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Updated: Jun 13, 2026

An In Vitro Approach to Photodynamic Therapy
Published on: August 17, 2018
5-ALA mediated photodynamic therapy induces autophagic cell death via AMP-activated protein kinase
Hong-Tai Ji1, Li-Ting Chien, Yu-Hsin Lin
1Department of Biochemical Science and Technology, National Taiwan University, Taipei 106, Taiwan. r92450015@ntu.edu.tw
Abstract:
Photodynamic therapy (PDT) has been developed as an anticancer treatment, which is based on the tumor-specific accumulation of a photosensitizer that induces cell death after irradiation of light with a specific wavelength. Depending on the subcellular localization of the photosensitizer, PDT could trigger various signal transduction cascades and induce cell death such as apoptosis, autophagy, and necrosis. In this study, we report that both AMP-activated protein kinase (AMPK) and mitogen-activated protein kinase (MAPK) signaling cascades are activated following 5-aminolevulinic acid (ALA)-mediated PDT in both PC12 and CL1-0 cells. Although the activities of caspase-9 and -3 are elevated, the caspase inhibitor zVAD-fmk did not protect cells against ALA-PDT-induced cell death. Instead, autophagic cell death was found in PC12 and CL1-0 cells treated with ALA-PDT. Most importantly, we report here for the first time that it is the activation of AMPK, but not MAPKs that plays a crucial role in mediating autophagic cell death induced by ALA-PDT. This novel observation indicates that the AMPK pathway play an important role in ALA-PDT-induced autophagy.
Insights
Photodynamic therapy using 5-aminolevulinic acid (ALA-PDT) triggers cell death. AMP-activated protein kinase (AMPK) activation, not MAPKs, is crucial for ALA-PDT-induced autophagic cell death.
Area of Science:
- Oncology
- Cell Biology
- Biochemistry
Background:
- Photodynamic therapy (PDT) is an anticancer treatment utilizing photosensitizers and light to induce tumor cell death.
- PDT can trigger various cell death pathways, including apoptosis, autophagy, and necrosis, depending on photosensitizer localization.
- 5-aminolevulinic acid (ALA) is a common photosensitizer precursor used in PDT.
Purpose of the Study:
- To investigate the signaling pathways activated by 5-aminolevulinic acid-mediated photodynamic therapy (ALA-PDT).
- To determine the specific cell death mechanisms induced by ALA-PDT in PC12 and CL1-0 cells.
- To elucidate the role of AMP-activated protein kinase (AMPK) and mitogen-activated protein kinase (MAPK) pathways in ALA-PDT-induced cell death.
Main Methods:
- Treatment of PC12 and CL1-0 cells with ALA followed by light irradiation.
- Measurement of caspase activity and assessment of cell death in the presence of caspase inhibitor zVAD-fmk.
- Analysis of AMPK and MAPK signaling pathway activation post-ALA-PDT.
Main Results:
- ALA-PDT activated both AMPK and MAPK signaling cascades in PC12 and CL1-0 cells.
- Elevated caspase-9 and -3 activities were observed, but caspase inhibition did not prevent cell death.
- Autophagic cell death was identified as the primary mechanism of cell death induced by ALA-PDT.
- Crucially, AMPK activation, but not MAPK activation, was found to mediate ALA-PDT-induced autophagic cell death.
Conclusions:
- ALA-PDT induces autophagic cell death in PC12 and CL1-0 cells.
- AMPK activation plays a critical role in mediating ALA-PDT-induced autophagy.
- This study highlights the importance of the AMPK pathway in ALA-PDT's anticancer effects.
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