Neutral red (NR) is a cationic, nontoxic vital dye employed as a histo
logic stain for proliferating cells; it has been used clinically for p
hotodynamic treatment of herpes simplex virus lesions. NR is selective
ly taken up and concentrated by mitotic cells, an important characteri
stic for more effective antineoplastic agents. In the present study, U
CLA-SO-P3 human squamous carcinoma cells displayed minimal toxicity wh
en incubated with up to 50 mu g/ml NR in the absence of light. However
cells incubated with greater than 0.5 mu g/ml NR followed by exposure
to KTP laser light at 532 nm exhibited nearly 100% tumor cell death.
The degree of cell toxicity was proportional to NR dose and laser ligh
t fluence. This study demonstrates that NR is an excellent cancer cell
photosensitizer in vitro, and, after adding additional in vivo precli
nical testing, may prove to be a useful agent in photodynamic destruct
ion of head and neck tumors.