Photodynamic Effects with 5-Aminolevulinic Acid on Cytokines and Exosomes in Human Peripheral Blood Mononuclear Cells from Patients with Crohn's Disease.
Kristian EspelandAndrius KleinauskasPetras JuzenasSagar DarvekarVlada VasovicTrond WarloeEidi ChristensenJørgen JahnsenQian PengPublished in: International journal of molecular sciences (2023)
Photodynamic therapy (PDT) using 5-aminolevulinic acid (ALA) which is the precursor of the photosensitizer protoporphyrin IX (PpIX) is an available treatment for several diseases. ALA-PDT induces the apoptosis and necrosis of target lesions. We have recently reported the effects of ALA-PDT on cytokines and exosomes of human healthy peripheral blood mononuclear cells (PBMCs). This study has investigated the ALA-PDT-mediated effects on PBMC subsets from patients with active Crohn's disease (CD). No effects on lymphocyte survival after ALA-PDT were observed, although the survival of CD3 - /CD19 + B-cells seemed slightly reduced in some samples. Interestingly, ALA-PDT clearly killed monocytes. The subcellular levels of cytokines and exosomes associated with inflammation were widely downregulated, which is consistent with our previous findings in PBMCs from healthy human subjects. These results suggest that ALA-PDT may be a potential treatment candidate for CD and other immune-mediated diseases.
Keyphrases
- photodynamic therapy
- fluorescence imaging
- endothelial cells
- mesenchymal stem cells
- oxidative stress
- stem cells
- induced pluripotent stem cells
- pluripotent stem cells
- peripheral blood
- endoplasmic reticulum stress
- risk assessment
- bone marrow
- signaling pathway
- smoking cessation
- high resolution
- nk cells
- climate change
- single molecule
- free survival
- pi k akt
- human health