HER2 targeting near-infrared photoimmunotherapy for a CDDP-resistant small-cell lung cancer

Kazuomi Takahashi1, Shunichi Taki1, Hirotoshi Yasui1

  • 1Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Cancer Medicine
|November 3, 2021
PubMed
Abstract

Insights

Near-infrared photoimmunotherapy (NIR-PIT) targeting human epidermal growth factor receptor 2 (HER2) shows promise for small cell lung cancer (SCLC). This therapy is more effective in chemoresistant SCLC with higher HER2 expression.

Area of Science:

  • Oncology
  • Biotechnology
  • Immunotherapy

Background:

  • Human epidermal growth factor receptor 2 (HER2) is overexpressed in various cancers, including small cell lung cancer (SCLC), but lacks targeted therapies.
  • Near-infrared photoimmunotherapy (NIR-PIT) utilizes a photo-absorber (IRDye-700DX) and antibody conjugates activated by near-infrared light.

Purpose of the Study:

  • To evaluate the therapeutic efficacy of HER2-targeting NIR-PIT using trastuzumab in HER2-positive SCLC.
  • To investigate the correlation between HER2 expression levels and NIR-PIT effectiveness, particularly in chemoresistant SCLC.

Main Methods:

  • Utilized HER2-positive SCLC cell lines (SBC-3) and cisplatin-resistant variants (SBC-3/CDDP).
  • Administered HER2-targeting NIR-PIT with trastuzumab and varying doses of NIR light.
  • Assessed in vitro cell death rates and in vivo tumor suppression and survival periods.

Main Results:

  • HER2 expression was notably upregulated in cisplatin-resistant SCLC cells (SBC-3/CDDP).
  • In vitro, NIR-PIT significantly increased cell death in SBC-3/CDDP compared to SBC-3, correlating with NIR light dosage.
  • In vivo studies showed enhanced tumor growth suppression and prolonged survival in the SBC-3/CDDP group.

Conclusions:

  • HER2-targeting NIR-PIT with trastuzumab is a promising therapeutic strategy for HER2-positive SCLC.
  • The efficacy of NIR-PIT is positively correlated with HER2 expression levels, especially in cases of acquired cisplatin resistance.