Targeting ocular malignancies using a novel light-activated virus-like drug conjugate

Background: Targeted therapy is a promising approach to improve the treatment of tumors, including ocular malignancies. Current therapies, such as radiotherapy and surgery, often lead to serious damage to vision or to loss of the eye. New approaches have examined nanoparticles for use as targeted de...

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Main Authors: Sen Ma, Ruben V. Huis In't Veld, Elisabet de los Pinos, Ferry A. Ossendorp, Martine J. Jager
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Advances in Ophthalmology Practice and Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2667376224000726
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author Sen Ma
Ruben V. Huis In't Veld
Elisabet de los Pinos
Ferry A. Ossendorp
Martine J. Jager
author_facet Sen Ma
Ruben V. Huis In't Veld
Elisabet de los Pinos
Ferry A. Ossendorp
Martine J. Jager
author_sort Sen Ma
collection DOAJ
description Background: Targeted therapy is a promising approach to improve the treatment of tumors, including ocular malignancies. Current therapies, such as radiotherapy and surgery, often lead to serious damage to vision or to loss of the eye. New approaches have examined nanoparticles for use as targeted delivery vehicles for drugs. A newly-developed virus-like drug conjugate is a promising nanoparticle with a defined target: the novel virus-like particle-photosensitizer conjugate Belzupacap sarotalocan (Bel-sar, previous name AU-011). Main text: In this review, we summarize the application of this novel light-activated virus-like particle conjugate in pre-clinical and clinical studies and discuss its potential to treat ocular malignancies, such as uveal melanoma and conjunctival melanoma. We furthermore discuss the combination with immunotherapy and its application on pigmented and non-pigmented tumors as well as its effect on macrophage polarization, which is important to achieve effective results in immunotherapy. Conclusions: Belzupacap sarotalocan (Bel-sar) is a promising targeted drug carrier that enhances tumor-specific delivery and minimizes off-target effects. Its photodynamic therapy effectively treats pigmented and non-pigmented tumors while inducing immunogenic cell death through DAMP exposure, triggering local and systemic immune responses. Combining Bel-sar PDT with immunotherapy improves efficacy in preclinical models, warranting further clinical investigation.
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spelling doaj-art-812f9ce64ddb4ebb8872036475d4bc8f2025-08-20T02:45:27ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622025-02-0151495710.1016/j.aopr.2024.12.001Targeting ocular malignancies using a novel light-activated virus-like drug conjugateSen Ma0Ruben V. Huis In't Veld1Elisabet de los Pinos2Ferry A. Ossendorp3Martine J. Jager4Department of Ophthalmology, Leiden University Medical Center (LUMC), Leiden, the NetherlandsDepartment of Radiology, Leiden University Medical Center (LUMC), Leiden, the Netherlands; Department of Immunology, Leiden University Medical Center (LUMC), the NetherlandsAura Biosciences, Inc., Cambridge, MA, USADepartment of Immunology, Leiden University Medical Center (LUMC), the NetherlandsDepartment of Ophthalmology, Leiden University Medical Center (LUMC), Leiden, the Netherlands; Corresponding author. Dept of Ophthalmology, PO Box 9600, 2300 RC, Leiden, the Netherlands.Background: Targeted therapy is a promising approach to improve the treatment of tumors, including ocular malignancies. Current therapies, such as radiotherapy and surgery, often lead to serious damage to vision or to loss of the eye. New approaches have examined nanoparticles for use as targeted delivery vehicles for drugs. A newly-developed virus-like drug conjugate is a promising nanoparticle with a defined target: the novel virus-like particle-photosensitizer conjugate Belzupacap sarotalocan (Bel-sar, previous name AU-011). Main text: In this review, we summarize the application of this novel light-activated virus-like particle conjugate in pre-clinical and clinical studies and discuss its potential to treat ocular malignancies, such as uveal melanoma and conjunctival melanoma. We furthermore discuss the combination with immunotherapy and its application on pigmented and non-pigmented tumors as well as its effect on macrophage polarization, which is important to achieve effective results in immunotherapy. Conclusions: Belzupacap sarotalocan (Bel-sar) is a promising targeted drug carrier that enhances tumor-specific delivery and minimizes off-target effects. Its photodynamic therapy effectively treats pigmented and non-pigmented tumors while inducing immunogenic cell death through DAMP exposure, triggering local and systemic immune responses. Combining Bel-sar PDT with immunotherapy improves efficacy in preclinical models, warranting further clinical investigation.http://www.sciencedirect.com/science/article/pii/S2667376224000726EyeOncologyMelanomaVirus-like particlesTargeted therapyPhotodynamic therapy
spellingShingle Sen Ma
Ruben V. Huis In't Veld
Elisabet de los Pinos
Ferry A. Ossendorp
Martine J. Jager
Targeting ocular malignancies using a novel light-activated virus-like drug conjugate
Advances in Ophthalmology Practice and Research
Eye
Oncology
Melanoma
Virus-like particles
Targeted therapy
Photodynamic therapy
title Targeting ocular malignancies using a novel light-activated virus-like drug conjugate
title_full Targeting ocular malignancies using a novel light-activated virus-like drug conjugate
title_fullStr Targeting ocular malignancies using a novel light-activated virus-like drug conjugate
title_full_unstemmed Targeting ocular malignancies using a novel light-activated virus-like drug conjugate
title_short Targeting ocular malignancies using a novel light-activated virus-like drug conjugate
title_sort targeting ocular malignancies using a novel light activated virus like drug conjugate
topic Eye
Oncology
Melanoma
Virus-like particles
Targeted therapy
Photodynamic therapy
url http://www.sciencedirect.com/science/article/pii/S2667376224000726
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AT ferryaossendorp targetingocularmalignanciesusinganovellightactivatedviruslikedrugconjugate
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