci, M. D., Buzzá, H. H., et al. (2023) · ACS Applied Bio Materials · doi:10.1021/acsabm.3c00177 · Cited by 28
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“In the presence of molecular oxygen, the activated PS, through cascades of photochemical reactions, initiates the selective destruction of tumor and adjacent blood vessels [42,43].”
BackgroundLight-Triggered Polymersome-Based Anticancer Therapeutics Delivery
Becerra, E. H., Quinchía, J., Castro, C. I., & Orozco, J. (2022) · Nanomaterials · doi:10.3390/nano12050836 · Cited by 38
Research progress of tumor targeted drug delivery based on PD-1/PD-L1
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Photodynamic Therapy-Mediated Immune Responses in Three-Dimensional Tumor Models
Nkune, N. W., Simelane, N. W. N., Montaseri, H., & Abrahamse, H. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222312618 · Cited by 29
“Photoexcitation of a mitochondrion-localized PS triggers the release of cytochrome C, which in turn activates apoptosis caspase [74].”
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Metal-organic frameworks for diagnosis and therapy of infectious diseases
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“Photodynamic therapy (PDT), based both on photosensitizers (PS) or the activation of light-absorbing molecules (drugs), can be used to treat infectious diseases (Kwiatkowski et al. 2018).”
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Biological membrane derived nanomedicines for cancer therapy
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Metadata
- Authors
- Kwiatkowski, S., Knap, B., Przystupski, D., Saczko, J., Kędzierska, E., Knap-Czop, K., Kotlińska, J., Michel, O., Kotowski, K., & Kulbacka, J.
- Affiliations
- Wroclaw Medical University (PL)
- Medical University of Lublin (PL)
- Corresponding author
- Kulbacka, Julita
- ORCID
- Venue
- Biomedicine & Pharmacotherapy
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 106
- Pages
- 1098-1107
- ISSN
- 0753-3322 (ISSN-L)
- OpenAlex
- W2884145325
- Cited by
- 2,173
- References
- 0
- Citations by year
- 2026: 192 · 2025: 360 · 2024: 404 · 2023: 362 · 2022: 340 · 2021: 272 · 2020: 174 · 2019: 61 · 2018: 7
- FWCI
- 22.96
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Biomedicine & Pharmacotherapy (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Uniwersytet Medyczny im. Piastów Slaskich we Wroclawiu
- Uniwersytet Medyczny w Lublinie
- Servier
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Photodynamic Therapy Research Studies
- Physical Sciences › Engineering › Biomedical Engineering › Nanoplatforms for cancer theranostics
- Physical Sciences › Materials Science › Materials Chemistry › Porphyrin and Phthalocyanine Chemistry
- Keywords
- photodynamic therapy, photosensitizers, photocytotoxicity, targeted drug delivery, nanoparticles, nanomaterials, combination therapy
- MeSH terms
- Animals, Drug Carriers, Humans, Neoplasms, Photochemotherapy, Drug Delivery Systems, Photosensitizing Agents, Nanomedicine, Electrochemotherapy, Nanoparticles
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