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1.
Adv Exp Med Biol ; 1395: 367-372, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36527664

RESUMO

In intact mitochondria, the transport of electrons, respiration and generation of proton gradients across the inner membrane (proton motive force) are mutually coupled, according to Peter Mitchell's hypothesis on oxidative phosphorylation. Thus, the inhibition of electron transport at either respiratory complex III or IV in the electron transport chain leads to failure in producing proton motive force along with the abolition of respiration. Here, we determined the mitochondrial membrane potential (MMP), as a measure of proton motive force, and cellular respiration in various cultured cells and demonstrated that inhibition of complex IV by KCN abolished mitochondrial respiration while MMP was sustained. These results are unexpected and appear incompatible with Mitchell's chemiosmotic hypothesis.


Assuntos
Complexo IV da Cadeia de Transporte de Elétrons , Força Próton-Motriz , Potencial da Membrana Mitocondrial , Complexo IV da Cadeia de Transporte de Elétrons/metabolismo , Fosforilação Oxidativa , Membranas Mitocondriais/metabolismo , Trifosfato de Adenosina/metabolismo
2.
Adv Exp Med Biol ; 1395: 373-378, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36527665

RESUMO

We hypothesised that concentration gradients of O2/H+ within tissue guide migration of primary cancer cells toward intra-tumour microvessels, thus promoting intravasation and eventual haematogenous metastasis of cancer cells. Previously, we demonstrated in vitro that MDA-MB-231 cells under pH and O2 gradients (0.2-0.3 units/mm and ~ 6%/mm, respectively) migrate toward higher pH/O2 regions. The present study was designed to address questions yet unanswered in the previous one, i.e., (1) whether extracellular O2 gradients could be a cue for directional cell migration in physiologically relevant O2 environments, and (2) whether average pH level in the bulk extracellular medium affects directional cell migration. In the absence of pH gradients, directional cell migration was not demonstrated at a physiological O2 level (<5%). We demonstrated that both the migration velocity and directionality are significantly affected by the average extracellular pH level. This result is consistent with our model for directional cell migration that does not necessitate sensing of pH gradient at a single cell level. Thus, in this study, we demonstrated further evidence that gradients of extracellular pH direct migration of MDA-MB-231 cells in vitro.


Assuntos
Células MDA-MB-231 , Microvasos , Linhagem Celular Tumoral , Movimento Celular/fisiologia , Concentração de Íons de Hidrogênio
3.
Opt Express ; 30(2): 2933-2948, 2022 Jan 17.
Artigo em Inglês | MEDLINE | ID: mdl-35209424

RESUMO

Maintaining a high spatial resolution in photoacoustic microscopy (PAM) of deep tissues is difficult due to large aberration in an objective lens with high numerical aperture and photoacoustic wave attenuation. To address the issue, we integrate transmission-type adaptive optics (AO) in high-resolution PAM with a low-frequency ultrasound transducer (UT), which increases the photoacoustic wave detection efficiency. AO improves lateral resolution and depth discrimination in PAM, even for low-frequency ultrasound waves by focusing a beam spot in deep tissues. Using the proposed PAM, we increased the lateral resolution and depth discrimination for blood vessels in mouse ears.


Assuntos
Vasos Sanguíneos/diagnóstico por imagem , Orelha/irrigação sanguínea , Microscopia Acústica/instrumentação , Óptica e Fotônica , Técnicas Fotoacústicas/instrumentação , Transdutores , Animais , Desenho de Equipamento , Camundongos
4.
Int J Mol Sci ; 22(18)2021 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-34576284

RESUMO

5-aminolevulinic acid (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence is widely used for the intraoperative detection of malignant tumors. However, the fluorescence emission profiles of the accompanying necrotic regions of these tumors have yet to be determined. To address this, we performed fluorescence and high-performance liquid chromatography (HPLC) analyses of necrotic tissues of squamous cancer after 5-ALA administration. In resected human lymph nodes of metastatic squamous cell carcinoma, we found a fluorescence peak at approximately 620 nm in necrotic lesions, which was distinct from the PpIX fluorescence peak at 635 nm for viable cancer lesions. Necrotic lesions obtained from a subcutaneous xenograft model of human B88 oral squamous cancer also emitted the characteristic fluorescence peak at 620 nm after light irradiation: the fluorescence intensity ratio (620 nm/635 nm) increased with the energy of the irradiation light. HPLC analysis revealed a high content ratio of uroporphyrin I (UPI)/total porphyrins in the necrotic cores of murine tumors, indicating that UPI is responsible for the 620 nm peak. UPI accumulation in necrotic tissues after 5-ALA administration was possibly due to the failure of the heme biosynthetic pathway. Taken together, fluorescence imaging of UPI after 5-ALA administration may be applicable for the evaluation of tumor necrosis.


Assuntos
Ácido Aminolevulínico/administração & dosagem , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/patologia , Uroporfirinas/metabolismo , Idoso , Ácido Aminolevulínico/uso terapêutico , Animais , Carcinoma de Células Escamosas/tratamento farmacológico , Linhagem Celular Tumoral , Cromatografia Líquida de Alta Pressão , Modelos Animais de Doenças , Neoplasias Esofágicas/tratamento farmacológico , Neoplasias Esofágicas/metabolismo , Neoplasias Esofágicas/patologia , Feminino , Humanos , Masculino , Camundongos , Pessoa de Meia-Idade , Modelos Biológicos , Necrose , Espectrometria de Fluorescência
5.
Chemistry ; 26(60): 13590-13594, 2020 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-32515516

RESUMO

Quinoidal dimeric porphyrin dye synthesis exhibiting second near-infrared (NIR-II) absorbability is described herein. A precisely designed meso-pyrrolyl-substituted N-confused porphyrin possesses a distinct metal coordination site at the periphery. Nickel metalation of this compound led to the oxidative C-H coupling between adjacent α-pyrrole rings, affording two dimeric complexes, which exhibited intense NIR-II absorptions ranging from 1000 to 1400 nm. As was evidenced by decreased aromaticity, the quinoidal resonant structures contributed to the emergence of photoacoustic spectral capabilities in the NIR-II window. Thus, the potential of these compounds as prototypical contrast agents in various bioimaging applications has been demonstrated.


Assuntos
Complexos de Coordenação , Porfirinas , Complexos de Coordenação/química , Metais/química , Níquel/química , Porfirinas/química , Pirróis/química , Espectrofotometria Infravermelho
6.
Angew Chem Int Ed Engl ; 59(37): 16161-16166, 2020 09 07.
Artigo em Inglês | MEDLINE | ID: mdl-32469135

RESUMO

The synthesis of organometallic complexes of modified 26π-conjugated hexaphyrins with absorption and emission capabilities in the third near-infrared region (NIR-III) is described. Symmetry alteration of the frontier molecular orbitals (MOs) of bis-PdII and bis-PtII complexes of hexaphyrin via N-confusion modification led to substantial metal dπ -pπ interactions. This MO mixing, in turn, resulted in a significantly narrower HOMO-LUMO energy gap. A remarkable long-wavelength shift of the lowest S0 →S1 absorption beyond 1700 nm was achieved with the bis-PtII complex, t-Pt2 -3. The emergence of photoacoustic (PA) signals maximized at 1700 nm makes t-Pt2 -3 potentially useful as a NIR-III PA contrast agent. The rigid bis-PdII complexes, t-Pd2 -3 and c-Pd2 -3, are rare examples of NIR emitters beyond 1500 nm. The current study provides new insight into the design of stable, expanded porphyrinic dyes possessing NIR-III-emissive and photoacoustic-response capabilities.

7.
Int J Mol Sci ; 21(7)2020 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-32272744

RESUMO

Hematogenous tumor metastasis begins with the invasion and spread of primary tumor cells in the local tissue leading to intravasation. We hypothesized that tumor cells might actively migrate toward intratumor vessels with the extracellular metabolic gradient acting as a guiding cue. Here, we determined in vitro whether the extracellular gradient of pH can act as a cue for directional migration in MDA-MB-231 cells. Cell migration was determined by the wound-healing assay under gradients of extracellular pH (~0.2 units/mm) and oxygen concentration (~6% O2/mm) that were produced by a microfluidic device, gap cover glass (GCG). Without GCG, the migration of cells was spatially homogeneous; the same number of cells migrated to the rectangular wound space from the left and right boundaries. In contrast, when GCG generated pH/O2 gradients across the wound space, the number of cells migrating to the wound space from the boundary with higher pH/O2 values was considerably decreased, indicating a preferential movement of cells toward the region of higher pH/O2 in the gradient. The addition of hepes in the extracellular medium abolished both the extracellular pH gradient and the directional cell migration under GCG. We conclude that relatively small gradients of pH in the extracellular medium compared to those found in Na+/H+ exchanger-driven cell migration were sufficient to guide MDA-MB-231 cells. The directional cell migration as guided by the metabolic gradient could effectively elevate the probability of intravasation and, ultimately, hematogenous metastasis.


Assuntos
Neoplasias da Mama/metabolismo , Neoplasias da Mama/fisiopatologia , Movimento Celular/fisiologia , Linhagem Celular Tumoral , Humanos , Concentração de Íons de Hidrogênio , Dispositivos Lab-On-A-Chip , Oxigênio/metabolismo , Trocadores de Sódio-Hidrogênio/metabolismo
8.
J Am Chem Soc ; 142(14): 6807-6813, 2020 04 08.
Artigo em Inglês | MEDLINE | ID: mdl-32200628

RESUMO

An expanded metalloporphyrin-based "black dye" Au-Pd oxohexaphyrin (AuPd-1) with absorption capabilities across the visible-to-near-infrared (NIR) range was synthesized. This black dye, AuPd-1, possessed efficient light-harvesting and photostable capabilities, which were indicative of superior photothermal (PT) conversion abilities. Encapsulation of AuPd-1 with a micellar nanocapsule resulted in a compound that demonstrated intense photoacoustic (PA) properties in the NIR region in water. This finding indicated how metal (d)-ligand (π) molecular orbital interactions in metalloporphyrins could aid in the design of visible-to-NIR light-harvesting black dyes for PT and PA applications.

9.
J Am Chem Soc ; 142(9): 4429-4437, 2020 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-32036651

RESUMO

We investigated the detailed photophysical properties of a series of bis-metal (Zn and Cu) dioxohexaphyrin complexes as potential second near-infrared (NIR-II)-light responsive dyes. A cisoid-configured 28π-electron-conjugated dioxohexaphyrin analogue (c-3a) containing two peculiar "confused pyrrole" moieties in the framework is identified as a reduced isomer derivative of a transoid 26π-dioxohexaphyrin (t-2a). The symmetry-altered structure of c-3a affords a heteroleptic inner environment within the NNNN/NNOO donor core, which imparts its highly flexible electronic features and nonplanar geometry. The macrocycle c-3a can be transformed into the corresponding 26π-electron congener (c-2a) having a coplanar rectangular structure by unique solvent-mediated redox reactivity. Furthermore, upon metal complexation, saddle-distorted bis-metal complexes (c-M2-2a) were formed as the 26π-conjugated structural isomer of the trans-dioxohexaphyrin species (i.e., t-M2-2a). These isoelectronic dioxohexaphyrins demonstrate precise geometry-dependent photophysical properties. Broad tailing NIR-II absorption, weak emissive character, and rapid-decay of the S1 state are observed for c-Zn2-2a. In contrast, the coplanar t-M2-2a exhibits efficient photoacoustic response upon laser excitation with NIR-II light (λ > 1000 nm). To the best of our knowledge, this is the first example of an expanded porphyrin-based photoacoustic contrast agent responsive to NIR-II light.

10.
Sci Rep ; 8(1): 14671, 2018 10 02.
Artigo em Inglês | MEDLINE | ID: mdl-30279495

RESUMO

Understanding the viability of the ischemic myocardial tissue is a critical issue in determining the appropriate surgical procedure for patients with chronic heart failure after myocardial infarction (MI). Conventional MI evaluation methods are; however, preoperatively performed and/or give an indirect information of myocardial viability such as shape, color, and blood flow. In this study, we realize the evaluation of MI in patients undergoing cardiac surgery by Raman spectroscopy under label-free conditions, which is based on intrinsic molecular constituents related to myocardial viability. We identify key signatures of Raman spectra for the evaluation of myocardial viability by evaluating the infarct border zone myocardium that were excised from five patients under surgical ventricular restoration. We also obtain a prediction model to differentiate the infarcted myocardium from the non-infarcted myocardium by applying partial least squares regression-discriminant analysis (PLS-DA) to the Raman spectra. Our prediction model enables identification of the infarcted tissues and the non-infarcted tissues with sensitivities of 99.98% and 99.92%, respectively. Furthermore, the prediction model of the Raman images of the infarct border zone enabled us to visualize boundaries between these distinct regions. Our novel application of Raman spectroscopy to the human heart would be a useful means for the detection of myocardial viability during surgery.


Assuntos
Cardiomiopatias/diagnóstico por imagem , Ventrículos do Coração/diagnóstico por imagem , Infarto do Miocárdio/diagnóstico por imagem , Miocárdio/patologia , Análise Espectral Raman/métodos , Procedimentos Cirúrgicos Cardíacos , Cardiomiopatias/patologia , Cardiomiopatias/cirurgia , Diagnóstico Diferencial , Estudos de Viabilidade , Ventrículos do Coração/patologia , Ventrículos do Coração/cirurgia , Humanos , Interpretação de Imagem Assistida por Computador/métodos , Modelos Cardiovasculares , Infarto do Miocárdio/patologia , Infarto do Miocárdio/cirurgia , Valor Preditivo dos Testes , Prognóstico , Procedimentos de Cirurgia Plástica , Sensibilidade e Especificidade , Software
11.
Adv Exp Med Biol ; 1072: 201-205, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30178346

RESUMO

To answer the question whether MDA-MB-231 cells actively migrate according to metabolic cues, such as gradients of O2 concentration, we developed the gap cover glass (GCG) to produce metabolic gradients in cultured cell tissue in vitro. Because the GCG utilizes metabolic activities of the cell to establish metabolic gradients, the number of cells under the GCG must be increased. However, an increase in cell density increases the chance of collision between cells, which is a serious artifact in determining the directionality of cell migration. In the present study, by combining our GCG with the conventional wound healing assay, we succeeded in substantially reducing artifacts arising from cell collision. Using this technique, we demonstrated a unidirectional migration of MDA-MB-231 cells under metabolic gradients produced by the GCG, even at 21% O2.


Assuntos
Neoplasias da Mama/patologia , Movimento Celular/fisiologia , Técnicas In Vitro/métodos , Neoplasias da Mama/metabolismo , Linhagem Celular Tumoral , Humanos , Oxigênio/metabolismo
12.
J Physiol Sci ; 67(6): 731-737, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28785888

RESUMO

Measurement of cellular oxygen consumption rate (OCR) is essential in assessing roles of mitochondria in physiology and pathophysiology. Classical techniques, in which polarographic oxygen electrode measures the extracellular oxygen concentration in a closed measuring vessel, require isolation and suspension of the cell. Because cell functions depend on the extracellular milieu including the extracellular matrix, isolation of cultured cells prior to the measurement may significantly affect the OCR. More recent techniques utilize optical methods in which oxygen-dependent quenching of fluorophores determines oxygen concentration in the medium at a few microns above the surface of the cultured cells. These techniques allow the OCR measurement in cultured cells adhered to the culture dish. However, this technique requires special equipment such as a fluorescence lifetime microplate reader or specialized integrated system, which are usually quite expensive. Here, we introduce a simple and inexpensive technique for measuring OCR in adherent cultured cells that utilizes conventional fluorescence microscopy and a glassware called a gap cover glass.


Assuntos
Adesão Celular/fisiologia , Microscopia de Fluorescência/métodos , Consumo de Oxigênio/fisiologia , Linhagem Celular Tumoral , Corantes Fluorescentes , Humanos
13.
Acta Histochem Cytochem ; 47(2): 59-65, 2014 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-25221364

RESUMO

Intracellular Ca(2+) ([Ca(2+)]i) dynamics in isolated myocytes differ between the atria and ventricles due to the distinct t-tubular distributions. Although cellular aspects of ventricular [Ca(2+)]i dynamics in the heart have been extensively studied, little is known about those of atrial myocytes in situ. Here we visualized precise [Ca(2+)]i dynamics of atrial myocytes in Langendorff-perfused rat hearts by rapid-scanning confocal microscopy. Of 16 fluo-4-loaded hearts imaged during pacing up to 4-Hz, five hearts showed spatially uniform Ca(2+) transients on systole among individual cells, whereas no discernible [Ca(2+)]i elevation developed during diastole. In contrast, the remaining hearts showed non-uniform [Ca(2+)]i dynamics within and among the cells especially under high-frequency (4 Hz) excitation, where subcellular cluster-like [Ca(2+)]i rises or wave-like [Ca(2+)]i propagation occurred on excitation. Such [Ca(2+)]i inhomogeneity was more pronounced at high-frequency pacing, showing beat-to-beat Ca(2+) transient alternans. Despite such non-uniform dynamics, cessation of burst pacing of the atria was not followed by emergence of spontaneous Ca(2+) waves, indicating minor Ca(2+)-releasing potentials of the sarcoplasmic reticulum (SR). In summary, rat atria display a propensity to show non-uniform [Ca(2+)]i dynamics on systole due to impaired Ca(2+)-release from the SR and paucity of t-tubules. Our results provide an important basis for understanding atrial pathophysiology.

14.
Acta Histochem Cytochem ; 47(2): 67-74, 2014 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-25221365

RESUMO

Activated platelets form platelet-leukocyte aggregates in the circulation in inflammatory diseases. We investigated whether activated platelets in inflamed skin tissues are phagocytized and removed by neutrophils. To investigate the kinetics of platelets and neutrophils, we immunohistochemically examined the spatiotemporal distribution of them in a murine model of 2,4,6-trinitro-1-chlorobenzene (TNCB)-induced dermatitis by using confocal and structured illumination microscopy. Four hours after elicitation, aggregates of CD41-positive platelets were adhered to CD31-positive endothelial cells within the vessels, and CD62P and PF4, markers of activated platelets, were expressed on platelet aggregates. At 8 hour post-elicitation, fragmented CD41-positive platelets were located both inside and outside vessels. Twenty-four hours after elicitation, the number of Ly-6G-positive neutrophils ingesting fragmented CD41-positive platelets outside vessels was increased, and CD62P and PF4 expression on the phagocytosed platelets was no longer observed. Disc-shaped CD41-positive platelets were not found outside vessels at any time during the experiment. Our data revealed that aggregates of activated platelets inside vessels were ingested and removed by neutrophils in the early stage of TNCB-induced dermatitis, suggesting that the process of removal of activated platelets by neutrophils may play an important role not only in the early phase of skin inflammation but also in other types of acute inflammation.

15.
Opt Express ; 22(14): 17063-72, 2014 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-25090520

RESUMO

We propose photoacoustic microscopy using ultrashort pulses with two different pulse durations in the range from femtoseconds to picoseconds. The subtraction of images for longer-pulse excitation from those for shorter-pulse excitation extracts two-photon photoacoustic images effectively, based on observation that the intensity ratio of two-photon to one-photon absorption-induced photoacoustic signals depends on the pulse duration in the same manner as the intensity ratio of two-photon and one-photon fluorescence signals. Two-photon photoacoustic microscopy using this subtraction method enables precise observation of the cross-sections of silicone hollows filled with the mixture of one-photon and two-photon absorption solutions.

16.
Anal Chem ; 86(14): 6903-10, 2014 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-24914734

RESUMO

Raman spectroscopy, which provides information about molecular species and structures of biomolecules via intrinsic molecular vibrations, can analyze physiological and pathological states of tissues on the basis of molecular constituents without staining. In this study, we analyzed Raman spectra of myocardial infarction and its repair in rats using the hypothesis that the myocardium in the course of myocardial infarction and its repair could be recognized by spontaneous Raman spectroscopy on the basis of chemical changes in myocardial tissues. Raman spectra were acquired from unfixed frozen cross sections of normal and infarcted heart tissues upon excitation at 532 nm. Raman spectra of the infarcted tissues were successfully obtained at characteristic time points: days 2, 5, and 21 after coronary ligation, at which the main components of the infarcted region were coagulation necrosis, granulation tissue, and fibrotic tissue, respectively. The latent variable weights calculated by a multivariate classification method, partial least-squares-discriminant analysis (PLS-DA), revealed fundamental information about the spectral differences among the types of tissues on the basis of molecular constituents. A prediction model for the evaluation of these tissue types was established via PLS-DA. Cross-validated sensitivities of 99.3, 95.3, 96.4, and 91.3% and specificities of 99.4, 99.5, 96.5, and 98.3% were attained for the discrimination of normal, necrotic, granulation, and fibrotic tissue, respectively. A two-dimensional image of a marginal area of infarction was successfully visualized via PLS-DA. Our results demonstrated that spontaneous Raman spectroscopy combined with PLS-DA is a novel label-free method of evaluating myocardial infarction and its repair.


Assuntos
Infarto do Miocárdio/patologia , Miocárdio/química , Análise Espectral Raman/métodos , Animais , Feminino , Processamento de Imagem Assistida por Computador , Análise dos Mínimos Quadrados , Infarto do Miocárdio/fisiopatologia , Miócitos Cardíacos/química , Miócitos Cardíacos/patologia , Ratos Wistar , Valores de Referência
17.
Acta Histochem Cytochem ; 47(5): 247-54, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25861131

RESUMO

Hypoxia is a characteristic feature of solid neoplasms, and insufficient oxygen supply increases cellular nicotinamide adenine dinucleotide (NADH) fluorescence, which is a main component of autofluorescence of the colorectal mucosa. We investigated whether a dual-wavelength excitation method which is optimized for sensing mucosal NADH fluorescence could be applicable to the detection of rat colorectal cancers in vivo. Rat colorectal adenocarcinomas were studied by using fluorescence stereomicroscopy. After autofluorescence images at 470 nm irradiated with dual-wavelength excitation at 365 nm (F365 ex) and 405 nm (F405 ex) were acquired, ratio images were produced by dividing F365 ex by F405 ex: The excitation-emission wavelength pairs in F365 ex and F405 ex were adjusted for acquisition of NADH fluorescence and reference fluorescence. Based on observations from the luminal surface in vivo, F365 ex/F405 ex ratio images indicated a 1.57-fold higher signal value in the cancers than in the surrounding normal mucosa. The signal values in F365 ex/F405 ex ratio images were less mutually related with the hemoglobin concentration index. Small adenocarcinomas (less than 4 mm) could be detected on F365 ex/F405 ex ratio images. The results showed that NADH fluorescence measurement with little interference from tissue hemoglobin is efficient for visualizing rat colorectal cancers in vivo, suggesting that the dual-wavelength excitation method has potential for label-free endoscopic detection of diminutive colorectal neoplasms.

18.
Int J Mol Sci ; 14(11): 23140-52, 2013 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-24284403

RESUMO

Accurate evaluation of metastatic lymph nodes (LNs) is indispensable for adequate treatment of colorectal cancer (CRC) patients. Here, we demonstrate detection of metastases of human CRC in removed fresh LNs using 5-aminolevulinic acid (ALA)-induced protoporphyrin IX (PpIX) fluorescence. A spectral unmixing method was employed to reduce the overlap of collagen autofluorescence on PpIX fluorescence. A total of 17 surgery patients with advanced CRC were included in this study. After 5-ALA at a dose of 15 mg/kg of body weight was applied orally 2 h prior to surgery, 87 LNs were subjected to spectral fluorescence imaging and histopathological diagnosis, and statistical analysis was performed. No apparent side effect was observed to be associated with 5-ALA administration. The spectral unmixing fluorescence intensity of PpIX in metastatic LNs was 10.2-fold greater than that in nonmetastaic LNs. The receiver-operating-characteristic (ROC) analysis showed that the area under the curve (AUC) was calculated as 0.95. Our results show the potential of 5-ALA-induced PpIX fluorescence processed by spectral unmixing for detecting metastases in excised fresh LNs from patients with CRC, suggesting that this rapid and feasible method is applicable to gross evaluation of resected LN samples in pathology laboratories.


Assuntos
Ácido Aminolevulínico , Neoplasias Colorretais/cirurgia , Metástase Linfática/diagnóstico , Protoporfirinas , Adulto , Idoso , Idoso de 80 Anos ou mais , Ácido Aminolevulínico/química , Ácido Aminolevulínico/farmacologia , Neoplasias Colorretais/diagnóstico , Neoplasias Colorretais/patologia , Feminino , Fluorescência , Humanos , Linfonodos/patologia , Linfonodos/cirurgia , Metástase Linfática/patologia , Masculino , Pessoa de Meia-Idade , Protoporfirinas/química
19.
Ann Surg Oncol ; 20(11): 3541-8, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23846777

RESUMO

BACKGROUND: Precise diagnosis of lymph node metastases is essential to select therapeutic strategy for patients with gastric cancer, and rapid intraoperative diagnosis is useful for performing less invasive surgery. In this study, we focused on a known photosensitizer, 5-aminolevulinic acid (5-ALA), and examined the feasibility of 5-ALA-induced protoporphyrin IX (PpIX) fluorescence to detect metastatic foci in excised lymph nodes of patients with gastric cancer. METHODS: A total of 144 lymph nodes obtained from 14 gastric cancer patients were examined. The patients were administered 5-ALA orally before surgery. Excised lymph nodes were cut in half and observed by fluorescence microscopy. The diagnostic results were compared to those of the routine histopathological examination. RESULTS: Observed red fluorescence of PpIX was identical to the metastatic focus, with 84 % accuracy. Twelve non-metastatic lymph nodes showed unexpected PpIX accumulation to lymphoid follicles, but these could be discriminated based on their characteristic fluorescence patterns. With incorporation of this morphological consideration, this method demonstrated good diagnostic power with 92.4 % accuracy. On the quantitative analysis using the signal intensity ratio of red to the sum of red, green, and blue (R/(R + G + B) ratio) as an index corresponding to red fluorescence of PpIX, metastatic lymph nodes showed significantly higher value than non-metastatic lymph nodes (p < 0.0001). The area under the curve was calculated as 0.832 throughout Receiver operating characteristic analysis. CONCLUSIONS: Our results demonstrated that 5-ALA-induced fluorescence diagnosis is a simple and safe method and is a potential candidate for a novel rapid intraoperative diagnostic method applicable to clinical practice.


Assuntos
Ácido Aminolevulínico , Linfonodos/patologia , Fármacos Fotossensibilizantes , Protoporfirinas , Neoplasias Gástricas/diagnóstico , Fluorescência , Humanos , Linfonodos/efeitos dos fármacos , Metástase Linfática , Estadiamento de Neoplasias , Prognóstico , Curva ROC , Neoplasias Gástricas/cirurgia
20.
Curr Pharm Biotechnol ; 14(2): 172-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-22356112

RESUMO

PURPOSE: Tissue autofluorescence study is a promising means of endoscopic detection of colonic neoplasia, but the mechanism of autofluorescence eruption has still not been verified. The purpose of this study was to precisely analyze the autofluorescence characteristics of freshly prepared normal rat colon under UVA and violet light excitation. METHODS: Excised rat colons were studied by using multichannel spectrophotometry, spectroscopic imaging, confocal microscopy, combined two-photon excited fluorescence and second-harmonic generation (SHG) microscopy, and fluorescence lifetime imaging microscopy. RESULTS: Spectroscopic analysis of freshly prepared colon sections revealed that the mucosa and the submucosa showed strong autofluorescence under UVA and violet light excitation. The combined images of two-photon and SHG microscopy revealed that the mucosal epithelia are the important source of autofluorescence. Nicotinamide adenine dinucleotide seems to be one of the major substances involved in the autofluorescence of the mucosal layer on 365- nm light excitation. The autofluorescence spectra of the luminal surfaces were identical to those of the mucosa on crosssectional examinations with 365-nm excitation. The main origin of autofluorescence of the luminal surface with 365-nm excitation is the epithelial cells in the mucosa without overlay of submucosal fluorescence. CONCLUSIONS: The mucosal layer is the important source of the autofluorescence observed under excitation with UVA/violet light in multilayered colonic structures. Illumination of 365-nm wavelength light is a suitable means of analyzing the autofluorescence of mucosal epithelia.


Assuntos
Colo/anatomia & histologia , Mucosa Intestinal/anatomia & histologia , Animais , Fluorescência , Luz , Masculino , Microscopia Confocal/métodos , Microscopia de Fluorescência/métodos , NAD , Ratos , Ratos Endogâmicos F344 , Análise Espectral/métodos
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