High oxygen partial pressure increases photodynamic effect on HeLa cell lines in the presence of chloraluminium phthalocyanine.

Background: Photodynamic therapy (PDT) is linked with oxidative damage of biomolecules causing significant impairment of essential cellular functions that lead to cell death. It is the reason why photodynamic therapy has found application in treatment of different oncological, cardiovascular, skin and eye diseases. Efficacy of PDT depends on combined action of three components; sensitizer, light and oxygen. In the present study, we examined whether higher partial pressure of oxygen increases lethality in HeLa cell lines exposed to light in the presence of chloraluminium phthalocyanine disulfonate (ClAlPcS2). Methods: ClAlPcS2- sensitized HeLa cells incubated under different oxygen conditions were exposed to PDT. Production of singlet oxygen (102) and other forms of reactive oxygen species (ROS) as well as changes in mitochondrial membrane potential were determined by appropriately sensitive fluorescence probes. The effect of PDT on HeLa cell viability under different oxygen conditions was quantified using the standard methylthiazol tetrazolium (MIT) test. Results: At the highest oxygen concentration of 28 +/- 2 mgll HeLa cells were significantly more sensitive to light-activated ClAlPcS2 (EC50=0.29 +/- 0.05 mu M) in comparison to cells incubated at lower oxygen concentrations of 8-1-05 and 05 +/- 9.1 mg/l, where the half maximal effective concentration was 0.42 +/- 9.06 mu M and 0.94 +/- 9.14 mu M, respectively. Moreover, we found that the higher presence of oxygen is accompanied with higher production of singlet oxygen, a higher rate of type II photodynamic reactions, and a significant drop in the mitochondrial membrane potential. Conclusion: These results demonstrate that the photodynamic effect in cervical cancer cells utilizing C1A1PcS2 significantly depends on oxygen level.