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2015 ; 16
(9
): 20523-59
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Photodynamic Efficiency: From Molecular Photochemistry to Cell Death
#MMPMID26334268
Bacellar IO
; Tsubone TM
; Pavani C
; Baptista MS
Int J Mol Sci
2015[Aug]; 16
(9
): 20523-59
PMID26334268
show ga
Photodynamic therapy (PDT) is a clinical modality used to treat cancer and
infectious diseases. The main agent is the photosensitizer (PS), which is excited
by light and converted to a triplet excited state. This latter species leads to
the formation of singlet oxygen and radicals that oxidize biomolecules. The main
motivation for this review is to suggest alternatives for achieving
high-efficiency PDT protocols, by taking advantage of knowledge on the chemical
and biological processes taking place during and after photosensitization. We
defend that in order to obtain specific mechanisms of cell death and maximize PDT
efficiency, PSes should oxidize specific molecular targets. We consider the role
of subcellular localization, how PS photochemistry and photophysics can change
according to its nanoenvironment, and how can all these trigger specific cell
death mechanisms. We propose that in order to develop PSes that will cause a
breakthrough enhancement in the efficiency of PDT, researchers should first
consider tissue and intracellular localization, instead of trying to maximize
singlet oxygen quantum yields in in vitro tests. In addition to this, we also
indicate many open questions and challenges remaining in this field, hoping to
encourage future research.