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Photodynamic inactivation with acridine orange on a multidrug-resistant mouse osteosarcoma cell line

K Kusuzaki1, G Minami, H Takeshita

  • 1Department of Orthopaedic Surgery, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan. kusu@basic.kpu-m.ac.jp

Insights

Photodynamic therapy (PDT) using acridine orange (AO) and blue light effectively kills both drug-sensitive and multidrug-resistant (MDR) osteosarcoma cells. This suggests PDT with AO could be a promising new treatment for MDR osteosarcoma.

Area of Science:

  • Oncology
  • Biochemistry
  • Photobiology

Background:

  • Multidrug resistance (MDR) significantly worsens osteosarcoma patient outcomes.
  • Novel therapeutic strategies are urgently needed to overcome MDR in osteosarcoma.

Purpose of the Study:

  • To investigate the efficacy of photodynamic therapy (PDT) using acridine orange (AO) against multidrug-resistant (MDR) mouse osteosarcoma (MOS/ADR1) cells.
  • To compare the effects of AO-mediated PDT on MDR osteosarcoma cells versus chemosensitive osteosarcoma (MOS) cells.

Main Methods:

  • Cultured MOS and MOS/ADR1 cells were treated with varying concentrations of AO and exposed to blue light (466.5 nm) for different durations (1 or 10 minutes).
  • Cell viability was assessed using the trypan blue exclusion test.
  • AO's cellular localization was observed, noting its binding to DNA, RNA, and lysosomes.

Main Results:

  • Acridine orange demonstrated rapid binding to DNA, RNA, and lysosomes in both cell lines.
  • High concentrations of AO (≥1.0 µg/ml) combined with 10-minute blue light illumination resulted in rapid cell death (viability < 1/1000) within 48 hours for both MOS and MOS/ADR1 cells.
  • Even with a 1-minute illumination, AO-PDT significantly reduced MOS/ADR1 cell viability to less than 1/1000 within 72 hours.

Conclusions:

  • Acridine orange-mediated photodynamic therapy exhibits potent cytocidal effects on both chemosensitive and multidrug-resistant osteosarcoma cells.
  • AO-PDT presents a potential novel therapeutic approach for treating multidrug-resistant human osteosarcomas.

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