Recent advances in photodynamic therapy for cancer and infectious diseases

Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2019 Sep;11(5):e1560. doi: 10.1002/wnan.1560. Epub 2019 May 6.

Abstract

Photodynamic therapy (PDT) is a treatment by combining light and a photosensitizer to generate reactive oxygen species (ROS) for cellular damage, and is used to treat cancer and infectious diseases. In this review, we focus on recent advances in design of new photosensitizers for increased production of ROS and in genetic engineering of biological photosensitizers to study cellular signaling pathways. A new concept has been proposed that PDT-induced acute inflammation can mediate neutrophil infiltration to deliver therapeutics in deep tumor tissues. Combination of PDT and immunotherapies (neutrophil-mediated therapeutic delivery) has shown the promising translation of PDT for cancer therapies. Furthermore, a new area in PDT is to treat bacterial infections to overcome the antimicrobial resistance. Finally, we have discussed the new directions of PDT for therapies of cancer and infectious diseases. In summary, we believe that rational design and innovations in nanomaterials may have a great impact on translation of PDT in cancer and infectious diseases. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease Therapeutic Approaches and Drug Discovery > Nanomedicine for Infectious Disease Nanotechnology Approaches to Biology > Nanoscale Systems in Biology.

Keywords: PDT; antibiotic resistance; antimicrobial therapy; cancer therapy; nanoparticles; photosensitizers.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Communicable Diseases / drug therapy*
  • Genetic Engineering
  • Humans
  • Neoplasms / drug therapy*
  • Photochemotherapy*
  • Photosensitizing Agents / chemistry
  • Photosensitizing Agents / therapeutic use
  • Reactive Oxygen Species / metabolism

Substances

  • Photosensitizing Agents
  • Reactive Oxygen Species