Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy

Near-infrared photoimmunotherapy (NIR-PIT) is a newly developed cancer therapy that targets cancer cells using a monoclonal antibody-photon absorber conjugate (APC) that is bound to the target cell surface. Subsequent application of low levels of NIR light results in immediate cancer cell death. The...

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Main Authors: Hideyuki Furumoto, Ryuhei Okada, Takuya Kato, Hiroaki Wakiyama, Fuyuki Inagaki, Hiroshi Fukushima, Shuhei Okuyama, Aki Furusawa, Peter L. Choyke, Hisataka Kobayashi
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/14/16/4042
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author Hideyuki Furumoto
Ryuhei Okada
Takuya Kato
Hiroaki Wakiyama
Fuyuki Inagaki
Hiroshi Fukushima
Shuhei Okuyama
Aki Furusawa
Peter L. Choyke
Hisataka Kobayashi
author_facet Hideyuki Furumoto
Ryuhei Okada
Takuya Kato
Hiroaki Wakiyama
Fuyuki Inagaki
Hiroshi Fukushima
Shuhei Okuyama
Aki Furusawa
Peter L. Choyke
Hisataka Kobayashi
author_sort Hideyuki Furumoto
collection DOAJ
description Near-infrared photoimmunotherapy (NIR-PIT) is a newly developed cancer therapy that targets cancer cells using a monoclonal antibody-photon absorber conjugate (APC) that is bound to the target cell surface. Subsequent application of low levels of NIR light results in immediate cancer cell death. The anti-tumor effect of NIR-PIT in immunocompromised mice depends on immediate cancer cell death; therefore, the efficacy increases in a light-dose-dependent manner. However, NIR-PIT also induces a strong anti-tumor immune activation in immunocompetent mice that begins soon after therapy. Thus, it may be possible to reduce the light dose, which might otherwise cause local edema while maintaining therapeutic efficacy. In this study, we determined the optimal dose of NIR light in NIR-PIT based on a comparison of the therapeutic and adverse effects. Either one of two monoclonal antibodies (mAbs) against human epidermal growth factor receptor (hEGFR), Cetuximab or Panitumumab, were conjugated with a photo-absorbing chemical, IRDye700DX (IR700), and then injected in hEGFR-expressing mEERL (mEERL-hEGFR) tumor-bearing C57BL/6 immunocompetent mice or A431-GFP-luc tumor-bearing athymic immunocompromised mice. NIR light was varied between 0 to 100 J/cm<sup>2</sup> one day after administration of APC. In an immunocompromised mouse model, tumor growth was inhibited in a light-dose-dependent manner, yet extensive local edema and weight loss were observed at 100 J/cm<sup>2</sup>. On the other hand, in an immunocompetent mouse model using the mEERL-hEGFR cell line, maximal tumor response was achieved at 50 J/cm<sup>2</sup>, with a commensurate decrease in local edema. In this study, we show that a relatively low dose of NIR light is sufficient in an immunocompetent mouse model and avoids side effects seen with higher light doses required in immunocompetent mice. Thus, light dosing can be optimized in NIR-PIT based on the expected immune response.
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spelling doaj.art-542de9ef78114e4d84985fe5c51bc67d2023-12-03T13:25:44ZengMDPI AGCancers2072-66942022-08-011416404210.3390/cancers14164042Optimal Light Dose for hEGFR-Targeted Near-Infrared PhotoimmunotherapyHideyuki Furumoto0Ryuhei Okada1Takuya Kato2Hiroaki Wakiyama3Fuyuki Inagaki4Hiroshi Fukushima5Shuhei Okuyama6Aki Furusawa7Peter L. Choyke8Hisataka Kobayashi9Molecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USANear-infrared photoimmunotherapy (NIR-PIT) is a newly developed cancer therapy that targets cancer cells using a monoclonal antibody-photon absorber conjugate (APC) that is bound to the target cell surface. Subsequent application of low levels of NIR light results in immediate cancer cell death. The anti-tumor effect of NIR-PIT in immunocompromised mice depends on immediate cancer cell death; therefore, the efficacy increases in a light-dose-dependent manner. However, NIR-PIT also induces a strong anti-tumor immune activation in immunocompetent mice that begins soon after therapy. Thus, it may be possible to reduce the light dose, which might otherwise cause local edema while maintaining therapeutic efficacy. In this study, we determined the optimal dose of NIR light in NIR-PIT based on a comparison of the therapeutic and adverse effects. Either one of two monoclonal antibodies (mAbs) against human epidermal growth factor receptor (hEGFR), Cetuximab or Panitumumab, were conjugated with a photo-absorbing chemical, IRDye700DX (IR700), and then injected in hEGFR-expressing mEERL (mEERL-hEGFR) tumor-bearing C57BL/6 immunocompetent mice or A431-GFP-luc tumor-bearing athymic immunocompromised mice. NIR light was varied between 0 to 100 J/cm<sup>2</sup> one day after administration of APC. In an immunocompromised mouse model, tumor growth was inhibited in a light-dose-dependent manner, yet extensive local edema and weight loss were observed at 100 J/cm<sup>2</sup>. On the other hand, in an immunocompetent mouse model using the mEERL-hEGFR cell line, maximal tumor response was achieved at 50 J/cm<sup>2</sup>, with a commensurate decrease in local edema. In this study, we show that a relatively low dose of NIR light is sufficient in an immunocompetent mouse model and avoids side effects seen with higher light doses required in immunocompetent mice. Thus, light dosing can be optimized in NIR-PIT based on the expected immune response.https://www.mdpi.com/2072-6694/14/16/4042near-infrared photoimmunotherapylight doseEGFRside effects
spellingShingle Hideyuki Furumoto
Ryuhei Okada
Takuya Kato
Hiroaki Wakiyama
Fuyuki Inagaki
Hiroshi Fukushima
Shuhei Okuyama
Aki Furusawa
Peter L. Choyke
Hisataka Kobayashi
Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy
Cancers
near-infrared photoimmunotherapy
light dose
EGFR
side effects
title Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy
title_full Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy
title_fullStr Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy
title_full_unstemmed Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy
title_short Optimal Light Dose for hEGFR-Targeted Near-Infrared Photoimmunotherapy
title_sort optimal light dose for hegfr targeted near infrared photoimmunotherapy
topic near-infrared photoimmunotherapy
light dose
EGFR
side effects
url https://www.mdpi.com/2072-6694/14/16/4042
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