摘要目的 探讨一种新型光敏剂DTP对敏感胃癌细胞(SGC7901)及长春新碱耐药胃癌细胞(SGC7901/VCR)的光动力学治疗作用.方法 采用荧光显微镜间接确认SGC7901及SGC7901/VCR细胞膜上P-糖蛋白(P-gp)的表达情况,细胞计数试剂盒(CCK-8)检测DTP对SGC7901及SGC7901/VCR细胞的光动力学杀伤作用,荧光分光光度计测定两种细胞内的DTP吸收量,激光共聚焦显微镜观察DTP在两种细胞内的分布位置.结果 SGC7901细胞膜上几乎无P-gp分布,而SGC7901/VCR细胞膜上存在P-gp高表达.新型光敏剂DTP对SGC7901及SGC7901/VCR细胞均具有较强的光动力学杀伤作用,其中对SGC7901/VCR细胞的作用相对较弱(P＜0.05),且P-gp抑制剂维拉帕米或环孢素A的存在均不能增强DTP光动力学治疗对SGC7901/VCR细胞的杀伤作用(均P＞0.05).SGC7901细胞内的DTP吸收量高于SGC7901/VCR细胞(P＜0.05),且P-gp抑制剂维拉帕米和环孢素A均不能增加SGC7901/VCR细胞内的DTP吸收量(均P＞0.05).DTP分布于SG-C7901细胞的溶酶体以及SGC7901/VCR细胞的溶酶体和线粒体内.结论 新型光敏剂DTP并非多药转运蛋白P-gp的底物,其对SGC7901/VCR细胞较弱的光动力学杀伤作用与其细胞膜上过表达的P-gp无关,可能与DTP在两种细胞内的分布位置不同有关.

abstractsObjective To study the photodynamic therapeutical efficacy of a novel photosensitizer DTP on sensitive gastric cancer cells (SGC7901) and vincristine-resistant gastric cancer cells (SGC7901/VCR).Methods The P-gp expression on the SGC7901 and SGC7901/VCR cell membrane was indirectly confirmed by fluorescence microscopy.The survival rates of SGC7901 and SGC7901/VCR cells were evaluated by cell counting kit (CCK-8) after photodynamic therapy with DTP.The intracellular DTP uptake levels of two types of cell were determined using a fluorescence spectrophotometer,and the intracellular DTP distributions were observed by laser scanning confocal microscopy.Results The novel photosensitizer DTP has considerable photodynamic cytotoxic effect on SGC7901 and SGC7901/VCR cells.However,this effect on the SGC7901NCR cells was relatively weak (P＜0.05),and could not be enhanced by P-gp inhibitor verapamil or cyclosporine A(P＞0.05).The DTP uptake level in SGC7901 cells was higher than that in SGC7901/VCR cells (P＜0.05),and could not be enhanced by P-gp inhibitor verapamil and cyclosporin A (P＞0.05).It was found that DTP distributed in the lysosomes of SGC7901 cells and in the lysosomes and mitochondria of SGC7901/VCR cells.Conclusions The novel photosensitizer DTP is not the substrate of multidrug transporter P-gp,and its weaker photodynamic cytotoxic effect on SGC7901/VCR cells is independent of the P-gp overexpression on its cell membrane,which may be related to the distribution of intracellular DTP in the two types of cell.