Presidential Greeting - American Society for Laser Medicine and ...
Presidential Greeting - American Society for Laser Medicine and ...
Presidential Greeting - American Society for Laser Medicine and ...
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after administration of targeted GNR. Additionally, the NIRNBI<br />
images collected from targeted GNR tumors (n ¼ 4) showed a<br />
220% increase in contrast compared to untargeted tumors.<br />
Conclusion: We have demonstrated that a topical application of<br />
gold nanorods targeted specifically to tumor growth factors results<br />
in a significantly higher image contrast compared to non-targeted<br />
gold nanorods. These results demonstrate the initial feasibility of<br />
NIRNBI in demarcating tumor margins during surgical resection<br />
using topical administration of targeted GNR.<br />
#6<br />
INDUCTION OF LIPOLYSIS IN HUMAN<br />
ADIPOCYTES BY HYPERTHERMIA ALONE AND<br />
IN COMBINATION WITH PHOTODYNAMIC<br />
TREATMENT<br />
Valery Tuchin, Irina Yanina, Georgy Simonenko,<br />
Andrey Belikov, David Tabatadze, Ilya Yaroslavsky,<br />
Gregory Altshuler<br />
Institute of Optics <strong>and</strong> Biophotonics, Saratov State University<br />
Saratov, Russian Federation; Palomar Medical Technologies, Inc.,<br />
Burlington; <strong>Laser</strong> Center, SPITMO Saint-Petersburg, Russia<br />
Background: Reduction of fat deposits is a goal of many<br />
treatment approaches. Liposuction remains de facto goldst<strong>and</strong>ard<br />
procedure, providing high reduction in the volume of<br />
adipose tissue in a short period of time. Minimally <strong>and</strong> noninvasive<br />
alternatives to liposuction are highly desirable <strong>and</strong> are<br />
being actively pursued by many groups world-wide. Objective of<br />
this study was to investigate feasibility of inducing lipolysis in<br />
human adipose tissue with hyperthermia alone <strong>and</strong> by combining<br />
it with photodynamic treatment.<br />
Study: Samples of human adipose tissue were subjected to<br />
hyperthermia (up to 43.58C) using several temporal regimens of<br />
heating <strong>and</strong> cooling down. In addition, some samples were stained<br />
by photosensitizer Brilliant Green (maxima of absorption at 440<br />
<strong>and</strong> 650 nm) <strong>and</strong> then irradiated by a two-color diode lamp<br />
(W ¼ 70 mW/cm 2 at ? ¼ 442 nm <strong>and</strong> W ¼ 121 mW/cm 2 at<br />
? ¼ 597 nm). The viability <strong>and</strong> status of the adipocytes were<br />
assessed by light microscopy at several time points.<br />
Results: Pronounced changes in shape <strong>and</strong> size of adipocytes<br />
were registered. Observed dynamics of cell morphology is<br />
consistent with hypothesis of induced lipolysis. Photodynamic<br />
treatment accelerated the change significantly.<br />
Conclusion: Hyperthermic treatment of adipocytes can be used<br />
to induce lipolysis. The process can be accelerated by<br />
photodynamic treatment. This technique has a potential <strong>for</strong><br />
minimally or non-invasive fat reduction in vivo.<br />
#7<br />
<strong>American</strong> <strong>Society</strong> <strong>for</strong> <strong>Laser</strong> <strong>Medicine</strong> <strong>and</strong> Surgery Abstracts 3<br />
HEAT SHOCK PROTEIN EXPRESSION IN TISSUES<br />
AFTER SHORT PULSE LASER-INDUCED DAMAGE<br />
Amir Sajjadi, Kunal Mitra, Michael Grace<br />
Melbourne, FL<br />
Background: Effective laser-based therapeutics requires<br />
detailed underst<strong>and</strong>ing of the biochemical mechanisms of laser–<br />
tissue interaction. There<strong>for</strong>e, we characterized the extents of<br />
thermal damage <strong>and</strong> heat-affected zones following skin ablation<br />
by analyzing the spatiotemporal distribution of heat shock<br />
proteins.<br />
Study: A focused-beam short-pulse laser was used to ablate the<br />
skin surface of live anesthetized mice with minimal thermal<br />
damage to surrounding untreated tissues. After ablation, the<br />
extent of thermal ablation <strong>and</strong> the heat-affected zone was<br />
analyzed by immunofluorescence localization of heat shock<br />
proteins, the expression of which increases when cells are<br />
exposed to elevated temperature or other stresses. Thermal<br />
imaging was per<strong>for</strong>med during laser irradiation to monitor<br />
temperature effects in real time. To investigate the extent of<br />
thermal damage <strong>and</strong> the initial events in healing, 47- <strong>and</strong> 70-kDa<br />
heat shock proteins (HSP47 <strong>and</strong> HSP70) were localized in a<br />
double-labeling procedure using HSP47- <strong>and</strong> HSP70-specific<br />
primary antisera followed by Alexa-dye-labeled secondary<br />
antisera. HSP analyses were per<strong>for</strong>med at 0, 24, 36 <strong>and</strong> 48 hours<br />
after laser irradiation. Images were obtained by laser scanning<br />
confocal microscopy.<br />
Results: Expression patterns of HSP70 <strong>and</strong> HSP47 delineated<br />
the extent of thermal damage, <strong>and</strong> may illustrate the biochemical<br />
process of wound healing. Analysis of the effects of laser<br />
irradiation over the course of time using different laser<br />
parameters followed by immunohistochemistry defines the time<br />
course of laser effects on skin tissues. Extent of damage was<br />
correlated with temperature rise using measured temperature<br />
distribution <strong>and</strong> ablation depth <strong>for</strong> different laser parameters.<br />
Conclusion: HSP70 <strong>and</strong> HSP47 can be simultaneously<br />
visualized using immunofluorescence <strong>and</strong> laser scanning confocal<br />
microscopy, <strong>and</strong> temporal changes in HSP expression patterns<br />
may define both the laser-induced thermal damage zone <strong>and</strong> the<br />
process of healing. Careful temporal analysis of HSP distribution<br />
following laser irradiation supports the development of effective<br />
new laser therapy protocols.<br />
#8<br />
MOBILIZATION OF ENDOTHELIAL PROGENITOR<br />
CELLS FOLLOWING PHOTODYNAMIC THERAPY<br />
Charles Gomer, Angela Ferrario, Marian Luna<br />
University of Southern Cali<strong>for</strong>nia, Los Angeles, CA;<br />
Childrens Hospital Los Angeles, Los Angeles, CA<br />
Background: Photodynamic therapy (PDT) mediated oxidative<br />
stress induces direct tumor cell kill <strong>and</strong>, indirectly, modulates the<br />
tumor microenvironment leading to local responses such as<br />
inflammation, hypoxia <strong>and</strong> acute vascular injury. These local<br />
reactions effect PDT tumor responsiveness by inducing<br />
angiogenesis. To exp<strong>and</strong> our underst<strong>and</strong>ing of PDT-mediated<br />
tumor responses we are conducting a study to examine whether<br />
PDT mobilizes bone marrow-derived vascular progenitor cells, a<br />
mechanism associated with vasculogenesis, growth <strong>and</strong><br />
metastatic potential.<br />
Study: We monitored the number of circulating endothelial cells<br />
(CECs) <strong>and</strong> circulating endothelial progenitor cells (CEPs)<br />
following PDT using four color flow cytometry. We also examined<br />
the in vitro <strong>and</strong> in vivo expression of the chemokine stromal<br />
derived factor-1 alpha (SDF-1a) <strong>and</strong> its receptor CXCR4, which<br />
are key molecules associated with hematopoietic stem cell homing<br />
<strong>and</strong> tumor angiogenesis.<br />
Results: Flow cytometry results showed a twofold increase of<br />
CECs <strong>and</strong> CEPs in the peripheral blood of Balb/c mice bearing 4T1<br />
mammary tumors 24 hours after PDT when compared to<br />
untreated controls. Western blot analysis of lysates from PDTtreated<br />
cells showed, at 24 hours, a four- to fivefold increase in<br />
expression of CXCR4 while no SDF-1a was detected in media by<br />
ELISA. We observed increase of SDF-1a levels in plasma of<br />
treated mice as well as activation of the SDF-1a receptor CXCR4<br />
in 4T1 tumors soon after PDT.