
Antioxidants, Journal Year: 2024, Volume and Issue: 13(12), P. 1436 - 1436
Published: Nov. 22, 2024
Photodynamic therapy (PDT) relies on the interactions between light, photosensitizers, and tissue oxygen to produce cytotoxic reactive species (ROS), primarily singlet (1O2) through Type II photochemical reactions, along with superoxide anion radicals (O2•−), hydrogen peroxide (H2O2), hydroxyl (•OH) I mechanisms. Accurate dosimetry, accounting for all three components, is crucial predicting optimizing PDT outcomes. Conventional dosimetry tracks only light fluence rate photosensitizer concentration, neglecting role of oxygenation. Reactive explicit (ROSED) quantifies reacted concentration ([ROS]rx) by measurements (rate), concentration. Here we determine oxygenation from non-invasive diffuse correlation spectroscopy (DCS) measurement tumor blood flow using a conversion factor established preclinically. In this study, have enrolled 24 pleural patients into study. Of these patients, are able obtain data 20. Explicit fluence, Photofrin concentrations were integrated ROSED model calculate [ROS]rx across multiple sites inside cavity among different patients. Large inter- intra-patient heterogeneities in observed, despite identical 60 J/cm2 doses, mean [ROS]rx,meas 0.56 ± 0.26 mM 13 21 sites, [ROS]rx,calc1 0.48 0.23 20 76 sites. This study presented first comprehensive analysis clinical mesothelioma providing valuable future based that can potentially uniform ROS thus improve efficacy Photofrin-mediated PDT.
Language: Английский