ЭКСПЕРИМЕНТАЛЬНОЕ ОБОСНОВАНИЕ ВЫБОРА РЕЖИМОВ ОБЛУЧЕНИЯ ДЛЯ ИНТРАПЕРИТОНЕАЛЬНОЙ ФОТОДИНАМИЧЕСКОЙ ТЕРАПИИ С ФОТОСЕНСИБИЛИЗАТОРАМИ НА ОСНОВЕ ПОРФИРИНОВ И ФТАЛОЦИАНИНОВ

Optimized irradiation regimens for intraperitoneal photodynamic therapy with porphyrin and phthalocyanine photosensitizers are determined in in vitro and in vivo studies. The experimental  study on НЕр2 cell line showed that reduce of power density for constant  light dose increased significantly the efficacy of photodynamic therapy (the reduce of power density from 20-80 mW/cm 2 to 10 mW/cm 2 had the same results (90% cell death) for half as much concentration of the photosensitizer). The obtained results were confirmed in vivo in mice with grafted tumor S-37. For light dose of 90 J/cm 2 and power density of 25 mW/cm 2 none of animals in the experimental  group had total resorption of the tumor. For the same light dose and decrease  of power density to 12 mW/cm 2 total tumor resorption was achieved in 34% of animals, 66% of animals died from phototoxic  shock. For twofold decrease  of light dose – to 45 J/cm 2 with the same low-intensity power density (12 mW/cm 2 ) we managed total tumor resorption in 100% of animals. In the following studies of optimized irradiation regimen for intrapleural photodynamic therapy the reaction of intact peritoneum of rats on photodynamic exposure was assessed and optimized parameters of laser irradiation, which did not cause necrosis and intense inflammatory reaction of peritoneum, were determined – light dose of 10 J/cm 2 with power density of mW/cm 2 . Thus, the reasonability for use of low-intensity regimens of irradiation for intraperitoneal photodynamic therapy was confirmed experimentally with possibility of high efficacy of treatment without inflammatory reactions of peritoneum.