No abstract

Topical PDT treatment of the common skin disease acne vulgaris is now in clinical use. Propionibacterium acnes (P. acnes) is known to play an important role in acne. 5-Aminolevulinic acid (ALA) supplementation leads to an enhanced porphyrin production in the bacteria. Subsequent illumination with light of the proper wavelengths can reduce the number of bacteria and this might at least partly explain the PDT effect on acne. We have assessed the effects of temperature on P. acnes washed cell suspensions incubated for 4 h with ALA or ALA methyl ester (m-ALA). The effect on porphyrin production of both the cell suspension incubation temperature as well as the initial growth temperature of the cultivated cells prior to harvesting and use in suspension experiments was investigated. The bacterial porphyrin content was estimated from fluorescence emission spectra. It was found that incubation with ALA or m-ALA at a temperature 42 degrees C resulted in an approx. 100% and 33% increase in the total amount of PDT-relevant porphyrins produced as compared to incubation at 37 degrees C. These results support increasing the skin temperature during incubation with ALA or m-ALA in the clinic. The initial growth temperature, prior to the incubation, had no apparent effect on the ALA or m-ALA induced porphyrins. Activation energy studies indicate slightly higher temperature dependence in the case of ALA produced porphyrins as compared to m-ALA produced porphyrins (77 and 65 kJ mol(-1), respectively).

The purpose of this study was to examine whether the dietary components n-6 and n-3 polyunsaturated fatty acids (PUFAs) may potentiate the effect of photodynamic therapy (PDT) in human cancer cell lines by enhancing the lipid peroxidation. The effects of the porphyrin precursor 5-aminolevulinic acid (5-ALA) and light (320 < lambda < 440 nm, 33 W m(-2)), with or without docosahexaenoic acid (DHA) or arachidonic acid (AA), were tested in the colon carcinoma cell lines SW480 and WiDr, the glioblastoma cell line A-172 and the lung adenocarcinoma cell line A-427. The production of endogenous protoporphyrin IX (PpIX) varied substantially between the cell lines and was approximately 4-fold higher in WiDr as compared with SW480. Cell killing by 5-ALA-PDT also varied between the cell lines, but without clear correlation with PpIX levels. Treatment with DHA or AA (10 or 70 microM, 48 or 72 h) in combination with 5-ALA-PDT (1 or 2 mM) enhanced the cytotoxic effect in A-172 and A-427 cells, but not in SW480 and WiDr cells. While 5-ALA-PDT alone increased the lipid peroxidation in A-172 and WiDr cells only, 5-ALA-PDT plus PUFAs increased the lipid peroxidation substantially in all four cell lines. Interestingly, alpha-tocopherol (50 microM, 48 h) strongly reduced lipid peroxidation after all treatments in all cell lines, while cytotoxicity was only reduced substantially in A-427 cells. This demonstrates that induction of lipid peroxidation is not a general mechanism responsible for the cytotoxicity of 5-ALA-PDT, although it may be important in cell lines with an inherent sensitivity to lipid peroxidation products. Thus, the mechanisms of cell growth inhibition/cell killing by PDT are complex and cell specific.

The effects of 50 Hz sinusoidal electric currents and magnetic fields on the Gram-positive skin bacterium Propionibacterium acnes were investigated. Intracellular free calcium ([Ca(2+)](i)), intracellular pH (pH(i)), and cell viability were examined, based on their relevance to ELF field studies and on previous studies conducted on P. acnes (UVA irradiation, photosensitization using porphyrin-based sensitizers, and broad-band red light). The [Ca(2+)](i) and the pH(i) were measured spectrofluorimetrically using the fluorescent probes fura-2 and BCECF, respectively. Sham-exposed controls were used to assess the field exposed samples. Cell suspensions were exposed to 50 Hz, 0.2 mT sinusoidal magnetic fields generated by using Helmholtz coils for up to 30 min. The estimated maximum induced electric field was 0.2 mV/m. Changes in [Ca(2+)](i) and cell viability were not detected. Ag/AgCl electrodes were used to expose cell suspensions to 50 Hz sinusoidal electric currents. The current densities were in the range 0.015-1500 A/m(2) (corresponding electric fields congruent with0.01-1000 V/m). Changes in [Ca(2+)](i) were not observed after current exposure. Current densities of 800 A/m(2) (electric field E congruent with550 V/m) were required for a 50% reduction in cell viability. Current densities greater than 800 A/m(2) were required for a reduction in pH(i). However, a pH gradient across the cell membrane (inside alkaline) was maintained even when exposure resulted in less than 0. 2% survival (1400 A/m(2), E congruent with950 V/m). Thus, dissipation of the pH gradient across the cell membrane and changes in [Ca(2+)](i) were not a consequence of cell inactivation by 50 Hz electric currents. This is in contrast to inactivation of P. acnes by UVA irradiation or photosensitization, where such changes have been obtained.

The effects of 50 Hz sinusoidal electric currents and magnetic fields on the Gram‐positive skin bacterium Propionibacterium acnes were investigated. Intracellular free calcium ([Ca2+]i), intracellular pH (pHi), and cell viability were examined, based on their relevance to ELF field studies and on previous studies conducted on P. acnes (UVA irradiation, photosensitization using porphyrin‐based sensitizers, and broad‐band red light). The [Ca2+]i and the pHi were measured spectrofluorimetrically using the fluorescent probes fura‐2 and BCECF, respectively. Sham‐exposed controls were used to assess the field exposed samples. Cell suspensions were exposed to 50 Hz, 0.2 mT sinusoidal magnetic fields generated by using Helmholtz coils for up to 30 min. The estimated maximum induced electric field was 0.2 mV/m. Changes in [Ca2+]i and cell viability were not detected. Ag/AgCl electrodes were used to expose cell suspensions to 50 Hz sinusoidal electric currents. The current densities were in the range 0.015–1500 A/m2 (corresponding electric fields ≅0.01–1000 V/m). Changes in [Ca2+]i were not observed after current exposure. Current densities of 800 A/m2 (electric field E≅550 V/m) were required for a 50% reduction in cell viability. Current densities greater than 800 A/m2 were required for a reduction in pHi. However, a pH gradient across the cell membrane (inside alkaline) was maintained even when exposure resulted in less than 0.2% survival (1400 A/m2, E≅950 V/m). Thus, dissipation of the pH gradient across the cell membrane and changes in [Ca2+]i were not a consequence of cell inactivation by 50 Hz electric currents. This is in contrast to inactivation of P. acnes by UVA irradiation or photosensitization, where such changes have been obtained. Bioelectromagnetics 21:302–311, 2000. © 2000 Wiley‐Liss, Inc.