De Stasio Gelsomina, Rajesh Deepika, Ford Judith M, Daniels Matthew J, Erhardt Robert J, Frazer Bradley H, Tyliszczak Tolek, Gilles Mary K, Conhaim Robert L, Howard Steven P, Fowler John F, Estève François, Mehta Minesh P
Department of Physics and Synchrotron Radiation Center, University of Wisconsin-Madison, Stoughton, Winconsin 53589, USA.
Clin Cancer Res. 2006 Jan 1;12(1):206-13. doi: 10.1158/1078-0432.CCR-05-0743.
We present preclinical data showing the in vitro intranuclear uptake of motexafin gadolinium by glioblastoma multiforme cells, which could serve as a prelude to the future development of radiosensitizing techniques, such as gadolinium synchrotron stereotactic radiotherapy (GdSSR), a new putative treatment for glioblastoma multiforme.
In this approach, administration of a tumor-seeking Gd-containing compound would be followed by stereotactic external beam radiotherapy with 51-keV photons from a synchrotron source. At least two criteria must be satisfied before this therapy can be established: Gd must accumulate in cancer cells and spare the normal tissue; Gd must be present in almost all the cancer cell nuclei. We address the in vitro intranuclear uptake of motexafin gadolinium in this article. We analyzed the Gd distribution with subcellular resolution in four human glioblastoma cell lines, using three independent methods: two novel synchrotron spectromicroscopic techniques and one confocal microscopy. We present in vitro evidence that the majority of the cell nuclei take up motexafin gadolinium, a drug that is known to selectively reach glioblastoma multiforme.
With all three methods, we found Gd in at least 90% of the cell nuclei. The results are highly reproducible across different cell lines. The present data provide evidence for further studies, with the goal of developing GdSSR, a process that will require further in vivo animal and future clinical studies.
我们展示了临床前数据,这些数据显示多形性胶质母细胞瘤细胞对莫替沙芬钆有体外核内摄取,这可作为未来放射增敏技术发展的前奏,如钆同步加速器立体定向放射疗法(GdSSR),一种新的多形性胶质母细胞瘤假定治疗方法。
在这种方法中,给予一种靶向肿瘤的含钆化合物后,将使用来自同步加速器源的51 keV光子进行立体定向外照射放疗。在确立这种治疗方法之前,必须至少满足两个标准:钆必须在癌细胞中积累并使正常组织免受影响;钆必须几乎存在于所有癌细胞核中。在本文中,我们探讨了莫替沙芬钆的体外核内摄取情况。我们使用三种独立方法,以亚细胞分辨率分析了四种人类胶质母细胞瘤细胞系中的钆分布:两种新型同步加速器光谱显微镜技术和一种共聚焦显微镜。我们提供了体外证据,表明大多数细胞核摄取了莫替沙芬钆,这是一种已知能选择性作用于多形性胶质母细胞瘤的药物。
使用所有三种方法,我们在至少90%的细胞核中发现了钆。结果在不同细胞系中具有高度可重复性。目前的数据为进一步研究提供了证据,目标是开发GdSSR,这一过程将需要进一步的体内动物研究和未来的临床研究。