Near infrared photoimmunotherapy of cancer; possible clinical applications

Near-infrared photoimmunotherapy (NIR-PIT) is a new cancer treatment that uses an antibody-photo-absorber conjugate (APC) composed of a targeting monoclonal antibody conjugated with a photoactivatable phthalocyanine-derivative dye, IRDye700DX (IR700). APCs injected into the body can bind to cancer c...

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Main Authors: Wakiyama Hiroaki, Kato Takuya, Furusawa Aki, Choyke Peter L., Kobayashi Hisataka
Format: Article
Language:English
Published: De Gruyter 2021-05-01
Series:Nanophotonics
Subjects:
Online Access:https://doi.org/10.1515/nanoph-2021-0119
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author Wakiyama Hiroaki
Kato Takuya
Furusawa Aki
Choyke Peter L.
Kobayashi Hisataka
author_facet Wakiyama Hiroaki
Kato Takuya
Furusawa Aki
Choyke Peter L.
Kobayashi Hisataka
author_sort Wakiyama Hiroaki
collection DOAJ
description Near-infrared photoimmunotherapy (NIR-PIT) is a new cancer treatment that uses an antibody-photo-absorber conjugate (APC) composed of a targeting monoclonal antibody conjugated with a photoactivatable phthalocyanine-derivative dye, IRDye700DX (IR700). APCs injected into the body can bind to cancer cells where they are activated by local exposure to NIR light typically delivered by a NIR laser. NIR light alters the APC chemical conformation inducing damage to cancer cell membranes, resulting in necrotic cell death within minutes of light exposure. NIR-PIT selectivity kills cancer cells by immunogenic cell death (ICD) with minimal damage to adjacent normal cells thus, leading to rapid recovery by the patient. Moreover, since NIR-PIT induces ICD only on cancer cells, NIR-PIT initiates and activates antitumor host immunity that could be further enhanced when combined with immune checkpoint inhibition. NIR-PIT induces dramatic changes in the tumor vascularity causing the super-enhanced permeability and retention (SUPR) effect that dramatically enhances nanodrug delivery to the tumor bed. Currently, a worldwide Phase 3 study of NIR-PIT for recurrent or inoperable head and neck cancer patients is underway. In September 2020, the first APC and accompanying laser system were conditionally approved for clinical use in Japan. In this review, we introduce NIR-PIT and the SUPR effect and summarize possible applications of NIR-PIT in a variety of cancers.
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spelling doaj.art-85e4bb6b07b94059b8e62948c5f7e3872022-12-22T04:36:03ZengDe GruyterNanophotonics2192-86142021-05-0110123135315110.1515/nanoph-2021-0119Near infrared photoimmunotherapy of cancer; possible clinical applicationsWakiyama Hiroaki0Kato Takuya1Furusawa Aki2Choyke Peter L.3Kobayashi Hisataka4Molecular Imaging Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, 20892, USAMolecular Imaging Branch, Center for Cancer Research, National Cancer Institute, NIH, Bethesda, MD, 20892, USANear-infrared photoimmunotherapy (NIR-PIT) is a new cancer treatment that uses an antibody-photo-absorber conjugate (APC) composed of a targeting monoclonal antibody conjugated with a photoactivatable phthalocyanine-derivative dye, IRDye700DX (IR700). APCs injected into the body can bind to cancer cells where they are activated by local exposure to NIR light typically delivered by a NIR laser. NIR light alters the APC chemical conformation inducing damage to cancer cell membranes, resulting in necrotic cell death within minutes of light exposure. NIR-PIT selectivity kills cancer cells by immunogenic cell death (ICD) with minimal damage to adjacent normal cells thus, leading to rapid recovery by the patient. Moreover, since NIR-PIT induces ICD only on cancer cells, NIR-PIT initiates and activates antitumor host immunity that could be further enhanced when combined with immune checkpoint inhibition. NIR-PIT induces dramatic changes in the tumor vascularity causing the super-enhanced permeability and retention (SUPR) effect that dramatically enhances nanodrug delivery to the tumor bed. Currently, a worldwide Phase 3 study of NIR-PIT for recurrent or inoperable head and neck cancer patients is underway. In September 2020, the first APC and accompanying laser system were conditionally approved for clinical use in Japan. In this review, we introduce NIR-PIT and the SUPR effect and summarize possible applications of NIR-PIT in a variety of cancers.https://doi.org/10.1515/nanoph-2021-0119anti-cancer host immunitycancerimmunogenic cell deathnear-infrared photoimmunotherapy (nir-pit)super-enhanced permeability and retention (supr) effects
spellingShingle Wakiyama Hiroaki
Kato Takuya
Furusawa Aki
Choyke Peter L.
Kobayashi Hisataka
Near infrared photoimmunotherapy of cancer; possible clinical applications
Nanophotonics
anti-cancer host immunity
cancer
immunogenic cell death
near-infrared photoimmunotherapy (nir-pit)
super-enhanced permeability and retention (supr) effects
title Near infrared photoimmunotherapy of cancer; possible clinical applications
title_full Near infrared photoimmunotherapy of cancer; possible clinical applications
title_fullStr Near infrared photoimmunotherapy of cancer; possible clinical applications
title_full_unstemmed Near infrared photoimmunotherapy of cancer; possible clinical applications
title_short Near infrared photoimmunotherapy of cancer; possible clinical applications
title_sort near infrared photoimmunotherapy of cancer possible clinical applications
topic anti-cancer host immunity
cancer
immunogenic cell death
near-infrared photoimmunotherapy (nir-pit)
super-enhanced permeability and retention (supr) effects
url https://doi.org/10.1515/nanoph-2021-0119
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