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Photodynamic Therapy
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Phototherapy The first who used the light: Egyptians, Indians, Chinese and Grecee 1815. Carvin 1822. Sniadecki 1903. D. N. Finsen: Nobel Prize
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Photochemotherapy Indians: Psoralea corylifolia Egyptians: Ammi majus
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PDT history 1900. Oscar Raab 1905. H. von Tappeiner take in the PDT
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Hematoporphyrin 1841. Sherer 1867. Thudicum 1871. Hoppe- Seyler
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Hematoporphyrin 1924. Policard Auler and Banzer
Figge and co workers: photodiagnosis
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Why do some photosensitiziers localize selectively in tumors?
Tumors have a larger interstital volume than normal tissues Tumors often contain a larger fraction of macrophages than normal tissues Tumors have a leaky microvasculature Tumors have poor lymphatic drainage The extracellular ph is low in tumors Tumors contain a relatively large amount of newly synthesized collagen Tumor tissue contains many receptors for lipoproteins
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Use photosensitizing solution
PDT treatment Use photosensitizing solution Collect in cancer Irradiate Selective tumour collapse
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Porfirin
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PDT mechanism Energy transport reactive oxygen
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PDT mechanism Electron passing free radical
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PDT mechanism photosensitizing Activation with light
Introduce photosensitizing into the cell release reactive oxygen end free radical tissue necrosis or apoptozis
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Other tumour therapy Surgery Radio- and chemotherapy
disadvantage: - can’t remove total the cancer - matastasis Radio- and chemotherapy disadvantage: - to hight degree damage - resistance
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Photodynamic Therapy Advantage - selective destruction
- not develop resistance Disadvantage - only use surface cancer - cell of small size
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Other field of application
Arteriosclerosis Germ, virus inanctivation Gum inflammation Blood sterilization Water purification
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