We are developing new diagnostic and therapeutic technologies for leukemia based on selective targeting of leukemia cells with gold nanoparticles and thermomechanical destruction of the tumor cells with laser-induced microbubbles. Clusters of spherical gold nanoparticles that have strong optical absorption of laser pulses at 532 nm served as nucleation sites of vapor microbubbles. The nanoparticles were targeted selectively to leukemia cells using leukemia-specific surface receptors and a set of two monoclonal antibodies. Application of a primary myeloidspecific antibody to tumor cells followed by targeting the cells with 30-nm nanoparticles conjugated with a secondary antibody (IgG) resulted in formation of nanoparticulate clusters due to aggregation of IgGs. Formation of clusters resulted in substantial decrease of the damage threshold for target cells. The results encourage development of Laser Activated Nanothermolysis as a Cell Elimination Therapy (LANCET) for leukemia. The proposed technology can be applied separately or in combination with chemotherapy for killing leukemia cells without damage to other blood cells. Potential applications include initial reduction of concentration of leukemia cells in blood prior to chemotherapy and treatment of residual tumor cells after the chemotherapy. Laser-induced bubbles in individual cells and cell damage were monitored by analyzing profile of photothermal response signals over the entire cell after irradiation with a single 10-ns long laser pulse. Photothermal microscopy was utilized for imaging formation of microbubbles around nanoparticulate clusters.

This paper is devoted to theoretical and experimental studies into the thermomechanical action of laser radiation on biological tissues. The thermal stresses and strains developing in biological tissues under the effect of pulse-periodic laser radiation are theoretically modeled for a wide range of laser pulse durations. The models constructed allow one to calculate the magnitude of pressures developing in cartilaginous and eye tissues exposed to laser radiation and predict the evolution of cavitation phenomena occurring therein. The calculation results agree well with experimental data on the growth of pressure and deformations, as well as the dynamics of formation of gas bubbles, in the laser-affected tissues. Experiments on the effect of laser radiation on the trabecular region of the eye in minipigs demonstrated that there existed optimal laser irradiation regimens causing a substantial increase in the hydraulic permeability of the radiation-exposed tissue, which can be used to develop a novel glaucoma treatment method.

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The low-temperature cavitational disruption by trains of laser pulses was demonstrated in water. The trains used in the experiment were generated by a Raman laser at a wavelength of 1626 nm. The mean value of the fragmentation threshold energy density per pulse in a train was estimated to be equal to 7.2x10(6) J/m(3). The corresponding amplitude of the negative pressure had the order of 6-7 bars at a temperature jump of only about 2 degrees C. This result opens up prospects for developing precision nonthermal cavitational laser surgery.