Photodynamic Therapy in Dermatology and Oncology: Latest Advances and Prospects

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Dermatology".

Deadline for manuscript submissions: 20 July 2024 | Viewed by 2524

Special Issue Editors


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Guest Editor
Department of Dermatology, University Hospital Miguel Servet, IIS Aragón, 50009 Zaragoza, Spain
Interests: photoprotection; photodynamic therapy; non-melanoma skin cancer; atopic dermatitis; photodermatology
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Guest Editor
Department of Dermatology, University Hospital Miguel Servet, IIS Aragón, 50009 Zaragoza, Spain
Interests: photodynamic therapy; non-melanoma skin cancer; psoriasis; photodermatology

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Guest Editor
Translational Research Unit, University Hospital Miguel Servet, IIS Aragón, 50009 Zaragoza, Spain
Interests: photocarcinogenesis; photodynamic therapy; in vitro and in vivo models; biomarkers; co-adjuvants

Special Issue Information

Dear Colleagues,

Photodynamic therapy (PDT) is a well-known treatment cancer treatment. It is commonly used to treat non-melanoma skin cancer, although its clinical application in other cancers is limited. In addition, PDT is used off-label in the treatment of many dermatological issues, either for inflammatory conditions, infections or esthetics.

The research in this field is increasing yearly. Better methods of delivery for the photosensitizer, combination with other molecules to enhance efficacy, improved knowledge of biomarkers to predict the response, or the possibility of using PDT to perform diagnosis and therapy at the same time (theragnosis) are some of the many fields of PDT research.

This Special Issue aims to provide a comprehensive overview of the latest advances in PDT for cancer and for dermatology, with a particular interest in those approaching clinical transfer. Researchers are encouraged to submit their findings in the form of original articles, reviews or brief communications.

Dr. Yolanda Gilaberte
Dr. Tamara Gracia-Cazaña
Dr. Marta Mascaraque
Guest Editors

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Keywords

  • photodynamic therapy
  • cancer
  • oncology
  • dermatology
  • skin
  • biomarkers
  • synergistic therapy
  • resistance
  • preclinical and clinical applications
  • cutaneous and mucous infections

Published Papers (2 papers)

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Research

9 pages, 813 KiB  
Article
Long-Term Improvement of Different Types of Acne Vulgaris Using a Mild Photodynamic Therapy Protocol with BF-200 ALA Gel: A Series of Cases
by Carlos Serra-Guillén, Beatriz Llombart and Onofre Sanmartín
J. Clin. Med. 2024, 13(9), 2658; https://doi.org/10.3390/jcm13092658 - 1 May 2024
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Abstract
Background: Photodynamic therapy (PDT) can be a promising alternative for patients with acne vulgaris. Our study aimed to evaluate the efficacy and safety of red light photodynamic therapy with BF-200 ALA gel in the treatment of different types of acne vulgaris. Methods [...] Read more.
Background: Photodynamic therapy (PDT) can be a promising alternative for patients with acne vulgaris. Our study aimed to evaluate the efficacy and safety of red light photodynamic therapy with BF-200 ALA gel in the treatment of different types of acne vulgaris. Methods: We performed a retrospective, observational study of a series of 22 cases. All patients were treated according to a mild PDT protocol. After a careful wash of the affected skin areas, BF-200 ALA gel was applied to the skin in a thin layer and incubated for 30 min, followed by illumination using narrow-spectrum red light (635 nm) at a dose of 4 J/cm2. Most patients received one (36.4%), two (27.3%), or three (22.7%) PDT sessions. About a third of the patients received concomitant acne treatment with topical retinoids. Results: Patients of 25.1 ± 8.9 years suffering from papulopustular (45.5%), nodular (27.3%), and comedonal acne (27.3%) in the face were included. Irrespective of acne type or severity, 95.5% of patients had good or excellent responses to the treatment with PDT (≥60% lesion clearance). We found no association between concomitant acne medication and the favorable results achieved by PDT. Most patients reported no adverse events (72.7%), except for six patients who experienced erythema. The good efficacy results were maintained over a follow-up period of 12.5 ± 10.8 months. Conclusions: In this study, we show that PDT with BF-200 ALA gel and low light dose is an effective and long-lasting option for the treatment of different acne types. Full article
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8 pages, 1481 KiB  
Article
First Clinical Report of the Intraoperative Macro- and Micro-Photodiagnosis and Photodynamic Therapy Using Talaporfin Sodium for a Patient with Disseminated Lumbar Medulloblastoma
by Jiro Akimoto, Shinjiro Fukami, Kenta Nagai and Michihiro Kohno
J. Clin. Med. 2023, 12(2), 432; https://doi.org/10.3390/jcm12020432 - 5 Jan 2023
Cited by 1 | Viewed by 1441
Abstract
Photodiagnosis (PD) and photodynamic therapy (PDT) using the second-generation photosensitizer talaporfin sodium together with an exciting laser for primary intracranial malignant tumors is well recognized in Japan, and many medical institutions are introducing this new therapeutic option. In particular, intraoperative PDT using talaporfin [...] Read more.
Photodiagnosis (PD) and photodynamic therapy (PDT) using the second-generation photosensitizer talaporfin sodium together with an exciting laser for primary intracranial malignant tumors is well recognized in Japan, and many medical institutions are introducing this new therapeutic option. In particular, intraoperative PDT using talaporfin sodium for infiltrating tumor cells in the cavity walls after the resection of malignant glioma is now covered by health insurance after receiving governmental approvement, and this method has been recommended in therapeutic guidelines for primary malignant brain tumors in Japan. On the other hand, experimental and clinical studies on the development of novel therapeutic strategies for malignant spinal cord tumors have not been reported to date, although their histological features are almost identical to those of intracranial malignant tumors. Therefore, the clinical outcomes of malignant spinal cord tumors have been less favorable than those of malignant brain tumors. In this report, we performed the PD and PDT using talaporfin sodium on a patient with a metastatic lumbar lesion that was detected on magnetic resonance image (MRI) 50 months after the resection of cerebellar medulloblastoma who presented with lumbago and sciatica. We were able to detect the target lesion in the conus medullaris using a surgical microscope, and detected the disseminated medulloblastoma cells floating in the cerebrospinal fluid using a compact fluorescence microscope. Furthermore, we performed PDT to the resected lumbar lesion with the adjuvant platinum-based chemotherapy, and the patient survived a meaningful life for more than 2 years after the lumbar surgery. This report describes the first case of a human patient in whom the efficacy of PD and PDT was demonstrated for a malignant spinal cord tumor. Full article
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