Photodynamic therapy is a binary treatment now accepted in clinic for vario
us malignancies in several countries around the world. Phthalocyanine molec
ules are second-generation photosensitizers with enhanced photophysical and
photochemical properties over those of porphyrins. They have been shown to
be phototoxic against a number of cell types and tumor models. A great dea
l of research has been devoted to the elucidation of their mechanism of act
ion and mode of cell death. The present paper reviews phthalocyanine pre-cl
inical anti-cancer research with emphasis on phthalocyanine induced apoptos
is using a silicon phthalocyanine, Pc4. A brief summary of the latest clini
cal results using phthalocyanines is presented. Copyright (C) 2001 John Wil
ey & Sons, Ltd.