Related Experiment Video
Updated: Jul 13, 2026

An In-House-Built and Light-Emitting-Diode-Based Photodynamic Therapy Device for Enhancing Verteporfin Cytotoxicity in a 2D Cell Culture Model
Published on: January 13, 2023
Molecular effectors of multiple cell death pathways initiated by photodynamic therapy
Esther Buytaert1, Michael Dewaele, Patrizia Agostinis
1Department of Molecular and Cell Biology, Faculty of Medicine, Catholic University of Leuven, Campus Gasthuisberg, Herestraat 49, B-3000, Leuven Belgium.
Abstract:
Photodynamic therapy (PDT) is a recently developed anticancer modality utilizing the generation of singlet oxygen and other reactive oxygen species, through visible light irradiation of a photosensitive dye accumulated in the cancerous tissue. Multiple signaling cascades are concomitantly activated in cancer cells exposed to the photodynamic stress and depending on the subcellular localization of the damaging ROS, these signals are transduced into adaptive or cell death responses. Recent evidence indicates that PDT can kill cancer cells directly by the efficient induction of apoptotic as well as non-apoptotic cell death pathways. The identification of the molecular effectors regulating the cross-talk between apoptosis and other major cell death subroutines (e.g. necrosis, autophagic cell death) is an area of intense research in cancer therapy. Signaling molecules modulating the induction of different cell death pathways can become useful targets to induce or increase photokilling in cancer cells harboring defects in apoptotic pathways, which is a crucial step in carcinogenesis and therapy resistance. This review highlights recent developments aimed at deciphering the molecular interplay between cell death pathways as well as their possible therapeutic exploitation in photosensitized cells.
Insights
Photodynamic therapy (PDT) uses light-activated dyes to generate reactive oxygen species (ROS) that trigger cancer cell death. Understanding how PDT interacts with various cell death pathways is key to improving cancer treatment.
Area of Science:
- Oncology
- Biochemistry
- Photochemistry
Background:
- Photodynamic therapy (PDT) is an anticancer treatment that uses photosensitive dyes and light to create reactive oxygen species (ROS).
- These ROS activate signaling cascades in cancer cells, leading to adaptive responses or cell death.
- PDT can induce both apoptosis and non-apoptotic cell death pathways.
Purpose of the Study:
- To review recent advancements in understanding the molecular mechanisms of cell death induced by PDT.
- To explore the interplay between different cell death pathways (apoptosis, necrosis, autophagy) activated by PDT.
- To identify potential therapeutic targets for enhancing PDT efficacy, especially in resistant cancers.
Main Methods:
- Literature review of recent studies on PDT and cancer cell death.
- Analysis of molecular signaling pathways involved in PDT-induced cell death.
- Examination of the cross-talk between apoptosis and other cell death modalities.
Main Results:
- PDT induces cancer cell death through direct induction of apoptosis and non-apoptotic pathways.
- The subcellular localization of ROS influences the specific signaling cascades activated.
- Molecular effectors regulating the interplay between cell death pathways are critical for PDT outcomes.
- Targeting these effectors may overcome resistance in cancer cells with defective apoptosis.
Conclusions:
- Deciphering the molecular interplay of cell death pathways is crucial for optimizing PDT.
- Identifying and targeting key signaling molecules can enhance photokilling in cancer therapy.
- PDT offers a promising avenue for cancer treatment by modulating diverse cell death mechanisms.
Related Concept Videos
The Intrinsic Apoptotic Pathway
The Extrinsic Apoptotic Pathway
Overview of Cell Death
Cell death was observed in the early 19th century, but there was no experimental evidence to prove it. In 1842, Carl Vogt first discovered cell death in a metamorphic toad; however, it was not termed ‘cell death.’ Scientists discovered different cell death pathways only in the 20th century...
Apoptosis
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
Cellular Injury V: Apoptosis and Autophagy
