Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System

Current immunotherapies aim to modulate the balance among different immune cell populations, thereby controlling immune reactions. However, they often cause immune overactivation or over-suppression, which makes them difficult to control. Thus, it would be ideal to manipulate immune cells at a local...

Full description

Bibliographic Details
Main Authors: Mizuki Yamada, Kohei Matsuoka, Mitsuo Sato, Kazuhide Sato
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Pharmaceutics
Subjects:
Online Access:https://www.mdpi.com/1999-4923/15/2/561
_version_ 1797618773795012608
author Mizuki Yamada
Kohei Matsuoka
Mitsuo Sato
Kazuhide Sato
author_facet Mizuki Yamada
Kohei Matsuoka
Mitsuo Sato
Kazuhide Sato
author_sort Mizuki Yamada
collection DOAJ
description Current immunotherapies aim to modulate the balance among different immune cell populations, thereby controlling immune reactions. However, they often cause immune overactivation or over-suppression, which makes them difficult to control. Thus, it would be ideal to manipulate immune cells at a local site without disturbing homeostasis elsewhere in the body. Recent technological developments have enabled the selective targeting of cells and tissues in the body. Photo-targeted specific cell therapy has recently emerged among these. Near-infrared photoimmunotherapy (NIR-PIT) has surfaced as a new modality for cancer treatment, which combines antibodies and a photoabsorber, IR700DX. NIR-PIT is in testing as an international phase III clinical trial for locoregional recurrent head and neck squamous cell carcinoma (HNSCC) patients (LUZERA-301, NCT03769506), with a fast-track designation by the United States Food and Drug Administration (US-FDA). In Japan, NIR-PIT for patients with recurrent head and neck cancer was conditionally approved in 2020. Although NIR-PIT is commonly used for cancer therapy, it could also be exploited to locally eliminate certain immune cells with antibodies for a specific immune cell marker. This strategy can be utilized for anti-allergic therapy. Herein, we discuss the recent technological advances in local immunomodulation technology. We introduce immunomodulation technology with NIR-PIT and demonstrate an example of the knockdown of regulatory T cells (Tregs) to enhance local anti-tumor immune reactions.
first_indexed 2024-03-11T08:17:19Z
format Article
id doaj.art-cf0c66c12f9140bbb829e0ade61f83ed
institution Directory Open Access Journal
issn 1999-4923
language English
last_indexed 2024-03-11T08:17:19Z
publishDate 2023-02-01
publisher MDPI AG
record_format Article
series Pharmaceutics
spelling doaj.art-cf0c66c12f9140bbb829e0ade61f83ed2023-11-16T22:41:34ZengMDPI AGPharmaceutics1999-49232023-02-0115256110.3390/pharmaceutics15020561Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune SystemMizuki Yamada0Kohei Matsuoka1Mitsuo Sato2Kazuhide Sato3Division of Host Defense Sciences, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya 461-8673, JapanDivision of Host Defense Sciences, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya 461-8673, JapanDivision of Host Defense Sciences, Department of Integrated Health Sciences, Nagoya University Graduate School of Medicine, Nagoya 461-8673, JapanB3 Unit Frontier, Advanced Analytical and Diagnostic Imaging Center (AADIC)/Medical Engineering Unit (MEU), Nagoya University Institute for Advanced Research, Nagoya 466-8550, JapanCurrent immunotherapies aim to modulate the balance among different immune cell populations, thereby controlling immune reactions. However, they often cause immune overactivation or over-suppression, which makes them difficult to control. Thus, it would be ideal to manipulate immune cells at a local site without disturbing homeostasis elsewhere in the body. Recent technological developments have enabled the selective targeting of cells and tissues in the body. Photo-targeted specific cell therapy has recently emerged among these. Near-infrared photoimmunotherapy (NIR-PIT) has surfaced as a new modality for cancer treatment, which combines antibodies and a photoabsorber, IR700DX. NIR-PIT is in testing as an international phase III clinical trial for locoregional recurrent head and neck squamous cell carcinoma (HNSCC) patients (LUZERA-301, NCT03769506), with a fast-track designation by the United States Food and Drug Administration (US-FDA). In Japan, NIR-PIT for patients with recurrent head and neck cancer was conditionally approved in 2020. Although NIR-PIT is commonly used for cancer therapy, it could also be exploited to locally eliminate certain immune cells with antibodies for a specific immune cell marker. This strategy can be utilized for anti-allergic therapy. Herein, we discuss the recent technological advances in local immunomodulation technology. We introduce immunomodulation technology with NIR-PIT and demonstrate an example of the knockdown of regulatory T cells (Tregs) to enhance local anti-tumor immune reactions.https://www.mdpi.com/1999-4923/15/2/561near infrared photoimmunotherapylocal immunomodulationregulatory T cellsimmunotherapy
spellingShingle Mizuki Yamada
Kohei Matsuoka
Mitsuo Sato
Kazuhide Sato
Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System
Pharmaceutics
near infrared photoimmunotherapy
local immunomodulation
regulatory T cells
immunotherapy
title Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System
title_full Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System
title_fullStr Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System
title_full_unstemmed Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System
title_short Recent Advances in Localized Immunomodulation Technology: Application of NIR-PIT toward Clinical Control of the Local Immune System
title_sort recent advances in localized immunomodulation technology application of nir pit toward clinical control of the local immune system
topic near infrared photoimmunotherapy
local immunomodulation
regulatory T cells
immunotherapy
url https://www.mdpi.com/1999-4923/15/2/561
work_keys_str_mv AT mizukiyamada recentadvancesinlocalizedimmunomodulationtechnologyapplicationofnirpittowardclinicalcontrolofthelocalimmunesystem
AT koheimatsuoka recentadvancesinlocalizedimmunomodulationtechnologyapplicationofnirpittowardclinicalcontrolofthelocalimmunesystem
AT mitsuosato recentadvancesinlocalizedimmunomodulationtechnologyapplicationofnirpittowardclinicalcontrolofthelocalimmunesystem
AT kazuhidesato recentadvancesinlocalizedimmunomodulationtechnologyapplicationofnirpittowardclinicalcontrolofthelocalimmunesystem