Q1 · MEDICINE
ArticleOA
Author: Koike, Chiaki ; Kawaguchi, Koji ; Fukui, Takayuki ; Shimizu, Misae ; Takahashi, Kazuomi ; Hasegawa, Yoshinori ; Sato, Kazuhide ; Baba, Yoshinobu ; Nakamura, Shota ; Kuramoto, Noriko ; Taki, Shunichi ; Chen-Yoshikawa, Toyofumi F ; Yasui, Hirotoshi ; Endo, Rena ; Yukawa, Hiroshi ; Isobe, Yoshitaka ; Nishinaga, Yuko
BACKGROUND:Small cell lung cancer (SCLC) has a poor prognosis, and its treatment options are limited. Delta-like protein 3 (DLL3) is expressed specifically in SCLC and is considered a promising therapeutic target for patients with this disease. Rovalpituzumab tesirine (Rova-T) was the first antibody-drug conjugate targeting DLL3. Although Rova-T development was unfortunately terminated, DLL3 remains an ideal target for SCLC. Near infrared photoimmunotherapy (NIR-PIT) is a new form of cancer treatment that employs an antibody-photosensitiser conjugate followed by NIR light exposure and damage target cells specifically. In this study, we demonstrate DLL3-targeted NIR-PIT to develop a novel molecularly targeted treatment for SCLC.
METHODS:The anti-DLL3 monoclonal antibody rovalpituzumab was conjugated to an IR700 photosensitiser (termed 'rova-IR700'). SCLC cells overexpressing DLL3 as well as non-DLL3-expressing controls were incubated with rova-IR700 and then exposed to NIR-light. Next, mice with SCLC xenografts were injected with rova-IR700 and irradiated with NIR-light.
FINDINGS:DLL3-overexpressing cells underwent immediate destruction upon NIR-light exposure, whereas the control cells remained intact. The xenograft in mice treated with rova-IR700 and NIR-light shrank markedly, whereas neither rova-IR700 injection nor NIR-light irradiation alone affected tumour size.
INTERPRETATION:Our data suggest that targeting of DLL3 using NIR-PIT could be a novel and promising treatment for SCLC.
FUNDING:Research supported by grants from the Program for Developing Next-generation Researchers (Japan Science and Technology Agency), KAKEN (18K15923, JSPS), Medical Research Encouragement Prize of The Japan Medical Association, The Nitto Foundation, Kanae Foundation for the Promotion of Medical Science.