Detection of singlet oxygen in blood serum samples of clinically healthy lambs and lambs suffering from alveld disease

Photodynamic therapy as a strategic ally in radiotherapy for triple-negative breast cancer: the importance of treatment order

PURPOSE

Triple-negative breast cancer (TNBC) accounts for 20% of all breast cancer cases and is notably resistant to radiotherapy (RT). Photodynamic therapy (PDT) using porphyrins or their derivatives has shown promise as a potential cancer treatment and immune activator. This study evaluated the effects of combining PDT and RT in sublethal conditions for TNBC using in vitro and in vivo models.

METHODS

In vitro, PDT was combined with RT (2.5 Gy) using a porphyrin (TMPyP, 32 μmolL-1) and red light (660 ± 15 nm) with a dose of 50 Jcm-2. We assessed cell viability, survival, apoptosis, ROS, singlet oxygen, and GSH/GSSG ratio. In vivo, we used a TNBC-bearing mouse model and combined PDT with RT in four sessions, comparing treatment sequences. We evaluated tumor volume, clinical manifestations, survival, metastasis in the lungs, ROS, singlet oxygen, and glutathione levels.

RESULTS

Cells treated with PDT + RT had a lower survival fraction, although PDT alone showed higher apoptosis and singlet oxygen levels than RT-treated groups. In vivo, the treatment sequence plays a crucial role: PDT after RT resulted in better clinical outcomes, prolonged survival, and fewer lung nodules compared to RT, with higher singlet oxygen levels likely stimulating an immune response.

CONCLUSION

Our results show that PDT can be a valuable adjunct in the RT of TNBC, with the treatment sequence playing a crucial role in enhancing efficacy.

Fluorescence of various buried fresh and fresh-frozen-thawed tissue types up until the point of active decay: a human taphonomy study

Forensic taphonomy is the study of postmortem changes of human remains for the purpose of answering legal investigative questions. Many variables can affect the pattern and rate of decomposition of remains, posing challenges for taphonomic studies and estimation of the postmortem interval. Given the gap in knowledge regarding the suitability of using frozen remains to extrapolate conclusions to fresh material, investigating the effects of freeze-thaw cycles followed by burial on human remains is vital for forensic practice and taphonomic research. This study explored the impact of a freeze-thaw cycle and subsequent burial on human tissue decomposition under semi-controlled field conditions. Fresh and fresh-frozen-thawed hands were buried at the Amsterdam Research Initiative for Sub-surface Taphonomy and Anthropology for 31.7 to 340.4 accumulated degree days. Decomposition was assessed using fluorescence measurements targeting protein and fluorescent oxidation products, and broader excitation-emission matrix measurements in skin, adipose, and muscle tissue. Decomposition trends varied primarily by treatment group: fresh samples generally aligned with expectations that protein levels would decrease over time while fluorescent oxidation products increased, whereas fresh-frozen samples deviated significantly from these expectations. Significant differences were found between protein and fluorescent oxidation products levels of fresh and fresh-frozen tissue at corresponding time points, indicating this method's potential in determining sample state. However, fluorophore peak monitoring in excitation-emission matrices did not prove useful in establishing decomposition trends or potentially distinguishing between sample states. Despite limitations inherent to pilot and human taphonomy studies, this study clearly demonstrates that differences exist in the decomposition of fresh and fresh-frozen tissue, and that these trends vary slightly by tissue type. We therefore conclude that frozen material cannot be considered a proper substitute for fresh tissue regarding taphonomic processes, and the methods used in this study show promise in being used to differentiate between pre-decomposition treatments.

Photosensitisation diseases of animals: Classification and a weight of evidence approach to primary causes

Clare's (1952) classification system for photosensitisation diseases (types I, II, III and Uncertain) has endured many years of use despite some confusion regarding his secondary, or type III, category, as well as the more recent discovery of two mechanisms (types I and II) of phototoxicity. Therefore, to reduce confusion in terminology, I propose that Clare's four groups be known as primary (or direct), secondary (indirect or hepatogenous), endogenous (aberrant porphyrin synthesis), and idiopathic. The use of the word type can then be reserved for the mechanisms of phototoxicity. Clare's (1952, 1955) papers listed three plants as primary photosensitisers and three as idiopathic. In the literature, several other plants have been associated with photosensitisation in farm animals. Most of these are likely to have a primary pathogenesis; however, the weight of evidence for all but a few is sparse. With respect to plants (and certain mycotoxins and insects) implicated in primary photosensitisation outbreaks, McKenzie's "toxicity confidence rankings" (Australia's Poisonous Plants, Fungi and Cyanobacteria, 2012) has been adapted to "phototoxic agent confidence rankings". Thus, plants, mycotoxins or insects can be categorised regarding phototoxicity, i.e. definite (A); some evidence (B); suspected (C); or phototoxin isolated but no field cases known (D), and weight of evidence, i.e. field cases (1); experimental feeding produces photosensitisation (2); phototoxin isolated (3); phototoxin produces photosensitisation experimentally (4); and/or correlation of the action spectrum/chromatogram in blood or skin with the absorption spectrum/chromatogram of the phototoxin (5). As a result, confidence rankings ranging from A5 to D1 can be allocated. From the available literature, at least seventeen plant species can be ranked as A5 (definite phototoxicity with a maximum weight of evidence). The relatively recent breakthrough regarding the discovery of phototoxic anthraquinones in Heterophyllaea spp. has led to the serendipitous association of the same and similar anthraquinones as the most likely phototoxins in alligator weed (Alternanthera philoxeroides).

Photosensitisation of livestock grazing Narthecium ossifragum: Current knowledge and future directions

Photosensitisation diseases can cause production and animal welfare losses world-wide. In North-West Europe a photosensitisation disease complex known as 'plochteach', 'yellowses', 'saut' and 'alveld' occurs in lambs on extensive pastures containing bog asphodel (Narthecium ossifragum). Affected lambs develop lesions on the ears, face and sometimes the back, with erythema, oedema, ulceration and necrosis that can be followed by secondary infection and death. Adult sheep appear unaffected, the incidence in lambs varies from year to year and there are variations in susceptibility between- and within-breeds. The definitive cause remains uncertain although ingestion of N. ossifragum, which contains hepatotoxic saponins, has been implicated in the aetiology. However, problems replicating the disease complex by feeding N. ossifragum in a controlled environment have led to alternative hypotheses, including possible intake of toxins from fungal spores and cyanobacteria. Further research is required to assess the putative role of N. ossifragum, the scale of economic and animal welfare losses associated with the disease, how best to identify affected animals before external clinical signs appear and the treatment and management of clinical cases. Given the challenges involved in isolating the causative agent(s) of plochteach, an animal breeding route may be effective if heritability of resistance/susceptibility can be demonstrated.

Impaired secondary oxidant deactivation capacity and enhanced oxidative stress in serum from alveld affected lambs

Alveld is a hepatogenous photosensitivity disorder in lambs. The aim of the study was to investigate if alveld affected lambs had a reduced capacity to handle oxidative stress induced from either endogenous and/or exogenous photosensitizers. Serum samples from alveld lambs (n=33) were compared to serum samples from control lambs (n=31) and exposed to a controlled amount of singlet oxygen ((1)O2). The sera from alveld lambs were found to have an impaired ability to deactivate reactive oxygen species (ROS) compared to control sera. A higher degree of initial hemolysis and a higher concentration of the exogenous photosensitizer phytoporphyrin (PP) were detected in alveld sera compared to the controls. The action spectrum for the formation of (1)O2 indicated that PP as well as the endogenous compound protoporphyrin IX (PP IX) may act as in vivo photosensitizers. A relatively high level of iron was detected in pooled serum from alveld lambs that showed a high degree of hemolysis. It was concluded that alveld photosensitivity is likely to be initiated by a photodynamic reaction involving PP and possibly also PP IX followed by a light-independent reaction involving hemoglobin-related products and catalysis by the Fenton reaction.

Identification of singlet oxygen photosensitizes in lambs drinking water in an alveld risk area in West Norway

Alveld is a hepatogenous photosensitivity disorder in lambs. Although alveld has been known in Norway for more than 100years, there are still questions related to the cause of the disease. Phytoporphyrin has long been incriminated as the photosensitizer in hepatogenous photosensitivity diseases but previous findings suggest that the photosensitizing mechanism in alveld is more complex, possibly involving other co-factors. The current work investigates the presence of non-hepatogenous photosensitizers originating in lamb's drinking water from various sources. In addition samples of two of the predominent cyanobacteria found in a representative biofilm (i.e. aggregates of microbes) were identified and isolated in axenic (i.e. pure) cultures. Information from the absorption-, fluorescence emission-, and -excitation spectra and the action spectrum for the formation of singlet oxygen was combined in order to identify the chromophores responsible for the formation of singlet oxygen, e.g. phycocyanins from the cyanobacteria. The highest level of singlet oxygen formation was detected in lotic (i.e. flowing) water in the period consistent with the outbreak of the alveld disease in the area. Meteorological data indicate a warm and wet May with a high radiation exposure leading up to a colder and wet June with an even higher solar irradiance. The seasonal variation in the amount of photosensitizers in lamb's drinking water combined meteorological data can be important to predict the outbreak of alveld.