RRC ID 62780
著者 Nishimura M, Murayama Y, Harada K, Kamada Y, Morimura R, Ikoma H, Ichikawa D, Fujiwara H, Okamoto K, Otsuji E.
タイトル Photodynamic Diagnosis of Hepatocellular Carcinoma Using 5-Aminolevulinic Acid.
ジャーナル Anticancer Res
Abstract UNLABELLED:Backgtound/Aim: Since hepatocellular carcinoma (HCC) has a high recurrence rate, accurate diagnosis of its location and curative resection is important to improve survival. This study evaluated the utility of photodynamic diagnosis (PDD) using 5-aminolevulinic acid (5-ALA) for HCC.
MATERIALS AND METHODS:We used two human hepatoma cell lines (HuH-7 and Hep G2). Cells were treated with 5-ALA for 4 h. 5-ALA-induced fluorescence was then examined under a fluorescence microscope. We designed hepatoma mouse models, with mice receiving an intraperitoneal injection of 5-ALA. After 4 h, their liver tumors were removed and examined under a fluorescence microscope. We also analyzed 12 HCC patients who underwent curative liver resection. The patients were administered 5-ALA orally before surgery. The excised livers were sectioned and examined by fluorescence microscopy.
RESULTS:In vitro and in vivo, red fluorescence of protoporphyrin IX (PpIX) was observed in tumors. In 11 of 12 patients, red fluorescence was observed in their HCC. The tumor of only one patient did not exhibit red fluorescence because it had been necrosed by transcatheter arterial chemoembolization (TACE).
CONCLUSION:Red fluorescence of PpIX was observed in hepatoma cells, tumors of HCC mouse models and HCC of patients. PDD of HCC using 5-ALA is simple and may be useful for real-time diagnosis during liver resection.
巻・号 36(9)
ページ 4569-74
公開日 2016-9-1
DOI 10.21873/anticanres.11005
PII 36/9/4569
PMID 27630297
MeSH Aged Aminolevulinic Acid / chemistry* Animals Carcinoma, Hepatocellular / drug therapy* Cell Line, Tumor Embolization, Therapeutic Female Hep G2 Cells Humans Liver / surgery Liver Neoplasms / drug therapy* Male Mice Mice, Inbred BALB C Mice, Nude Microscopy, Fluorescence Middle Aged Photochemotherapy / methods Photosensitizing Agents / chemistry* Protoporphyrins / chemistry
IF 1.994
リソース情報
ヒト・動物細胞 HuH-7 Hep G2