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Updated: Apr 6, 2026

An In Vitro Approach to Photodynamic Therapy
Published on: August 17, 2018
Induction of apoptosis in HPV16 E7 transfected human keratinocyte by ALA-mediated photodynamic therapy
Fei Miao1, Ting Lv1, Yunfeng Zhang2
1Department of Dermatology, Huadong Hospital, Fudan University, Shanghai, PR China.
Background And Objective:
5-Aminolevulinic acid (ALA)-mediated photodynamic therapy (ALA-PDT) is effective for the treatment of condyloma and intraepithelial neoplasia associated with human papillomaviruses (HPV). However, the mechanism of PDT on HPV-infected host cells is not fully understood. The aim of this in vitro study was to examine ALA-PDT induced apoptosis in a high-risk HPV E7 gene transfected cell line.
Materials And Methods:
HPV16 E7 gene obtained from HPV16 positive human cervical carcinoma was transfected into a human keratinocyte cell line. PpIX generation and ALA-PDT-induced apoptosis and mitochondrial damage were investigated in vitro.
Results:
Fluorescence examination showed that HPV16E7 transfected cells could produce PpIX fairly quickly in the presence of 1mM ALA. Apoptosis occurred after ALA-PDT at dose levels of 4, 8, and 12 J/cm(2). Mitochondrial potential collapse occurred as early as 2 h post PDT. ALA-PDT induced a relatively weak and shorter caspase-9 activation but a strong and long lasting caspase-3 activation. However, mRNA levels of caspase-9 and -3 genes in cells treated with ALA-PDT were unchanged.
Conclusion:
This in vitro study demonstrated that HPV16 E7 transfected keratinocytes could generate PpIX in the presence of ALA. Under light irradiation, ALA-PDT could induce mitochondrial-dependent apoptosis in HPV16 E7 transfected cells.
Insights
5-Aminolevulinic acid photodynamic therapy (ALA-PDT) induces apoptosis in human papillomavirus (HPV) E7 gene-transfected cells. This study shows ALA-PDT triggers mitochondrial-dependent cell death in HPV-infected keratinocytes.
Area of Science:
- Photodynamic Therapy
- Cell Biology
- Oncology
Background:
- 5-Aminolevulinic acid (ALA)-mediated photodynamic therapy (ALA-PDT) is a recognized treatment for human papillomavirus (HPV)-associated conditions.
- The precise mechanisms by which PDT affects HPV-infected cells remain incompletely understood.
- This study investigates ALA-PDT's impact on apoptosis in a specific HPV-infected cell model.
Purpose of the Study:
- To investigate the induction of apoptosis by ALA-PDT in a human keratinocyte cell line engineered to express the high-risk HPV16 E7 gene.
- To explore the cellular and molecular responses, including mitochondrial damage and caspase activation, following ALA-PDT treatment.
Main Methods:
- Transfection of a human keratinocyte cell line with the HPV16 E7 gene.
- In vitro assessment of protoporphyrin IX (PpIX) generation upon ALA incubation.
- Evaluation of ALA-PDT-induced apoptosis, mitochondrial potential, and caspase activation at varying light doses.
Main Results:
- HPV16 E7-transfected cells efficiently generated PpIX when exposed to ALA.
- ALA-PDT treatment induced apoptosis in a dose-dependent manner (4-12 J/cm²).
- Mitochondrial potential collapse was observed early post-PDT, accompanied by caspase-3 activation, while caspase-9 activation was weaker.
Conclusions:
- Human keratinocytes expressing the HPV16 E7 gene effectively produce PpIX in the presence of ALA.
- ALA-PDT triggers apoptosis through a mitochondrial-dependent pathway in HPV16 E7-transfected cells.
- The findings elucidate a key mechanism of ALA-PDT in targeting HPV-infected cells.
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