Dual-Nuclide Biodistribution and Therapeutic Evaluation of a Novel Antibody-Based Radiopharmaceutical in Anaplastic Thyroid Cancer Xenografts.

IF 5.3 2区 医学 Q1 ONCOLOGY
Anja Charlotte Lundgren Mortensen, Hanna Berglund, Preeti Jha, Adam Stenman, Ram Kumar Selvaraju, Hans Lundqvist, Camilla Hofström, Helena Persson, C Christofer Juhlin, Jan Zedenius, Fredrik Y Frejd, Marika Nestor
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Abstract

Anaplastic thyroid cancer (ATC) is a rare but severe form of thyroid cancer responsible for approximately 50% of thyroid cancer deaths. Consequently, the identification of innovative therapies remains crucial for the effective treatment of ATC. Molecular radiotherapy is a rapidly growing field within oncology, and the cell surface antigen CD44v6, which is overexpressed in several cancers, is a plausible target for molecular radiotherapy of ATC. IHC of 39 patient samples with ATC was evaluated for CD44v6 expression. Biodistribution and dosimetry of iodine-125 (125I)-/lutetium-177 (177Lu)-labeled UU-40, a CD44v6-specific antibody, followed by in vivo efficacy in two ATC xenograft models with varying target expression levels (ACT-1 and BHT-101), accompanied by single-photon emission computed tomography (SPECT) imaging, evaluated radiolabeled UU-40 for therapeutic efficiency in ATC xenografts. The IHC revealed CD44v6 immunoreactivity in 46% of patient samples with ATC. The biodistribution favored 177Lu-labeled UU-40 over the 125I-labeled antibody and confirmed the in vivo specificity of both radioconjugates. The in vivo efficacy and accompanied SPECT imaging of a moderate CD44v6-expressing xenograft model (BHT-101) verified the tumor specificity, as well as the target-specific effect of 177Lu-labeled UU-40 on tumor growth and survival. A 100% complete response rate was demonstrated as a result of therapy using a single dose of 16 MBq 177Lu-labeled UU-40 in a high CD44v6-expressing xenograft model (ACT-1), and SPECT imaging revealed excellent tumor uptake of the radioconjugate at 14 days after injection. This study verifies the expression of CD44v6 in ATC and strengthens the superiority and promise of 177Lu-labeled UU-40 over 131I-labeled UU-40 for antibody-based molecular radiotherapy of CD44v6-positive ATC.

一种新的基于抗体的放射性药物在间变性甲状腺癌异种移植中的双核素生物分布和治疗评价。
间变性甲状腺癌(ATC)是一种罕见但严重的甲状腺癌,约占甲状腺癌死亡人数的50%。因此,确定创新疗法对于有效治疗ATC仍然至关重要。分子放射治疗在肿瘤学中是一个快速发展的领域,细胞表面抗原CD44v6在几种癌症中过表达,是ATC分子放射治疗的合理靶点。免疫组化(IHC)检测39例ATC患者的CD44v6表达。125I/ 177lu标记的UU-40(一种CD44v6特异性抗体)的生物分布和剂量测定,随后在两种不同靶表达水平(ACT-1和BHT-101)的ATC异种移植模型中的体内疗效,并伴随spect成像评估放射性标记的UU-40在ATC异种移植中的治疗效果。免疫组化显示46%的ATC患者样本具有CD44v6免疫反应性。生物分布倾向于177LuUU-40而不是125i标记的抗体,并证实了两种放射性偶联物的体内特异性。适度表达cd44v6的异种移植模型(BHT-101)的体内疗效和伴随的SPECT成像证实了177Lu -UU-40对肿瘤生长和生存的肿瘤特异性和靶向特异性作用。在高表达cd44v6的异种移植模型(ACT-1)中使用单剂量16mbq 177Lu -UU-40治疗的结果显示100%的完全缓解率,spect成像显示在注射后14天肿瘤对放射性缀合物的良好摄取。本研究验证了CD44v6在ATC中的表达,巩固了177Lu -UU-40比131I-UU-40在CD44v6阳性ATC的抗体分子放疗中的优势和前景。
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来源期刊
CiteScore
11.20
自引率
1.80%
发文量
331
审稿时长
3 months
期刊介绍: Molecular Cancer Therapeutics will focus on basic research that has implications for cancer therapeutics in the following areas: Experimental Cancer Therapeutics, Identification of Molecular Targets, Targets for Chemoprevention, New Models, Cancer Chemistry and Drug Discovery, Molecular and Cellular Pharmacology, Molecular Classification of Tumors, and Bioinformatics and Computational Molecular Biology. The journal provides a publication forum for these emerging disciplines that is focused specifically on cancer research. Papers are stringently reviewed and only those that report results of novel, timely, and significant research and meet high standards of scientific merit will be accepted for publication.
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