Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6

The results of a study of the clinical effectiveness of the correction of involutional changes in the skin by the method of photodynamic therapy (PDT) with the use of a photosensitizer gel (PS), the active substance of which is the trismeglumine salt of chlorin e6, are presented. The data of fluores...

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Main Authors: O. S. Panova, V. V. Dubensky, V. V. Petunina, M. A. Beimanova, E. A. Sanches, M. L. Gelfond, B. V. Shilov, R. Kh. Belkharoeva
Format: Article
Language:Russian
Published: Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association" 2021-10-01
Series:Biomedical Photonics
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Online Access:https://www.pdt-journal.com/jour/article/view/500
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author O. S. Panova
V. V. Dubensky
V. V. Dubensky
V. V. Petunina
M. A. Beimanova
E. A. Sanches
M. L. Gelfond
B. V. Shilov
R. Kh. Belkharoeva
author_facet O. S. Panova
V. V. Dubensky
V. V. Dubensky
V. V. Petunina
M. A. Beimanova
E. A. Sanches
M. L. Gelfond
B. V. Shilov
R. Kh. Belkharoeva
author_sort O. S. Panova
collection DOAJ
description The results of a study of the clinical effectiveness of the correction of involutional changes in the skin by the method of photodynamic therapy (PDT) with the use of a photosensitizer gel (PS), the active substance of which is the trismeglumine salt of chlorin e6, are presented. The data of fluorescence spectroscopy for monitoring the level of PS fluorescence in order to determine the optimal time of its exposure are demonstrated. The study of the optimal exposure time involved 80 patients with different skin phototypes. The study of the effectiveness of PDT involved 42 patients aged 44–68 years with signs of chrono- and photoaging. The PDT procedure was performed by irradiating the entire surface treated with the PS with a power density of 100 mW/cm2, a light dose of 120–140 J/cm2, a laser radiation wavelength of 660 nm, and a light beam area of 400–800 cm2. It was found that exposure to PS for 10–20 min gives the highest fluorescence and does not depend on the skin phototype. The clinical effect of PDT was achieved in 85.7% of patients; there were no negative subjective sensations. Moisture metrics increased on the skin of the face by 53%, reaching the control values in young healthy volunteers, on the skin of the hands - by 64%. Elastometry indicators on the skin of the face and hands increased by 19% and 16%, respectively. Thus, the PDT procedure with PS based on chlorin e6 is an effective method for correcting involutional changes in the skin, leads to a pronounced clinical effect, improves the parameters of skin moisture measurement and elastometry, and passes without undesirable local reactions. Optical coherence tomography showed an increase in collagen ordering.
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spelling doaj-art-1138dfa90e7a443ba1a94a6dc094ac7e2025-08-20T03:21:05ZrusNon-profit partnership for development of domestic photodynamic therapy and photodiagnosis "Russian Photodynamic Association"Biomedical Photonics2413-94322021-10-0110341110.24931/2413-9432-2021-10-3-4-11235Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6O. S. Panova0V. V. Dubensky1V. V. Dubensky2V. V. Petunina3M. A. Beimanova4E. A. Sanches5M. L. Gelfond6B. V. Shilov7R. Kh. Belkharoeva8MCCC “Eklan”FSBEI Tver State Medical University of the Ministry of Health of RussiaFSBEI Tver State Medical University of the Ministry of Health of RussiaFSAEI Pirogov Russian National Research Medical University of the Ministry of Health of RussiaSBEI “MNPCDK DZM”FSBEI Post-Graduate Professional Education “Institute for Advanced Qualification”, FMBAFSBI N.N. Petrov NMRC of OncologyFSAEI Pirogov Russian National Research Medical University of the Ministry of Health of RussiaFederal State Budgetary Institution “9 Medical Center”The results of a study of the clinical effectiveness of the correction of involutional changes in the skin by the method of photodynamic therapy (PDT) with the use of a photosensitizer gel (PS), the active substance of which is the trismeglumine salt of chlorin e6, are presented. The data of fluorescence spectroscopy for monitoring the level of PS fluorescence in order to determine the optimal time of its exposure are demonstrated. The study of the optimal exposure time involved 80 patients with different skin phototypes. The study of the effectiveness of PDT involved 42 patients aged 44–68 years with signs of chrono- and photoaging. The PDT procedure was performed by irradiating the entire surface treated with the PS with a power density of 100 mW/cm2, a light dose of 120–140 J/cm2, a laser radiation wavelength of 660 nm, and a light beam area of 400–800 cm2. It was found that exposure to PS for 10–20 min gives the highest fluorescence and does not depend on the skin phototype. The clinical effect of PDT was achieved in 85.7% of patients; there were no negative subjective sensations. Moisture metrics increased on the skin of the face by 53%, reaching the control values in young healthy volunteers, on the skin of the hands - by 64%. Elastometry indicators on the skin of the face and hands increased by 19% and 16%, respectively. Thus, the PDT procedure with PS based on chlorin e6 is an effective method for correcting involutional changes in the skin, leads to a pronounced clinical effect, improves the parameters of skin moisture measurement and elastometry, and passes without undesirable local reactions. Optical coherence tomography showed an increase in collagen ordering.https://www.pdt-journal.com/jour/article/view/500optical coherence tomographymoisture measurementelastometryphotodynamic therapyphotosensitizerinvolutional changes in the skinagingtrismeglumine salt of chlorin e6
spellingShingle O. S. Panova
V. V. Dubensky
V. V. Dubensky
V. V. Petunina
M. A. Beimanova
E. A. Sanches
M. L. Gelfond
B. V. Shilov
R. Kh. Belkharoeva
Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
Biomedical Photonics
optical coherence tomography
moisture measurement
elastometry
photodynamic therapy
photosensitizer
involutional changes in the skin
aging
trismeglumine salt of chlorin e6
title Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
title_full Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
title_fullStr Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
title_full_unstemmed Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
title_short Photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
title_sort photodynamic reparative skin regeneration using application of photosensitizer gel based on chlorin e6
topic optical coherence tomography
moisture measurement
elastometry
photodynamic therapy
photosensitizer
involutional changes in the skin
aging
trismeglumine salt of chlorin e6
url https://www.pdt-journal.com/jour/article/view/500
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AT vvpetunina photodynamicreparativeskinregenerationusingapplicationofphotosensitizergelbasedonchlorine6
AT mabeimanova photodynamicreparativeskinregenerationusingapplicationofphotosensitizergelbasedonchlorine6
AT easanches photodynamicreparativeskinregenerationusingapplicationofphotosensitizergelbasedonchlorine6
AT mlgelfond photodynamicreparativeskinregenerationusingapplicationofphotosensitizergelbasedonchlorine6
AT bvshilov photodynamicreparativeskinregenerationusingapplicationofphotosensitizergelbasedonchlorine6
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