Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma

Background: Skin cancer is the most frequent cancer worldwide and is divided into non-melanoma skin cancer, including basal cell carcinoma, as well as squamous cell carcinoma (SCC) and malignant melanoma (MM). Methods: This study evaluates the effects of cold atmospheric pressure plasma (CAP) on SCC...

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Main Authors: Marcel Kordt, Isabell Trautmann, Christin Schlie, Tobias Lindner, Jan Stenzel, Anna Schildt, Lars Boeckmann, Sander Bekeschus, Jens Kurth, Bernd J. Krause, Brigitte Vollmar, Eberhard Grambow
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/10/2483
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author Marcel Kordt
Isabell Trautmann
Christin Schlie
Tobias Lindner
Jan Stenzel
Anna Schildt
Lars Boeckmann
Sander Bekeschus
Jens Kurth
Bernd J. Krause
Brigitte Vollmar
Eberhard Grambow
author_facet Marcel Kordt
Isabell Trautmann
Christin Schlie
Tobias Lindner
Jan Stenzel
Anna Schildt
Lars Boeckmann
Sander Bekeschus
Jens Kurth
Bernd J. Krause
Brigitte Vollmar
Eberhard Grambow
author_sort Marcel Kordt
collection DOAJ
description Background: Skin cancer is the most frequent cancer worldwide and is divided into non-melanoma skin cancer, including basal cell carcinoma, as well as squamous cell carcinoma (SCC) and malignant melanoma (MM). Methods: This study evaluates the effects of cold atmospheric pressure plasma (CAP) on SCC and MM in vivo, employing a comprehensive approach using multimodal imaging techniques. Longitudinal MR and PET/CT imaging were performed to determine the anatomic and metabolic tumour volume over three-weeks in vivo. Additionally, the formation of reactive species after CAP treatment was assessed by non-invasive chemiluminescence imaging of L-012. Histological analysis and immunohistochemical staining for Ki-67, ApopTag<sup>®</sup>, F4/80, CAE, and CD31, as well as protein expression of PCNA, caspase-3 and cleaved-caspase-3, were performed to study proliferation, apoptosis, inflammation, and angiogenesis in CAP-treated tumours. Results: As the main result, multimodal in vivo imaging revealed a substantial reduction in tumour growth and an increase in reactive species after CAP treatment, in comparison to untreated tumours. In contrast, neither the markers for apoptosis, nor the metabolic activity of both tumour entities was affected by CAP. Conclusions: These findings propose CAP as a potential adjuvant therapy option to established standard therapies of skin cancer.
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spelling doaj.art-fc0d4fc3c58b472aa66e304e8c778d8b2023-11-21T20:28:46ZengMDPI AGCancers2072-66942021-05-011310248310.3390/cancers13102483Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure PlasmaMarcel Kordt0Isabell Trautmann1Christin Schlie2Tobias Lindner3Jan Stenzel4Anna Schildt5Lars Boeckmann6Sander Bekeschus7Jens Kurth8Bernd J. Krause9Brigitte Vollmar10Eberhard Grambow11Rudolf-Zenker-Institute of Experimental Surgery, Rostock University Medical Center, 18057 Rostock, GermanyRudolf-Zenker-Institute of Experimental Surgery, Rostock University Medical Center, 18057 Rostock, GermanyRudolf-Zenker-Institute of Experimental Surgery, Rostock University Medical Center, 18057 Rostock, GermanyCore Facility Multimodal Small Animal Imaging, Rostock University Medical Center, 18057 Rostock, GermanyCore Facility Multimodal Small Animal Imaging, Rostock University Medical Center, 18057 Rostock, GermanyCore Facility Multimodal Small Animal Imaging, Rostock University Medical Center, 18057 Rostock, GermanyClinic and Policlinic for Dermatology and Venereology, Rostock University Medical Center, 18057 Rostock, GermanyCenter for innovation competence (ZIK) <i>plasmatis</i>, Leibniz Institute for Plasma Science and Technology (INP), 17489 Greifswald, GermanyDepartment of Nuclear Medicine, Rostock University Medical Center, 18055 Rostock, GermanyCore Facility Multimodal Small Animal Imaging, Rostock University Medical Center, 18057 Rostock, GermanyRudolf-Zenker-Institute of Experimental Surgery, Rostock University Medical Center, 18057 Rostock, GermanyRudolf-Zenker-Institute of Experimental Surgery, Rostock University Medical Center, 18057 Rostock, GermanyBackground: Skin cancer is the most frequent cancer worldwide and is divided into non-melanoma skin cancer, including basal cell carcinoma, as well as squamous cell carcinoma (SCC) and malignant melanoma (MM). Methods: This study evaluates the effects of cold atmospheric pressure plasma (CAP) on SCC and MM in vivo, employing a comprehensive approach using multimodal imaging techniques. Longitudinal MR and PET/CT imaging were performed to determine the anatomic and metabolic tumour volume over three-weeks in vivo. Additionally, the formation of reactive species after CAP treatment was assessed by non-invasive chemiluminescence imaging of L-012. Histological analysis and immunohistochemical staining for Ki-67, ApopTag<sup>®</sup>, F4/80, CAE, and CD31, as well as protein expression of PCNA, caspase-3 and cleaved-caspase-3, were performed to study proliferation, apoptosis, inflammation, and angiogenesis in CAP-treated tumours. Results: As the main result, multimodal in vivo imaging revealed a substantial reduction in tumour growth and an increase in reactive species after CAP treatment, in comparison to untreated tumours. In contrast, neither the markers for apoptosis, nor the metabolic activity of both tumour entities was affected by CAP. Conclusions: These findings propose CAP as a potential adjuvant therapy option to established standard therapies of skin cancer.https://www.mdpi.com/2072-6694/13/10/2483kINPen™malignant melanomaplasma medicinereactive oxygen and nitrogen speciesskin cancersquamous cell carcinoma
spellingShingle Marcel Kordt
Isabell Trautmann
Christin Schlie
Tobias Lindner
Jan Stenzel
Anna Schildt
Lars Boeckmann
Sander Bekeschus
Jens Kurth
Bernd J. Krause
Brigitte Vollmar
Eberhard Grambow
Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma
Cancers
kINPen™
malignant melanoma
plasma medicine
reactive oxygen and nitrogen species
skin cancer
squamous cell carcinoma
title Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma
title_full Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma
title_fullStr Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma
title_full_unstemmed Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma
title_short Multimodal Imaging Techniques to Evaluate the Anticancer Effect of Cold Atmospheric Pressure Plasma
title_sort multimodal imaging techniques to evaluate the anticancer effect of cold atmospheric pressure plasma
topic kINPen™
malignant melanoma
plasma medicine
reactive oxygen and nitrogen species
skin cancer
squamous cell carcinoma
url https://www.mdpi.com/2072-6694/13/10/2483
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