Successful in vivo tumor visualization using fluorescence laparoscopy in a mouse model of disseminated alveolar

Cristian Urla1, Sorin Armeanu-Ebinger, Jörg Fuchs

  • 1Department of Pediatric Surgery and Pediatric Urology, University Children's Hospital Tübingen, Hoppe-Seyler-Strasse 3, 72076, Tübingen, Germany, Cristian.Urla@med.uni-tuebingen.de.

Surgical Endoscopy
|August 24, 2014
PubMed
Abstract

Insights

This study shows hypericin enables fluorescence-guided surgery for rhabdomyosarcoma (RMS) in mice. Hypericin-induced photodynamic therapy also effectively treated RMS tumors, offering new diagnostic and therapeutic options.

Area of Science:

  • Oncology
  • Surgical Innovation
  • Photodynamic Therapy

Background:

  • Rhabdomyosarcoma (RMS) surgery is difficult due to unclear tumor margins.
  • Mutilating surgeries are sometimes required for RMS, highlighting the need for better diagnostic and therapeutic tools.

Purpose of the Study:

  • To assess in vivo rhabdomyosarcoma detection using fluorescence laparoscopy.
  • To evaluate the effectiveness of hypericin-induced photodynamic therapy in a mouse model.

Main Methods:

  • Xenotransplantation of RMS cells in NOD/LtSz-scid IL2Rγnull-mice.
  • Injection of fluorochromes (mCherry, ICG, ICG-cetuximab, hypericin) followed by fluorescence laparoscopy.
  • Hypericin photodynamic therapy with blue light and apoptosis assessment via TUNEL test.

Main Results:

  • Clear discrimination between tumor and healthy tissue was achieved with mCherry and hypericin.
  • ICG and ICG-cetuximab did not yield detectable fluorescence.
  • Hypericin photodynamic therapy induced significant tumor cell apoptosis.

Conclusions:

  • Intraoperative photodynamic diagnosis of RMS is feasible using mCherry or hypericin.
  • Intraoperative photodynamic therapy using hypericin is effective for RMS treatment.

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