Loss of p53 function has been correlated with decreased sensitivity to
chemotherapy and radiation therapy in a variety of human tumors. Comp
arable analysis of p53 status with sensitivity to oxidative stress ind
uced by photodynamic therapy has not been reported. In the current stu
dy we examined photosensitivity in human promyelocytic leukemia HL60 c
ells exhibiting either wild-type p53, mutated p53 or deleted p53 expre
ssion. Experiments were performed using a purpurin, tin ethyl etiopurp
urin (SnET2)-, or a porphyrin, Photofrin (PH)based photosensitizer. To
tal SnET2 accumulation was comparable in all three cell lines. Uptake
of PH was highest in cells expressing wild-type p53 but incubation con
ditions could be adjusted to achieve equivalent cellular PH levels dur
ing experiments that analyzed photosensitivity. Survival measurements
demonstrated that HL60 cells expressing wild-type p53 were more sensit
ive to PH- and SnET2-mediated photosensitization, as well as to UVC ir
radiation, when compared to HL60 cells exhibiting deleted or mutated p
53 phenotypes. A rapid apoptotic response was observed following purpu
rin- and porphyrin-induced photosensitization in all cell lines. Resul
ts of this study indicate that photosensitivity is increased in HL60 c
ells expressing wild-type p53 and that photosensitizer-mediated oxidat
ive stress can induce apoptosis through a p53-independent mechanism in
HL60 cells.