Fluorescence-guided photoimmunotherapy using targeted nanotechnology and ML7710 to manage peritoneal carcinomatosis

Barry J Liang1,2, Sumiao Pang1, Robert Perttila3

  • 1Fischell Department of Bioengineering, University of Maryland, College Park, MD 20742, USA.

Science Advances
|September 6, 2023
PubMed

Insights

This study introduces a novel photoimmunotherapy approach combining targeted photo-activable multi-agent liposomes (TPMAL) with advanced laser endoscopy (ML7710) for improved cancer treatment. The integrated system significantly reduced treatment variability and enhanced tumor control in preclinical models.

Area of Science:

  • Oncology
  • Nanotechnology
  • Biomedical Engineering

Background:

  • Fluorescence-guided intervention aids in detecting and treating microscopic tumors, preventing recurrence.
  • Photoimmunotherapy and nanotechnology show promise for treating metastasis but face challenges with heterogeneous treatment effects.
  • Current limitations necessitate improved methods for targeted drug delivery and precise light application in cancer therapy.

Purpose of the Study:

  • To enhance photoimmunotherapy efficacy by integrating targeted photo-activable multi-agent liposome (TPMAL), fluorescence-guided intervention, and laser endoscopy (ML7710).
  • To improve drug delivery, light dosimetry, and reduce treatment variability in peritoneal carcinomatosis models.

Main Methods:

  • Development of TPMAL, a nanoliposome carrying chemotherapy, fluorophores, and photosensitizer immunoconjugates.
  • Utilizing ML7710 connected to Modulight Cloud for capturing multispectral emission from TPMAL.
  • Employing fluorescence-guided drug delivery (FGDD) and fluorescence-guided light dosimetry (FGLD) in peritoneal carcinomatosis mouse models.

Main Results:

  • FGDD demonstrated a 14-fold enhancement in TPMAL drug delivery to metastases.
  • ML7710 identified interpatient variability in TPMAL uptake, enabling FGLD in over 50% of animals.
  • The combined approach significantly reduced treatment response variation and improved tumor control without adverse effects.

Conclusions:

  • The integration of TPMAL, ML7710, and fluorescence-guided intervention offers a powerful strategy to overcome limitations in photoimmunotherapy.
  • This novel system improves targeted drug delivery and precision light application, leading to enhanced therapeutic outcomes.
  • The developed technology holds potential for more effective and personalized cancer treatment, particularly for metastatic disease.

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