Berberine as a potential enhancer for 5-ALA-mediated fluorescence in glioblastoma: increasing detectability of infiltrating glioma stem cells to optimize 5-ALA-guided surgery.
Yoshihiro OhtsukaSatoshi SuehiroAkihiro InoueTakanori OhnishiMasahiro NishikawaDaisuke YamashitaHajime YanoMohammed E ChoudhurySaya OzakiOltea SampetreanHideyuki SayaHideaki WatanabeJunya TanakaTakeharu KuniedaPublished in: Journal of neurosurgery (2024)
BBR enhanced 5-ALA-mediated PpIX fluorescence by upregulating and activating ALAS1 through deregulation of negative feedback inhibition by heme. BBR is a clinically used drug with no side effects. BBR is expected to significantly augment fluorescence-guided surgery and photodynamic therapy.