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在结肠癌实验模型中,通过动态对比增强磁共振成像在体内评估SU11248的早期抗血管生成活性。

Early antiangiogenic activity of SU11248 evaluated in vivo by dynamic contrast-enhanced magnetic resonance imaging in an experimental model of colon carcinoma.

作者信息

Marzola Pasquina, Degrassi Anna, Calderan Laura, Farace Paolo, Nicolato Elena, Crescimanno Caterina, Sandri Marco, Giusti Anna, Pesenti Enrico, Terron Andrea, Sbarbati Andrea, Osculati Francesco

机构信息

Dipartimento di Scienze Morfologico-Biomediche, Sezione di Anatomia ed Istologia, Università di Verona, Verona, Italy.

出版信息

Clin Cancer Res. 2005 Aug 15;11(16):5827-32. doi: 10.1158/1078-0432.CCR-04-2655.

Abstract

PURPOSE

To compare two dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) techniques in terms of their ability in assessing the early antiangiogenic effect of SU11248, a novel selective multitargeted tyrosine kinase inhibitor, that exhibits direct antitumor and antiangiogenic activity via inhibition of the receptor tyrosine kinases platelet-derived growth factor receptor, vascular endothelial growth factor receptor, KIT, and FLT3.

EXPERIMENTAL DESIGN

A s.c. tumor model of HT29 human colon carcinoma in athymic mice was used. Two DCE-MRI techniques were used based, respectively, on macromolecular [Gd-diethylenetriaminepentaacetic acid (DTPA)-albumin] and low molecular weight (Gd-DTPA) contrast agents. The first technique provided a quantitative measurement of transendothelial permeability and fractional plasma volume, accepted surrogate markers of tumor angiogenesis. With the second technique, we quantified the initial area under the concentration-time curve, which gives information related to tumor perfusion and vascular permeability. Experiments were done before and 24 hours after a single dose administration of SU11248.

RESULTS

The early antiangiogenic effect of SU11248 was detected by DCE-MRI with macromolecular contrast agent as a 42% decrease in vascular permeability measured in the tumor rim. The effect was also detected by DCE-MRI done with Gd-DTPA as a 31% decrease in the initial area under the concentration-time curve. Histologic slices showed a statistically significant difference in mean vessel density between the treated and control groups.

CONCLUSIONS

The early antiangiogenic activity of SU11248 was detected in vivo by DCE-MRI techniques using either macromolecular or low molecular weight contrast agents. Because DCE-MRI techniques with low molecular weight contrast agents can be used in clinical studies, these results could be relevant for the design of clinical trials based on new paradigms.

摘要

目的

比较两种动态对比增强磁共振成像(DCE-MRI)技术评估新型选择性多靶点酪氨酸激酶抑制剂SU11248早期抗血管生成作用的能力。SU11248通过抑制受体酪氨酸激酶血小板衍生生长因子受体、血管内皮生长因子受体、KIT和FLT3,发挥直接抗肿瘤和抗血管生成活性。

实验设计

采用无胸腺小鼠皮下接种HT29人结肠癌的肿瘤模型。分别基于大分子[钆-二乙三胺五乙酸(DTPA)-白蛋白]和低分子量(钆-DTPA)造影剂,使用两种DCE-MRI技术。第一种技术提供了跨内皮通透性和血浆分数体积的定量测量,这是肿瘤血管生成公认的替代标志物。使用第二种技术,我们对浓度-时间曲线下的初始面积进行了量化,该面积提供了与肿瘤灌注和血管通透性相关的信息。在单次给予SU11248之前和之后24小时进行实验。

结果

使用大分子造影剂的DCE-MRI检测到SU11248的早期抗血管生成作用,表现为肿瘤边缘测量的血管通透性降低42%。使用钆-DTPA的DCE-MRI也检测到了这种作用,表现为浓度-时间曲线下的初始面积降低31%。组织学切片显示治疗组和对照组之间的平均血管密度存在统计学显著差异。

结论

使用大分子或低分子量造影剂的DCE-MRI技术在体内检测到了SU11248的早期抗血管生成活性。由于使用低分子量造影剂的DCE-MRI技术可用于临床研究,这些结果可能与基于新范式的临床试验设计相关。

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