The Myocardial Electrical Blockade Induced by Photosensitization Reaction

Arisa Ito, Shuntaro Hosokawa, Tsunenori Arai, Shunichiro Miyoshi, Kyoko Soejima, Satoshi Ogawa

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

The authors studied the application of photosensitization-reaction-induced cytotoxicity to establish electrical blockade of myocardial tissue. This photosensitization-reaction-induced cytotoxicity, i.e., photodynamic therapy (PDT) was performed with chlorine photosensitizer, talaporfin sodium, and a red (670 nm) diode laser. The cytotoxicity on rat cardiac myocytes and the electrical blockade by PDT using rat myocardial tissue were confirmed. The mechanism of PDT-induced electrical blockade was investigated. The photosensitization-reaction-induced cytotoxicity in normal rat cardiac myocytes was obtained in cell lethality measurement. The ex vivo experiment with rat-isolated myocardial tissue demonstrated the immediate electrical blockade by PDT. Moreover, the possibility of permanent electrical blockade by PDT using rat atrioventricular blockade model was confirmed. To study the mechanism of the acute electrical blockade obtained in the ex vivo study, intracellular Ca2+ concentration changes in rat cardiac myocytes were measured by the intensity of the fluorescent Ca2+ indicator Fluo-4 AM. A rapid increase in fluorescence intensity during the photosensitization reaction and a change in cell morphology after the photosensitization reaction were observed. These results indicate that cell membrane damage, Ca2+ influx, and eventually cell death are caused by the photosensitization reaction. The necrosis-like cell death induced by the photosensitization reaction can explain a permanent electrical blockade of the myocardial tissue in vivo by PDT.

Original languageEnglish
Pages (from-to)488-495
Number of pages8
JournalIEEE Transactions on Biomedical Engineering
Volume57
Issue number2
DOIs
Publication statusPublished - 2010 Feb

Keywords

  • Electrical blockade
  • photodynamic therapy (PDT)
  • photosensitization reaction
  • photosensitizer
  • talaporfin sodium

ASJC Scopus subject areas

  • Biomedical Engineering

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