Skin surface Protoporphyrin IX fluorescence is associated with epidermal but not dermal fluorescence intensities.

Hexyl aminolevulinate Methyl aminolevulinate PpIX fluorescence PpIX fluorescence microscopy PpIX fluorescence photographs

Journal

Photodiagnosis and photodynamic therapy
ISSN: 1873-1597
Titre abrégé: Photodiagnosis Photodyn Ther
Pays: Netherlands
ID NLM: 101226123

Informations de publication

Date de publication:
Jun 2020
Historique:
received: 14 08 2019
revised: 17 01 2020
accepted: 31 01 2020
pubmed: 8 2 2020
medline: 15 5 2021
entrez: 8 2 2020
Statut: ppublish

Résumé

Photodynamic therapy with Protoporphyrin IX (PpIX) is well-established for keratinocyte dysplasia. PpIX fluorescence can be quantified at the skin surface and within skin layers, but their relation is previously undescribed. The study objective was to assess the relation between skin surface PpIX fluorescence and PpIX fluorescence in epidermis and dermis. Normal buttocks skin was tape-stripped and incubated with 20 % methyl aminolevulinate cream and 20 % hexyl aminolevulinate cream under occlusion. After 3 h, skin surface PpIX fluorescence photographs were captured and 4 mm punch biopsies sampled. PpIX fluorescence microscopy was measured in regions of interest (ROI) in epidermis and superficial dermis. All PpIX fluorescence intensities were calculated in arbitrary units (AU). Skin surface PpIX fluorescence intensity expressed a positive, linear relation to ROI-epidermis PpIX fluorescence (HAL- and MAL-incubated skin, p < 0.001, r The positive linear relation between skin surface PpIX fluorescence photographs and epidermal PpIX fluorescence microscopy indicates that skin surface PpIX fluorescence predominantly derives from epidermis.

Sections du résumé

BACKGROUND BACKGROUND
Photodynamic therapy with Protoporphyrin IX (PpIX) is well-established for keratinocyte dysplasia. PpIX fluorescence can be quantified at the skin surface and within skin layers, but their relation is previously undescribed. The study objective was to assess the relation between skin surface PpIX fluorescence and PpIX fluorescence in epidermis and dermis.
METHODS METHODS
Normal buttocks skin was tape-stripped and incubated with 20 % methyl aminolevulinate cream and 20 % hexyl aminolevulinate cream under occlusion. After 3 h, skin surface PpIX fluorescence photographs were captured and 4 mm punch biopsies sampled. PpIX fluorescence microscopy was measured in regions of interest (ROI) in epidermis and superficial dermis. All PpIX fluorescence intensities were calculated in arbitrary units (AU).
RESULTS RESULTS
Skin surface PpIX fluorescence intensity expressed a positive, linear relation to ROI-epidermis PpIX fluorescence (HAL- and MAL-incubated skin, p < 0.001, r
CONCLUSION CONCLUSIONS
The positive linear relation between skin surface PpIX fluorescence photographs and epidermal PpIX fluorescence microscopy indicates that skin surface PpIX fluorescence predominantly derives from epidermis.

Identifiants

pubmed: 32032781
pii: S1572-1000(20)30034-X
doi: 10.1016/j.pdpdt.2020.101681
pii:
doi:

Substances chimiques

Photosensitizing Agents 0
Protoporphyrins 0
Aminolevulinic Acid 88755TAZ87
protoporphyrin IX C2K325S808

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

101681

Informations de copyright

Copyright © 2020. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of Competing Interest CF, HCW, KTB, MH and PAP have no conflict of interest. HAL powder was provided by Photocure.

Auteurs

Camilla Foged (C)

Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark.

Peter Alshede Philipsen (PA)

Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark.

Hans Christian Wulf (HC)

Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark.

Merete Haedersdal (M)

Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark.

Katrine Togsverd-Bo (K)

Department of Dermatology, Bispebjerg Hospital, Copenhagen, Denmark. Electronic address: Katrine.togsverd-bo@regionh.dk.

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Classifications MeSH