Corresponding Author: Alan L. Epstein, Department of Pathology, University of Southern California, Keck School of Medicine, 2011 Zonal Avenue, HMR 205, Los Angeles, CA 90033.
Mol Cancer Ther. 2013 Dec;12(12):2827-36. doi: 10.1158/1535-7163.MCT-13-0383. Epub 2013 Oct 15.
Current strategies in cancer treatment employ combinations of different treatment modalities, which include chemotherapy, radiotherapy, immunotherapy, and surgery. Consistent with that approach, the present study demonstrates how chemotherapeutic agents can potentiate the delivery of radiolabeled, necrosis-targeting antibodies (chTNT-3, NHS76) to tumor. All chemotherapeutics in this study (5-fluorouracil, etoposide, vinblastine, paclitaxel, and doxorubicin) resulted in statistically significant increases in tumor uptake of radiolabeled antibodies and their F(ab')2 fragments compared to no pretreatment with chemotherapy. Labeled antibodies were administered at various time points following a single dose of chemotherapy in multiple tumor models, and the biodistribution of the antibodies was determined by measuring radioactivity in harvested tissues. MicroPET/CT was also done to demonstrate clinical relevancy of using chemotherapy pretreatment to increase antibody uptake. Results of biodistribution and imaging data reveal specific time frames following chemotherapy when necrosis-targeting antibodies are best delivered, either for imaging or radiotherapy. Thus, the present work offers the prospect of using cytoreductive chemotherapy to increase tumor accumulation of select therapeutic antibodies, especially when combined with other forms of immunotherapy, for the successful treatment of solid tumors.
目前的癌症治疗策略采用了多种治疗方式的联合,包括化疗、放疗、免疫疗法和手术。本研究也采用了这种方法,证明了化疗药物如何增强放射性标记的坏死靶向抗体(chTNT-3、NHS76)向肿瘤的递送。本研究中的所有化疗药物(5-氟尿嘧啶、依托泊苷、长春碱、紫杉醇和多柔比星)均导致放射性标记抗体及其 F(ab')2 片段在肿瘤中的摄取显著增加,与未经化疗预处理相比具有统计学意义。在多种肿瘤模型中,在单次化疗剂量后不同时间点给予标记抗体,并通过测量收获组织中的放射性来确定抗体的生物分布。还进行了 microPET/CT 以证明使用化疗预处理来增加抗体摄取的临床相关性。生物分布和成像数据的结果揭示了化疗后最佳递送坏死靶向抗体的特定时间框架,无论是用于成像还是放疗。因此,本研究提供了一种前景,即使用细胞减灭化疗来增加肿瘤对选定治疗性抗体的积累,尤其是与其他形式的免疫疗法联合使用,以成功治疗实体瘤。
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