Open AccessPhotoimmunotherapy of residual disease after incomplete surgical resection in head and neck cancer models
Author(s) -
Moore Lindsay S.,
Boer Esther,
Warram Jason M.,
Tucker Matthew D.,
Carroll William R.,
Korb Melissa L.,
BrandweinGensler Margaret S.,
Dam Gooitzen M.,
Rosenthal Eben L.
Publication year - 2016
Publication title -
cancer medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.403
H-Index - 53
ISSN - 2045-7634
DOI - 10.1002/cam4.752
Subject(s) - medicine , in vivo , panitumumab , cancer , adjuvant therapy , pathology , adjuvant , head and neck cancer , primary tumor , cancer research , surgery , urology , oncology , biology , metastasis , colorectal cancer , cetuximab , microbiology and biotechnology
Antibody‐based photodynamic therapy, or photoimmunotherapy ( PIT ), is a novel, targeted cancer therapy, which can serve as both a diagnostic and a therapeutic agent. The primary objective of this study was to evaluate the capacity of panitumumab‐ IRD ye700 DX (Pan‐ IR 700) to eliminate microscopic tumor remnants in the postsurgical setting, which was accomplished using novel in vitro and in vivo models of residual disease after incomplete resection. Additionally, PIT was evaluated in fresh human‐derived cancer tissue. To determine a threshold for cellular regrowth after PIT , an in vitro assay was performed using a range of cells representing microscopic disease quantities. Long‐term growth inhibition was induced after treatment of 5 × 10 3 and 1 × 10 4 cells at 6 J. A novel in vivo mouse model of subtotal tumor resection was used to assess the effectiveness of Pan‐ IR 700 mediated PIT to eliminate residual disease and inhibit recurrence in the post‐surgical wound bed. Mice receiving surgical treatment plus adjuvant PIT showed a threefold and fourfold reduction in tumor regrowth at 30 days post PIT in the 50% and 90% subtotal resection groups, respectively (as measured by bioluminescence imaging), demonstrating a significant ( P < 0.001) reduction in tumor regrowth. To determine the translatability of epidermal growth factor receptor ( EGFR )‐targeted PIT , SCCHN human tissues ( n = 12) were treated with Pan‐ IR 700. A significant reduction ( P < 0.001) in ATP levels was observed after treatment with Pan‐ IR 700 and 100 J cm −2 (48% ± 5%) and 150 J cm −2 (49% ± 7%) when compared to baseline. Targeting EGFR with Pan‐ IR 700 has robust potential to provide a tumor‐specific mechanism for eliminating residual disease in the surgical setting, thereby increasing therapeutic efficacy, prolonging progression‐free survival, and decreasing morbidity.