基于荧光磁共振成像的胰腺癌纵向免疫微环境监测。

IF 3.3 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
Wilfried Reichardt, Tabea Gewalt, Philipp Hafner, Steffen J Keller, Xun Chen, Asma Alrawashdeh, Yayu Li, Solène Besson, Stefan Fichtner-Feigl, Dominik von Elverfeldt, Huda Jumaa, Dietrich A Ruess
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引用次数: 0

摘要

背景:胰腺癌预后不良:胰腺癌预后较差。靶向 Kirsten 鼠肉瘤(KRAS)突变及其相关通路可提高免疫疗法的疗效。目的:评估 19F MRI 监测肿瘤免疫微环境变化的潜力,以应对 SHP2/MEK 联合抑制:研究类型:临床前动物研究:动物模型:小鼠基因工程胰腺癌模型(N = 20,雌雄均有):9.4T、二维多切片快速采集弛豫增强序列。静脉注射 19F-全氟碳化物(PFC)纳米粒子:通过常规 1H MRI 检查发现肿瘤后,在给小鼠注射全氟化碳纳米粒子 24 小时后对其进行 19F MRI 检查。动物被随机分配到四个治疗组:异位Src-homology-2-containing protein tyrosine phosphatase 2 (SHP2)抑制剂SHP099、有丝分裂原激活的细胞外信号调节激酶1/2 (MEK1/2) 抑制剂Trametinib、两者的组合或药物对照组(每组4至6只小鼠),每隔一天口服一次。7 天和 14 天后重复 1H 和 19F 磁共振成像。牺牲时,通过流式细胞术和多重免疫组化荧光(mIHF)分析胰腺免疫细胞浸润:统计检验:独立 t 检验和单因素方差分析:19F MRI显示,与药物对照组相比,肿瘤中的PFC信号持续下降(在第0、7和14天分别为100%、80%和74%),这与KRAS通路导向治疗下的信号稳定或上升形成鲜明对比。mIHF 分析表明 CD11b+ 巨噬细胞/单核细胞是造成所观察到的 19F MRI 信号差异的主要原因。数据结论:19F MRI 可为胰腺癌 CD11b+ 巨噬细胞/单核细胞的丰度和空间分布提供非侵入性纵向估计。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
19Fluorine-MRI Based Longitudinal Immuno-Microenvironment-Monitoring for Pancreatic Cancer.

Background: Pancreatic cancer has a poor prognosis. Targeting Kirsten Rat Sarcoma (KRAS) mutation and its related pathways may enhance immunotherapy efficacy. While in vivo monitoring of therapeutic response and immune cell migration remains challenging, Fluorine-19 MRI (19F MRI) may allow noninvasive longitudinal imaging of immune cells.

Purpose: Evaluating the potential of 19F MRI for monitoring changes in the tumor immune microenvironment, in response to combined SHP2/MEK inhibition.

Study type: Pre-clinical animal study.

Animal model: Murine genetically engineered pancreatic cancer model (N = 20, both sexes).

Field strength/sequence: 9.4-T, two-dimensional multi-slice Rapid Acquisition with Relaxation Enhancement sequence. Intravenous injection of 19F-perfluorocarbon (PFC) nanoparticles.

Assessment: Upon tumor detection by conventional 1H MRI screening, 19F MRI was performed in mice 24 hours after PFC nanoparticle administration. Animals were randomly assigned to four treatment groups: allosteric Src-homology-2-containing protein tyrosine phosphatase 2 (SHP2) inhibitor SHP099, the mitogen-activated extracellular signal-regulated kinase 1/2 (MEK1/2) inhibitor Trametinib, the combination of both, or a vehicle control (4 to 6 mice each group), administered every other day per oral gavage. 1H and 19F MRI was repeated 7 days and 14 days later. Pancreatic immune cell infiltrates were analyzed by flow cytometry and multiplex immunohistofluorescence (mIHF) upon sacrifice.

Statistical tests: Independent t-tests and one-way analysis of variance.

Results: 19F MRI revealed continuous decrease of PFC-signals in tumors from vehicle controls (100%, 80%, and 74% on days 0, 7, and 14, respectively), contrasting with stable or increasing signals under KRAS-pathway-directed treatment. MEK inhibition showed 100%, 152%, and 84% and dual SHP2/MEK1/2 inhibition demonstrated signals of 100%, 134%, and 100% on days 0, 7, 14, respectively. mIHF analyses indicated CD11b+ macrophages/monocytes as primary contributors to the observed 19F MRI signal differences.

Data conclusion: 19F MRI might provide non-invasive longitudinal estimates for abundance and spatial distribution of CD11b+ macrophages/monocytes in pancreatic cancer.

Evidence level: 1 TECHNICAL EFFICACY: Stage 2.

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来源期刊
CiteScore
9.70
自引率
6.80%
发文量
494
审稿时长
2 months
期刊介绍: The Journal of Magnetic Resonance Imaging (JMRI) is an international journal devoted to the timely publication of basic and clinical research, educational and review articles, and other information related to the diagnostic applications of magnetic resonance.
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