Topical ALA–PDT modifies neutrophils’ chemiluminescence, lymphocytes’ interleukin-1beta secretion and serum level of transforming growth factor beta1 in patients with nonmelanoma skin malignancies
Abstract
Background Photodynamic therapy (PDT) has been recognized as a noninvasive therapeutic approach for the effective treatment of tumors. It has been shown in studies conducted on malignant cell lines and various animal tumor models, that the interaction of photosensitizing substances with light leads to the release of cytotoxic substances and stimulates the immune response. Purpose The aim of our study was to analyze the immune system response in patients undergoing photodynamic therapy due to basal cell carcinoma (BCC). Methods Patients with skin malignancies have been treated by 10% delta-aminolevulinic acid (ALA) (Medac GmbH, Wedel, Germany) topically and light from a diode laser. Blood samples were obtained from each patient twice in the same day: before and 4h after photodynamic treatment procedure. In patients' serum the concentration of transforming growth factor beta1 (TGF-β1) was determined. Additionally the study has been conducted on lymphocytes and granulocytes from peripheral blood. In cell culture supernatants the concentration of interleukin 1beta (IL-1β), interleukin 2 (IL-2), interleukin 6 (IL-6), tumor necrosis factor alpha (TNFα), the percentile composition of patients' lymphocytes and the chemiluminescence of neutrophils have been measured. Results We have observed a significant increase (p=0.015) in the intensity of the neutrophil chemiluminescence and significant diminution (p=0.006) of IL-1β concentration in supernatants. Similarly the serum level of TGF-β1 has been significantly decreased (p<0.001). Conclusion It is very likely that human immune system activity is modified by topical ALA-PDT and may potentially contribute to its final outcome.
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ALA-PDT not only directly kills tumor cells but also elicits potent immune responses with important implications in the long-term therapeutic outcome.
“ALA-PDT not only directly kills tumor cells but also elicits potent immune responses with important implications in the long-term therapeutic outcome.”
From 5-Aminolevulinic Acid as a Theranostic Agent for Tumor Fluorescence Imaging and Photodynamic Therapy (2023) · cites this paper as [150]
ALA-PDT induces the release of inflammatory cytokines such as TNFα, which promotes the infiltration of polymorphonuclear cells particularly neutrophils that can kill tumor cells directly by ROS release and indirectly by the subsequent antitumor immunity.
“It induces the release of inflammatory cytokines such as TNFα, which promotes the infiltration of polymorphonuclear cells particularly neutrophils that can kill tumor cells directly by ROS release and indirectly by the subsequent antitumor immunity [149,150,151].”
From 5-Aminolevulinic Acid as a Theranostic Agent for Tumor Fluorescence Imaging and Photodynamic Therapy (2023) · cites this paper as [150]
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- Authors
- Adamek, M., Kawczyk-Krupka, A., Mostowy, A., Czuba, Z., Krol, W., Kasperczyk, S., Jakobisiak, M., Golab, J., & Sieron, A.
- Affiliations
- Medical University of Silesia (PL)
- Corresponding author
- Adamek, Mariusz
- Venue
- Photodiagnosis and Photodynamic Therapy
- Publisher
- Elsevier BV
- Published
- 2005-03
- Volume
- 2
- Issue
- 1
- Pages
- 65-72
- ISSN
- 1572-1000 (ISSN-L)
- OpenAlex
- W2082560775
- Cited by
- 19
- References
- 40
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 1 · 2020: 3 · 2018: 1 · 2015: 2
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Photodiagnosis and Photodynamic Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Photodynamic Therapy Research Studies
- Health Sciences › Medicine › Epidemiology › Nonmelanoma Skin Cancer Studies
- Physical Sciences › Engineering › Biomedical Engineering › Nanoplatforms for cancer theranostics
- Keywords
- photodynamic therapy, non-melanoma skin cancer, basal cell carcinoma, neutrophil chemiluminescence, IL-1β, TGF-β1, immune response, diode laser
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