Published online Mar 15, 2024. doi: 10.4251/wjgo.v16.i3.968
Peer-review started: October 8, 2023
First decision: December 2, 2023
Revised: December 23, 2023
Accepted: January 19, 2024
Article in press: January 19, 2024
Published online: March 15, 2024
Processing time: 156 Days and 8.3 Hours
Traditional treatments for pancreatic cancer (PC) are inadequate. Photodynamic therapy (PDT) is a non-invasive technology proven safe to kill cancer cells, including PC, but subcellular concentration of the photosensitizer to the mitochondria is key.
This study investigated the distribution of fluorescence of verteporfin in PC cells treated with antitumor drugs.
This preliminary in vitro study was to investigate the effectiveness of the photosensitizer verteporfin in human PC cells, and tested whether its use in combination with other common treatments is viable.
Workable survival rates of PC cells were determined with chemotherapy and non-chemotherapy drugs in vitro, with or without verteporfin, as measured via MTT, flow cytometry, and laser confocal microscopy. Confocal laser microscopy allowed observation of gemcitabine (GEM)- and verteporfin-treated PC cells co-stained with 4’,6-diamidino-2-phenylindole and MitoTracker Green to differentiate living and dead cells and subcellular localization of verteporfin, respectively.
Cell survival significantly dropped upon exposure to either chemotherapy drug, but not to sirolimus or cetuximab. Both cell lines responded similarly to GEM. Additional experiments using GEM showed that survival rates of the PC cells treated with 10 μmol/L verteporfin (but not lesser concentrations) were significantly lower relative to nil verteporfin. After GEM treatment, verteporfin was observed primarily in the mitochondria.
Verteporfin was observed in living cells. In GEM-treated human PC cells, verteporfin was particularly prevalent in the mitochondria. This study supports further study of PDT for the treatment of PC after neoadjuvant chemotherapy.
In the future, more study can be investigated in using PDT in the comprehensive treatment of PC after neoadjuvant chemotherapy.