Review Article

ROS-Mediated Therapeutic Strategy in Chemo-/Radiotherapy of Head and Neck Cancer

Table 5

Combination treatment of PDT with chemotherapy drugs in HNC.

SiteModelPhotosensitizer/laser irradiationCotherapyROS detectionEffectMechanismsReference

LarynxIn vitro
(AMC-HN3 cell)
In vivo
(AMC-HN3 xenograft nude mice
Radachlorin (0.9 J/cm2)+CarboplatinDCFH-DA confocal microscope, flow cytometrySynergistic effects: reduce side effect↑cytochrome c ↓EGFR, ↑ROS[258]

LarynxIn vitro
(Hep-2 cell)
mTHPC (2 J/cm2)+Cisplatin (5 μM)Synergistic effects↓Bcl-2, ↓PD-L1 ↓ATG-7, ↓LC3-II/LC3-I[259]

Oral cavityIn vitro
(BHY cell)
mTHPC (1.8 J/cm2)+Oxaliplatin (0.1-100 μM)DCFH-DA flow cytometrySynergistic effects↑ROS, ↑S-phase arrest[260]

EsophagusIn vitro
(KYSE-70 cell)
mTHPC (1.8 J/cm2)+Cisplatin (0.01-50 μM)DCFH-DA flow cytometrySynergistic effects↑ROS[260]

Head and neckIn vitro
(cisplatin-resistant SQ20B and JSQ3 cell and cisplatin-sensitive HNSCC135 and SCC61 cell)
In vivo
(SQ20B xenograft nude mice)
Pyrolipid (54 J/cm2)+Cisplatin (0.5 mg/kg)Synergistic effects: enhance apoptosis↑IL-6, ↑TNF-α, ↑IFN-γ[261]

Notes. DCFH-DA: 2,7-dichlorofluorescein diacetate; mTHPC: meta-Tetra (hydroxyphenyl) chlorin; EGFR: epidermal growth factor receptor; Bcl-2: B-cell lymphoma-2; ROS: reactive oxygen species; LC3: microtubule-associated protein light chain 3; ATG-7: autophagy-related 7; TNF-α: tumor necrosis factor-α; IL-6: interleukin-6; IFN-γ: interferon-γ.