Photodynamic Therapy of Oral Dysplasia with Topical 5-Aminolevulinic Acid and Light-Emitting Diode Array

Jui Chang Tsai, Chun Pin Chiang, Hsin Ming Chen, Sheng Bang Huang, Chun Wei Wang, Ming I. Lee, Yih Chih Hsu, Chin Tin Chen, Tsuimin Tsai

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Background and Objectives: In Taiwan, more than two million people have the betel quid (BQ) chewing habit which is a risk factor related to premalignant lesion and squamous cell carcinoma of oral cavity. We developed a light-emitting diode (LED) array combined with topical 5-aminolevulinic acid (ALA) for photodynamic therapy (PDT) and evaluated its effectiveness for the treatment of oral lesions. Study Design/Materials and Methods: We compared the ALA-PDT effect of the homemade LED array to that of a commercial light source on cultured Ca9-22 human gingival carcinoma cells and the DMBA-induced hamster buccal pouch carcinoma model. Furthermore, we treated several patients having an oral lesion using a topical ALA delivery system and the LED array. Results: The LED array light source was as effective as the commercial light source for ALA-PDT in cultured Ca9-22 cells with LD50 of 4.5 and 4.3 J/cm 2, respectively, using an MTT assay. This light source was also effective in the DMBA-induced hamster buccal pouch carcinoma model, and in the patients of oral leukoplakia. Conclusions: ALA-PDT is effective for premalignant lesions such as mucosal dysplasia and carcinoma in situ of oral cavity. Good results could be obtained by using the homemade LED array as light source. The LED array has the advantages of low cost, high reliability, and portability. It is safe, convenient and easy to use for the treatment of oral dysplasia.

Original languageEnglish
Pages (from-to)18-24
Number of pages7
JournalLasers in Surgery and Medicine
Volume34
Issue number1
DOIs
Publication statusPublished - 2004

Fingerprint

Aminolevulinic Acid
Photochemotherapy
Light
9,10-Dimethyl-1,2-benzanthracene
Cheek
Carcinoma
Cricetinae
Mouth
Oral Leukoplakia
Mastication
Lethal Dose 50
Carcinoma in Situ
Taiwan
Habits
Squamous Cell Carcinoma

Keywords

  • 5-aminolevulinic acid
  • Light-emitting diode
  • Oral leukoplakia
  • Photodynamic therapy

ASJC Scopus subject areas

  • Surgery

Cite this

Tsai, J. C., Chiang, C. P., Chen, H. M., Huang, S. B., Wang, C. W., Lee, M. I., ... Tsai, T. (2004). Photodynamic Therapy of Oral Dysplasia with Topical 5-Aminolevulinic Acid and Light-Emitting Diode Array. Lasers in Surgery and Medicine, 34(1), 18-24. https://doi.org/10.1002/lsm.10250

Photodynamic Therapy of Oral Dysplasia with Topical 5-Aminolevulinic Acid and Light-Emitting Diode Array. / Tsai, Jui Chang; Chiang, Chun Pin; Chen, Hsin Ming; Huang, Sheng Bang; Wang, Chun Wei; Lee, Ming I.; Hsu, Yih Chih; Chen, Chin Tin; Tsai, Tsuimin.

In: Lasers in Surgery and Medicine, Vol. 34, No. 1, 2004, p. 18-24.

Research output: Contribution to journalArticle

Tsai, JC, Chiang, CP, Chen, HM, Huang, SB, Wang, CW, Lee, MI, Hsu, YC, Chen, CT & Tsai, T 2004, 'Photodynamic Therapy of Oral Dysplasia with Topical 5-Aminolevulinic Acid and Light-Emitting Diode Array', Lasers in Surgery and Medicine, vol. 34, no. 1, pp. 18-24. https://doi.org/10.1002/lsm.10250
Tsai, Jui Chang ; Chiang, Chun Pin ; Chen, Hsin Ming ; Huang, Sheng Bang ; Wang, Chun Wei ; Lee, Ming I. ; Hsu, Yih Chih ; Chen, Chin Tin ; Tsai, Tsuimin. / Photodynamic Therapy of Oral Dysplasia with Topical 5-Aminolevulinic Acid and Light-Emitting Diode Array. In: Lasers in Surgery and Medicine. 2004 ; Vol. 34, No. 1. pp. 18-24.
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AB - Background and Objectives: In Taiwan, more than two million people have the betel quid (BQ) chewing habit which is a risk factor related to premalignant lesion and squamous cell carcinoma of oral cavity. We developed a light-emitting diode (LED) array combined with topical 5-aminolevulinic acid (ALA) for photodynamic therapy (PDT) and evaluated its effectiveness for the treatment of oral lesions. Study Design/Materials and Methods: We compared the ALA-PDT effect of the homemade LED array to that of a commercial light source on cultured Ca9-22 human gingival carcinoma cells and the DMBA-induced hamster buccal pouch carcinoma model. Furthermore, we treated several patients having an oral lesion using a topical ALA delivery system and the LED array. Results: The LED array light source was as effective as the commercial light source for ALA-PDT in cultured Ca9-22 cells with LD50 of 4.5 and 4.3 J/cm 2, respectively, using an MTT assay. This light source was also effective in the DMBA-induced hamster buccal pouch carcinoma model, and in the patients of oral leukoplakia. Conclusions: ALA-PDT is effective for premalignant lesions such as mucosal dysplasia and carcinoma in situ of oral cavity. Good results could be obtained by using the homemade LED array as light source. The LED array has the advantages of low cost, high reliability, and portability. It is safe, convenient and easy to use for the treatment of oral dysplasia.

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