BRIGHAM AND WOMEN’S HOSPITAL, ASHISH KULKARNIMost methods traditionally used to monitor the effectiveness of a cancer treatment, such as positron emission tomography (PET) and magnetic resonance imaging (MRI) scans, detect decreases in tumor size only after several rounds of therapy. But researchers at Brigham and Women’s Hospital in Boston have now developed a technique that causes drug-transporting nanoparticles to glow with fluorescence as their target cells die, making it possible to visualize the effectiveness of a therapy much sooner than with standard methods. The team described its technique in a mouse study published yesterday (March 28) in PNAS.
“Using this approach, the cells light up the moment a cancer drug starts working,” study coauthor Shiladitya Sengupta of Brigham and Women’s said in a statement. “We can determine if a cancer therapy is effective within hours of treatment.”
In the new method, tested in tumor-bearing mice, the researchers used nanoparticles of approximately 100 nanometers in diameter to deliver both a cytotoxic drug and a fluorescent reporter to tumor cells. The fluorescent reporter had been designed to glow only in the presence of capsase—an enzyme produced when cells die, thus producing a visual indicator of a treatment’s success within only a few hours of its administration.
After trialing the method with both a common chemotherapeutic agent, paclitaxel, and an anti-PD-L1 immunotherapy, “we’ve demonstrated that this technique can help us directly visualize and measure the responsiveness of tumors to both types of drugs,” study coauthor Ashish Kulkarni at Brigham and Women’s said in the statement.
One potential drawback to the technology is that the imaging chemicals themselves can be toxic, Mansoor Amiji of Northeastern University who was not involved in the research told Science News. But developing a real-time measurement of a drug’s performance is an important step, he said. “There’s a tremendous need, especially as we think about personalizing cancer therapies.”
The research is at the proof-of-concept stage, Sengupta told Science News, but future work will aim to translate the findings to humans. “Our long-term goal is to find a way to monitor outcomes very early so that we don’t give a chemotherapy drug to patients who are not responding to it,” he said.