Background and Objective: 5-aminolaevulinic acid (ALA) is a new, promi
sing photosensitizer for PDT of cancer. Subcellular toxicity induced b
y ALA and light exposure in single cells was studied to elucidate the
mechanism of cell damage. Study Design/Materials and Methods: CPAE, PT
K2, and rat neonatal myocardial cells treated with ALA were examined f
or localization using fluorescence microscopy and for subcellular phot
otoxicity using 630 nm laser microbeam irradiation of spe cific subcel
lular regions. Results: In CPAE and PTK, cells, a large amount of fluo
rescence was detected in the peri-nuclear cytoplasm. In rat neonatal m
yocardial cells, the sensitizer selectively localized in the large mit
ochondria. In both cell types, there was little phototoxicity when the
peripheral cytoplasmic region was exposed, as compared to considerabl
e phototoxicity with exposure of either the perinuclear or nuclear reg
ions. Conclusion: Both the CPAE and PTK, cells demonstrated that the n
ucleus followed by the perinuclear cytoplasm are the most sensitive ce
ll areas with no sensitivity in the peripheral cytoplasm. (C) 1998 Wil
ey-Liss, Inc.