Combined Locoregional-Immunotherapy for Cancer Treatment

A special issue of Pharmaceutics (ISSN 1999-4923). This special issue belongs to the section "Clinical Pharmaceutics".

Deadline for manuscript submissions: closed (20 August 2021) | Viewed by 7184

Special Issue Editors


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Guest Editor
Department of Radiology, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA
Interests: drug delivery; cancer immunotherapy; atherosclerosis therapy

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Co-Guest Editor
Department of Radiology, Northwestern University Feinberg, School of Medicine, Chicago, IL 60611, USA
Interests: multimodal medical imaging; translational nano cancer therapeutics; MRI contrast agent; nanotechnology; biomaterials; image guided cancer therapy; organic/inorganic/metal nano materials for medicine; cancer treatment; multifunctional nanoplatform; thermo-responsive polymer; magnetic hybrid nanoparticles; targeted drug/contrast agents
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Special Issue Information

Dear Colleagues,

Immunotherapy has changed the landscape of cancer treatment in the past several years. The systemic administration of immune checkpoint inhibitors (ICIs), targeting PD-1, PD-L1, or CTLA-4, is the pillar of current immunotherapy. However, it is notable that ICIs have limited efficacy as monotherapy, and their greatest potential lies in combination with other treatments that can trigger or augment anti-tumour immune responses.

Accumulating preclinical data suggest that the locoregional delivery of immunotherapy agents (e.g., TLR/STING agonists, antibodies, or viruses) can induce robust systemic antitumor immunity in various types of cancers. As strong immune responses can be elicited while minimizing systemic exposure, locoregional immunotherapy provides a safe modality for patients. However, one of the major setbacks of locoregional immunotherapy is that many cancers in the clinic are not easily accessible compared with preclinical tumour models. Therefore, its clinical utilization will inevitably require image-guidance.

In interventional oncology, image-guided locoregional therapies, such as percutaneous ablation and transarterial embolization, are commonly used to treat patients with hepatocellular carcinoma. It is possible that the interventional technologies are used for the locoregional delivery of immunotherapy agents in various types of cancers, as well as hepatocellular carcinoma, for the safe integration of immunotherapies with conventional modalities or systemic ICI therapies. The purpose of this Special Issue is to collect studies regarding locoregional immunotherapies from researchers in the field of immuno-oncology and interventional oncology in order to promote new opportunities and perspectives by bridging the gap between the fields.

Dr. Heegon Kim
Prof. Dr. Dong-Hyun Kim
Guest Editor

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Keywords

  • immuno-oncology
  • interventional oncology
  • locoregional immunotherapy
  • combination immunotherapy
  • image-guided therapy
  • local drug delivery

Published Papers (2 papers)

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13 pages, 7194 KiB  
Article
Liposomal Resiquimod for Enhanced Immunotherapy of Peritoneal Metastases of Colorectal Cancer
by Griffin Pauli, Po-Han Chao, Zhu Qin, Roland Böttger, Suen Ern Lee and Shyh-Dar Li
Pharmaceutics 2021, 13(10), 1696; https://0-doi-org.brum.beds.ac.uk/10.3390/pharmaceutics13101696 - 15 Oct 2021
Cited by 11 | Viewed by 3229
Abstract
Colorectal cancer with peritoneal metastases is currently treated by cytoreductive surgery and locoregional chemotherapeutics. This standard treatment is associated with high morbidity, mortality, and recurrence rate. To augment the existing therapy, we developed a liposome-based delivery system containing 1,2-stearoyl-3-trimethylammonium-propane chloride (DSTAP), a cationic [...] Read more.
Colorectal cancer with peritoneal metastases is currently treated by cytoreductive surgery and locoregional chemotherapeutics. This standard treatment is associated with high morbidity, mortality, and recurrence rate. To augment the existing therapy, we developed a liposome-based delivery system containing 1,2-stearoyl-3-trimethylammonium-propane chloride (DSTAP), a cationic lipid, to localize a toll-like receptor agonist, resiquimod (R848), in the peritoneal cavity (PerC) for enhancing the immune response against cancer that had spread to the PerC. The liposomes delivered by intraperitoneal injection increased peritoneal retention of R848 by 14-fold while retarding its systemic absorption, leading to a 5-fold decreased peak plasma concentration compared to free R848 in mice. Within the PerC, the DSTAP-liposomes were found in ~40% of the dendritic cells by flow cytometry. DSTAP-R848 significantly upregulated interferon α (IFN-α) in the peritoneal fluid by 2-fold compared to free R848, without increasing the systemic level. Combined with oxaliplatin, a cytotoxic agent inducing immunogenic cell death, DSTAP-R848 effectively inhibited the progression of CT26 murine colorectal tumor in the PerC, while the combination with free R848 only showed a mild effect. Moreover, the combination of oxaliplatin and DSTAP-R848 significantly increased infiltration of CD8+ T cells in the PerC compared to oxaliplatin combined with free R848, indicating enhanced immune response against the tumor. The results suggest that DSTAP-R848 exhibits potential in augmenting existing therapies for treating colorectal cancer with peritoneal metastases via immune activation. Full article
(This article belongs to the Special Issue Combined Locoregional-Immunotherapy for Cancer Treatment)
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14 pages, 692 KiB  
Review
Immune Responses Following Locoregional Treatment for Hepatocellular Carcinoma: Possible Roles of Adjuvant Immunotherapy
by Ji-Won Han and Seung-Kew Yoon
Pharmaceutics 2021, 13(9), 1387; https://0-doi-org.brum.beds.ac.uk/10.3390/pharmaceutics13091387 - 02 Sep 2021
Cited by 15 | Viewed by 3330
Abstract
Hepatocellular carcinoma (HCC) is a common cause of cancer-related deaths worldwide. Unlike other types of cancer, HCC can be treated with locoregional treatments (LRTs) such as radiofrequency ablation (RFA) or transarterial chemoembolization (TACE). However, recurrences following LRTs are common, and strategies to improve [...] Read more.
Hepatocellular carcinoma (HCC) is a common cause of cancer-related deaths worldwide. Unlike other types of cancer, HCC can be treated with locoregional treatments (LRTs) such as radiofrequency ablation (RFA) or transarterial chemoembolization (TACE). However, recurrences following LRTs are common, and strategies to improve long-term outcomes need to be developed. The exhaustion of anti-tumor immunity in HCC has been well established in many reports and the immunomodulatory effects of LRTs (enhancement of tumor antigen-specific T cell responses after RFA, reduction of effector regulatory T cells after TACE) have also been reported in several previous studies. However, a comprehensive review of previous studies and the possible roles of immunotherapy following LRTs in HCC are not known. In this review, we discuss the immunological evidence of current clinical trials using LRTs and combined immunotherapies, and the possible role of this strategy. Full article
(This article belongs to the Special Issue Combined Locoregional-Immunotherapy for Cancer Treatment)
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