Figure 7. Proposed mechanism of combined CD44- and CD25-targeted NIR-PIT–induced immunotherapy.
FOXP3+CD25+CD4+ Tregs limit antitumor immunity through suppression of effector T cells and NK cells by inhibitory cytokines and cytolysis, as well as by metabolic disruption with IL2 consumption and modulation of DC maturation or function. Combined CD44- and CD25-targeted NIR-PIT induces immunogenic cell death in CD44+ tumors and selectively depletes Tregs with high CD25 expression. Step1: The process of immunogenic cell death caused by CD44-targeted NIR-PIT induces DC maturation. Step 2: Treg depletion induces activation and expansion of effector T cells and simultaneously, differentiation into tumor-specific T cells. Taken together, this combined NIR-PIT results in effective tumor killing and promotion of long-lasting antitumor immunity.
