Chinese Journal of Lasers, Volume. 49, Issue 5, 0507101(2022)

Recent Progress in Photodynamic Therapy: From Fundamental Research to Clinical Applications

Buhong Li1、*, Tianlong Chen1, Li Lin1, Bing Chen2, Haixia Qiu3, and Ying Gu3
Author Affiliations
  • 1MOE Key Laboratory of Optoelectronic Science and Technology for Medicine, Fujian Provincial Key Laboratory for Photonics Technology, Fujian Normal University, Fuzhou, Fujian 350117, China
  • 2Fuzhou Tucsen Photonics Co., Ltd., Fuzhou, Fujian 350007, China
  • 3Department of Laser Medicine, First Medical Center, Chinese PLA General Hospital, Beijing 100039, China
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    Figures & Tables(12)
    PDT-relative publications
    Main research topics in PDT
    Novel photosensitizers for PDT
    Irradiation sources for PDT
    Approaches against hypoxia during PDT treatment
    Synergistic strategies for enhanced PDT
    Three key components in PDT
    Clinical PDT treatment for different diseases
    Monitoring dosimetric parameters for pre-,during-,and post-PDT
    • Table 1. Photosensitizers with clinical approval or under clinical trials

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      Table 1. Photosensitizers with clinical approval or under clinical trials

      GenerationPhotosensitizerIndicationState
      FirstPhotofrin® (Porfimer sodium)Esophageal cancer, lung cancer, microinvasive endobronchial cancer, gastric and papillary bladder, cervical dysplasia, and cancerClinically approved
      HiPorfinEsophageal cancer, lung cancer, bladder cancer, oral cancer, and skin cancer
      HemoporfinPort wine stain
      SecondFoscan® (Temoporfin)Approved: head and neck cancerClinically approved
      Preclinical testing: breast and pancreatic cancer
      Visudyne® (Verteporfin)Age-related macular degeneration
      Laserphyrin®/NPe6/Talaporfin (Chlorin m-THPC)Approved: early lung cancer
      Clinical trials: hepatocellular cancer and liver metastasis
      Levulan® (Protoporphyrin)Actinic keratosis
      Metvix®/Metvixia® (Protoporphyrin)Actinic keratosis and basal cell carcinoma
      Photochlor (HPPH)BCC, lung, head, and neck cancers
      Ameluz®/Levulan®(5-ALA)Approved: actinic keratosis
      Clinical trials: brain
      5-ALACondyloma acuminatum
      Tookad® (Pheophorbides)Prostate cancer
      Redaporfin®Biliary tract cancer, head, and neck
      Purlytin®Metastatic breast, cancer, AIDS-related Kaposi’s sarcoma, and basal cell carcinomasUnder clinical trials
      Lutrin® and Lutex® (metalloporphyrins)Clinicaltrials: recurrent prostate cancer and cervical cancer
      Preclinical testing: recurrent breast cancer
      PhotrexAge-related macular degeneration
      AntrinCoronary artery disease
      FotolonNasopharyngeal and sarcoma
      RadachlorinSkin diseases
      HypericinBladder cancer and nasopharyngeal cancer
      Chalcogenopyrylium dyesProstate cancer, breast cancer, and colon cancer
      Phenothiazinium dye-methylene BlueBladder cancer, colon cancer, and AIDS-related Kaposi’s sarcoma
      Phenothiazinium dye-Nile blue and derivativesAIDS-related Kaposi’s sarcoma and T-cell leukemia
      Phenothiazinium dye-toluidine BlueBladder cancer and mouse mammary sarcoma
      CyaninesLeukemia and lymphoma
      ADPM06Breast cancer and mouse lung cancer
      PhotocynineEsophageal carcinoma
      DVDMSEsophageal cancer
      ThirdFunctional photosensitizerBeing developed
    • Table 2. Irradiation sources for PDT and their wavelengths

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      Table 2. Irradiation sources for PDT and their wavelengths

      Irradiation sourceMechanical waveX-rayUVVisible light (400700 nm)NIR-Ⅰ (700900 nm)NIR-Ⅱ (10001700 nm)
      Day-light
      Broad-spectrum lamp
      Laser
      LED
      Self-excitation source
      X-ray source
      Acoustic wave source
    • Table 3. Optical techniques for monitoring dosimetric parameters in PDT

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      Table 3. Optical techniques for monitoring dosimetric parameters in PDT

      Dosimetry modelDosimetric factorOptical technique
      Explicit dosimetryPhotosensitizerAbsorbanceAbsorption spectroscopy
      Concentration/distributionFluorescence spectroscopy
      Hyperspectral imaging
      Irradiation lightFluence rateFlat and isotropic detectors
      Fluence
      Molecule oxygenOxygen saturationDiffuse optical spectroscopy
      Spatial frequency domain imaging
      Oxygen partial pressureOxygen-sensitive probes
      Implicit dosimetryPhotosensitizer photobleachingConcentration/distributionFluorescence spectroscopy
      Delayed fluorescence
      Biological responseCell deathApoptosisMolecular biomarkers
      Necrosis
      Paraptosis
      Autophagy
      Vascular damageBlood flowLaser Doppler flowmetry
      Laser Doppler imaging
      Laser speckle imaging
      Doppler OCT
      Photoacoustic imaging
      Blood vessel diameterOptical coherence tomography
      Spatial frequency domain imaging
      Reflectance confocal microscopy
      Immune modulationMolecular biomarkers
      Other indicatorNADH fluorescenceFluorescence lifetime imaging
      Direct dosimetrySinglet oxygenConcentration/distribution,Time-resolved luminescence
      Chemical probes
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    Buhong Li, Tianlong Chen, Li Lin, Bing Chen, Haixia Qiu, Ying Gu. Recent Progress in Photodynamic Therapy: From Fundamental Research to Clinical Applications[J]. Chinese Journal of Lasers, 2022, 49(5): 0507101

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    Paper Information

    Received: Jan. 1, 2022

    Accepted: Jan. 27, 2022

    Published Online: Mar. 9, 2022

    The Author Email: Li Buhong (bhli@fjnu.edu.cn)

    DOI:10.3788/CJL202249.0507101

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