title: Photoimmunotherapy of residual disease after incomplete surgical resection in head and neck cancer models.
abstract: 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-IRDye700DX (Pan-IR700) 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-IR700 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-IR700. A significant reduction (P < 0.001) in ATP levels was observed after treatment with Pan-IR700 and 100 J cm(-2) (48% ± 5%) and 150 J cm(-2) (49% ± 7%) when compared to baseline. Targeting EGFR with Pan-IR700 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.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Lindsay S
authors.initials: LS
authors.lastname: Moore
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama.|Department of Surgery, University Medical Center Groningen University of Groningen, Groningen, The Netherlands.
authors.forename: Esther
authors.initials: E
authors.lastname: de Boer
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Jason M
authors.initials: JM
authors.lastname: Warram
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Tucker
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: William R
authors.initials: WR
authors.lastname: Carroll
authors.affiliation: Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
authors.forename: Melissa L
authors.initials: ML
authors.lastname: Korb
authors.affiliation: Department of Pathology, University at Buffalo, Buffalo, New York.
authors.forename: Margaret S
authors.initials: MS
authors.lastname: Brandwein-Gensler
authors.affiliation: Department of Surgery, University Medical Center Groningen University of Groningen, Groningen, The Netherlands.
authors.forename: Gooitzen M
authors.initials: GM
authors.lastname: van Dam
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California.
authors.forename: Eben L
authors.initials: EL
authors.lastname: Rosenthal
mesh_terms: D000818:Animals; D000911:Antibodies, Monoclonal / Q000008:administration & dosage; D045744:Cell Line, Tumor; D004195:Disease Models, Animal; D066246:ErbB Receptors / Q000037:antagonists & inhibitors / Q000378:metabolism; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007167:Immunotherapy; D051379:Mice; D018365:Neoplasm, Residual / Q000628:therapy*; D061848:Optical Imaging / Q000379:methods; D000077544:Panitumumab; D010778:Photochemotherapy; D017319:Photosensitizing Agents / Q000008:administration & dosage; D025321:Surgery, Computer-Assisted; D023041:Xenograft Model Antitumor Assays
chemical_list: D000911:Antibodies, Monoclonal; D017319:Photosensitizing Agents; D000077544:Panitumumab; D066246:ErbB Receptors
keywords: Head and neck squamous cell carcinoma; IRDye700DX; panitumumab; photoimmunotherapy