Using antibody directed phototherapy to target oesophageal adenocarcinoma with heterogeneous HER2 expression

Hayley Pye1, Mohammed Adil Butt1,2, Laura Funnell1

  • 1Department for Tissue and Energy, Division of Surgery and Interventional Science, University College London, London, UK.

Oncotarget
|May 26, 2018
PubMed

Insights

A new antibody-photosensitizer drug effectively targets and destroys residual esophageal adenocarcinoma cells after resection. This targeted phototherapy shows promise for treating both HER2-positive and HER2-negative esophageal cancers.

Area of Science:

  • Oncology
  • Biotechnology
  • Photodynamic Therapy

Background:

  • Early esophageal adenocarcinoma (OA) and dysplasia are treated with endoscopic resection and photodynamic therapy (PDT).
  • Current treatments may miss discrete disease areas, leading to recurrence, and PDT can cause off-target photosensitivity.
  • A need exists for a tumor-specific, light-activated therapeutic agent with optimized pharmacokinetics to eliminate residual cancer cells.

Purpose of the Study:

  • To develop and evaluate a novel small molecule antibody-photosensitizer conjugate targeting human epidermal growth factor receptor 2 (HER2).
  • To assess the efficacy of this conjugate as a targeted phototherapy for esophageal adenocarcinoma in a preclinical mouse model.

Main Methods:

  • Developed a small molecule antibody-photosensitizer conjugate targeting HER2.
  • Tested the conjugate *in vitro* for selective binding to tumor versus normal tissue and for light-dependent cytotoxicity.
  • Evaluated the agent's pharmacokinetic properties and therapeutic effect in an *in vivo* mouse xenograft model of human OA with low/heterogeneous HER2 expression.

Main Results:

  • The conjugate demonstrated selective binding to tumor cells *in vitro*.
  • Light-activated phototherapy with the agent showed cytotoxicity *in vitro*.
  • The phototherapy agent exhibited favorable pharmacokinetics in the *in vivo* OA mouse model, leading to tumor growth arrest in all treated xenografts, irrespective of HER2 expression levels.

Conclusions:

  • The novel antibody-photosensitizer conjugate is a promising therapeutic agent for esophageal adenocarcinoma.
  • This targeted phototherapy demonstrates potential for treating both HER2-positive and HER2-low/negative OA, addressing limitations of current treatments.

Related Concept Videos

Antibody Structure01:10

Antibody Structure

Overview
Antibodies, also known as immunoglobulins (Ig), are essential players of the adaptive immune system. These antigen-binding proteins are produced by B cells and make up 20 percent of the total blood plasma by weight. In mammals, antibodies fall into five different classes, which each elicits a different biological response upon antigen binding.
The Y-Shaped Structure of Antibodies Consists of Four Polypeptide Chains
Antibodies consist of four polypeptide chains: two identical heavy...
65.7K
Directing Effect of Substituents: meta-Directing Groups01:09

Directing Effect of Substituents: meta-Directing Groups

Substituents on the benzene ring that direct an incoming electrophile to undergo substitution at the meta position are called meta directors. All meta directors either have a positive charge on the atom directly bonded to the ring or a partial positive charge. These groups function by withdrawing electrons from the ring through inductive and resonance effects. Consider the carbocation intermediates formed upon the addition of an electrophile on nitrobenzene at the...
6.0K
What is Gene Expression?01:42

What is Gene Expression?

Overview
Gene expression is the process in which DNA directs the synthesis of functional products, that is, proteins. Cells can regulate gene expression at various stages. It allows organisms to generate different cell types and enables cells to adapt to internal and external factors.
Genetic Information Flows from DNA to RNA to Protein
A gene is a stretch of DNA that serves as the blueprint for functional RNAs and proteins. Since DNA is made up of nucleotides and proteins consist of amino...
197.0K
Directing Effect of Substituents: ortho–para-Directing Groups01:14

Directing Effect of Substituents: orthopara-Directing Groups

Ortho–para directors are substituent groups attached to the benzene ring and direct the addition of an electrophile to the positions ortho or para to the substituent. All electron-donating groups are considered ortho–para directors. They donate electrons to the ring and make the ring more electron-rich. The ring is therefore susceptible to the addition of electrophiles. Substituents such as amino, hydroxy, or alkoxy, containing lone pairs on the atom adjacent to the ring, donate...
8.6K
Antibody Actions01:26

Antibody Actions

Antibodies, or immunoglobulins, are critical players in the immune system's arsenal against invading pathogens. Produced by B cells and plasma cells, their primary role is to detect and bind to specific antigens, molecules found on the surface of pathogens like bacteria or viruses. Beyond antigen recognition, antibodies perform several vital functions that contribute to immune defense.
Neutralization
Antibodies can bind to pathogens, preventing them from infecting host cells. This process...
2.9K